Commentary on Chaplain-Physician Interactions From the Chaplain’s Perspective: A Mixed Method Analysis

Author(s):  
Rev George Handzo ◽  
Rev Brian Hughes

Gomez and her colleagues have presented a helpful study of the relationship of the chaplains in her health system to physicians which highlights several barriers to a well-integrated relationship and thus to more optimal patient care. We have seen these same barriers as we have consulted with health systems nationally and have also identified many best practices that mediate or even eliminate many of these barriers. This commentary describes some of what we have seen as chaplain-generated causes of those barriers and effective strategies that have been employed to overcome them. We also provide some resources for chaplains who wish to institute some of these best practices themselves.

2016 ◽  
Vol 40 (4) ◽  
pp. 369-379 ◽  
Author(s):  
Jessé Rodrigo Fink ◽  
Alberto Vasconcellos Inda ◽  
Tales Tiecher ◽  
Vidal Barrón

ABSTRACT Continuous crop expansion has led to a growing demand for phosphate fertilizers. A sound knowledge of the dynamics of phosphorus, and its interaction with iron oxides and organic matter, can be useful to develop effective strategies for sustainable management, especially in a scenario of increasing shortage of mineral phosphate resources. In this paper, we review the relationship of phosphate to iron oxides and organic matter, and its effect on phosphorus availability. Crops typically obtain phosphate from weathered minerals and dissolved fertilizers. However, the amount of phosphorus present in the soil solution depends on the extent to which it is adsorbed or desorbed by iron oxides, which may be influenced by interactions with organic matter. Therefore, systems for fertilizer recomendation based on methodologies considering interactions between soil components such as oxides and organic matter, and the phosphorus sorption capacity resulting from such interactions (e.g. residual P analysis), may be more reliable to ensure efficient, rational use of phosphate.


2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 47-47 ◽  
Author(s):  
Mary Isaacson ◽  
Polly Hulme ◽  
Jenna Cowan ◽  
Jennifer Kerkvliet ◽  
Mary Minton ◽  
...  

47 Background: Annually, South Dakota (SD) averages nearly 4,000 new cancer cases with over 40,000 cancer survivors residing in the state. While the cancer incidence and survivorship rates in SD may be similar to the rest of the nation, SD’s unique geographic and demographic landscape offers challenges in cancer survivorship care. The purpose of this presentation is to illustrate the development and implementation of cancer survivorship care plans (SCP) at three health systems in the rural state of SD. Each of these health systems is unique in its history, culture, and infrastructure. Collectively, they serve most cancer patients living in SD. Methods: An observational qualitative design was used. Key players at each health system were interviewed using a structured interview. The interviews were audio-recorded and transcribed. The authors synthesized the transcriptions with member-checking completed for each system. Results: Processes for development and implementation of SCPs similar across health systems were (a) gathering a leadership team or making a designated staff role for survivorship care, (b) developing a SCP template(s), (c) provider/staff in-put and endorsement, and (d) tracking and identifying patients for scheduling and receipt. On the other hand, the health systems approached SCP completion and delivery differently. For example, at one health system multiple individuals from the patient’s care team were responsible for SCP population and completion. Effective strategies across health systems comprised incorporating prior SCP work, open communication, and standardization of SCPs with flexibility in implementation. Challenges included incompatibilities of electronic health record platforms for automatic SCP template population and adequate staffing for the complexities of enacting SCPs. Key findings suggest a process framework is beneficial for the development and implementation of SCPs. Conclusions: As health systems consider developing and implementing SCPs, consideration of the following recommendations for a process framework may be helpful: building a foundation, gathering resources, reviewing the evidence, eliciting input, and implementing in stages.


Author(s):  
Kitty Klein

In previous research (Baradell & Klein, 1993; Klein & Barnes, 1994) self-focused attention has moderated the relationship of life stress and verbal problem solving. Stressed individuals highly aware of internal bodily changes made the most errors and used the least effective strategies. How life stress affects information processing on such tasks has not been investigated. In theories (e. g. Humphreys & Revelle, 1984; Eysenck, 1992) that relate personality variables to cognitive processes, off-task thinking is presumed to mediate the relationship between individual differences and performance. In the present study, 35 students who varied in life stress and self-focus solved complex verbal analogies. The results indicated that high levels of stress and self-focus were related to off-task thinking and that off-task thinking was negatively related to performance. However, regression analyses did not support a mediating role for off-task thinking. Rather, off-task thinking may result from poor performance, rather than vice-versa as is assumed in current models.


2010 ◽  
Vol 25 (6) ◽  
pp. 742-754 ◽  
Author(s):  
Benjamin D. Freer ◽  
Adrienne Whitt-Woosley ◽  
Ginny Sprang

The current study examines trauma narratives from 28 survivors of interpersonal violence. A mixed-method approach assessed coherence and explored narrative characteristics among differentially exposed groups. The quantitative analysis revealed: (1) exposure to repetitive interpersonal violence was described with greater perception of severity and emotional tone than single interpersonal violence episodes, and (2) exposure to interpersonal violence in childhood was described with greater emotional tone than exposure to interpersonal violence in adulthood. The qualitative analysis revealed: (1) traumatic events were connected to proceeding adverse experiences, (2) attempted avoidance of memories of the violence, (3) an altered view of the self, and (4) lacked recognition that the violence was abnormal. The study supports the “dose-response relationship” of trauma exposure, and the life-altering, transformative nature of trauma exposure.


2010 ◽  
Vol 44 (3) ◽  
pp. 451-465
Author(s):  
Sheryl MacMath ◽  
John Wallace ◽  
Xiaohong Chi

Abstract Curriculum integration, focusing on multidisciplinary tasks/projects relevant to the real-world, lends itself to authentic assessment practices. However, attempting to incorporate assessment of, for, and as learning can be challenging. Using data from two mixed method case studies (n=52, n=27) which tracked middle school student learning throughout separate integrated units, we analyzed the types of assessments used by teachers and the relationship of assessment to student learning. Results and implications for teacher practice are explored.


2020 ◽  
Vol 7 (7) ◽  
pp. 17-25
Author(s):  
Nur Rachmat ◽  
Lusinta Agustina

Purpose: The purpose of this study is to analyze the implementation of teamwork in the application of Interprofessional Education so that and to identify the supporting factors and inhibiting factors. Method: This research methodology using the mixed method. The participants of this study were 200 students consisting of 2 majors namely midwifery and herbal majors at the Polytechnic of the Ministry of Health Surakarta. Participants are taken from students who have entered semester 3 in each study program. This research was conducted during February to August 2019. The specification of this research is descriptive analysis which aims to make a description of the facts, the characteristics and the relationship of the phenomenon. Data was collected through observation and interviews and then analyzed using thematic analysis. Results: team work in the midwifery department was quite good at 40.8%, and the herbal medicine department was quite good at 46.2%. Each department meets indicators of successful Interprofessional Education, which is able to resolve conflicts within the team openly. Conclusion: Team collaboration in the implementation of Interprofessional Education has been going well, the supporting factor to give the highest contribution is open conflict, The factor which is the highest obstacle is the factor of disagreement regarding the allocation of resources within the team.


2016 ◽  
Vol 9 (1) ◽  
pp. 143-152
Author(s):  
Vidar Halldorsson

Coaches play a multifunctional key role in high-performance team sports. One of the coaches’ responsibilities, in some sports, is to use team timeouts effectively. The sport science literature has however only given limited attention to the use of timeouts – this is especially the case in handball. This is somewhat surprising since timeouts can be used as a strategic intervention in the dynamic interplay on the field. This study examines why coaches’ use team timeouts in handball and the efficiency of those timeouts. The study is built on a mixed method analysis; a) on interviews with six experienced handball coaches and; b) statistical analysis on all team timeouts during the 2014 Men´s European Handball Championship. The former method was used to establish hypotheses of why coaches use timeouts and the latter to test those hypotheses statistically. The findings from the interviews suggest that there are several reasons why coaches use timeouts in handball, most importantly to stop a negative flow in the game. Other reasons where to emphasize or change play strategy, to rest players, to slow the game down or to try to secure a goal. The statistical findings show support to the coaches’ criteria of when they use timeouts. The results further showed that timeouts are efficient in stopping a negative flow in the game, but failed to show a significant relationship of the timeout leading to a goal in the following attack. Further research is needed to address various questions that arise from this study.


Author(s):  
Brielle C. Stark ◽  
Sharice Clough ◽  
Melissa Duff

Purpose When we speak, we gesture, and indeed, persons with aphasia gesture more frequently. The reason(s) for this is still being investigated, spurring an increase in the number of studies of gesture in persons with aphasia. As the number of studies increases, so too does the need for a shared set of best practices for gesture research in aphasia. After briefly reviewing the importance and use of gesture in persons with aphasia, this viewpoint puts forth methodological and design considerations when evaluating gesture in persons with aphasia. Method & Results We explore several different design and methodological considerations for gesture research specific to persons with aphasia, such as video angle specifications, data collection techniques, and analysis considerations. The goal of these suggestions is to develop transparent and reproducible methods for evaluating gesture in aphasia to build a solid foundation for continued work in this area. Conclusions We have proposed that it is critical to evaluate multimodal communication in a methodologically robust way to facilitate increased knowledge about the relationship of gesture to spoken language, cognition, and to other aspects of living with aphasia and recovery from aphasia. We conclude by postulating future directions for gesture research in aphasia.


Author(s):  
Uzma Zaidi ◽  
Lena F. Hammad ◽  
Salwa S. Awad ◽  
Safaa M. A. Elkholi ◽  
Hind D. Qasem

Work context is essential to understand in relation to handle the stress at work that ultimately creates a feeling of satisfaction or dissatisfaction among health professionals. The current study was conducted to investigate the relationship of work context and work stress among sonographers (n=153) in Riyadh, Saudi Arabia. Additionally, the study provided a gender-based comparison of both variables among sonographers. Work context was measured by administering subscale of work context derived from Work Design Questionnaire. Whereas, work stress was measured by Job Stress Scale. In addition, relationship of lifestyle was explored with work context and work stress. Data was collected through survey research forms. Results revealed the significant relationship of work context and work stress (r=.251, p=.002). Among lifestyle variables, perceived good health (r= .214, p=.008) and sleep (r=.242. p=.003) were found positively related with satisfaction toward work. Whereas, the strong positive correlation was found between work context and frequency of physical activity (r=.255, p=.005). No significant difference was found among male and female sonographers. The findings of this study contributed to evaluating the working condition of sonographers in relation to work stress. Effective strategies for better working settings as well as strategies for achieving satisfaction in work will be discussed to enhance the performance of sonographers.


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