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Professional Culture (professional + culture)
Selected AbstractsNotes for a Cultural History of Family Therapy,FAMILY PROCESS, Issue 1 2002C. Christian Beels M.D. The official history of family therapy describes its beginnings as a daring technical and philosophical departure from traditional individual treatment in the 1960s, inspired especially by the "system thinking" of Gregory Bateson. This celebrated origin story needs to be supplemented with a longer and larger history of both practice and thought about the family, and that is the subject of this article. The longer history goes back to the founding of social work by Mary Richmond, of pragmatism by William James, and of the organic view of social systems intervention by John Dewey. Seen against this background, family therapy is, among other things, a consequence of the development of persistent elements of American professional culture, experience, and philosophy. The taking of this historical-anthropological view discloses also the origins of two other histories that have made their contribution to the development of family therapy: a science of observing communication processes that starts with Edward Sapir and leads to contemporary conversation analysis, and a history of mesmerism in the United States that culminates in Milton Erickson and his followers. [source] Understanding the ,epidemic' of complete tooth loss among older New ZealandersGERODONTOLOGY, Issue 2 2010Philip V. Sussex doi:10.1111/j.1741-2358.2009.00306.x Understanding the ,epidemic' of complete tooth loss among older New Zealanders Objective:, The aim of this study was to obtain a deeper understanding of the social factors driving New Zealand's historic ,epidemic of edentulism' and how they operated. Method:, In-depth, semi-structured interviews with 31 older New Zealanders were analysed using applied grounded theory. Results:, Universal factors present in the data were: (a) the way in which New Zealand society accepted and indeed encouraged edentulism without stigma for those who had a ,sub-optimal' natural dentition; (b) how the predominant patterns of dental care utilisation (symptomatic and extraction-based) were often strongly influenced by economic and social disadvantage; and (c) the way in which lay and professional worldviews relating to ,calcium theory' and dental caries were fundamental in decisions relating to the transition to edentulism. Major influences were rural isolation, the importance of professional authority and how patient-initiated transitions to edentulism were ultimately facilitated by an accommodating profession. Conclusion:, The combined effects of geography, economics, the dental care system and the professional culture of the day, in the context of contemporary (flawed) understandings of oral disease, appear to have been the key drivers. These were supported (in turn) by a widespread acceptance by the profession and society alike of the extraction/denture philosophy in dealing with oral disease. [source] Institutional Review Boards and Multisite Studies in Health Services Research: Is There a Better Way?HEALTH SERVICES RESEARCH, Issue 1 2005Jennifer L. Gold Objective. The following paper examines the issue of whether the current system for ethics review of multisite health services research protocols is adequate, or whether there exist alternative methods that should be considered. Principal Findings. (1) Investigators at different sites in a multisite project often have very different experiences with respect to the requirements and requests of the review board. Other problems include the waste of time and resources spent on document preparation for review boards, and delays in the commencement of research activities. (2) There are several possible reasons why there is variability in ethics review. These include the absence of standardized forms, differences in the background and experiences of board members, the influence of institutional or professional culture, and regional thinking. (3) Given the limited benefits derived from the variability in recommendations of multiple boards and the numerous problems encountered in seeking ethics approval from multiple boards suggest that some sort of reform is in order. Conclusions. The increasing number of multisite, health services research studies calls for a centralized system of ethics review. The local review model is simply not conducive to multisite studies, and jeopardizes the integrity of the research process. Centralized multisite review boards, together with standardized documents and procedure, electronic access to documentation, and training for board members are all possible solutions. Changes to the current system are necessary not only to facilitate the conduct of multisite research, but also to preserve the integrity of the ethics approval process in general. [source] Integrating evaluation units into the political environment of government: The role of evaluation policyNEW DIRECTIONS FOR EVALUATION, Issue 123 2009Eleanor Chelimsky Most discussions of evaluation policy focus on the substance and process of doing evaluations. However, doing evaluations in government requires careful consideration not only of evaluation but also of the larger political structure into which it is expected to fit. I argue in this chapter that success for evaluation in government depends as much on the political context within which evaluation operates as it does on the merits of the evaluation process itself. For convenience, I divide the contextual governmental pressures on evaluation into three kinds: those stemming from the overarching structure of our democracy, those stemming from the bureaucratic climate of a particular agency, and those stemming from the dominant professional culture within that agency. I then examine how those three kinds of pressures have, in my experience, affected the independence, credibility, and ethical position of the evaluation units and evaluators concerned. Finally, I offer some suggestions for evaluation policy in the hope of avoiding a repetition of past evaluative failures that resulted either from unawareness of political relationships in government or from the inability of small evaluation units to protect their work in the face of much more powerful political forces. © Wiley Periodicals, Inc. [source] Work narratives: Gender and race in professional personhoodRESEARCH IN NURSING & HEALTH, Issue 5 2003Mary-Therese Dombeck Abstract An ethnographic study was conducted to explore how nurses construe and understand their professional culture and their professional personhood. The sample was 36 nurses ranging in age from 26 to 63 (12 African American women, 11 White women, 13 men 12 White and 1 Caribbean Islander). Data were gathered through participant observation, audiotaped individual conversations, a process of seven consecutive group sessions, and short narratives written by the nurses in group sessions. The data were analyzed: (a) by a coding system that focused on the formal and informal roles, rules, and relationships in work and school settings; and (b) by examining the changes in participants' narratives about their professional identity during the process of the group meetings. All the nurses in the sample had been profoundly affected by the socially accepted "feminine" images of nursing. The findings also revealed racial issues in the nursing profession. The implications of this study point to the need for new models of nursing education and nursing leadership to overcome old images and to make nursing attractive to those from diverse backgrounds. © 2003 Wiley Periodicals, Inc. Res Nurs Health 26:351,365, 2003 [source] Considering religion and beliefs in child protection and safeguarding work: is any consensus emerging?CHILD ABUSE REVIEW, Issue 2 2009Philip Gilligan Abstract Diverse, but significant, phenomena have combined to raise both the profile of issues related to religion and child abuse and the need for professionals to understand and respond appropriately to them. The nature of some of these issues is explored and attempts made to clarify them. Data collected by the author primarily from questionnaires completed by professionals involved in child protection and safeguarding work are analysed and discussed. Some patterns are identified and explored. Finally, it is suggested that, despite the apparent emergence of a more general recognition and acknowledgement of these issues amongst many professionals, relevant day-to-day practice remains largely dependent on individual views and attitudes. Moreover, practitioners are able to continue with ,religion-blind' and ,belief-blind' approaches without these being significantly challenged by agency policies or by professional cultures. Copyright © 2009 John Wiley & Sons, Ltd. [source] The Area and Community Components of Children's Well-beingCHILDREN & SOCIETY, Issue 5 2006Gordon Jack Until recently, mainstream services for children in the UK have largely relied upon individual and reactive approaches to safeguarding children's welfare. However, recent legislative and policy reforms require the development of a more preventive orientation, capable of promoting the well-being of all children. This will require that agencies responsible for the integrated delivery of children's services develop strategies that, for the first time, take full account of the area and community components of children's well-being. The challenges presented by these reforms, to existing organisational and professional cultures and ways of working, are examined in the light of recent research evidence. Copyright © 2006 The Author(s). [source] | |||||||||||||