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Results for “Voluntarism”

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At least 19 recordsLinked to original sources
PubMedDate not supplied

Voluntarism and health education in nursing.

The concept of voluntarism, as it applies to models of health education, underpins the nursing care of people who are chronically confused and their relatives. This article argues that voluntarism needs to be balanced by the notion of collectivism which takes full account of the contribution made by sociopolitical determinants of health. The central concepts of voluntarism and health education are defined and then the article proceeds to examine the extent to which voluntarism has underpinned various models of health education which can be used to support nursing practice. A critique of the concept of voluntarism, as used in health education, is provided. It is argued that models of health education which are polarized towards either voluntarism or collectivism are based on an inadequate understanding of human social action and that this polarization undermines the usefulness of these models of health education.

Caregivers↗
PubMed1979

Student voluntarism in transition.

The university student volunteer as a social change agent is in a period of transition. There is no returning to the idealism and activism of the 1960s if this and future generations of students continue to see self-preservation and individual advancement as their only viable option here in America. In view of the changing nature of today's students, the conventional definitions of volunteers, such as Shultz's (1972) altruist, average, and pseudo-volunteer, must be reconsidered. Does the acceptance of minimal pay or demand for academic credit preclude one's being a true altruist? Further, is altruism a necessary or sufficient condition of voluntarism? While we must attempt to answer these questions, the purpose here was to suggest viable first steps in reviving and enhancing student voluntarism. Some of the most salient points are: (1) Student volunteers provide critically needed services to the community, (2) Students are increasingly demanding tangible personal and educational gains for services through voluntarism, (3) Faculty support is vital to student voluntarism and they should be encouraged to actively design their classes to integrate classroom theory and practice through volunteering, and (4) The community agencies served should be active participants in the faculty, student, agency triad, and not merely passive recipients of services. The future of student voluntarism must be viewed in the larger context of changes occurring in the society-at-large, such as cynicism, mistrust of authority figures and leaders, and a move away from altruism and toward symbiosis and/or individualism. There is widespread disillusionment with "band-aid" approaches to solving enormous social problems, i.e., trying to help the few while some of society's most fundamental structures guarantee the perpetuation of poverty, crime, and general anomie. The rekindling of the ideology of cooperative altruism will take ingenuity and tireless effort. Meanwhile, if community psychology and related disciplines are to continue to utilize student volunteers, programs must be oriented toward new trends in student and faculty values and interests, and evolving community needs.

Altruism↗
PubMed2002

Informed consent and the capacity for voluntarism.

OBJECTIVE: Informed consent is built upon the elements of information, decisional capacity, and volunteerism. Of these elements, voluntarism in clinical and research consent is the least well understood. This has interfered with the ability to resolve key ethical problems faced by the field of psychiatry. METHOD: The author suggests that voluntarism encompasses an individual's ability to act in accordance with one's authentic sense of what is good, right, and best in light of one's situation, values, and prior history. Voluntarism further entails the capacity to make this choice freely and in the absence of coercion. Deliberateness, purposefulness of intent, clarity, genuineness, and coherence with prior life decisions are implicitly emphasized in this construction. RESULTS: The author offers and illustrates a framework for voluntarism in clinical and research consent decisions, focusing on four domains of potential influence: 1) developmental factors, 2) illness-related considerations, 3) psychological issues and cultural and religious values, and 4) external features and pressures. CONCLUSIONS: It is hoped that improved understanding of voluntarism will help in our efforts to fulfill the principle of respect for persons in clinical care and research.

Attitude to Health↗
PubMed1994

Omnibus Budget Reconciliation Act of 1990 and voluntarism: logistic regression analysis of pharmacist responsibility.

OBJECTIVE: To examine the relationship between pharmacists' willingness to assume further professional responsibilities, as measured by attitudes to the Omnibus Budget Reconciliation Act of 1990 (OBRA '90) requirements, and their attitudes toward voluntarism as their responsibility to society and their level of interest in their jobs. DESIGN: A survey was distributed to a convenience sample of 443 pharmacists who were asked to indicate their responses on a number of items. SETTING: Surveys were distributed to participants in an annual pharmacy continuing education program. PARTICIPANTS: The response rate was 65 percent with completed surveys from 290 Florida pharmacists who were typically male (73 percent) and practicing in the community setting (39 percent) for over 25 years (33 percent). MAIN OUTCOMES: Questions were aimed at gathering the following information: (1) demographics; (2) attitudes concerning the benefits of the three OBRA '90 requirements: patient counseling, prospective drug-use review (DUR), and information recording; (3) attitudes toward voluntarism; and (4) job interest. RESULTS: Pharmacists tended to agree that all three of the OBRA '90 mandates will be beneficial. Fifty-six percent favored the prospective DUR requirements, while 68 percent favored the patient counseling requirements and 66 percent favored the information-recording requirements. Logistic regression analysis showed that unit increases in scaled responses, indicating more favorable attitudes toward believing that voluntarism was one's responsibility, increased the odds of favoring counseling by 38.7 percent and information recording by 32.4 percent. A similar directional relationship was found for the DUR requirement. Job interest did not add to the predictive ability of the variables already in the models. CONCLUSIONS: This study suggests a possible association between pharmacists' attitudes toward social responsibility and their acceptance of expanded professional responsibility.

Attitude of Health Personnel↗
PubMedDate not supplied

Trauma-instability-voluntarism classification for glenohumeral instability.

Classification of glenohumeral instability is confusing. We think that the existence of trauma, directions of instability, voluntarism, and other factors make classification difficult. The purpose of this article is to create a new classification. One hundred eighty-nine patients with glenohumeral instability involving 207 joints (mean patient age 21.5 years) were subjects of this investigation. Our new classification, which is composed of three main factors (level of trauma, direction of instability, and voluntarism) and some subfactors, simplified it quite well. Abbreviations also make it easier to indicate each joint's condition. About half the subjects had no trauma or mild trauma. Two thirds of the joints with more than one dislocation or subluxation showed instability in other directions in addition to the direction of dislocation or subluxation. This classification is very useful to compare pathogenesis and results of treatment in patients with glenohumeral instability.

Adolescent↗
PubMed1993

Voluntarism: is it a useful concept for health education in the accident and emergency department?

As the year 2000 looms closer, the emphasis on health education as a means of attaining the 38 targets for 'Health for All' increases. Despite various initiatives, little, if any, progress has been made in narrowing the health divide. Currently, terms such as 'self-care', 'individual responsibility' and 'community empowerment' are often used with emphasis on individual freedom to choose. The author contends that to assume all individuals have that freedom and act voluntarily, is to deny the impact of social structure on health. Health education and the concept of voluntarism will be critically examined from the perspective of nursing in an accident and emergency department.

Attitude to Health↗
PubMed1989

Voluntarism and realism in medieval ethics.

In contrast to other articles in this series on the history of moral philosophy the present essay is not devoted to expounding the views of a single author, or to examining a particular moral theory. Instead it discusses an important dispute between two medieval accounts of the relation between theological and moral propositions. In addition to its historical interest this debate is important both because it connects earlier and later ethical thought--being influenced by Greek moral theories and influencing subsequent European philosophy--and because it concerns issues that remain important to philosophers and to those who claim that their ethical beliefs are dictated by religious convictions.

Humans↗
PubMed2006

"Fair's fair argument" and voluntarism in clinical research: but, is it fair?

This article sets out to counteract HM Evans's "fair's fair argument" in support of abolishing veto to research participation. Evans's argument attempts to assimilate ordinary clinical practice to clinical research. I shall refer to this attempt as "assimilation claim". I shall attempt to show that this assimilation, as it is carried out in Evans's argument, is misleading and, ultimately, logically undermines the conclusion. I shall then proceed to show that when the fair's fair argument is proposed independently of the assimilation claim, Evans's conclusion is not unavoidable and possible alternatives are equally open within the terms of the argument itself.

Clinical Trials as Topic↗
PubMed1987

Peer counseling in health care: a collaboration of social work and voluntarism.

Professional-volunteer collaboration is a growing trend in social work practice in health care. The social work profession can benefit from partnerships with volunteers to extend, enhance, and maximize the scope and quality of patient care. This article examines a program of social work collaboration with volunteers, trained as peer counselors, in a hospital setting. A model is described which provides long-term social support to chronically and terminally ill patients and their families during hospitalization and after discharge. Implications for replication in other settings are discussed.

Counseling↗