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Geriatric Education Centers (GECs), as funded by the Health Resources and Services Administration, promote interdisciplinary geriatric education and training for more than 35 health-professions disciplines including medicine, dentistry, pharmacy, nursing, and social work. GECs are charged with becoming self-sustaining beyond the period of their funding. Sustainability in this application means that a GEC can fund itself through the generation of multiple revenue sources. This study seeks to explore changes in the structure, activities, and relationships of GECs over time in their pursuit of sustainability, and hypothesizes that GECs have shifted from the old economy, or the public good knowledge regime, to the new economy, or the academic capitalist knowledge/learning regime, and from the manufacturing to the networking economy. The theoretical framework of academic capitalism and the knowledge/learning regime will be used as a lens in this qualitative multiple case study.Sources included structured, in-depth, on-site interviews and observations, as well as documentary and virtual (website) evidence. While GECs are engaging in market-like behaviors, creating markets and circuits of knowledge, developing interstitial and intermediary organizations, and expanding managerial capacity, they have been unable to connect with related markets, as these markets lack a profit motive, and have ultimately been unsuccessful in their pursuit of sustainability. Continued federal funding for GECs is justified based on the public good argument that without public encouragement, these services would not be provided by the private sector. The study concludes with recommendations to enhance opportunity structures for GECs.

Leadership courses are emerging across higher education institutions taking various shapes and forms. Some are coordinated and run by faculty sometimes leading to a minor, major, or certificate. Others are coordinated by student affairs professionals. The focus of this study is to understand the experiences that student affairs professionals have in implementing and coordinating leadership courses in academic units. Because on many campuses leadership courses are being implemented by student affairs professionals, there are distinctive intricacies involved. Plagued by the complexity of the inter-profession relationship between student affairs and faculty, implementing and coordinating courses is not a simple matter. In addition to learning about student affairs professionals' experiences, this study also shares strategies that these professionals use in trying to implement and coordinate leadership courses in academic units. Drawing from literature on the professions as well as leadership development helps shed light on the complex dynamics underlying the course implementation and coordination process. Implications for both research and practice are included.

Syfte: Studien syftade till att undersöka nyutexaminerade kvinnliga sjuksköterskors upplevelser avseende rondsituationen och arbetsledarrollen.   Metod: Kvalitativ deskriptiv studie. Åtta semi- strukturerade intervjuer genomfördes och analyserades med innehållsanalys.   Resultat: Nyutexaminerade sjuksköterskor upplever svårigheter att hantera ronden och rollen som arbetsledare. Trots sitt omvårdnadsansvar upplever sjuksköterskan att omvårdnaden prioriteras ner och att mer tid går till att fördela och utföra läkarordinationer i det dagliga arbetet. På arbetsplatserna saknas rondstruktur och praktisk vägledning i hur en rond ska gå till, vilket även upplevs som bristfälligt under utbildningens gång. Det finns otillräcklig kunskap och tid för att förbereda sig för en rond på bästa sätt. Sjuksköterskorna har olika upplevelser, både negativa och positiva, av den kommunikation som finns med läkare under rondsituationer. Att arbetsleda är svårt dels på grund av utbildningens otillfredsställande förberedelser och dels på grund av svårigheterna att som ny personal på arbetsplatsen förväntas ta kommando och för första gången leda en annan yrkesgrupp.   Slutsats: Nyutexaminerade sjuksköterskor upplever svårigheter att hantera rondsituationer på grund av bristande struktur samt problematik i rollen som arbetsledare för omvårdnaden. Kommunikation och samarbete mellan läkare och sjuksköterska har stor betydelse för rondens utgång. Omvårdnad upplevs generellt vara nedprioriterat i förhållande till medicinsk vetenskap. / Objective: The study aims to examine newly qualified female nurses' experiences regarding the ward round and leadership role.   Method: Qualitative descriptive study. Eight semi-structured interviews were conducted and analyzed using content analysis.   Results: Graduate nurses are experiencing difficulties in managing the round and the leadership role. Despite their nursing responsibilities they experience a lack of priority in nursing, and that most time is spent to distribute and perform medical prescriptions in their daily work. The workplace has no structure and practical guidance regarding rounds, which is also perceived as deficient during the education. There is insufficient knowledge and time to prepare for a round in the best way. The nurses have different experiences, both positive and negative, of the communication with doctors during round situations. The leadership role is difficult partly because of inadequate preparation and training. Also because of the difficulties in which the newly graduated nurse in the new workplace is expected to take command, and for the first time take the lead of a different profession.   Conclusion: Newly graduated nurses are experiencing difficulties in managing the ward round due to lack of structure as well as problems in the leadership role of nursing. Communication and cooperation between doctors and nurses are of great importance for the round outcome. Nursing is generally perceived to not be prioritized in relation to medical science.

This paper contributes to the discussion about reforming the legislation governing real estate marketing in British Columbia. In March 2003, the government announced its proposals to amend the existing Real Estate Act with the objective of protecting the public and preserving its confidence in the real estate sector by providing a "least cost" regime, promoting competition among participants, and providing a flexible, accountable regulatory framework. Interested parties were invited to comment on a proposed direction for reform. A recent public opinion survey conducted by the British Columbia Real Estate Association indicated significant concern about realtors acting for both a purchaser and a vendor of the same property. Those with concerns feared possible conflicts of interest between realtors and their clients. Despite these results, the real estate industry did not address these concerns. Instead, the industry endorsed dual agency - the practice of acting for both a purchaser and a vendor in a single transaction - and claimed that to ensure professionalism for realtors, the industry had to be self-regulating. In May 2004, the government passed the Real Estate Services Act granting self-regulation to the industry. This paper questions the appropriateness of the government's grant of self-regulation to the industry. It reviews the literature on professionalism and the conditions under which it is appropriate to grant self-regulation to an occupational group. It discusses how the real estate industry has attempted to gain recognition as a profession and the problems that the practice of dual agency poses to consumers i f the industry is to be self-regulating. This paper concludes that the paramount purpose of occupational regulation should be to protect the public from harm, not to benefit or to reward practitioners. Self-regulation should only be granted to an occupational group with a genuine and demonstrated willingness to act in the public interest. Recommendations are offered to the government to reconsider its actions and to consider abolishing the practice of dual agency and adopting reforms that favour consumer interests in residential real estate transactions.

Canadian doctors have historically been an extremely powerful interest group. While there are many variables that account for their political influence, it is widely accepted that much of their power is due to their control over specialized knowledge. To determine whether or not physicians’ control over knowledge is changing, I examine doctors’ position relative to the state, the public and other health professionals. This research finds that, in all three relationships, physicians’ control over knowledge is weakening. Moreover, organized medicine’s response to these developments has largely been a strategy of co-optation, demonstrating that doctors are aware that these changes often cannot be openly fought. This strategy signals that the medical profession recognizes that some changes in its control over knowledge are bound to occur. This study concludes that these changes could contribute to a ‘critical juncture’ signalling the potential for significant change in the physician-state relationship.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Boendestöd är en framgångsfaktor i arbetet med att stötta utsatta grupper med att klara ett eget boende inte minst för missbrukare. Det här är en jämförande studie baserad på intervjuer med sex boendestödjare som arbetar med missbrukare och sex boendestödjare som arbetar med psykiskt funktionshindrade. Syftet är att undersöka boendestödjarnas uppfattningar om sitt arbete och deras upplevelser av vad arbetet innehåller. Varför är det vanligt med olika organisationer för missbruk och psykiskt funktionshinder? Vad är det som rättfärdigar indelningen i de två grupperna och vad blir konsekvenserna för brukarna och för de professionella som arbetar med boendestöd för grupperna? Resultatet är analyserat med tidigare forskning kring boende och stöd, forskning om professioner framväxt och teorier om socialkonstruktivism. Resultatet visar att kategoriseringen kan ha med vilket fokus boendestödet får och att boendestöd för missbrukare inriktas mot att missbrukaren skall klara sitt eget boende utan att vräkas. Dessutom finns det ett indirekt tvång inbyggt i boendestödet för missbrukare vilket inte återfinns i arbetet med de psykiskt funktionshindrade. Avslutningsvis är det möjligt att peka på att indelningen medför betydande konsekvenser för missbrukarna i jämförelse med övriga psykiskt funktionshindrade även om grunden för beslutet kring kategoriseringen är osäker. / Daily life support is a key success factor in efforts to support vulnerable groups in managing their own living and this is certainly true for addicts. This is a comparative study based on interviews with six daily supporters who work with addicts and six daily supporters who are working with mentally disabled clients. The purpose is to examine their experiences and their perceptions of what the work contains. What justifies the separation of the two groups and what are the consequences for the clients and for the professionals who work with daily life support for the two groups? The result is analyzed with earlier research in the area of daily life support, research concerning the development of professions and theories of social constructivism. The result shows that the categorization may has to do with the focus of the work with living support and that the daily living support for addicts often is directed towards the addicts ability to manage their own accommodation without risking the tenants to be evicted. In addition, the categorization implicates for addicts in terms of the existence of an indirect constraint embedded in the work of daily life support for addicts which is not found in the work of the mentally ill clients. Finally, it is possible to point to a significant difference in terms of consequences for the addicts in relation to the mentally ill group even if the base for the decision of categorization may be uncertain.

This study determined the benefits and risks mentors experience from participating in mentoring relationships.The first research question concluded that mentors experience many benefits from participating in a mentor/protege relationship. These benefits include being part of the protege's successes, mentor recognition, meeting organizational goals, interaction with protege, networking,assessment of the protege's talent, accelerated orientation process, and providing job continuity.Mentors indicated their prestige within the organization increased mainly amongst their superordinates (30%) and least amongst their peers (50%) as a result of participating in a mentor/protege relationship. Additionally, mentors indicated that there were significant gains in influencing the actions (85%), thinking (80%), productivity (60%), and work quality(50%) of proteges. These gains were cited by mentors as both direct benefits to themselves and indirect benefits to the organization in getting the mission accomplished, developing potentialleaders, and influencing others to strive for excellence.Seventy percent (70%) of the mentors did not feel a sense of favors owed to them by their proteges as a result of participating in a mentor/protege relationship. They indicated this was not the intent of a mentor/protege relationship. If suspected, they would address the issue andpossibly terminate the relationship if necessary.Mentors did not experience significant gains in power (75%) or respect (45%) for spotting talent and engineering the protege's advancement for the good of the organization.The second research question concluded that mentors experienced many risks from participating in a mentor/protege relationship. These risks included: wasting limited resources, destroying friendships, harm to the organization and mentor reputation if the protege is promoted into a leadership position and fails, and the perception of favoritism amongst subordinates.Mentors indicated they experienced losses in prestige from amongst superordinates (10%) and subordinates (10%) as well as loss a steady loss in influencing the actions and thinking of the protege as the relationship progressed.Mentors indicated there was a loss in the protege's work quality (60%) and work productivity (25%) during the mentor/protege relationship.Fifteen percent of the mentors experienced a sense of favors owed to them by their proteges. However this sense of favors owed decreased towards the end of the relationship. / Department of Educational Leadership

The purpose of this study is to examine and compare librarian profession with different professional theories. The intention is to describe how the librarian profession meets the different professional criteria and to what extent the librarian profession can be said to be professional in expertise, service and autonomy. Nolin’s modern theory provides an opportunity to analyze occupational groups based on professionalized basic concepts. The analysis of relevant material showed that the librarian is a service profession with high skills, but does not hold a high degree of autonomy. Librarian profession has been regarded as a semiprofession by previous profession theories, but Nolin’s broadened profession definition invites the librarian to the profession concept.