Search results

1 – 10 of over 28000
Article
Publication date: 1 October 1995

Gerar McGhee

Explores the concept of profession in relation to the occupationalgroup known as health promotion officers and examines the question ofwhether it is appropriate or desirable for…

1303

Abstract

Explores the concept of profession in relation to the occupational group known as health promotion officers and examines the question of whether it is appropriate or desirable for health promotion officers to seek to become professionals. Suggests that although the status of a profession initially appears to be desirable for the health promotion officer, such status can carry with it unwanted characteristics such as protectionism and élitism. Concludes that health promotion specialists need to strike a balance between those professional characteristics that are desirable and positive, while avoiding the negative attributes of professions which could seriously undermine the whole purpose and philosophy underpinning the health promotion officer′s role.

Details

Health Education, vol. 95 no. 5
Type: Research Article
ISSN: 0965-4283

Keywords

Article
Publication date: 1 April 2003

Birgit Blättel‐Mink and Ellen Kuhlmann

Changing market conditions, new modes of labour and decreasing legitimisation of experts, as well as an increasing ratio of women, pose new challenges to the professions. These…

1051

Abstract

Changing market conditions, new modes of labour and decreasing legitimisation of experts, as well as an increasing ratio of women, pose new challenges to the professions. These ongoing dynamics are especially visible in the health care system – a traditional professional field with strongly formalised rules governing entrance, initiation and career paths. In addition, this field is highly segregated according to sexes. How do the bove‐mentioned processes of change present themselves and what economic, social or structural factors cause them? What role does gender play within these processes? What potential lies in the re‐structuring processes of health care systems as far as a gender equal architecture and design of professions is concerned? These and other questions are addressed in this collection of papers. For the main part they grew out of a thematic focus event organised and coordinated by the editors for the 5th Conference of the European Sociological Association (ESA) Research Network Sociology of Professions that was held in 2001 in Helsinki. Inspired by the richness of the research results on professions and gender in health care systems in various European countries and new horizons which opened up from the comparative perspective in different countries, professions, and theoretical approaches, and finally motivated by very constructive ensuing discussions, we decided to continue the discussion with a publication.

Details

International Journal of Sociology and Social Policy, vol. 23 no. 4/5
Type: Research Article
ISSN: 0144-333X

Keywords

Article
Publication date: 8 April 2019

Louis Rice

The design of the built environment is a determinant of health. Accordingly, there is an increasing need for greater harmonization of the architectural profession and public health

Abstract

Purpose

The design of the built environment is a determinant of health. Accordingly, there is an increasing need for greater harmonization of the architectural profession and public health. However, there is a lack of knowledge on whether designers of the built environment are changing their practices to deliver healthier urban habitats. The paper aims to discuss these issues.

Design/methodology/approach

The research uses a multi-method approach to data analysis, including: systematic mapping study, structured review and thematic analysis.

Findings

The research finds that there are almost no requirements for the compulsory inclusion of health across institutions and agencies that have the power to execute and mandate the scope of architectural profession, training, education, practice or knowledge. Despite the urgent need for action and the myriad entreatments for greater integration between architecture and health, there is very little evidence progress.

Practical implications

The research has implications for the architectural profession and architectural education. Health and well-being is not currently an integral part of the educational or professional training requirements for architects. University educational curriculum and Continuing Professional Development criteria need to better integrate health and well-being into their knowledge-base.

Social implications

The design of the built environment is currently undertaken by an architectural profession that lacks specialized knowledge of health and well-being. There is a risk to society of environments that fail to adequately protect and promote the health and well-being of its inhabitants.

Originality/value

The research evidences, for the first time, the lack of integration of “health and wellbeing” within the architecture profession training or education systems.

Details

Archnet-IJAR: International Journal of Architectural Research, vol. 13 no. 2
Type: Research Article
ISSN: 2631-6862

Keywords

Article
Publication date: 1 October 2006

Rosalind Mead

This paper provides a description of statutory regulation as it applies to currently regulated professions and as a model for practitioners of psychological therapies. It…

Abstract

This paper provides a description of statutory regulation as it applies to currently regulated professions and as a model for practitioners of psychological therapies. It discusses the safety drivers for regulation, the issues involved in identifying roles, competences and training as a basis for regulation, and how regulation can promote quality of practice as careers develop in a changing workforce.

Details

The Journal of Mental Health Training, Education and Practice, vol. 1 no. 2
Type: Research Article
ISSN: 1755-6228

Keywords

Book part
Publication date: 12 November 2018

Fiona Pacey

This study is a considered interpretation of the National Registration and Accreditation Scheme for the health professions, which commenced operations in Australia in 2010. The…

Abstract

This study is a considered interpretation of the National Registration and Accreditation Scheme for the health professions, which commenced operations in Australia in 2010. The development of the Scheme and its operational elements (namely the Australian Health Practitioner Regulation Agency and 14 profession-specific national Boards) are positioned within the context of regulatory capitalism. Regulatory capitalism merges the experience of neoliberalism with an attentiveness to risk, particularly by the State. Nationally consistent legislation put in place a new set of arrangements that enabled the continuity of governments’ role in health workforce governance. The new arrangements resulted in an entity which is neither exclusively subservient to nor independent of the State, but rather “quasi-independent.” In exploring this arrangement, specific consideration is given to how the regulatory response matched the existing reality of a global (and national) health workforce market. This study considers this activity by the State as one of consolidation, as opposed to fracturing, against a backdrop of purposeful regulatory reform.

Details

Applied Ethics in the Fractured State
Type: Book
ISBN: 978-1-78769-600-6

Keywords

Article
Publication date: 4 January 2008

Ellen Kuhlmann and Ivy Lynn Bourgeault

This article aims to provide an overview on key trends in public sector policy and professional development and how they intersect with gender and diversity. It seeks to explore…

2479

Abstract

Purpose

This article aims to provide an overview on key trends in public sector policy and professional development and how they intersect with gender and diversity. It seeks to explore new configurations in the relationship between gender and the professions and to develop a matrix for the collection of articles presented in this volume.

Design/methodology/approach

The authors link social policy and governance approaches to the study of professions, using the health professions and academics as case studies. Material from a number of studies carried out by the authors together with published secondary sources provide the basis of our analysis; this is followed by an introduction of the scope and structure of this thematic issue.

Findings

The findings underline the significance of public policy as key to better understand gender and diversity in professional groups. The outline of major trends in public sector professions brings into focus both the persistence of gender inequality and the emergence of new lines of gendered divisions in the professions.

Practical implications

The research presented here highlights a need for new models of public sector management and professional development that are more sensitive to equality and diversity.

Originality/value

This article focuses on the “making” of inequality at the interface of public policy and professional action. It introduces a context sensitive approach that moves beyond equal opportunity policies and managerial accounts and highlights new directions in research and policy.

Details

Equal Opportunities International, vol. 27 no. 1
Type: Research Article
ISSN: 0261-0159

Keywords

Article
Publication date: 1 June 2011

Roy Liff and Thomas Andersson

This paper aims to describe the integrating and disintegrating effects of professional actions in customised care.

Abstract

Purpose

This paper aims to describe the integrating and disintegrating effects of professional actions in customised care.

Design/methodology/approach

Using a qualitative case study, the authors examine the work practices and cultures of three Swedish child and adolescent psychiatric care units (CAP) charged with providing customised care in collaboration with other organisations. The authors conducted 62 interviews, made 11 half‐day observations, and shadowed employees for two days.

Findings

The social embeddedness of action is crucial to understanding the professions' integrating/disintegrating activities. In the internal social context of CAP, the professions adapt to productivity‐enhancing new public management (NPM) principles, resulting in integrating effects between the different professions and administrative management in the CAP units. However, CAP exercises professional dominance over the cooperating organisations. Thus, in the external social context, CAP's resistance to customised care principles exacerbates the disintegration problems among the different organisations.

Practical implications

The study concludes that, contrary to findings in many other studies, neither the professional logic nor NPM/customised care reforms determine the actions of professionals. In this case, the institutionalisation of some NPM methods blocks the adoption of customised care practices.

Originality/value

Contrary to the widely accepted idea that resource restriction is a main source of conflict between management and the professions, the professions accept and adapt to resource restrictions, even at the expense of de‐emphasising the practices of customised care. Thus, since professionals choose different operational strategies depending on the social context, the success of a normative reform measure may depend in part on its social context.

Details

Journal of Health Organization and Management, vol. 25 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 17 March 2021

Stephanie Best, Christian Beech, Iain J. Robbé and Sharon Williams

One overlooked determinant of interprofessional teamwork is the mobilisation of professional identity. Taking a health or social care practitioner out of their professional silo…

1314

Abstract

Purpose

One overlooked determinant of interprofessional teamwork is the mobilisation of professional identity. Taking a health or social care practitioner out of their professional silo and placing them in an interprofessional team setting will challenge their professional identity. The theory of signature pedagogy was used to investigate the challenges and what is needed to support practitioners to mobilise their professional identity to maximise teamwork.

Design/methodology/approach

A cross-sectional mixed methods study was undertaken in the form of three focus groups, with members of health and social care teams in Wales, UK. Using nominal group technique, participants explored and ranked the challenges and benefits of mobilising their professional identity within an interprofessional setting.

Findings

Findings on mobilising professional identity were found to be aligned closely with the three signature pedagogy apprenticeships of learning to think and to perform like others in their profession and to act with moral integrity. The biggest challenge facing practitioners was thinking like others in their profession while in an interprofessional team.

Research limitations/implications

The focus of this study is health and social care teams within Wales, UK, which may limit the results to teams that have a similar representation of professionals.

Practical implications

Healthcare leaders should be aware of the opportunities to promote mobilisation of professional identity to maximise teamwork. For example, at induction, by introducing the different roles and shared responsibilities. Such practical implications do have consequences for policy as regards interprofessional team development and organisational commitments to adult learning and evaluation.

Originality/value

This is the first study of professional identity of interprofessional healthcare and social professionals using signature pedagogy to gain a better understanding of teamwork.

Details

Journal of Health Organization and Management, vol. 35 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 29 May 2009

Patricia A. Rowe and Rosalie A. Boyce

The purpose of this paper is to apply an allied health subculture model to clarify key contextual factors that can emerge in the evolution of an allied health subculture as a…

Abstract

Purpose

The purpose of this paper is to apply an allied health subculture model to clarify key contextual factors that can emerge in the evolution of an allied health subculture as a consequence of deutero‐learning.

Design/methodology/approach

Two case studies are compared to illustrate these two extreme variations in deutero‐learning.

Findings

The first case – characterised by pathological deutero‐learning – operated within the classical medical model. A learning pathology that developed in this situation was a fractured, divisive, self absorbed work culture. A second case – characterised by positive deutero‐learning – operated within a divisional structure characterized by integrated decentralization. What was learned as a result of operating within this alternative organisational structure is that effective management of allied health recognizes two governance arenas: governance required for managing professionals and governing principles for delivering clinical services. Positive deutero‐learning occurred in this situation rather than the reinforcement of existing learning pathologies.

Research limitations/implications

There are clearly implications of the two structural models for self‐fulfilling prophecies, interpersonal interaction, climate formation and learning pathologies.

Practical implications

During a period of major reform differing outcomes in deutero‐learning in these two cases emphasize the importance of the evolution of appropriate organisational structures in developing a leadership‐driven learning process and creating an environment in which learning can occur.

Originality/value

The added value of this application of deuteron learning is that it unpacks the nature of variations in deutoro learning that can emerge during a period of major reform in the evolution of an allied health subculture.

Details

The Learning Organization, vol. 16 no. 4
Type: Research Article
ISSN: 0969-6474

Keywords

Article
Publication date: 1 April 2003

Ellen Kuhlmann

What part does gender play in professionalism? How does gender translate into hierarchies in professions? This paper attempts to deal with these questions and to move towards an…

1133

Abstract

What part does gender play in professionalism? How does gender translate into hierarchies in professions? This paper attempts to deal with these questions and to move towards an embedded approach that can account for paradoxes of gender and professions. It focuses on the notion of context and the hypothesis that gender is both stable and variable. Using empirical material from a multi‐method study of the German dental profession, three main issues are considered: the impact of different structuring modes and diverse actors on gender relations, the relation of gender difference and hierarchy, and differentiation between women as a group. Gender becomes manifest on the symbolic level as well as in structural arrangements. However, its impact on each of these levels varies. Most striking is the empirical proof that gender does not lead to the construction of hierarchies under all conditions. Female symbolism can also favour women. Professionalisation theories help to reconstruct these processes.

Details

International Journal of Sociology and Social Policy, vol. 23 no. 4/5
Type: Research Article
ISSN: 0144-333X

Keywords

1 – 10 of over 28000