[Preparatory gymnastics for the profession. Gymnastics during the work break].
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Information about the use of research by rehabilitation professionals to make clinical decisions in everyday practice is limited. This study compared perceived research use and knowledge sources across professions, practice situations, and work environments. Participants were 165 randomly selected Canadian occupational therapists, physical therapists, and speech-language pathologists. Self-report ratings during an interview, an interviewer rating, and questionnaire scores (Edmonton Research Orientation Survey, General Use of Research, Knowledge Acquisition Survey) were compared. Speech-language pathologists had the most education and the highest research use ratings. Research use was highest during program planning. Programs to encourage research use must consider the research available to guide practice and therapists' education level. Facility size and location (rural, urban) do not affect perceived research use.
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The assistant practitioner role has resulted from recognition that, in order to manage the UK's chronic shortage of registered nurses, new nursing support roles are needed. As a profession trained to take on some duties currently undertaken by nurses, physiotherapists, occupational therapists and speech therapists, the assistant practitioner is one possible solution to this shortfall, making the patient the role's focus.
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The question as to whether work is responsible for a person's sickness is as old as the industrial working system and it has to be raised again and again, for despite the receding importance of purely gainful employment the well-being and health status of workers and often also of their relatives are determined by work. Purely medical data will not suffice to consider this problem, since the overall social conditions must be taken into consideration. Illness or health also become manifest as social behavioural patterns and must be studied as such. It is not work that makes a person sick, but rather the social environment in which he lives and works. The article shows that the conventional medical concepts of disease are often in need of being complemented by a social dimension. This becomes particularly evident by the fact that the undoubtedly grand successes of medicine based on natural sciences yield an increasing fund of knowledge confronted by an insufficiently developed system of social orientation. In this regard the system of lay knowledge which has always been characterised by knowledge oriented on the lines of action, is growing increasingly important. Effective health prevention in public health points towards the need for an increasingly intensified cooperation between the medical profession and the lay system.
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It is important in the delivery of quality nursing care to have a system in place to evaluate the care administered. It is the responsibility of the profession to develop such a system, which is done in nursing through quality assurance programs. Quality assurance programs are based on standards of practice and peer review systems. Occupational health nurses are somewhat unique in their work situations and often need to develop creative strategies for quality assurance programs. The criteria used to evaluate nursing care may be developed to look at the structure, process, or outcome of nursing care. The model for implementation of quality assurance programs involves seven steps.
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