Work, Organizations and Society Essay Example | Topics and Well Written Essays - 750 words

Work, Organizations and Society - Essay Example Professional autonomy suggests that professionals are responsible to themselves for the services they offer. A profession is distinguished by initial and sustained education, an association created a set of codes, and accreditation procedures. Professional autonomy is based on three points: the high degree of control and influence on others, the fact that professionals define the problems on which they work, and the criterion that professionals are self-directed learners (Davis 1996, p. 443). The assumption that professional autonomy is based on control and influence is supported by the notion of professionals as experts. Employed professionals such as engineers, state attorneys and accountants, to name but a few, argue that their status as employees retracts their autonomy essential to be true professionals (Davis 1996, p. 441). Others such as physicians and nurses are subjected to several legal limitations and provisions that significantly limit their absolute professional autonomy . Professionals strive to attain as much autonomy as possible and employ several measures to establish their professional autonomy but are faced by different principal limitations to attaining their independence. Professionals attempt to establish their autonomy by forming various professional organizations, which socially and legally grant them autonomy, and significant control of their profession’s activities and practice free from external interference. These organizations define the requirements an individual needs to join a given profession, the nature and length of training, status, pay, expertise and code of ethics. These characteristics of professions, which are said to distinguish them from other occupations, derive from their autonomy. Consequently, they achieve considerable professional autonomy by claiming to be self-regulating, wrapping themselves in their cloaks of competence and repulsing that nonprofessional managers are qualified to challenge their profession al judgment. In one empirical study on healthcare professionals, including all kind of physicians and specialists from different medical specialty areas, findings indicate that some unique and professional characteristics confers more professional autonomy to them than to paraprofessionals and non-professionals (Kilic et al. 2007, p 159). Paraprofessional group, such as medical assistants, owns only partial professional knowledge and skills while non-professionals are just prepared to engage in running clerical, office work and administrative duties (Kilic et al. 2007, p. 160). Due to their strong organizations, healthcare professionals try to support the factors that strengthen their professional autonomy and resist the factors that may erode it. For instance, the study indicates that health professionals are unenthusiastic to make use of clinical IT potentials to improve health care delivery and efficiency (Walter & Lopez 2008, p. 11). This is due to privileges healthcare professi onals have over non-professionals and paraprofessionals. Legal privileges create a protected market for health care professionals and are the basis for autonomy and self-direction. Non-professionals are a threat to professional autonomy. Autonomy will only be found where a profession can control the production and application of skill and knowledge in its work. Autonomy will not be found if people outside the profession can understand, criticize and evaluate the work. According Chau and Hu (2002, p. 34) in another related research, a feature of clinical IT can be considered as threatening factors to healthcare professional autonomy. The factor is the level of knowledge codification and knowledge distribution conducted by a

Gestational diabetes and implementation Orem self-care model Research Paper

Gestational diabetes and implementation Orem self-care model - Research Paper Example Insulin resistance in pregnant women is an adaptive change that ensures delivery of glucose from the mother’s system to the fetus. According to Wada et al. (2010), placental hormones, such as placental growth hormone and progesterone, increases the activity of p85 in the 3T3-L1 found in adipose cells; and inactivates the second messenger system responsible for insulin response. Unhealthy eating habits, such as too much sugar in the diet, can cause glucose to accumulate in the mother’s blood; and prolong its clearance from the system eventually leading to gestational diabetes. The complications associated with GDM include: preeclampsia--blood pressure above 140/90 mmHg and protein in the urine; preterm labor; and increased risk of infection. GDM effects on the baby include: macrosomia (birth weight of 4000 to 4500 g); neonatal hypoglycemia; jaundice; calcium or magnesium imbalance; and stillbirth. Health Issue â€Å"Each year, nearly 135,000 American women develop type 2 diabetes while they are pregnant...even though their blood sugar levels were normal before pregnancy† (Metzger, 2006, p. 243). ... The complications associated with gestational diabetes can jeopardize the health of the mother and the fetus; and can lead to death. Macrosomic infants are predisposed to shoulder dislocation and suffocation while the probability that the mother will have to undergo emergency caesarean section is increased (Vidarsdottir, Geirsson, Hardardottir, Valdimarsdottir, & Daqbjartsson, 2011). According to Ekabua et al. (2005), perinatal mortality rate is highest in infants weighing 4.0 to 4.4 kg (4000 to 4400 g), as well as in macrosomic babies delivered via caesarean section. Cause of death includes obstructed labor, which cut-off the oxygen supply to the fetus and ruptured uterus that cause the mother to hemorrhage as well as cut-off the oxygen supply to the fetus (Ekabua et al., 2005). According to Thadhani (2009), gestational diabetes and preeclampsia are linked to a high incidence and a high death rate during pregnancy and increases the woman’s predisposition to develop diabetes a nd cardiovascular diseases after pregnancy. Planned Intervention Prenatal care ensures that the pregnant woman and the fetus are healthy for the entire duration of the pregnancy. Prenatal care allows the obstetrician to detect early signs of pregnancy-induced complications, especially gestational diabetes and prevent it from causing untoward effects to the mother, as well as the fetus. Due to the increasing incidence of gestational diabetes, Leu and Zonszein (2010) suggests that early screening of all pregnant women, unless categorized under the low risk group, should be employed by health care providers. Glucose tolerance test should be administered between the 24th and 28th weeks of pregnancy, or earlier if gestational diabetes has occurred in past