Lonkan tekonivelleikkauksen jälkeinen fysioterapeuttinen ohjaus fysioterapeuttien kuvaamana

Lonkan tekonivelleikkausten sekä leikkauksen jälkeistä fysioterapiaa tarvitsevien määrä kasvaa väestön ikääntyessä. Kuntoutumisen kannalta fysioterapeuttinen ohjaus on tärkeää. Tämän tutkimuksen tarkoituksena oli tarkastella fysioterapeuttien käsityksiä lonkan tekonivelleikkauksen jälkeisestä fysioterapeuttisesta ohjauksesta. Laadullisen tutkimuksen aineistona oli fysioterapeuttisten ohjaustilanteiden (n=7) kuvanauhojen pohjalta tehdyt recall-haastattelut. Aineiston fenomenografisessa analyysissä muodostettiin kolme hierarkkista kuvauskategoriaa, jotka olivat suppeammasta laajempaan: asiantuntijalähtöinen fysioterapeuttinen ohjaus, potilaan yksilöllisyyttä arvostava fysioterapeuttinen ohjaus sekä fysioterapeuttinen ohjaus osana potilaan kuntoutumista. Nämä kategoriat sisälsivät kuusi ohjaustilanteita kuvaavaa teemaa ja niiden variaatiot: potilaan osallistuminen, kehollinen ohjaus, eettisyys ohjaussuhteessa, fysioterapeutin asiantuntijuus, yhteistyö ja terveydenhuoltojärjestelmän eettisyys. Fysioterapeuttisen ohjauksen onnistumisen kannalta kriittiset tekijät fysioterapeuttien ohjauskäsityksissä olivat potilaskeskeisyys, moniammatillinen yhteistyö ja kuntoutumisprosessin jatkuvuus. Abstract Physiotherapists’ perceptions of patient counseling after total hip arthroplasty (THA) The number of total hip arthroplasties is growing due to the fact that THA is a cost-effective procedure moving people quickly from poor to good functional capacity. The aim of the qualitative study was to explore physiotherapists’ perceptions of post-operative patient counseling. The data of this study consisted of seven physiotherapy situations with inpatients in hospital setting. Data were collected by open recall-interviews based on videotapes of patient counseling situations. The data were analyzed according to phenomenographic approach, which revealed three hierarchical categories: therapist-centered patient counseling, patient counseling which values patient’ individuality and patient counseling as part of individual rehabilitation process. Six themes that varied hierarchically in three categories describing different ways of understanding patient counseling were found: patients’ active participation, counseling for movement awareness, ethical counseling relationship, physiotherapy expertise, cooperation, and ethicality of national health care system. The critical variation between categories manifested as patient-centeredness, multiprofessional cooperation and the continuity of rehabilitation process.

Rethinking Counseling from a Relational Perspective

Counseling practices are guided by an aspiration to alleviate suffering and enhance well-being of clients. This entails a focus on minimizing vulnerability to others and on preservation from injury and violation. In the work of Judith Butler, too, there is a strong focus on the ethical importance of alleviating suffering, more precisely suffering related to oppression and social exclusion. Butler, however, also stresses the ethical limitations of attempting to preserve ourselves from injury and violation, in relation to her view that human beings are implicated and intertwined in each other’s existence. An exploration of how this perspective resonates in the domain of counseling suggests that the practice of ethical counseling may benefit from rethinking the aim of counseling in terms of “becoming human.”

Why narcissistic individuals engage in unethical pro-organizational behavior. Testing a moderated mediation model

PurposeThe purpose of the current research is to study the relationship between narcissism and unethical pro-organizational behavior (UPB), and also examine whether status striving mediates the relationship between narcissism and UPB among individuals with high organizational identification.Design/methodology/approachData that was used to test the research model were collected from five companies in the trading sector in Tashkent, Uzbekistan. The final sample included 200 responses, among all participants 29.5% were in a leadership position.FindingsThe current research found that narcissism leads individuals to exhibit a willingness to engage in UPB. Furthermore, status striving mediates the relationship between narcissism and UPB among individuals with high organizational identification.Research limitations/implicationsResearch did not use actual reported UPB but measured employees' willingness to engage in UPB.Practical implicationsOrganizations should develop special ethics guidance to change the employee's perceptions of UPB from the act of helping or protecting the organization to undesirable behavior in the organization. Moreover, the organization may develop an ethical counseling program, by which individuals may perceive that ethical behavior is valuable for the organization.Originality/valueCurrent study examines the relationship between narcissism and UPB. Moreover, it provides empirical support for the notion that the relationship between narcissism and UPB is mediated by status striving among individuals with high organizational identification.

Survey of Medical Ethics Research with the Science Drawing Method

The advancement of human knowledge in the field of medical science has brought activists to the field with new ethical issues. addressing medical ethical issues is one of the essential requirements in the health system. at present, the evaluation of science production can provide a clear picture of the growth, progress and important issues of a scientific field. in this study, we aimed to identify important areas of research in the field of medical ethics through a scientometric study. This is a scientometrics research using one of the most important techniques of this method, namely, the drawing of science. the statistical population of the study consisted of 3333 scientific papers indexed in the WOS database by the end of 2019. a researcher-made checklist was used for data collection and Ravar-matrix and ucinet6 software were used for data analysis. The results showed that the amount of scientific output in the field of medical ethics is 3333, starting with 1946 with two documents and reaching 2019 with 104 documents. the average annual growth rate is 21.03%. the world of medical ethics consists of 9 clusters worldwide and the concepts of bioethics, ethical counseling, education, medical education and autonomy have been the most commonly used keywords in medical ethics research, respectively. Iranian products in this field also consist of 6 clusters which are the key concepts in medical ethics, bioethics, ethics committee, strategic planning and medical education.

Preventing Sexual Abuse: Perspectives of Minor-Attracted Persons About Seeking Help

The primary aim of this exploratory research was to gain information from minor-attracted persons (MAPs) about their (a) formal and informal experiences with help-seeking for minor attraction, (b) perceived barriers to seeking help for concerns about minor attraction, and (c) treatment priorities as identified by consumers of these services. A nonrandom, purposive sample of MAPs ( n = 293, 154 completed all questions) was recruited via an online survey. Results show that 75% of participants did seek formal help from a professional; however, just less than half of them found the experience to be helpful. Characteristics of helpful therapeutic encounters included nonjudgmental attitudes, knowledge about minor attraction, and viewing clients in a person-centered and holistic way. Barriers to help seeking included uncertainty about confidentiality, fear of negative reaction or judgment, difficulties finding a therapist knowledgeable about MAPs, and financial constraints. Understanding or reducing attraction to minors were common treatment goals, but participants also prioritized addressing general mental health and well-being related to depression, anxiety, loneliness, and low self-esteem. Implications for effective and ethical counseling and preventive interventions for MAPs are discussed.

International Counseling Students’ Perception of Ethics

International counseling students’ (ICS) perceptions regarding ethical counseling practice and education in the United States were examined using an online survey. The research sample consisted of ICSs who were enrolled in counseling programs throughout the United States. Findings indicated that even though ICSs came from different cultures with different ethical values, they were well aware of the different codes of ethics, reported engaging in ethical behaviors, and adapted themselves to the U.S. culture and education system. The results of this study may help counselor educators and counseling programs to promote and understand international students’ ethical behaviors from a diverse and multicultural standpoint.

Recognizing and Resolving Ethical Issues

Counseling stepfamilies necessitates appreciating the relational complexity of this family constellation and the impact of these relational schema on the provisions of ethical counseling. Clinicians need to recognize common ethical concerns as specific to stepfamilies and learn how to resolve these potential concerns in a manner that enhances therapeutic service and honors the ethical aspirations of the counseling profession.

The Potential of Humanitarian Technologies in Formation of the Moral Subject in Terms of a New Social Reality

The article describes the potential of humanitarian technologies in formation of the moral subject in terms of a new social reality. The experience of using methods of case study and stakeholder analysis as a unique ethical-educational technologies aimed at forming professional and ethical competences is analyzed, which are expressed in learned and used the skills of social responsibility and trust, ethical expertise and ethical counseling, and the ability to make socio-management decisions high degree of ethics.