The healing relationship

2020 ◽  
pp. 79-95
Author(s):  
Vincent Di Stefano
Keyword(s):  
2019 ◽  
Vol 4 (1) ◽  
pp. 69-71 ◽  
Author(s):  
Belinda Eriacho

Although Native American communities are unique in their beliefs, traditions, and languages, there are some fundamental common belief systems shared by most Native American cultures. Therapists and other practitioners engaging in a healing relationship with Native Peoples should be aware of these fundamental aspects of the Native American culture. This includes trust/respect, confidentiality outside of the context therapeutic setting, culturally based therapy that is inclusive of Native American traditions, and culture, and making efforts to gain an understanding of the culture with which one will be interacting.


2014 ◽  
Vol 6 (2) ◽  
pp. 249-255 ◽  
Author(s):  
Maureen D. Francis ◽  
Kris Thomas ◽  
Michael Langan ◽  
Amy Smith ◽  
Sean Drake ◽  
...  

Abstract Background Internal medicine programs are redesigning ambulatory training to improve the resident experience and answer the challenges of conflicting clinical responsibilities. However, little is known about the effect of clinic redesign on residents' satisfaction. Objective We assessed residents' satisfaction with different resident continuity clinic models in programs participating in the Educational Innovations Project Ambulatory Collaborative (EPAC). Methods A total of 713 internal medicine residents from 12 institutions in the EPAC participated in this cross-sectional study. Each program completed a detailed curriculum questionnaire and tracked practice metrics for participating residents. Residents completed a 3-part satisfaction survey based on the Veterans Affairs Learners' Perception Survey, with additional questions addressing residents' perceptions of the continuous healing relationship and conflicting duties across care settings. Results Three clinic models were identified: traditional weekly experience, combination model with weekly experience plus concentrated ambulatory rotations, and a block model with distinct inpatient and ambulatory blocks. The satisfaction survey showed block models had less conflict between inpatient and outpatient duties than traditional and combination models. Residents' perceptions of the continuous healing relationship was higher in combination models. In secondary analyses, the continuity for physician measure was correlated with residents' perceptions of the continuous healing relationship. Panel size and workload did not have an effect on residents' overall personal experience. Conclusions Block models successfully minimize conflict across care settings without sacrificing overall resident satisfaction or resident perception of the continuous healing relationship. However, resident perception of the continuous healing relationship was higher in combination models.


2009 ◽  
Vol 24 (3) ◽  
pp. 64-64
Author(s):  
Lynn Jones
Keyword(s):  

Author(s):  
Nessa Coyle

Providing palliative care depends on the nurse having strong interpersonal skills and clinical knowledge and is informed by respect for the person and the ethical principles of autonomy, beneficence, nonmaleficence, and justice. The genuine, warm, and compassionate relationship of a nurse with his or her patient is frequently a healing relationship even in the face of death. It is a combination of state-of-the art clinical competence with fidelity to the patient, the ability to listen and remain present in the face of much suffering and distress, and effective communication. It is the nurse who provides much of the care and support to patients and families throughout a disease trajectory and the one who is more likely to be present at the time of death than any other health professional.


2016 ◽  
Vol 25 (2) ◽  
pp. 288-300 ◽  
Author(s):  
DAVID BARNARD

Abstract:Although recent literature on professionalism in healthcare abounds in recommended character traits, attitudes, or behaviors, with a few exceptions, the recommendations are untethered to any serious consideration of the contours and ethical demands of the healing relationship. This article offers an approach based on the professional’s commitment to trustworthiness in response to the vulnerability of those seeking professional help. Because our willingness and ability to trust health professionals or healthcare institutions are affected by our personality, culture, race, age, prior experiences with illness and healthcare, and socioeconomic and political circumstances—“the social determinants of trust”—the attitudes and behaviors that actually do gain trust are patient and context specific. Therefore, in addition to the commitment to cultivating attitudes and behaviors that embody trustworthiness, professionalism also includes the commitment to actually gaining a patient’s or family’s trust by learning, through individualized dialogue, which conditions would win their justified trust, given their particular history and social situation.


1990 ◽  
Vol 116 (7) ◽  
pp. 798-802 ◽  
Author(s):  
L. P. A. Burgess ◽  
G. V. Morin ◽  
M. Rand ◽  
J. Vossoughi ◽  
J. O. Hollinger

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