Physician executives are engaged in a search for ways to maintain balance, enthusiasm, and gratification in today's health care delivery environment. The primary resource for effecting positive change is themselves. This article addresses both pragmatic and philosophical initiatives that could assist them in their search. It postulates the premise that physician executives help themselves, their patients, and the state of health care service when they help each other.
In thinking through practice reflections Margi uses images and text to contemplate the form of conversation when spiritual/ elemental experience enables a person or family to reconnect the layers of their everyday world with the heart or centre of their being.
Answering the spiritual as well as religious needs of patients has for years been seen as the province of the hospital chaplain, because spirituality has been regarded as the province of religion. As chaplains in the NHS we hope in this paper to raise awareness of the importance of spiritual care in the health service as a whole. Although there seems to be a large amount of interest in this area there are few tangible means of identifying and assessing spiritual need.
The Triangular Theory of Love has created much interest among researchers in relational communication. Previous attempts at evaluating the theory have proven problematic. Specifically, the problems centered around the measurement of the theory's three components of intimacy, passion, commitment. Recent research, which employed a new measure, offered support for the theory's primary assumptions. To expand upon this, the current study factor analyzed data from a sample of 213 married individuals. Current results provided support for the triangular theory's primary assumptions.
Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
Both clients and caregivers are confronted with their own spiritual needs in the search for meaning within the health care experience. Yet, time for reflection on the powerful nature and mutuality of care giving is often crowded out by the busyness and intensity of health care. Using a guided reflection technique, 40 nurse participants in five focus groups examined a written nurse-client encounter.
In his early work, Bion (1961) established the goal of learning about and getting beyond the basic assumptions to become a work group. Later, in his structural theory of affect, passion became a key concept. Passion describes the necessary and sufficient condition for a psychotherapy group to be a work group. Passion is an intersubjective process of bearing and utilizing one's most basic affects to reach self-conscious emotional awareness. Bion postulated three primary affects: loving, hating, and knowing (LHK).
The aim of this study was to explore the ethical foundations for a caring The analysis is based on the ethics of Paul Ricoeur and deals with questions such as what kind of person the nurse ought to be and how she or he engages in caring conversations with suffering others. According to Ricoeur, ethics (the aim of an accomplished life) has primacy over morality (the articulation of aims in norms). At the ethical level, self-esteem and autonomy were shown to be essential for a person (nurse) to act with respect and responsibility.
Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
We discuss the logic of research designs for dyadic interaction and present statistical models with parameters that are tied to psychologically relevant constructs. Building on Karl Pearson's classic nineteenth-century statistical analysis of within-organism similarity, we describe several approaches to indexing dyadic interdependence and provide graphical methods for visualizing dyadic data. We also describe several statistical and conceptual solutions to the 'levels of analytic' problem in analysing dyadic data.
BACKGROUND: The role of informal spousal caregivers has increased as the population ages, levels of disability in society increase, and governments seek to restrain expenditure on the provision of institutional health care. Care giving has attracted a vast body of research, largely directed at caregiver burden. Incontinence, however, has been relatively unexplored, despite being a common problem faced by caregivers, and being recognised as a major caregiver burden and predictor of institutional placement.
Psychoanalysts enjoy doing analysis above and beyond its usefulness to patients; one reason for this lies in the aesthetic pleasure the analyst may derive from the analytic process. The author discusses this aesthetic pleasure from the standpoint of meaning making, communication, love, and professional craft. Patients may themselves seek in analysis a certain kind of beauty that is normally a byproduct of good enough empathy and communication.