Task 5

1 Before you read the articles, what do you think are the most important images
of health care professionals in your opinion? Discuss your results und create a
Mind Map.

2 What does image of health care professionals mean based on the literature
on moodle and your own findings?
The way that health care professionals are thought of by other people or the
world population.
3 Summarize what image have e.g. occupational therapist, physical therapist,
nurse or other health care professionals. Please, present selected results clearly
in a table.

The statement of respondents of the survey shows that there is, on the part of
health professionals, an apparent and represented prejudice by the ideal male of
virility and strength. This prejudice has negative effects on assistance offered by
health professionals, contributing to the lack of acceptance in the male patients
and their demands:

Professional Image
Occupational therapist -Nobody knows what OTs do
-Small profession
-There are so few of them
-They are like activity leaders, for fun
Physical therapist -Mostly men
-Working in hospitals but also having
their own practice
-Body and muscle related
-Helping prevent or heal injury
 Nurse -Nursing is still seen as a feminine,
caring sub-professional occupation
rather than a profession.
-Nursing remains a predominantly
feminine and domestic activity that
has a low social status and is
discredited by society.
-Nurses learn from their work
experiences.
-Its a low-status profession and it
seems like it does not require any
academic qualifications and lacks
professional autonomy.
-The shortage of nurses, is partly
caused by nurses themselves, who do
too little to recommend their careers
to others.
Other health care professionals -People look up at a doctor, who also
mainly gets all the credit.
-They are highly qualified

Literature used: -The nursing profession: public

image, self-concept and
professional identity. A discussion
paper. Yvonne ten Hoeve. April
2013
-Experience of men in the context
of Primary Health Care. 2015
- Experience of men in the context
of Primary Health Care. Marilyn
Pattinson 2010.
Difficulties experienced by
migrant physicians working in
German hospitals: a qualitative
interview study. Corrina Klingler.
2016

4 Compare the results of your own opinion about the image of health care
professionals (question 1) and the results out of the scientific articles (question
3).
their demands:

Professional Our own image Image of the world

Occupational Assesments -Nobody knows what OTs do
therapist Interventions -Small profession
Treating to develop, recover -There are so few of them
or maintain -They are like activity leaders, for fun
Daily living skills,Work skills
Treating people with physical,
mental or cognitve disorder
Activity related
HBO educated
Physical HBO educated -Mostly men
therapist Rehabilitation -Working in hospitals but also having their own
Movements practice
Mobility -Body and muscle related
Address illness or injuries -Helping prevent or heal injury
Exercises
Massages
Nurse Care of indivuals -Nursing is still seen as a feminine, caring sub-
Recover optimal health professional occupation rather than a profession.
Many specialism -Nursing remains a predominantly feminine and
Work in shifts domestic activity that has a low social status
Providing medication and is discredited by society.
-Nurses learn from their work experiences.
-Its a low-status profession and it seems like it
does not require any academic qualifications
and lacks professional autonomy.
-The shortage of nurses, is partly caused by
nurses themselves, who do too little to
recommend their careers to others.
Other health All qualified -People look up at a doctor, who also mainly gets
care all the credit.
professionals -They are highly qualified

Vraag 5: According to the literature you have read, is it possible to

differentiate the professions mentioned in question 3, or does a
general statement about health care professionals exist? Summarize
your findings.
An OT has to develop the capacity and power to construct our own destiny and
make it reality. We know as a OT that we can help people and that we belong to
the haetlh care professionals. An OT can have an impact on individuals,
communities, and families. Its quite a shame that we have to explain our job
every time and that not everybody has the same view as a OT (Pattinson, 2010).
If we think about the image of nursing, people always think about a stereotypical
something. There are many books which are read by a lot of the new
generation nurses. To read these is nice, but students excially dont know where
they start with before the university. Many students see it as a inferior to
medicine, but its more than that (Hall, 2013). An other article says that nurses
have to come up for them selves and let the world see what they really do. They
can use social media to show them (Yvonne ten Hoeve, 2013).
There is no general statement about health care professionals because everyone
has there own imagination. Of course people who practice the job by themselves
know what they do, but they have to stand up for themselves

Vraag 6 : What conclusion you draw about the image of health care
professionals in Europe?
My conclusion about the image of health care professionals is that we all have a
other thought about health care professionals. I think people who dont have
experience with the health care jobs, they cant imagine how it is and what the
job exactly is. We all have a stereo tapical thought of something, thats a thing of
human being, but thats why people go study nurse or OT of FT and they find out
that itnot what they hoped for. Now you see in those article that in practice it
really happened that people even other health care professionals exically dont
what your job is. And here in Europe we have a great education system and the
knowledge of many things, but that is still not geat.

Vraag 7: Find out how people with a migration background, in term of

their employability are affected by this topic? Do you think that the
image of these professions prevents people with a migration
background from working in these kinds of jobs? Or is it more the
opposite way? Please find references about your statements.
In many countrys the literature says that many health proffesionals move to a
other country to find a job. There are a couple of reasons health professionals
emigrat to a other country.
- Bad circustances
- Poor wages
- Oppressive political climate
- Poor facilities
- Limited career structures
- Discrimination
- Personal reasons, like baeter education for their children
Its hard to employee for a job in the health care sector, because haelth care
professionals get training en educated in their own country, but when they move
to a other country they wont be able to have a job as haelth professional,
because the education doesnt count there. Expcially with poor countries (Pang,
2002).
Being a haetlh care professional is a very risky job. People always expect very
mcuh about them. So to work in a other country, you have to have the right
knowlegde about it. I think in health cre people are insecure and they want a
good medial professional (Nurses, 2008).

Vraag 8: Do you think that it is necessary to change the image of our

professions?
I really understand that health professionals from other countries, need to have
the good education from the country they live in. So of course they have to get
education before they aply. But i dont think its nessecary that someone from a
oorer country needs to do a whole new study.
Besides that, i think not only in the heath professional care but also on the whole
labor market, there need to come a change about migrant on the labor market.
You dont have to change to get a job, you need the abilities and capicities en
thats the apportant thing.
I was a little bit shocked about the article about in medical leadership roles,
because we all know that in the health care more women work. I think that has to
change (Marie Bismark, 2015).
We both study occupational therapy and i think the image has to change about
O.T. The practice is so important to help people to live better with disabilities. Its
a shame that every OT has to explain their practice over and over again. I hope it
will be better in the future. (Pattison, 2010)
Difficulties experienced by migrant physicians working in German hospitals: a
qualitative interview study. (Klingler, 2016 )

Abstract
BACKGROUND:
With Germany facing a shortage of doctors, hospitals have been increasingly
recruiting physicians from abroad. Studies in other countries have shown that
migrant physicians experience various difficulties in their work, which might
impact the quality of patient care, physician job satisfaction, and, accordingly,
retention. The experiences of migrant doctors in Germany have not been
systematically studied so far and will likely differ from experiences migrant
physicians make in other contexts. A thorough understanding of challenges faced
by this group, however, is needed to develop adequate support structures-as
required by the WHO Global Code of Practice on the International Recruitment of
Health Personnel.

METHODS:
A qualitative study was conducted to give an overview of the multifaceted
difficulties migrant physicians might face in German hospitals. Twenty semi-
structured interviews with foreign-born and foreign-trained physicians were
conducted in German. Participants were recruited via the State Chambers of
Physicians and snowballing based on a maximum variation sampling strategy
varying purposefully by source country and medical specialty. The interviews
were recorded, transcribed verbatim, and analysed using qualitative content
analysis.

RESULTS:
Participants described difficulties relating to healthcare institutions, own
competencies, and interpersonal interactions. Participants experienced certain
legal norms, the regulation of licensure and application for work, and the
organization of the hospital environment as inadequate. Most struggled with their
lack of setting-specific (language, cultural, clinical, and system) knowledge.
Furthermore, behaviour of patients and co-workers was perceived as
discriminating or inadequate for other reasons.

CONCLUSIONS:
This is the first study to describe the broad range of issues migrant physicians
experience in Germany. Based on this information, institutional actors should
devise support structures to ensure quality of care, physician wellbeing, and
retention. For example, training opportunities should be offered where needed to
support acquisition of setting-specific knowledge. Discrimination experienced by
participants calls for better diversity management as a leadership task in
healthcare institutions. Misinformation practices in recruitment could be
managed by a voluntary code of ethical conduct. Further research is necessary to
identify strategies that adequately address diverging normative positions
between migrant health personnel and their patients and colleagues.
 B : INNOVATIVE TASK
Question 1 is about reading the literature

Question 2 :
Explain the process how to create a digital story in an own SmartArt
cycle. Make sure that you exactly know what you have to do by creating
a digital story.

At first you have to

download a program
that can help you by
making a digital story.
Per haps Windows
movie maker etc.
You have to
At this moment you brainstorm the
can find your video onsubject, media, lay out
your computer in the of the digital story
map you saved it.

Its important that you

save the video a couple In this part you go choose
times while you are the media and import it in
working on it. You can click the program. Its possible to
save as and make it a import media in those
WMV. File. programs. Media : Pictures,
videos, audio, music etc.

In this part youll add

the video. Like doing
some video effects,
slide effects, timing of
the slide, type titles,
overlay etc.
C. PROJEKT
Question 1:
Discuss how can your findings about the image of health care
professionals be linked to the ASH IBBC project? Is the image
appropriate? Is the image helpful in this case? Should we speak with the
students about the image?
In IBBC project people with migration backround learn knowledge about practices
in health care sector, but also other information that they need in their job our
life. Just like I wrote down before, we all have stereotypical ideas about
everything, so also about health care professionals. People with migration
backround have that maybe even more. They dont have the knowledge of the
country just like the nativ born people of the country, so maybe they have less a
idea what the practice of health care professionals look like.
I think it is important that you take that whit you in the cursus. You also can talk
to the students, to ask them what their thoughts are from health care
professionals. Thats a way that you can support them individual.

Question 2:
Which steps of the HPPP Model could be involved?
In step 2, you tracked findings that suggested directions or conclusions related
to your program. In step 3, you determined goals, audiences and outcome
objectives. Step 4 is where the previous two steps meet to answer this question:
Which strategies and activities will best advance our goals and objectives within
the limits of our resources?

Question 3:
What ideas do you have in regard of the IBBC project? Do you have
ideas in which way we could develop the IBBC project in future?
I think it is really great that people with a migration backround get the chance do
to this cursus, so that they get the knowledge and more chance on the labor
market, because of the internship etc. Its also great that people who already
have a job as a health care professional get the chance to do this. Maybe its a
idea to not only do it with other sectors/jobs.
Maybe to introduce the information more around the world. Now people only
know because o the NGOs.