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Selected AbstractsGood work , how is it recognised by the nurse?JOURNAL OF CLINICAL NURSING, Issue 12 2008Bjørg Christiansen Dr. Polit. Aim., The aim of this paper is to shed light on how nurses describe situations that reflect achievement and provide confirmation that they have done good work. Background., Nurses' recognition of good work does not seem to have been the object of direct investigation, but is indirectly reflected in studies focusing on nurses' perceptions on work environments and the multifaceted nature of nursing. However, acknowledging high-quality performance in professional nurses can facilitate nurses in maintaining and strengthening the goals and values of the profession. This in turn can help nurses shoulder the multifaceted responsibilities they have to patients and next of kin. Design., This paper is part of the Professional Learning in a Changing Society project, Institute of Educational Research, University of Oslo, funded by the Research Council of Norway. The project involves four professional groups. This paper, however, focuses on a group of 10 nurses, nine of whom work in hospitals and one in an outpatient clinic. A qualitative approach was chosen to gain insight into how nurses, as well as the other professional groups in the project, engage in processes of knowledge production and quality assurance work. Methods., Data presented in this paper derive from semi-structured in-depth interviews conducted during spring 2005 and focuses on the recognition of good work. Results., The following themes were identified as essential in confirming that one did good work: securing fundamental needs of patients and next of kin; managing the flow of responsibilities; positive feedback. Conclusions., Good work seems to be related to specific situations and a sense of achievement by the respondents. Relevance to clinical practice., Recognition of good work is not only rewarding and enjoyable; it may also serve as a source of consciousness raising for professional and ethical guidelines in the work place. [source] Moral reasoning among physical therapists: results of the defining issues testPHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 2 2010Laura Lee Swisher Abstract Background and Purpose.,Although there is extensive literature in other health care fields about the ability to make ethical judgements (moral reasoning), there is a paucity of research addressing the moral reasoning of practising physical therapists. The purposes of this research were to 1) identify the types of moral reasoning used by practising physical therapists as measured by the Defining Issues Test; 2) identify differences in moral reasoning among physical therapists based on educational background, demographic variables, clinical experience, practice setting or expertise in ethics; and 3) compare the moral reasoning of physical therapists with that of other professional groups.,Methods.,The Defining Issues Test of James Rest was used to evaluate moral reasoning. Five hundred thirty-seven physical therapists responded to a mail survey sent to a random sample of 2,000 American Physical Therapy Association members. Twelve physical therapists with expertise in ethics or professionalism completed the same survey.,Results.,The mean postconventional score for the random sample was 41.93. This score was lower than the mean scores of physicians, nurses, medical students, nursing students and dental students established in previous research. Females, ethics experts and those in academic settings had higher postconventional scores.,Conclusions.,Physical therapists scored lower in postconventional moral reasoning than some other professional groups with similar educational background. Factors that may inhibit or enhance the development of moral reasoning among physical therapists and possible consequences of high or low moral reasoning scores in physical therapy require further research. These findings may raise concerns about the entry-level educational curriculum and professional development opportunities in the area of ethics and moral reasoning. Results of this research may also highlight the challenges of evaluation, scholarship and research in physical therapy ethics. Further research and theory development is needed to address the relationships between moral theory and descriptive or empirical research within physical therapy. Copyright © 2010 John Wiley & Sons, Ltd. [source] Counselling Psychology in Canada: Advancing Psychology for All,APPLIED PSYCHOLOGY, Issue 1 2007Richard A. Young La psychologie du counseling au Canada est examinée à l'aide de la matrice SWOT. Quatre forces sont identifiées: l'identité, le paradigme, l'ensemble des compétences ainsi que l'éducation et la formation. Les tensions entre les trois premières forces sont aussi considérées comme des faiblesses. Les opportunités externes à la psychologie du counseling comprennent les changements de la société, la diversité sociale et la santé. Parmi les menaces auxquelles la psychologie du counseling au Canada est confrontée, sont identifiés le contexte universitaire avec les contenus de formation, la compétition avec d'autres groupes professionnels et les pressions externes visant à définir la pratique de la psychologie du counseling. L'un des objectifs pour la psychologie du counseling au Canada est de rendre la psychologie disponible à un large éventail de la population par de nombreux moyens. L'Association Internationale de Psychologie Appliquée peut travailler à accroître cette aire d'application et prendre le Canada comme modèle pour développer ce champ dans d'autres pays. Counselling psychology in Canada was examined using a SWOT analysis. Four strengths were identified: identity, paradigm, skill set, and education and training. Tensions within the first three of these strengths were also considered weaknesses. External opportunities for counselling psychology included changes in society, social diversity, and health. Among the threats to counselling psychology in Canada are the university context for training programmes, competition with other professional groups, and pressure from external influences on how to define counselling psychology practice. The vision for the future of counselling psychology in Canada is based on the principle of making psychology available to a wide range of the Canadian population through a variety of means. The International Association of Applied Psychology can work to enhance this area of professional psychology and can look to Canada for support and models in developing this field in other countries. [source] Clinician observation of physiological trend monitoring to identify late-onset sepsis in preterm infantsACTA PAEDIATRICA, Issue 9 2008Christopher J Dewhurst Abstract Aim: To determine whether trends in routinely collected physiological variables can be used retrospectively to classify infants according to the presence or absence of late-onset neonatal sepsis. Methods: Case control study. Thirty infants born ,32 weeks of gestation who developed late-onset sepsis were matched with 30 controls for gestational and postnatal age but remained sepsis free. For each infant, 25 clinicians inspected 48 h of routine monitoring of heart rate, respiratory rate and oxygen saturation. Clinicians were asked to determine whether the recording was obtained from an infant who did or did not develop sepsis and also indicate how confident they were in their judgement. Clinicians were stratified into three groups by professional role. Results: The median correct assignment of infant's recordings was 67% (IQR 62,72). When very confident, this improved to 82% (IQR 67,88). Overall sensitivity was 53% (IQR 43,63) and specificity 80% (IQR 67,87). Advanced neonatal nurse practitioners consistently assigned babies to the correct group more often than other professional groups. Conclusion: The simple observation physiological trend graphs can classify infants according to the presence or absence of late-onset neonatal sepsis. The accuracy of this method is good to strong but varies with experience of neonatal intensive care. [source] | ||||||||||