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Results for “Courage”

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PubMed2006

End-of-life practices at a Lebanese hospital: courage or knowledge?

End-of-life care requires knowledgeable and culturally sensitive clinicians to assist patients and families dealing with the difficult journey of death. The authors present important end-of-life considerations for health care providers dealing with culturally diversified patients. A case study approach is used illustrating two case vignettes derived from the practice of an intensive care setting of a tertiary teaching facility in a large urban area in Lebanon. In a multidisciplinary fashion, practices of end of life were explored and a protocol developed to guide health care providers. Special cultural values were identified such as importance of family involvement and religious beliefs. Implications for practice are described.

Adult↗
PubMed1999

Courage revisited.

Explore the source record for details and available documents.

Attitude of Health Personnel↗
PubMed2004

Strengthening healthy resistance and courage in children: a gender-based strategy for preventing youth violence.

Beginning with the distinction between core consciousness or a core sense of self and a self that is wedded to a story about itself, this paper suggests that we have collectively been wedded to a false story about ourselves, a story that the core self resists. The gender disparity with respect to times in development when children's resilience is at heightened risk highlights the costs of an initiation that occurs for boys in early childhood and for girls at adolescence. Because of this difference in the timing, girls can become informants about a process of psychic splitting and dissociation that impedes the relational capacities of children and opens the way to violence. The articulateness of girls' resistance to losses that are psychologically and socially consequential illuminates a resistance in boys that may otherwise be overlooked. Evidence drawn from studies of girls' development leads to the suggestion that by joining a healthy resistance in children, we can act to prevent youth violence. The paper ends with a case study of a suicidal adolescent girl to illustrate how a relational framework shifts the interpretation of violent behavior and informs a strategy of response.

Adolescent↗
PubMed1986

Finding the levers, finding the courage: lessons from cost containment in North America.

"Learning" is broader and more complex than simply the orderly acquisition of new knowledge. At least as important is the evolution of the background of assumptions and beliefs held by the community, or its principal decision makers, and implicit in its institutions and policies. These may bear only a loose relation to evidence or knowledge narrowly defined. The pressures of cost escalation over the past twenty years, and the attempts at containment in the U.S. and Canada, have added substantially to our knowledge of how the health care system works. Containment is possible, and the successful mechanisms, thus far, are quite specific. But the results of these attempts and (in the U.S.) the continued escalation have also significantly shifted the broader set of assumptions in the community about appropriate priorities and policies in health care. Attitudes towards physician supply, variations in practice patterns, capitated practice, and for-profit organization, for example, have changed radically, although the supporting evidence has not. But cost pressures have created an audience which wants to hear, whose background assumptions provide a different "fit" for the evidence.

Canada↗
PubMed2006

Skills, bravery, courage, and foolhardiness: Seventy-five years of social work in health care in Melbourne, Australia.

The lessons from the history of health social work in Melbourne, Victoria can be extrapolated to social work in other parts of Australia and internationally. Based on consultation with social workers, archival material and personal reflections this article traces 75 years of health social work in Melbourne and Victoria within the context of the prevailing social influences. The profession, which was started by local opinion leaders and public demand, is now well established. Initially Australians looked to Britain to guide the new profession, but by the latter part of the twentieth century they increasingly looked to the USA. Many challenges still face health social work. Sharing of knowledge and experience will strengthen social work locally and internationally.

Australia↗