Communicating With Seriously Ill and Dying Patients, Their Families, and Their Health Care Practitioners

Author(s):  
Kathleen O. Perrin
Author(s):  
Kalli (Kalliopi) Stilos ◽  
Bill Ford ◽  
Anita Chakraborty ◽  
Danielle Takahashi

Health care clinicians who care for seriously ill and dying patients have been known to be at higher risk for burnout and moral distress. When not well supported in their workplace, clinicians may suffer additional adverse outcomes to their overall wellbeing. Self-care is one way to help mitigate these adverse outcomes. The literature has described formalized debriefing not only as a self-care strategy but an intervention to promote healthy team development. The focus of this paper will showcase how social work and spiritual care practitioners in our institution worked collaboratively to support an inpatient oncology unit to address issues related to burnout by providing staff with monthly debriefing sessions intended to enhance self-care and wellness in the workplace.


2020 ◽  
Vol 4 (1) ◽  
pp. 38-43
Author(s):  
Panagiotis Pentaris

A full understanding of and a competent approach to dying patients may lead to a more qu-alitative service delivery, an enhanced quality of life paradigms, and the patients’ well-being, all of which remain the ultimate goal of health care practice. The modern world has developed in parallel with secularism and religious diversity. This paper aims to illustrate the secularization process in Britain (with indications of generalized meanings) and juxtaposes it with a descrip-tion of the needs of dying patients regarding the meanings of religion and non-religion. Altho-ugh this paper draws on and provides a review of selected theoretical literature, it also addres-ses a signifi cant challenge: the lack of scientifi c research on the subject. Hence, this paper aims to give an overview of the issues, but not synthesise them. The arguments that are elaborated in the paper are also supported by the author’s current research project in the city of London. The approach here is client oriented, and concerns social and health care. Practitioners ought to become competent, and maintain their competence throughout their professional career. Religious competence seems to have not been at the centre of discussions, regardless of the historical pathway that religious discourse has drawn since the beginnings of huma-nity. The paper concludes with certain suggestions for future research and inclusive appro-aches regarding religious matters.


2009 ◽  
Author(s):  
Candice L. Schachter ◽  
Carol A. Stalker ◽  
Eli Teram ◽  
Gerri C. Lasiuk ◽  
Alanna Danilkewich

2020 ◽  
pp. 088626052098113
Author(s):  
Simon Sawyer ◽  
Glenn Melvin ◽  
Angela Williams ◽  
Brett Williams

Partner abuse (PA) is associated with significant morbidity and mortality worldwide. Health care practitioners regularly encounter patients experiencing PA and require comprehensive education on how to respond. This study describes the creation and validation of a new measure of readiness to encounter patients experiencing PA for health care practitioners and students. Initial item development and content validation were informed by expert feedback. Psychometric properties were assessed using data collected from Australian health care students, using Principal Components Analysis (PCA) and Confirmatory Factor Analysis (CFA). Internal consistency, inter-scale correlations, and test–retest analysis were performed. An initial pool of 67 items was reduced to 48 following content validation by 5 experts as a measure of construct validity. A total of n = 926 responses were collected, which were randomly split into two groups to perform a PCA and CFA. The PCA resulted in a 31-item version, which was further reduced to a 27-item version following the CFA, containing four factors. Internal consistency and test–retest analyses demonstrated good reliability. The produced scale is a 27-item measure of readiness to encounter patients experiencing PA, which has demonstrated good psychometric properties with a sample of Australian health care students. Results indicate that self-efficacy and Emotional-readiness are a large component of readiness. The scale may be used to measure the readiness of a cohort, or as a pre and post-intervention measure, and results may provide insight into the educational needs of a cohort.


Birth ◽  
2021 ◽  
Author(s):  
Sarah Munro ◽  
Elizabeth S. Wilcox ◽  
Leah K. Lambert ◽  
Monica Norena ◽  
Sarah Kaufman ◽  
...  

2017 ◽  
Vol 23 (1) ◽  
pp. 53 ◽  
Author(s):  
Lauren Ball ◽  
Dianne Ball ◽  
Michael Leveritt ◽  
Sumantra Ray ◽  
Clare Collins ◽  
...  

The methodological designs underpinning many primary health-care interventions are not rigorous. Logic models can be used to support intervention planning, implementation and evaluation in the primary health-care setting. Logic models provide a systematic and visual way of facilitating shared understanding of the rationale for the intervention, the planned activities, expected outcomes, evaluation strategy and required resources. This article provides guidance for primary health-care practitioners and researchers on the use of logic models for enhancing methodological rigour of interventions. The article outlines the recommended steps in developing a logic model using the ‘NutriCare’ intervention as an example. The ‘NutriCare’ intervention is based in the Australian primary health-care setting and promotes nutrition care by general practitioners and practice nurses. The recommended approach involves canvassing the views of all stakeholders who have valuable and informed opinions about the planned project. The following four targeted, iterative steps are recommended: (1) confirm situation, intervention aim and target population; (2) document expected outcomes and outputs of the intervention; (3) identify and describe assumptions, external factors and inputs; and (4) confirm intervention components. Over a period of 2 months, three primary health-care researchers and one health-services consultant led the collaborative development of the ‘NutriCare’ logic model. Primary health-care practitioners and researchers are encouraged to develop a logic model when planning interventions to maximise the methodological rigour of studies, confirm that data required to answer the question are captured and ensure that the intervention meets the project goals.


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