scholarly journals Exploring Clinical Practice and Developing Clinician Self-Reflection Through Cross Self-Confrontation Methodology: An Application Within an Addiction Medicine Unit

2021 ◽  
Vol 8 ◽  
pp. 233339362110548
Author(s):  
Sophie Paroz ◽  
Jean-Bernard Daeppen ◽  
Martine Monnat ◽  
Michael Saraga ◽  
Francesco Panese

Use of the methodology of cross self-confrontation (CSC) is limited in the field of healthcare and in the context of clinical practice. We applied this methodology within an addiction medicine unit of a university hospital, as part of an exploration of addiction-related clinical difficulties. Cross self-confrontation was used according to a 3-phase design based on video recorded clinical interviews with pairs of nurses and medical doctors. The article reports and discusses the application of CSC in a specific clinical context and illustrates the methodological process through one result. Findings suggest two major strengths of CSC in the context of clinical practice research and education: (1) the capacity to elicit tacit knowledge from daily clinical practice and (2) the ability to enhance self-reflection by questioning professionals both individually and collectively. Further use of CSC in nursing surroundings and clinical settings should be encouraged.

2021 ◽  
Author(s):  
Sophie Paroz ◽  
Jean-Bernard Daeppen ◽  
Martine Monnat ◽  
Michael Saraga ◽  
Francesco Panese

<p>We experimented the methodology of cross self-confrontation (CSC) in a research aiming at exploring addiction-related clinical practice and related clinical difficulties. Our article presents the application of CSC in a specific clinical setting and illustrates through one example the method's capacity to bring out tacit knowledge from daily clinical practice. Encountered challenges and comments addressing the application of CSC to research and education in clinical settings are presented. </p>


2021 ◽  
Author(s):  
Sophie Paroz ◽  
Jean-Bernard Daeppen ◽  
Martine Monnat ◽  
Michael Saraga ◽  
Francesco Panese

<p>We experimented the methodology of cross self-confrontation (CSC) in a research aiming at exploring addiction-related clinical practice and related clinical difficulties. Our article presents the application of CSC in a specific clinical setting and illustrates through one example the method's capacity to bring out tacit knowledge from daily clinical practice. Encountered challenges and comments addressing the application of CSC to research and education in clinical settings are presented. </p>


2002 ◽  
Vol 41 (01) ◽  
pp. 51-54 ◽  
Author(s):  
J. van der Lei

Summary Objective: To discuss the possible contribution of electronic patient records in closing the loop among clinical practice, research and education. Results and conclusions: Applying Information and Communication Technology (ICT) to a given medical domain is not merely adding a new technique. When introduced into an environment, ICT will initially often emulate or resemble the already existing processes. When workers and researchers in that domain begin to appreciate the potential of ICT, this initial stage is followed by more fundamental changes in that domain that take advantage of the potential of ICT. To understand the scope of the potential changes enabled by electronic records, three principle changes need to be understood. First, data recorded in computer memories can be readily retrieved and re-used for a variety of purposes. Second, once data are available in computer memories, the data can be transported easily. Third, as physicians (and patients) are using computers to record medical data, the same electronic record can be used to introduce other computer programs that interact with the user. New usage of data, however, generates additional requirements. Thus the experience in developing decision support systems and analyzing observational databases feeds back into the requirements for electronic medical records.Each patient-physician encounter, each investigation, each laboratory test, and each treatment in medical practice constitutes, in principle, an experiment. Ideally, we learn from each experiment. Electronic medical records will facilitate research that relies on data recorded in routine medical practice. The potential and challenge, however, of Medical Informatics lies in its ability to close the loop among clinical practice, research, and education.


Author(s):  
Michael M. Miller

The language employed in managing coexisting pain and addiction affects the management itself. Clinicians working with such patients may not realize that the two disorders share a terminology that can be confusing, imprecise, overlapping and/or stigmatizing. This chapter has two components:1. A description of Pain Medicine as a specialized area of practice, research, and education, whose leaders try to clarify concepts and terminology to improve patient care, professional standards, and public policy.2. The language of Addiction Medicine; arguably, even more complex than that of pain medicine because of the emotions, stigma, and discrimination attached to substance use disorders labels.All physicians’ concern must be that the patient adheres to the treatment plan by using prescription medications in only safe and healthy ways. This requires counseling, and monitoring treatment adherence and the safety of prescriptions, even in the absence of a diagnosable substance use disorder.


Author(s):  
Hyun-Ju Kang ◽  
Hye Choe

Purpose: The purpose of this study was to explore nursing students' experiences with patient deaths during clinical practice. Methods: The participants were ten nursing students who had experienced patient deaths during clinical nursing practice at a university hospital in Korea. Individual in-depth interviews were conducted, and the data were analyzed using the content analysis method suggested by Graneheim and Lundman (2004). Results: The participants' experience was structured into six categories: experiencing various emotions in facing patient deaths, viewing oneself as a nursing student at the scene of a patient's death, thinking about death again, finding a pathway of understanding and support for patient death experiences, impressions and regret felt while actually observing terminal care, and picturing oneself as a future nurse dealing with a patient's death. Conclusion: Based on this study, stress management and self-reflection programs are suggested for nursing students who have experienced patient deaths. Practical nursing education for patient death and end of life care is also needed.


2021 ◽  
Vol 22 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Shin J. Liau ◽  
Samanta Lalic ◽  
Janet K. Sluggett ◽  
Matteo Cesari ◽  
Graziano Onder ◽  
...  

2018 ◽  
Vol 37 (1) ◽  
pp. 87-93 ◽  
Author(s):  
Wyona M. Freysteinson

The will is a word that nurses may use to describe their patients’ actions or inactions. This concept has been extensively addressed by religions, psychologists, and philosophers. Ricoeur offered a phenomenology of the will in which three overarching key concepts were uncovered: decision, action, and consent. In this article, Ricoeur’s elaborative and exhaustive description of these three concepts is summarized. Examples as to how a phenomenology of the will may guide nurses in their day-to-day clinical practice in caring are provided. In research, Ricoeur’s phenomenology of the will may be used as a heuristic to guide phenomenological studies. An introduction to the will may act as a bridge between the art and science of nursing, providing nursing students with a greater understanding of the meaning of and need to provide holistic care.


2021 ◽  
Vol 12 ◽  
Author(s):  
Edward S. Tobias ◽  
Elena Avram ◽  
Patricia Calapod ◽  
Christophe Cordier ◽  
Johan T. den Dunnen ◽  
...  

The European Society of Human Genetics (ESHG) was founded in 1967 as a professional organisation for members working in genetics in clinical practice, research and education. The Society seeks the integration of scientific research and its implementation into clinical practice and the education of specialists and the public in all areas of medical and human genetics. The Society works to do this through many approaches, including educational sessions at the annual conference; training courses in general and specialist areas of genetics; an online resource of educational materials (EuroGEMS); and a mentorship scheme. The ESHG Education Committee is implementing new approaches to expand the reach of its educational activities and portfolio. With changes in technology, appreciation of the utility of genomics in healthcare and the public’s and patients’ increased awareness of the role of genomics, this review will summarise how the ESHG is adapting to deliver innovative educational activity.


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