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https://www.readbyqxmd.com/read/28440999/-epistemic-injustice-during-the-medical-education-process-in-the-hospital-context
#1
Carolina Consejo-Y Chapela, Carlos Alfonso Viesca-Treviño
BACKGROUND: The educational model adopted by the Universidad Nacional Autónoma de México (UNAM) Faculty of Medicine is constructivist; it is a model based on competence development. It aims to provide learning environments that incorporate real activities (it helps the students to develop social negotiation skills, as part of their integral learning; it encourages them to take a critical and reflexive approach; and it is also a student-centered model). However, many challenges arise when this model is implemented in the context of hospital environments...
May 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28430793/identifying-a-combined-construct-of-grief-and-explosive-anger-as-a-response-to-injustice-amongst-survivors-of-mass-conflict-a-latent-class-analysis-of-data-from-timor-leste
#2
Susan J Rees, Alvin Kuowei Tay, Elisa Savio, Zelia Maria Da Costa, Derrick Silove
Previous studies have identified high rates of explosive anger amongst post-conflict populations including Timor-Leste. We sought to test whether explosive anger was integrally associated with symptoms of grief amongst the Timorese, a society that has experienced extensive conflict-related losses. In 2010 and 2011 we recruited adults (n = 2964), 18-years and older, living in an urban and a rural village in Timor-Leste. We applied latent class analysis to identify subpopulations based on symptoms of explosive anger and grief...
2017: PloS One
https://www.readbyqxmd.com/read/28422638/resource-seeking-as-occupation-a-critical-and-empirical-exploration
#3
Rebecca M Aldrich, Debbie Laliberte Rudman, Virginia A Dickie
Occupational therapists and occupational scientists are committed to generating and using knowledge about occupation, but Western middle-class social norms regarding particular ways of doing have limited explorations of survival occupations. This article provides empirical evidence of the ways in which resource seeking constitutes an occupational response to situations of uncertain survival. Resource seeking includes a range of activities outside formal employment that aim to meet basic needs. On the basis of findings from 2 ethnographic studies, we critique the presumption of survival in guiding occupational therapy documents and the accompanying failure to recognize occupations that seem at odds with self-sufficiency...
May 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28419529/critical-discourse-analysis-of-social-justice-in-nursing-s-foundational-documents
#4
Claire P Valderama-Wallace
OBJECTIVE: Social inequities threaten the health of the global population. A superficial acknowledgement of social justice by nursing's foundational documents may limit the degree to which nurses view injustice as relevant to nursing practice and education. The purpose was to examine conceptualizations of social justice and connections to broader contexts in the most recent editions. DESIGN: Critical discourse analysis examines and uncovers dynamics related to power, language, and inequality within the American Nurses Association's Code of Ethics, Scope and Standards of Practice, and Social Policy Statement...
April 17, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28403844/health-and-legal-literacy-for-migrants-twinned-strands-woven-in-the-cloth-of-social-justice-and-the-human-right-to-health-care
#5
Bilkis Vissandjée, Wendy E Short, Karine Bates
BACKGROUND: Based on an analysis of published literature, this paper provides an over-view of the challenges associated with delivering on the right to access quality health care for international migrants to industrialized countries, and asks which group of professionals is best equipped to provide services that increase health and legal literacy. Both rights and challenges are approached from a social justice perspective with the aim of identifying opportunities to promote greater health equity...
April 13, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28400962/epistemic-injustice-in-psychiatry
#6
EDITORIAL
Paul Crichton, Havi Carel, Ian James Kidd
It has been argued that those who suffer from medical conditions are more vulnerable to epistemic injustice (a harm done to a person in their capacity as an epistemic subject) than healthy people. This editorial claims that people with mental disorders are even more vulnerable to epistemic injustice than those with somatic illnesses. Two kinds of contributory factors are outlined, global and specific. Some suggestions are made to counteract the effects of these factors, for instance, we suggest that physicians should participate in groups where the subjective experience of patients is explored, and learn to become more aware of their own unconscious prejudices towards psychiatric patients...
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28395037/moral-panic-and-social-justice-a-guide-for-analyzing-social-problems
#7
Michael H Eversman, Jason D P Bird
Professional social work has long been concerned with social justice, social policy, and the relationship between social treatment and social control. However, at times, potential threats to social cohesion become exaggerated in the service of supporting suppressive policies. British sociologist Stanley Cohen referred to such periods as moral panics, which assign unwarranted blame and stigma to sociopolitically weaker, unpopular groups. By constructing those associated with a given social problem as deviant and downplaying underlying structural causes, moral panics foster the enactment of social policies that entrench social disparity and injustice...
January 1, 2017: Social Work
https://www.readbyqxmd.com/read/28395036/a-just-sense-of-well-being-social-work-s-unifying-purpose-in-action
#8
Elizabeth King Keenan, Christine Limone, Silvia L Sandoval
For over a century the social work profession has had a dual purpose, to promote both human well-being and social justice, but we have not found research that explores how social workers understand and work toward both purposes across multiple practice roles and settings. Authors of this article conducted qualitative research to examine how 18 social workers in various roles and settings understand and implement both purposes in their practice. Instead of a dual purpose, participants described a unifying purpose: a "just sense of well-being" that transcends role and setting...
January 1, 2017: Social Work
https://www.readbyqxmd.com/read/28379933/communities-social-justice-and-academic-health-centers
#9
Philip M Alberti, Karey M Sutton, Lisa A Cooper, Wendy G Lane, Stacey Stephens, Michelle A Gourdine
In November 2015, the Association of American Medical Colleges (AAMC) held its annual meeting in Baltimore, Maryland. In response both to health and health care inequities faced by residents of Baltimore and to the imminent trial of the police officers charged with Freddie Gray's death, AAMC leaders thought it crucial to address issues of health inequity, social injustice, and the role an academic health center (AHC) can play in improving the health of the community it serves. In collaboration with community-engaged researchers from Johns Hopkins University and University of Maryland, Baltimore, AAMC staff interviewed Baltimore residents, soliciting their perspectives on how medical education, clinical care, and research can and should respond to social injustice and the social determinants of health...
April 4, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28351495/ethical-considerations-in-providing-an-upper-limb-exoskeleton-device-for-stroke-patients
#10
Adriana E Bulboacă, Sorana D Bolboacă, Angelo C Bulboacă
The health care system needs to face new and advanced medical technologies that can improve the patients' quality of life by replacing lost or decreased functions. In stroke patients, the disabilities that follow cerebral lesions may impair the mandatory daily activities of an independent life. These activities are dependent mostly on the patient's upper limb function so that they can carry out most of the common activities associated with a normal life. Therefore, an upper limb exoskeleton device for stroke patients can contribute a real improvement of quality of their life...
April 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/28342437/-the-dignity-of-the-vulnerable-is-priceless-what-you-can-do-biolaw-to-save-us-from-the-economistic-trap
#11
Claudio Sartea
This article proposes a reflection on the exclusion of particularly vulnerable human beings as a condition for the success of economistic culture and social organization. This fragility can depend on the body side as well as the social aspect: the effects of discrimination are identical. To react to a situation of injustice less and less tolerable, the biolaw touches -as in general the right, if it has a meaning and a specific function, and is not reduced to mere legitimization of the balance of forces or interest of the individuals or the groups better organized and represented- defend the fragility of all violence in the name of equality among human beings which depend on the universal condition of vulnerability, held in its positive aspects by philosophers such as MacIntyre and Nussbaum and many literary geniuses of all times...
January 2017: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/28331358/pain-behavior-mediates-the-relationship-between-perceived-injustice-and-opioid-prescription-for-chronic-pain-a-collaborative-health-outcomes-information-registry-study
#12
Junie S Carriere, Marc-Olivier Martel, Ming-Chih Kao, Michael Jl Sullivan, Beth D Darnall
BACKGROUND AND PURPOSE: Perceived injustice has been defined as an appraisal regarding the severity and irreparability of loss associated with pain, blame and a sense of unfairness. Recent findings have identified perceived injustice as an important risk factor for pain-related outcomes. Studies suggest that perceived injustice is associated with opioid prescription in patients with pain conditions. However, the mechanisms by which perceived injustice is linked to opioid prescription are not well understood...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28328697/the-fear-avoidance-components-scale-facs-responsiveness-to-functional-restoration-treatment-in-a-chronic-musculoskeletal-pain-disorder-cmpd-population
#13
Randy Neblett, Tom G Mayer, Mark J Williams, Sali Asih, Antonio I Cuesta-Vargas, Meredith M Hartzell, Robert J Gatchel
OBJECTIVES: To assess the clinical validity and factor structure of the Fear-Avoidance Components Scale (FACS), a new fear-avoidance (FA) measure. METHODS: In this study, 426 chronic musculoskeletal pain disorder (CMPD) patients were admitted to a functional restoration program (FRP). They were categorized into five FACS severity levels, from Subclinical to Extreme, at admission, and again at discharge. Associations with objective lifting performance and other patient-reported psychosocial measures were determined at admission and discharge, and objective work outcomes for this predominantly disabled cohort, were assessed one-year later...
March 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28320253/exploring-the-lived-experience-of-homelessness-from-an-occupational-perspective
#14
Miranda Jane Cunningham, Anita Slade
Working in homelessness is a growing area of practice for occupational therapists, however, there is limited literature on the lived experiences of homelessness and occupational engagement Study aim: To explore the lived experience of homeless men in relation to how they engaged in day-to-day occupations when sleeping rough or hostel dwelling Methods: Data were gathered from five men residing in a homeless hostel in the UK. Data collection included semi-structured interviews and photographic diaries. Data were analyzed using Interpretative Phenomenological Analysis Results: Participants described their experiences of occupational engagement whilst sleeping on the streets which included engaging in survival occupations, the significance of apparently ordinary occupations and moving beyond survival occupations...
March 21, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28303075/epistemic-injustice-and-illness
#15
Ian James Kidd, Havi Carel
This article analyses the phenomenon of epistemic injustice within contemporary healthcare. We begin by detailing the persistent complaints patients make about their testimonial frustration and hermeneutical marginalization, and the negative impact this has on their care. We offer an epistemic analysis of this problem using Miranda Fricker's account of epistemic injustice. We detail two types of epistemic injustice, testimonial and hermeneutical, and identify the negative stereotypes and structural features of modern healthcare practices that generate them...
February 2017: Journal of Applied Philosophy
https://www.readbyqxmd.com/read/28295980/mental-health-status-and-its-predictors-among-call-center-employees-a-cross-sectional-study
#16
Hyunjin Oh, Heyeon Park, Sunjoo Boo
In this study, we assessed the mental health of Korean call center employees and investigated the potential predictors of their mental health status. A cross-sectional study using self-completing questionnaire was conducted for employees working for a credit card call center. A total of 306 call center employees completed the Depression Anxiety Stress Scale, the Emotion Labor Scale, and the Korean Occupational Stress Scale. The results showed that more than half of the participants reported high levels of depression, anxiety, and stress...
March 15, 2017: Nursing & Health Sciences
https://www.readbyqxmd.com/read/28274244/where-is-students-research-in-evidence-informed-decision-making-in-health-assessing-productivity-and-use-of-postgraduate-students-research-in-low-and-middle-income-countries-a-systematic-review
#17
E A Obuku, J N Lavis, A Kinengyere, D K Mafigiri, F Sengooba, C Karamagi, N K Sewankambo
BACKGROUND: Investing in research that is not accessible or used is a waste of resources and an injustice to human subject participants. Post-graduate students' research in institutions of higher learning involves considerable time, effort and money, warranting evaluation of the return on investment. Although individual studies addressing research productivity of post-graduate students are available, a synthesis of these results in low-income settings has not been undertaken. Our first aim is to identify the types of approaches that increase productivity and those that increase the application of medical post-graduate students' research and to assess their effectiveness...
March 9, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28271845/syndemics-and-the-biosocial-conception-of-health
#18
REVIEW
Merrill Singer, Nicola Bulled, Bayla Ostrach, Emily Mendenhall
The syndemics model of health focuses on the biosocial complex, which consists of interacting, co-present, or sequential diseases and the social and environmental factors that promote and enhance the negative effects of disease interaction. This emergent approach to health conception and clinical practice reconfigures conventional historical understanding of diseases as distinct entities in nature, separate from other diseases and independent of the social contexts in which they are found. Rather, all of these factors tend to interact synergistically in various and consequential ways, having a substantial impact on the health of individuals and whole populations...
March 4, 2017: Lancet
https://www.readbyqxmd.com/read/28259213/movement-advocacy-personal-relationships-and-ending-health-care-disparities
#19
Marshall H Chin
Deep-rooted structural problems drive health care disparities. Compounding the difficulty of attaining health equity, solutions in clinics and hospitals require the cooperation of clinicians, administrators, patients, and the community. Recent protests over police brutality and racism on campuses across America have opened fresh wounds over how best to end racism, with lessons for achieving health equity. Movement advocacy, the mobilizing of the people to raise awareness of an injustice and to advocate for reform, can break down ingrained structural barriers and policies that impede health equity...
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28244891/maternal-mortality-and-injustice-a-closer-look
#20
Cheryl M Patton
The incidence of maternal mortality rates (MMRs) is grossly higher in developing countries than in wealthier regions. Multiple factors are involved in the MMR. Much of the attention to lower deaths was given to biomedical causes. However, socioeconomic, healthcare availability, and cultural issues often impede a woman's chance of healthy maternal outcomes. Most maternal deaths are preventable. This article discusses the injustices that occur as a result of global maternal health disparities, and highlights organizations that are working to end preventable maternal deaths...
February 27, 2017: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
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