scholarly journals The Moment of Caring: a Manuscript for Reflection on Caring Moments in Nursing Practice

2021 ◽  
Author(s):  
◽  
Maurice Charles Drake
Keyword(s):  
Nursing Practice ◽  
Theoretical Work ◽  
Body Of Knowledge ◽  
Exploratory Approach ◽  
Client Relationship ◽  
Interpretive Approach ◽  
Health Related ◽  
The Moment ◽  
Tidal Processes ◽  
General Perspective

<p>The focus of this study was on understanding the caring nature of the nurse-client relationship as reflected in a story of nursing practice. The story was examined and understood using an interpretive approach which emerged over time and reflected the exploratory and intuitive nature of the work.  The processes of reflection, immersion and crystallisation were used to generate an exploratory theoretical work on caring. The method was called 'The Hermeneutic Wave' because it focused on interpreting and understanding textual reflection of experience, and reflected the ebb and flow nature of the processes of interpretation used. These tidal processes involved moving out of the story to conceptualise what was occurring within the story from a general perspective, and then re-layering the conceptualisations back over the story to examine congruity and differences, and to uncover understanding and meaning of practice. These processes were repeated until 'The Moment of Caring: A Manuscript for Reflection on Caring Moments in Nursing Practice' emerged.  The manuscript consists of four phases; Phase One - Readiness to Co-participate, where the nurse and client fulfil expected health related roles and their relationship is characterised as one of apartness where they are relating in regard to their distinct roles; Phase Two - In Relationship, where the nurse and client are in the process of moving from a relationship characterised by apartness to that of oneness where they relate as person-to-person; Phase Three - 'The Moment of Caring', where the nurse and client transcend relating from a position of apartness and relate as one; and Phase Four - Redefining Wholeness, where the nurse's and client's understanding of their shared experience results in growth in their beings, and where their relationship moves from oneness to apartness in response to this growth.  The manuscript 'The Moment of Caring' provides nurses with a framework for reflection in as well as on nursing practice, offers an emerging exploratory approach to the development of theory from practice, and contributes to the growing body of knowledge of caring within nursing practice in New Zealand and internationally.</p>

scholarly journals The Moment of Caring: a Manuscript for Reflection on Caring Moments in Nursing Practice

2021 ◽  
Author(s):  
◽  
Maurice Charles Drake
Keyword(s):  
Nursing Practice ◽  
Theoretical Work ◽  
Body Of Knowledge ◽  
Exploratory Approach ◽  
Client Relationship ◽  
Interpretive Approach ◽  
Health Related ◽  
The Moment ◽  
Tidal Processes ◽  
General Perspective

<p>The focus of this study was on understanding the caring nature of the nurse-client relationship as reflected in a story of nursing practice. The story was examined and understood using an interpretive approach which emerged over time and reflected the exploratory and intuitive nature of the work.  The processes of reflection, immersion and crystallisation were used to generate an exploratory theoretical work on caring. The method was called 'The Hermeneutic Wave' because it focused on interpreting and understanding textual reflection of experience, and reflected the ebb and flow nature of the processes of interpretation used. These tidal processes involved moving out of the story to conceptualise what was occurring within the story from a general perspective, and then re-layering the conceptualisations back over the story to examine congruity and differences, and to uncover understanding and meaning of practice. These processes were repeated until 'The Moment of Caring: A Manuscript for Reflection on Caring Moments in Nursing Practice' emerged.  The manuscript consists of four phases; Phase One - Readiness to Co-participate, where the nurse and client fulfil expected health related roles and their relationship is characterised as one of apartness where they are relating in regard to their distinct roles; Phase Two - In Relationship, where the nurse and client are in the process of moving from a relationship characterised by apartness to that of oneness where they relate as person-to-person; Phase Three - 'The Moment of Caring', where the nurse and client transcend relating from a position of apartness and relate as one; and Phase Four - Redefining Wholeness, where the nurse's and client's understanding of their shared experience results in growth in their beings, and where their relationship moves from oneness to apartness in response to this growth.  The manuscript 'The Moment of Caring' provides nurses with a framework for reflection in as well as on nursing practice, offers an emerging exploratory approach to the development of theory from practice, and contributes to the growing body of knowledge of caring within nursing practice in New Zealand and internationally.</p>

Integrated marketing communications and social marketing

2015 ◽  
Vol 5 (3) ◽  
pp. 226-240 ◽  
Author(s):  
Stephan Dahl ◽  
Lynne Eagle ◽  
David Low
Keyword(s):  
Social Context ◽  
Social Marketing ◽  
Marketing Communications ◽  
Commercial Application ◽  
Integrated Marketing Communications ◽  
Integrated Marketing ◽  
Content Type ◽  
Body Of Knowledge ◽  
Health Related ◽  
Social Marketing Campaigns

Purpose – The purpose of this paper is to examine the view of integrated marketing communications (IMC) by social marketing practitioners. Specifically, the paper furthers the discussion how a symbiotic relationship between IMC and social marketing can lead to both practical improvements of health-related social marketing campaigns, as well as theoretical advancement of the IMC construct. Design/methodology/approach – Based on semi-structured, in-depth interviews with practitioners, the authors provide exploratory evidence for support for IMC within the social marketing community and highlight potential differences and similarities when transferring IMC from a commercial to a social context. Findings – Three main differences emerged when transferring IMC from a commercial to a social context. These include differences of customer-centric approaches between commercial and social marketing, the need to weigh out the application of IMC to the charity brand or the use of IMC at a behavioural level and, finally, different complexity levels of desired behaviour as a mediating factor. Research limitations/implications – As with all qualitative data, the findings may not be generalisable beyond the interview participants and organisations studied. Practical implications – Many practitioners expressed that they liked IMC as a concept, but they lacked guidance as to the application with a social marketing context. This paper contributes to providing this guidance and establishing a body of knowledge how IMC can be applied in a non-commercial setting. Originality/value – The paper contributes to the practical development of guidance how the largely commercially applied IMC construct can be modified to be used in a social marketing context, while correspondingly highlighting how IMC needs to evolve to grow beyond purely commercial application.

Nursing Advocacy: an Ethic of Practice

1995 ◽  
Vol 2 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Nan Gaylord ◽  
Pamela Grace
Keyword(s):  
Nursing Practice ◽  
Patient Advocacy ◽  
Well Being ◽  
Patient Rights ◽  
Nursing Profession ◽  
Important Concept ◽  
Nursing Advocacy ◽  
Client Relationship ◽  
Nous Croyons

Advocacy is an important concept in nursing practice; it is frequently used to describe th nurse-client relationship. The term advocacy, however, is subject to ambiguity of interpretation. Such ambiguity was evidenced recently in criticisms levelled at the nursing profession by hospital ethicist Ellen Bernal. She reproached nursing for using 'patient rights advocate' as a viable role for nurses. We maintain that, for nursing, patient advocacy may encompass, but is not limited to, patient rights advocacy. Patient advocacy is not merely the defence of infringements of patient rights. Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the support of an individual to promote his or her own well-being, as understood by that individual. It is an ethic of practice. La défense des malades joue un grand rôle dans la pratique des infirmiers/ères. Le terme est souvent utilisé pour définir les rapports entre malades et soignants. Le mot 'defénse' pourtant, peut être mal compris. Une ambiguïté était évidente récemment dans la critique de la profession infirmière faite par la philosophe éthique Ellen Bernal. Elle reproche à la profession d'utiliser le terme 'avocat des droits des malades' pour désigner le rôle primordial des infirmiers/ères. Nous croyons que pour les soignants, la défense des malades peut comprendre le rôle 'd'avocat des droits des malades' mais elle ne s'y borne pas. La défense n'est pas limitée à la défense des infractions des droits des malades. La défense dans la profession infirmière est basée sur une philosophie où la pratique infirmière est le soutien des malades dans leur quête de promouvoir leur propre bien-être. Die Fürsprache spielt eine wichtige Rolle in der Krankenpflege. Sie wird oft als kennzeichnend für die Beziehung zwischen Patient und Pflegepersonal beschrieben. Der Ausdruck 'Fürsprache' kann aber auch mehrdeutig interpretiert werden. Das wurde letzthin in der Kritik der Ethikerin Ellen Bernal an der Krankenpflege sichtbar. Sie machte den Pflegenden den Vorwurf, dass sie sich die Rolle des 'Rechts-Advokat des Patienten' aneignen. Wir sind der Meinung, dass es die Aufgabe des Pflegepersonals ist, auch die Rechte der Patienten zu vertreten, aber dass das nur ein Teil der Fürsprache ist. Sie ist nicht nur Verteidignung von verletzten Patientenrechten. Die Fürsprache in der Krankenpflege stammt von einer Philosophie, deren Ausübung die Unterstützung der Patienten für ihr Wohlergehen zum Ziel hat, so wie die Patienten selbst ihr Wohlergehen verstehen. Sie ist eine Ethik der Tat.

scholarly journals Intensity-Specific Differential Leukocyte DNA Methylation in Physical (In)Activity: An Exploratory Approach

2018 ◽  
Vol 21 (2) ◽  
pp. 101-111 ◽  
Author(s):  
Maarten Caspers ◽  
Sara Blocquiaux ◽  
Ruben Charlier ◽  
Sara Knaeps ◽  
Johan Lefevre ◽  
...  
Keyword(s):  
Dna Methylation ◽  
Correlation Coefficients ◽  
Global Dna Methylation ◽  
Site Specific ◽  
Cpg Sites ◽  
Cpg Site ◽  
Biological Pathway Analysis ◽  
Exploratory Approach ◽  
Health Related ◽  
Related Pathway

The aim of this exploratory study was to investigate how sedentary behavior (SB) and physical activity (PA) influence DNA methylation at a global, gene-specific, and health-related pathway level. SB, light PA (LPA), and moderate-to-vigorous PA (MVPA) were assessed objectively for 41 Flemish men using the SenseWear Pro 3 Armband. CpG site-specific methylation in leukocytes was determined using the Illumina HumanMethylation 450 BeadChip. Correlations were calculated between time spent on the three PA intensity levels and global DNA methylation, using a z-score-based method to determine global DNA methylation levels. To determine whether CpG site-specific methylation can be predicted by these three PA intensity levels, linear regression analyses were performed. Based on the significantly associated CpG sites at α = 0.005, lists were created including all genes with a promoter region overlapping these CpG sites. A biological pathway analysis determined to what extent these genes are overrepresented within several pathways. No significant associations were observed between global DNA methylation and SB (r = 0.084), LPA (r = -0.168), or MVPA (r = -0.125), although the direction of the correlation coefficients is opposite to what is generally reported in literature. SB has a different impact on global and gene-specific methylation than PA, but also LPA and MVPA affect separate genes and pathways. Furthermore, the function of a pathway seems to determine its association with SB, LPA, or MVPA. Multiple PA intensity levels, including SB, should be taken into account in future studies investigating the effect of physical (in)activity on human health through epigenetic mechanisms.

Towards a theory of sensory robotics

Robotica ◽  
1990 ◽  
Vol 8 (3) ◽  
pp. 245-256 ◽  
Author(s):  
Jan Pinkava
Keyword(s):  
Formal Model ◽  
Sensory Information ◽  
Theoretical Models ◽  
Theoretical Work ◽  
The Other ◽  
Theoretical Ground ◽  
Formal Models ◽  
Homogeneous Body ◽  
Body Of Knowledge ◽  
Scientific Approach

SUMMARYA partial review of some efforts in robotics research is presented. We identify two broad categories of work: one characterised by application-driven experimental engineering, the other by a more ‘scientific’ approach based on testing theoretical models through implementation. We argue that although the former represents some of the best practical results obtained to-date, this experiment-first-theory-later approach does not contribute to a homogeneous body of knowledge. If robotics is to make measured progress, sound theoretical ground is needed. We argue for a task-specific paradigm for future theoretical work founded on formal models. To this end, we present a general analysis of a sensory robotic system, and identify key elements that must be defined in any formal model before we can decide what sensory information is useful for a given task.

scholarly journals The Need for Making Contact in Times of Crisis

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Barbara Groot ◽  
Marian Vink ◽  
Gert Schout ◽  
Tineke Abma
Keyword(s):  
Psychiatric Inpatient ◽  
Psychiatric Emergency ◽  
Service Users ◽  
Mental Health Crisis ◽  
Patient Journey ◽  
Health Crisis ◽  
Responsive Evaluation ◽  
Body Of Knowledge ◽  
Psychiatric Inpatient Unit ◽  
The Moment

Descriptive studies on the experiences of service users in psychiatric emergency wards are increasing. However, the experience of users throughout the whole psychiatric emergency procedure, the ‘patient journey’ from the moment of mental health crisis leading to admission in a psychiatric inpatient unit, has rarely been studied. This article aims to make a further contribution to this body of knowledge by not only describing the service-users’ journey but also shows whether and how that perspective is received by other stakeholders like healthcare professionals, family-members, police, representatives of the municipality and ambulance staff and representatives of the municipality, to jointly make action-plans for improvement. A responsive evaluation including interviews, focus groups and dialogue session with a transformative aim was conducted in a mixed team of researchers with and without experiential knowledge. Service users and other stakeholders agree on the main issues: the importance of contact; signaling; expropriation and earning freedom. However, proposed actions differed between users and professionals. Service users proposed relational actions to offer good care. Professionals recommended actions in response to issues of fragmentation and discontinuity. We conclude that responsive evaluation can help to create a more informed and kaleidoscopic view of the complexity of psychiatric emergency care. Therefore, we recommend that various actions need to be considered to meet the needs of service users better covering all phases of Tronto’s care ethical model: caring about, taking care, caring giving and care receiving.

scholarly journals Exploring food contents in scientific literature with FoodMine

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Forrest Hooton ◽  
Giulia Menichetti ◽  
Albert-László Barabási
Keyword(s):  
Language Processing ◽  
Scientific Literature ◽  
Food Composition ◽  
The Body ◽  
Chemical Components ◽  
Body Of Knowledge ◽  
Nutritional Components ◽  
Health Related ◽  
Extensive Information ◽  
The Many

Abstract Thanks to the many chemical and nutritional components it carries, diet critically affects human health. However, the currently available comprehensive databases on food composition cover only a tiny fraction of the total number of chemicals present in our food, focusing on the nutritional components essential for our health. Indeed, thousands of other molecules, many of which have well documented health implications, remain untracked. To explore the body of knowledge available on food composition, we built FoodMine, an algorithm that uses natural language processing to identify papers from PubMed that potentially report on the chemical composition of garlic and cocoa. After extracting from each paper information on the reported quantities of chemicals, we find that the scientific literature carries extensive information on the detailed chemical components of food that is currently not integrated in databases. Finally, we use unsupervised machine learning to create chemical embeddings, finding that the chemicals identified by FoodMine tend to have direct health relevance, reflecting the scientific community’s focus on health-related chemicals in our food.

scholarly journals Teaching yourself about structural racism will improve your machine learning

Biostatistics ◽  
2019 ◽  
Author(s):  
Whitney R Robinson ◽  
Audrey Renson ◽  
Ashley I Naimi
Keyword(s):  
Machine Learning ◽  
Health Research ◽  
Structural Racism ◽  
Body Of Knowledge ◽  
Health Related ◽  
Almost All

Summary In this commentary, we put forth the following argument: Anyone conducting machine learning in a health-related domain should educate themselves about structural racism. We argue that structural racism is a critical body of knowledge needed for generalizability in almost all domains of health research.

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