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Results for “SOUL”

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At least 271 records · Page 15Linked to original sources
PubMed1998

Bearing the burden or baring the soul: physicians' self-disclosure and boundary management regarding medical mistakes.

Within a boundary management framework, this study explored how physicians manage self-disclosure regarding medical mistakes amidst boundary constraints imposed by risk management, legal mandate, and the medical culture. Descriptive statistics from questionnaires and exemplars from accompanying narratives showed that the 39 internists and family physicians in this study chose to control their own boundaries by revealing errors most often to other physicians to facilitate learning. Although risk management and the medical culture do not appear to deter physicians from disclosing errors at a superficial level, physicians maintain tight personal boundaries at the emotional level. Perhaps if physicians could disclose errors at the emotional level, their mental energies could be more positively channeled to patients' needs, resulting in improved patient care.

Journal Article↗
PubMed2002

Accomplishing the impossible: talking about body and soul and mind during a medical visit.

This study examines the practical side of communicating about patients' thoughts, feelings, and physical health. A study of 53 medical visits suggests that biopsychosocial communication need not be as difficult or as time consuming as many practitioners believe. Biopsychosocial medical visits can be conducted in roughly the same amount of time as biomedical visits with many important advantages. This report describes 6 communication techniques used by 1 doctor to encourage talk about lifeworld issues. The techniques include self-disclosing, expressing empathy, involving patients in decision-making, talking openly about patients' fears, asking open-ended questions, and listening attentively. The doctor studied was able to use these techniques without exceeding the average length of a biomedical visit.

Communication↗
PubMed1993

The struggle for the soul of health insurance.

The politics of American health insurance is a struggle over which vision of distributive justice should govern: the solidarity principle or the logic of actuarial fairness. Actuarial fairness is central to American private health insurance. It is both an antiredistributive ideology and a method of organizing mutual aid by fragmenting communities into ever-smaller, more homogeneous groups, leading ultimately to the destruction of mutual aid. This fragmentation is accomplished by fostering in people a sense of their differences and their responsibility for themselves, rather than their commonalities and interdependence. Actuarial fairness developed as a business strategy for gaining market share. Medical underwriting, which is far more extensive than commonly known, is the information technology used for implementing actuarial fairness. Despite significant changes in the political context of health insurance which are leading toward restraints on underwriting, the logic of actuarial fairness is so deeply embedded in the structure of competitive markets in insurance and so deeply consonant with social divisions in American society that eradicating it will take more than any current reform proposals contemplate.

Actuarial Analysis↗
PubMed2001

Tending the soul as well as the body: spiritual care in nursing and residential homes.

This article reports findings from a study in the UK which investigated the perceptions and practice of spiritual care in care homes for older people. Over 1500 homes were sent a postal questionnaire and a response rate of 42% was achieved. Home managers were found to have a broad understanding of spiritual care, according a spiritual dimension to a range of tasks that were social and emotional in nature. Most managers felt that responsibility for providing spiritual care lay with the home itself, rather than other parties, although concerns were expressed over the ability of some staff to deliver this care. Many homes had input from religious providers via regular services and visiting personnel. There was a perception of a heightened level of spiritual need for dying residents, although it is suggested that physical pain continues to dominate the focus of care at this stage.

Aged↗
PubMed1993

Countee Cullen's Uranian "Soul windows".

Although Countee Cullen was once hailed "poet laureate" of the Harlem renaissance, today his reputation has waned due, in part, to the absence of biographical study which would elucidate the relationship of his life and literary output. One consequential component of Cullen's life--his homosexuality--played an integral part in the creation and development of his poetry. To miss this significant aspect of Cullen's artistic life is to invite misinterpretation. Unfortunately, most African American scholars of the Harlem Renaissance have dismissed, ignored, or denied Cullen's homosexuality. Yet, this weighty element of his life was at the core of his literary imagination. This bio-critical study examines the import of Cullen's homosexuality on his poetry in an attempt to position the poet as the inaugurator of Black gay poetry in the United States.

Adult↗
PubMedDate not supplied

[From care of the soul to care of the body--a new understanding of the history of nursing].

This study relates to the birth and the development of the Company of the Sisters of Charity of São Vicente de Paulo in France since 1633. This study has as its objective historically rebuild the process of creation of the Company of the Sisters of São Vicente de Paulo and the role of Luiza de Marillac and Father Vicente de Paulo in this process, and discuss the importance of this Company for the proposal of a pre-professional nursing care, imposing the bases of what would be called later the nursing techniques. It is a study of social and historical nature, to which I will use Michel Foucault preconceived ideas, regarding the analysis and discussion of the documents under the light of the genealogical analysis. This study focuses mainly the aspects that concern to implementation of a nursing practice towards the care of the sick body, and to the catechisation of the poor and the sick people. It focuses also the importance of Luiza de Marillac as a nurse, master and guide to the other Sisters.

Catholicism↗