scholarly journals ‘Breath, Belief, Focus, Touch’: Applied puppetry in simulated role-play for person-centred nursing education

2020 ◽  
Vol 8 (1) ◽  
pp. 73-87 ◽  
Author(s):  
Karl Tizzard-Kleister ◽  
Matt Jennings
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Role Play ◽  
Human Agency ◽  
Subject Area ◽  
The Body ◽  
Simulated Patients ◽  
Specific Project

As a subject area that sustains itself on the productive tension between human and non-human agency, applied puppetry is a pragmatic and compelling approach to considering the role of objects in an anthropocentric world. In health care, mannequins play the role of simulated patients. Most often, they simply stand in for the body of the patient. However, this misses the potential that the materiality of these objects holds when considered through applied puppetry terms. This article examines examples of puppetry used in simulated role-play (SRP) for training and assessment, including a specific project involving applied puppetry with person-centred nursing (PCN) students at Ulster University (UU). It attempts to theorize how, when used in this way, applied puppetry is a metaphorical and translational act of anthropomorphism ‐ a process by which an object can ‘become’ more than a thing. In this context, we seek to define a practice in which a mannequin fulfils its potential as a puppet-patient in SRP for PCN students.

Positioning Nurses in Primary Health Care in Bhutan

2018 ◽  
Vol 4 (1) ◽  
pp. 33-41
Author(s):  
Diki Wangmo ◽  
Carol Windosr ◽  
Michele Clark
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Education ◽  
Central Place ◽  
Policy Makers ◽  
Primary Health ◽  
Auxiliary Nurse ◽  
Nurses Role ◽  
The 1960S

Introduction: Nursing in Bhutan had its beginning in the early 1960s, approximately 20 years prior to the Alma Ata Conference. From basic nursing care and housekeeping roles, Bhutanese nurses have now occupied central place in nursing service, administration and management and education. Nursing education has progressed from certificate level in the 1960s to bachelor, master and PhD levels in 2014. Although nurses have been closely associated with Primary Health Care development in Bhutan, apart from the role of the Auxiliary Nurse Midwives, nurses have rarely been explicitly associated with this area of practice. Therefore, the objective of this study was to find out the role of Bhutanese Nurses in PHC. Methods: qualitative case study method was used to carry out focus group and in-depth interviews with 66 respondents that included policy makers, planners, educators, regulators and implementers. Data were analyzed through manifest and latent content analysis. Results: The centrality of the nursing role in the area of PHC has not been realized. Discharge of the PHC role was identified more in terms of the place of work and by title or designation of the nurses. Primary Health Care momentum appeared to have slowed down and nurses differed in their understanding of PHC concept. Conclusion: Although Nursing in Bhutan has made much progress, the uneven development of the nurses’ role in PHC in Bhutan and globally suggests a need to identify and implement strategies such as standardizing, role profiling, curricula review and leadership improvement to ensure progress in this area.

Practicalities around time of death

2016 ◽  
Author(s):  
Richard D.W. Hain ◽  
Satbir Singh Jassal
Keyword(s):  
Health Care ◽  
Health Care Professional ◽  
Child Death ◽  
The Body ◽  
Good Death ◽  
Tissue Donation ◽  
Time Of Death ◽  
Post Mortem ◽  
Correct Procedure

In helping children to have a ‘good death’, it is vitally important to understand the practical issues around death. Parents often have little or no understanding of this and will look to the health-care professional for guidance. When done well, the parents are left unaware of the complexities involved. However, when done badly, the parents can be left feeling very upset. Predicting the time of death for a child is notoriously difficult, and this issue is addressed by this chapter. A detailed overview of practicalities around the time of death is provided, with information on the correct procedure before death, certifying and registering a death, cremation, organ and tissue donation, and transporting and looking after the body. Further practicalities, including the post-mortem, the role of the coroner, and the role of the Child Death Overview Panel, are also covered.

scholarly journals Exploration of priority actions for strengthening the role of nurses in achieving universal health coverage

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Rowaida Al Maaitah ◽  
Raeda Fawzi AbuAlRub
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Regulatory System ◽  
Practice Research ◽  
Health Coverage ◽  
Key Informants ◽  
Education Practice ◽  
Practice Nurses ◽  
Universal Health

ABSTRACT Objective: to explore priority actions for strengthening the role of Advanced Practice Nurses (APNs) towards the achievement of Universal Health Converge (UHC) as perceived by health key informants in Jordan. Methods: an exploratory qualitative design, using a semi-structured survey, was utilized. A purposive sample of seventeen key informants from various nursing and health care sectors was recruited for the purpose of the study. Content analysis utilizing the five-stage framework approach was used for data analysis. Results: the findings revealed that policy and regulation, nursing education, research, and workforce were identified as the main elements that influence the role of APNs in contributing to the achievement of UHC. Priority actions were identified by the participants for the main four elements. Conclusion: study findings confirm the need to strengthen the role of APNs to achieve UHC through a major transformation in nursing education, practice, research, leadership, and regulatory system. Nurses should unite to come up with solid nursing competencies related to APNs, PHC, UHC, leadership and policy making to strengthen their position as main actors in influencing the health care system and evidence creation.

The expanding role of telehealth in nursing: considerations for nursing education

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Joan Taylor ◽  
Bonnie Fuller
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Nursing Curriculum ◽  
Patient Needs ◽  
Clinical Experiences ◽  
Current State

Abstract Telehealth and telehealth technologies have an increasing role in health care delivery as health care has continued to evolve to meet patient needs. Nursing education has been slow to integrate telehealth education and telehealth use in curriculum and clinical experiences. The purpose of the article is to provide information about the current state of telehealth and describe how telehealth education can be fostered and incorporated into nursing education. Incorporating telehealth education into existing nursing curriculum and clinical experiences ensures nurses recognize the utility of emerging telehealth technology and develop the skills needed to provide safe and competent care using telehealth.

Revisiting Viktor Frankl: His Contributions to the Contemporary Interest in Spirituality and Health Care

2005 ◽  
Vol 59 (4) ◽  
pp. 375-379
Author(s):  
Georgia Gojmerac-Leiner
Keyword(s):  
Health Care ◽  
Physical Illness ◽  
The Body ◽  
Hospital Chaplain ◽  
Viktor Frankl ◽  
Sick Person ◽  
Spirituality And Health

The case is made for location of spirituality to be in the body, and at the same time for the power of the spirit to transcend the body when it is afflicted. The author highlights Viktor Frankl's strongest convictions that one can survive through the shear power of one's spirit. Correspondingly, the promise of resurrection can help a Christian to maintain a vision of life, stay courageous though there may be no hope of tomorrow as we have known it. The author asserts the role of the hospital chaplain in helping the sick person to draw upon his or her spiritual strength to cope with their physical illness or affliction.

Verge

2019 ◽  
pp. 27-63
Author(s):  
George Oppitz-Trotman
Keyword(s):  
Sacred Space ◽  
Role Play ◽  
The Body ◽  
Historical Evolution ◽  
Seminal Work ◽  
First Time

The Spanish Tragedy is widely considered a seminal work in English dramatic history, not only for its contemporary popularity but for its influence upon later secular tragedy. Nonetheless the role of its protagonist Hieronimo, as Knight Marshal of the Spanish court, has never been properly defined. This chapter recovers his English office’s ancient connection to the Verge, that is, the legal and virtually sacred space extending from and around the body of the English king. After a sketch of the origins and historical evolution of the Court of the Verge (or Marshalsea), it is shown for the first time how this anachronistic and highly contradictory space informs the structure and logic of the play. Within and around the Verge, role-play and affective alienation were enduringly connected to the performance of revenge. In The Spanish Tragedy, the tragic court took new shape; the avenger appeared on its margins.

scholarly journals Diagnostics of human functional states in priority studies of Russian physiological schools

2021 ◽  
pp. 91-100
Author(s):  
I. B. Ushakov ◽  
A. V. Bogomolov
Keyword(s):  
Functional State ◽  
Science Research ◽  
Subject Area ◽  
The Body ◽  
Professional Groups ◽  
Occupational Tasks ◽  
Interdisciplinary Approaches ◽  
Functional States ◽  
Physiological Research

Relevance. Physiologically adequate and up-to-date methods are needed for diagnosing functional states in humans during occupational activities.Intention – Analysis of priority studies of domestic physiological schools in the field of diagnostics of human functional states and identification of priority studies, which are associated with the expected progress in the subject area.Methodology. On the basis of a systematic approach, there were reviewed fundamental studies of Russian physiological schools defining key approaches to the diagnosis of human functional states: from the foundations of the natural science research of human states in the process of activity, laid down by I.M. Sechenov, to the achievements of the modern Russian physiological school, one of the leaders of which is Academician A.D. Nozdrachev.Results and Discussion. The features of physiological diagnostics of functional states are shown, an important role of complex interdisciplinary approaches for solving problems of diagnostics based on the results of physiological studies is emphasized. The emphasis is made on the fact that methods for diagnosing human conditions in the process of activity should be guided by the dominant corresponding to each functional state, and take into account that various functional systems of the body are mobilized to ensure this state, with individually specific degree of their involvement in the formation of a functional state. At the same time, when diagnosing functional states it is necessary to take into account complex impacts of occupational factors and use approaches specific for socio-professional groups with the fullest possible consideration of their occupational tasks.Conclusion. It has been shown that methods for diagnosing functional states require development and improvement based on the results of fundamental physiological research, which determine approaches to the diagnosis of human states in the process of activity.

scholarly journals Educational interventions for shared decision making and the role of patient agency:  A Systematic Review

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 753
Author(s):  
Catherine Witkop ◽  
Dario Torre ◽  
Emily Harvey ◽  
Lauren Maggio
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Patient Reported Outcomes ◽  
Role Play ◽  
Educational Interventions ◽  
Simulated Patients ◽  
Shared Decision ◽  
Relational Agency ◽  
Patient Reported

Background:  Shared decision making is critical to patient-centered care and yet there is limited consensus on effective teaching approaches for training physicians in this domain. As a collaborative process in which the patient and physician co-create a decision, patient and relational agency may be important contributors and studies with patient-reported outcomes may identify successful approaches and determine gaps in pedagogy.  The authors conducted a systematic review of educational interventions for shared decision making, focusing on patient-reported outcomes and consideration of agency.  Methods:  Ovid MEDLINE, Embase, and Web of Science were searched for studies describing educational interventions with patient-level outcomes published between January 2000 and January 2020. Articles were excluded if they were not in English, included only patient interventions, or reported only physician outcomes.  Quality assessment was performed using the Medical Education Research Study Quality Instrument (MERSQI).  Data about the educational methods used were extracted and included studies were assessed for quality. Thematic analysis was performed to identify the potential role of agency. Results: 26 articles were identified describing 17 unique studies.  Educational interventions were diverse in duration and content, with multiple components.  Three-quarters of studies used role play or simulated patients and 82% included tools to facilitate shared decisions.  Although no articles explicitly discussed facilitating agency as a component of the intervention or as an outcome, one qualitative study demonstrated themes of patient and relational agency. Conclusions:  Educational interventions included small group discussion, decision aids, role play, and simulated patients, and improved a range of patient outcomes, but our study included only studies including practicing physicians, limiting applicability to trainees and other health care providers. Interventions have not included explicit instructional design around agency, but qualitative analyses demonstrated interventions may facilitate agency and shared decision making. Future instructional strategies should consider the complexity inherent in co-constructing decisions.

The Role of Polyphenols in the Modulation of Plasma Non-Enzymatic Antioxidant Capacity (NEAC)

2012 ◽  
Vol 82 (3) ◽  
pp. 228-232 ◽  
Author(s):  
Mauro Serafini ◽  
Giuseppa Morabito
Keyword(s):  
Antioxidant Capacity ◽  
Dietary Intervention ◽  
Ex Vivo ◽  
The Body ◽  
Dietary Polyphenols ◽  
Enzymatic Antioxidant ◽  
Endogenous Antioxidant

Dietary polyphenols have been shown to scavenge free radicals, modulating cellular redox transcription factors in different in vitro and ex vivo models. Dietary intervention studies have shown that consumption of plant foods modulates plasma Non-Enzymatic Antioxidant Capacity (NEAC), a biomarker of the endogenous antioxidant network, in human subjects. However, the identification of the molecules responsible for this effect are yet to be obtained and evidences of an antioxidant in vivo action of polyphenols are conflicting. There is a clear discrepancy between polyphenols (PP) concentration in body fluids and the extent of increase of plasma NEAC. The low degree of absorption and the extensive metabolism of PP within the body have raised questions about their contribution to the endogenous antioxidant network. This work will discuss the role of polyphenols from galenic preparation, food extracts, and selected dietary sources as modulators of plasma NEAC in humans.

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