scholarly journals Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors

2020 ◽  
pp. 017084061989587 ◽  
Author(s):  
Graeme Martin ◽  
Stacey Bushfield ◽  
Sabina Siebert ◽  
Brian Howieson

Recent literature on hybridity has provided useful insights into how professionals have responded to changing institutional logics. Our focus is on how shifting logics have shaped senior medical professionals’ identity motives and identity work in a qualitative study of hospital consultants in the United Kingdom’s National Health Service. We found a binary divide between a large category of traditionalist doctors who reject shifting logics, and a much smaller category of incorporated consultants who broadly accept shifting logics and advocate change, with little evidence of significant ambivalence or temporary identity ‘fixes’ associated with liminality. By developing a new inductively generated framework, we show how the identity motives and identity work of these two categories of doctors differ significantly. We explore the underlying causes of these differences, and the implications they hold for theory and practice in medical professionalism, medical professional leadership and healthcare reform.

1985 ◽  
Vol 47 ◽  
pp. 4-5
Author(s):  
Paul F. Diehl ◽  
Michael J. Montgomery

Simulation is an increasingly popular pedagogical device; much of the recent literature on the theory and practice of political science instruction attests to this. Probably the most popular simulation device is called model United Nations. In recent articles in Teaching Political Science and NEWS for Teachers of Political Science, William Hazelton and James Jacob have described Model United Nations in glowing terms, focusing on one particular conference and completely ignoring the rest of the 200 or more conferences held annually across the United States.Like Jacob and Hazelton, we recognize the great potential value of United Nations simulations in trying to illuminate the often confusing politics of international organizations. As former participants and directors of these programs, however, we are keenly aware of the shortcomings and difficulties associated with the existing structure of model U.N. programs.


2006 ◽  
Vol 5 (5) ◽  
pp. 147-150
Author(s):  
V. M. Sokolov

Determination of responsibly professional position of modern medicine supposes investigation of the medicine activity basis and is connected with such domain reflections which appeal for the new ethical reference points of practical and theoretical medi- cine. At present modern medicine progress and the newly practice of professional medical care is at variance with settled moral principles and values and raises medical and philosophical problems which could not been considered objectively in Hippocrat's eth- ics or in the traditional medical norms of ethics and deontology. Necessity in the elaboration of bioethical imperative of responsibil- ity is keenly revealed in consiquense of the emerged breach between the level of biomedical theory and practice development on the one hand and the lag of medicine moral components of theoretical and practical medicine care on the other. In the article under consideration the condition of bioethical responsibility problem is analyzed in the professional legitimaton of medicine activity aspect. It also deals with formation conditions of bioethically responsible students in medical professional schools.


2016 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Karina Palkova ◽  
Svetlana Semaka

Lately lawyers and medical professionals pay more attention too the process of minor patient healthcare. The research shall address the issues of legal relationship between minor patients and medical professionals, consent to treatment of minor patients and communication problems including the scope of information which the doctor can provide to the minor patient’s relatives to protect themselves and patients. Legislation prescribes that the information provided by the medical professional to the minor patient must be not only easy-to-understand, but also be consistent with the patient’s age maturity. However, in Latvia, for example, there are no guidelines that specify how medical professionals can determine the patient’s maturity. In the course of provision of medical services to the minor persons legal disputes involving communiucation failures between the minor patients, their relatives, legal representatives and the doctors arise increasingly frequently. The research will look into issue of communication problems in healthcare. The aim of the research is to provide insight into challenges of legal relations betweem minor patients and medical professionals and communication problems in healthcare.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Martin Huecker ◽  

Introduction: This article comprises Part 2 of the Journal of Wellness review of 2020 wellness literature (July – December). In this review, JWellness editors continue the goal of offering a cohesive summary of recent publications within the wellness domain. We summarize new science and resilience initiatives published outside of JWellness that seek understanding of either burnout and its prevention or thriving in the medical community. Methods: From the interval of 01 July – 31 Dec 2020, PubMed was queried for empirical research studies, review articles, and editorials in accordance with the following algorithm: an article was required to have two delineating keywords, each from a separate grouping. The first identified medical professionals in either the title or the abstract: (“clinical professionals,” “physicians,” or “caregivers”), and the other identified a wellness-related keyword in the title: (“wellness,” “burnout,” “resilience,” or “resiliency”). Literature in Review: A total of 234 articles resulted. The list for inclusion was then narrowed to sixty-three articles plus one that was hand-picked. Recent literature into physician wellness, burnout and resilience continues to focus heavily on COVID-19. Well-researched topics include burnout surveillance, proposals for and small investigations into resilience, multiple studies attempting to differentiate characteristics that predispose to burnout, and the impact of the pandemic. Less has been written on leadership, financial wellness, and sustainable resilience-building initiatives. We note relatively few control-measured interventional studies—the majority of which remain small in endeavor and short in duration, limiting generalizability. Conclusion: Recent literature into physician wellness, burnout and resilience focuses heavily on COVID-19. Many workplace / organizational factors negatively influence wellness: cumbersome EHRs, cultures not focused on socialization and self-compassion, and high physician task load. We express optimism regarding future interventional studies of burnout mitigation and resilience enhancement.


2022 ◽  
Vol 29 (1) ◽  
pp. 1-32
Author(s):  
Zilong Liu ◽  
Xuequn Wang ◽  
Xiaohan Li ◽  
Jun Liu

Although individuals increasingly use mobile applications (apps) in their daily lives, uncertainty exists regarding how the apps will use the information they request, and it is necessary to protect users from privacy-invasive apps. Recent literature has begun to pay much attention to the privacy issue in the context of mobile apps. However, little attention has been given to designing the permission request interface to reduce individuals’ perceived uncertainty and to support their informed decisions. Drawing on the principal–agent perspective, our study aims to understand the effects of permission justification, certification, and permission relevance on users’ perceived uncertainty, which in turn influences their permission authorization. Two studies were conducted with vignettes. Our results show that certification and permission relevance indeed reduce users’ perceived uncertainty. Moreover, permission relevance moderates the relationship between permission justification and perceived uncertainty. Implications for theory and practice are discussed.


The purpose of this chapter is to explore why juggling all the different and demanding roles of a medical professional is by no means an easy task. Perhaps the biggest challenge for doctors is time management and multitasking. Much of this is part and parcel of an ordinary doctor's life, but due to the peculiar nature and complex paradigms of modern health care services, special emphasis must be put on empowering fledgling medical professionals with such managerial skills. Resident medical physicians and surgeons should at least be aware of the countless opportunities available as well as how to get the best out of them.


Author(s):  
Signe Hedeboe Frederiksen ◽  
Karin Berglund

Entrepreneurship education (EE) theory and practice show increasing interest in the concept of identity work as integral to entrepreneurial learning. EE offers various approaches to guiding students towards entrepreneurial identities, but critics note that these meet neoliberal manifestations of the entrepreneurial self, leaving little room for alternative identities to be cultivated in EE. Concerned with this critique, we aim to contribute to the EE literature through a detailed investigation of the identity work practices enacted in a case of EE, which explicitly seeks to facilitate the entrepreneurial identity construction of students. Through an in-depth analysis of teacher–student interactions, we identify three practices: setting new rules to activate the entrepreneurial self, playing by the rules by figuring the script and bending the rules protecting the self. Our analysis highlights the significance of resistance and notions of authenticity, which leads us to rethink the meaning and conditions of entrepreneurial identity work in EE.


Author(s):  
Norihiro Koizumi ◽  
Deukhee Lee ◽  
Joonho Seo ◽  
Takakazu Funamoto ◽  
Naohiko Sugita ◽  
...  

Information and robot technology (IRT) is drawing increasing attention in the technologizing and digitalizing of medical professional skills. In fields such as manufacturing, high-precision tasks, not possible with human, skills have been already realized by industrial robots. The medical field thus expected to advance with progress in the development of medical robots able to provide diagnosis and therapy that are much more precise than those of conventional medical professionals.


2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Ruth McDonald

This article notes the tendency in the sociological literature to frame studies of medical professionals in terms of a series of binaries (e.g. control/resistance, powerful/powerless professionals, medicine/management). It suggests that moving away from this approach to acknowledge a more nuanced perspective would be helpful. The article draws on recent empirical studies to support this view.Keywords: Doctor satisfaction, sociology, control, resistance


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