Medical dominance and professional cultures in health care bahnisch uq school...Dr Mark Bahnisch
This document summarizes a presentation by Dr. Mark Bahnisch on the topic of "Medical Dominance" and the robustness of professional cultures in healthcare. It discusses how professional cultures, particularly within medicine, have proven resilient even in the face of changing educational, organizational, and policy agendas promoting interprofessional practice. This resilience may impact the success of initiatives aiming to shift governance models and drive organizational change. The presentation questions assumptions about erosion of medical dominance and explores how professional boundaries are reproduced culturally.
2010 05 Hooker Cawley Leinweber PA Career Flexibilityrodhooker
1) Nearly half (49%) of physician assistants change specialties at some point in their careers, with 24% switching specialty classes.
2) Over four decades, physician assistants have demonstrated career flexibility in responding to changing healthcare needs by adapting their specialties.
3) This career flexibility could help address workforce shortages, such as in primary care, by incentivizing physician assistants to work in high-demand specialties.
The document discusses several challenges facing higher education and nursing education. It identifies issues such as declining US competitiveness in science and engineering graduates compared to other nations, financial pressures in healthcare, and faculty shortages in nursing. It recommends that nursing programs emphasize research and disseminate findings, build upon strengths, and commit to culturally diverse and successful students.
2011 08 Hooker Everett Primary Care Pa Reviewrodhooker
Physician assistants can contribute significantly to primary care systems. Studies show that PAs can provide comprehensive care, maintain accessibility and accountability comparable to physicians. While PAs perform many of the key
Linking clinical workforce skill mix planning to health and health care dynamicsIme Asangansi, MD, PhD
Current health workforce planning methods are inadequate for the complexity of the task. Most approaches treat the workforce supply of individual health professions in isolation and avoid quantifying the impact of changes in skills mix, either planned or unplanned. The causes and consequences of task delegation and task substitution between or within health professions is particularly important in handling workforce shortages in developing countries and understanding and planning possible responses to both rapid catastrophic health demands and slower background trends in their social and political environment. As well as the contextual environment, interactions and delays in supplying and balancing health resources and configuring clinical services are required to address the geographic, profession-specific and quality imbalances. These supply side resources include knowledge and research, skills and attitudes of clinicians, buildings and equipment, medications and medical technologies, information and communications technologies and any other methods and models to improve the provision of clinical services. The interaction between demand
and supply could adjust for feedbacks of health services outcomes, policies and governance on population expectations, funding, political and social supports and explicitly link these to clinical workforce supply in a useful, rigorous and relevant tool. The challenge is capture the relevant essence of the dynamic complexity of health and healthcare for this purpose.
This document discusses cultural and ethical issues in medical surgical nursing. It addresses key aspects of Indian culture including religion, language, social structure, family structure, health beliefs, diet and nutrition. It also discusses implications of cultural issues for healthcare, including family dynamics, diet, health remedies and cultural practices. The document then examines ethical issues nurses may face in clinical practice, with employers, colleagues, and in upholding personal excellence and the nursing profession. Specific bioethical issues are explored, such as end of life planning, euthanasia, organ transplantation, and frameworks for ethical decision making. Resources for addressing ethical dilemmas are also presented.
This document summarizes a seminar presentation on trends and issues in medical surgical nursing. It discusses major trends like reduced length of stay and increased technology. It also covers ethical and cultural issues in nursing care, including communication barriers and religious/family differences. Significant cultural aspects like health beliefs, language, and family structure are examined specifically for Indian culture. The conclusion emphasizes the importance of documentation to meet legal obligations and continue improving patient care.
This document outlines the need for specialized training of healthcare professionals in adolescent and young adult (AYA) oncology. It notes that cancers often manifest differently and have varying treatment responses in the AYA population compared to children and older adults. Additionally, AYAs face unique developmental and psychosocial challenges due to cancer. The LIVESTRONG Young Adult Alliance assembled experts who recommend training in three areas: AYA-specific medical knowledge; care delivery tailored to AYAs; and competency in applying practical AYA knowledge. This training seeks to address gaps not covered in traditional pediatric and adult oncology programs to better serve AYA patients with cancer.
Medical dominance and professional cultures in health care bahnisch uq school...Dr Mark Bahnisch
This document summarizes a presentation by Dr. Mark Bahnisch on the topic of "Medical Dominance" and the robustness of professional cultures in healthcare. It discusses how professional cultures, particularly within medicine, have proven resilient even in the face of changing educational, organizational, and policy agendas promoting interprofessional practice. This resilience may impact the success of initiatives aiming to shift governance models and drive organizational change. The presentation questions assumptions about erosion of medical dominance and explores how professional boundaries are reproduced culturally.
2010 05 Hooker Cawley Leinweber PA Career Flexibilityrodhooker
1) Nearly half (49%) of physician assistants change specialties at some point in their careers, with 24% switching specialty classes.
2) Over four decades, physician assistants have demonstrated career flexibility in responding to changing healthcare needs by adapting their specialties.
3) This career flexibility could help address workforce shortages, such as in primary care, by incentivizing physician assistants to work in high-demand specialties.
The document discusses several challenges facing higher education and nursing education. It identifies issues such as declining US competitiveness in science and engineering graduates compared to other nations, financial pressures in healthcare, and faculty shortages in nursing. It recommends that nursing programs emphasize research and disseminate findings, build upon strengths, and commit to culturally diverse and successful students.
2011 08 Hooker Everett Primary Care Pa Reviewrodhooker
Physician assistants can contribute significantly to primary care systems. Studies show that PAs can provide comprehensive care, maintain accessibility and accountability comparable to physicians. While PAs perform many of the key
Linking clinical workforce skill mix planning to health and health care dynamicsIme Asangansi, MD, PhD
Current health workforce planning methods are inadequate for the complexity of the task. Most approaches treat the workforce supply of individual health professions in isolation and avoid quantifying the impact of changes in skills mix, either planned or unplanned. The causes and consequences of task delegation and task substitution between or within health professions is particularly important in handling workforce shortages in developing countries and understanding and planning possible responses to both rapid catastrophic health demands and slower background trends in their social and political environment. As well as the contextual environment, interactions and delays in supplying and balancing health resources and configuring clinical services are required to address the geographic, profession-specific and quality imbalances. These supply side resources include knowledge and research, skills and attitudes of clinicians, buildings and equipment, medications and medical technologies, information and communications technologies and any other methods and models to improve the provision of clinical services. The interaction between demand
and supply could adjust for feedbacks of health services outcomes, policies and governance on population expectations, funding, political and social supports and explicitly link these to clinical workforce supply in a useful, rigorous and relevant tool. The challenge is capture the relevant essence of the dynamic complexity of health and healthcare for this purpose.
This document discusses cultural and ethical issues in medical surgical nursing. It addresses key aspects of Indian culture including religion, language, social structure, family structure, health beliefs, diet and nutrition. It also discusses implications of cultural issues for healthcare, including family dynamics, diet, health remedies and cultural practices. The document then examines ethical issues nurses may face in clinical practice, with employers, colleagues, and in upholding personal excellence and the nursing profession. Specific bioethical issues are explored, such as end of life planning, euthanasia, organ transplantation, and frameworks for ethical decision making. Resources for addressing ethical dilemmas are also presented.
This document summarizes a seminar presentation on trends and issues in medical surgical nursing. It discusses major trends like reduced length of stay and increased technology. It also covers ethical and cultural issues in nursing care, including communication barriers and religious/family differences. Significant cultural aspects like health beliefs, language, and family structure are examined specifically for Indian culture. The conclusion emphasizes the importance of documentation to meet legal obligations and continue improving patient care.
This document outlines the need for specialized training of healthcare professionals in adolescent and young adult (AYA) oncology. It notes that cancers often manifest differently and have varying treatment responses in the AYA population compared to children and older adults. Additionally, AYAs face unique developmental and psychosocial challenges due to cancer. The LIVESTRONG Young Adult Alliance assembled experts who recommend training in three areas: AYA-specific medical knowledge; care delivery tailored to AYAs; and competency in applying practical AYA knowledge. This training seeks to address gaps not covered in traditional pediatric and adult oncology programs to better serve AYA patients with cancer.
Harvard style research paper nursing evidenced based practiceCustomEssayOrder
This document discusses evidence-based practice in health and social care. It defines evidence-based practice as using the best available research evidence to guide decisions about patient care and service delivery. The document outlines how evidence-based practice helps improve patient outcomes and keep practices current. It also examines how social care providers are expected to demonstrate the effectiveness and accountability of their services.
Differences between family/primary care/acute care nurse practitionersRicky Phan
This presentation discusses the differences between family/primary care/acute care nurse practitioners. It will help readers understand more about the definition of nurse practitioner, independent practices and skill training among nurse practitioners. The novice nurse practitioners should know the above information and LACE to avoid legal ramifications.
The Lancet Commissions document examines the state of health professional education and calls for reforms to better prepare graduates for 21st century health challenges. It finds that while advances in the 20th century doubled life expectancy, inequities persist globally and new health threats have emerged. Professional education has not adapted to these changing needs, with fragmented and outdated curricula producing ill-equipped graduates. The commissions proposes a vision of transformative, interdependent education to develop competent professionals who can address patient and population needs through collaborative team-based systems. It recommends instructional reforms like competency-driven learning and institutional reforms such as expanding academic systems and global networking to strengthen health systems worldwide.
The Lancet Commissions document examines the state of health professional education and calls for reforms to better prepare graduates for 21st century health challenges. It finds that while advances in the 20th century doubled life expectancy, inequities persist globally and new health threats have emerged. Professional education has not adapted to these changing needs, with fragmented and outdated curricula producing ill-equipped graduates. The commissions proposes a vision of transformative, interdependent education to develop competent professionals who can address patient and population needs through collaborative team-based systems. It recommends instructional reforms like competency-driven learning and institutional reforms such as expanding academic systems and global networking to strengthen health systems worldwide.
Physician shortages in Canada have been a topic of debate for decades. In the 1990s, there was a consensus that Canada had a physician surplus, but by the early 2000s policies shifted to increasing medical school enrolment and allowing more foreign graduates due to a perceived shortage. However, the causes of shortages are complex, with factors like physician migration to the US and preferences for specialty careers over family medicine contributing. While some argue for general increases in physician supply, others propose improving retention through addressing job satisfaction or focusing on primary care over specialties. There are differing views on how to best address physician resource issues in the Canadian healthcare system.
The development of gerontological nursing began in the early 20th century with the first articles on elder care published in nursing journals. Gerontological nursing established itself as a specialty area through the mid-20th century with the publication of textbooks and the formation of professional organizations focused on elder care. Gerontological nursing roles include healer, caregiver, educator, advocate, innovator according to holistic principles addressing elders' biological, psychological, social and spiritual needs to promote health and independence.
Medical Professionalism in the New Millennium: A Physician Chartermeducationdotnet
The document introduces a charter on medical professionalism created by physicians from Europe and the United States. It aims to address concerns that changes in healthcare systems threaten medical professionalism and physicians' commitment to patient welfare. The charter outlines three fundamental principles: primacy of patient welfare, patient autonomy, and social justice. It also lists 10 commitments that uphold these principles and define physicians' responsibilities. The charter seeks to promote discussion of professionalism across cultures and affirm its universal values.
A Qualitative Description of Millennial Nurse Administrators’ Perspectives on...Ryan Michael Oducado
Abstract: Millennial nurses are beginning to accept leadership roles and soon will take over the healthcare industry because nurse administrators who belong to the Baby boomer generation will soon retire and leave the workforce. However, the perspectives on leadership and practice environment of millennial nurse administrators were not well-explored and investigated. Eight (8) millennial nurse administrators of tertiary hospitals in Iloilo City were purposively chosen. Through a qualitative descriptive inquiry, data were gathered using a semi-structure interview. Qualitative content analysis was employed in analyzing the transcripts of the study participants revealing meaningful patterns of categories as to their perspectives on leadership and their work environment, feelings and challenges. Millennial nurse administrators perceive leadership by way of directing, guiding, empowering and modeling to staff. They viewed their practice environment as having harmonious relationship while maintaining professional relationship among the healthcare team members, upholding standards and ensuring client satisfaction as a measure of quality care. Millennial nurse administrators shared feelings of being overwhelmed at the start yet fulfilling in the end. Lastly, they had challenges in dealing with older staff and in assuming the full responsibility and accountability of their unit. Considering the complexities in the healthcare profession, millennial nurse administrators cope with the responsibilities brought by their position as the major key players to ensure that the operations of the unit abides with the standards of practice. Underscoring the importance of staff relations without depriving the quality of nursing care services, millennial nurse administrators must be provided with understanding and support to enhance their leadership skills as they advance into higher leadership positions.
This document discusses several global issues facing the nursing profession and outlines the work of the Global Advisory Panel on the Future of Nursing (GAPFON). It identifies key challenges related to an aging nursing workforce, nurse migration, nursing's public image, demonstrating the cost-effectiveness of nursing, and preparing for disasters and climate change. It then provides details on GAPFON's formation, members, strategy to establish a global nursing vision through regional meetings, and plans to create a summary document and strategic action plans to address issues in leadership, policy, practice, and education.
This document discusses culture and leadership in healthcare between the Middle East and Western world. It notes key differences in Middle Eastern culture, such as a stronger emphasis on family and developing personal relationships. Middle Easterners also have different views of time, personal space, and personal privacy. Western medical professionals need to understand these cultural differences to effectively serve Middle Eastern patients and work with their families. The document concludes that culture and leadership are important to healthcare everywhere, and leaders must address cultural issues to provide quality care.
This document discusses the importance of compassion and self-renewal for nurses. It defines compassion as sorrow or pity for others' suffering. While nurses have high levels of compassion, caring for others without caring for oneself can lead to burnout, fatigue, and unhealthy behaviors. The document outlines negative effects of lack of self-care, including loss of self-esteem, irritability, and physical symptoms like fatigue. It encourages nurses to develop self-care plans involving relaxation, breaks away from work, and meditation to replenish inner energy and serve as role models for holistic health. Barriers to self-care include lack of time, knowledge, skills, and motivation.
This document summarizes the author's 30-year journey in nursing leadership. It describes experiences in various clinical settings that helped develop transformational leadership skills. The author pursued advanced degrees including a MSN to expand their practice. Current goals include completing a DNP with a focus on educational leadership to further shape nursing education and prepare to be a complexity leader capable of facilitating healthcare system changes. The overall journey has moved from an initial interest in authority to a focus on empowering teams through shared governance and developing care coordination across settings.
This document presents a systematic literature review that compares research on nurse dissatisfaction in the UK and Thailand. The review aims to explore cultural differences in the sources of nurse dissatisfaction and the researchers' approaches to studying this topic in the two countries. Eight primary research studies on nurse dissatisfaction were selected from each country. The results found that while the overall sources of dissatisfaction are the same between countries, such as salary, workload, and work environment, the way each factor is constructed varies between cultures. Additionally, the researchers' focuses differed between the UK and Thailand in ways that reflect underlying cultural differences. The study concludes that a comparative perspective provides useful insights and recommendations for healthcare managers and policymakers, especially regarding immigrant nurse populations.
This document discusses the NHLBI's PRIDE program, which aims to increase diversity in the biomedical research workforce by providing mentoring and research skills training to investigators from underrepresented backgrounds. It notes that while issues like health disparities and underrepresentation in research have been recognized for decades, progress has been slow. The PRIDE program addresses these issues by matching mentees with experienced mentors over a two-year period to enhance research skills and facilitate career development. The document highlights positive feedback from mentees about how PRIDE mentoring has helped support their careers. It also summarizes the design of four PRIDE summer institutes focused on cardiovascular disease and related health issues.
Leading change in healthcare- thesis_Mulondo_160601jerry mulondo
This document summarizes Jerry Mulondo's master's thesis which explored leadership approaches associated with positive change in healthcare. The thesis used narrative analysis of interviews with 19 physician leaders in Sweden. Five major themes were identified: an evidence-informed and problem-focused approach; driving goals from the front; leaders as facilitators; vision guiding leadership; and principles guiding leadership. These themes were linked to leadership theories. The study found that leadership development programs should draw from various leadership theories and develop capabilities for data-informed change processes. Further research is needed on physician leadership and the factors affecting leadership style choices in different healthcare settings.
The document provides a timeline and overview of the evolution of several advanced practice nursing roles from the 1800s to present day, including nurse anesthetists, nurse midwives, clinical nurse specialists, nurse practitioners, and physician assistants. It traces the development of these roles in response to societal needs and pressures from organized medicine. Key events included establishing educational standards, gaining prescriptive authority, and fighting for reimbursement and full recognition of their scope of practice. Resistance from physicians occurred when nursing roles competed for similar jobs or responsibilities.
This document discusses medical student electives in developing countries. It notes potential benefits like exposure to rare diseases and personal growth, but also flags ethical issues. Electives could exploit local health systems and raise false expectations. They may perpetuate neo-colonial practices by benefiting students and health systems in wealthy countries more than local populations. The document also examines how non-governmental organizations can undermine public health systems and calls for electives to minimize harm, respect local needs, and establish long-term exchange programs to provide mutual benefit.
Building the frontline health workers: Strengthening the role and training o...Prashanth N S
Presentation made at the All India People's medical and health education conference organised in February 2015 by the All India People's Science Network by Tanya Seshadri & Prashanth N S
Healthcare Policy and Systems Discussion HW.pdfbkbk37
This document appears to be a reflective journal from a nursing student on their practicum experiences. It discusses several topics covered over multiple weeks:
1) In week 1, the student assessed their healthcare setting's needs and identified existing health disparities like high fall rates among older patients.
2) In week 2, the student proposed a project on implementing negative pressure wound therapy and demonstrated considering new practice approaches.
3) In later weeks, the student discussed setting objectives for their wound therapy project and considering how it could promote social justice. They also explored the emerging practice of telehealth nursing.
An Exploration Of Nurses Health Beliefs Ways Of Knowing And Implications Fo...Melinda Watson
This document summarizes a study that explored nurses' health beliefs in five countries. It revealed three main themes:
1) Nurses drew their health beliefs from various sources, including professional education and cultural traditions, creating tensions between personal beliefs and evidence-based practices.
2) Some nurses held beliefs they had not examined critically and may not have been supported by evidence.
3) Nurses believed experience was an important source of knowledge, though personal experiences need to be evaluated critically rather than assumed to represent reality.
The study highlighted tensions between nurses' personal beliefs and critical health literacy expected in contemporary nursing practice. It also illuminated the need for nurse education to help nurses examine their own beliefs.
This document discusses interprofessional collaboration from a social work perspective. It begins with a case study of a 31-year-old woman named Patricia Chalmers who is resistant to addressing her health issues. It then provides definitions of interprofessional practice that emphasize team-based care and goals that cannot be achieved alone. The document outlines why interprofessional collaboration is important to improve population health, enhance patient care, and control costs. It discusses social work values and ethics around interdisciplinary teams, including respecting colleagues and contributing to decisions that affect client well-being. The role of social workers on interprofessional teams is also examined.
Harvard style research paper nursing evidenced based practiceCustomEssayOrder
This document discusses evidence-based practice in health and social care. It defines evidence-based practice as using the best available research evidence to guide decisions about patient care and service delivery. The document outlines how evidence-based practice helps improve patient outcomes and keep practices current. It also examines how social care providers are expected to demonstrate the effectiveness and accountability of their services.
Differences between family/primary care/acute care nurse practitionersRicky Phan
This presentation discusses the differences between family/primary care/acute care nurse practitioners. It will help readers understand more about the definition of nurse practitioner, independent practices and skill training among nurse practitioners. The novice nurse practitioners should know the above information and LACE to avoid legal ramifications.
The Lancet Commissions document examines the state of health professional education and calls for reforms to better prepare graduates for 21st century health challenges. It finds that while advances in the 20th century doubled life expectancy, inequities persist globally and new health threats have emerged. Professional education has not adapted to these changing needs, with fragmented and outdated curricula producing ill-equipped graduates. The commissions proposes a vision of transformative, interdependent education to develop competent professionals who can address patient and population needs through collaborative team-based systems. It recommends instructional reforms like competency-driven learning and institutional reforms such as expanding academic systems and global networking to strengthen health systems worldwide.
The Lancet Commissions document examines the state of health professional education and calls for reforms to better prepare graduates for 21st century health challenges. It finds that while advances in the 20th century doubled life expectancy, inequities persist globally and new health threats have emerged. Professional education has not adapted to these changing needs, with fragmented and outdated curricula producing ill-equipped graduates. The commissions proposes a vision of transformative, interdependent education to develop competent professionals who can address patient and population needs through collaborative team-based systems. It recommends instructional reforms like competency-driven learning and institutional reforms such as expanding academic systems and global networking to strengthen health systems worldwide.
Physician shortages in Canada have been a topic of debate for decades. In the 1990s, there was a consensus that Canada had a physician surplus, but by the early 2000s policies shifted to increasing medical school enrolment and allowing more foreign graduates due to a perceived shortage. However, the causes of shortages are complex, with factors like physician migration to the US and preferences for specialty careers over family medicine contributing. While some argue for general increases in physician supply, others propose improving retention through addressing job satisfaction or focusing on primary care over specialties. There are differing views on how to best address physician resource issues in the Canadian healthcare system.
The development of gerontological nursing began in the early 20th century with the first articles on elder care published in nursing journals. Gerontological nursing established itself as a specialty area through the mid-20th century with the publication of textbooks and the formation of professional organizations focused on elder care. Gerontological nursing roles include healer, caregiver, educator, advocate, innovator according to holistic principles addressing elders' biological, psychological, social and spiritual needs to promote health and independence.
Medical Professionalism in the New Millennium: A Physician Chartermeducationdotnet
The document introduces a charter on medical professionalism created by physicians from Europe and the United States. It aims to address concerns that changes in healthcare systems threaten medical professionalism and physicians' commitment to patient welfare. The charter outlines three fundamental principles: primacy of patient welfare, patient autonomy, and social justice. It also lists 10 commitments that uphold these principles and define physicians' responsibilities. The charter seeks to promote discussion of professionalism across cultures and affirm its universal values.
A Qualitative Description of Millennial Nurse Administrators’ Perspectives on...Ryan Michael Oducado
Abstract: Millennial nurses are beginning to accept leadership roles and soon will take over the healthcare industry because nurse administrators who belong to the Baby boomer generation will soon retire and leave the workforce. However, the perspectives on leadership and practice environment of millennial nurse administrators were not well-explored and investigated. Eight (8) millennial nurse administrators of tertiary hospitals in Iloilo City were purposively chosen. Through a qualitative descriptive inquiry, data were gathered using a semi-structure interview. Qualitative content analysis was employed in analyzing the transcripts of the study participants revealing meaningful patterns of categories as to their perspectives on leadership and their work environment, feelings and challenges. Millennial nurse administrators perceive leadership by way of directing, guiding, empowering and modeling to staff. They viewed their practice environment as having harmonious relationship while maintaining professional relationship among the healthcare team members, upholding standards and ensuring client satisfaction as a measure of quality care. Millennial nurse administrators shared feelings of being overwhelmed at the start yet fulfilling in the end. Lastly, they had challenges in dealing with older staff and in assuming the full responsibility and accountability of their unit. Considering the complexities in the healthcare profession, millennial nurse administrators cope with the responsibilities brought by their position as the major key players to ensure that the operations of the unit abides with the standards of practice. Underscoring the importance of staff relations without depriving the quality of nursing care services, millennial nurse administrators must be provided with understanding and support to enhance their leadership skills as they advance into higher leadership positions.
This document discusses several global issues facing the nursing profession and outlines the work of the Global Advisory Panel on the Future of Nursing (GAPFON). It identifies key challenges related to an aging nursing workforce, nurse migration, nursing's public image, demonstrating the cost-effectiveness of nursing, and preparing for disasters and climate change. It then provides details on GAPFON's formation, members, strategy to establish a global nursing vision through regional meetings, and plans to create a summary document and strategic action plans to address issues in leadership, policy, practice, and education.
This document discusses culture and leadership in healthcare between the Middle East and Western world. It notes key differences in Middle Eastern culture, such as a stronger emphasis on family and developing personal relationships. Middle Easterners also have different views of time, personal space, and personal privacy. Western medical professionals need to understand these cultural differences to effectively serve Middle Eastern patients and work with their families. The document concludes that culture and leadership are important to healthcare everywhere, and leaders must address cultural issues to provide quality care.
This document discusses the importance of compassion and self-renewal for nurses. It defines compassion as sorrow or pity for others' suffering. While nurses have high levels of compassion, caring for others without caring for oneself can lead to burnout, fatigue, and unhealthy behaviors. The document outlines negative effects of lack of self-care, including loss of self-esteem, irritability, and physical symptoms like fatigue. It encourages nurses to develop self-care plans involving relaxation, breaks away from work, and meditation to replenish inner energy and serve as role models for holistic health. Barriers to self-care include lack of time, knowledge, skills, and motivation.
This document summarizes the author's 30-year journey in nursing leadership. It describes experiences in various clinical settings that helped develop transformational leadership skills. The author pursued advanced degrees including a MSN to expand their practice. Current goals include completing a DNP with a focus on educational leadership to further shape nursing education and prepare to be a complexity leader capable of facilitating healthcare system changes. The overall journey has moved from an initial interest in authority to a focus on empowering teams through shared governance and developing care coordination across settings.
This document presents a systematic literature review that compares research on nurse dissatisfaction in the UK and Thailand. The review aims to explore cultural differences in the sources of nurse dissatisfaction and the researchers' approaches to studying this topic in the two countries. Eight primary research studies on nurse dissatisfaction were selected from each country. The results found that while the overall sources of dissatisfaction are the same between countries, such as salary, workload, and work environment, the way each factor is constructed varies between cultures. Additionally, the researchers' focuses differed between the UK and Thailand in ways that reflect underlying cultural differences. The study concludes that a comparative perspective provides useful insights and recommendations for healthcare managers and policymakers, especially regarding immigrant nurse populations.
This document discusses the NHLBI's PRIDE program, which aims to increase diversity in the biomedical research workforce by providing mentoring and research skills training to investigators from underrepresented backgrounds. It notes that while issues like health disparities and underrepresentation in research have been recognized for decades, progress has been slow. The PRIDE program addresses these issues by matching mentees with experienced mentors over a two-year period to enhance research skills and facilitate career development. The document highlights positive feedback from mentees about how PRIDE mentoring has helped support their careers. It also summarizes the design of four PRIDE summer institutes focused on cardiovascular disease and related health issues.
Leading change in healthcare- thesis_Mulondo_160601jerry mulondo
This document summarizes Jerry Mulondo's master's thesis which explored leadership approaches associated with positive change in healthcare. The thesis used narrative analysis of interviews with 19 physician leaders in Sweden. Five major themes were identified: an evidence-informed and problem-focused approach; driving goals from the front; leaders as facilitators; vision guiding leadership; and principles guiding leadership. These themes were linked to leadership theories. The study found that leadership development programs should draw from various leadership theories and develop capabilities for data-informed change processes. Further research is needed on physician leadership and the factors affecting leadership style choices in different healthcare settings.
The document provides a timeline and overview of the evolution of several advanced practice nursing roles from the 1800s to present day, including nurse anesthetists, nurse midwives, clinical nurse specialists, nurse practitioners, and physician assistants. It traces the development of these roles in response to societal needs and pressures from organized medicine. Key events included establishing educational standards, gaining prescriptive authority, and fighting for reimbursement and full recognition of their scope of practice. Resistance from physicians occurred when nursing roles competed for similar jobs or responsibilities.
This document discusses medical student electives in developing countries. It notes potential benefits like exposure to rare diseases and personal growth, but also flags ethical issues. Electives could exploit local health systems and raise false expectations. They may perpetuate neo-colonial practices by benefiting students and health systems in wealthy countries more than local populations. The document also examines how non-governmental organizations can undermine public health systems and calls for electives to minimize harm, respect local needs, and establish long-term exchange programs to provide mutual benefit.
Building the frontline health workers: Strengthening the role and training o...Prashanth N S
Presentation made at the All India People's medical and health education conference organised in February 2015 by the All India People's Science Network by Tanya Seshadri & Prashanth N S
Healthcare Policy and Systems Discussion HW.pdfbkbk37
This document appears to be a reflective journal from a nursing student on their practicum experiences. It discusses several topics covered over multiple weeks:
1) In week 1, the student assessed their healthcare setting's needs and identified existing health disparities like high fall rates among older patients.
2) In week 2, the student proposed a project on implementing negative pressure wound therapy and demonstrated considering new practice approaches.
3) In later weeks, the student discussed setting objectives for their wound therapy project and considering how it could promote social justice. They also explored the emerging practice of telehealth nursing.
An Exploration Of Nurses Health Beliefs Ways Of Knowing And Implications Fo...Melinda Watson
This document summarizes a study that explored nurses' health beliefs in five countries. It revealed three main themes:
1) Nurses drew their health beliefs from various sources, including professional education and cultural traditions, creating tensions between personal beliefs and evidence-based practices.
2) Some nurses held beliefs they had not examined critically and may not have been supported by evidence.
3) Nurses believed experience was an important source of knowledge, though personal experiences need to be evaluated critically rather than assumed to represent reality.
The study highlighted tensions between nurses' personal beliefs and critical health literacy expected in contemporary nursing practice. It also illuminated the need for nurse education to help nurses examine their own beliefs.
This document discusses interprofessional collaboration from a social work perspective. It begins with a case study of a 31-year-old woman named Patricia Chalmers who is resistant to addressing her health issues. It then provides definitions of interprofessional practice that emphasize team-based care and goals that cannot be achieved alone. The document outlines why interprofessional collaboration is important to improve population health, enhance patient care, and control costs. It discusses social work values and ethics around interdisciplinary teams, including respecting colleagues and contributing to decisions that affect client well-being. The role of social workers on interprofessional teams is also examined.
The document summarizes key topics covered in a Professional Capstone and Practicum course, as reflected in a student's journal. The journal addresses new practice approaches learned, including evidence-based practice and intraprofessional collaboration. It also discusses healthcare delivery systems, ethics, population health, the role of technology, health policy, leadership models, and health disparities. The student reflects on strengthening their cultural competence and how the course helped them meet competencies.
This document provides instructions for a 3-4 page report on a critical health issue in a community. Students are asked to identify a public health or community health issue, describe factors contributing to it, current interventions addressing it, the scope of nursing's role, and ways to expand interventions. The report should be in APA format and cite at least 3 scholarly sources. It will demonstrate competencies in explaining community health factors, applying evidence-based interventions, and communicating as a nursing professional.
Primary health care aims to address local health problems through community education and disease treatment and prevention, while promoting individual and public health participation. It involves services like nutrition promotion, sanitation, family planning, immunization, and disease control. Nurses play an important role in primary health care through community education, surveillance, screening, and notification of health issues.
Organizational Evaluation health Care Concerns.docxsdfghj21
1) The document discusses how to evaluate an organization's ability to meet the healthcare needs of a vulnerable population through a 3-5 page report.
2) The report must identify the primary healthcare concern of the population, how the organization currently addresses this concern, any gaps in service, and evidence-based strategies to address the gaps.
3) Barriers to implementing the strategies must also be described. At least three current academic or professional sources must be referenced using APA style.
The document summarizes the findings and recommendations of the Future of Family Medicine Project, which aimed to define a vision for the future of the family medicine specialty. The project found that patients want convenient access to primary care physicians with good communication skills. It recommended a new identity for family physicians focused on whole-person care. Key recommendations included implementing a personal medical home model of team-based and patient-centered care, reforming medical education to emphasize evidence-based holistic care, and ensuring universal healthcare coverage that supports primary care. The project sees opportunities for complementary and alternative medicine to be further integrated into family medicine through a focus on whole-person health.
This Keynote gives an overview of the challenges in health education over the last 50 years and examples of successful implementation of ICF education to teach better collaborative practice and patient-centred care based on a bio-psycho-social-spiritual model of health.
This document discusses the need to address biases that can negatively impact clinical care for patients with disabilities. It outlines three common biases: 1) ineffectual bias which perceives patients as less capable or competent based on narrow markers, 2) fragile friendliness bias which perceives patients as more fragile or saintly based on capacities for warmth, and 3) catastrophe bias which overestimates patient suffering and underestimates resilience. The document recommends educational and clinical interventions like raising awareness of biases, expanding clinical formulations, and increasing contact with people with disabilities to improve care and reduce inequities.
Medical education aims to train physicians to view medicine from the patient's perspective and prioritize patient wishes and choices in care. The socialization process during medical training helps solidify physicians' world views. While the curriculum teaches medical theories, the hidden curriculum transmits the profession's culture and cognitive maps. This ensures physicians are prepared for their multiple roles in caring for patients and families as healthcare providers, researchers, and educators. The goals of medical education now focus on patients' and society's needs rather than physicians' choices alone, reflecting changes where patients have more autonomy and a voice in their care.
This document summarizes a colloquium that discussed different perspectives on the concept of "quality" in healthcare. Four key themes emerged from the discussion: 1) High quality care requires balancing contradictory views of quality; 2) There should be more emphasis on describing care qualitatively rather than just quantitatively measuring it; 3) Practitioners need opportunities to discuss experiences with peers; and 4) Trusting relationships between practitioners and patients are central to quality but difficult to define and measure. The document argues that top-down quality initiatives often fail to capture the complex realities of care delivery and may have unintended negative consequences.
Assessment 1PRINTAnalysis of Position Papers for Vulnerabl.docxgalerussel59292
The document provides instructions for an assessment requiring students to analyze position papers on a health care issue related to a vulnerable population. Students must explain their position on the issue, the role of an interprofessional team, and evaluate supporting and opposing evidence and positions. The analysis should be 4-6 pages, cite 3-5 supporting and 2-3 opposing sources, and follow APA style formatting. The target population and issue will be used for future assessments to potentially create a new policy.
ITS REALLY IMPORTANT TO MEET THE COMPETENCES; I SUBMITTED A FIRmariuse18nolet
IT'S REALLY IMPORTANT TO MEET THE COMPETENCES; I SUBMITTED A FIRST JOB WITHOUT MEETING THE COMPETENCES AND DID NOT PASS.
I am not asking to re do the job someone else did, that's tiring. I need a whole new paper.
I'LL COPY AND PASTE THE PROFESSOR FEEDBACK AT THE END, SO YOU CAN SEE THE COMPETENCES ONCE AGAIN.
Create an educational program, event, or piece of literature (for example, a pamphlet) that incorporates best practices in health promotion and disease prevention for a diverse population. Then, explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
Use valid, scholarly research resources relevant to the field of nursing to support information presented.
Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.
Competency 7: Health Promotion and Disease Prevention – Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.
(IMPORTANT) -Develop an educational program, event, or piece of literature to address health concerns of a diverse population.
(IMPORTANT) -Explain how a specific educational approach to a health concern can overcome barriers to health promotion and disease prevention for a diverse population.
Competency 8: Diversity – Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.
(IMPORTANT) -Describe barriers to health promotion and disease prevention for a diverse population.
Assessment Instructions
Part I
To prepare for the first part of the assessment, complete the following:
Review the literature or use health assessments to determine health care needs of a diverse population in your community.
Explore things that could influence success, such as cultural attitudes toward alternative forms of healing, religious beliefs, or other individuals.
Examine the impact of current health promotion and wellness initiatives on health outcomes and health disparities.
Review the literature to identify best p ...
ITS REALLY IMPORTANT TO MEET THE COMPETENCES; I SUBMITTED A FIRST Jmariuse18nolet
IT'S REALLY IMPORTANT TO MEET THE COMPETENCES; I SUBMITTED A FIRST JOB WITHOUT MEETING THE COMPETENCES AND DID NOT PASS.
i am not asking to re do the job someone else did, that's tiring. I need a whole new paper.
I'LL COPY AND PASTE THE PROFESSOR FEEDBACK AT THE END, SO YOU CAN SEE THE COMPETENCES ONCE AGAIN.
Create an educational program, event, or piece of literature (for example, a pamphlet) that incorporates best practices in health promotion and disease prevention for a diverse population. Then, explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
Use valid, scholarly research resources relevant to the field of nursing to support information presented.
Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.
Competency 7: Health Promotion and Disease Prevention – Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.
(IMPORTANT) -Develop an educational program, event, or piece of literature to address health concerns of a diverse population.
(IMPORTANT) -Explain how a specific educational approach to a health concern can overcome barriers to health promotion and disease prevention for a diverse population.
Competency 8: Diversity – Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.
(IMPORTANT) -Describe barriers to health promotion and disease prevention for a diverse population.
Assessment Instructions
Part I
To prepare for the first part of the assessment, complete the following:
Review the literature or use health assessments to determine health care needs of a diverse population in your community.
Explore things that could influence success, such as cultural attitudes toward alternative forms of healing, religious beliefs, or other individuals.
Examine the impact of current health promotion and wellness initiatives on health outcomes and health disparities.
Review the literature to identify best practices.
Once you have identified ...
Advocating Through Policy Empire Essays.pdfsdfghj21
Nurses should engage in advocacy efforts to improve health and nursing practice through involvement in the policy process at various levels of government. There are opportunities for nurses to get involved regardless of time constraints. Successful policymaking requires collaboration between stakeholders. Nurses can become leaders and respected members of interprofessional healthcare teams by participating in the policy process.
Professionalism is an important competency in medical education that focuses on behaviors while humanism focuses on intrinsic values and qualities. It can be challenging to teach professionalism, as learners may see efforts as insincere. The hidden curriculum also undermines formal teaching. Role modeling humanism and having learners reflect on experiences, including through writing, can help foster professionalism grounded in humanistic qualities. It is important to treat all people, including patients and learners, with empathy, respect, and compassion.
The 10 Most Influential Leaders Guiding Corporate Evolution, 2024.pdfthesiliconleaders
In the recent edition, The 10 Most Influential Leaders Guiding Corporate Evolution, 2024, The Silicon Leaders magazine gladly features Dejan Štancer, President of the Global Chamber of Business Leaders (GCBL), along with other leaders.
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buy old yahoo accounts buy yahoo accountsSusan Laney
As a business owner, I understand the importance of having a strong online presence and leveraging various digital platforms to reach and engage with your target audience. One often overlooked yet highly valuable asset in this regard is the humble Yahoo account. While many may perceive Yahoo as a relic of the past, the truth is that these accounts still hold immense potential for businesses of all sizes.
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MJ Global's success in staying ahead of the curve in the packaging industry is a testament to its dedication to innovation, sustainability, and customer-centricity. By embracing technological advancements, leading in eco-friendly solutions, collaborating with industry leaders, and adapting to evolving consumer preferences, MJ Global continues to set new standards in the packaging sector.
Unveiling the Dynamic Personalities, Key Dates, and Horoscope Insights: Gemin...my Pandit
Explore the fascinating world of the Gemini Zodiac Sign. Discover the unique personality traits, key dates, and horoscope insights of Gemini individuals. Learn how their sociable, communicative nature and boundless curiosity make them the dynamic explorers of the zodiac. Dive into the duality of the Gemini sign and understand their intellectual and adventurous spirit.
Storytelling is an incredibly valuable tool to share data and information. To get the most impact from stories there are a number of key ingredients. These are based on science and human nature. Using these elements in a story you can deliver information impactfully, ensure action and drive change.
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Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
Part 2 Deep Dive: Navigating the 2024 Slowdownjeffkluth1
Introduction
The global retail industry has weathered numerous storms, with the financial crisis of 2008 serving as a poignant reminder of the sector's resilience and adaptability. However, as we navigate the complex landscape of 2024, retailers face a unique set of challenges that demand innovative strategies and a fundamental shift in mindset. This white paper contrasts the impact of the 2008 recession on the retail sector with the current headwinds retailers are grappling with, while offering a comprehensive roadmap for success in this new paradigm.
At Techbox Square, in Singapore, we're not just creative web designers and developers, we're the driving force behind your brand identity. Contact us today.
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challengesHolger Mueller
Holger Mueller of Constellation Research shares his key takeaways from SAP's Sapphire confernece, held in Orlando, June 3rd till 5th 2024, in the Orange Convention Center.
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
We will dig deeper into:
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LA HUG - Video Testimonials with Chynna Morgan - June 2024
Bahnisch research rap 070812
1. 'Medical Dominance' and the
continuing robustness of
professional cultures in healthcare.
Dr Mark Bahnisch
7 August 2012
CMEDRS/DME ‘Research Rap’
2. Contexts
FRENK, J., CHEN, L., BHUTTA, Z., COHEN, J., CRISP, N., EVANS, T.,
FINEBERG, H., GARCIA, P., KE, Y., KELLEY, P., KISTNASAMY, B., MELEIS,
A., NAYLOR, D., PABLOS-MENDEZ, A., REDDY, S., SCRIMSHAW, S.,
SEPULVEDA, J., SERWADDA, D. & ZURAYK, H. 2010. Health
professionals for a new century: transforming education to strengthen
health systems in an interdependent world. The Lancet, 376, 1923-58.
“100 years ago, a series of studies about the education
of health professionals, led by the 1910 Flexner report,
sparked groundbreaking reforms. Through integration
of modern science into the curricula at university-based
schools, the reforms equipped health professionals
with the knowledge that contributed to the doubling of
life span during the 20th century.
3. “By the beginning of the 21st century, however, all
is not well. Glaring gaps and inequities in health
persist both within and between countries,
underscoring our collective failure to share the
dramatic health advances equitably. At the same
time, fresh health challenges loom. New infectious,
environmental, and behavioural risks, at a time of
rapid demographic and epidemiological transitions,
threaten health security of all. Health systems
worldwide are struggling to keep up, as they
become more complex and costly, placing
additional demands on health workers.”
4. “Professional education has not kept pace with these challenges,
largely because of fragmented, outdated, and static curricula that
produce ill-equipped graduates. The problems are systemic: mismatch
of competencies to patient and population needs; poor teamwork;
persistent gender stratification of professional status; narrow technical
focus without broader contextual understanding; episodic encounters
rather than continuous care; predominant hospital orientation at the
expense of primary care; quantitative and qualitative imbalances in the
professional labour market; and weak leadership to improve health-
system performance. Laudable efforts to address these deficiencies
have mostly floundered, partly because of the so-called tribalism of
the professions—ie, the tendency of the various professions to act in
isolation from or even in competition with each other.”
[Emphasis mine]
5. Caveats and comments
• Research I am doing, and am hoping to do rather
than research I have done
• But note potential to re-analyse data from
completed study
• Literature has been approached systematically
but not yet comprehensively
• Ability to realise research design would be
dependent on funding, opportunity – choices
framed to take this into account
• I am presenting to discuss ideas, research design,
methods, get feedback
6. Medicine and the sociology of
professions and of medical education
• An ideal-typical case
• Structural-functionalism and Parsonian sociology – searching for
what typifies a profession, expert knowledge and the professional
hierarchy and division of labour (Emile Durkheim, Max Weber)
• Normative assumptions
• Eliot Friedson (1970) Profession of Medicine – closure theory
– But did Friedson really say what he has been said to say?
• Studies of ‘negotiated order’ (notable is STRAUSS, A., SCHATZMAN,
L., BUCHER, R., EHRLICH, D. & SABSHIN, M. 1963. The hospital and
its negotiated order. FRIEDSON, E. (ed.) The Hospital in Modern
Society. New York: Free Press.
• Studies of the formation and reproduction of student professional
cultures (Merton et al 1957 The Student-Physician from a Parsonian
perspective, Becker et al 1961 Boys in White: Student Culture in
Medical School from a symbolic-interactionist perspective)
7. ‘Medical Dominance’
• Evan Willis – 1983, 1989; Revisited in 2006 special issue of the Health
Sociology Review (cf particularly COBURN, D. Medical dominance then and
now: critical reflections. Health Sociology Review, 15, 432-433.)
• Willis (1989:2-3) posited three axes of ‘medical dominance’
– Autonomy (“over its own work”)
– Authority (“over other health professions”)
– Sovereignty (“dominant in relations between the health sector and the wider
society”)
• Willis’ method – historical case studies (midwifery, optometry, chiropractic
– subordination, limitation, exclusion)
• Implicit but not really theorised here was a dynamic and more complex
historical and social interaction than the simple exercise of power or
authority (different concepts)
• Too much structure, too little agency?
• Problems of typification?
8. Research problem
• Institutional and cultural resilience and
embeddedness may not have been given
adequate weight in shifting educational,
organisational and policy agendas towards
‘interprofessional practice’.
9. Why is this important?
• There often seems to be an assumption that
‘medical dominance’ is a ‘bad thing’
• Some sociological insights about the individual
focus or orientation of medical work as compared
to ‘shaping’ institutions may have a lot to tell us
about the circumstances under which IPP is or is
not desirable and is or is not realisable
• Do we really know that much about ‘the hidden
curriculum’? And/or how professional cultures
are reproduced?
10. Research questions
• How are the dynamic boundaries of medical
authority reproduced in educational,
institutional and organisational cultures?
• What implications are there of the cultural
reproduction of medical authority for
education and public policy?
11. The erosion of medical dominance?
• General erosion of professional autonomy vis
a vis control or monopoly over knowledge
• ‘Neo-liberal’ governance
– CURRIE, G., FINN, R., MARTIN, G. 2009. Professional competition and
modernizing the clinical workforce in the NHS. Work, Employment &
Society, 23, 267-284.
• Agendas such as ‘patient centred care’,
‘interprofessional practice’
12. But…
• Erosion of professional autonomy over
knowledge
– The other side of micro-studies about ‘dominance’
in consultations.
– Macro-social theorising – meta-observation or the
received wisdom of liberal academic elites?
– ‘Dynamic professional boundaries in the healthcare workforce’
NANCARROW, S. A. & BORTHWICK, A. M. 2005. Dynamic
professional boundaries in the healthcare workforce. Sociology
of Health & Illness, 27, 897-919.
– Negotiated orders as such are not new.
13. • ‘Neo-liberal’ governance
– How strong is the state and how to what degree is state power if not authority
contested through inertia, folkways, ‘how things are done here’ ie –
professional and institutional cultures?
– Following on from this, how about the power of interest groups and the field
of policy interaction? We could look for instance at the journey of the National
Health and Hospital Reform Plan through inception to ‘local hospital boards’
under the LNP government in Queensland.
– NATIONAL HEALTH AND HOSPITALS REFORM COMMISSION 2009. A healthier
future for all Australians: Final report of the national health and hospitals
reform commission. Canberra, ACT: National Health and Hospitals Reform
Commission.
– Additionally, can the evidence that ‘managerialism’ and ‘teamwork’ are
subverted in some contexts by professionally-bound cultural strategies be
generalised?
– FINN, R., LEARMONTH, M. & REEDY, P. 2010. Some unintended effects of
teamwork in healthcare. Social Science & Medicine, 78, 1148-1154.
14. • Patient-centred care/IPP
– The continued resilience of professional cultures, and
particularly how these are reproduced and lived
institutionally.
– HALL, P. 2005. Interprofessional teamwork: Professional cultures
as barriers. Journal of Interprofessional Care, May 2005, 188-
196.
– The sustainability of IPP initiatives and their
sustainability in the absence of a ‘good’ doctor
– WHITEHEAD, C. 2007. The doctor dilemma in interprofessional
education and care: how and why will physicians collaborate? Medical
Education, 41, 1010-1016.
15. Then or now?
• STRAUSS, A. 1971 ‘Psychiatrists in a Private
Hospital’ and ‘The Nurses at PPI’ in
Professions, Work and Careers. San Francisco:
The Sociology Press.
• FINN, R. 2008. The language of teamwork:
Reproducing professional divisions in the
operating theatre. Human Relations, 61, 103-
130.
16. Hypothesis
• The relative failure of many IPP initiatives is
caused in part by the resilience of professional
medical culture in institutions.
– BOURGEAULT, I. & MULVALE, G. 2006. Collaborative health care teams
in Canada and the USA: Confronting the structural embeddedness of
medical dominance. Health Sociology Review, 15, 481-495.
17. Research design: How would we
measure this?
• RIPLS
– MCFADYEN, A., WEBSTER, V. & MACLAREN, W. 2006. The test-retest
reliability of a revised version of the Readiness for Interprofessional
Learning Scale (RILPS). Journal of Interprofessional Care, 20, 633-639.
– Critique in THANNHAUSER, J., RUSSELL-MAYHEW, S. & SCOTT, C. 2010.
Measures of interprofessional education and collaboration. Journal of
Interprofessional Care, 24, 336-349.
• What is the independent variable?
• What is the dependent variable?
18. Another way of
measuring/conceptualising
• Not what has happened but what has not happened
– GREENFIELD, D., NUGUS, P., TRAVAGLIA, J. & BRAITHWAITE, J. 2011.
Factors that shape the development of interprofessional improvement
initiatives in health organizations. BMJ Quality and Safety, 20:332-337.
– NUGUS, P., GREENFIELD, D., TRAVAGLIA, J., WESTBROOK, J. &
BRAITHWAITE, J. 2010. How and where clinicians exercise power:
interprofessional relations in health care. Social Science & Medicine,
71, 898-909.
• Continuities rather than fractures
• Ie – findings from
– ACT IPE/IPL Study
– NUGUS, P., GREENFIELD, D., TRAVAGLIA, J. & BRAITHWAITE, J. 2011.
Action research for interprofessional learning and interprofessional
practice in ACT Health. Paper presented to the University of
Queensland Centre for Clinical Research.
– Wide Bay IPE/IPP Study
19. Case studies…
• Case selection
• Within case variation
• Ethnography
• Phenomenology
• Discourse analysis
20. Replication and a longitudinal or cross-
sectional study…
• The American and UK literature contains rich
studies of the reproduction of professional
cultures in medical education
• Recency?
• Cross-national replication and/or longitudinal
or cross-sectional study
• Mixed methods
22. Implications for sociological theory
• Back to the foundations – ie ‘Rules of Sociological
Method’; grounding macro-theory
• Questioning some of the normative or ideological
assumptions underpinning sociological theory
which may themselves be reflections in part of
contests over/within social facts
• Incorporating historical sociology into
health/medical sociology and public policy
studies – contribution to method
23. Implications for medical education and
public policy
• ‘Barriers’ to IPP/Patient-centred care may be
much more rigid than thought – the lack of
malleability might lie in culture/s
• A better evidence base for ‘the informal
curriculum’
• An ability to assess ‘what works’ – under what
conditions is ‘medical dominance’ a good or a
bad thing? Or is this a poorly framed question?
(Ie professional expertise/specialisation and
clinical reasoning within particular contexts of
care) – links into the competency agenda