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Humanistic approach

Anand Kaul, Sunil Manjila, Jonathan P Miller
: Isadore Max Tarlov (1905-1977) is primarily remembered for his 1938 description of the eponymous perineural "Tarlov cyst." However, during his long career as a neurosurgeon and researcher, he was responsible for many other observations and inventions that influenced the development of neurosurgery in the 20th century. While studying at Johns Hopkins Medical School he was acquainted with Walter Dandy, and he became the first resident to study under Wilder Penfield at the newly formed Montreal Neurological Institute...
November 2016: Neurosurgery
Gill Murphy, Kath Peters, Lesley Wilkes, Debra Jackson
Background Conceptual frameworks are important to ensure a clear underpinning research philosophy. Further, the use of conceptual frameworks can support structured research processes. Aim To present a partnership model for a reflective narrative for researcher and participant. Discussion This paper positions the underpinning philosophical framework of the model in social constructionism (the idea that jointly constructed understandings form the basis for shared assumptions) and narrative enquiry. The model has five stages - study design, invitation to share a research space and partnership, a metaphorical research space, building a community story, and reading the community story to others...
September 2016: Nurse Researcher
Jenny Barrett, Lyn Yates, Geoffrey McColl
INTRODUCTION: This study investigated the perspectives on pedagogy held by medical teachers in hospitals. METHODS: The teachers were interviewed after they had been observed in both clinical and classroom settings. RESULTS: The study showed the teachers' reliance on the relational aspects of pedagogy more than on technical pedagogical knowledge. Teachers referred to their aims and approaches as "interactive," but this does not refer to any deliberate pedagogical design or acts...
2016: Journal of Continuing Education in the Health Professions
Gabriel M Ronen, Peter L Rosenbaum
BACKGROUND: Fifty years ago Andreas Rett first described in great detail what came to be known as "Rett syndrome." Understanding girls and women with this syndrome and their families helped in many ways to revolutionize modern neurodevelopmental medicine. For some people the identification of the genetic underpinning of the syndrome and the ongoing biological research into this condition represented the peak of the scientific accomplishments in Rett syndrome. For others, it was developments in clinical research methodologies that were especially important...
August 2016: Pediatric Neurology
Christopher D Green
This article discusses the role that digital approaches to the history of psychology are likely to play in the near future. A tentative hierarchy of digital methods is proposed. A few examples are briefly described: a digital repository, a simple visualization using ready-made online database and tools, and more complex visualizations requiring the assembly of the database and, possibly, the analytic tools by the researcher. The relationship of digital history to the old "New Economic History" (Cliometrics) is considered...
August 2016: History of Psychology
G Stucki, S Rubinelli, J D Reinhardt, J E Bickenbach
OBJECTIVE: The aim of health sciences is to maintain and improve the health of individuals and populations and to limit disability. Health research has expanded astoundingly over the last century and a variety of scientific disciplines rooted in very different scientific and intellectual traditions has contributed to these goals. To allow health scientists to fully contextualize their work and engage in interdisciplinary research, a common understanding of the health sciences is needed...
September 2016: Das Gesundheitswesen
Sebastian Gabrielsson, Stefan Sävenstedt, Malin Olsson
Therapeutic nurse-patient relationships are considered essential for good nursing practice in psychiatric inpatient care. Previous research suggests that inpatient care fails to fulfil patients' expectations in this regard, and that nurses might experience the reality of inpatient care as an obstruction. The aim of the present study was to explore nurses' and assistant nurses' experiences of good nursing practice in the specific context of psychiatric inpatient care. Qualitative interviews were conducted with 12 skilled, relationship-oriented nurses and assistant nurses in order to explore their experiences with nursing practice related to psychiatric inpatient care...
October 2016: International Journal of Mental Health Nursing
James A Marcum
RATIONALE, AIMS AND OBJECTIVES: Multimorbidity is a serious challenge to providing patients with quality health care. Sturmberg et al. propose a P4 or whole-person medical model based on a holistic approach to deliver such care. The aim of this commentary is to examine critically their P4 model and holistic approach. METHODS: The P4 model and holistic approach of Sturmberg et al. are analysed conceptually in terms of an effective strategy or sequence for framing P4 medicine and with respect to different philosophical notions of holism for grounding it...
June 29, 2016: Journal of Evaluation in Clinical Practice
Benjamin C Forster, Helen Proskurin, Brian Kelly, Melanie R Lovell, Ralf Ilchef, Josephine M Clayton
OBJECTIVE: People with a life-limiting physical illness experience high rates of significant psychological and psychiatric morbidity. Nevertheless, psychiatrists often report feeling ill-equipped to respond to the psychiatric needs of this population. Our aim was to explore psychiatry trainees' views and educational needs regarding the care of patients with a life-limiting physical illness. METHOD: Using semistructured interviews, participants' opinions were sought on the role of psychiatrists in the care of patients with a life-limiting illness and their caregivers, the challenges faced within the role, and the educational needs involved in providing care for these patients...
June 20, 2016: Palliative & Supportive Care
Geneviève Beaudoin, Lyne St-Louis, Marie Alderson
PURPOSE: Nurses working in critical care settings face multiple sources of stress, such as complex clinical situations and the use of new advanced technologies, which can affect their psychological health. Literature suggests that the promotion of educational activities, such as a certification process within a specialty, can contribute to nurses' empowerment, professional growth, and personal satisfaction. However, it is of utmost importance that the institutional organizations support nurses undergoing the certification process to optimize positive impacts of this educational activity on the nurses, on the patients, and within the institutions...
July 2016: Clinical Nurse Specialist CNS
Eleanor Copp
This article is about the types of approaches available to midwives that enable them to learn additional skills to support mothers and babies within their practice. It is a combination of theory and humanistic understanding and I believe I can share useful experiences with you. I have been an NHS midwife since 1993 and am currently on one of the last preparation for supervisors of midwives courses. In 2003 I completed hypnobirthing training, my first training specifically for birthout side the framework of the NHS...
May 2016: Practising Midwife
Li Ge, Kerstin Wikby, Mikael Rask
OBJECTIVE: To explore the quality of gestational diabetes mellitus (GDM) care experienced by women in China and how it could be improved. METHODS: A qualitative study was conducted at a municipal hospital in south east China. Women who had been diagnosed with GDM at 34-38weeks of pregnancy were enrolled during two periods; between May 1 and July 31, 2012, and between April 1 and July 31, 2013. Data regarding patient-perceived care quality were collected through semi-structured individual interviews and were analyzed by qualitative content analysis...
August 2016: International Journal of Gynaecology and Obstetrics
Giora Weiser, Uri Ilan, Joseph Mendlovic, Tarif Bader, Itai Shavit
Procedural sedation and analgesia (PSA) should be a priority in the emergency care of injured children. This humanistic approach is particularly important in paediatric victims of disaster, because these patients are prone to psychological distress secondary to the traumatic event. Following the Nepal earthquake, an Israeli field hospital (IFH) was deployed in Kathmandu. We report our experience with PSA in the emergency room (ER) of the IFH. 22 children underwent surgery in the operating room and 10 underwent PSA in the ER by paediatric emergency physicians: 6 had wound debridement, 2 had fracture reduction and 2 had laceration repair...
October 2016: Emergency Medicine Journal: EMJ
Sarah Sharples, Robert J Houghton
The increasing prevalence of affordable digital sensors, ubiquitous networking and computation puts us at what is only the start of a new era in terms of the volume, coverage and granularity of data that we can access about individuals and workplaces. This paper examines the consequences of harnessing this data deluge for the practice of E/HF. Focusing on what we term the 'contextual digital footprint', the trail of data we produce through interactions with many different digital systems over the course of even a single day, we describe three example scenarios (drawn from health care, distributed work and transportation) and examine how access to data directly drawn in considerable volume from the field will potentially change our application of design and evaluation methods...
March 30, 2016: Ergonomics
Mojgan Khademi, Eesa Mohammadi, Zohreh Vanaki
BACKGROUND: Humanistic nursing practice which is dominated by technological advancement, outcome measurement, reduced resources, and staff shortages is challenging in the present work environment. OBJECTIVE: To examine the main concern in humanistic nursing area and how the way it is solved and resolved by Iranian nurses in acute care setting. RESEARCH DESIGN: Data were collected from interviews and observations in 2009-2011 and analyzed using classic grounded theory...
March 23, 2016: Nursing Ethics
Shanshan Luo, Yinghuan Wang, Zhuoqiong Li, Chunyan Ynag, Aihuan Chen
PURPOSE: To discuss the role of humanistic nursing care in improving the nursing quality and patients' degree of satisfaction in ophthalmic ward. METHODS: A mode of humanistic nursing care was established, hospital environment was improved and work flow was arranged in details. Nurses received professional training of humanistic care skills. By using multiple educational approaches, nursing care with responsibility system can be delivered in a continuous and seamless manner...
September 2015: Eye Science
Shirmohammad Davoodvand, Abbas Abbaszadeh, Fazlollah Ahmadi
BACKGROUND: Spiritual development is one of the most important aspects of socialization that has attracted the attention of researchers. It is needed to train nursing student and novice nurses to provide high-quality care for patients. There is ambiguity in the definition of spiritual development and its relations, especially in the eastern countries. RESEARCH OBJECTIVES: To explore the concept of spiritual development in Iranian nurses. RESEARCH DESIGN: Qualitative content analysis approach...
February 21, 2016: Nursing Ethics
Christina M Gutierrez, Susan M Cox, John L Dalrymple
Medical education has been gradually evolving for hundreds of years, but educators are now seeking to identify ways to prepare students for the future of health care delivery. Medical education reform today focuses on creating entirely new models and is moving away from the traditional, post-Flexnerian organization of the medical school curriculum. Content is now being integrated thematically and presented along interdisciplinary lines with an interdigitation of basic and clinical sciences across all four years...
February 2016: Texas Medicine
Hilde De Saeger, Anna Bartak, Eva-Emily Eder, Jan H Kamphuis
Accumulating evidence documents the efficacy of Therapeutic Assessment (TA) in terms of symptom reduction and other outcomes, but only minimal data speak to the patient's perspective of what is memorable, or potentially important, about this intervention. In line with the humanistic and phenomenological philosophy of TA, we solicited patient input by asking personality disorder (PD) patients who participated in a recent randomized controlled trial (De Saeger et al., 2014 ) about their experiences. We report on 10 PD patients who were administered semistructured interviews designed to assess an in-depth perspective of undergoing TA...
September 2016: Journal of Personality Assessment
Henrik Vogt, Bjørn Hofmann, Linn Getz
The emerging concept of systems medicine (or 'P4 medicine'-predictive, preventive, personalized and participatory) is at the vanguard of the post-genomic movement towards 'precision medicine'. It is the medical application of systems biology, the biological study of wholes. Of particular interest, P4 systems medicine is currently promised as a revolutionary new biomedical approach that is holistic rather than reductionist. This article analyzes its concept of holism, both with regard to methods and conceptualization of health and disease...
June 2016: Medicine, Health Care, and Philosophy
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