Training Healthcare Providers to Establish Therapeutic Alliances With Patients

2020 ◽  
pp. 120-141
Author(s):  
Nicholas R. Morrison ◽  
David R. Topor
Keyword(s):  
Therapeutic Alliance ◽  
Role Play ◽  
Healthcare Providers ◽  
Self Awareness ◽  
Therapeutic Alliances ◽  
Supervisory Alliance ◽  
Extant Literature ◽  
Education Community ◽  
Health Communities ◽  
Healthcare Educators

This chapter discusses a variety of practices the healthcare education community can adopt from the psychotherapy literature regarding therapeutic alliance training when supervising trainees, and provides a series of recommendations, grounded in the extant literature, to bring these practices to life. In addition to describing how healthcare educators can translate Bordin's therapeutic alliance model to the medical and allied health communities, this chapter discusses aspects of therapeutic alliance facilitation and maintenance supervisors can address explicitly in supervision, including attunement to the developmental stage of trainees, using the supervisory alliance with trainees, addressing issues of diversity and multiculturalism, and increasing trainee self-awareness in the service of alliance maintenance. Specific strategies including role-play, alliance measurement, and use of video/audio recording are discussed. Supervisors can apply these nomothetic concepts to their scopes of practice and address idiographic concerns with trainees that emerge in their patient populations.

scholarly journals ‘I always considered I needed injury prevention to become an elite athlete’: the road to the Olympics from the athlete and staff perspective

2021 ◽  
Vol 7 (4) ◽  
pp. e001217
Author(s):  
Oriol Bonell Monsonís ◽  
Evert Verhagen ◽  
Jean-Francois Kaux ◽  
Caroline Bolling
Keyword(s):  
Injury Prevention ◽  
Elite Athlete ◽  
Contextual Factors ◽  
Healthcare Providers ◽  
Sports Injury ◽  
Shared Responsibility ◽  
Self Awareness ◽  
Sports Culture ◽  
The Road ◽  
Elite Sports

In this study, we explored the perspectives about sports injury prevention of Belgium Olympic level athletes, coaches, managers and healthcare providers from various Olympic sports. We conducted a qualitative study, including 17 semistructured interviews. All interviews were transcribed verbatim and analysed by two independent coders through constant comparative data analysis based on Grounded Theory principles. Our findings overview the athlete’s journey to becoming an elite athlete, and how an elite sports context influences and modulates injury prevention practice at this level. Participants described an elite athletic career as a continuous and adaptive evolving process. According to athletes and all stakeholders, sports injury prevention is a learning process shaped by individual experiences. This embodiment provides athletes with insight into the importance of ownership of their bodies and self-awareness. Thus, experience, communication, empowerment, knowledge, education, the elite athlete context and sports culture, all play a fundamental role in sports injury prevention. Our findings support the importance of contextual factors in sports injury prevention in an elite sports context. These results also bring practical implications on how we should approach injury prevention differently along an athlete’s journey to becoming an elite athlete. Considering specific contextual factors and influencing the process through awareness, communication and a shared responsibility is essential to develop a healthy and successful athlete.

Individual and Cultural Diversity

2013 ◽  
pp. 152-160
Author(s):  
Christine Maguth Nezu ◽  
Christopher R. Martell ◽  
Arthur M. Nezu
Keyword(s):  
Cultural Diversity ◽  
Therapeutic Alliance ◽  
Cultural Competency ◽  
Professional Psychology ◽  
Individual Factors ◽  
Self Awareness ◽  
Multicultural Competencies ◽  
The Core

Chapter 11 provides a focus on multicultural competencies related to the practice of cognitive and behavioural psychology consistent with the core foundational competencies in professional psychology, especially with regard to individual and cultural diversity. It provides a unique perspective for cultural competency focusing on the principle of self- awareness, as well as respect for how an individual’s past and current functioning is impacted by a wide breadth of multicultural and individual factors. It also discusses the implications for assessment, intervention, and therapeutic alliance.

scholarly journals A narrative history of the American Balint Society 1990–2020

2020 ◽  
Vol 55 (3) ◽  
pp. 153-166
Author(s):  
Alan H. Johnson ◽  
Laurel C. Milberg
Keyword(s):  
Healthcare Providers ◽  
Historical Narrative ◽  
Narrative History ◽  
The People ◽  
True Purpose ◽  
The Usa ◽  
History Of ◽  
Contextual Awareness ◽  
Healthcare Educators ◽  
Future Growth

An historical narrative tracing the inception, evolution, structure, educational focus, integration with international Balint movements and challenges to future growth of the American Balint Society (ABS) is enlivened and deepened by twelve Balint autobiographies that follow it. The ABS in choosing to create its historical narrative is confronting a vitally important project both for its members, and for many healthcare educators and clinicians. Both are deeply invested in promoting and preserving the integrity of the personal relationship between the provider and the client. The Society is striving not only to understand its past, but to educate itself through a contextual awareness of how to preserve a personal education for future healthcare providers. To truly understand how the Balint enterprise emerged in the USA, one must “hear” from the people who experienced and wanted to share the transformative insights of participation in Balint seminars. To “hear” their stories and to honor the diversity of perspectives within the organization the authors asked ABS members with long and committed involvement to write their personal ”Balint Autobiographies.” These authors tell a collective, personal and professional story that is truly integral with an ABS narrative history. Readers may find, amidst their narratives, gems of insight and instruction about the Balint Seminar process, its leadership and possibly indications of where the ABS could head in the future. However, the real significance of the history of the ABS lies in its potency to stimulate critical reflection on the true purpose(s) of the Society, to elicit new and stronger personal incentives in ABS members, and to initiate challenging, inquiring, and supporting reverberations in the medical-educational-insurance-business-governmental subculture in which it participates.

scholarly journals An Exploratory Study of Factors Influencing Student Nurses’ Empathy

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Nursing Students ◽  
Role Models ◽  
Healthcare Providers ◽  
Student Nurses ◽  
Self Awareness ◽  
Tertiary Institution ◽  
Positive Role ◽  
Clinical Exposure ◽  
Factors Affecting ◽  
Factors Influencing

Background: Healthcare providers’ empathetic attitude towards patient care significantly plays a role in the success of patient-centered outcome. However, across the empathy literature, there have been numerous studies which indicate that there had been a significant change in the level of empathy among nursing students in line with the length of their clinical exposure. Considering these studies, little is known on the factors affecting empathy. Hence, this study has purported to explore the factors influencing nursing students’ level of empathy. Methods: A descriptive-correlational research design was utilized. This study employed factor analysis to explore the factors which influence student nurses’ level of empathy. Data was analyzed through SPSS Version 21. Inclusion criteria are regular nursing students with at least 18 years of age, on their 15th week of RLE and are currently enrolled in the academic year 2017-2018. A total of 255 nursing students were purposively selected from a tertiary institution in Manila. Results: Nine factor dimensions identified namely: Engaging, Efficiency, Emic, Erratic, Encumbering, Enduing, Emotive, Embracing, and Enervating Factors. Out of the nine variables that were identified, only four have been identified to have a direct effect on empathy which are: Engaging, Efficiency, Erratic and Encumbering Factors. Moreover, Engaging and Efficiency Factors positively affect empathy while Erratic and Encumbering Factors negatively affect empathy. Notably, Engaging factors had the most impact among the student nurses’ level of empathy. Conclusion: Several factors affecting the nursing students’ empathy are combination of personal, patient and environmental. Since it was revealed that some factors can cause decrease in empathy among the nursing students, selection of educators who will serve as positive role models should be considered. Likewise, empathy trainings may be conducted such as self-awareness and reflective listening among the nursing students before they face their patients.

scholarly journals What Should Public Health Nurses Do in the Preparedness Phase of Disaster?

2021 ◽  
Vol 9 (F) ◽  
pp. 724-729
Author(s):  
Ardia Putra ◽  
Hajjul Kamil ◽  
Yuswardi Yuswardi ◽  
Elly Wardani
Keyword(s):  
Disaster Management ◽  
Disaster Preparedness ◽  
Healthcare Providers ◽  
Health Department ◽  
Self Awareness ◽  
Sources Of Information ◽  
Perceived Knowledge ◽  
Knowledge And Skills ◽  
Standard Procedures ◽  
Practice Skills

Disasters will lead to various problems in the community that cannot be resolved through standard procedures and require the assistance of other resources. Natural and human-caused disasters have been and will continue to occur throughout the world. This event strongly encouraged the nursing profession to develop a strategic plan to address the situation, which challenges the PHNs to handle catastrophic situations. The goal of the study was to explore the perceived knowledge and skills of PHNs in disaster management. A systematic review approach was applied, sources of information derived from the literature were obtained through various methods. In this study, the knowledge and skills of the PHNs in disaster management are discussed at the disaster preparedness stage (disaster risk and population identification, including inter-agency collaboration). PHNs should always be aware and ready for future disaster occurrences by enhancing their knowledge and heightening their clinical practice skills, particularly in disaster management. In addition, the collaboration among the Health Department and other institutions is required to develop regular disaster drills between healthcare providers and communities to enhance self-awareness and preparedness regarding emergency and disaster events.

scholarly journals Behavioral Health Provider Attitudes Toward Behavioral Health Profiles in the U.S. Army

2021 ◽  
Author(s):  
Justin M Curley ◽  
Kristina M Clarke-Walper ◽  
Katie L Nugent ◽  
Joshua E Wilk
Keyword(s):  
Decision Making ◽  
Therapeutic Alliance ◽  
Behavioral Health ◽  
Healthcare Providers ◽  
Treatment Utilization ◽  
Positive Trend ◽  
Provider Attitudes ◽  
Institutional Review ◽  
Using Data ◽  
The Individual

ABSTRACT Introduction U.S. Army healthcare providers’ use of profiles to document and communicate behavioral health (BH) condition limitations to commanders is vital to understanding both the individual soldier’s BH readiness for missions and, as an aggregate, the unit’s overall BH readiness status. Quantitative work exploring the link between soldier attitudes toward BH profiles and treatment utilization found that profiles may actually promote increases in treatment-seeking behavior in those receiving conventional BH services. BH provider attitudes on the subject, however, have not been quantitatively explored. Using data from the recently described Behavioral Health Readiness and Decision-Making Instrument (B-REDI) study, the current inquiry addresses this by examining BH providers’ pre-/post-B-REDI attitudes toward BH profiles, including therapeutic alliance, to better understand how BH profiles may impact BH treatment. Methods This study was approved by the WRAIR Institutional Review Board and is part of the larger B-REDI study. BH providers (n = 307) across five installations supporting active duty U.S. Army Divisions completed surveys longitudinally across three time points from September 2018 to March 2019. The survey specific to this study included five items, developed by WRAIR, assessing BH provider attitudes toward BH profiles. Of the providers who completed the survey, 250 (81%) consented to participate in the study and 149 (60%) completed the 3-month follow-up survey. Results Over 80% of BH providers expressed agreement with each of three items assessing rationale for issuing BH profiles in both the pre- and post B-REDI period. Specifically, most providers agreed that profiles facilitate commander support to the soldier, afford soldiers resources for recovery, and give commanders increased understanding of soldier health for mission planning. Twenty-six percent of BH providers agreed, 46% were neutral, and 28% disagreed on whether profile impact on the soldier was positive or not in the pre-B-REDI period, but there was a significant positive trend relative to baseline in the post B-REDI period. The vast majority of providers (≥94%) did not endorse agreement that BH profiles negatively impact therapeutic alliance in either the pre- or post-B-REDI period. Conclusions Assuming that therapeutic alliance and perceptions of BH profile impact on soldiers are useful proxy measures of how treatment utilization may be affected by profiling, this inquiry fails to establish any meaningful negative association between them. This may provide some additional reassurance to BH providers and policymakers that efforts to improve readiness decision-making, such as B-REDI, and increased profiling in conventional military BH settings may not negatively impact treatment utilization rates.

PROGRAM PENINGKATAN SELF-AWARENESS PADA ANAK ASUH DI LEMBAGA KESEJAHTERAAN SOSIAL ANAK RHS

2021 ◽  
Vol 3 (1) ◽  
pp. 62-69
Author(s):  
Bertha Bertha ◽  
Penny Handayani
Keyword(s):  
Focus Group ◽  
Focus Group Discussion ◽  
Group Discussion ◽  
Role Play ◽  
Self Awareness

Lembaga Kesejahteraan Sosial Anak (LKSA) RHS merupakan LKSA khusus perempuan dengan karakteristik anak asuh yang beragam (usia, pendidikan, dan status keberadaan orang tua). Dengan latar belakang yang beragam tersebut, timbul yang terkait dengan hubungan sesama anak asuh yang kurang baik, mereka kurang mengenal diri sendiri dan satu sama lain. Pengasuh di LKSA RHS mengungkapkan bahwa mayoritas anak asuh kurang memiliki kesadaran akan tugas-tugasnya sebagai anak asuh dan sebagai pelajar sehingga pengasuh harus menegur dan mendisiplinkan berulang kali. Penyebab munculnya permasalahan anak asuh yang kurang memahami kapasitas diri, diantaranya karena mereka tidak memiliki pemahaman mengenai kekuatan, kelemahan, dan peranan dirinya. Hal tersebut disebabkan karena anak asuh kurang memiliki perasaan sadar diri (self-awareness). Metode yang digunakan untuk mengidentifikasi kebutuhan adalah melalui wawancara, kuesioner, dan focus group discussion. Dengan hasil mengidentifikasi kebutuhan, maka dibuatlah sebuah program pelatihan dengan tujuan umum : anak asuh memiliki self-awareness, dan tujuan khusus : (1) meningkatkan self-awareness melalui faktor-faktor yang mempengaruhi self-awareness, (2) anak asuh dapat melaksanakan tugas-tugasnya, dan (3) anak asuh memiliki pemahaman mengenai program BK di LKSA RHS. Pelatihan di lakukan 21 November 2020, pk. 10.00-12.00 untuk jenjang SD-SMP dan pk. 14.00-16.00 untuk jenjang SMA-Universitas, kepada 46 anak asuh. Pada aspek kognitif, terdapat peningkatan pemahaman pada peserta. Pada aspek afektif, seluruh peserta menyadari pentingnya self-awareness dalam kehidupan. Pada aspek perilaku, seluruh anak asuh mampu untuk mengikuti role-play dalam pelatihan yang diberikan dan sudah mampu mengaplikasikan secara langsung self-awareness di LKSA RHS. Monitoring dan evaluasi program akan digunakan untuk mengetahui dampak dari pelaksanaan pelatihan yang telah diberikan.

Supportive Therapy Techniques Part II

2019 ◽  
pp. 192-207
Author(s):  
Brian A. Sharpless
Keyword(s):  
Therapeutic Alliance ◽  
Supportive Therapy ◽  
Self Awareness ◽  
Critical Component ◽  
Parenting Strategies ◽  
Working Through

This chapter concludes the section on supportive therapy and describes four additional sets of techniques with clinical examples. Interventions that are intended to reduce and prevent unhelpful anxiety or other emotions are discussed first. These include techniques such as supportive bypassing, encouraging the use of adaptive defenses, and reframing. Next, supportive approaches meant to enhance patient self-awareness are discussed (e.g., the use of “upward explanations”). A third set of interventions focuses on what have been called, for lack of a better term, “parenting strategies.” Examples include containing affect, setting limits, and providing limited advice. Techniques to create and sustain a positive therapeutic alliance are discussed last. Displaying interest and empathy, sharing agendas, jointly agreeing upon treatment contracts, and many other approaches and interventions serve to foster a therapeutic alliance. The alliance is a critical component of all therapies and may be particularly challenging to achieve with lower-functioning patients. The chapter concludes with a discussion of the process of “working through” in supportive therapies.

The spirit of palliative practice: A qualitative inquiry into the spiritual journey of palliative care physicians

2010 ◽  
Vol 8 (4) ◽  
pp. 415-420 ◽  
Author(s):  
Adrienne Penderell ◽  
Kevin Brazil
Keyword(s):  
Palliative Care ◽  
Spiritual Growth ◽  
Healthcare Providers ◽  
Terminally Ill ◽  
Self Care ◽  
Qualitative Inquiry ◽  
Self Awareness ◽  
Physician Patient Relationship ◽  
Delivery Of Care ◽  
Dynamic Relationship

AbstractObjective:Much is known about the important role of spirituality in the delivery of multidimensional care for patients at the end of life. Establishing a strong physician–patient relationship in a palliative context requires physicians to have the self-awareness essential to establishing shared meaning and relationships with their patients. However, little is known about this phenomenon and therefore, this study seeks a greater understanding of physician spirituality and how caring for the terminally ill influences this inner aspect.Method:A qualitative descriptive study was used involving face-to-face interviews with six practicing palliative care physicians.Results:Conceptualized as a separate entity from religion, spirituality was described by participants as a notion relating to meaning, personal discovery, self-reflection, support, connectedness, and guidance. Spirituality and the delivery of care for the terminally ill appeared to be interrelated in a dynamic relationship where a physician's spiritual growth occurred as a result of patient interaction and that spiritual growth, in turn, was essential for providing compassionate care for the palliative patient. Spirituality also served as an influential force for physicians to engage in self-care practices.Significance of results:With spirituality as a pervasive force not only in the lives of palliative care patients, but also in those of healthcare providers, it may prove to be beneficial to use this information to guide future practice in training and education for palliative physicians in both the spiritual care of patients and in practitioner self care.

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