A Scoping Review of Ethical Considerations in Spiritual/Religious Counseling and Psychotherapy

2019 ◽  
Vol 73 (2) ◽  
pp. 124-133 ◽  
Author(s):  
Sally I. Maximo
Keyword(s):  
Scoping Review ◽  
Cultural Sensitivity ◽  
Self Determination ◽  
Ethical Practice ◽  
Ethical Considerations ◽  
Moral Principles ◽  
Competency Based ◽  
Recommended Guidelines ◽  
Religious Counseling

Four overarching themes from this scoping review were identified, namely: (a) clients’ right for autonomy and self-determination; (b) cultural sensitivity; (c) practitioner competency issues; and (d) recommended guidelines for ethical practice. These themes were aligned with the moral principles that guide professional ethical practice. A competency-based model was designed based on findings to enhance counselor/clinician competencies by enhancing sensitivity to spiritual and religious sentiments, which allows greater responsiveness to the clients’ needs, values and preferences.

Mind the Gap: a Competency-Based Scoping Review of Aesthetic and Reconstructive Reported Simulation Training Models

2021 ◽  
Author(s):  
Rodrigo Tejos ◽  
Juan Enrique Berner ◽  
Felipe Imigo ◽  
Nicolás Besser ◽  
Andrea Ramírez ◽  
...  
Keyword(s):  
Scoping Review ◽  
Simulation Training ◽  
Training Models ◽  
Competency Based

Understanding sexual and reproductive health needs of immigrant adolescents in Canada: A scoping review

2021 ◽  
pp. e20210006
Author(s):  
Samantha Louie-Poon ◽  
Mehnaz Rehmani ◽  
Megan Kennedy ◽  
Shannon Scott ◽  
Bukola Salami ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Scoping Review ◽  
Cultural Sensitivity ◽  
Information Needs ◽  
Sexual And Reproductive Health ◽  
Careful Consideration ◽  
Future Research ◽  
Immigrant Adolescents ◽  
School Based ◽  
Strength Based

Despite the large number of immigrant adolescents in Canada, research on their knowledge of sexual and reproductive health and rights (SRHR) and information needs is nearly nonexistent. A scoping review was undertaken following the PRISMA-ScR statement to identify and assess the existing literature regarding SRHR needs of immigrant adolescents in Canada. Of the 1514 articles retrieved from our search strategy, 15 studies met our inclusion criteria. The results from our review identifies three unique themes related to immigrant adolescents’ SRHR needs: knowledge needs, access to SRHR education and services, and approaches to SRHR education and services. Immigrant adolescents’ knowledge needs includes needs on HIV/STI transmission and protection, unintended pregnancy, sexual activity, family planning, pubertal education, navigating the health care system, and confidentiality legislations. Our results revealed that immigrant adolescents’ access SRHR education and services through both school-based and community-based settings. Lastly, approaches to SRHR education and services for immigrant adolescents should include cultural sensitivity, an intersectional approach, interactive learning, a strength-based approach, and reassuring confidentiality rights. The multi-faceted SRHR needs of immigrant adolescents in Canada demonstrates that future research, program development, and policymaking requires careful consideration of these intersecting forces. Inclusive SRHR education and services can be achieved through the employment of a critical cultural approach and intersectional strategies.

scholarly journals Preparing for the Trend of Aging in Place: Identifying Interprofessional Competencies for Integrated Care Professionals

2021 ◽  
Vol 23 (3) ◽  
pp. 273-284
Author(s):  
Eun Jeong Choi ◽  
Myonghwa Park
Keyword(s):  
Scoping Review ◽  
Community Care ◽  
Service Providers ◽  
Core Competencies ◽  
Methodological Approach ◽  
Cochrane Library ◽  
Job Descriptions ◽  
Draft Version ◽  
Competency Based ◽  
Interprofessional Competencies

Purpose: The purpose of this study was to identify interprofessional competencies for the integrated community care of older people.Methods: This study used a methodological approach, and the specific process aimed to identify the components of interprofessional competencies for integrated community care using a scoping review and validating the identified competencies with the Delphi method. The scoping review first identified relevant studies through the following electronic databases: PubMed, CINAHL, Embase, and the Cochrane Library. We then selected studies that met the inclusion criteria and analyzed their results to identify a draft version of the competencies. Expert panels validated the list of competencies through two rounds of the Delphi survey.Results: The two rounds of the Delphi survey revealed consensus. Finally, we developed an interprofessional competency for integrated community care comprising 19 interprofessional core competencies, 20 integrated core care competencies for community care administrators, 13 integrated core care competencies for care coordinators, 13 integrated core care competencies for local service providers, and 12 integrated core care competencies for community health leaders.Conclusion: This study can help inform job descriptions, evaluate the relevant professionals’ performance, and develop a competency-based curriculum for better practice.

scholarly journals Co-creating Positive Working Environments: a meta mediation perspective

2015 ◽  
Vol 2 (2) ◽  
pp. 298-307
Keyword(s):  
Conflict Management ◽  
Organizational Performance ◽  
Work Environment ◽  
Working Environment ◽  
Self Determination ◽  
Management Systems ◽  
Working Relationships ◽  
Ethical Considerations ◽  
Working Environments

This article is a practitioner reflection on taking a meta mediation perspective on working with two organizations in co-creating a positive and constructive working environment. This perspective is grounded in the theoretical framework of strategic conflict management systems. The approach taken is to consider a specific process for engaging with organizations by looking at the two case study organizations – one small and growing, the other medium-sized and resource-constrained. The reflection first considers the antecedents for both organizations in engaging in this way. It then sets out the process for whole organization engagement through dialogue. The outcomes for each organization are then shared. The conclusion reached is that both organizations benefited from the engagement in terms of improvements in work environment, working relationships, conflict competence and organizational performance. Some of the ethical considerations for mediators working with organizations in this way are reflected on including neutrality and impartiality, confidentiality and self determination.

Family Role in the Development of Self-Determination for Youth With Intellectual and Developmental Disabilities: A Scoping Review

2021 ◽  
Vol 59 (4) ◽  
pp. 315-334
Author(s):  
Evan E. Dean ◽  
Anne V. Kirby ◽  
Mayumi Hagiwara ◽  
Karrie A. Shogren ◽  
Deniz Tekin Ersan ◽  
...  
Keyword(s):  
Developmental Disabilities ◽  
Scoping Review ◽  
Self Determination ◽  
Future Research ◽  
Knowledge Gap ◽  
Intellectual And Developmental Disabilities ◽  
Family Role ◽  
Research And Practice ◽  
Family Perspectives ◽  
Home Context

Abstract The development of self-determination is promoted by supportive contexts during adolescence; families are a key part of this context. In adolescent populations, research suggests families can support self-determination in a number of ways, yet less is known about how self-determination is promoted within families of youth with intellectual and developmental disabilities (IDD). To address this knowledge gap, we conducted a scoping review to examine the existing evidence pertaining to the role families of youth with IDD play in supporting the development of self-determination. A review of 24 publications revealed that existing research has focused on understanding family perspectives on self-determination, but there is a lack of studies investigating how families provide supports for self-determination in the home context for youth with IDD. Additionally, little intervention work has focused on supporting families to promote self-determination. Based on the findings, implications for future research and practice are provided.

The Use of Palliative Sedation to Treat Existential Suffering: A Scoping Review on Practices, Ethical Considerations, and Guidelines

2019 ◽  
Vol 35 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Allysa L. Ciancio ◽  
Raza M. Mirza ◽  
Amy A. Ciancio ◽  
Christopher A. Klinger
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Research Policy ◽  
Grey Literature ◽  
Palliative Sedation ◽  
Ethical Considerations ◽  
Policy And Practice ◽  
Refractory Symptoms ◽  
Existential Suffering ◽  
The Impact

Context: Though palliative sedation has been recognized as an acceptable practice in Canada for many years now, there is a lack of clinical research and guidelines pertaining to its use as a treatment of existential refractory symptoms in the terminally ill. Objectives: This scoping review aimed to survey the literature surrounding palliative sedation and existential suffering and to inform research, policy, and practice. Methods: To address the main research question: Is palliative sedation an acceptable intervention to treat existential refractory symptoms in adults aged 65 and older? a scoping review following Arksey and O’Malley’s framework was performed, spanning electronic databases of the peer reviewed and grey literature. Articles were screened for inclusion, and a thematic content analysis allowed for a summary of key findings. Results: Out of 427 search results, 71 full text articles were obtained, 20 of which were included. Out of these articles, four themes were identified as key findings. These included: (1) Ethical considerations; (2) The role of the health care provider; looking specifically at the impact on nurses; (3) The need for multidisciplinary care teams; and (4) Existential suffering’s connection to religiosity and spirituality. Conclusion: Palliative sedation to treat existential refractory symptoms was labelled a controversial practice. A shortage of evidence-based resources limits the current literature’s ability to inform policy and clinical practice. There is a need for both qualitative and quantitative multi-center research so health care professionals and regional-level institutions have firm roots to establish proper policy and practice.

scholarly journals Interprofessional communication (IPC) for medical students: a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Chermaine Bok ◽  
Cheng Han Ng ◽  
Jeffery Wei Heng Koh ◽  
Zhi Hao Ong ◽  
Haziratul Zakirah Binte Ghazali ◽  
...  
Keyword(s):  
Content Analysis ◽  
Medical Students ◽  
Scoping Review ◽  
Full Text ◽  
Healthcare Professionals ◽  
Medical Schools ◽  
Training Process ◽  
Interprofessional Communication ◽  
Competency Based ◽  
Evidenced Based

Abstract Background Effective Interprofessional Communication (IPC) between healthcare professionals enhances teamwork and improves patient care. Yet IPC training remains poorly structured in medical schools. To address this gap, a scoping review is proposed to study current IPC training approaches in medical schools. Methods Krishna’s Systematic Evidence Based Approach (SEBA) was used to guide a scoping review of IPC training for medical students published between 1 January 2000 to 31 December 2018 in PubMed, ScienceDirect, JSTOR, Google Scholar, ERIC, Embase, Scopus and PsycINFO. The data accrued was independently analysed using thematic and content analysis to enhance the reproducibility and transparency of this SEBA guided review. Results 17,809 titles and abstracts were found, 250 full-text articles were reviewed and 73 full text articles were included. Directed Content analysis revealed 4 categories corresponding to the levels of the Miller’s Pyramid whilst thematic analysis revealed 5 themes including the indications, stages of trainings and evaluations, content, challenges and outcomes of IPC training. Many longitudinal programs were designed around the levels of Miller’s Pyramid. Conclusion IPC training is a stage-wise, competency-based learning process that pivots on a learner-centric spiralled curriculum. Progress from one stage to the next requires attainment of the particular competencies within each stage of the training process. Whilst further studies into the dynamics of IPC interactions, assessment methods and structuring of these programs are required, we forward an evidenced based framework to guide design of future IPC programs.

Ethical Considerations in Cross-Linguistic Nursing

2009 ◽  
Vol 16 (6) ◽  
pp. 813-826 ◽  
Author(s):  
Franco A Carnevale ◽  
Bilkis Vissandjée ◽  
Amy Nyland ◽  
Ariane Vinet-Bonin
Keyword(s):  
Empirical Evidence ◽  
Nursing Care ◽  
Codes Of Ethics ◽  
Self Determination ◽  
Patient Privacy ◽  
Ethical Considerations ◽  
International Council ◽  
Linguistic Barriers ◽  
Ethical Norms ◽  
Privacy And Confidentiality

This article reviews empirical evidence and ethical norms in cross-linguistic nursing. Empirical evidence highlights that linguistic barriers between nurses and patients can perpetuate discrimination and compromise nursing care. There are significant organizational and relational challenges involved in ensuring adequate use of interpreters by nurses. Some evidence suggests that linguistic barriers are particularly problematic for nurses when compared with physicians. A comparative analysis of nursing ethical norms for cross-linguistic nursing was conducted using the codes of ethics of the American Nurses Association, the Canadian Nurses Association, and the International Council of Nurses. Five principal ethical norms for cross-linguistic nursing were identified: (1) respect for the patient as a unique person; (2) respect for the patient’s right to self-determination; (3) respect for patient privacy and confidentiality; (4) responsibility for one’s own competence, judgment, and action; and (5) responsibility to promote action better to meet the needs of patients, families, and groups.

Validation of a Brazilian version of the moral sensitivity questionnaire

2017 ◽  
Vol 26 (3) ◽  
pp. 823-832 ◽  
Author(s):  
Carlise R Dalla Nora ◽  
Elma LCP Zoboli ◽  
Margarida M Vieira
Keyword(s):  
Reliability And Validity ◽  
Ethical Practice ◽  
Moral Sensitivity ◽  
Ethical Considerations ◽  
Cronbach’S Alpha ◽  
Four Dimensions ◽  
Cronbach's Alpha ◽  
Interpersonal Orientation ◽  
Brazilian Version ◽  
The University

Background: Moral sensitivity has been identified as a foundational component of ethical action. Diminished or absent moral sensitivity can result in deficient care. In this context, assessing moral sensitivity is imperative for designing interventions to facilitate ethical practice and ensure that nurses make appropriate decisions. Objective: The main purpose of this study was to validate a scale for examining the moral sensitivity of Brazilian nurses. Research design: A pre-existing scale, the Moral Sensitivity Questionnaire, which was developed by Lützén, was used after the deletion of three items. The reliability and validity of the scale were examined using Cronbach’s alpha and factor analysis, respectively. Participants and research context: Overall, 316 nurses from Rio Grande do Sul, Brazil, participated in the study. Ethical considerations: This study was approved by the Ethics Committee of Research of the Nursing School of the University of São Paulo. Findings: The Moral Sensitivity Questionnaire contained 27 items that were distributed across four dimensions: interpersonal orientation, professional knowledge, moral conflict and moral meaning. The questionnaire accounted for 55.8% of the total variance, with Cronbach’s alpha of 0.82. The mean score for moral sensitivity was 4.45 (out of 7). Discussion and conclusion: The results of this study were compared with studies from other countries to examine the structure and implications of the moral sensitivity of nurses in Brazil. The Moral Sensitivity Questionnaire is an appropriate tool for examining the moral sensitivity of Brazilian nurses.

Prolonged chemotherapy in advanced urinary cancer: Ethical considerations

1996 ◽  
Vol 63 (3) ◽  
pp. 295-298
Author(s):  
A. Spasari ◽  
A. Scalfari ◽  
F. Falvo ◽  
D. Pirritano ◽  
G.A. Ventrice ◽  
...  
Keyword(s):  
Ethical Considerations ◽  
Moral Principles ◽  
Will To Live ◽  
The Will

The authors report their experience with 10 patients subjected to chemotherapy for urinary cancer. The decision to prolong therapy sprang from the persistent efficacy of the same and the will to live of the actual patients, while respecting the classical moral principles of bioethics.

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