Articles: professional-practice.
-
As market forces play a greater role in physician specialty and location decisions, new techniques for illuminating relocation options are needed. The authors propose a model that can be used, among other ways, as a first gross screening mechanism in identifying market opportunities for physicians.
-
Community Dent Oral Epidemiol · Dec 1989
Origin, training, and subsequent practice location of Scotland's General and Community dentists.
In view of the continuing concern, in the United Kingdom (UK) and many other countries, over the maldistribution of dental manpower and the far-reaching plans now being contemplated to correct existing imbalances, it was felt to be necessary to document the current situation in Scotland. This study set out to identify the origins, place of training, and subsequent practice locations of Scotland's General and Community dentists. ⋯ The final response rate was 72%. 85% of respondents had received the majority of their secondary school education in Scotland, and a total of 92.5% of respondents had received their undergraduate dental training at one of the three Scottish dental schools. Factors elicited as being associated with practice location choice included school of dental training, location of a dentist's original home and relatives, and, to some extent, market forces in terms of "demand for dentists" in some areas in Scotland.
-
This article explores some nursing research done by the author illustrating nurses' experiences with decision-making in ethical issues. The article then looks at how we can foster ethical decision-making in nursing practice. Nurses in the author's study described their experience of decision-making in relation to the ethical issue of prolongation of life. ⋯ Senseless decision-making was a major finding in the study and included inadequate involvement of the patient, inadequate involvement of the family, inadequate involvement of the nurse, and fragmentary team decision-making. Nurses' descriptions of a senseless decision-making process are examined by the author in terms of conflict and powerlessness. The author concludes by reviewing recent nursing literature suggesting how we can move from senseless to ethical decision-making in nursing practice.