Who is in charge? Jurisdictional contests and organizational outcomes

2019 ◽  
Vol 6 (2) ◽  
pp. 233-245 ◽  
Author(s):  
Scott Feyereisen ◽  
Elizabeth Goodrick
Keyword(s):  
Graduate Program ◽  
Boundary Work ◽  
Organizational Outcomes ◽  
Nurse Anesthetist ◽  
Master's Degrees ◽  
Certified Registered Nurse Anesthetist ◽  
The Usa ◽  
Analytic Narrative ◽  
History Of ◽  
Certified Registered Nurse

Abstract We explored how professional jurisdiction contests influence organizational outcomes by examining how Certified Registered Nurse Anesthetist (CRNA) schools in the USA were impacted by a policy pursuing educational upskilling. While others have focused on boundary work at the field and work levels, we argue that contests between professions also influence important organizational outcomes. We detail how the profession’s accreditation decision requiring schools to provide Master’s degrees within a 17 year window took place in the context of physicians historically battling CRNAs. We provide an analytic narrative illustrating the history of this jurisdictional dispute, and empirically examine how CRNA schools with cultures differentially supportive of physicians’ field-level dominance responded to the requirement of educational upskilling. Our analysis indicates that the timing of a school adopting a graduate program was influenced by whether the organizational culture, represented by organizational ownership, supported physician dominance. We also highlight the importance of access to resources as another conduit for boundary work impacting organizational outcomes.

scholarly journals The nurse anesthetist perioperative dialog

2019 ◽  
Author(s):  
Anna Abelsson ◽  
Annette Nygårdh
Keyword(s):  
Content Analysis ◽  
Body Language ◽  
The Body ◽  
Nurse Anesthetist ◽  
Operating Environment ◽  
Important Conclusion ◽  
Qualitative Design ◽  
Certified Registered Nurse Anesthetist ◽  
Certified Registered Nurse ◽  
Patient Confidence

Abstract Background: In the perioperative dialogue, pre-, intra- and post-operatively, the patient shares their history. In the dialogue, nurse anesthetist (NA) gets to witness the patient's experiences, and can alleviate the patients’ suffering while waiting for, or undergoing surgery. The aim of this study was to describe the certified registered nurse anesthetist experiences of the perioperative dialogue. Methods: The study had a qualitative design. Interviews were conducted with 12 NA and analyzed with interpretive content analysis. The methods were conducted in accordance with the COREQ guidelines. Results: In the result, two categories emerge: A mutual meeting (the preoperative dialogue) where the patient and the NA through contact creates a relationship. The NA is present and listens to the patient, to give the patient confidence in the NA. In the category, On the basis of the patient's needs and wishes (the intraoperative dialogue), the body language of the NA, as well as the ability to read the body language of the patient, is described as important. Conclusion: The patient is met as a person with their own needs and wishes. It includes both a physical and a mental meeting. In a genuine relationship, the NA can confirm and unreservedly talk with the patient. When the patients leave their body and life in the hands of the NA, they can help the patients to find their inherent powers, which allows for participation in their care. Understanding the patient is possible when entering in a genuine relationship with the patient and confirm the patient. The perioperative dialogue forms a safety for the patients in the operating environment.

Preparing Practicing Engineers for Distance ME Graduate Programs

2007 ◽  
Author(s):  
Jacob Y. Kazakia
Keyword(s):  
Formal Education ◽  
Graduate Program ◽  
Graduate Degree ◽  
Master's Degrees ◽  
Graduate Degree Programs ◽  
Lehigh University ◽  
Academic History ◽  
Start Up ◽  
History Of ◽  
Course Material

Practicing Mechanical engineers desire to advance their careers and job satisfaction by pursuing distance graduate degree programs, mainly towards Master’s degrees. The start up stage of such studies is problematic among engineers who stayed away from formal education for a period of years. The structure of the Graduate Program in Mechanical Engineering at Lehigh University and some history of frustrated attempts of distance students is first discussed. Subsequently, the concept of making available a course which will prepare a fraction of distance students by refreshing their memory of some basic skills is presented and the methods of preparing and offering such a course are outlined. Illustrations of the relevant course material and a short discussion of the academic history of distance students who participated in this course are presented.

scholarly journals Chemical Disciplines in Ecological Education: a History of Teaching and Reality

2018 ◽  
Keyword(s):  
Ecological Education ◽  
Real Situation ◽  
Master's Degrees ◽  
The Reformation ◽  
Chemical Content ◽  
The Usa ◽  
History Of ◽  
Chemical Knowledge ◽  
Specification Analysis ◽  
Analysis Of Teaching

Purpose. It is the review of history of teaching of the normative discipline «Chemistry with the Basics of Biogeochemistry» and chemical selective disciplines in the formation of bachelor’s and master’s degrees of speciality 101 «Ecology» aimed to 1) pay attention to the modern state of the hourly load of natural disciplines of chemical direction, making the basis for the formation of well-educated ecologist; and 2) to find the ways to improve the chemical component in higher ecological education in terms of the reformation of Ukrainian higher school. Methods. Specification, analysis, synthesis, identifying cause-effect relationships with the declarative direction of the system researches. Results. The analysis of teaching the normative and selective chemical disciplines is conducted for the speciality 101 “Ecology” in chronological order from 1999 to 2018. The usefulness and the importance of the chemical education in forming special and integrated competencies of ecologists have been shown; the article deals with the reduction of hourly load of the normative discipline «Chemistry with the Basics of Biogeochemistry» by one third and provides doubts about the effectiveness of its mastering by applicants of higher education in this context. The teaching of chemical disciplines within the ecological program at the universities of the USA, European Union, Russian Federation and Kazakhstan is discussed too. The most important reasons for training «Chemistry with the Basics of Biogeochemistry» for ecologists are discussed. The ways to solve the problem by changing the approach in the classical teaching of chemistry in the real situation are proposed. Conclusions. Conclusions. In today’s reality, the reduction in teaching chemical disciplines and exclusion of them from the curriculums are unjustified and regressive. The need to expand and to improve the chemical knowledge of ecologist is obvious amid the increase of technogenic load on the biosphere. The introduction of block-disciplines of the ecological-chemical content, special courses, presentations, master classes was proposed for acquiring the required competencies. It is biogeochemistry with its naturalistic informativity and applied component can provide the ecologist with a modern outlook, professional worldview and necessary competence significance.

Sign in / Sign up

Export Citation Format

Share Document