scholarly journals The Role of Reflection in Narrative Medicine

2018 ◽  
Vol 5 ◽  
pp. 238212051878530 ◽  
Author(s):  
John W Murphy ◽  
Berkeley A Franz ◽  
Christian Schlaerth
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Patient Care ◽  
Potential Role ◽  
Patient Empowerment ◽  
Narrative Medicine ◽  
Medical Encounter ◽  
Medical Practitioners ◽  
Vital Part

Reflection has become an important tool for physicians and other medical practitioners. However, many forms of reflection exist in the health care literature, with each having particular implications for successful clinical practice. Very little attention has been given to whether reflection is a vital part of narrative medicine and which forms of reflection might be compatible with this approach to patient care. In this article, the most common types of reflection are compared and discussed, specifically regarding their potential role in narrative medicine. Reflection that encourages practitioners to focus on the various perspectives shared within a medical encounter is both in line with the tenets of narrative medicine and has important consequences for patient empowerment.

Mortality Amenable to Health Care in Latin American Cities: Examining Between-Country Variation in Amenable Mortality and the Potential Role of Urban Metrics

2020 ◽  
Author(s):  
Pricila Mullachery ◽  
Daniel A. Rodriguez ◽  
J. Jaime Miranda ◽  
Nancy Lopez-Olmedo ◽  
Kevin Martinez-Folgar ◽  
...  
Keyword(s):  
Health Care ◽  
Latin American ◽  
Potential Role ◽  
Amenable Mortality ◽  
Urban Metrics ◽  
American Cities

Considering Spirituality in Occupational Therapy Practice

1994 ◽  
Vol 61 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Mary Egan ◽  
M. Denise Delaat
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Occupational Performance ◽  
Exact Role ◽  
Therapy Guidelines

Despite its prominent place in the Occupational Therapy Guidelines for client-centred practice, the exact role of spirituality in clinical practice has been difficult to delineate. In this paper current concepts of spirituality are outlined and ways in which these concepts have been applied in health care are described. To illustrate these spiritual concepts, the experiences of individuals whom the authors have met in their clinical practice are outlined in a series of vignettes. Finally, a revision of the model of occupational performance which enhances consideration of spirituality in occupational therapy practice is proposed, and some guidelines for occupational therapists wishing to incorporate spiritual concerns in therapy are suggested.

scholarly journals Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study

2017 ◽  
Vol 105 (4) ◽  
Author(s):  
Kathel Dunn ◽  
Joanne Gard Marshall ◽  
Amber L. Wells ◽  
Joyce E. B. Backus
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Patient Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Information Resources ◽  
Information Resource ◽  
Care Providers ◽  
Other Information

Objective: This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care.Methods: A previous study on the use of health information resources for patient care obtained 16,122 responses from health care providers in 56 hospitals about how providers make decisions affecting patient care and the role of information resources in that process. Respondents indicated resources used in answering a specific clinical question from a list of 19 possible resources, including MEDLINE. Study data were examined using descriptive statistics and regression analysis to determine the number of information resources used and how they were used in combination with one another.Results: Health care professionals used 3.5 resources, on average, to aid in patient care. The 2 most frequently used resources were journals (print and online) and the MEDLINE database. Using a higher number of information resources was significantly associated with a higher probability of making changes to patient care and avoiding adverse events. MEDLINE was the most likely to be among consulted resources compared to any other information resource other than journals.Conclusions: MEDLINE is a critical clinical care tool that health care professionals use to avoid adverse events, make changes to patient care, and answer clinical questions.

scholarly journals Individual Expectation: An Overlooked, but Pertinent, Factor in the Treatment of Individuals Experiencing Musculoskeletal Pain

2010 ◽  
Vol 90 (9) ◽  
pp. 1345-1355 ◽  
Author(s):  
Joel E. Bialosky ◽  
Mark D. Bishop ◽  
Joshua A. Cleland
Keyword(s):  
Clinical Practice ◽  
Clinical Outcomes ◽  
Musculoskeletal Pain ◽  
Current Literature ◽  
Potential Role ◽  
Physical Therapists ◽  
Clinical Perspective ◽  
The Relationship

Physical therapists consider many factors in the treatment of patients with musculoskeletal pain. The current literature suggests expectation is an influential component of clinical outcomes related to musculoskeletal pain for which physical therapists frequently do not account. The purpose of this clinical perspective is to highlight the potential role of expectation in the clinical outcomes associated with the rehabilitation of individuals experiencing musculoskeletal pain. The discussion focuses on the definition and measurement of expectation, the relationship between expectation and outcomes related to musculoskeletal pain conditions, the mechanisms through which expectation may alter musculoskeletal pain conditions, and suggested ways in which clinicians may integrate the current literature regarding expectation into clinical practice.

The potential role of airways periostin in the clinical practice of patients affected by Idiopathic Pulmonary Fibrosis

2021 ◽  
Author(s):  
Giovanna Elisiana Carpagnano ◽  
Piera Soccio ◽  
Giulia Scioscia ◽  
Grazia Pia Palladino ◽  
Maria Pia Foschino Barbaro ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Potential Role

Critical Issues in the Health of the Elderly: The Role of Physical Activity

1984 ◽  
Vol 3 (4) ◽  
pp. 199-208 ◽  
Author(s):  
Roy J. Shephard
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Potential Role ◽  
Health Care Expenditures ◽  
The Elderly ◽  
Health Care Needs ◽  
Care Needs ◽  
Present Evidence ◽  
Critical Issues

ABSTRACTThe potential role of physical activity in the primary, secondary, tertiary and quarternary treatment of disease is examined with particular reference to the health care needs of the elderly. Areas requiring further research are stressed. On present evidence, it would appear likely that enhanced physical activity could make a useful contribution to the containment of health care expenditures; however, it still has to be established how far the gains of physical condition and resultant improvements of health status that are seen in younger individuals could be realized by the various categories of geriatric patient.

From oppression towards empowerment in clinical practice — offering doctors a model for reflection

2005 ◽  
Vol 33 (66_suppl) ◽  
pp. 47-52 ◽  
Author(s):  
Janecke Thesen
Keyword(s):  
Clinical Practice ◽  
Psychiatric Services ◽  
Research Project ◽  
Medical Practitioners ◽  
Busy Clinician ◽  
Theoretical Reasoning ◽  
Stigmatized Groups ◽  
Prejudice And Discrimination

Objectives: This article aims to present an Oppression Model describing how and explaining why doctors sometimes take up the role of oppressor in clinical practice, and to furthermore create change by proposing alternatives. The model is intended to increase awareness of power issues in medical practitioners, thus creating an urge for empowering practices. Design: The Oppression Model is constructed by theoretical reasoning, inspired by empirical findings of doctor-as-oppressor from a Norwegian research project with users of psychiatric services. The model is composed of the chosen theoretical elements, assembled as a staircase model. The model is intended to give descriptions and explanations and foster change relevant to oppressive processes in clinical practice, and is mainly relevant when meeting patients from vulnerable or stigmatized groups. An Empowerment Track is conceptualized in a similar way by theoretical reasoning. Results: The Oppression Model describes a staircase built on a foundation of objectifying, proceeding by steps of stereotypes, prejudice, and discrimination up to the final step of institutionalized oppression. An Empowerment Track is proposed, built on a foundation of acknowledgement, proceeding by steps of diversity, positive regard, and solidarity towards empowerment. It represents, however, only one of several possible ways of proceeding in developing empowering practices. Conclusion: Keeping the Oppression Model in mind during patient encounters may help the busy clinician to counteract oppressive attitudes and actions.

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