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1.
In the last ten years, there has been an upsurge of interest in matters related to improving care at the end of life. This article presents a brief overview of hospice, a type of interdisciplinary end-of-life care that aims to relieve the pain and symptoms of the dying, support the family during the process, and offer bereavement assistance afterward. Useful Web sites related to hospice and grief intended for the use of health care professionals and consumers are identified and described.  相似文献   

2.
ABSTRACT

In the last ten years, there has been an upsurge of interest in matters related to improving care at the end of life. This article presents a brief overview of hospice, a type of interdisciplinary end-of-life care that aims to relieve the pain and symptoms of the dying, support the family during the process, and offer bereavement assistance afterward. Useful Web sites related to hospice and grief intended for the use of health care professionals and consumers are identified and described.  相似文献   

3.
4.
Hospice care is a growing alternative for terminally ill patients, and hospice volunteers provide needed services to patients and their families. Few communication studies have investigated the contributions that hospice volunteers make to the overall experience and philosophy of the hospice system, although such studies have the potential to guide volunteer recruitment, selection, and training. Hospice (n = 48) and hospital volunteers (n = 69) completed surveys measuring trait empathy, and after reading a hypothetical situation involving a terminally ill patient, reported how likely and easy it would he for them to provide a) instrumental support and b) emotional support. The results suggest that hospice volunteers may he qualitatively different from their counterparts who volunteered for more conventional health care organizations, both in their individual characteristics, as well as in their propensity for the type of social support they offer. The findings afford the opportunity to derive some potential guidelines for recruiting and retaining volunteers in hospice and hospital volunteer programs.  相似文献   

5.
ABSTRACT

Amid rising controversy around the alleged distinctions between merit and excellence lies a familiar refrain, scarcity. The narrative of academic scarcity, proclaiming the insufficient numbers of scholars and academics of color, permeates conversations in higher education. We suggest that the academic scarcity narrative, a remnant of stagnant logics of diversity, circulates as a contemporary mechanism of what we name disciplinary containment. Extending disciplinary conversations around rhetorical containment, we argue that disciplinary containment perpetuates whiteness.  相似文献   

6.
《Communication monographs》2012,79(2):199-219
This article provides a postcolonial critique of power-resistance dialectics among outsourced call center workers in India. A constructivist grounded theory analysis of focus group and interview data with 65 participants reveals how microresistance intersects with global capitalism in ways that both accommodate and rupture Western discourses. These discursive and material intersectionalities are made visible through employees' processes of (1) aping the West, (2) articulating new logics and demonstrating Indian sensibilities, and (3) embracing a new life. The themes primarily reveal how the employees rupture the essentialist image of the other and challenge the dominant logic of neoliberalism.  相似文献   

7.
This study uses Grounded Theory to analyze interviews with a dozen individuals who media marathoned while going through a health struggle. The analysis addresses five major themes: engaging in escapism that enables emotional and avoidance coping, regulating cognitive expenditure by embracing challenging or comforting content, being still to heal the body, reducing emotional and cognitive strain by engaging a continuous narrative, and tapering from the marathon when feeling better. Findings suggest that media marathoning can offer beneficial cognitive, emotional, and physical regulatory opportunities for those dealing with health struggles. Furthermore, media marathoning when dealing with a health concern is a strategic and active coping strategy that has potential health benefits.  相似文献   

8.
End-of-life care is a hot topic in many hospitals of late, in part due to an aging society, which is forcing health care professionals to address the issue. A culture that places enormous value on youth and avoids the topic of death also contributes to the discomfort many health care professionals feel discussing this topic with their patients and family members. Inpatient satisfaction survey scores at Thunderbird Samaritan Medical Center (TSMC) were very inconsistent on the question of how the institution was meeting the emotional and/or spiritual needs of patients. A staff survey and needs assessment was also conducted regarding end-of-life care, which pointed out communication issues among staff members. All of these factors led to the development of an inter-disciplinary team to examine the issue of end-of-life care at TSMC.  相似文献   

9.
Guided by communicated narrative sense-making, the present study explored the themes that characterize adult siblings’ stories about their experiences with sharing care of aging parents. Interviews with 20 adult siblings revealed the varied and emotional nature of their shared parental caregiving stories. Adult siblings primarily constructed meaning of their caregiving experiences by drawing upon three overarching narratives: (1) the narrative of (in)equity, (2) the narrative of ideal versus real, and (3) the narrative of interconnectedness. These findings highlight the need for adult siblings providing care for their parents to work together as a team, exercise empathy in their interactions, and express gratitude for one another’s contributions. Several practical applications are discussed that can help siblings manage and overcome the relational challenges associated with caring for a parent.  相似文献   

10.
The future is unknowable, but public libraries have been adapting to changes in technology, demographics, economics, and culture since they began. The author explores five elements that shape today’s library: These are inspired experiences that spark curiosity and learning; buildings that become destinations; high-tech, high-touch environments; preservation and cultivation of our cultural narrative; and constant preparation to face future developments.  相似文献   

11.
《红楼梦》是中国小说史上的"经典"之作,从它付梓之日起,就吸引了无数的后继者为其续写。论文以其中的一类续书"程本续书"为例,试图从叙事方式、故事情节、文学评论等角度阐释其艺术成败,从而找出在"经典"影响下的这些小说续书创作的规律。  相似文献   

12.
ABSTRACT

Whereas notes are ubiquitous to democratic meeting designs, note-taking practices within public participation processes remain taken-for-granted. We argue that note-taking is a communication practice that calls for cultivating expertise and critical reflexivity. Employing Communication as Design (CAD) we analyze communication design logics for note-taking active in public processes and the problems encountered enacting these design logics. CAD analysis illuminates four design logics underpinned by democratic values: notes as summary, data points, quotables, and critical voice. Building from this empirical analysis, democratic note-takers must be sensitive to the need for coordinating design logics to process goals; yet multiple design logics are often necessary to uphold multiple democratic values.  相似文献   

13.
This paper defines what is meant by Knowledge Management, investigates how it interlinks with new ways of delivering health care and gives a synopsis of a study that investigated issues around implementation of Knowledge Management across a sample of healthcare librarians. Areas of investigation that are related to Knowledge Management include: HSG(97)47, evidence‐based medicine, clinical governance, information and communication technologies, and the changing role of the healthcare librarian. A diagram is included in this paper which illustrates how the healthcare librarian interacts with resources, staff and practices, so contributing to the knowledge base of health care. The paper concludes that Government policy, new technologies and the push towards the practice of information age medicine are forcing changes throughout the NHS. Recognition of Knowledge Management is still in its infancy in the NHS—it calls for major change in organizational thinking and acceptance by the librarian that their service must also be subject to continuous improvement.  相似文献   

14.
The information-seeking behaviour of doctors: a review of the evidence   总被引:4,自引:0,他引:4  
This paper provides a narrative review of the available literature from the past 10 years (1996-2006) that focus on the information seeking behaviour of doctors. The review considers the literature in three sub-themes: Theme 1, the Information Needs of Doctors includes information need, frequency of doctors' questions and types of information needs; Theme 2, Information Seeking by Doctors embraces pattern of information resource use, time spent searching, barriers to information searching and information searching skills; Theme 3, Information Sources Utilized by Doctors comprises the number of sources utilized, comparison of information sources consulted, computer usage, ranking of information resources, printed resource use, personal digital assistant (PDA) use, electronic database use and the Internet. The review is wide ranging. It would seem that the traditional methods of face-to-face communication and use of hard-copy evidence still prevail amongst qualified medical staff in the clinical setting. The use of new technologies embracing the new digital age in information provision may influence this in the future. However, for now, it would seem that there is still research to be undertaken to uncover the most effective methods of encouraging clinicians to use the best evidence in everyday practice.  相似文献   

15.
The purpose of this literature review was exploring how medical librarians are addressing health literacy barriers, with an emphasis on enhancing the patient care experience. This literature review contributes up-to-date information related to health literacy barriers, with a specific focus on medical librarianship and enhancing the patient care experience. Medical librarians can positively impact health literacy barriers. By partnering with other healthcare professionals, medical librarians are in a position to ensure health information can be understood, which will ultimately improve health literacy and enhance the patient care experience. Improving health literacy rates may improve health outcomes and decrease healthcare costs.  相似文献   

16.
Holistic medicine and therapeutic systems are increasingly popular health care alternatives. Reference librarians, when asked about subjects pertaining to the vast field of holistic health, have found the bibliographic resources to be obscure, confusing, and inconsistent. The first two sections of this article discuss the subject access that is provided by Library of Congress and National Library of Medicine subject headings. In the final section there is an annotated bibliography of the chief reference sources for the field. Reference librarians are encouraged to work through the difficulties of finding answers in this field and to treat such queries as typical consumer health care questions.  相似文献   

17.
The approach of context collapse and the notion of unintentional context collisions are of importance to scholars of social media. Israeli public hospitals are a particularly suitable venue for studying these topics, as they employ both Jewish and Arab practitioners, who care for both Jewish and Arab patients amid an ongoing violent conflict. In-depth interviews were conducted with 50 managers and healthcare practitioners (physicians and nurses), both Jewish and Arab, employed at 11 public hospitals in Israel. We found that despite hospitals managements’ instructions to avoid political discourse, it erupts nonetheless whenever the conflict escalates. Fearing damage to professional relations and care of patients, political discourse spills over into social media, where political opinions are expressed mostly by Arab practitioners and stereotypical attitudes against Arabs are expressed mostly by Jewish ones. Our study exemplifies the usefulness of the context collapse approach—and specifically unintentional context collisions—to work organizations and all the more so to healthcare organizations.  相似文献   

18.
Zillmann's moral sanction theory defines morality subcultures for entertainment as groups of media viewers who evaluate character actions with shared value systems. However, the theory provides no a priori means to identify these shared value systems. The model of intuitive morality and exemplars incorporates a theoretical framework for identifying and testing the factors from which these shared value systems emerge. This study applies the model's framework, based on 5 “moral domains” from moral foundations theory, to test the influence of shared value systems on character perceptions and narrative appeal. A within-subject experiment varied violation of these five domains (care, fairness, ingroup loyalty, authority, and purity) and narrative resolutions (positive or negative outcomes) in 10 short narrative scenarios. The 5 domains predicted character perceptions and narrative appeal. The results are discussed in terms of the utility of these domains for understanding the reciprocal relationship between audience values and media response.  相似文献   

19.
MedBiquitous is a consortium whose members are working to develop a common technology framework that will support reforms in healthcare education and competence assessment. The mission of MedBiquitous is to advance healthcare education through technology standards that promote professional competence, collaboration, and better patient care. The consortium members include professional medical associations, technology companies, e‐learning firms, and publishers, among others. Two publishers actively working within MedBiquitous are John Wiley & Sons, Inc., and the American Academy of Pediatrics, who are pursuing their own objectives to help to create improved online medical communities.  相似文献   

20.
Most extant research on end-of-life communication in families has been based on the assumption that more communication is better communication. We used a multiple goals theoretical perspective to demonstrate that the quality of communication about end-of-life decisions matters. Members of 121 older parent/adult child dyads (N = 242) engaged in an elicited conversation about end-of-life health choices and reported their assessments of the conversation. Using multilevel linear modeling, we found that outside ratings of a person's communication quality (i.e., attention to task, identity, and relational goals) as well as outside ratings of the partner's communication quality were positively associated with the person's reported conversational satisfaction and hopefulness and negatively associated with the person's hurt feelings and relational distancing.  相似文献   

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