What’s the Point of Spiritual Care? A Narrative Response

This article assumes spiritual care is relevant for all people, regardless of their faith affiliation. Building on the author’s work in narrative spirituality, the discussion demonstrates how spiritual care practitioners can engage clients in their lived narratives, with Narrative Empowerment being the end goal. Several therapeutic practices are thus revealed, as well as three traits by which a client’s Narrative Empowerment can be described and assessed.

Brand management in the era of fake news: narrative response as a strategy to insulate brand value

Purpose Brand value is increasingly threatened by fake news stories; the purpose of this paper is to explain how narrative response can be used to mitigate this threat, especially in situations where the crisis is severe and consumers are highly involved. Design/methods This conceptual paper derives recommendations and guidance for the use of narrative response based on storytelling and brand management literature. Findings This paper highlights authenticity and emotional engagement as keys to effective storytelling. Practical implications Current managerial approaches to dealing with misinformation are insufficient, as they presuppose an audience that can be convinced based on facts; this paper can be used to help brand managers respond to fake news stories when rational appeals fail. Originality/value This paper provides insight into brand management strategies in the era of fake news.

P041: The nursing shift: measuring the effect of inter-professional education on medical students in the emergency department

Introduction/Innovation Concept: Inter-professional education (IPE) involves ‘occasions when two or more professions learn with, from and about each other to improve collaboration and the quality of care’. Current literature has found IPE to increase knowledge and skills, improve attitudes towards other professions, and to promote superior clinical outcomes. Health Canada has collaborated to form accreditation standards to support IPE in Canadian medical schools. The proposed educational innovation termed the ‘nursing shift,’ based out of Kelowna General Hospital’s Department of Emergency Medicine, in partnership with UBC’s Southern and Island Medical Programs, endeavors to enhance IPE in our institution. Methods: This nursing shift was first trialed with third year medical students as a pilot rotation beginning in March of 2016. Based on overwhelmingly positive results obtained from narrative feedback, a formal rotation with the same structure will be implemented in the form of a prospective cohort study with 48 medical students from two UBC sites. One group will attend a nursing shift, while the other group will complete the standard emergency medicine rotation without this nursing shift. Impact will be measured using a mixed-method analysis where students will be asked to provide both quantitative feedback in the form of a questionnaire, and qualitative feedback in the form of a narrative response. The primary outcome will be quantitative score differences between the groups of students, and the secondary outcome will be qualitative results for those who completed the nursing shift. Curriculum, Tool, or Material: The innovative educational concept consists of an 8-hour nursing shift where medical students spend the first 4 hours at triage with a nurse learning about patient intake. The remaining 4 hours are in the emergency department where students collaborate with a nurse on a number of tasks including preparing and administering medications, starting intravenous lines, and inserting Foley catheters. Conclusion: Healthcare systems are shifting to a more collaborative team oriented approach, and IPE has been shown to prepare students for this changing workplace. We seek to understand third year medical students’ experience of the nursing shift, and to evaluate any changes in attitudes towards inter-professional collaboration after engaging in this intervention. Evaluation of this novel implementation will enable us to assess and optimize the nursing shift, and if it is well received, encourage widespread adoption.

Tribal Rifts: A Valuation to the Extent of Criminal Justice System and Bodong System in Resolving Crimes and Disputes in the ASEAN Region

The Cordillera Administrative Region’s way of resolving crimes and disputes between two tribes is in accordance with their Bodong system wherein the codified and published Pagta or “the law of the Bodong” (literally translated “peace covenant or pact”) is Kalinga’s number one cultural and historical contribution to the country’s National Cultural Treasure. The study determined the extent of Criminal Justice System and Bodong System in resolving crimes and disputes encountered by tribes who are in conflict. The researcher used the case study method wherein the basis for its concept is the theoretical framework, socio-cultural theory and grounded theory and self-report data with convenience sampling. “Semi-structured interviews, narrative response and blog discussions” were also used. 50% of the respondents stand for the statement that bodong system is bound to resolve cases that involve murder, land disputes, loss of property and other violations. Hence, the Cordillera Administrative Region’s urge in pursuing in the legalization and government recognition of the Bodong System has put an ease with the lengthy trials of the Criminal Justice System. The Cordilleran leaders’ initiative to organize PEACE SUMMIT every year is an effective way of informing people of Cordillera the essence of Bodong in their life not just a mere machinery, but rather a system.

ATL

ObjectiveFamily physicians in Canada as reported in several studies do not recognize the importance of family history in relation to breast/ovarian cancer and thus Canadian women with strong family histories continue to develop early-onset breast cancer without the knowledge of or ability to make choices regarding increased surveillance or preventative strategies. This study explored the feelings of women who learned about their hereditary risk only after their diagnosis younger than 52 years and who eventually tested positive for a BRCA gene mutation.MethodsThirty-four such women were mailed an invitation to participate in this research including a letter of information, consent form, and discussion prompts for their written narrative response. Rigorous mixed method analyses were performed using Charmaz-based qualitative analyses as well as quantitative analyses.ResultsThirteen women (38.2%) responded with narratives for qualitative analysis from which 4 themes were coconstructed as follows: I, types of emotions; II, emotional response; III, coping with emotions; and IV, advice to women at similar risk. Women felt they should have learned about their hereditary risk from their family physician and through public education before their diagnosis. Although not experienced at the time of diagnosis, anger, frustration, and regret were experienced after receiving their BRCA results. These emotions arose from our research participants’ lack of opportunity for prior genetic counseling and testing opportunity for genetic counseling and testing.ConclusionsWith increased public and physician education, it is hoped that women with significant family histories of breast/ovarian cancer will be identified before diagnosis and given options regarding cancer surveillance and risk reduction strategies.