scholarly journals Who is that nurse?: Transferring knowledge requires clarity about professional titles

2021 ◽  
Vol 113 ◽  
pp. 103805
Author(s):  
Marleen H. Lovink ◽  
Anke Persoon ◽  
Evelyn Finnema ◽  
Anneke L. Francke ◽  
Lissette Schoonhoven ◽  
...  
Keyword(s):  
2020 ◽  
Author(s):  
Ronghua Xu ◽  
Tingting Zhang ◽  
Qingpeng Zhang

BACKGROUND Internet hospitals, or e-hospitals, as one kind of e-health platforms in China, provided novel channels through which physicians present their medical or health-care knowledge to patients and provide online counseling services. The sustainable development of Internet hospitals and e-health platforms relied on the participation of both the patients and the physicians, especially on the provision of health consultation services by the physicians. OBJECTIVE The objective of our study was to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online reputation and offline reputation. METHODS We collected the data of 141,030 physicians from 6,173 offline hospitals and 350 cities on WeDoctor, an Internet hospital platform authorized by the China Health and Family Planning Committee. We selected the physicians’ online consultation volume, the total amount of counseling conversations from all channels of the platform, as the investigated dependent variable, reflecting the actual online counseling behaviors of the physicians in the platform. Based on the reputation theories and prior study, we incorporated patients’ feedback as the physicians’ online reputation (i.e. patients’ comments and their satisfaction scores), and incorporated the physicians’ offline professional status as the offline reputation (i.e. professional titles and the rankings of their offline working hospitals). We also delved the moderated effects of the city levels where the physicians lived offline and the number of patients who were watching the physicians online. Eight research hypotheses were proposed. Step-wise linear regression models were used to test our hypotheses. Durbin-Watson test and robustness tests were also conducted to ensure the fitness and reliability of our models. RESULTS As a result of the regression models, we found that, 1) physicians’ online reputation, including the number of comments written by the patients (beta=0.588, P<0.001), the satisfaction scores (beta=0.034, P<0.01), significantly and positively influence physicians’ online counseling behaviors; 2) Physicians’ offline reputation, including their professional titles (beta=-0.084, P<0.001) and the hospital rankings (beta=-0.163, P<0.001), significantly and negatively influence physicians’ online counseling behaviors; 3) the city levels where the physicians lived strengthen the negative effect between their offline hospital rankings and their online consulting services (beta=-0.177, P<0.001), indicating that physicians of higher offline reputation spend less time on online counseling, possibly due to the relative heavier offline workload; 4) the number of watching patients weakens the positive effect between patients’ comments and physicians’ online consulting services (beta=-0.216, P<0.001), indicating that the watching patients may switch the channels from online consultation to offline hospital visits after using the Internet hospitals. CONCLUSIONS This study contributed to the literature on physicians online counseling behaviors in Internet hospitals by verifying the contrasting effects of the online reputation and the offline reputation. It then contributed to the motivation theory by separating the online reputation from the offline reputation when the acting entities have constraints of limited time and effort. This study can also provide practical insights for the hospital managers to better arrange for the online counseling services and for the policy makers to consider the patients’ online feedback into the overall evaluation of the physicians’ reputation.


2021 ◽  
Vol 30 (3) ◽  
pp. 427-438
Author(s):  
Andrea Pető ◽  
Ildikó Barna

In his 1992 article, ‘Today, Freedom is Unfettered in Hungary,’ Columbia University history professor István Deák argued that after 1989 Hungarian historical research enjoyed ‘unfettered freedom. Deák gleefully listed the growing English literature on Hungarian history and hailed the ‘step-by step dismantling of the Marxist-Leninist edifice in historiography’ that he associated with the Institute of History at the Hungarian Academy of Sciences (HAS) under the leadership of György Ránki (1930–88). In this article he argued that the dismantling of communist historiography had started well before 1989. Besides celebrating the establishment of the popular science-oriented historical journal, History (História) (founded in 1979) and new institutions such as the Európa Intézet – Europa Institute (founded in 1990) or the Central European University (CEU) (founded in 1991) as turning points in Hungarian historical research, Deák listed the emergence of the question of minorities and Transylvania; anti-Semitism and the Holocaust; as well as the 1956 revolution. It is very true that these topics were addressed by prominent members of the Hungarian democratic opposition who were publishing in samizdat publications: among them János M. Rainer, the director of the 1956 Institute after 1989, who wrote about 1956. This list of research topics implies that other topics than these listed before had been free to research and were not at all political. This logic interiorised and duplicated the logic of communist science policy and refused to acknowledge other ideological interventions, including his own, while also insisting on the ‘objectivity’ of science. Lastly, Deák concluded that ‘there exists a small possibility that the past may be rewritten again, in an ultra-conservative and xenophobic vein. This is, however, only a speculation.’ Twenty years later Ignác Romsics, the doyen of Hungarian historiography, re-stated Deák's claim, arguing that there are no more ideological barriers for historical research. However, in his 2011 article Romsics strictly separated professional historical research as such from ‘dilettantish or propaganda-oriented interpretations of the past, which leave aside professional criteria and feed susceptible readers – and there are always many – with fraudulent and self-deceiving myths’. He thereby hinted at a new threat to the historical profession posed by new and ideologically driven forces. The question of where these ‘dilettantish or propaganda-oriented’ historians are coming from has not been asked as it would pose a painful question about personal and institutional continuity. Those historians who have become the poster boys of the illiberal memory politics had not only been members of the communist party, they also received all necessary professional titles and degrees within the professional community of historians.


Author(s):  
Zhigang Li ◽  
Xu Xu

In tandem with internet development and widespread social media use, e-health communities have begun to emerge in recent years. These communities allow doctors to access forums anywhere, anytime, seek or exchange medical information online, find literature, and so on. This is convenient and can solve some problems for doctors while also promoting doctor communication. This study collected and collated 102 doctors in the “Lilac Forum” and used social network tools to quantify the overall network density, centrality, core–periphery structure, and structural hole indicators of doctors’ information exchange from a social-capital perspective. The results showed that the frequency of interaction between doctors differed because of differences in the identities and participation of doctors in the e-health community. The density of the doctors’ information dissemination network (0.228) and network cohesion (0.610) were relatively high. Thus, the doctors were more closely connected, and information was easily spread. At the same time, doctors with higher professional titles had obvious location characteristics, familiarity and trust, and high levels of reciprocity. They could obtain redundant information in the network and were more likely to influence the behavior of other doctors. This study’s findings provide support for improving information exchange among doctors in e-health communities and improving the service levels of the platforms.


2021 ◽  
Vol 21 (2) ◽  
pp. 242-258
Author(s):  
Susana Franco ◽  
Rita Santos Rocha ◽  
Fátima Ramalho ◽  
Vera Simões ◽  
Vieira Isabel ◽  
...  

El Colegio Americano de Medicina Deportiva (ACSM) publica anualmente un estudio que identifica las tendencias mundiales de fitness para el próximo año. El presente estudio reproduce la metodología del estudio de las tendencias del ACSM y pretende caracterizar las tendencias del fitness en Portugal para 2021 según profesionales y estudiantes bien como de practicantes del sector, comparando los resultados con estudios a nivel mundial, europeo y español. Además de la caracterización, se compararon las tendencias entre practicantes y profesionales/estudiantes, y en esta entre géneros, si ejercer o no funciones como profesional y tener el título de Técnico en Ejercicio Físico (TEF), Director Técnico (DT) o no tener título. En este estudio participaron 300 profesionales/estudiantes y 85 practicantes, qué respondieron a un cuestionario online diseñado para tal fin. Los resultados de los profesionales/estudiantes mostraron que las principales tendencias se refieren a licencias (títulos) para profesionales de fitness, empleo de profesionales de fitness certificados, entrenamiento personal, ejercicio para bajar de peso y estilo de vida saludable y cambio de comportamiento. Portugal tiende a estar más en línea con las tendencias europeas que con las mundiales. En la comparación entre profesionales y practicantes hay diferencias en 4 de 42 tendencias. En cuanto al género, se identificaron diferencias significativas en 20 de las 42 tendencias. Comparando los profesionales que realizaban funciones con los que no, se encontraron diferencias en 7 de las 42 tendencias, mientras que entre los títulos profesionales de TEF, DT o sin título profesional se encontraron diferencias en 9 de las 42 tendencias. The American College of Sports Medicine (ACSM) annually publishes a study that identifies worldwide fitness trends for the next year. The present study reproduced the methodology of the study of ACSM trends and intends to characterize the fitness trends in Portugal for 2021 according to professionals/students and clients in the sector, comparing the results with studies at a worldwide, European and Spanish level. In addition to the characterization, the trends between clients and professionals/students were compared, and in this between genders, whether or not to perform functions as a professional and hold the title of Physical Exercise Technician (TEF), Technical Director (DT) or not have title. 300 professionals/students and 85 clients answered an online questionnaire built for this purpose. The results of the professionals/students showed that the main trends concern licenses (titles) for fitness professionals, employ certified fitness professionals, personal training, exercise for weight loss and healthy lifestyle and behaviour change. Portugal tends to be more in line with European trends than worldwide ones. In the comparison between professionals and clients there are differences in 4 out of 42 trends. Regarding gender, significant differences were identified in 20 of the 42 trends. Comparing the professionals who performed functions with those who did not, differences were found in 7 of the 42 trends, while among the professional titles of TEF, DT or without professional title, differences were found in 9 of the 42 trends. O American College of Sports Medicine (ACSM) publica anualmente um estudo que identifica as tendências mundiais do fitness para o ano seguinte. O presente estudo reproduziu a metodologia do estudo das tendências do ACSM e pretende caracterizar as tendências do fitness em Portugal para 2021 segundo os profissionais e estudantes do setor bem como os dos praticantes, confrontando os resultados com os estudos a nível mundial, europeu e espanhol. Para além da caracterização, foram comparadas as tendências entre os praticantes e os profissionais/estudantes, e nestes entre géneros, exercer ou não funções enquanto profissional e possuir o título de Técnico de Exercício Físico (TEF), Diretor Técnico (DT) ou não possuir título. Participaram neste estudo 300 profissionais/estudantes e 85 praticantes, que responderam a um questionário online construído para o efeito. Os resultados dos profissionais/estudantes demonstraram que as principais tendências dizem respeito a licenças (títulos) para profissionais de fitness, empregar profissionais de fitness certificados, treino personalizado, exercício para perda de peso e estilo de vida saudável e mudança comportamental. Portugal tende a ir mais ao encontro das tendências europeias, do que das mundiais. Na comparação entre os profissionais/estudantes e os praticantes existem diferenças em 4 das 42 tendências. Em relação ao género foram identificadas diferenças significativas em 20 das 42 tendências. Comparando os profissionais que exerciam funções com os que não exerciam, foram encontradas diferenças em 7 das 42 tendências, enquanto entre os títulos profissionais de TEF, DT ou sem título profissional foram encontradas diferenças em 9 das 42 tendências.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jiang Jie Sun ◽  
Zhi Bo Zheng ◽  
Xue Li Jiang ◽  
Wei Wei Hu ◽  
Jun Liu ◽  
...  

Based on the situation of physician trust in the patient (PTP), we explored the differences in perceived behaviors of physician trust in the patient (PBPTP). We used the PTP scale as a research tool, taking physicians of the hospitals in Anhui region as the research object to carry out the investigation of PTP, Python software was applied to explore the status of PTP, and the differences of PBPTP distribution rate with different demographic characteristic variables were compared by testing based on theory of planned behavior. We get six results as follows: (1) the overall PTP level was low, and nearly 50% of doctors doubt the integrity of patients. “Patients will not be driven by improper interests” becomes the most reluctant problem or the most distrustful option for doctors. (2) In terms of patients’ participation in disease management and regular follow-up visits, PTP rate in male was higher than that in female (Ps < 0.018). (3) PBPTP was affected by age (Ps < 0.017). (4) In terms of the behavior of patients who did not follow the treatment plans, the PTP rate of postgraduates and above physicians was higher than that of undergraduates and below (P=0.017). (5) In terms of providing diagnosis and treatment information, timely notification of illness, medication information, doctor-patient communication behaviors, and compliance with doctors’ treatment plans, PBPTP was affected by doctors’ professional titles and annual income levels (Ps ≤ 0.001), At the same time, PTP levels of different professional titles showed differences in patients’ respect for doctors’ time and bottom line (Ps ≤ 0.001). (6) In terms of doctor-patient communication behaviors, PBPTP was affected by physician departments (P≤0.001). Hence, demographic characteristics variable may be one of the factors affecting PBPTP, and PBPTP is associated with doctor-patient risk. It makes sense for us to propose a new model of physician-patient risk management from the perspective of PTP about “official-individual-social” triple action.


Author(s):  
Walter Jesús Pin Figueroa ◽  
Franklin Edmundo Pin Figueroa

Las reformas en la educación superior en el Ecuador han generado que el Consejo de Educación Superior (CES) elabore reglamentos para regular y normar, bajo los preceptos de autonomía responsable, a las instituciones que conforman el Sistema. En esas circunstancias se emitió el Reglamento de Armonización de la Nomenclatura de Títulos Profesionales y Grados Académicos que confieren las Instituciones de Educación Superior. Por tal motivo las Universidades ecuatorianas deben adecuar su oferta Académica a lo que establece dicho Reglamento. Considerando que también lo que establece la Ley Orgánica de Educación Superior (LOES) enmarcado en el Principio de pertinencia la Universidad Estatal del Sur de Manabí acogiéndose a las normativas vigentes se desarrolló el rediseño de la carrera de Ingeniería en Ecoturismo y tiene como oferta actual la Carrera de Licenciatura de Turismo. Se realizó el análisis y estudio de las necesidades inmersas en la planificación Nacional y regional impulsada por el Estado tales como el Plan Nacional del Buen Vivir 2013 –2017, la Agenda Zonal 4 Pacífico, planes de desarrollo turístico en los GAD municipales de la Zona 4, propuestas del Instituto Nacional de Patrimonio Cultural Regional 4 (INPC R-4) se consideró el estudio de la demanda de profesionales en turismo y de empleabilidad de los graduados. Se elaboró la nueva oferta académica de la UNESUM como carrera de Turismo demostrando su pertinencia para el país la cual se encuentra ya implementada.PALABRAS CLAVE: rediseño curricular; educación superior; principio de pertinencia; turismo.ABSTRACTThe reforms in higher education in Ecuador have led the Higher Education Council (CES) to draw up regulations to regulate and regulate, under the precepts of responsible autonomy, the institutions that make up the System. In these circumstances, the Regulation of Harmonization of the Nomenclature of Professional Titles and Academic Degrees conferred by Higher Education Institutions was issued. For this reason, Ecuadorian universities must adapt their Academic offer to what is established in said Regulation. Considering that also what is established by the Organic Law of Higher Education (LOES) framed in the Relevance Principle of the State University of the South of Manabí, in accordance with the regulations in force, the redesign of the Ecotourism Engineering career was developed and has as its current offer the Tourism Degree Course. The analysis and study of the immersed needs in the National and regional planning promoted by the State were carried out, such as the National Plan of Good Living 2013 -2017, the Zonal Agenda 4 Pacific, tourist development plans in the municipal GADs of Zone 4, proposals of the National Institute of Regional Cultural Patrimony 4 (INPC R-4) was considered the study of the demand of professionals in tourism and of employability of the graduates. The new academic offer of the UNESUM was developed as a tourism career demonstrating its relevance for the country which is already implemented.KEYWORDS: curriculum redesign; higher education; principle of relevance; tourism.


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