scholarly journals Understanding the Relationship Between Professional Regulation and Professional Identity in Health Care

2020 ◽  
Vol 106 (2) ◽  
pp. 7-14
Author(s):  
Michael Warren ◽  
Christine Braithwaite
Keyword(s):  
Health Care ◽  
Professional Identity ◽  
Health Care Professionals ◽  
Evidence Base ◽  
Daily Basis ◽  
Health Care Practitioner ◽  
Professional Regulation ◽  
The United Kingdom ◽  
The Relationship ◽  
Depth Interviews

ABSTRACT Since 2016, the Professional Standards Authority in the United Kingdom (UK) has been building an evidence base to understand the relationship between professional regulation and professional identity of health care professionals. Professional identity can greatly impact the practice of health professionals. To better understand the relationship between professional regulation and professional identity, we conducted a literature review, which gathered definitions of professional identity and analysis of identity among health care professionals. We then commissioned the administration of 16 in-depth interviews with UK health care practitioners to learn their perceptions regarding professional identity and regulation. This paper describes and analyzes the Authority's findings from a policy perspective, suggesting that the professional identity of a health care practitioner is influenced mostly by factors that are local — such as the rapport a practitioner has with a patient, education, mentors, uniforms and external perceptions. These non-regulatory factors take precedence over regulation's influence on the development and maintenance of professional identity. Regulation does appear to have an effect on professional identity when there is a crisis or unusual circumstance (for example removing a professional from practice), but on a daily basis its effects are small, especially compared to other factors.

scholarly journals Hjelpsomme relasjoner. En kvalitativ undersøkelse av samarbeidet mellom brukere med alvorlige psykiske lidelser og rusproblemer og fagpersoner i to oppsøkende team

2015 ◽  
Vol 10 (2) ◽  
pp. 121 ◽  
Author(s):  
Turid Møller Olsø ◽  
Arve Almvik ◽  
Reidun Norvoll
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Professionals ◽  
Mental Health Problems ◽  
Assertive Outreach ◽  
Good Relation ◽  
Work Done ◽  
The Relationship ◽  
Depth Interviews

<p>Helpful relations. A quality study about the alliance between users with serious mental health problems and health care professionals in two outreach teams.</p><p>In recent years Norway has established various types of assertive outreach teams in community based mental health care. The article examines the importance of the quality of the alliance between health care professionals and users in two assertive outreach teams. More specifically, we describe the common characteristics of a good relation, pointed out by both users and professionals, and the methods that are thought to support these relationships. The study has a qualitative design and data was gathered through semi structured in-depth interviews of 19 professionals and 9 users. The study concludes that helpful relationships are characterized by contact and equality, and that interaction through everyday activities helped strengthen the working alliance. Our results confirm recent research that highlights the importance of the quality of the relationship as a prerequisite for good care, and the importance of the tacit knowledge used and informal work done by professionals interacting with users.</p>

scholarly journals Understanding why patients request euthanasia when it is illegal: a qualitative study in palliative care units on the personal and practical impact of euthanasia requests

2022 ◽  
Vol 16 ◽  
pp. 263235242110669
Author(s):  
Danièle Leboul ◽  
Anne Bousquet ◽  
Aline Chassagne ◽  
Florence Mathieu-Nicot ◽  
Ashley Ridley ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Providers ◽  
Palliative Care Setting ◽  
Palliative Care Units ◽  
The Relationship ◽  
Depth Interviews ◽  
Practical Impact

Context: Some patients in palliative care units request euthanasia regardless of legislation. Although studies have explored the reasons for these requests, little is known about the subjective, relational, and contextual repercussions for the patient. Objectives: The aim of this study is to understand the purpose of euthanasia requests from the patient’s viewpoint and their personal and practical impact. Methods: We conducted in-depth interviews with patients requesting euthanasia, their family members, and health care providers in 11 French palliative care units. A thematic analysis of the data was performed. Results: In total, 18 patients were interviewed within 48 h of the request being made; 1 week later, 9 patients were interviewed again. Five main themes emerged: assuming the possibility of transgressing the forbidden, a call for unbearable suffering to be recognized, encouragement to change clinical practice, reclaiming a sense of freedom over medical constraints, and imagining a desirable future for oneself. Conclusions: A request for euthanasia appears to be a willful means to remove oneself from the impasse of an existence paralyzed by suffering. It creates a space for discussion, which promotes negotiation with patients on care practices and therapeutics, and strengthens patients’ sense of autonomy. Investigating the relationship between the evolution of euthanasia requests within the palliative care setting could be beneficial. It is important to encourage health care professionals to adopt a readiness to listen by interacting with patients in a way that is not momentarily action-oriented but rather focused on proactive discussion.

scholarly journals The Role and Rise of Interprofessional Continuing Education

2019 ◽  
Vol 105 (3) ◽  
pp. 6-13 ◽  
Author(s):  
Kate Regnier ◽  
Kathy Chappell ◽  
Dimitra V. Travlos
Keyword(s):  
Health Care ◽  
Continuing Education ◽  
Health Care Professionals ◽  
Interprofessional Education ◽  
Health Care Quality ◽  
Evidence Base ◽  
Care Quality ◽  
Institute Of Medicine ◽  
And Performance ◽  
The Relationship

ABSTRACT For decades, health leadership organizations have identified interprofessional education and team-based care as a critical component of health care quality and safety. The Institute of Medicine (IOM) has issued a series of reports demonstrating the relationship between poor team performance and negative patient outcome and has called on accreditors, licensing and certifying bodies to use their oversight processes as levers for change. Toward that end, three of the national accreditors in medicine, nursing and pharmacy collaborated to create a unified accreditation system, setting standards for interprofessional continuing education (IPCE) and establishing an IPCE credit that designates activities planned by and for health care teams. There is evidence supporting the relationship between engagement in IPCE and improvements in health care professionals' knowledge, attitudes, competence and performance, as well as patient and system outcomes. The accreditors believe that this evidence base is strong enough to justify including IPCE in regulatory requirements. In 2018, the Federation of State Medical Boards (FSMB) recognized IPCE credit as an additional means of satisfying CME requirements for medical license renewal. The increasing recognition of IPCE demonstrates the pivotal role of accreditors and regulators in driving the advancement of IPCE and team care now and in the future.

scholarly journals Women, Exercise, and Eating Disorder Recovery: The Normal and the Pathological

2021 ◽  
pp. 104973232199204
Author(s):  
Hester Hockin-Boyers ◽  
Megan Warin
Keyword(s):  
Health Care ◽  
Eating Disorder ◽  
Affect Regulation ◽  
Health Care Professionals ◽  
Value Systems ◽  
Structured Interviews ◽  
Data Set ◽  
The United Kingdom ◽  
Theoretical Frame ◽  
Intensity Of Exercise

The appropriate form, regularity, and intensity of exercise for individuals recovering from eating disorders is not agreed upon among health care professionals or researchers. When exercise is permitted, it is that which is mindful, embodied, and non-competitive that is considered normative. Using Canguilhem’s concepts of “the normal and the pathological” as a theoretical frame, we examine the gendered assumptions that shape medical understandings of “healthy” and “dysfunctional” exercise in the context of recovery. The data set for this article comes from longitudinal semi-structured interviews with 19 women in the United Kingdom who engaged in weightlifting during their eating disorder recovery. We argue that women in recovery navigate multiple and conflicting value systems regarding exercise. Faced with aspects of exercise that are pathologized within the eating disorder literature (such as structure/routine, body transformations, and affect regulation), women re-inscribe positive value to these experiences, thus establishing exercise practices that serve them.

scholarly journals Hidden Tales of Ebola: Airing the Forgotten Voices of Ugandan “Ebola Nurses”

2021 ◽  
pp. 104365962110179
Author(s):  
Isaac Okello Wonyima ◽  
Susan Fowler-Kerry ◽  
Grace Nambozi ◽  
Charlotte Barry ◽  
Jeanie Wills ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Access To Treatment ◽  
Care Workers ◽  
Free Health Care ◽  
Control And Prevention ◽  
Holistic Practice ◽  
Phenomenological Design ◽  
Depth Interviews ◽  
Current Reality

Introduction According to the Centers for Disease Control and Prevention, Ebola has affected the lives of thousands, including health care workers. With few studies describing the experience of nurses who survived Ebola, the study aimed to describe Ugandan nurses’ experiences. Method Using a phenomenological design, in-depth interviews were conducted among five Ugandan nurses who contracted Ebola and survived. Result Thematic analysis revealed themes of expectations of dying, hopelessness, loneliness, and betrayal by family, community, and the health system. Discussion Results support the need for policies targeting holistic practice protocols to protect all health care professionals during future outbreaks. Last, nursing survivors should have access to government-guaranteed support programs, including free health care and financial stipends. These results and recommendations transcend to the current reality of living with COVID-19 (coronavirus disease 2019). Efficient practice protocols could protect all rights and privileges and contribute to access to treatment and stigma removal.

Nonclinical Core Competencies and Effects of Interprofessional Teamwork in Disaster and Emergency Response Training and Practice: A Pilot Study

2013 ◽  
Vol 7 (4) ◽  
pp. 395-402 ◽  
Author(s):  
Jennifer Peller ◽  
Brian Schwartz ◽  
Simon Kitto
Keyword(s):  
Cognitive Skills ◽  
Disaster Response ◽  
Interprofessional Collaboration ◽  
Core Competencies ◽  
Evidence Base ◽  
Response Data ◽  
Competency Training ◽  
Interprofessional Teamwork ◽  
The Relationship ◽  
Depth Interviews

AbstractObjectiveTo define and delineate the nontechnical core competencies required for disaster response, Disaster Medical Assistance Team (DMAT) members were interviewed regarding their perspectives and experiences in disaster management. Also explored was the relationship between nontechnical competencies and interprofessional collaboration.MethodsIn-depth interviews were conducted with 10 Canadian DMAT members to explore how they viewed nontechnical core competencies and how their experiences influenced their perceptions toward interprofessonalism in disaster response. Data were examined using thematic analysis.ResultsNontechnical core competencies were categorized under austere skills, interpersonal skills, and cognitive skills. Research participants defined interprofessionalism and discussed the importance of specific nontechnical core competencies to interprofessional collaboration.ConclusionsThe findings of this study established a connection between nontechnical core competencies and interprofessional collaboration in DMAT activities. It also provided preliminary insights into the importance of context in developing an evidence base for competency training in disaster response and management. (Disaster Med Public Health Preparedness. 2013;0:1–8)

Law, Morality, and Health Care Professionals: A Multilevel Framework

2019 ◽  
Vol 15 (1) ◽  
pp. 117-135
Author(s):  
Elizabeth Chiarello
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Social Life ◽  
Meaning Making ◽  
Organizational Structures ◽  
Multilevel Approach ◽  
Health Care Work ◽  
Shared Space ◽  
Movement Mobilization ◽  
The Relationship

Socio-legal scholars have long been interested in the relationship between law and morality. This article uses a multilevel approach to understanding this relationship by focusing on health care professionals, key actors in an institution that covers broad swaths of social life and that serves as a key site of moral meaning making and practice. I demonstrate how morality and law interface differently at three levels: through daily social interaction, during which providers assess patients’ deservingness while patients attempt to present themselves as morally worthy; through organizational structures and processes that establish legalistic rules and bring diverse workers into shared space; and through field-level legal and moral infrastructures that shape frontline decision making and that change due to social movement mobilization. The article concludes by describing the benefits of a multilevel approach to examining the interplay between law, morality, and health care work and suggesting strategies for theoretically investigating these relationships more completely.

An Exploration of the Relationship Between Patient Autonomy and Patient Advocacy: implications for nursing practice

2002 ◽  
Vol 9 (5) ◽  
pp. 472-482 ◽  
Author(s):  
Deirdre Hyland
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Patient Autonomy ◽  
Positive Outcome ◽  
Care Provision ◽  
Patient Advocates ◽  
The Right ◽  
The Relationship ◽  
Paternalistic Approach

The purpose of this article is to examine whether patient/client autonomy is always compatible with the nurse’s role of advocacy. The author looks separately at the concepts of autonomy and advocacy, and considers them in relation to the reality of clinical practice from professional, ethical and legal perspectives. Considerable ambiguity is found regarding the legitimacy of claims of a unique function for nurses to act as patient advocates. To act as an advocate may put nurses at personal and professional risk. It may also be deemed arrogant and insulting to other health care professionals. Patient autonomy can be seen as a subcategory of the right of every individual to self-determination, and as such is protected by law. However, it is questionable whether the traditionally paternalistic approach to health care provision truly respects the autonomous rights of each patient. The author considers examples and cases from the literature that resulted in professional and/or personal difficulties for the nurses involved, and also reflects on an incident from her own practice where a positive outcome was achieved that demonstrated compatibility between the concepts under consideration.

scholarly journals Hiking

2016 ◽  
Vol 12 (4) ◽  
pp. 302-310 ◽  
Author(s):  
Denise Mitten ◽  
Jillisa R. Overholt ◽  
Francis I. Haynes ◽  
Chiara C. D’Amore ◽  
Janet C. Ady
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Emotional Health ◽  
World Health ◽  
Health Care Practitioner ◽  
Federal State ◽  
Care Providers ◽  
Increased Risk

Research has connected sedentary lifestyles with numerous negative health outcomes, including a significant increased risk for mortality. Many health care professionals seek ways to help clients meet physical activity guidelines recommended by the Office of Disease Prevention and Health Promotion, the World Health Organization, and the American College of Sports Medicine in order to promote active lifestyles and improve overall wellness. Hiking is a cost-effective intervention that encourages people to be physically active while spending time in nature. Time in nature can lead to health benefits through contact with the natural elements, participation in physical activity, restoration of mental and emotional health, and time with social contacts. Benefits may be immediate, such as decreased blood pressure, decreased stress levels, enhanced immune system functioning, and restored attention, or transpire over time, such as weight loss, decreased depression, and overall wellness. Health care providers are ideally positioned to recommend and prescribe hiking to clients. Federal, state, and local natural resource agencies are beginning to partner with health care professionals to promote outdoor nature-related activities. Examples of successful doctor and other health care practitioner partnership programs are described, along with tips for getting started.

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