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At least 19 recordsLinked to original sources

Role conceptions and professional role discrepancy among baccalaureate nursing students employed as nurse's aides.

It was hypothesized that more experience working as a nurse's aide would be associated with lower professional role conception and higher bureaucratic role conception scores as well as with a higher professional role discrepancy score. Senior baccalaureate nursing students (N = 117) were grouped into four levels according to hours of nurse's aide experience. An instrument designed by this investigator measured role conceptions and role discrepancy. The hypotheses were not supported. The mean professional role conception score of all students who had had nurse's aide experience was higher than that of students without such experience.

Adult↗

Successful urban-to-rural professional role transition.

Mental health professionals who move from urban to rural environments to seek changes in lifestyle frequently experience stress in making personal and professional role transitions. Difficulty in making role transitions is a factor that adversely affects the rate of professional retention in the rural mental health field. This article reviews the sociological variables known to affect the ease of transition into new roles utilizing typical rural situations and practice examples to highlight the application of role transition theory to rural practice. The article concludes with recommendations to rural MHC administrators on ways to improve screening procedures for urban job applicants and ways to facilitate the urban professional's transition to rural life.

Attitude of Health Personnel↗

Substance abusers: role of personal and professional role traits in caregivers' causal attributions.

Substance abuse continues to be a major health problem compounded by caregivers' negative attitudes toward these patients. We investigated attributions 55 primary care physicians and 315 senior medical students make toward substance abusers. Half of both groups expressed negative causal attributions, with women slightly less negative than men. Mental models based on LISREL regression coefficients showed that higher negative attributions by both physicians and students were related to their increased authoritarianism and depressed mood. Medical students choosing careers in primary care specialties, including psychiatry, expressed a less negative attributional style toward substance abusers than those students entering nonprimary careers. Health professional educators may find that using attribution theory to redefine successful outcomes in management of substance abuse can result in better attitudes for caregivers.

Adult↗

The development of a professional role orientation inventory.

This paper describes the development and testing of the Professional Role Orientation Inventory, a 40-item Likert-type instrument designed to assess a dentist's perception of his or her professional role. The test includes four 10-item scales representing four attitudinal dimensions: Authority, Responsibility, Agency, and Autonomy. The study describes differences between and among groups of professionals and dental students who took the test. Responses to the various scales suggest that practitioners do have different conceptualizations of their professional role, though these conceptions vary somewhat from the various models of professionalism described in the literature.

Decision Making↗

Development of the professional role behaviors survey (PROBES).

BACKGROUND AND PURPOSE: This study examined the content validity, internal consistency, and underlying dimensions of the Professional Role Behaviors Survey (PROBES) for its use in future research. METHODS: Using the 26-item PROBES, 253 clinical managers reported on the direction and magnitude of change in the role behaviors of physical therapists following hospital restructuring. RESULTS: Descriptive and correlational statistics of the responses indicated that the nature of the role behavior changes was consistent with those identified in the literature and that the survey instrument had good internal consistency. A principal component factor analysis yielded 5 underlying role behavior dimensions: "evaluating and planning," "productivity," "interacting," "information sharing," and "administration/clinical." This factor structure was found to provide a good fit with role classification schemes and a clear differentiation of physical therapist role behaviors. In addition, the finding supports viewing the professional role behaviors as a single construct rather than as multiple constructs. DISCUSSION AND CONCLUSION: The PROBES was found to have good content validity and internal consistency. It provides a useful tool for the study of the changing roles of professional practitioners and a link in the study of the effect of organizational change on organizational outcomes such as job satisfaction and organizational commitment.

Behavior↗

Role socialization of graduating student nurses: impact of a nursing practicum on professional role conception.

This study examined graduating student nurse role conception changes that occurred during a concentrated clinical preceptorial. A Nursing Role Conceptions Questionnaire was administered to nursing students before (n = 44) and immediately after (n = 41) a 4-week Nursing Practicum; to the students' staff nurse clinical teaching associates (n = 34); and to nursing program faculty (n = 18). Respondent perceptions of ideal nursing behaviors and actual nursing behaviors within three major nursing roles (professional, service, and bureaucratic) were identified and differences between ideal and actual scores (role discrepancy) were calculated. Findings showed that student role orientation in selected areas changed from a faculty role orientation to a staff nurse role orientation over the 4-week period. The Practicum seemed to effectively facilitate role socialization of graduating student nurses into the work setting, easing the necessary transition from education to practice.

Education, Nursing↗

Helping community mental health work: a model for the professional role of liaison.

Community mental health centers were created to provide mental health services within the community. However, these centers have had difficulty delivering community-based services and have, all too often, become isolated from the communities they serve. A model for the role of professional liaison is presented. The liaison model is seen as providing a solution to service delivery problems by acting as an adjunctive agency providing broadly based referral and linking services between agencies in the community. Essential features of the liaison role include an ecological perspective, indirect service delivery, an emphasis on liaison role rather than technique, and the inappropriateness of advocacy.

Community Mental Health Centers↗

Mentorship and professional role development in undergraduate nursing education.

Mentoring is a positive method for promoting professional development; however, there is little information in the literature addressing the use of mentoring with baccalaureate nursing students. Because professional socialization is a critical component of baccalaureate nursing education, mentoring would be an optimal methodology. The authors describe how a mentorship program combined with a professional role development course was integrated into a BSN nursing program. The evolution of the faculty-student mentorship program and the professional role development course is presented.

Education, Nursing, Baccalaureate↗

The nurses transmissions of the professional role to students in nursing education.

In the reformed nursing education, introduced in Sweden in 1982, the emphasis is placed on nursing as the nurse's distinguishing characteristic. The profession comprises many coexisting functions, one of which is to transmit the professional role to the student of nursing. With the aim of acquiring knowledge concerning this transmission we analysed one topic of a questionnaire which was sent to the nurses at surgery clinics. This material was processed qualitatively. The answers crystallised into two categories discerning how the role is transmitted: (A) Conscious Approach, (B) Unconscious Approach. The results show that most of the nurses acted in a conscious manner, i.e. in a form of active influence on the students, in their transmission of the professional role. The unconscious approach, with a vague perception of, and therefore vague transmission of, the professional role is frequent.

Adult↗

Changes in midwives' attitudes to their professional role following the implementation of the midwifery development unit.

OBJECTIVE: to examine changes in midwives' attitudes to their professional role following the implementation of the midwifery development unit (MDU). DESIGN: prospective cohort study. SETTING: the MDU is based at a major teaching hospital in Glasgow, UK. The MDU midwives provide care via a new self-rostering system which is intended to improve continuity of care. Midwives aim to provide total care for each woman from the antenatal period through delivery and the postnatal period. PARTICIPANTS: 21 midwives who joined the MDU were compared with a group of 64 midwives at the hospital who were also eligible and who continued in their usual pattern of work (non-MDU midwives). MEASUREMENTS: an audit questionnaire was distributed to MDU and non-MDU midwives prior to the implementation of the unit and about 15 months afterwards. In addition, the MDU midwives were sent the questionnaire every three months. Extra questions were added at each time period in order to identify specific problems. This information was then fed back to the midwifery management team to aid in the planning and implementation of the care programme. FINDINGS: the MDU midwives experienced a significant positive change in attitudes; no significant change was evident for the non-MDU group. There was no evidence of increased stress in the MDU midwives. In general, both groups of midwives had positive attitudes towards the unit and felt that MDU-style care had a role to play in the future provision of maternity care. A number of areas of concern were also highlighted, such as the system of liaison with colleagues. CONCLUSIONS: innovative models of midwifery care such as an MDU can have a positive impact on midwives' attitudes towards their professional role. IMPLICATIONS FOR PRACTICE: if change is managed in a systematic manner which involves the midwives, it may be possible to increase midwives' professional satisfaction, while at the same time minimising any negative effects such as increased stress.

Adult↗

[Professional role of the physician in health care].

The professional role of the doctor in health care was analyzed in terms of the peculiarities of the chilean social reality. Determining factors include tradition, the expectations of society and demands of health policies. Action fields and primary and delegated functions are identified. This may be important to help prevent the take over of some of these functions by other health professionals.

Chile↗

Transition from student to physical therapist. Changes in perceptions of professional role and relationship between perceptions and job satisfaction.

A longitudinal study of 15 entry-level postbaccalaureate degree graduates was conducted to determine whether their perceptions of the professional role of the physical therapist and of self in that role changed after employment had begun and whether a relationship exists between these perceptions and job satisfaction. Data were collected by mail using a semantic differential test for measuring role perceptions and a questionnaire that included items related to job satisfaction and to demographic data. The return rate was 93%. At the time of data collection, the graduates had been employed for 12 to 18 months. The data on role perceptions were compared with data previously reported by Fincher Corb et al that had been collected on these same subjects when they entered the physical therapy education program and when they completed the program. Kendall's coefficient of concordance revealed significant differences (p less than .05) in three concepts relating to the professional role of the physical therapist and in one concept relating to self in that role. In each instance, the role perception score was lower after 12 to 18 months of employment. Job satisfaction scores were relatively high among the subjects. Spearman correlation coefficients calculated between job satisfaction and role perception scores revealed a positive and direct relationship between three role concepts and job satisfaction. Results of this study provide information about the professional socialization process in physical therapy.

Humans↗

The caring occupational therapist: scope of professional roles and boundaries.

OBJECTIVE: This article links two dimensions of occupational therapy within the context of professionalism: the role of caring and the implications of occupational therapy being a predominantly female profession. METHOD: Seven occupational therapists representing various levels of professional experience were interviewed to determine (a) how female occupational therapists perceive caring and (b) the implications of this perception for professional role definitions. RESULTS: Participants' daily professional work role was determined by three factors: the interpretation of holistic philosophy in their everyday activities as occupational therapists, the influence of their caring attitude in broadening their responsibilities beyond the occupational therapists' role definition, and the organizational settings in which their work took place. CONCLUSION: The seven participants had a broad definition of the scope of their professional responsibilities and experienced difficulty defining the limits of their role. Caring is a central part of the occupational therapists' role; therefore, perceptions about caring are central to the role definition of occupational therapists.

Adult↗

The professional role of physician's assistants in adult ambulatory care practices.

This article describes the methodology and findings of a national survey of Physician's Assistants (PAs) in adult, ambulatory care practices. Data on patient care roles and other professional activities were collected for a three-day period via a comprehensive self-reporting, log-diary instrument. Completing the instrument were 356 (50.4%) PAs. Survey results address the following questions: What is the typical work week for PAs? How do PAs allocate their time in a professional day? What direct patient care services do PAs provide? How productive are PAs with respect to number of patients seen and dollar income generated? In general, the data are consistent with the PA role model of a primary health care professional who provides basic health care services with an emphasis on patient counseling and disease prevention.

Ambulatory Care↗