The Effects of Hospital Characteristics and Radical Organizational Change on the Relative Standing of Health Care Professions

1995 ◽  
Vol 36 (2) ◽  
pp. 151 ◽  
Author(s):  
Kevin T. Leicht ◽  
Mary L. Fennell ◽  
Kristine M. Witkowski
1999 ◽  
Vol 10 (2) ◽  
pp. 250-251
Author(s):  
Roberto E. Torres ◽  
Brenda McGadney ◽  
Richard L. Douglass

Author(s):  
Stephen Wilmot

AbstractIn recent years there have been several calls in professional and academic journals for healthcare personnel in Canada to raise the profile of postcolonial theory as a theoretical and explanatory framework for their practice with Indigenous people. In this paper I explore some of the challenges that are likely to confront those healthcare personnel in engaging with postcolonial theory in a training context. I consider these challenges in relation to three areas of conflict. First I consider conflicts around paradigms of knowledge, wherein postcolonial theory operates from a different base from most professional knowledge in health care. Second I consider conflicts of ideology, wherein postcolonial theory is largely at odds with Canada’s political and popular cultures. And finally I consider issues around the question of Canada’s legitimacy, which postcolonial theory puts in doubt. I suggest ways in which these conflicts might be addressed and managed in the training context, and also identify potential positive outcomes that would be enabling for healthcare personnel, and might also contribute to an improvement in Canada’s relationship with its indigenous peoples.


1989 ◽  
Vol 15 (2-3) ◽  
pp. 245-299 ◽  
Author(s):  
Elizabeth Harrison Hadley

This article identifies twenty-six jurisdictions where nurses have been granted legal authority to prescribe drugs. The jurisdictions are divided into two groups: those where nurses have authority to prescribe without the supervision of a physician and can therefore function as substitutes for physicians; and those where nurses may prescribe only in collaboration with a supervising physician, and are thereby limited to functioning in a complementary role.The issue of prescriptive authority is discussed within the context of regulating the practice of nursing, and more generally, the health care professions. The article reviews the history of Nurse Practice Acts, focusing upon the Connecticut statute and the economic implications of this statutory approach. It is argued that the law should promote the use of nurses as substitutes for physicians whenever appropriate.The article concludes with a two-part proposal for reform: an “authorized prescriber” statute requiring health care professionals desiring to prescribe drugs to pass an examination testing their knowledge of pharmacology and drug therapy; and the elimination of the “unauthorized practice” provisions of the statutes regulating all health care professions. The proposal promotes economic efficiency by eliminating artificial constraints on the substitutability of labor in the provision of health services.


2009 ◽  
Vol 90 (3) ◽  
pp. 329-331 ◽  
Author(s):  
Ann M. Callahan

This article describes the authors experience as an organizational change agent. The need to enhance client access to mental health care was the rallying cry for clinic transformation. The author describes how facility management, staff development, and therapeutic community were used to improve clinic functioning. The article ends with suggestions for how the reader might engage in organizational change.


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