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A rich literature explores the potential benefits of public management directly engaged with the public to develop and implement programs with emphasis on the enhanced quality of public programs and the strengthening of democratic practices. Yet the two dominant models of public management over the past century have distanced public managers and the public. The "principal agent model" emphasizes direct accountability to elected officials, while the "expertise" model emphasizes the application of professional judgment on behalf of the public. The important dimensions of democratic governance—direct accountability to elected officials, the exercise of professional judgment, and direct public participation—are not mutually exclusive. This paper develops an alternative model of public management, "inclusive management," that demonstrates all three concerns.

AbstractTrust is considered as an important process in establishing positive patient–professional relationships and healthcare outcomes. While many studies denote the mutual–reciprocal nature of trust, there is a strong tendency to consider professionals merely as trustees. This article presents a review of literature addressing healthcare professionals' trust in patients, aiming to identify and compare more theoretical and more empirical contributions on the topic as a basis for developing a research agenda. We examine 31 theoretical and empirical peer‐reviewed articles that address healthcare professionals' trust in patients, either as the primary or secondary focus. We found that healthcare professionals' trust in patients is still overlooked in empirical trust studies into healthcare, despite several theoretical and review articles emphasising the relevance of the topic. We propose that future empirical research considers professionals' uncertainties and vulnerabilities, and that theoretical studies reflect more on methodological approaches for researching their conceptualisations. Moreover, our findings suggest that while system‐based understandings have been seen as important for considering how patients trust in their healthcare, we argue that these same abstract systems—professional, ethical, organisational and legal—are vital to understanding how doctors become vulnerable, and therefore, how trust in their patients becomes pertinent, in their everyday work.

Lifting Our Voices is the only book to explore the dual roles of professional social workers who are also family caregivers and the only collection on caregiving in which the majority of contributors are African American. After discussing the relevant literature, Lifting Our Voices vividly and sensitively presents the caregiving experiences of ten professional social workers. Using professional and theoretical knowledge and skills, each contributor draws implications for various levels of social work and human service interventions. These poignant descriptions and analyses recount both the f

This article presents a five-step clinical approach that describes a process for child sexual abuse survivors, who are now adults, to initiate a statement with their abuser, whereby the survivor can explain the abuse and its impact on their lives. This method may also have applicability for survivors of general child maltreatment. The timing of this intervention needs to be carefully assessed in a partnership between the survivor and clinician. Clinicians might consider this approach if they are conducting long-term psychotherapy with adult survivors of child maltreatment and child sexual abuse, in particular. In addition to delineating steps to be taken, the authors suggest a measurement path. This closure process provides a unique and unduplicated opportunity for personal and professional growth.

Introduction. The relationship of IT specialists to representatives of other professional groups is built in different ways – from cooperation to conflicts. The important practical significance of the analysis of this problem actualizes the development of theoretical and methodological foundations for the study and diagnosis of relations between IT specialists and representatives of other socio-professional groups based on an appeal to values. This is important for a holistic understanding of the trends in the development of the social structure of modern society.Methodology and sources. The multi-paradigm platform of work is formed on the ideas of two directions. Firstly, the fundamental principles of the theory of P.A. Sorokin on the sociodynamics of values in the process of social development are used; the ideas of D.A. Leontiev on the connections of individual and group values; approaches to the construction of methodological procedures for diagnosing values, set out in the works of V.A. Yadov and N.I. Lapin. Another part of the study is formed on the provisions M. Grannoweter's theory of the strength of weak ties. The methodological procedure of the study is based on the technologies for assessing the relevance of professions proposed by J. Holland.Results and discussion. On the basis of network models of relations between IT specialists, it is shown that interaction with professionals of various professional groups is carried out in different ways. The professional groups with which IT specialists develop tense relations are shown, which is due to the specifics of their professional competencies. The sociodynamics of changes in professional values is revealed as the status and role positions of IT specialists change.Conclusion. The conducted research shows that the attitudes of IT specialists to actors of other professional groups of external social interaction are built inconsistently and ambiguously. Relationships between IT professionals and other professions are formed more like relationships oriented towards different values and variables. In this sense, a group of IT professionals can be perceived as a special case. Unlike relationships within the group of IT professionals themselves, relationships with professionals of other specialties are predominantly situational in nature and are more likely determined by some specific conditions and circumstances, specific people and specific factors than by the unity or solidarity of professional values and interests.

Although sexuality is an integral part of close romantic relationships, research linking these two constructs has been less systematic than other areas pertaining to close relationships. To date, researchers in communication, sociology, family studies, psychology, and psychiatry, have made significant advances in both of these fields. The editors' goal is to integrate this research into one volume. They bring together major scholars from the diversity of fields working on close relationship topics to examine past contributions and new directions in sexuality. The emphasis is on theoretical integration and stimulation, methodological rigor, and critical analysis. This volume explores: *early sexual experiences and their impact on late life sexuality; *how life's stresses impact sexuality and satisfaction with closeness; *the affect of postpartum depression on sexuality; and *the relationship between control, power, anger, as well as revenge and sexual processes in couples. The Handbook of Sexuality in Close Relationships is intended for students and researchers in the disciplines of social, clinical, developmental, and health psychology; family studies; counseling; and interpersonal, family, and health communication. An excellent reference in advanced courses in close relationships taught in psychology, communications, sociology, anthropology, and family studies, the material in Part V will also appeal to clinical psychologists, health professionals, and policymakers.

The impact of sibling relationships on how we develop has been dramatically underemphasized in the literature on child development. Drawing together new and established research, this accessible text contends that sibling relationships are crucial to professionals' understanding of the children and families they work with. It offers a theoretically grounded and culturally sensitive account of the many-facetted complexities of sibling relationships, emphasizing the significance of these for practice and the ways in which the effectiveness of work with children and families can be enhanced by promoting positive sibling relationships.

AIMS: To reflect on the situation of nurse managers, examining their professional relationships and additional working duties during the second COVID‐19 wave. DESIGN: Cross‐sectional online survey with open questions. METHODS: Nurse managers from different healthcare institutions, for example, hospitals and nursing homes, were included. Data collection took place from November 2020 to March 2021. Open questions were analysed with qualitative content analysis. RESULT: In total, 321 managers took part. With regard to professional relationships, four main themes were identified: cooperation, cohesion, communication and consequences. While cooperation and cohesion in the nursing and the interprofessional team were predominantly considered positive, communication was seen as challenging. Additional work duties arose in relation to fulfilling regulatory requirements, managing personnel and carrying out both organizational and informational tasks. Consequences of the pandemic were mentioned in two thematic categories (professional relations and additional work duties). Participants referred to a loss of image, a reduction in job satisfaction and mental stress. CONCLUSION: The regulation of certain tasks by the central authority, such as the enrolment of employees to manage the use of personal protective equipment, would make the managers' duties simpler. This would enable them to direct their attention towards their teams and provide necessary support in other parts of their profession. IMPACT: What problem did the study address? Nursing managers are important members of the nursing team and faced particular challenges during the pandemic. Nevertheless, their perspectives are rarely presented in research. What were the main findings? Overall, communication was perceived as good, and cohesion was strengthened during the pandemic. However, heavy burdens were placed on nursing managers due to the numerous additional tasks. On whom will the research have an impact? Facility managers and government representatives are ...

Both safety and quality of care patients receive depend upon the quality of the practice environment where care is provided. In this article, the authors review relevant literature, and describe their study that identified how nurses and physicians define respectful behavior; examined perceptions of the relationship between nurses and physicians in clinical settings in which they practice together; and analyzed the impact of nurse-physician relationships on nursing care decisions. Perceptions of nurse-physician relationships were assessed using the Professional Practice Environment Assessment Scale and perceptions of respectful behavior and the effect of physician behavior on nursing practice were assessed with single, forced-choice items. The authors report finding that physicians rated relationships significantly better than did nurses. Additionally, they note that 55% of nurses said that a physician's behavior impacted nursing decisions, and that younger, less experienced nurses were more likely to report being affected by negative physician behaviors than older nurses or nurses with more experience. They discuss how nurses' and physicians' different perceptions of the same environment is not surprising, but is instructive, and conclude that acknowledging differences in values, incentives, and perceptions can provide insights that focus improvement initiatives.