Areas of professional life and job satisfaction of nurses.

Introduction: Job satisfaction among nurses is closely related to work environment as well as organizational and professional commitment. Satisfaction is a concept derived from Latin, where "satis" means "enough," as much as is needed to fully satisfy expectations, needs, aspirations, in such a way that there is no room for complaint. Job satisfaction, on the other hand, is formulated as a positive attitude of employees toward the duties of the job, the work environment and other employees. The aim of this paper was to demonstrate how the different areas of nurses' professional life, i.e., workload, control, rewards, community, sense of justice and values, correlate with their perceived job satisfaction. Materials and methods: A cross-sectional study was conducted in a group of 509 nurses working in a public hospital in Poland. Data were collected using a survey questionnaire, which consisted of a section containing sociodemographic data and standardized instruments: The Minnesota Satisfaction Questionnaire (MSQ) and The Areas of Worklife Survey (AWS) developed by Maslach and Leiter. Correlations were made using Spearman's rho coefficient. The calculations also used stepwise linear regression analysis after checking certain assumptions, including checking the assumption of normality of residuals and the Durbin-Watson Test. Results: The mean score for the 20 items of the MSQ questionnaire ranged from 3.05 to 3.43 on a 5-point Likert scale. Support from the interdisciplinary team, which concerned assessing the quality of the social environment in the workplace, cooperation and showing positive feelings received the highest rating among respondents (3.51 ± 0.76). The sense of fair treatment at work averaged 3.26 ± 0.58. The area of value conflict within the organization itself or between the employee's values and those of the organization, respondents rated an average of 3.26 ± 0.65. The mean score for all areas of professional work in the surveyed group was 3.09 ± 0.45. Conclusion: As satisfaction in particular areas of work life increases, so does the level of satisfaction in such aspects of work as achievement and a sense of fairness. The higher the level of satisfaction in the area of control, the more the sense of satisfaction with independence increases. The higher the satisfaction of respondents in the areas of values, workload and control, the higher the level of satisfaction with working conditions occurs.

"Em passos firmes, linha reta": lutas antirracistas e o trabalho profissional de assistentes sociais / "In firm steps, straight line": anti-racist struggles and social workers professional work

Resumo: Neste artigo, buscamos examinar como a discussão étnico-racial tem sido feita nos espaços de formação e trabalho, e como os(as) assistentes sociais lidam com o racismo no cotidiano. Este estudo, que articula pesquisas bibliográfica, documental e de campo, evidenciou que a ausência desse debate, durante o processo de formação, fragiliza a apreensão da realidade numa perspectiva de totalidade e contribui para a reprodução das desigualdades históricas vivenciadas pelas populações racializadas.

Abstract: In this article, we seek to examine how the ethnic-racial discussion has been carried out in training and work spaces and how social workers deal with racism in everyday life. This study, which combines bibliographic, documentary and field research, showed that the absence of this debate, during the training process, weakens the apprehension of reality in a perspective of totality and contributes to the reproduction of historical inequalities experienced by racialized populations.

Tecnologias de informação e de comunicação, políticas sociais e o trabalho de assistentes sociais / Information and communication technologies, social policies and the social workers' job

Resumo: A subsunção do trabalho ao capital tornou os trabalhadores autômatos às máquinas-ferramentas. Esse controle e a perda de autoatividade demandaram inovações que se expandiram à reprodução social. Este artigo examina o uso das tecnologias digitais no processo de dataficação das políticas sociais públicas a partir do trabalho profissional de assistentes sociais. O acesso e o trabalho no Benefício de Prestação Continuada estão desafiados com o uso da automação sem transparência no processo decisório.

Abstract: The subsumption of labor to capital turned workers into automatons to machine tools. This control and loss of self-activity demanded innovations that expanded to social reproduction. This article examines the use of digital technologies in the datafication process of public social policies through the social workers' professional work. Access and work on the "Benefício de Prestação Continuada" are challenged by the use of automation without transparency in the decision making process.

Assessment of anxiety disorders in students starting work with coronavirus patients during a pandemic in Podlaskie Province, Poland.

Background: Anxiety disorders are considered the sixth most important factor resulting in non-fatal health loss in the world. Moreover, they are among the first ten causes of years lived with disability (YLD) across the globe. Important clinical disorders include e.g., panic disorder, social anxiety disorder, generalized anxiety disorder and specific phobia. Objectives: The study aimed to analyse the occurrence of level anxiety in students who start work at the time of the COVID-19 pandemic, with relation to the socio-demographic factors and health status, vaccination, conovirus infection, assistance of a psychologist or psychiatrist in the past, and using tranquilizers. Methods: The study involved 255 students from Poland starting work with coronavirus patients during the pandemic. It was conducted using our own questionnaire, the Liebowitz Social Anxiety Scale (LSAS) and the State-Trait Anxiety Inventory (STAI). Results: Fifty-one percent of subjects demonstrated symptoms of mild to severe social phobia. Level of trait anxiety among students correlated significantly with age and gender (females). The level of social anxiety in the evaluated students was significantly correlated with marital status, the self-assessment of the experienced fear, self-perceived health status, having had a coronavirus infection, fear of deterioration of one's health after starting work with coronavirus patients, and fear of contracting the disease while working with coronavirus patients, and using tranquilizers. Level of state anxiety significantly correlated with state anxiety, the self-assessment of professional preparedness for work with coronavirus patients, self-perceived health status, vaccination against coronavirus, and the assistance of a psychiatrist in the past. Conclusions: The proportion of students showing social anxiety is alarming. Anxiety among the evaluated students during the COVID-19 pandemic was correlated with many factors.

[Characteristics of older people who have an intention to work as assistance personnel for long-term care or childcare].

Objectives　With the rapid progress of aging society and decreasing population, there is a shortage of workers in various areas, which has become a serious problem especially in the welfare field, for long-term care and childcare. As one of the countermeasures, some efforts are being made to hire people who are living independent daily lives, as auxiliary personnel, and have them take charge of non-specialized peripheral work of the facilities. The purpose of this study was to examine the characteristics of older adults who have an intention to work as auxiliary personnel in the welfare field.Methods　A self-response questionnaire survey was conducted from October to November 2019 for 374 members of "REPRINTS" who are picture-book reading volunteers, aged 60 years or more, and are living in the capital area. There were 295 valid responses. We performed logistic regression analysis using the presence or absence of intention to work for long-term care assistance and for childcare assistance as the dependent variables. The missing values were supplemented by the multiple imputation method (10 files were created).Results　The results of analysis revealed that 24.9% of the respondents had an intention to work for long-term care assistance, and 36.6% for childcare assistance. From the results of logistic regression analysis, it was found that among those intending to work in long-term care assistance, participants involved in lifelong learning activities had significantly higher intention to work (OR: 2.98, 95%CI: 1.40-6.34). Among those intending to work in childcare assistance, those with a high subjective sense of health had a significantly higher intention to work (OR: 2.41, 95%CI: 1.01-5.76).Conclusion　The intention of work for childcare assistance was higher than that for long-term care assistance. A notable characteristic of older people willing to work as assistants in the welfare field is that those who participate in lifelong learning activities would be willing to actively work for long-term care assistance, and those with high subjective health would be willing to actively work for childcare assistance. By focusing on the older people with these characteristics, we may be able to contribute to identifying the those among them who want to work as assistant personnel.

Individuals' Perceptions as a Substitute for Guidelines and Evidence: Interview Study Among Clinicians on How They Choose Between In-Person and Remote Consultation.

BACKGROUND: Video consultation (VC) is increasingly seen as a cost-effective way of providing outpatient care in the face of dwindling resources and growing demand for health care worldwide. Therefore, the sustainable implementation of VC is a phenomenon of interest to medical practitioners, researchers, and citizens alike. Studies are often criticized for not being sufficiently robust because the research settings are mostly small-scale pilot projects and are unable to reflect long-term implementation. The COVID-19 pandemic has compelled clinicians worldwide to conduct remote consultation, creating a favorable context to study large-scale remote consultation implementation. OBJECTIVE: The aim of this study was to thoroughly investigate how clinicians reason their choice of different consultation modes in the routine of consultation and what the underlying reasons are for their choices. We posited that a deeper understanding of clinicians' perceptions of remote consultation is essential to deduce whether and how remote consultation will be adopted on a large scale and sustained as a regular service. METHODS: A qualitative approach was taken, in which the unit of analysis was clinicians in one of the largest university hospitals in Norway. In total, 29 interviews were conducted and transcribed, which were used as the primary data source. Using the performative model of routine as the theoretical framework, data were analyzed using deductive content analysis. RESULTS: Clinicians have mixed opinions on the merits and demerits of VC and its position between in-person and telephone consultation. Totally, 6 different planning criteria were identified, and individual clinicians used different combinations of these criteria when choosing a mode of consultation. The ideals that clinicians hold for conducting consultation can be divided into three aspects: clinical, interpersonal, and managerial. VC engenders a new ideal and endangers the existing ideals. VC causes minor changes in the tasks the clinicians perform during a consultation; thus, these changes do not play a significant role in their choice of consultation. Clinicians could not identify any changes in the outcome of consultation as a result of incorporating a remote mode of consultation. CONCLUSIONS: Clinicians feel that there is a lack of scientific evidence on the long-term effect of remote consultation on clinical efficacy and interpersonal and managerial aspects, which are crucial for consultation service. The absence of sufficient scientific evidence and a clear understanding of the merits and demerits of VC and standard practices and shared norms among clinicians regarding the use of video for consultation both create a void in the consultation practice. This void leads clinicians to use their personal judgments and preferences to justify their choices regarding the consultation mode. Thus, diverse opinions emerge, including some paradoxical ones, resulting in an uncertain future for sustainable large-scale implementation, which can reduce the quality of consultation service.

"Estágio de pós-graduação" em Serviço Social no sociojurídico: aproximações preliminares / "Postgraduate Internship" in Social Work in sociojuridical: preliminar approaches

Resumo: O artigo tem por objetivo analisar a forma de trabalho precarizado que se escamoteia por "estágio de pós-graduação" na área Sociojurídica. Situa-se o debate no bojo da contrarreforma administrativa, desencadeada após o golpe de 2016, e dos influxos da precarização hoje. Argumenta-se a partir da análise de alguns editais de contratação, denunciando suas armadilhas e riscos para a formação, o trabalho e a garantia de direitos. Conclui-se apontando algumas possibilidades de resistência.

Abstract: The article aims to analyze the form of precarious work that is concealed by "postgraduate internship" in the Sociojuridical area. The debate is located in the midst of the administrative counter-reform triggered after the 2016 coup and the inflow of precariousness today. It argues based on the analysis of some hiring notices denouncing their pitfalls and dangers for work and the guarantee of rights. We conclude by pointing out some possibilities of resistance.

Persuasive Technologies and Social Interactions in Professional Environments: Embedded Qualitative Case Study.

BACKGROUND: Although previous studies have highlighted the impact of interactions on the web in the context of patient-health care professional (HCP) dyads, this paper extends that context to a triad that includes the role of employers and associated settings with social groups. OBJECTIVE: This study aims to evaluate how the interactions between individuals and the social use of the platform affect individuals' use of persuasive technology and, in turn, their work environment actions and responses, by implementing a persuasive technology health and wellness platform in a work environment. METHODS: For 8 months, we deployed a persuasive technology platform with different combinations of health-related features and content in 1 embedded case design with 8 fire stations for a small Canadian city (total number of participant firefighters, n=141) assigned to 1 of 2 treatments-interactive or static webpages. We used text-based content analysis techniques for outcome measures, drawn from a total of 29 participant exit interviews. In addition, medical assessments were conducted at baseline, midpoint, and end point by 7 HCPs and 1 researcher (BM), who also served as the data steward and managed the study. RESULTS: Our results reveal that group, social, and work influences introduce new elements to the use of persuasive technology, which interact to foster higher levels of individual success. The platform in our study served as part of a larger social system, providing information that facilitated new behaviors at work and home. The 8-month group programs centered on exercise, nutrition, and smoking cessation. Groups of participants coached by certified professionals showed significant increases in sodium awareness, levels of actual exercise, and consistency of activities. As a result of the study, of 141 people, 15 (10.6%) were notified of serious medical health issues and 29 (20.6%) underwent blood work assessments and a privacy shield (protected by federal law) was enacted to protect employees from losing their employment based on any health concerns disclosed. CONCLUSIONS: The persuasive technology platform, in combination with self-management and professional management and social interactions, significantly altered work management behaviors. Interactions among individual outcomes, group influences, and social situations strongly influenced individuals' behaviors in their work and home environments. Three things further improved the positive results that we observed: privacy shields (which allowed employees to reveal health concerns without fear of professional consequences), individual private activities aligned with group activities, and integration between HCP work with localized, organizational work roles.

The sense and meaning ascribed to professional work by women with cancer.

BACKGROUND: The fact that professional activity is reduced is a very challenging experience for persons with cancer whose sense of self-worth is linked to their work. Not only does cancer often become the reason for their deteriorated socio-economic position but it also reduces the quality of life assessment in cancer patients. MATERIAL AND METHODS: The aim of the study was to discover the sense and meaning that women with cancer ascribe to their professional work. The research was carried out among 6 women diagnosed with cancer, aged 32-49 years. A qualitative research strategy was adopted in the study and interpretative phenomenological analysis was applied. RESULTS: Based on the conducted research, when faced with cancer, the respondents often perceive professional work as a factor that triggers cancer and, at the same time, one that can increase their self-esteem, giving meaning to their life. It, therefore, seems crucial to support the professional activity of cancer patients and to create jobs promoting health. CONCLUSIONS: When working with a person suffering from cancer, it is worth considering the possibilities that returning to work is likely to carry. It is important to create such jobs and work environments that would be consistent with the concept of health promotion. It seems that the key factors here are the appointment of persons responsible for the return process of a person with a chronic illness, accompanied by efficient communication between the employer and occupational health services, and efficient exchange of information between the treating physician and the workplace (with the employee's consent). Med Pr. 2021;72(1):1-8.

Atuação e desafios das bibliotecas universitárias brasileiras durante a pandemia de COVID-19 / Actuación y desafíos de las bibliotecas universitarias brasileñas durante la pandemia de COVID-19 / Activities and challenges of Brazilian university libraries during the COVID-19 pandemic

Em um contexto marcado pela agudização da crise social, econômica e política mundial, a emergência causada pela COVID-19 e a adoção de medidas extraordinárias de distanciamento social e quarentena, são impostos novos desafios às bibliotecas. Neste cenário, a pesquisa objetiva caracterizar a atuação das bibliotecas universitárias brasileiras, assim como os principais desafios para manter as atividades por meio de produtos e serviços não presenciais, a partir da perspectiva das bibliotecárias e bibliotecários. Se realiza um levantamento de dados por meio de questionários online e uma análise quanti-qualitativa de 188 respostas de participantes vinculados a 64 instituições de ensino superior, de todas as regiões brasileiras. A quase totalidade das bibliotecas respondentes está atuando em regime de teletrabalho, utilizando as tecnologias de informação e comunicação (com destaque para as redes sociais) para realizar serviços de referência, disseminar informações, assim como para oferecer acesso a bases de dados. Processos técnicos e desenvolvimento de acervos também são realizados, embora com limitações. Algumas bibliotecas têm criado serviços de apoio específicos para pesquisas sobre COVID-19. Os principais desafios estão relacionados com a mudança brusca do atendimento e trabalho presencial a teletrabalho e atendimento virtual, sem uma preparação prévia (protocolos de atuação, infraestrutura, competências profissionais). A reabertura das bibliotecas também é um outro grande desafio que inclui mudanças nas instalações, os equipamentos de proteção e protocolos de higienização. Se conclui que as bibliotecas universitárias têm atuação e desafios que vão além dos aspectos técnicos para incluir dimensões éticas e políticas visando construir melhores sociedades(AU)

En un contexto marcado por la agudización de la crisis social, económica y política global, la emergencia causada por COVID-19 y la adopción de medidas extraordinarias de distanciamiento social y cuarentena, se imponen nuevos desafíos a las bibliotecas. En este escenario, la investigación tuvo como objetivo caracterizar la actuación de las bibliotecas universitarias brasileñas, así como los principales desafíos para mantener estas actividades a través de productos y servicios no presenciales, desde la perspectiva de bibliotecarias y bibliotecarios. Realiza la recopilación de datos mediante cuestionarios en línea y un análisis cuantitativo y cualitativo de 188 respuestas de participantes vinculados a 64 instituciones de educación superior de todas las regiones brasileñas. Casi todas las bibliotecas que participaron en el estudio han adoptado el teletrabajo, utilizando tecnologías de información y comunicación (con énfasis en las redes sociales) para efectuar servicios de referencia, difundir información y ofrecer acceso a las bases de datos. También se realizan procesos técnicos y desarrollo de colecciones, aunque con limitaciones. Algunas bibliotecas han creado servicios de apoyo específicos para la investigación sobre COVID-19. Los principales desafíos están relacionados con el cambio imprevisto de trabajos y servicios presenciales a teletrabajo y servicios virtuales, sin preparación previa (protocolos de actuación, infraestructura, competencias profesionales). La reapertura de las bibliotecas también es otro desafío importante que incluye modificaciones en las instalaciones, equipos de protección y protocolos de higiene. Se concluye que las bibliotecas universitarias tienen una actuación y desafíos que van más allá de los aspectos técnicos para incluir dimensiones éticas y políticas con el objetivo de construir mejores sociedades(AU)

In a context marked by the worsening of the global social, economic and political crisis, the emergency caused by COVID-19 and the adoption of extraordinary measures of social distance and quarantine, new challenges are imposed on libraries. In this scenario, the purpose of this paper was to characterize the activities of the Brazilian university libraries, as well as the main challenges to keep them functioning through remote products and services, from the perspective of librarians. A survey of data is carried out through online questionnaires and a quantitative and qualitative analysis of 188 responses from participants linked to 64 higher education institutions, from all Brazilian regions. Almost all respondent libraries have implemented remote working, using information and communication technologies (with emphasis on social networks), to carry out reference services, disseminate information, as well as to offer access to databases. Technical processes and development of collections are carried out as well, albeit with some limitations. Some libraries have created specific support services for research on COVID-19. Main challenges are related to the sudden shift from personal attendance and face-to-face work, to remote working and virtual attendance, without prior preparation (performance protocols, infrastructure, professional skills). Reopening of libraries is another major challenge, since it includes changes in facilities, protective equipment, and hygiene protocols. It is concluded that university libraries have activities and challenges going beyond pure technical aspects, including ethical and political dimensions looking forward to building better societies(AU)

[Contributions to the Establishment and Promotion of Pharmacy Education Reform].

In 2006, four-year pharmacist training courses in Japanese pharmacy schools were extended to a six-year course. Around that time, I participated in a committee related to pharmacy education reform within the Ministry of Education, Culture, Sports, Science and Technology. I also joined the pharmacist division of the medical council of the Ministry of Health, Labour and Welfare, to reform the national pharmacist examination system. In addition, I was part of the Pharmacy Education Council responsible for developing the contents of the new six-year curriculum, especially for clinical training. In the process, I had the opportunity to interact with many pharmacists and pharmacy educators. Following my transfer from the Pharmaceutical University Division to the Hospital Pharmacy Division in 2007, I participated in multidisciplinary collaborative education [inter professional work (IPW)/inter professional education (IPE)] for students in the disciplines of medicine, nursing, clinical laboratory examination, physiotherapy, occupational therapy, and pharmacy. This gave me an opportunity to apply this multidisciplinary experience to pharmacy education. "IPW", beyond the so-called "team medical care", is becoming an increasingly important concept in the medical field. Since all pharmacists are members of a team dedicated to patient-centered care, it is necessary to strengthen collaborative education, which will lead to an overall improvement in medical care. I believe that education is fundamental in all fields, and especially so in medical care. Pharmacy education needs radical reforms to increase its potency and to augment the value of pharmacists in the medical field.

Health-care professionals' experiences of patient participation among older patients in intermediate care-At the intersection between profession, market and bureaucracy.

BACKGROUND: Patient participation is a key concern in health care. Nevertheless, older patients often do not feel involved in their rehabilitation process. Research states that when organizational conditions exert pressure on the work situation, care as a mere technical activity seems to be prioritized by the health-care staff, at the expense of patient involvement. OBJECTIVE: The aim of this article is to explore how health-care professionals experience patient participation in IC services, and explain how they perform their clinical work balancing between the patient's needs, available resources and regulatory constraints. DESIGN: Using a framework of professional work and institutional logics, underpinned by critical realism, we conducted semi-structured interviews with 18 health-care professionals from three IC institutions. RESULTS: IC appears as an important service in the patient pathway for older people with a great potential for patient participation. However, health care staff may experience constraints that prohibit them from using professional discretion, which is perceived as a threat to patient participation. Further, they may adopt routines that simplify their interactions with patients. Our results call for more emphasis on an individualized rehabilitation process and a recognition that psychological and social aspects are critical for patient participation in IC. CONCLUSION: Patients interact in the face of conflicting institutional priorities or protocols. The study adds important knowledge about the practice of patient participation in IC from a front-line provider perspective. Underlying mechanisms are identified to understand and recommend how to facilitate patient participation at different levels in narrowing the gap between policy and clinical work in IC.

Impact of exercise-based cardiac rehabilitation on attitude to the therapy, aims in life and professional work in patients after myocardial infarction.

BACKGROUND: Comprehensive cardiac rehabilitation aims to restore pathophysiological and psychosocial consequences of myocardial infarction (MI). The aim of the study was to assess how exercise-only-based cardiac rehabilitation (ECR) influences the attitude to the therapy (ATT), to the aims in life and professional work (AAL) amongst men and women after MI. MATERIAL AND METHODS: The study comprised 44 post-MI patients: 28 men and 16 women, mean age 58±10 years old, referred to ECR. Patients underwent 24 interval cycle ergometer trainings 3 times a week. At the beginning and after the training program (TP) each patient underwent exercise stress test (EST) and was scored to ATT and ALL based on the Psychological Effects of Rehabilitation Score Scale (PERSS) according to Tylka and Makowska. The analysis covered: 1) EST findings: maximal workload and test duration (min), 2) ATT and AAL based on PERSS, 3) resuming professional work. RESULTS: Exercise capacity improved significantly after TP. Attitude to the aims in life and professional work significantly increased in the whole group (4.4±2.8 vs. 5.1±2.4, p < 0.01) and separately in men (4.5±2.9 vs. 5.1±2.5, p < 0.05) and women (4.3±2.6 vs. 5.0±2.0, p < 0.05). Attitude to the therapy did not change significantly in the whole group (5.6±2.8 vs. 6.0±2.8) and in men (5.9±2.9 vs. 6.0±2.9), but increased significantly in women (5.0±2.5 vs. 6.1±2.7, p < 0.05). Professional work was resumed, averagely by 86.4% of all patients (85.7% men and 87.5% women). CONCLUSIONS: Physical training beneficially influenced post-MI men's and women's attitude to the aims in life, professional work and attitude to the therapy in women. Med Pr. 2019;70(1):1-7.

Work stress, health behaviours and coping strategies of dentists from Cluj-Napoca, Romania.

BACKGROUND: The recognition of work stressors and their links to sociodemographic characteristics, health behaviours and coping strategies is important for enhancing the working conditions of dentists. AIM: The aim of our study was to identify and rank work stressors in dentists from Cluj-Napoca, Romania, and to investigate their potential links to sociodemographic characteristics, health behaviours and coping strategies. STUDY DESIGN: A questionnaire based on the Work Stress Inventory for Dentists (WSID) was delivered to a cross-sectional sample of 250 dentists working in six neighborhoods across Cluj-Napoca, Romania, as well as at the local Faculty of Dentistry. We collected and analysed information on sociodemographic characteristics, work stressors, health behaviours and coping strategies. RESULTS: Time and scheduling pressure, concerns about the future and pay-related work stressors were found to rank highest among the categories of work stressors investigated. Higher work stress was significantly linked to higher workloads, lower job satisfaction, poorer eating and exercise habits, higher work pain and discomfort, lower perceived health and less sleep. Job satisfaction was the single best predictor variable of work stress scores. The most frequently used coping strategy to deal with work stress was resting and taking breaks. Only one-quarter of respondents used active coping strategies. CONCLUSION: Our findings suggest that work stress is linked to a number of detrimental attitudes in dentists and that there is room for dentists to make lifestyle improvements.

Development of an inter-professional educational program for home care professionals: Evaluation of short-term effects in suburban areas.

Objective　To examine the short-term effects of an inter-professional educational program developed for physicians and other home care specialists to promote home care in the community.Methods　From March 2012 to January 2013, an inter-professional educational program (IEP) was held four times in three suburban areas (Kashiwa city and Matsudo city in the Chiba prefecture, and Omori district in the Ota ward). This program aimed to motivate physicians to increase the number of home visits and to encourage home care professionals to work together in the same community areas by promoting inter-professional work (IPW). The participants were physicians, home-visit nurses, and other home care professionals recommended by community-level professional associations. The participants attended a 1.5-day multi-professional IEP. Pre- and post-program questionnaires were used to collect information on home care knowledge and practical skills (26 indexes, 1-4 scale), attitudes toward home care practice (4 indexes, 1-6 scale), and IPW (13 indexes, 1-4 scale). Data from all of the participants without labels about the type of professionals were excluded, and both pre-test and post-test responses were used in the analysis. A Wilcoxon signed-rank test and a paired t-test were conducted to compare pre- and post-program questionnaire responses stratified for physicians and other professionals, and the effect size was calculated.Results　The total number of participants for the four programs was 256, and data from 162 (63.3%) were analyzed. The physicians numbered 19 (11.7%), while other professionals numbered 143 (88.3%). Attending this program helped participants obtain home care knowledge of IPW and a practical view of home care. Furthermore, indexes about IPW consisted of two factors: cooperation and interaction; non-physician home care professionals increased their interactions with physicians, other professionals increased their cooperation with other professionals, and physicians increased their cooperation with other physicians.Conclusion　Short-term effects to motivate physicians to increase home visits were limited. However, physicians obtained a practical view of home care by attending the IEP. Also, the participation of physicians and other home care professionals in this program triggered the beginning of IPW in suburban areas. This program is feasible when adapted for regional differences.

Compositions of professionalism in counselling work: An embodied and embedded intersectionality framework.

This article explores the embodied compositions of professionalism in the context of the counselling psychology profession in Russia. Specifically, we develop an embodied intersectionality framework for theorizing compositions of professionalism, which allows us to explain how multiple embodied categories of difference intersect and are relationally co-constitutive in producing credible professionals, and, importantly, how these intersections are contingent on intercorporeal encounters that take place in localized professional settings. Our exploration of how professionalism and professional credibility are established in Russian counselling shows that, rather than assuming that a hegemonic 'ideal body' is given preference in a professional context, different embodied compositions may be deemed credible in various work settings within the same profession. An embodied intersectionality framework allows us to challenge the notion of a single professional ideal and offer a dynamic and contextually situated analysis of the lived experiences of professional privilege and disadvantage.

O Serviço Social brasileiro na entrada do século XXI: considerações sobre o trabalho profissional / The Brazilian Social Work at the entrance of the XXI century: considerations of professional work

Resumo: Este artigo analisa o Serviço Social brasileiro na entrada do século XXI, refletindo a respeito das mudanças do capitalismo contemporâneo e de suas implicações para o trabalho profissional. Objetiva discutir como os assistentes sociais têm se posicionado no plano teórico-prático/interventivo e ético-político/organizativo, na tentativa de enfrentar essa realidade, defender seus valores e responder, enquanto trabalhadores assalariados dotados de estatuto intelectual, às exigências impostas pela sociedade capitalista e às necessidades sociais dos sujeitos sociais.

Abstract: This article analyzes the Brazilian Social Service at the entrance of the century, reflecting on the changes of contemporary capitalism and its implications for employment. It aims to discuss how social workers has positioned itself in the theoretical and practical plan / interventional and ethical-political / organizational in an attempt to address the current reality, to defend its values ​​and respond as salaried workers with intellectual status, the requirements imposed by capitalist society and social needs of social subjects.

[Impact of reorganization of the Hungarian system of intensive care units in 2012]. / Az intenzív osztályok 2012. évi átalakításának hatása Magyarországon.

INTRODUCTION: In 2012, the Hungarian system of intensive care units was reorganized. During this process, multidisciplinary units were separated from observation units. AIM: The author analysed certain indicators of the remaining intensive care units. METHOD: The study was based on reports of National Health Insurance Fund between 2000 and 2015. RESULTS: After reorganization the number of the multidisciplinary intensive care units decreased by 20% and the number of beds decreased by 10%. Due to the reorganization, both the case-mix index and the days of mechanical ventilation increased significantly in the multidisciplinary intensive care units. In 2000, 12% of the patients were discharged directly from the intensive care units to home, but by 2014, this figure decreased to 3%. The bed-occupancy rate of the intensive care units did not change fundamentally and it was under 80% in each calendar day. In addition to the ICD leading groups I and J, the rate of "Sine morbo" (U9990) diagnosis decreased from 0.7% to 0.2%. Similarly, the ratio of R group which describes only symptoms decreased from 1.7% to 1.1%. In contrast, between the interventions the number of fluid and electrolyte imbalances and respiratory monitoring showed more than twofold increase. CONCLUSIONS: These results suggest that the reorganization was effective. The activity of the intensive care units has improved significantly, without disturbing patient care. The author suggests further analysis on the basis of the same criteria for other departments and the consistent continuation of the reorganization process. Orv. Hetil., 2016, 157(44), 1757-1761.

Matrix support and institutional support: analyzing their construction / Apoios matricial e institucional: analisando suas construções

This is an analysis of the theoretical and practical construction of the methodology of Matrix Support by means of studies on Paideia Support (Institutional and Matrix Support), which is an inter-professional work of joint care in recent literature and official documents of the Unified Health System (SUS). An attempt was made to describe methodological concepts and strategies. A comparative analysis of Institutional Support and Matrix Support was also conducted using the epistemological framework of Field and Core Knowledge and Practices.

Análise sobre a construção teórica e prática da metodológica do Apoio Matricial mediante estudos sobre Apoio Paideia (Apoio Institucional e Matricial), trabalho interprofissional e cuidado compartilhado na literatura recente e em documentos oficiais do Sistema Único de Saúde (SUS). Buscou-se descrever conceitos e estratégias metodológicas. Realizou-se ainda análise comparativa entre Apoio Institucional e Apoio Matricial mediante o referencial epistemológico de Campo e Núcleo de Saberes e de Práticas.

Questão social e serviço social: uma análise das produções dos periódicos da área / Social issues and social work: an analysis of the productions of the area's periodic

O artigo apresenta estudo sobre os Fundamentos do Serviço Social com base na teoria social marxista, situando a questão social como dimensão constitutiva dos Fundamentos. Ancora-se em pesquisa quanti-qualitativa que analisou as produções publicadas em 11 periódicos da área nas últimas duas décadas (1993 a 2013), conformando um banco de dados composto por 324 artigos que possuem descritores relacionados aos Fundamentos do Serviço Social. O material ora apresentado, estruturado a partir de recorte desse banco de dados, sistematiza análise da produção sobre questão social e Serviço Social publicada nos periódicos. Discute as principais teses da área sobre o tema e problematiza a centralidade da questão social na formação graduada e no trabalho do assistente social numa perspectiva crítico-dialética.

The article presents study on the Fundamentals of Social Work based on Marxist social theory, placing the social issue as constitutive dimension of the Foundations. It anchors in quanti-qualitative research that analyzed the productions published in 11 journals in the area in the last two decades (1993 to 2013), forming a database composed of 324 articles that have descriptors related to the Foundations of Social Work. The material presented here, structured from a cropping of this database, systematize analysis of the literature on social issue and Social Work issue published in journals. Discusses the main theses of the area on the subject and discusses the centrality of the social issue in graduate training and in the work of the social worker in a critical-dialectical perspective.