Workload and burnout in nurses

This paper examines the relationship between workload, burnout and somatization in nurses. The respondents consisted of 1363 nurses employed in hospitals, which were undergoing extensive restructuring. Results of structural equation analyses showed that workload was positively related to emotional exhaustion. Emotional exhaustion led to cynicism and somatization, and cynicism was negatively related to nurses' professional efficacy. Implications of the results for nursing practice are discussed. Copyright © 2001 John Wiley & Sons, Ltd.     

Theorizing Gerontology: The Case of Old Age, Professional Power, and Social Policy in the United Kingdom

This article examines the interrelationship between old age, professional power, and social policy. In particular, dominant theoretical models in social gerontology are reviewed and an alternative framework for understanding social gerontological issues—Foucauldian gerontology—is advanced. Foucauldian narratives are employed to delineate the historical relationship between professional social work and recent social policy for older people in the United Kingdom. In addition, a Foucauldian framework employed to examine identity formation, professional practices, and policy narratives enriches and widens the disciplinary subject matter of theorizing aging studies. The structure of this article is in three parts: review of theories of aging with an introduction of Foucault's potential contribution to gerontological analysis, the historical overview of the instigation of professional intervention in modernity and the changing roles and responsibilities in relation to older people utilizing Foucault's (1977) genealogical method, and the exploration and application of Foucault's key notion of governmentality (1977; Rose & Miller, 1992) in the analysis of social policy for older people.     

护理学专业学位硕士研究生临床实践体验研究

采用质性研究中的现象学研究方法,对来自全国各地10所院校的12名护理学专业学位研究生进行半结构式深度访谈。通过对录音访谈内容进行三级编码,逐步归纳提炼出三个主题,每个主题下涵盖不同的副主题：（1）临床实践获益感方面：提升核心能力、体现自身价值;（2）心理体验：归属感、失落感;（3）影响临床实践效果的瓶颈因素：缺乏明确的临床能力考评标准、临床带教师资队伍薄弱。因此,教育者和管理者应重视专业学位硕士研究生,晦床核心能力培养,构建一个充满人文关怀的临床实习环境,消除瓶颈因素,以提高其临床实践效果。     

Thinking ethically about inclusive recreational sport: A narrative of lost dignity

Through narrative reflections of Jack’s story of inclusive recreational sport, the meaning of dignity in professional practice is explored. Jack’s story is one of respect, strong humiliation and embarrassment, and vulnerability. Through the lens of relational ethics, the aggression of a stranger illustrates how the lack of mutual respect, compassion and knowledge creates experiences of indignity. Jack’s story highlights how relationships can shape, constrain and enable lives. Understanding that which constitutes a dignified recreational sport context for instructors and participants opens opportunities for authentic social relationships based upon respect of oneself, as well as others to emerge. Jack’s narrative further reinforces the need to create pedagogical spaces for discussions of various forms of dignity and ethical professional practice in inclusive recreational sport contexts.     

‘If you look the part you’ll get the job’: should career professionals help clients to enhance their career image?

This article presents a critical exploration of the role of career professionals in supporting people to reflect on and enhance their appearance, attractiveness and self-presentation (career image). The article is conceptual and based on a review of the broader literature on career success, appearance and attractiveness. It explores the evidence for a relationship between attractiveness and career, and the authors propose a conceptual framework in which career image is comprised of three elements (interpersonal skills, aesthetic presentation and beauty). The paper examines a possible role for career professionals in relation to this and then critically examines this role and concludes with the proposition of a research agenda in this area.     

Ethics Remediation,Rehabilitation, and Recommitment to Medical Professionalism: A Programmatic Approach

This article recounts the development of the Professional/Problem-Based Ethics (ProBE) Program, the original physicians’ professional ethics remediation course. Since 1992, more than 1,200 healthcare professionals of many disciplines have been mandated to attend ProBE by licensing boards and other oversight entities. Using a small-group, interprofessional setting, the ProBE Program assists participants to discover and articulate ethical underpinnings violated by their misconduct; appreciate professional responsibilities that are societal, regulatory, and ethical; and recommit to professional ideals. The authors describe the rationale for developing ProBE, its curriculum, participant demographics, and infractions and reconsider medical professionalism in light of two decades of ProBE.     

Forgiveness and mental health practice

Forgiveness has become a very popular topic in recent years. To this end, various definitions and practices have been offered to facilitate it in counselling. This article seeks to provide some specific resources to the mental health counsellor when utilising forgiveness in counselling. By reviewing various psychological and theological definitions of forgiveness, guidelines will be offered to assist the spiritually sensitive counsellor to facilitate forgiveness that fosters further participation in the reign of God from a Christian spiritual perspective. Specifically, counsellors approaching the therapeutic use of forgiveness from Fowler's perspective address some of the concerns using forgiveness mainly as a therapeutic intervention.