The person in the room: How relating holistically contributes to an effective patient-care provider alliance

2013 ◽  
Vol 9 (1) ◽  
pp. 49-58
Author(s):  
Leslie A. Penner ◽  
Kerstin Roger
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Sense Of Self ◽  
Family Care ◽  
Care Providers ◽  
Broad Theme ◽  
Whole Person ◽  
Neurological Illnesses ◽  
Conventional Content Analysis ◽  
Holistic Assessment

The purpose of this paper is to explore how relating to the ‘whole’ person – both the physical body and the invisible aspects of the ‘self’ – is essential in the establishment of a strong therapeutic alliance between patients and health care providers. Our work is based on interviews conducted with individuals affected by neurological illnesses (patients and family care providers). Hsieh and Shannon’s (2005) conventional content analysis was used to analyze the data. Under the broad theme of ‘maintaining a coherent sense of self’ we identified four distinct sub-themes related to interactions with health care providers. The results elucidate the more complex and deep needs of patients who must access care on an ongoing basis, and highlight the important role that care providers play in supporting individuals who are experiencing physical, spiritual and social losses. Care must attend to the deep needs of these individuals by communicating in a style that addresses both emotional and cognitive needs of patients, by thorough and holistic assessment and by appropriate referrals.

Pandemic Visitation Restrictions at the End of Life

2021 ◽  
Vol 46 (11) ◽  
pp. 3-4
Author(s):  
Molly Antone ◽  
Keyword(s):  
Health Care ◽  
End Of Life ◽  
Health Care Providers ◽  
Treatment Options ◽  
Care Providers ◽  
Medical Practices ◽  
Whole Person ◽  
Catholic Health Care

Dying today looks dramatically different than it did a century ago, largely due to wider treatment options and more specialized medical practices. Often missing from these advancements is the focus on factors relative to a patient’s total circumstances. Especially in light of the recent pandemic, it is incumbent upon Catholic health care providers to treat who whole person rather than simply focus on more utilitarian philosophies of care.

scholarly journals Queering whole person care in a pandemic

2022 ◽  
Vol 9 (1) ◽  
pp. 56-57
Author(s):  
Jane Shulman ◽  
David Kenneth Wright
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
The Past ◽  
Health Care Experiences ◽  
The People ◽  
Whole Person ◽  
Care Approach ◽  
The Face ◽  
Nursing Educator

How can health care providers (HCPs) working with 2SLGBTQ+ patients enact a whole person care approach during the SARS-CoV-2 pandemic and its aftermath, and in such desperate times, is it even reasonable to expect them to? In this presentation, a nurse/nursing educator and a health care researcher/frequent patient discuss their observations and experiences of whole person care during the SARS-CoV-2 pandemic. The conversation highlights that in the immediate chaos early on, and in the face of exhaustion, trauma, and burnout as the pandemic progressed, attending to the whole personhood of patients was/is paramount for HCPs and for the people they treat. The presenters reflect on the amplified significance of a whole person approach for 2SLGBTQ+ people who may have had negative health care experiences in the past, and may fear that they will not receive equitable care in the chaotic context of a pandemic. A whole person care approach is perhaps most necessary when it is also most difficult. In a period of such profound distress, a deeper sense of connectedness to patients may help HCPs manage feelings of helplessness they are likely to encounter, and surely helps the people they treat. The goal of this presentation is to begin a discussion about the ways that whole person approaches benefit 2SLGBTQ+ patients as well as their HCPs, with the hope that it will spark ideas for attendees to develop in their own practices.

Management of the actively dying patient

2015 ◽  
Author(s):  
Judith Lacey
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Practitioner ◽  
Care Providers ◽  
Care Needs ◽  
Dying Patients ◽  
Health Practitioners ◽  
Whole Person ◽  
Social Concerns ◽  
Dying Patient

The period leading to death is characterized by increasing prevalence and intensity of physical, psychological, existential, and social concerns, and it is often a challenging time for patients, their families, and health-care providers. This chapter specifically addresses the most prevalent symptoms and concerns encountered when managing the actively dying patient. Symptoms affecting dying patients’ comfort, including pain, dyspnoea, delirium, terminal secretions, and refractory symptoms and suffering require different clinical management as death approaches. Other topics included are recognizing the dying phase; communication with and preparation of patient, family, and staff; anticipating dying-advanced care planning and approach to resuscitation; addressing psychosocial and existential concerns; and approach to difficult end-of-life scenarios. This chapter aims to provide the health-care practitioner with a good overview and approach to the whole-person care needs of the dying patient and their family and carers to enable health practitioners to feel comfortable in providing this important care with confidence.

scholarly journals Self-worth and bonding emotions are related to well-being in health-care providers: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sonja Weilenmann ◽  
Ulrich Schnyder ◽  
Nina Keller ◽  
Claudio Corda ◽  
Tobias R. Spiller ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Positive Emotions ◽  
Sense Of Self ◽  
Negative Emotions ◽  
Basic Needs ◽  
Well Being ◽  
The Self ◽  
Care Providers ◽  
Self Worth

Abstract Background Interacting with patients can elicit a myriad of emotions in health-care providers. This may result in satisfaction or put providers at risk for stress-related conditions such as burnout. The present study attempted to identify emotions that promote provider well-being. Following eudaimonic models of well-being, we tested whether certain types of emotions that reflect fulfilment of basic needs (self-worth, bonding with patients) rather than positive emotions in general (as suggested by hedonic models) are linked to well-being. Specifically, we hypothesized that well-being is associated with positive emotions directed at the self, which reflect self-worth, and positive as well as negative emotions (e.g., worry) directed at the patient, which reflect bonding. However, we expected positive emotions directed at an object/situation (e.g., curiosity for a treatment) to be unrelated to well-being, because they do not reflect fulfilment of basic needs. Methods Fifty eight physicians, nurses, and psychotherapists participated in the study. First, in qualitative interviews, they reported their emotions directed at the self, the patient, or an object/situation during distressing interactions with patients. These emotions were categorised into positive emotions directed towards the self, the patient, and an object/situation, and negative emotions directed towards the patient that reflect bonding. Second, providers completed questionnaires to assess their hedonic and eudaimonic well-being. The well-being scores of providers who did and did not experience these emotions were compared. Results Providers who experienced positive emotions directed towards the self or the patient had higher well-being than those who did not. Moreover, for the first time, we found evidence for higher well-being in providers reporting negative patient-directed emotions during distressing interactions. There was no difference between providers who did and did not experience positive object/situation-directed emotions. Conclusions These findings may point towards the importance of “eudaimonic” emotions rather than just positive emotions in interactions with patients. Emotions such as contentment with oneself, joy for the patient’s improvement, and, notably, grief or worry for the patient may build a sense of self-worth and strengthen bonding with the patient. This may explain their association with provider well-being.

scholarly journals Urban First Nations Men: Narratives of Identity Striving to Live a Balanced Life

2021 ◽  
Author(s):  
Celina Carter
Keyword(s):  
Health Care ◽  
First Nations ◽  
Health Care Providers ◽  
Sense Of Self ◽  
Care Providers ◽  
Structured Interviews ◽  
Aboriginal Communities ◽  
Narrative Study ◽  
Strength Based ◽  
Safe Care

Dominant discourse contains an abundance of negative stereotypical images of First Nations males that are historically steeped in colonial issues. These images are locked in time and can influence both First Nations mens’ sense of self and health care providers’ practices. Using a strength-based perspective and the lens of Two-Eyed Seeing, this narrative study explored the identity of First Nations men living a balanced life in Toronto. Three First Nations men participated in two semi-structured interviews and Anishnaabe Symbol-Based Reflection. Findings indicate that their narratives of identity are focused on positive mindsets and resilience, and that positive First Nations identity is supported by having mentors, knowing family histories, and connecting with healthy Aboriginal communities. Implications of this research for nursing is the need to employ strength-based and postcolonial frameworks, and reflexive practices that reveal biases; this will facilitate nurses to resist racialized stereotypes and discrimination while promoting culturally safe care.

scholarly journals Clinical manifestations of Covid-19 disease; Exploring the experiences of infected health-care providers.

2020 ◽  
Author(s):  
Tahereh Toulabi ◽  
Atefeh Veiskramian ◽  
Abas Azadi ◽  
Heshmatolah Heydari
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Phone Call ◽  
Care Providers ◽  
Purposeful Sampling ◽  
Content Analysis Method ◽  
Conventional Content Analysis ◽  
Specific Disorders

Abstract BackgroundCovid-19 is a novel disease with many unknown clinical and managemental dimensions. To effectively diagnose, control, and treat the disease, it is required to divulge its clinical symptoms and their qualities. On the other hand, no one can better interpret the clinical symptoms than the caregivers infected by the disease. So, the aim of this study was to exploring the experiences of infected health-care providers about clinical manifestations of Covid-19 disease.MethodsThe present qualitative research was conducted using the conventional content analysis method in Iran from March to Jun 2020. Participants in this study included infected health care providers with Covid-19, who were selected based on purposeful sampling method. The data was collected by 18 phone call interviews and analyzed according Lundman and Graneheim approach.ResultsQualitative data analysis revealed 10 categories including respiratory disorders, fever and chills, body pain, fatigue, headache, skin disorders, gastrointestinal disorders, taste and olfactory disturbances, insomnia and also stress and anxiety.ConclusionPatients with Covid-19 may experience specific or non-specific disorders. It is necessary to consider people with non-specific manifestations as suspicious cases and screen them with proper diagnostic tests. This can help to identify true positive patients and provide them with more effective health cares, and prevent further spread of the disease by isolating suspected individuals.Trial registration numberNot applicable

scholarly journals Urban First Nations Men: Narratives of Identity Striving to Live a Balanced Life

2021 ◽  
Author(s):  
Celina Carter
Keyword(s):  
Health Care ◽  
First Nations ◽  
Health Care Providers ◽  
Sense Of Self ◽  
Care Providers ◽  
Structured Interviews ◽  
Aboriginal Communities ◽  
Narrative Study ◽  
Strength Based ◽  
Safe Care

Dominant discourse contains an abundance of negative stereotypical images of First Nations males that are historically steeped in colonial issues. These images are locked in time and can influence both First Nations mens’ sense of self and health care providers’ practices. Using a strength-based perspective and the lens of Two-Eyed Seeing, this narrative study explored the identity of First Nations men living a balanced life in Toronto. Three First Nations men participated in two semi-structured interviews and Anishnaabe Symbol-Based Reflection. Findings indicate that their narratives of identity are focused on positive mindsets and resilience, and that positive First Nations identity is supported by having mentors, knowing family histories, and connecting with healthy Aboriginal communities. Implications of this research for nursing is the need to employ strength-based and postcolonial frameworks, and reflexive practices that reveal biases; this will facilitate nurses to resist racialized stereotypes and discrimination while promoting culturally safe care.

scholarly journals Queering Whole Person Care

2020 ◽  
Vol 7 (1) ◽  
pp. 45
Author(s):  
Jane Shulman ◽  
Caroline Marchionni ◽  
Catherine Taylor
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Personal Narratives ◽  
Care Providers ◽  
Queer Health ◽  
Queer People ◽  
Whole Person ◽  
Care Systems

This workshop is the product of a research study exploring the strategies that queer people develop to navigate hegemonic, heteropatriarchal health care systems, and ways that nurse education can incorporate a narrative-based, whole person care approach to understanding and supporting the needs of queer patients. This mixed-methods study included interviews with queer people, nurse educators and practicing nurses; textual analysis of queer health narratives; close reading of queer, feminist and cultural theory; and autoethnography.Some of the questions that we will explore are: How do queers use personal narratives to help navigate health care systems not designed to see/meet their needs? How do queers challenge dominant power structures in medicine? What does whole person care look like in a queer context? What would nurses like to see included in nursing education, and what do queers want health providers to know? What are the key pedagogical challenges in attempting such communication?The stories that queer people carry with them to medical encounters are a rich and underutilized resource for health care providers, and a tool for patients trying to manage serious or chronic illness. We will explore methods for including storytelling in nursing education as well as patient care, and participants will engage in a narrative medicine/autoethnographic exercise.We hope participants will leave our workshop with a better understanding of queer peoples' experiences of health care, and ways that queers and nurses can work together for better health outcomes. 

scholarly journals Patients’ Stories of Interprofessional Whole-Person Care

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Kateryna Aksenchuk ◽  
Jasna K Schwind ◽  
Sherry Espin ◽  
Beth McCay ◽  
Jacqui Gingras
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Structured Interview ◽  
Point Of View ◽  
Team Work ◽  
Care Providers ◽  
Interprofessional Team ◽  
Whole Person ◽  
Patient Health

Objectives: Interprofessional whole-person care has been depicted as being able to enhance patient health outcomes, increase health care provider satisfaction with care delivery, lower health care spending and decrease wait times for receiving care. Limited research has been conducted into exploring patients’ experiences of being recipients of this type of care. The objective of this oral presentation is to disseminate findings of a Master of Nursing study through patients’ stories of experience receiving care on aunit where inter professional care is practiced.Methods: Three participants underwent a two step data collection process: a one hour semi-structured interview and a 30 minute symbolic image artistic exercise, as adapted from Schwind’s Narrative Reflective Process. Participants were invited to describe how they experienced receivingcare from an interprofessional team and whether or not they believed whole-person care was delivered to them. Collected data are being analyzed using Clandinin and Connelly’s Narrative Inquiry approach of three dimensionalspace, temporality, sociality and place.Results: The emerging results suggest that participants express satisfaction with the care they received from the interprofessional team on their unit. Their stories indicate that strong interprofessional team-work can contribute to patient satisfaction in care received. For these teams to be successful, from the patients’ point of view, there needs to be: better communication between care providers, greater involvement of the patient in decision making, proper identification of who comprises the teams, andconsistency in team composition.Conclusion: By acknowledging experiences and feelings ofpatients who have received care from an interprofessional team, there is potential to increase sustainability of these teams. The data generated through this study can potentially help health care providers, who are members of interprofessional teams, to deliver more effective, comprehensive whole-personcare within health care institutions.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

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