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Employment Issues (employment + issues)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Employment issues in the community college

NEW DIRECTIONS FOR COMMUNITY COLLEGES, Issue 125 2004
Todd A. DeMitchell
Discrimination, affirmative action, and evaluation are legal issues that involve community college leadership. Prudent leaders must cultivate the required legal knowledge of these and other employment issues if they are to lead effectively. [source]

The development of a user-led clinical service for newly diagnosed rheumatoid arthritis patients.

MUSCULOSKELETAL CARE, Issue 4 2004
An action research study
Abstract Objective: To identify the clinical services required to meet the perceived needs of patients within the first 6,12 months following a diagnosis of rheumatoid arthritis in an orthopaedic NHS trust. Methods: An action research methodology was utilized. Twenty three newly diagnosed patients were asked to complete a questionnaire focusing on their needs at the time of diagnosis. The content included reactions to diagnosis, physical and psychological implications and clinical services that were required. A sub-sample of patients (n = 6) participated in an interview to explore these issues in more depth. A questionnaire was also distributed to 14 members of the multidisciplinary team (MDT) to ascertain their views on the purpose, content, and provision of a clinical service for newly diagnosed patients. Results: Eighteen patients agreed to take part (M:F, 9:9, age range 23,74 years, mean age 52.3 years, mean disease duration from diagnosis 16 weeks). Data from the questionnaires and interviews led to the following themes being identified: pre-diagnosis anxiety and fear, the impact of the diagnosis, physical and psychological implications of the diagnosis, and issues related to control perceptions. There was concordance between the MDT and the patients regarding impact of the disease and the need for information. Areas of the service that were identified independently by patients related to the importance of the period of time pre-diagnosis while awaiting the hospital appointment, and employment issues. Conclusions: This study has identified the impact of RA in the early stages of pre- and post- diagnosis on physical, psychological and social functioning and has consequently informed service development. Copyright © 2004 Whurr Publishers Ltd. [source]

Employment issues in the community college

Reduction of job loss in persons with rheumatic diseases receiving vocational rehabilitation: A randomized controlled trial

ARTHRITIS & RHEUMATISM, Issue 11 2003
Saralynn H. Allaire
Objective Job loss is a major consequence of rheumatic diseases, and clinicians may refer patients to vocational rehabilitation for help. When provided after job loss, the impact of vocational rehabilitation is short term. This randomized controlled trial with 48 months of followup was undertaken to determine the efficacy of vocational rehabilitation provided to persons with rheumatic diseases while they are still employed, but at risk for job loss. Methods A total of 242 patients with rheumatic diseases residing in Massachusetts were recruited through their rheumatologists for study. Participants were randomly assigned to the experimental group (n = 122) or the control group (n = 120). Subjects in the experimental group received two 1.5-hour sessions of vocational rehabilitation; those in the control group received print materials about disability employment issues and resources by mail. The main outcome assessed was the time to first job loss. Job losses were defined as permanent disability, premature retirement, or a period of unemployment. All analyses were conducted on an intent-to-treat basis. Results Job loss was delayed in the experimental group compared with the control group (P = 0.03 by log rank test). After adjustment for confounders, participation in the experimental group was found to be protective against job loss (odds ratio 0.58 [95% confidence interval 0.34,0.99], P = 0.05 by pooled logistic regression). Conclusion Vocational rehabilitation delivered to patients at risk for job loss, but while they were still employed, delayed job loss. Such an intervention has the potential to reduce the high indirect costs, as well as the personal impact, of rheumatic diseases. [source]