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Context in source publication
Context 1
... is constituted by the goals, attributes and behaviours of profession (4). Its attributes are communication, empathy, integrity, compassion, responsibility, respect, duty, altruism, self-regulation, ability to understand limitations and eager to improve the skills and knowledge (5)(6)(7)(8) (Fig 1). Professionalism is concerned about the moral aspects such as norms, values and behaviour of a doctor during their practice (9). ...
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From 1993 to 2009 the University of Manitoba (UM), the Regional Health Authorities of Manitoba (RHAM), and the Manitoba Health Department signed affiliation agreements that changed the access to knowledge-based information for health professionals. These agreements transferred the management and delivery of library service from the home organizatio...
Citations
... Professionalism is most often learned through the hidden curriculum 6 and is a multidimensional construct making it difficult for educators to accurately assess. 7 While traditional assessment approaches encourage students to memorize material, which results in poor performance outcomes and reduced knowledge retention, case-based learning (CBL) narrates reallife situations to encourage student engagement and practice of problem-solving skills. ...
Purpose
Professionalism is a difficult concept to teach to healthcare professionals. Case-studies in written and video format have demonstrated to be effective teaching tools to improve a student’s knowledge, but little is known about their impact on student behaviour. The purpose of this research study was to investigate and compare the impact of the 2 teaching tools on a student’s behaviour during a simulation.
Method
A 3-stage mixed method study was conducted with senior Medical Laboratory Science (MLS) undergraduate students. All students were randomly divided into a Written Group or Video Group to attend a mandatory professionalism workshop focused on bullying and gossip. Twenty-six students completed the voluntary assignment and 21 students participated in the voluntary group simulations. Thematic analysis was performed on the assignments and simulation. Frequencies of themes were calculated. A Group Simulation Assessment Rubric was used to score simulations and calculate an adjusted group performance average (AGPA).
Results
The assignment demonstrates that students from both groups obtained a theoretical understanding of how to resolve gossip and bullying. From the Written Group and Video Group, 70%/18% of students discouraged/resolved gossiping and 80%/63% prevented bullying. The mean AGPA for the Written Group and Video Group was 5.4 and 4.9 respectively ( t (5) = 1.5, P = .2).
Discussion
Students can successfully apply knowledge they have gained in written and video case-studies focused on the professionalism topics of bullying and gossip to a hypothetical situation. However, a discrepancy in their actions was found during the simulations. The data from the study suggests that written and video case-studies do not have different impacts on a student’s behaviour.
... Conflict theory highlights the conflicting political aspects and manipulation of power of professionalization processes (Gort & Coburn, 1988;Saks, 1998). Such processes entail lobbying government authorities in order to obtain both formal status and exclusive control over a field of activities. ...
... While social closure is a goal, it is also a strategy when seeking regulation. Boon et al. (2004) have indicated that limiting access to a restricted group of eligibles (Saks, 1998) is a means to prevent co-optation of skills and knowledge by other professional groups. Regulation will allow social closure by instituting education and qualification standards . ...
In Canada, naturopathic medicine is an emerging profession that is gaining formal recognition, including provincial/territorial regulation. While naturopathic medicine has undergone significant growth and legitimization, it still faces substantial challenges to acceptance as a full-fledged health care profession within the Canadian health care system. For example, professionalization theories indicate the importance of clear professional boundaries as well as the need for 'new' groups to find a place in the system of professions. This has been problematic for naturopathic practitioners who continue to practice within a broad scope of practice that encompasses many different therapeutic modalities. Development of statutory regulation also requires delineation of a specific, well-defined scope of practice. The purpose of this study was to describe naturopathic practitioners' perception of their training and their current scope of practice. Two thirds (n = 315) of all licensed Canadian naturopathic practitioners responded to the survey. The results showed that naturopathic practitioners are trained in, and practice, a wide range of therapeutic modalities and diagnostic procedures. Practitioners disagreed about their scope of practice, as 57% thought it was too restrictive, 31% felt it was about right and 13% thought it was too broad. A large majority felt there was some or a great deal of overlap with other practitioners' scope of practice. We conclude that multiple challenges are facing naturopathic medicine, including scope of practice, overlap with other professions, social closure, scarcity of vacancies and lack of cohesion. The future of naturopathic medicine will depend on how effectively the profession will use available strategies to overcome barriers to statutory self-regulation.
... There is a considerable literature in sociology about the health care professions and some of this will be drawn on in this section. Saks (1998) gave an historical and contemporary overview of professionalism in healthcare in Britain, saying that the study of professions was dominated by a taxonomic tradition up to the 1960s. This was based on the belief that the professions both: ...
Qualitative methodology offers the opportunity for ergonomists to investigate work problems and research questions using context-sensitive tools for data collection and analysis. This is particularly useful in contexts with complex social and cultural dimensions, for example the high level of emotional and intimate personal interactions between staff and patients in the health care industry.
Two aims have been achieved in this thesis. The first is to set out a clear process for using qualitative methodology in ergonomics by taking a middle ground position with respect to the background philosophy. A generic process for carrying out qualitative research is described and shown in detail in the two case studies.
The ergonomists case study found that there was considerable interest in expanding the ergonomics tool box to include qualitative methodology. However concerns were raised about a perceived lack of knowledge with respect to the process for doing qualitative research. This needs to be addressed by including teaching qualitative methodology in ergonomics courses.
The second aim is use qualitative methodology to identify characteristics of hospitals with respect to the practice of ergonomics. Three themes emerged: organisational issues (complexity and size); staff issues (multiplicity of professionals and gender); and patient issues (dirty and emotional work; patient expectations; and life, death and mistakes). These themes were also found in the practical case study on manual handling problems in occupational therapy. This suggests that knowledge of the characteristics of an industry can help the ergonomist to understand the context of the work problem or research question.
A final dynamic model of ergonomics is proposed to bring together the internal dimensions of a person (representing physical, cognitive and spiritual levels) and the external dimensions of their interactions at a micro level (e. g. tasks) and at wider organisational and societal levels (macro). This model shows the importance of using qualitative methodology to achieve a more complete understanding of human interactions: the basis of the definition of ergonomics.
This paper charts the developing historical relationship between orthodox and alternative medicine in Britain, focusing on the work of health practitioners. It begins by defining the concepts of orthodox and alternative medicine, noting that this was not really a meaningful distinction until the mid-nineteenth century with the rise of the medical profession. Before this time there was a relatively undifferentiated playing field. Thereafter doctors gained state-underwritten professional standing, with alternative therapists becoming increasingly marginalised by the mid-twentieth century. However, in the wake of the medical counterculture of the 1960s and 1970s there has been growing public interest in alternative medicine coupled with an associated increase in the numbers of its practitioners, particularly in the private sector. Despite initial resistance, alternative medicine has now gained greater acceptance by medical orthodoxy. The paper concludes by considering how orthodox and alternative health care can be brought together in more integrated fashion in the future-for the benefit of the wider public.
Evidence-based medicine (EBM) has grown in popularity and prominence in the world of orthodox medicine since the 1980s. The focus of this article is on the process of developing practice guidelines (one type of EBM) and its effects upon chiropractic, a profession with a "philosophy, science and art" that is constructed upon divergent epistemological and methodological tenets (namely, the idea of "vitalism"). The EBM movement is conceptualized as part of a larger political economy surrounding the health care environment that creates a new set of imperatives for orthodox medicine, and also branches of alternative medicine that are in the process of professionalization. The quantitative, positivist and empiricist assumptions of EBM dictate which approaches to treatment and which clinical procedures are legitimate and perhaps reimbursable under systems of managed care. The ramifications of practice guidelines and its effects upon the intraprofessional segments of the chiropractic profession are also discussed.
UK government policy is encouraging healthcare staff to blur traditional roles, in the drive to increase joint working between practitioners. However, there is currently a lack of clarity regarding the impact that changes to traditional working practice might have on staff delivering the services, or on patient care. In this article, we report findings from three qualitative case studies examining interprofessional practice in stroke care, in which the influence of professional differences emerged as a significant theme. We draw on findings from individual semi-structured interviews, as well as fieldwork observations, to describe the influence of professional knowledge and skills, role and identity, and power and status considerations in interprofessional working. The insights that were gained contribute to the understanding of how professional differences impact on healthcare staff joint working, and suggest that the elements identified need to be fully considered in drives towards changed working practice.
