Deliver Us from Certainty: Training for Narrative Ethics

2016 ◽  
Author(s):  
Craig Irvine ◽  
Rita Charon
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Virtue Ethics ◽  
Narrative Medicine ◽  
The United States ◽  
Narrative Ethics ◽  
Close Reading ◽  
Clinical Settings ◽  
Rule Based ◽  
Ethics Of Reading

This chapter summarizes the application of philosophical thought in healthcare with the rise of bioethics in the United States. The dominant approach, a rule-based principlism, is described, with a summary of challenges to principlism including casuistry, virtue ethics, and narrative ethics. Narratologists examine the ethical relationships between readers and texts, while clinicians and bioethicists practice narrative ethics through a “ground-up” attention to each patient’s particular needs and desires. Revealing the commonalities between the ethics of reading and the ethics of clinical practice, the chapter proposes the fruitfulness of putting them side by side. Training in narrative medicine may be the optimal training for those who practice narrative ethics in clinical settings, for the major tools of narrative ethics are those fortified by close reading, use of the imagination, radical humility, and the capacity to represent situations so as to fully perceive them.

Hiring Practices of Exercise Physiologist in Cardiac Rehabilitation Programs among Mid-Atlantic States in the United States

2016 ◽  
Vol 5 (3) ◽  
pp. 32-36 ◽  
Author(s):  
Allison Hope Bowersock ◽  
William Alexander Breeding ◽  
Carmel Alexander Sheppard
Keyword(s):  
United States ◽  
Patient Education ◽  
Cardiac Rehabilitation ◽  
Science Curriculum ◽  
Exercise Physiology ◽  
Clinical Skill ◽  
The United States ◽  
Hiring Practices ◽  
Clinical Settings ◽  
Rehabilitation Programs

Purpose: The purpose of this survey was to identify factors that may be influencing the appreciation of exercise physiology as a discipline as demonstrated by hiring practices in regional clinical settings. Methods: A telephone survey was administered to 33 cardiac rehabilitation programs in 5 states in the Mid-Atlantic region of the United States (Kentucky, North Carolina, Tennessee, Virginia, and West Virginia). Results: The distribution of nurses and exercise physiologists (EPs) employed by the 33 facilities varied by state, but overall there were 86 nurses and 55 EPs working among the surveyed facilities. Of the 33 surveyed facilities, 12 (36%) reported a preference for hiring nurses over EPs; only 4 (12%) reported a preference for hiring EPs over nurses. The remaining facilities (n = 17; 52%) reported no preference (n = 12; 36%) or that the decision depends on a variety of factors (n = 5; 15%). Several common themes were identified from respondents. These included that, compared to nurses, EPs have greater expertise in exercise prescription and better understanding of safe exercise progression for patients. However, nurses were believed to possess greater assessment and clinical skill with an emphasis on emergency response preparedness and greater general patient education skills. Conclusion: Academic programs that prepare students for careers as EPs employed in clinical settings may benefit from additional coursework and internship site selection that focus on clinical assessment skills, emergency preparedness, and patient education to reinforce their work in an exercise science curriculum.

The CRIT Study: Anemia and blood transfusion in the critically ill—Current clinical practice in the United States*

2004 ◽  
Vol 32 (1) ◽  
pp. 39-52 ◽  
Author(s):  
Howard L. Corwin ◽  
Andrew Gettinger ◽  
Ronald G. Pearl ◽  
Mitchell P. Fink ◽  
Mitchell M. Levy ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Blood Transfusion ◽  
Critically Ill ◽  
The United States ◽  
Current Clinical Practice

scholarly journals Evaluation of United States chiropractic professional subgroups: a survey of randomly sampled chiropractors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jordan A. Gliedt ◽  
Stephen M. Perle ◽  
Aaron A. Puhl ◽  
Sarah Daehler ◽  
Michael J. Schneider ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Healthcare System ◽  
Large Scale ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Chiropractic Profession ◽  
Practice Characteristic ◽  
And Behaviors

Abstract Background Professional subgroups are common and may play a role in aiding professional maturity or impeding professional legitimization. The chiropractic profession in the United States has a long history of diverse intra-professional subgroups with varying ideologies and practice styles. To our knowledge, large-scale quantification of chiropractic professional subgroups in the United States has not been conducted. The purpose of this study was to quantify and describe the clinical practice beliefs and behaviors associated with United States chiropractic subgroups. Methods A 10% random sample of United States licensed chiropractors (n = 8975) was selected from all 50 state regulatory board lists and invited to participate in a survey. The survey consisted of a 7-item questionnaire; 6 items were associated with chiropractic ideological and practice characteristics and 1 item was related to the self-identified role of chiropractic in the healthcare system which was utilized as the dependent variable to identify chiropractic subgroups. Multinomial logistic regression with predictive margins was used to analyze which responses to the 6 ideology and practice characteristic items were predictive of chiropractic subgroups. Results A total of 3538 responses were collected (39.4% response rate). Respondents self-identified into three distinct subgroups based on the perceived role of the chiropractic profession in the greater healthcare system: 56.8% were spine/neuromusculoskeletal focused; 22.0% were primary care focused; and 21.2% were vertebral subluxation focused. Patterns of responses to the 6 ideologies and practice characteristic items were substantially different across the three professional subgroups. Conclusions Respondents self-identified into one of three distinct intra-professional subgroups. These subgroups can be differentiated along themes related to clinical practice beliefs and behaviors.

Knowing Your Place

2018 ◽  
Author(s):  
Himanee Gupta-Carlson
Keyword(s):  
United States ◽  
Discourse Analysis ◽  
South Asian ◽  
Asian Americans ◽  
The United States ◽  
Close Reading ◽  
Religious Discrimination ◽  
Daily Lives ◽  
South Asian Americans ◽  
Auto Ethnography

This chapter discusses Hindu nationalism and its outreach to Indians living outside of India, particularly the United States. It describes how the movement has impacted the daily lives of Indian Americans in Muncie, Indiana, through a close reading and discourse analysis of conversations with Indian and other South Asian residents of Muncie. The author uses auto-ethnography to situate the analysis within the context of her experiences and argues that the manner in which South Asian Americans in Muncie of differing religious backgrounds might offer a template for challenging religious discrimination.

Tele-Audiology in the United States

2011 ◽  
pp. 693-702
Author(s):  
John Ribera
Keyword(s):  
United States ◽  
Clinical Practice ◽  
The United States ◽  
Daily Clinical Practice ◽  
Stages Of Development ◽  
Early Stages ◽  
Initial Research ◽  
Management Services

The incorporation of telehealth into the daily clinical practice of audiologists in the United States is in its early stages of development. Some initial research has been conducted in order to validate the use of telehealth technologies in providing hearing and balance evaluation and management services (Krumm, Huffman, Dick, & Klich, 2008; Krumm, Ribera, & Klich, 2007;Krumm, Ribera, & Schmiedge, 2005; Lancaster, Krumm, & Ribera, 2008). More research is needed. This chapter suggests possible applications using existing technology and explores the possibility of virtual audiology clinics nation-wide and internationally.

Introduction

2021 ◽  
pp. 1-24
Author(s):  
Sarah E. Fredericks
Keyword(s):  
Climate Change ◽  
Social Psychology ◽  
United States ◽  
Virtue Ethics ◽  
Environmental Degradation ◽  
The United States ◽  
Religious Studies ◽  
Moral Emotions ◽  
Moral Experience ◽  
Developed World

A vignette about environmentalist Colin Beavan’s experience of and reflection on environmental guilt and shame introduces the texture of these moral emotions experienced by many everyday environmentalists and sets the stage for the ensuing analysis. Taking this moral experience seriously reveals underexplored motivations and hindrances to environmental action, guilt, and shame. Reflection on these moral emotions challenges many modern ethical assumptions and forms the basis of the three main ethical arguments of the book: that collectives as well as individuals have guilt, shame, and responsibility; that some individuals and collectives should feel guilt and shame for environmental degradation including climate change; and that, given the consequences of guilt and shame, they should not be intentionally induced unless a number of conditions, which can be fostered through rituals, are met. These conditions are also necessary to respond to unintentionally elicited guilt and shame. To set the stage for these theoretical and practical arguments, the Introduction names the ethical values which influence the text and the disciplinary resources from social psychology; ethical pragmatism; virtue ethics; and religious studies, especially ritual theory, used in the project. It also delineates the scope of the book as the Western developed world, particularly the United States, and environmental guilt and shame, of which climate change is the main example.

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