scholarly journals From Chaplaincy to Spiritual Care: Turning points for an emerging health profession

2021 ◽  
Vol 16 (4) ◽  
pp. 54-61
Author(s):  
Cheryl Holmes

Objectives: National standards in Australia acknowledge the significance of spiritual care in the provision of holistic care, understanding that peoples’ beliefs and values impact their experience and health outcomes. While spiritual care has been provided in Australian hospitals for many decades little attention has been given to changes in the workforce and the implications for quality of care. This study aimed to further understanding of the key influences and mechanisms for change to ensure safe and high-quality spiritual care provision in Australia by a qualified and credentialed workforce. Methods: This study used a qualitative case study design which included interviews and analysis of archived records. Narrative analysis produced an extensive organisational case study from which a timeline of key changes significant to the spiritual care workforce was constructed to inform this paper.  Results: There have been movements towards a professional spiritual care workforce, but progress has been slow, and inconsistency persists across Australia. Five key influences were identified that provide a basis for future progress: the need for evidence, cooperation amongst stakeholders, investment by government and health service management, and leadership and advocacy from spiritual care peak bodies. Conclusions: Attention to historical turning points enables understanding of the influences for change. These can become opportunities for health management to further progress towards a qualified and credentialed spiritual care workforce able to deliver safe and high-quality spiritual care.

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Hannah C Cai ◽  
Leanne E King ◽  
Johanna T Dwyer

ABSTRACT We assessed the quality of online health and nutrition information using a Google™ search on “supplements for cancer”. Search results were scored using the Health Information Quality Index (HIQI), a quality-rating tool consisting of 12 objective criteria related to website domain, lack of commercial aspects, and authoritative nature of the health and nutrition information provided. Possible scores ranged from 0 (lowest) to 12 (“perfect” or highest quality). After eliminating irrelevant results, the remaining 160 search results had median and mean scores of 8. One-quarter of the results were of high quality (score of 10–12). There was no correlation between high-quality scores and early appearance in the sequence of search results, where results are presumably more visible. Also, 496 advertisements, over twice the number of search results, appeared. We conclude that the Google™ search engine may have shortcomings when used to obtain information on dietary supplements and cancer.


2021 ◽  
Author(s):  
Jason Hunter ◽  
Mark Thyer ◽  
Dmitri Kavetski ◽  
David McInerney

<p>Probabilistic predictions provide crucial information regarding the uncertainty of hydrological predictions, which are a key input for risk-based decision-making. However, they are often excluded from hydrological modelling applications because suitable probabilistic error models can be both challenging to construct and interpret, and the quality of results are often reliant on the objective function used to calibrate the hydrological model.</p><p>We present an open-source R-package and an online web application that achieves the following two aims. Firstly, these resources are easy-to-use and accessible, so that users need not have specialised knowledge in probabilistic modelling to apply them. Secondly, the probabilistic error model that we describe provides high-quality probabilistic predictions for a wide range of commonly-used hydrological objective functions, which it is only able to do by including a new innovation that resolves a long-standing issue relating to model assumptions that previously prevented this broad application.  </p><p>We demonstrate our methods by comparing our new probabilistic error model with an existing reference error model in an empirical case study that uses 54 perennial Australian catchments, the hydrological model GR4J, 8 common objective functions and 4 performance metrics (reliability, precision, volumetric bias and errors in the flow duration curve). The existing reference error model introduces additional flow dependencies into the residual error structure when it is used with most of the study objective functions, which in turn leads to poor-quality probabilistic predictions. In contrast, the new probabilistic error model achieves high-quality probabilistic predictions for all objective functions used in this case study.</p><p>The new probabilistic error model and the open-source software and web application aims to facilitate the adoption of probabilistic predictions in the hydrological modelling community, and to improve the quality of predictions and decisions that are made using those predictions. In particular, our methods can be used to achieve high-quality probabilistic predictions from hydrological models that are calibrated with a wide range of common objective functions.</p>


Author(s):  
Cristiano Franchi ◽  
Ezio Giacalone ◽  
Daniele Di Giovanni ◽  
Stefania Moramarco ◽  
Mariachiara Carestia

Within the confinements of critical infrastructures, the COVID-19 pandemic is posing a series of challenges to Health Management. In the spotlight of highly contagious and quick spreading diseases within such enclosed facilities, whether it be a detention facility or otherwise, the health and safety of those living within its internment is paramount. This paper aims to highlight the specific challenges and the possible solutions to counteract this problem, starting from the lessons learnt from the Italian prison system case study. Following the general description of the available resources within the Italian prisons, the study aimed at specifically describing the first counteracting measures deployed by the Italian prison authorities during the first phase of the COVID-19 outbreak (February–July 2020). The aim was to propose an integrated plan capable of responding to a biological threat within the prisons. In particular, the study describes the actions and technical features that, in accordance with national and international legal frameworks and the relevant organisational bodies that run the Italian Prison Service, had been adopted in managing, right from the start, the COVID-19 pandemic until Summer 2020. Available information and data showed the ability of the prison administration to comply almost completely with WHO’s technical and human rights recommendations and also, in successfully handling prison emergencies both in terms of the sick and the deceased in line with the epidemiological framework of the general population. In addition, the paper proposes a draft of guidelines that should involve the National Health Service and the Prison Service that are aimed at supporting the local prison facilities with drawing up their own biological incident contingency plans. An approved, legal, standardised plan could increase the awareness of prison managers. It could even increase their self-confidence, in particular, with regard to cases of dispute and their ability to respond to them. In fact, it is valuable and forward-thinking to be able to demonstrate that every endeavour has been taken and that ‘certified’ best practices have been put in place in accordance with the national standards.


1998 ◽  
Vol 79 (6) ◽  
pp. 453-455
Author(s):  
A. N. Galiullin ◽  
R. Z. Nurkhamitov

The data of public opinion poll, expert estimation of activities of treatment and prophylactic institutions under transition to the budget and insurance medicine are given. It is shown that treatment and prophylactic institutions are not ready to work in current economic conditions. It is concluded that there are unused reserves for improving the quality of medical care in health service management in current economic conditions.


2020 ◽  
Vol 12 (17) ◽  
pp. 7185
Author(s):  
Shinn-Jou Lin ◽  
Guey-Shin Shyu ◽  
Wei-Ta Fang ◽  
Bai-You Cheng

Taiwan has promoted bicycle tourism for nearly 20 years, and the bicycle paths it has constructed throughout the island are diverse in design. In the present study, an evaluation scale for bicycle path sightseeing potential was devised with a focus on the overall service quality of the paths; 30 popular bicycle paths were analyzed using a field survey, with expert consultation on quantitative indicators, and a qualitative analysis entailing interviews with people regarding the bicycle paths. A multivariate statistical analysis was performed on the quality of the service systems for these paths. The results revealed that the quality of these service systems is influenced by four principal components, namely, landscape attractiveness, image management, bicycle-specific paths, and accessibility, for a total explanatory power of 76.21%; the individual explanatory power of these components was 25.89%, 21.49%, 16.81%, and 12.03%, respectively. Bicycle path conditions, service maintenance, and cleanliness and bicycle specificity are required for future high-quality bicycle paths; diverse bicycle rental services and bicycle types, entrance visibility, and ecological introduction boards along paths are value-added factors to bicycle path quality.


Land ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. 174
Author(s):  
Desheng Wang ◽  
A-Xing Zhu

Digital soil mapping (DSM) is currently the primary framework for predicting the spatial variation of soil information (soil type or soil properties). Random forests and similarity-based methods have been used widely in DSM. However, the accuracy of the similarity-based approach is limited, and the performance of random forests is affected by the quality of the feature set. The objective of this study was to present a method for soil mapping by integrating the similarity-based approach and the random forests method. The Heshan area (Heilongjiang province, China) was selected as the case study for mapping soil subgroups. The results of the regular validation samples showed that the overall accuracy of the integrated method (71.79%) is higher than that of a similarity-based approach (58.97%) and random forests (66.67%). The results of the 5-fold cross-validation showed that the overall accuracy of the integrated method, similarity-based approach, and random forests range from 55% to 72.73%, 43.48% to 69.57%, and 54.17% to 70.83%, with an average accuracy of 66.61%, 57.39%, and 59.62%, respectively. These results suggest that the proposed method can produce a high-quality covariate set and achieve a better performance than either the random forests or similarity-based approach alone.


Author(s):  
Anđela Jakšić-Stojanović ◽  
Neven Šerić

The modern phenomenon of tourism is more focused on specific forms of tourism in which sports and health tourism play a very important role. That fact is not surprising having in mind that they represent interconnected activities that complement each other and give each other completely new dimension. On one side, sports and health represent very important content of tourist offer because of the fact they enable tourists to become active participants in various activities, and on the other side, they represent important driving force for visiting particular destination. The idea of this chapter is to provide a theoretical and practical framework of this issue with a special focus on case study of Montenegro. According to the results of the research that was carried out, the general conclusion is that Montenegro has extremely valuable natural resources and potentials for the development of sports and health tourism, but there are still a lot of challenges that should be faced in the future in order to improve the quality of tourist offer and the level of tourists’ satisfaction as well as to create completely new image of the destination and position it as high-quality sports and health tourist destination on international market.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Husein Pasha ◽  
Isa Nakhai Kamalabadi ◽  
Alireza Eydi

The integrated production-distribution (P-D) planning has turned into one of the most essential areas in supply chain (SC) management in recent years, especially in the case of perishable products in which the quality of products can change over time. Nonetheless, so far, the suggested models have focused on the P-D stages of the chain while the delivery of high-quality products to customers is of paramount significance in the perishable SC. In the present paper, a multiobjective, mixed-integer, and nonlinear programming (MOMINLP) mathematical model was developed for integrated P-D deteriorating items in a two-echelon SC that emphasizes quality degradation. Quality is monitored and calculated as a function of temperature and time throughout the SC, and the main purpose of the model is to first increase the quality of products delivered to customers and, second, minimize the SC costs. To optimize the problem, the particle swarm optimization (PSO) approach was also incorporated into the model. The obtained model was applied to a case study in Protein Gostar Sina Company in Iran, which resulted in decreased P-D costs as well as increased customer satisfaction.


2020 ◽  
Vol 8 (5) ◽  
pp. 363
Author(s):  
Thomas Chun-Hung Lee ◽  
Kaze King-Yip Lai ◽  
Celia Sze-Nga Kwok ◽  
Steven Jing-Liang Xu ◽  
Fred Wang-Fat Lee

Two-dimensional gel electrophoresis (2-DE) is a major element of conventional gel-based proteomics, which resolves complex protein mixtures. Protein extraction with the removal of interfering substances from the sample remains the key to producing high-quality 2-DE profiles. Marine dinoflagellates contain large endogenous amounts of salts, nucleic acids, polysaccharides, phenolic compounds, pigments, and other interfering compounds. These substances are detrimental to the quality of gel images. Protein preparation using TRIzol reagent is a promising method for producing high-quality 2-DE profiles for dinoflagellate samples. In addition to its remarkable performance, the TRIzol method’s several advantages have made it a popular and widely used method in the field of 2-DE sample preparation. Nonetheless, the quality of 2-DE of samples from certain dinoflagellate species is not as high as previously reported when the same TRIzol protocol is applied. Therefore, modifications to the original TRIzol method are required to remove interfering substances from those challenging dinoflagellate samples. In this study, the original TRIzol method and four modified methods, namely the aliquot TRIzol method, re-TRIzol method, TRIzol method with a commercial clean-up kit, and TRIzol method with trichloroacetic acid/acetone precipitation, were compared. Performance of these five methods in terms of protein yield, background signal, and resolution and number of protein spots was investigated on samples from two benthic Prorocentrum species: P. lima and P. hoffmannianum. Our results demonstrated that high-quality 2-DE could be achieved from P. lima samples prepared using both the original TRIzol method and the TRIzol method with a commercial clean-up kit. However, the original TRIzol method failed to produce high-quality 2-DE profiles for P. hoffmannianum samples. Among the four modified TRIzol methods, only the TRIzol method with a commercial clean-up kit could yield substantially improved high-quality 2-DE profiles for P. hoffmannianum samples. This combination of the conventional TRIzol method with a commercial clean-up kit potentially represents a promising protein extraction methodology for obtaining high-quality 2-DE profiles for difficult dinoflagellate samples.


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