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PubMed1989

Motor control and the role of occupational therapy: past, present, and future.

Human motor behavior continues to evolve and, therefore, may never be fully understood. Still, occupational therapy treatment approaches that are based on neurophysiological principles are fairly well accepted, and there is much potential for the development of treatments that will facilitate recovery of function. Occupational therapy must face and confront its roles in relation to the field of motor control; a health care profession involved with performance and motor control issues cannot afford to ignore the rapid advances in neuroscience information and the parallel developments in the field of motor control. Rood (1980) stated that many people want a "womb with a view," so that they remain protected and yet passively observe the outside world. However, if occupational therapy is to remain current with new developments in the field of motor control, it cannot afford to be passive.

History, 20th Century↗
PubMed1994

Clinical research in allied health.

Allied health professionals in nutrition and medical dietetics, occupational therapy, physical therapy, and speech-language pathology and audiology play both unique and key cross-cutting roles in the furtherance of clinical research. Clinical research in nutrition and medical dietetics uniquely focuses on food nutrient intake and the metabolic utilization of nutrients. Clinical research in occupational therapy has a special focus on the relationship of impairment to disability, the adaptation to disability and the maximization of function. Physical therapy clinical research uniquely targets movement dysfunction and its evaluation and treatment within the context of quality and effective care. Clinical research in speech-language pathology and audiology is singular in its focus on deafness and hearing disorders, voice, speech, language and related disorders, and intersections among these and other neurological and physical conditions. Thus, all of these disciplines are making unique contributions to clinical research. Clinical research in these allied health professions is much more than the above specific foci. Inasmuch as these disciplines are rooted in practice, their contributions to research are inherently clinical. Many, if not most, of these contributions represent further validations of clinical practice or its underlying knowledge base. This means that, at a macro level, clinical research in allied health is very much "applied" research. Within allied health clinical research, this emphasis is redoubled at the "person," or individual level, where considerable attention is given to concepts of function and effectiveness. Clinical research in allied health has played a key cross-cutting role through its emphasis on collaboration. Possibly due to their professional maturation within multidisciplinary academic units, allied health professionals have demonstrated a level of comfort with multidisciplinary and interdisciplinary collaborations unique within many academic health science centers. While the above contributions are considerable, much more could be accomplished if identified barriers to career progression could be addressed. Principal barriers to the development of clinical research careers in allied health lie in the areas of training, mentoring, and funding. The lack of financial support for clinical research training is the major impediment. Progress in these areas, although valuable in itself, could also lead to more dedicated release time in clinical and academic settings, improved predoctoral and postdoctoral research training mechanisms, and better alignment of institutional and system reward structures with the clinical research mission. Within the existing constraints, allied health professionals have performed remarkably well in tapping into funding streams created for other disciplines and in establishing research traditions within relatively young health professions.(ABSTRACT TRUNCATED AT 400 WORDS)

Allied Health Occupations↗
PubMed1998

The evolution of professional identity: the case of osteopathic medicine.

The osteopathic medical profession was founded in the late 19th century and has become an accepted part of the medical establishment in the United States. Throughout its history, the osteopathic medical profession has attempted to define itself in a way that differentiates osteopathy from other alternative therapies and situates the profession as responsive to the changing health care needs of the American public. This article examines identity within the osteopathic profession by examining the ways in which the profession has created, maintained, and changed its identity in its over century-long existence. The case analysis presented here involves the examination of identity statements culled from several osteopathic data sources. The identity statements represent four specific time periods within the osteopathic profession: the founding statements of A. T. Still, statements from 1915 through 1935 when the scope of osteopathic identity was expanding, statements from 1954 through 1974 in which the osteopathic profession dealt with internal and external threats in developing a "separate but equal" identity, and recent statements from a osteopathic student web site that illustrate current and future views of osteopathic identity. The results of this case analysis highlight the role of the social environment in establishing and changing professional identity, the importance of an occupational founder in shaping the articulation of identity, and the tension between identity and practice within the osteopathic medical profession.

History, 19th Century↗
PubMed1989

Epidemiological and social aspects of perforating eye injuries.

The epidemiology of 387 consecutive perforating eye injuries (PEI) treated at the Helsinki University Eye Hospital in 1980-1986 was evaluated. Eighty-six percent of patients were males. The age group of 16-45 years predominated among males, 0-15 years among females. The mean age of all patients was 33.7 years. Forty percent of the male injuries were occupational, 38% domestic and 11% caused by assault. The corresponding figures for females were 9%, 53% and 23%, respectively. The occupation groups most often associated with accidents at work were construction (42%) and industry (30%). Five percent of all PEIs were caused by traffic accidents, and 3% were sports-related. After treatment 91% of the economically active patients were able to return to their pre-accident work, 4% had to change profession, and 5% became permanently disabled and unable to work.

Accidents, Occupational↗
PubMed1995

[Staying healthy at work--chances and risks in the daily routine of nursing].

They assist others to be healthy. On the other hand overwork, burnout and emotional disturbance are discussed more often within this particular occupational group than in any other professional fields. What makes nursing staff so vulnerable? What are the risks of care? What are the chances of making the work process of care healthy? How can we help the nursing staff to grow old in their own profession? This text is looking for answers to these questions. The author focuses on three topics: Nursing care as a female occupation, results of international research in the field of special demands in the working situation of nurses and organisational resources of nursing care to promote health at the work places of nursing personnel.

Burnout, Professional↗
PubMed1985

An assessment of the prevalence of hepatitis B among health care personnel in Victoria.

The prevalence of past infection with hepatitis B virus in health care personnel was investigated by questionnaire and by a serological survey of personnel in a representative selection of Victorian hospitals and institutions. According to the available data, hepatitis B does not appear to have been a major infection problem among health care personnel in Victoria. The only occupational group that clearly is at an increased risk of acquiring the infection is the dental profession. Nursing staff members in institutions for the mentally retarded may also be at a higher risk. The findings of this investigation were used as a basis to frame recommendations for the vaccination of health care workers in Victoria against hepatitis B.

Australia↗