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“Open dialogue”

Linda Nyholm, Susanne Salmela, Lisbet Nyström
The aim of this study was to describe researchers' experiences of participation in reflective dialogues through a hermeneutic application research approach. The aim was also to describe their perspectives on application, that is, the inner appropriation and application of theory into practice and vice versa. Twenty-one clinical coresearchers and four scientific researchers participated in reflective dialogues in a project on ethical sustainable caring cultures, in which an application research approach was used...
January 2018: Global Qualitative Nursing Research
Rasoul Abdollahzadeh, Abdolreza Daraei, Yaser Mansoori, Masoumeh Sepahvand, Mahsa M Amoli, Javad Tavakkoly-Bazzaz
Breast cancer (BC) is the most frequently occurring malignancy in women worldwide. Despite the substantial advancement in understanding the molecular mechanisms and management of BC, it remains the leading cause of cancer death in women. One of the main reasons for this obstacle is that we have not been able to find the Achilles heel for the BC as a highly heterogeneous disease. Accumulating evidence has revealed that noncoding RNAs (ncRNAs), play key roles in the development of BC; however, the involving of complex regulatory interactions between the different varieties of ncRNAs in the development of this cancer has been poorly understood...
December 10, 2018: Journal of Cellular Physiology
Sandra Jovchelovitch
Batel and Castro propose to integrate conceptually and empirically the theory of social representations (TSR) and discursive psychology (DP). This comment emphasizes the importance of debates between different traditions of social psychology, focusing on the status of psychological entities and methodological pluralism as two areas in which fruitful tensions between DP and TSR are still evident. It critiques DP's disavowal of psychological entities and reaffirms the insights of sociocultural traditions that see intrapsychological phenomena as internalized sociality...
December 4, 2018: British Journal of Social Psychology
Catarina Fischer Grönlund, Anna Söderberg, Vera Dahlqvist, Mikael Sandlund, Karin Zingmark
Studies show that healthcare professionals need inter-professional clinical ethics support (CES) in order to communicate and reflect on ethically difficult care situations that they experience in their clinical practice. Internationally, various CES interventions have been performed, but the communication processes and organisation of these interventions are rarely described in detail. The aim of this study was to explore communicative and organisational conditions of a CES intervention with the intention of promoting inter-professional communication about ethically difficult care situations...
November 30, 2018: Journal of Interprofessional Care
Jae Yung Kwon, Sally Thorne, Richard Sawatzky
PURPOSE: As patient-reported outcome measures (PROMs) increasingly become key outcome indicators in health care, there has been growing concern about the potential negative consequences that could result when interpretations are being made to inform clinical and policy decisions. Therefore, we explored theoretical issues, assumptions, and consequences of using PROMs from a philosophical point of view. METHODS: Our analysis of the literature was informed by Gadamerian hermeneutics, which emphasizes the dialectical processes that occur during interpretation, to provide insights as to how different users interpret and use standardized questions about health and quality of life...
November 19, 2018: Quality of Life Research
Farzana Ibrahim, Per Sandström, Bergthor Björnsson, Anna Lindhoff Larsson, Jenny Drott
PURPOSE: Patients' involvement in their own care is important for those with upper abdominal tumours. Care is often conducted according to standardized fast-track care programs (FTCP), and a shorter hospital stay is one of the goals. However, there is no research providing an in-depth perspective on patients' experiences of involvement in care. In this qualitative study, we explored experiences of involvement among patients who had surgery for upper abdominal tumours and were cared for according to an FTCP...
November 14, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
H M Bové, M Lisby, A Norlyk
AIMS AND OBJECTIVES: The aim of this study was to elucidate the lived experience of how patients with alcohol use disorders experience being cared for when admitted to acute medical units. BACKGROUND: Alcohol use is health damaging and is identified as one of the major avoidable risk factors and alcohol use disorder is classified among the most harmful, debilitating disease categories. Patients suffering from alcohol use disorders are characterized by complex problems and health pictures spawned by chaotic lifestyles...
November 14, 2018: Journal of Clinical Nursing
Bodil H Blix, Charlotte Berendonk, Vera Caine
In the past decades, narrative practices have been developed, and care has been conceptualized as being narrative in nature. More recently, narrative care has been developing both as a practice and a field of study. It is necessary to make the theoretical foundations of narrative care visible to avoid the risk of narrowly defining narrative care as a matter of storytelling and listening. In this article, we develop an understanding of narrative care grounded in early feminist pragmatist philosophy, with a focus on social and political activism and experience...
November 9, 2018: Nursing Ethics
Martha Augoustinos
Batel and Castro's call for reopening the dialogue between the theory of social representations and discursive psychology is to be welcomed and indeed, somewhat long overdue. Despite the case that many scholars are engaging in the kind of rapprochement being advocated for by Batel and Castro, I argue here that the intellectual trajectory discursive psychology has taken during the last thirty years makes it less amenable to the kind of reconciliation called for by Batel and Castro. Two enduring tensions between the two theories that require resolution remain: (1) how we define discursive psychology as it is practised today and (2) the epistemological and ontological status of cognition...
November 8, 2018: British Journal of Social Psychology
Doris M Boutain, Robin Evans-Agnew, Fuqin Liu, Marie-Anne S Rosemberg
Emancipatory insights about health as constituted by demographic identity codifiers remain hidden using current interview methods and analytic techniques. The purpose of this article is to demonstrate how the Identity, Research, and Health Dialogic Open-Ended (I-ReH-DO) Interview was used across 3 separate research topics to enhance emancipatory knowledge development. Three featured research topics focus on health issues relevant to populations worldwide, including asthma management, hypertension management, and preconception care...
October 2018: ANS. Advances in Nursing Science
Andrew Blom, Matthew R Johnson
This chapter explores how the high-impact practice of critical, intergroup dialogue connects leadership with the broader learning objectives in the liberal arts. Based on experiences with building partnerships for leadership learning at their own university, the authors offer lessons for fostering cross-unit collaboration.
December 2018: New Directions for Student Leadership
Markus Horneber, Gerd van Ackeren, Felix Fischer, Herbert Kappauf, Josef Birkmann
PURPOSE: To report on a telephone consultation service with cancer patients and their relatives about complementary and alternative medicine (CAM) between 1999 and 2011. METHODS: We offered a Germany-wide, free-of-charge telephone consultation service about CAM led by oncology clinicians from a comprehensive cancer center. The consultations followed a patient-centered approach with the aim to provide guidance and evidence-based information. Sociodemographic, disease-related data as well as information about the consultations' content were collected in a standardized manner, and feedback questionnaires were sent out immediately after the consultations...
December 2018: Integrative Cancer Therapies
Alex James Miller Tate
I explain the notion of contributory injustice, a kind of epistemic injustice, and argue that it occurs within psychiatric services, affecting (at least) those who hear voices. I argue that individual effort on the part of clinicians to avoid perpetrating this injustice is an insufficient response to the problem; mitigating the injustice will require open and meaningful dialogue between clinicians and service user organisations, as well as individuals. I suggest that clinicians must become familiar with and take seriously concepts and frameworks for understanding mental distress developed in service user communities, such as Hearing Voices Network, and by individual service users...
October 18, 2018: Journal of Medical Ethics
Abigail M Freeman, Rachel H Tribe, Joshua C H Stott, Stephen Pilling
OBJECTIVE: Emerging evidence for Open Dialogue (OD) has generated considerable interest. Evidence comes from a range of methodologies (case study, qualitative, and naturalistic designs), which have not been synthesized as a whole. The objective of this review was to synthesize this literature. METHODS: A systematic search of the databases PubMed, CINAHL, Scopus, Web of Science and PsycINFO included studies published until January 2018. A total of 1,777 articles were screened...
October 18, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
L A Robinson, H L Blincow, F E Culhane, T O'Higgins
Inland aquatic ecosystems play an important part in the delivery and support of ecosystem services. However, these ecosystems are subject to stressors associated with human activities such as invasive species introduction and landscape alteration. There is a delicate balance between maintaining good status of the ecosystem whilst meeting the needs of those stakeholders dependent on the ecosystem services it supplies, and where there are many different stakeholders, each with different aspirations and dependencies on the ecosystem, it can be difficult to strike a balance on suitable management measures to put in place...
February 15, 2019: Science of the Total Environment
Diogo Rijo
Euthanasia has been discussed since Antiquity. Euthanasia and assisted suicide should be considered under the term "euthanasia" and under the same definition of "active and intentional death on demand of the patient, due to administration of medication, resulting from the decision of the physician, being independent of the executor", before being suithanasia, where the administration of medication was performed by the patient, or homothanasia, in the case of the doctor. The designations direct, active and voluntary, currently related to euthanasia should fall into disuse, because it assumes various kinds, of what is false...
January 2018: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
Eric Simon, Neda Motchurova-Dekova, Bernard Mottequin
The genus Tethyrhynchia Logan in Logan Zibrowius, 1994 is revised on the basis of different methods of analysis including SEM observations, detailed ontogenetic study of the crural development, transverse serial sections, and shell microstructure. Some morphological characters cited in the original diagnosis are analysed and contested by the ontogenetic results. The type of crura of Tethyrhynchia, often placed in the arcual group, appears to be of the raducal group, instead. Paedomorphosis and heterochronic development offer the possibility of opening a dialogue between morphological and phylogenetic approaches to classification of rhynchonellide brachiopods...
September 6, 2018: Zootaxa
Vlad Petre Glăveanu
In this editorial I introduce the possible as an emerging field of inquiry in psychology and related disciplines. Over the past decades, significant advances have been made in connected areas - counterfactual thinking, anticipation, prospection, imagination and creativity, etc. - and several calls have been formulated in the social sciences to study human beings and societies as systems that are open to possibility and to the future. However, engaging with the possible, in the sense of both becoming aware of it and actively exploring it, represents a subject in need of further theoretical elaboration...
August 2018: Europe's Journal of Psychology
Tomi Bergström, Jaakko Seikkula, Birgitta Alakare, Pirjo Mäki, Päivi Köngäs-Saviaro, Jyri J Taskila, Asko Tolvanen, Jukka Aaltonen
Open Dialogue (OD) is a family-oriented early intervention approach which has demonstrated good outcomes in the treatment of first-episode psychosis (FEP). Nevertheless, more evidence is needed. In this register-based cohort study the long-term outcomes of OD were evaluated through a comparison with a control group over a period of approximately 19 years. We examined the mortality, the need for psychiatric treatment, and the granting of disability allowances. Data were obtained from Finnish national registers regarding all OD patients whose treatment for FEP commenced within the time of the original interventions (total N = 108)...
September 18, 2018: Psychiatry Research
Lina Balaisyte, Angelika Joos, Mickaël Hiligsmann
OBJECTIVES: This study aims to assess participants' views on previous experiences, the current situation and future perspectives for early dialogue between the pharmaceutical industry, a regulatory agency and health technology assessment bodies (HTABs) in Europe. METHODS: Eleven semi-structured interviews were arranged purposively with experienced people from the pharmaceutical industry, the European Medicines Agency, and an expert in Health Economics. The interview questions focused on the value of early dialogue, the challenges faced during the process of early dialogue, the best time to start an early dialogue, the kind of products most suitable for early dialogue, the current situation, and future perspectives for the early dialogue process...
September 24, 2018: International Journal of Technology Assessment in Health Care
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