Communication on All Sides

2022 ◽  
pp. 54-107
Author(s):  
Cristina Vaz de Almeida
Keyword(s):  
Therapeutic Relationship ◽  
Health Professionals ◽  
Health Profession ◽  
Patient Centered ◽  
Knowledge And Beliefs ◽  
Knowing That ◽  
Do So

People seek to solve problems, either through cognitive or emotional means or both, including behavioral ones. Health professionals have a specific mission to care and heal and they do so through their skills, behaviors, knowledge, and beliefs. To fulfill this mission of promoting satisfactory results in health relationships, the therapeutic relationship can be approached in several ways and based on different models. If there are trends of great centralization of consultation in the health profession, an effort has been made for patient-centered decision. The path of this relationship in health allows for a mutually beneficial interaction with commitment and better health results. Without wishing to be exhaustive and knowing that many models are left out, the authors explore the evolution of models applied to health throughout history.

scholarly journals Reframing the Medication Experience in Pharmacy Using Seminal Concepts of Patient-Centered Care—Implications for Practice

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 9
Author(s):  
Brian Isetts ◽  
Anthony Olson ◽  
Jon Schommer
Keyword(s):  
Therapeutic Relationship ◽  
Secondary Analysis ◽  
Patient Centered Care ◽  
National Sample ◽  
Patient Specific ◽  
Structured Interviews ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Centered Care ◽  
Medication Experience

Team-based, Patient-Centered Care is essential to chronic disease prevention and management but there are differing ideas about the concept’s meaning across healthcare populations, settings and professions. This commentary’s objective is to empirically evaluate the theoretical relationships of the [a] Medication Experience, [b] Patient-Centeredness and other relevant component concepts from pharmaceutical care (i.e., [c] Therapeutic Relationship, [d] Patient-specific preferences for achieving goals of therapy and resolving drug therapy problems) so as to provide practice-based insights. This is achieved using a secondary analysis of 213 excerpts generated from in-depth semi-structured interviews with a national sample of pharmacists and patients about Patient-Centeredness in pharmacist practice. The four component concepts (i.e., a–d) related to the objective were examined and interpreted using a novel 3-archetype heuristic (i.e., Partner, Client and Customer) revealing common practice-based themes related to care preferences and expectations in collaborative goal setting, enduring relationships, value co-creation and evolving patient expectations during challenging medical circumstances. Most practice-based insights were generated within the Partner archetype, likely reflecting high congruence with pharmacist and patient responses related to the Medication Experience and Therapeutic Relationship. The practice-based insights may be especially useful for new practitioners and students accelerating their advancement in providing effective and efficient Patient-Centered Care.

Becoming an empowered parent. How do parents successfully take up their role as a collaborative partner in their child’s specialist care?

2020 ◽  
pp. 136749352091083
Author(s):  
Jim Reeder ◽  
Jane Morris
Keyword(s):  
Therapeutic Relationship ◽  
Health Professionals ◽  
Constructivist Grounded Theory ◽  
Collaborative Partnership ◽  
Specialist Care ◽  
National Health Service Trust ◽  
Data Collection And Analysis ◽  
Depth Interviews ◽  
Novel Model

The purpose of this article is to offer an improved understanding of how parents of children with long-term disabilities are empowered to successfully take up their role as decision-making partners in the design and delivery of the care of their child. The intention is to stimulate dialogue, encourage reflection and provide practical suggestions for health professionals working with children and their families. The reported findings are from a study which was guided by a constructivist grounded theory methodology. This involved an iterative process of repeated cycles of data collection and analysis, which comprised 12 semi-structured, in-depth interviews with 14 parents of children accessing paediatric services within a single National Health Service Trust. A novel model, explaining how the power im/balance and the perceived state of the therapeutic relationship influence how successfully a parent takes up their position in the collaborative partnership, is presented and discussed. It is suggested that by thoughtfully addressing the traditional hierarchy that exists within healthcare, health professionals might facilitate the development of a ‘truly’ therapeutic relationship, which can help promote parental empowerment.

scholarly journals Reconciling Practical Knowledge with Self-Deception

Mind ◽  
2018 ◽  
Vol 128 (512) ◽  
pp. 1205-1225 ◽  
Author(s):  
Eric Marcus
Keyword(s):  
Practical Knowledge ◽  
Intentional Action ◽  
The Self ◽  
Correct Description ◽  
Knowing That ◽  
Do So

Abstract Is it impossible for a person to do something intentionally without knowing that she is doing it? The phenomenon of self-deceived agency might seem to show otherwise. Here the agent is not (at least in a straightforward sense) lying, yet disavows a correct description of her intentional action. This disavowal might seem expressive of ignorance. However, I show that the self-deceived agent does know what she's doing. I argue that we should understand the factors that explain self-deception as masking rather than negating the practical knowledge characteristic of intentional action. This masking takes roughly the following form: when we are deceiving ourselves about what we are intentionally doing, we don't think about our action because it's painful to do so.

Double-Effect Donation Disputed

2021 ◽  
pp. 002436392110381
Author(s):  
Thomas A. Cavanaugh
Keyword(s):  
Organ Donation ◽  
Healthy Individual ◽  
Living Donor ◽  
Double Effect ◽  
Vital Organ ◽  
Dead Donor Rule ◽  
Knowing That ◽  
The Dead ◽  
Living Person ◽  
Do So

In “Double Effect Donation,” Camosy and Vukov argue that “there are circumstances in which it is morally permissible for a healthy individual to donate their organs even though their death is a foreseeable outcome”. They propose that a living donor could ethically donate an entire, singular, vital organ while knowing that this act would result in death. In reply, I argue that it is not ethical for a living person to donate an entire, singular, vital organ. Moreover, mutatis mutandis, it is not ethical for surgeons and others to perform such a deadly operation. For to do so is “intentionally to cause the death of the donor in disposing of his organs”. Such an act violates the dead donor rule which holds that an entire, singular, vital organ may be taken only from a corpse. Contrary to Camosy and Vukov’s claims, double-effect reasoning does not endorse such organ donation.

Humor, Well-Being, and Health Literacy

2022 ◽  
pp. 256-272
Author(s):  
Patrícia Rodrigues ◽  
Manuela Soares Rodrigues ◽  
Diana Pinheiro ◽  
Cecília Nunes
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Health Professional ◽  
Therapeutic Relationship ◽  
Health Professionals ◽  
Well Being ◽  
Clinical Environment ◽  
Future Health ◽  
Face To Face ◽  
Difficult Situations

Health influences general well-being, and well-being affects future health. Oral health professionals report a decreased well-being and a higher burnout. This chapter measures and evaluates the perception of the health professional and the patient about factors of stress and well-being. It evaluates the strategies used to overcome the anxiety and stress that involve the meeting. Two surveys applied by questionnaire, with face-to-face and online dissemination, the first to patients and second to dentists, were done. Of the 245 patients, 46% consider themselves to be anxious. The instruments used in a clinical environment cause discomfort, and their noise is the predominant cause for this fear. Of the 306 dentists, 80% show the ability to face difficult situations. Finally, 90% have an awareness that contributes to the well-being of others. Oral health professionals should prepare themselves with techniques to develop a therapeutic relationship that is more positive, calm, and less stressful.

Health Profession Centrism

2020 ◽  
Author(s):  
Edward Pecukonis
Keyword(s):  
Health Professionals ◽  
Interprofessional Education ◽  
Professional Socialization ◽  
Treatment Success ◽  
Work Practice ◽  
Social Work Practice ◽  
Health Profession ◽  
Critical Education ◽  
Curriculum Content ◽  
Training Objective

The concept of health profession centrism and its effects on interprofessional education is important to Social Work practice. Profession centrism is concerned with a student’s professional socialization and their ability to work effectively with other health professionals and clients. This cultural frame determines the salience of curriculum content, core values, practice rituals and customs. It determines the meaning and etiology of symptoms and what constitutes health and treatment success. The interprofessional education (IPE) agenda is often seen as “soft curriculum” content and put to the side for the rigors of health sciences. Paradoxically, it is these issues of communication, ethics, role definition, and working as a team that creates problems among health professionals which compromise safety and efficiency in patient/client care. Learning to minimize profession centrism is a critical education and training objective for health social workers.

scholarly journals Meat Eating and Moral Responsibility: Exploring the Moral Distinctions between Meat Eaters and Puppy Torturers

Utilitas ◽  
2020 ◽  
Vol 32 (4) ◽  
pp. 398-415
Author(s):  
C. E. Abbate
Keyword(s):  
Moral Responsibility ◽  
Cultural Norms ◽  
Meat Eating ◽  
Average Consumer ◽  
Knowing That ◽  
Harmful Behavior ◽  
Do So

AbstractIn his influential article on the ethics of eating animals, Alastair Norcross argues that consumers of factory raised meat and puppy torturers are equally condemnable because both knowingly cause serious harm to sentient creatures just for trivial pleasures. Against this claim, I argue that those who buy and consume factory raised meat, even those who do so knowing that they cause harm, have a partial excuse for their wrongdoings. Meat eaters act under social duress, which causes volitional impairment, and they often act from deeply ingrained habits, which causes epistemic impairment. But puppy torturers act against cultural norms and habits, consciously choosing to perform wrongful acts. Consequently, the average consumer of factory raised meat has, while puppy torturers lack, a cultural excuse. But although consumers of factory raised meat aren't blameworthy, they are partially morally responsible for their harmful behavior – and for this, they should feel regret, remorse, and shame.

scholarly journals The implementation of the choice on termination of pregnancy act: some empirical findings

Curationis ◽  
2000 ◽  
Vol 23 (2) ◽  
Author(s):  
MC Engelbrecht ◽  
AJ Pelser ◽  
Charles Ngwena ◽  
HCJ Van Rensburg
Keyword(s):  
Social Workers ◽  
Health Care Workers ◽  
Health Professionals ◽  
Service Providers ◽  
Considerable Proportion ◽  
Abortion Law ◽  
Care Workers ◽  
Before And After ◽  
Trained Staff ◽  
Do So

The Choice on Termination o f Pregnancy Act o f 1996substantially liberalised abortion law. Whilst a substantial number of terminations of pregnancies (TOPs) have already been performed in terms of the new Act, it has also surfaced that an array of factors of various kinds may impede its further implementation and operation. A study was undertaken to determine the nature and extent of any such impediments to the implementation of the Choice on Termination o f Pregnancy Act. More specifically a survey was conducted amongst a sample of 75 women who had undergone a TOP since the implementation of the Act; health professionals and social workers who provide TOP services (n=16); and health professionals and social workers who are in a position to refer women to TOP facilities (n=63). Overall, the clients were well treated at the TOP facilities, and were satisfied with the service given to them. However, post-counselling and to a lesser extent pre-counselling, is lacking. Counselling is important as a considerable proportion of the clients suffered from emotional feelings usually associated with depression and/or self-reproach before and after the termination procedure. Furthermore these clients did not usually discuss their termination with family members. TOP service providers were dissatisfied with the TOP facilities, especially the insufficient number of consultation and counselling rooms. Health care workers in a position to refer clients to TOP facilities were not always willing to do so, thereby obstructing the referral system. In the main, it is recommended that the entire TOP procedure should be done at clinics/hospitals so that clients will not have to do inductions at home, more trained staff should be available, facilities should be adequate and accessible, and there should be psychological support for staff.

scholarly journals Protecting the Public Interest when Regulating Health Professionals Providing Virtual Care: A Scoping Review Protocol

2021 ◽  
Author(s):  
Kathleen Leslie ◽  
Sophia Myles ◽  
Tracey L Adams ◽  
Catharine Schiller ◽  
Jacob Shelley ◽  
...  
Keyword(s):  
Scoping Review ◽  
Public Interest ◽  
Health Professionals ◽  
Digital Health ◽  
Grey Literature ◽  
Regulatory Reform ◽  
Health Profession ◽  
Rapid Expansion ◽  
The Public ◽  
Virtual Care

Abstract Background: Virtual care is transforming the nature of healthcare, particularly with the accelerated shift to telehealth and virtual care during the COVID-19 pandemic. Health profession regulators face intense pressures to safely facilitate this type of healthcare while upholding their legislative mandate to protect the public. Challenges for health profession regulators have included providing practice guidance for virtual care, changing entry to practice requirements to include digital competencies, facilitating interjurisdictional virtual care through licensure and liability insurance requirements, and adapting disciplinary procedures. This scoping review will examine the literature on how the public interest is protected when regulating health professionals providing virtual care.Methods: This review will follow the Joanna Briggs Institute (JBI) scoping review methodology. Academic and grey literature will be retrieved from health sciences, social sciences, and legal databases using a comprehensive search strategy underpinned by Population-Concept-Context (PCC) inclusion criteria. Articles published in English since January 2015 will be considered for inclusion. Two reviewers will independently screen titles and abstracts and full-text sources against specific inclusion and exclusion criteria. Discrepancies will be resolved through discussion or by a third reviewer. One research team member will extract relevant data from the selected documents and a second will validate the extractions.Discussion: Results will be presented in a descriptive synthesis that highlights implications for regulatory policy and professional practice, as well as study limitations and knowledge gaps that warrant further research. Given the rapid expansion of virtual care provision by regulated health professionals in response to the COVID-19 pandemic, mapping the literature on how the public interest is protected in this rapidly evolving digital health sector may help inform future regulatory reform and innovation.Review registration: This protocol is registered with the Open Science Framework (10.17605/OSF.IO/BD2ZX).

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