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Professional Skills (professional + skill)

Distribution by Scientific Domains

Medical Sciences	75%
Humanities and Social Sciences	16%

Selected Abstracts

Ethics Seminars: Teaching Professionalism to "Problem" Residents

ACADEMIC EMERGENCY MEDICINE, Issue 10 2002
Catherine A. Marco MD
Abstract Professional skills, which include communication, compassion, honesty, integrity, altruism, service, commitment, suspension of self-interest, commitment to excellence, authority, and accountability, are essential skills that should be taught during residency. A variety of approaches can be used, which include didactic teaching, bedside teaching, leadership, evaluation, and individualized mentorship. Deficiencies in professional skills should be identified early in the residency program, and should be addressed on an individual level. [source]

Estimating nurses' workload using the Diagnosis Procedure Combination in Japan

INTERNATIONAL NURSING REVIEW, Issue 3 2008
Y. Kamijo rn
Aim:, To examine the methods used to estimate nurse staffing levels in acute care settings with Diagnosis Related Groups, which in Japan are called the Diagnosis Procedure Combination (DPC). Methods:, For estimating staffing requirements, the study used four DPC groups: (1) acute or recurrent myocardial infarction (AMI) with stenting, (2) angina pectoris with coronary artery bypass grafting (CABG), (3) sub-arachnoid haemorrhage (SAH) with clipping surgery, and (4) cerebral infarction with carotid endarterectomy (CEA). Registered nurses with more than 3-year nursing experience in nine university hospitals in the Tokyo metropolitan area completed self-report questionnaires in order to obtain nursing care time and care intensity per each DPC. The concordance rate was measured by Kendall's coefficient of concordance. The relationship between the care time and the care intensity was examined by a time series graph per DPC. Care intensity consisted of professional judgement, mental effort for helping patients, professional skill, physical effort for providing activities of daily living support, and nurse stress, based on the Hsiao and colleagues' model of resource-based relative value scale. Results:, Twenty-five nurses in nine university hospitals answered for a hypothetical typical patient with AMI and with CABG, and 28 nurses in nine university hospitals answered for a hypothetical typical patient with SAH and with CEA. Kendall's coefficient of concordance was 0.896 for AMI, 0.855 for CABG, 0.848 for SAH, 0.854 for CEA. The time series data of the care time and the care intensity items showed different patterns for each DPC. Conclusion:, The DPC for cardiovascular and cerebral surgical procedures can be used for estimating nurses' workload. [source]

Ethics Seminars: Teaching Professionalism to "Problem" Residents

The experiences of non-medical health professionals undertaking community-based health assessments for people aged 75 years and over

HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 2 2002
Julie E. Byles BMed PhD
Abstract Our objective was to explore the perceptions of allied health professionals who conducted over 3000 home-based health assessments within the general-practice-dominated Australian primary healthcare system. A series of semistructured qualitative interviews were carried out within the Department of Veterans' Affairs ,Preventive Care Trial', where health assessments are undertaken by health professionals in the homes of participating veterans and war widows. Health professionals were employed within the Preventive Care Trial to conduct assessments in 10 areas of New South Wales and Queensland. Subjects were mainly registered nurses, but also included a social worker, an occupational therapist, a physiotherapist and a psychologist. The health professionals described positive attitudes towards the health assessments, and showed that they have the broad range of necessary personal and professional skills to undertake them. Home visits were seen as an essential component and the most useful aspects included direct observation of home safety and medications. This study demonstrates that health assessments for older people can be acceptably and competently undertaken by suitably qualified allied health professionals, and that an effective collaborative approach to patient care can be achieved through such a system. [source]

The career paths of a group of Romanian nurses in Italy: a 3-year follow-up study

INTERNATIONAL NURSING REVIEW, Issue 2 2008
A. Palese rn, bnsc
Purpose:, The objective of this study was to describe for how long a homogeneous group of 17 Romanian nurses who first arrived at the ,Teaching Hospital' in Italy in 2003, stayed in the same hospital/ward of the host country, why and when they decided to move from one hospital to another, and their levels of competence in core skills, after either 6 months or 3 years. Methods:, A longitudinal study design was adopted. The first phase was carried out in 2004, the second in 2006. We used an anonymous questionnaire. Results:, Only ten of the 17 nurses, who had started working in Italy 3 years before, remained in the same Hospital where they first started working. In spite of being given the opportunity to stay, some decided to move to hospitals where it is possible to earn more money or where they could save more by living in less expensive towns. The first nurse left the hospital in the first year, five in the second and one in the third year. Levels of perceived professional independence after 3 years are very good: the permanent group had improved their skills in all areas even though they felt a lack of confidence during the first 6 months. Conclusions:, This study, within the limits of the sample and the methods, shows that foreign nurses are highly mobile in the host country and this revolves around the opportunity to earn more. With increasing recruitment of nurses from within the European continent, it is necessary to continue studying the factors that sustain foreign nurses, to find out how they can be helped, how to value their imported professional skills, how to reduce the initial lack of faith in their own abilities and to discover which strategies would encourage them to stay in the hospital where they arrived. [source]

Evidence-based practice and health visiting: the need for theoretical underpinnings for evaluation

JOURNAL OF ADVANCED NURSING, Issue 6 2000
Ruth Elkan BA(Hons)
Evidence-based practice and health visiting: the need for theoretical underpinnings for evaluation In this paper we argue that evidence-based practice, which is being introduced throughout the British National Health Service to make decisions about the allocation of limited resources, provides a welcome opportunity for health visitors to demonstrate their efficacy, skills and professionalism. However, the paper argues that to view health visiting as evidence-based is not to reduce health visiting merely to a technology through which scientific solutions are applied to social problems. Rather, health visiting needs to be viewed as a political movement, based on a particular model of society, which shapes the goals which health visitors pursue and influences the strategies they adopt to achieve their goals. The paper describes various models of health visiting as a way of showing how the goals of health visiting are always framed within a particular set of assumptions and causal explanations. The paper then turns to look at the issue of evaluating health visiting services. It is argued that evaluation should properly take account of the models which shape health visitors' goals and intervention strategies, and in turn, health visitors need to be explicit about the theoretical frameworks underpinning their interventions. Finally, it is argued that health visitors' knowledge and understanding of a range of models of society enables them to move between the various models to choose the most appropriate and effective means of intervention. Hence it is concluded that the emphasis on evidence-based practice provides health visitors with a valuable opportunity to show that their unique, professional skills and understanding are the preconditions for effective intervention. [source]

Constituting the Public Realm of a Region: Placemaking in the Bi-National Niagaras

JOURNAL OF ARCHITECTURAL EDUCATION, Issue 1 2003
ROBERT G. SHIBLEY
Reconstituting the public realm of a region requires changes in the way it is imagined. This can be done through the use of professional skills to present images and analysis, creative forms of agency able to act in such a realm, and representation of alternative futures for public consideration. The regional public realm is a collective and abstract consciousness as well as a concrete reality. Working at this scale means maintaining a conversation between the imaginal and the material, and between professional and local knowledges. It requires the construction of loosely collaborative partnerships and the adept use of professional skills to selectively organize attention to possibilities for action. [source]

Evaluation of a family-oriented continuing medical education course for general practitioners

MEDICAL EDUCATION, Issue 3 2002
Anja Taanila
Objective To explore the long-term effects of a 2-year Family Systems Medicine course. Fifteen experienced GPs participated in the training programme. Setting Continuing Education Centre, University of Tampere, Department of Public Health Science and General Practice, University of Oulu, Finland. Methods The participants assessed the development of their professional skills on the Doherty-Baird scale and filled in 2 questionnaires. The material obtained from the application form and 2 questionnaires was analysed using the grounded theory method. Results The reasons for taking part in the course seemed to be the constant increase in the workload, problems caused by the demands for change and adaptation, stress and exhaustion. Furthermore, 10 health centres out of 15 had adopted the population-based practice, which requires different working methods compared to the old routines. Some trainees reported that their family-centred working methods improved during the course. A year after the end of the training, all of the GPs who had participated were using such methods in their daily practice. Half of the participants felt that they had also improved the functioning of their working group by making it more family-oriented. The significance of multiprofessional collaboration was one of the most important insights during the course. Conclusion The 2-year family-oriented training programme provided GPs with systemic thinking and with new skills, including the ability to work with families. The programme raised awareness of the need for multiprofessional collaboration in the primary care sittings. [source]

Toward a Socioliterate Approach to Second Language Teacher Education

MODERN LANGUAGE JOURNAL, Issue 3 2002
John S. Hedgcock
This article proposes that effective language teacher preparation should facilitate candidates' access to the shared knowledge, discursive practices, and instructional processes of language teaching (LT) as an inherently disparate discipline. Whereas the reflective orientation widely embraced in North American teacher education programs should be preserved, reflective practice should be promoted within a socioliterate framework. The author explores the position that teacher education must be grounded partly (though not exclusively) in what is commonly called "theory," but that this theoretical dimension should be developed by systematically examining socioeducational practices. A genre,based, sociorhetorical approach to LT discourse, it is argued, can build candidates' awareness of knowledge,construction practices, enhance their declarative knowledge, and develop their professional skills. By modeling analytic and reflective processes that focus on disciplinary knowledge, teacher education can help LT candidates to shape their own professional literacies, enabling them to participate meaningfully in the profession's many conversations. [source]

ANTHROPOLOGISTS IN THE TOURISM WORKPLACE

ANNALS OF ANTHROPOLOGICAL PRACTICE, Issue 1 2005
VALENE L. SMITH
Anthropology and tourism melded at a symposium at the 1974 American Anthropological Association meeting in Mexico City, believed to be the first social science discussion of tourism in the Western Hemisphere. Tourism has increased dramatically to become one of the world's largest industries, and anthropology has also extended its interests in theory and methodology. Few articles have linked career options for anthropologists to the tourism workplace. Our disciplinary strengths in heritage conservation, economic development,especially among indigenous cultures,and conflict resolution, as well as our cross-cultural orientation, lead to employment with governments, NGOs, visitor and convention bureaus, and management. Regrettably, many industry employers are unfamiliar with our professional skills; a job search in the tourism workplace may become a personal quest, often bolstered by a sales pitch and with bilingualism as a major asset. [source]

Exploring the perceived effect of an undergraduate multiprofessional educational intervention

MEDICAL EDUCATION, Issue 6 2000
Article first published online: 25 DEC 200
Context Improved teamwork and greater collaboration between professions are important factors in effective health care. These goals may be achieved by including interprofessional learning in the undergraduate medical curriculum. The Faculty of Medicine at the University of Liverpool organized a pilot two-day multiprofessional course involving all the health care related disciplines. Objective The present study examined the perceived effect of the multiprofessional course on the work practice of these newly qualified health care professionals. Method The views of former students who took part in the pilot course were collected using a semi-structured interview schedule and analysed using a qualitative data analysis software package QSR NU*DIST. Results Two main themes emerged. These centred around role knowledge and interprofessional attitudes. Data indicated that participants perceived the course to have increased their knowledge of the other professions and that this effect had persisted. Reported benefits to their working practice included facilitating appropriate referrals, increasing professional empathy and awareness of other professionals' skills, raising confidence and heightening awareness of the holistic nature of patient treatment. Participants reported forming negative attitudes towards other professions during their undergraduate education. They believed these had been partly encouraged by course tutors. The pilot course was perceived to have had had little effect on these attitudes. Changes occurred once the newly qualified professionals started work. Conclusions The results support the idea that interprofessional educational interventions must be tailored to specific learning goals to be implemented successfully, and that interprofessional education should be prolonged and widespread to have a real impact. [source]

Killing for the state: the darkest side of American nursing

NURSING INQUIRY, Issue 1 2003
Dave Holmes
The aim of this article is to bring to the attention of the international nursing community the discrepancy between a pervasive ,caring' nursing discourse and a most unethical nursing practice in the United States. In this article, we present a duality: the conflict in American prisons between nursing ethics and the killing machinery. The US penal system is a setting in which trained healthcare personnel practice the extermination of life. We look upon the sanitization of deathwork as an application of healthcare professionals' skills and knowledge and their appropriation by the state to serve its ends. A review of the states' death penalty statutes shows that healthcare workers are involved in the capital punishment process and shielded by American laws (and to a certain extent by professional boards through their inaction). We also argue that the law's language often masks that involvement; and explain how states further that duplicity behind legal formalisms. In considering the important role healthcare providers, namely nurses and physicians, play in administering death to the condemned, we assert that nurses and physicians are part of the states' penal machinery in America. Nurses and physicians (as carriers of scientific knowledge, and also as agents of care) are intrinsic to the American killing enterprise. Healthcare professionals who take part in execution protocols are state functionaries who approach the condemned body as angels of death: they constitute an extension of the state which exercises its sovereign power over captive prisoners. [source]