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Book part
Publication date: 4 August 2016

Stephen Kemp

The purpose of this chapter is to examine how the paid care of children, and assisting with their development, is increasingly coming to resemble a professional activity in…

Abstract

The purpose of this chapter is to examine how the paid care of children, and assisting with their development, is increasingly coming to resemble a professional activity in Australia. The commodification of child care has tended to create a profession of carers of children, not only by virtue of more formalized qualifications and role descriptions for carers, but also by establishing a potential framework within which a profession may be practiced. I examine how paid child caring in Australia increasingly conforms in many respects with various criteria commonly associated with a professional activity. This evolution within the child care field however is creating tension between the traditional nurturing role of child care and the more formal requirements of a “professional” carer. This process of professionalisation also has significant implications, not only for the care providers, but also for those who are receiving care – the children and their families. It also has important implications for society itself.

Details

Contemporary Issues in Applied and Professional Ethics
Type: Book
ISBN: 978-1-78635-443-3

Keywords

Article
Publication date: 1 April 1995

Louise Bell, Reva Berman Brown and Barbara Morris

The National Health Service (NHS) has many different kinds ofprofessionals and managers working underneath its large umbrella:non‐clinical managers administer the work of health…

470

Abstract

The National Health Service (NHS) has many different kinds of professionals and managers working underneath its large umbrella: non‐clinical managers administer the work of health‐care professionals, who in turn are concerned with the management of patients’ treatments. Delivery of health‐care services involves the managers and professionals working together to achieve a service that is good for, and acceptable to, patients. A change in the philosophy of the NHS is indicated by the growing acceptance, by both managers and professionals, of the necessity to elicit the views of patients (i.e. the expectations and perceptions of service users) and to incorporate these views into the planning and implementation of services. Discusses one such attempt to elicit the perceptions of service users, and reports on the preliminary findings of a patient‐centred audit which has been undertaken in Southend Community Care Services NHS Trust. Discusses the effects that the audit has had on the chiropody services in Southend, for both non‐clinical managers and health‐care professionals, in order to highlight the usefulness of the approach.

Article
Publication date: 17 October 2018

May-Kristin Vespestad and Anne Clancy

The purpose of this study is to explore perceptions of successful collaboration by a group of professionals in primary health care, using service-dominant logic (SDL) as a…

Abstract

Purpose

The purpose of this study is to explore perceptions of successful collaboration by a group of professionals in primary health care, using service-dominant logic (SDL) as a theoretical framework.

Design/methodology/approach

This study carries out secondary analysis of the results from a Norwegian national survey on collaboration amongst professionals in primary health care services.

Findings

Findings illustrate that SDL can provide a theoretical framework for understanding health and social care services. The study provides evidence for the relevance of the theory at micro level. Viewing primary care through the lens of SDL enables an understanding of the applicability of market principles to health and social care. The study illustrates the relevance of the following principles: services are the fundamental basis of exchange; indirect exchange can mask the fundamental basis of exchange. Operant resources are the fundamental source of strategic benefit; actors cannot deliver value but can participate in the creation and offering of value propositions.

Social implications

Awareness of the use of SDL in health care services can be positive for service provision and it could be incorporated as a supplementary perspective in educational programs for health care professionals.

Originality/value

Applying principles from SDL as a theoretical framework for primary care services challenges the conventional understanding of marketing in health services. This paper responds to the need for a more in-depth understanding of how SDL can help health care professionals recognize their role as participants in providing seamless health care at micro level.

Details

International Journal of Quality and Service Sciences, vol. 11 no. 1
Type: Research Article
ISSN: 1756-669X

Keywords

Article
Publication date: 28 September 2020

Sascha Kraus-Hoogeveen, Pascale Peters, Els Van der Pool and Beatrice Van der Heijden

This mixed-method study aims to contribute to the scholarly debate by outlining an individual-level theoretical framework for public value creation and evaluation that builds upon…

Abstract

Purpose

This mixed-method study aims to contribute to the scholarly debate by outlining an individual-level theoretical framework for public value creation and evaluation that builds upon a social exchange perspective. It provides insights into the normative frames of primary stakeholders in the Dutch care at home sector, that is professionals, managers, clients and informal care providers.

Design/methodology/approach

A mixed-method design comprising a customized survey among 349 stakeholders, preceded by 31 in-depth interviews was used.

Findings

This empirical work shows differences and similarities in the stakeholders' normative frames revealed via three dimensions of expectations regarding the process of care delivery: personal contact, impact of rules and procedures and communication.

Social implications

These differences in interpretation have implications for the measurement and evaluation of public value creation.

Originality/value

By statistically and methodologically exploring the different expectations' scales that are developed, we intend to work toward a measure for public value creation, which can be used in future empirical work.

Details

Journal of Health Organization and Management, vol. 34 no. 7
Type: Research Article
ISSN: 1477-7266

Keywords

Open Access
Article
Publication date: 16 October 2023

Kevin Östergård, Suvi Kuha and Outi Kanste

The purpose of this study is to identify and synthesise the best evidence on health-care leaders’ and professionals’ experiences and perceptions of compassionate leadership.

1558

Abstract

Purpose

The purpose of this study is to identify and synthesise the best evidence on health-care leaders’ and professionals’ experiences and perceptions of compassionate leadership.

Design/methodology/approach

A mixed-methods systematic review was conducted in accordance with the Joanna Briggs Institute methodology for mixed-methods systematic reviews using a convergent integrated approach. A systematic search was done in January 2023 in PubMed, CINAHL, Scopus, Medic and MedNar databases. The results were reported based on Preferred Reporting Items for Systematic Reviews and Meta-analyses. The data was analysed using thematic analysis.

Findings

Ten studies were included in the review (five qualitative and five quantitative). The thematic analysis identified seven analytical themes as follows: treating professionals as individuals with an empathetic and understanding approach; building a culture for open and safe communication; being there for professionals; giving all-encompassing support; showing the way as a leader and as a strong professional; building circumstances for efficient work and better well-being; and growing into a compassionate leader.

Practical implications

Compassionate leadership can possibly address human resource-related challenges, such as health-care professionals’ burnout, turnover and the lack of patient safety. It should be taken into consideration by health-care leaders, their education and health-care organisations when developing their effectiveness.

Originality/value

This review synthesised the knowledge of compassionate leadership in health care and its benefits by providing seven core elements of health-care leaders’ and professionals’ experiences and perceptions of compassionate leadership.

Details

Leadership in Health Services, vol. 37 no. 5
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 20 September 2023

Jillian C. Sweeney, Pennie Frow, Adrian Payne and Janet R. McColl-Kennedy

The purpose of this study is to examine how servicescapes impact well-being and satisfaction of both hospital customers (patients) and health care professional service providers.

Abstract

Purpose

The purpose of this study is to examine how servicescapes impact well-being and satisfaction of both hospital customers (patients) and health care professional service providers.

Design/methodology/approach

The study investigates how a hospital servicescape impacts two critical outcomes – well-being and satisfaction – of both hospital patients (customers) and health care professionals, who are immersed in that environment.

Findings

The hospital servicescape had a greater impact on physical, psychological and existential well-being for professionals than for patients. However, the reverse was true for satisfaction. The new servicescape enhanced the satisfaction and physical and psychological well-being of professionals but only the satisfaction of customers.

Research limitations/implications

The study implications for health care policy suggest that investment in health care-built environments should balance the needs of health care professionals with those of customers to benefit their collective well-being and satisfaction.

Practical implications

Based on the findings, the authors propose that servicescape investments should focus on satisfying the physical needs of patients while also placing emphasis on the psychological needs of professionals.

Social implications

Health care spending on physical facilities should incorporate careful cost-benefit analysis, ensuring that beneficial features for both user groups are included in new hospital designs, omitting features that are less supportive of well-being.

Originality/value

To the best of the authors’ knowledge, this study is the first to compare the impact of the same real-life servicescape on the satisfaction of both customers and service providers (professionals) and considers the critical health outcome of well-being.

Details

Journal of Services Marketing, vol. 37 no. 9
Type: Research Article
ISSN: 0887-6045

Keywords

Article
Publication date: 28 April 2020

Watchara Tabootwong and Frank Kiwanuka

Partnership is both a goal and an approach to family-centered care (FCC). Family members play an important role alongside the health-care team when an older family member is…

302

Abstract

Purpose

Partnership is both a goal and an approach to family-centered care (FCC). Family members play an important role alongside the health-care team when an older family member is admitted to the hospital. Family involvement in care for an older person forms a partnership approach where health professionals and the family engage collaboratively in care. This enhances the quality of care and family satisfaction with care. The purpose of this paper is to highlight the potential areas of partnerships of family members with health-care professionals while caring for older people based on the perspective of FCC.

Design/methodology/approach

A literature review was carried out.

Findings

The findings of this study focus on how healthcare professionals can listen to, respect the perspectives of family members, and share useful information with the family while caring for an older person. Family participation in providing care and collaboration between healthcare professionals and families is a seminal goal strategy in caring for older people during hospitalization. It is helpful to family members as a way of training and preparing them to assist their loved one after hospital discharge. Furthermore, it can establish a good relationship between healthcare professionals and families.

Originality/value

Partnership between health-care professionals and families helps and supports the older people and the family in managing the health condition the following discharge from the hospital.

Details

Working with Older People, vol. 24 no. 2
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 24 August 2012

Irma Mikkonen and Marja‐Anneli Hynynen

The aim of this study was to describe nurses' and other health care professionals' views about their patient education skills and how to develop them.

1569

Abstract

Purpose

The aim of this study was to describe nurses' and other health care professionals' views about their patient education skills and how to develop them.

Design/methodology/approach

The data for the study were collected from the participants of the online education course on patient education. The data were analyzed using qualitative content analysis.

Findings

The results show that, in the experience of health care professionals, it is important to make a shift from the professional‐led education and counselling towards an education relationship in which the professional and the patient are equals and represent different kinds of expertise and to develop patient education towards patient‐centredness supporting the patients' self‐management.

Research limitations/implications

The sample used in the research is small.

Practical implications

The participants in this study experienced that, as patient educators, it is necessary for them to acknowledge their own abilities, beliefs and values in order to be able to develop their patient education skills. This is noteworthy because appreciating and acknowledging the importance of reflection is one prerequisite for the paradigm shift from the traditional patient education model towards patient‐centred education. Consequently, it is important to investigate further the best ways of facilitating the development of health care professionals' skills with regard to patient‐centred education.

Originality/value

The study showed that, through education and training, health care professionals can recognize the need to develop their patient education towards patient‐centredness.

Details

Health Education, vol. 112 no. 5
Type: Research Article
ISSN: 0965-4283

Keywords

Article
Publication date: 8 April 2014

Tim Shaw, Deborah McGregor, Sue Sinclair, Robert Sutherland, Ana Munro and Jackie Ross

Cancer care is complex and an integrated cancer pathway involves many health professionals in a variety of care settings using many skills. The widely distributed and…

Abstract

Purpose

Cancer care is complex and an integrated cancer pathway involves many health professionals in a variety of care settings using many skills. The widely distributed and heterogeneous nature of the cancer workforce raises significant challenges with respect to professional development. Cancer Learning is a government-funded initiative designed to provide access to a wide range of quality online learning resources for all health care professionals involved in the care of cancer patients and their families. The purpose of this paper is to discuss these issues.

Design/methodology/approach

A multi-phase project, led by a consortium of national stakeholders in cancer care, informed the design, build, and deployment of Cancer Learning; an online, evidence based, information and learning portal to support professional development of health professionals across the continuum of cancer care in Australia. An action research approach allowed for an iterative process of ongoing dynamic evaluation and improvement of this workforce improvement resource.

Findings

The National Government Agency, Cancer Australia's Cancer Learning online hub has been supporting the professional development requirements of cancer care professionals since the site deployment in 2007. Since launch, site usage continues to grow and evaluations have been positive. Time constraints of health professionals continue to be a major barrier to sustained online learning participation.

Originality/value

This research recount of the development and implementation of an Australia first national online learning initiative highlights the rigorous approach undertaken for the delivery of a quality evidence-based resource for the professional development of all health professionals involved in the delivery of cancer care.

Article
Publication date: 1 November 2018

Rebecca Feo, Frank Donnelly, Åsa Muntlin Athlin and Eva Jangland

Globally, acute abdominal pain (AAP) is one of the most common reasons for emergency admissions, yet little is known about how this patient group experiences the delivery of…

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Abstract

Purpose

Globally, acute abdominal pain (AAP) is one of the most common reasons for emergency admissions, yet little is known about how this patient group experiences the delivery of fundamental care across the acute care delivery chain. The purpose of this paper is to describe how patients with AAP experienced fundamental care across their acute care presentation, and to explicate the health professional behaviours, reported by patients, that contributed to their positive experiences.

Design/methodology/approach

A qualitative descriptive study, using repeated reflective interviews, was analysed thematically (n=10 patients).

Findings

Two themes were identified: developing genuine, caring relationships with health professionals and being informed about one’s care. Patients reported that health professionals established genuine professional–patient relationships despite the busy care environment but perceived this environment as impeding information-provision. Patients were typically accepting of a lack of information, whereas poor professional–patient relationships were seen as inexcusable.

Practical implications

To provide positive fundamental care experiences for patients with AAP, health professionals should establish caring relationships with patients, such as by using humour, being attentive, and acknowledging patients’ physical pain and emotional distress; and should inform patients about their care, including allowing patients to ask questions and taking time to answer those questions.

Originality/value

This is the first Australian study to explore the experiences of patients with AAP across the acute care delivery chain, using a novel method of repeated interviews, and to demonstrate how fundamental care can be delivered, in clinical practice, to ensure positive patient experiences.

Details

Journal of Health Organization and Management, vol. 33 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

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