effective counseling
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2022 ◽  
Vol 11 (1) ◽  
pp. 278
Author(s):  
Alexander Kovacevic ◽  
Annette Wacker-Gussmann ◽  
Stefan Bär ◽  
Michael Elsässer ◽  
Aida Mohammadi Motlagh ◽  
...  

After diagnosis of congenital heart disease (CHD) in the fetus, effective counseling is considered mandatory. We sought to investigate which factors, including parental social variables, significantly affect counseling outcome. A total of n = 226 parents were recruited prospectively from four national tertiary medical care centers. A validated questionnaire was used to measure counseling success and the effects of modifiers. Multiple linear regression was used to assess the data. Parental perception of interpersonal support by the physician (β = 0.616 ***, p = 0.000), counseling in easy-to-understand terms (β = 0.249 ***, p = 0.000), and a short period of time between suspicion of fetal CHD, seeing a specialist and subsequent counseling (β = 0.135 **, p = 0.006) significantly improve “overall counseling success”. Additional modifiers (e.g., parental native language and age) influence certain subdimensions of counseling such as “trust in medical staff” (language effect: β = 0.131 *, p = 0.011) or “perceived situational control” (age effect: β = 0.166 *, p = 0.010). This study identifies independent factors that significantly affect counseling outcome overall and its subdimensions. In combination with existing recommendations our findings may contribute to more effective parental counseling. We further conclude that implementing communication skills training for specialists should be considered essential.


2021 ◽  
Author(s):  
Rohmatus Naini ◽  
Mungin Eddy Wibowo ◽  
Mulawarman Mulawarman

Humility is a virtue, and it is important that this character strength is cultivated in school. This study aimed to examine the humility of students and what students think about humility. A total of 499 students were included. An online survey was used which employed a humility questioner with the Elliot theory construct (this included the following aspects: openness, accurate self-assessment, self-forgetfulness and focus on others). Data were analyzed descriptively, examining the percentage of each item. The results showed that the majority of students tended to want to seek information and could accept suggestions from others. There were 291 students who claimed to always think about others, not only think about themselves; 207 answered that they sometimes do; and only one student answered that they never do. 400 students were able to understand their own weaknesses and strengths, while 98 were not able to assess themselves. Students also tended to respond, understand, and evaluate themselves when receiving criticism and suggestions. Students viewed humility as not being arrogant, being humble, being able to respect other students and teachers, and helping others. It is recommended that further research investigates effective counseling models to increase student humility, and examines other connected virtues. Keywords: humility, character strengths, students


2021 ◽  
Author(s):  
Sittie Mairah H. O Ali ◽  
Ashley A. Bangcola ◽  
Athena Jalaliyah Derico Lawi

Background: Nurses are involved in all aspects of health, including reproductive health. They play a fundamental role in family planning and are often designated as point persons in family planning-related concerns. In order to provide effective counseling on family planning, the nurse must understand issues, practices, and prospects of family planning among married couples in their community. Objective: This exploratory multiple case study investigates family planning issues, practices, and prospects among couples in a municipality located in Southern Philippines. Methods: Ten married couples of varying characteristics were interviewed to elicit their perspectives on family planning practices. The data were analyzed using coding transcriptions and thematic analysis. Results: Five sub-themes emerged under the theme of Family Planning Issues: family planning as a burden; fear of side effects; peer-driven contraceptive choice; family planning as a social stigma; family planning as a sin. Two sub-themes emerged under the theme of Family Planning Practices: knowledge of family planning commodities; availability and acceptance of the contraceptive method. Finally, two sub-themes also emerged under the theme of Family Planning Prospects: family planning as a financially beneficial practice; prospects on family planning depend on husband’s acceptance. Conclusion: These sub-themes were also distinguished by their similarities and differences based on the four parameters identified, including age, sex, financial status, and educational attainment, which aided in the development of recommendations that could be implemented in the local community. The results of this study especially have a bearing on nurses and their role in the family planning process. Nurses play a fundamental role in guiding community members and families toward health and wellness. Thus, it is crucial for nurses to understand family planning issues underpinning their community so they can better exercise their role.


Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0001162021
Author(s):  
Sayna Norouzi ◽  
Kyle S. Liu ◽  
Edlyn Bustamante ◽  
Ton La ◽  
William E. Mitch ◽  
...  

Background: Healthcare providers who care for patients with chronic kidney disease (CKD) must be able to provide effective counseling about a kidney friendly diet. Nutrition is under-emphasized in medical curricula, and the kidney diet is one of the most challenging diets. We hypothesized that participation in an experiential educational program in kidney diet will result in improved knowledge of the underlying principles behind it and provide concrete examples of how to explain this diet to patients. Methods: The first part of this study was a knowledge assessment administered to all United States nephrology fellows during the 2020 National Board of Medical Examiners Nephrology In-Training Exam. We later opened the assessment to a broader, global audience via social media. Respondents included trainees, practicing nephrologists, dieticians, and other health professionals. Participants self-identified willingness to participate in the second part of the study, the Kidney Diet Challenge (KDC). The 5-day challenge included daily webinars by experts in nutrition. Daily surveys captured self-reported adherence to the diet. Social media was used to engage with participants. All participants received a follow-up knowledge assessment. Results: Among the nephrology fellows (n=317), the median pre-test score was 2 out of 5 (40%) questions correct, and results did not differ by year of training (p=0.310). Of the participants (n=70) who completed the 5-day challenge and responded to the post-challenge survey, the post-test score was significantly higher (p<0.01) and 'ability to advise patients about kidney diet' improved (p<0.01). Analyzing stats from our official hashtag for this study (#kidneydietchallenge) showed that we achieved 406,241 reaches, 1,004,799 impressions with a total of 974 posts using this hashtag. Conclusions: The KDC is an immersive, experiential educational tool that enabled a global population to learn how to better counsel their patients about adherence to a complex kidney diet.


2021 ◽  
Vol 1 ◽  
pp. 117-127
Author(s):  
Karuna Sharma

Nepal is a country with cultural and religious diversity. This country has gone through much turmoil and many crises. Since the time of the Maoist insurgency up to the recent pandemic situation, people have faced various emotions, feelings, and thoughts. These sudden devastating moments have not only affected their physical wellbeing, but has in turn affected the whole being of a person. These experiences of accusation, suffering, violence, and pain have led many to sadness, worry, anger, and fear resulting in various mental disorders. Therefore, the ministry of counseling is very important in order to help people get connected to their feelings and to understand their problems. It enables people to express their emotions freely and bring a sense of positivity to their lives. For effective counseling, there is always a need for the guidance and support of the Holy Spirit. Human beings are very limited in their own ways, and it is only through the presence of the Holy Spirit that a person can be transformed and changed. Therefore, it is important for the churches in Nepal to preach and teach about the Spirit who is a helper and brings healing and wholeness through comfort and counsel. It is the Holy Spirit who is the ultimate agent of transformation to lead people into all truth.


Pharmacia ◽  
2021 ◽  
Vol 68 (3) ◽  
pp. 671-677
Author(s):  
Corrado Giua ◽  
Nicolina P. Floris ◽  
Michele Schlich ◽  
Enrico Keber ◽  
Carlo Gelmetti

Community pharmacists represent an important resource for the promotion of a safer and more effective self-management of common skin diseases, as well as the provision of educational support on therapies prescribed by clinicians, ultimately improving patients’ adherence. In this study, a semi-structured survey was administered to 154 Italian community pharmacists, in order to acquire information on their counseling activity on dermatological disorders. Collected data provide an overview on the frequency and methodology of counseling offered in Italian community pharmacies, identifying knowledge gaps and misbeliefs. In particular, an overall negative opinion on topical corticosteroid therapy emerged among pharmacists, unveiling a phenomenon previously described as corticophobia. Starting from this observation, we discuss the risks for patients’ adherence, associated with corticophobia among pharmacists. Lastly, we briefly report on the main tools desired by pharmacists to improve their education on dermatology, envisioning their implementation with the aim of a more effective counseling.


2021 ◽  
Author(s):  
Ahmad Siyar Noormal ◽  
Volker Winkler ◽  
Ali Maisam Eshraqi ◽  
Andreas Deckert ◽  
Iftekhar Sadaat ◽  
...  

Abstract Objective: The aim of this study is to assess factors that influence the uptake of short term contraceptives among married women aged between 15-49 years in Afghanistan.Method: The cross sectional Afghanistan 2015 Demographic and Health Survey provided the dataset for this analysis. We included 22,974 women and applied multivariable logistic regression to investigate the influencing factors for the uptake of short term contraceptives.Results: 95% of Afghan women knew at least one type of contraception but only 16% were using short term contraceptives. Short term contraceptive use was most prevalent among women in the age group between 30 and 40 who were educated, employed, and rich. Most of users were living in the western parts of Afghanistan and belong to Balooch and Pashtun ethnic groups. Media exposure and women empowerment were also positively associated with the use of short term contraceptives. However, we did not find an association with living in urban or rural settings.Conclusion: FP in Afghanistan requires multisectorial efforts, tailored to the needs of women stemming from low and middle socioeconomic status. Health promotion 5 activities, empowering women, strengthening education, and training of FP service providers on effective counseling are good options to address the issue.


2021 ◽  
Author(s):  
Nyuiemedi Agordzo Edoh-Torgah ◽  
Marien Matafwala

The scourge of child sexual abuse has been on the increase world over, Ghana and Zambia inclusive with millions of children being sexually abused every year at a global prevalence rate of 34.4%. Using the qualitative narrative approach, the interview guide was used to gather data purposively from 112 participants made up of 40 Domestic Violence and Victims Support Unit officers, 32 parents and 40 victims aged 8–17 years who reported their abuse at 15 police stations across Central Region and Lusaka Province of Ghana and Zambia respectively. Data were thematically analyzed. The study found among others that children in both countries received safety nets and pieces of advice on legal and medical procedures. It also found that some victims expressed happiness at their abuses being reported and heard. However, lack of professional counseling training and power imbalances inhibit the police officers’ efforts. The study concludes that though officers use some skills and provide a kind of trauma counseling more is needed in the areas of individual and group therapy for comprehensive and effective counseling. Skills such as encouragement, assertiveness, and re-assurance can lead to disclosure, prevent future sexual abuse, reduce anxiety and fear, promote healing and empowerment. When children receive adequate counseling immediately after abuse they do immediate damage repair both of their psychological and social “self”. The study recommends training in counseling for the officers in both countries for effective counseling of abused individuals. Additionally, officers should be linked with professional counsellors at universities to refer abuse cases for treatment.


2021 ◽  
pp. 155982762110044
Author(s):  
Jenny Sunghyun Lee ◽  
Imam M. Xierali ◽  
Paresh Atu Jaini ◽  
Zaiba Jetpuri ◽  
Frank Papa

Introduction. This study assessed medical students’ perception of lifestyle medicine and readiness to engage in lifestyle counseling. Methods. All medical students in one allopathic and one osteopathic medical school received a survey involving items designed to measure their awareness and interest in lifestyle medicine, perception of physicians serving as lifestyle role models for patients, and intent to practice lifestyle counseling. Results. Two hundred and eight-nine subjects (145 allopathic and 144 osteopathic students) responded to the survey. A total of 24.1% of responding allopathic students had heard about lifestyle medicine compared with 53.9% of responding osteopathic students ( P < .01). A total of 90.5% of allopathic students rated their current knowledge of lifestyle medicine as inadequate or poor compared with 78.7% of osteopathic students ( P < .01). Ninety-two percent of all respondents wanted to learn more about lifestyle medicine, while 95.2% believed they would provide more effective counseling if they were trained sufficiently to serve as a healthy lifestyle role model for their patients. Conclusions. Both cohorts favored learning more about lifestyle medicine and believed physicians should provide lifestyle counseling to patients with chronic diseases. Given these findings, and the demonstrated benefits of lifestyle medicine–based health care, the authors suggest that training in lifestyle medicine be increased in undergraduate medical education.


2021 ◽  
Vol 2 (1) ◽  
pp. 103
Author(s):  
T Khairul Fadjri ◽  
Teuku Jamni

Background: The relatively low level of education as well as public knowledge and awareness in the health sector is the main cause of nutritional problems in children under five. One of the steps that can be taken to help this problem is to increase the resources of Posyandu cadres as the frontline in handling nutritional problems at the rural level through nutritional counseling activities and effective communication.Purpose: This research aims to increase the nutrition knowledge of Posyandu cadres about nutritional counseling and effective communication in an effort to improve Posyandu services.Methods: This community service is carried out through training on nutritional counseling and effective communication for Posyandu cadres with counseling and training methods, question and answer and role play.Results: Posyandu cadre knowledge shows perfect improvement after training, cadres' knowledge of material understanding is generally good, most (80.0%) Posyandu cadres already have good effective counseling and communication skills.Conclusion: Posyandu cadres are able to understand and apply the concept of nutritional counseling and the concept of effective communication as well as changes in attitudes and behavior of Posyandu cadres regarding the nutritional problems of toddlers


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