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Responding to life itself: a proposed understanding of domain, goal and interventions for chaplaincy in a secular age
No full textIn this article, we present a model of chaplaincy in a secular age which includes, in one coherent system: domain, goal and an intervention pathway. The domain is presented as the process of “responding to life itself”. A corresponding goal of chaplaincy is considered in the context of “existential well-being”. This goal can be achieved through the proposed “The Ritual Bath Model” based on these new defined concepts
On the Spheres of Resonance
No full textThis text is a critical analysis of Rosa's theory of spheres of resonance. Resonance takes place when we are confronted with a higher value that transfigures our experience. It makes an experience of dignity possible
Behandelaars en geloof. Mind the gap.
No full textDe term ‘religiosity gap’ is kernachtig en genereert discussie. Uit onderzoek komen aanwijzingen dat naar objectieve maatstaven een verschil in levensbeschouwelijke achtergrond tussen behandelaar en patiënt niet zo relevant is. Onder patiënten valt ten aanzien van aandacht voor zingeving en levensbeschouwing een zorgbehoefte te beluisteren. In die zorgbehoefte wordt niet altijd voorzien. Wanneer de religieuze identiteit en beleving worden opgevat in termen van religieuze objectrepresentaties, is het de vraag of verschillen tussen patiënt en behandelaar wel overbrugbaar zijn. De affectieve achtergrond van geloof blijft heel persoonlijk bepaald. In gesprek over levensbeschouwing is een uitwisseling goed mogelijk met behulp van culturele sensitiviteit, empathie, uitstel van het eigen oordeel en een houding van gelijkwaardigheid. De behandelaar moet daarbij echter bedacht zijn op tegenoverdracht: deze is inherent onderdeel van deze uitwisseling. Religieuze tegenoverdracht is echter zelden onderdeel van professionele reflectie of psychotherapeutische opleiding
Grief and bereavement among migrant youth in the Netherlands
No full textBackgroundDutch youth care providers can play a central role in grief care for migrant and refugee youth, but their awareness of, and expertise in, grief and bereavement related issues in this population is often limited. Research on cross-cultural aspects of grief and loss emphasizes the role of cultural models in shaping responses to loss (Rosenblatt, 2013). RationaleThe aim of this study is to explore culturally diverse responses to bereavement in young migrants, to better understand ways to support them, and to increase youth care providers’ awareness and expertise.DesignSix focus groups and 8 in-depth interviews with youth care workers were conducted, as well as 15 in-depth interviews with migrant youth (16-23 years) following loss of a parent. Thematic analysis (Braun & Clark, 2006) was used to analyze the data.ResultsCultural models that shape youth’s responses to loss include silence in relation to death, changed roles within the family, the importance of grieving together, and taboos regarding seeking professional help. Sufficient trust has to be built before grief can be discussed. Youth care providers use various methods to discuss the topic. Understanding the cultural background of the client may be supported by a Cultural Formulation Interview (Smid et al., 2018) or a cultural mediator. There is a need for additional tools to assess the cultural context of bereavement and to facilitate collaboration with members of the youth’s support system.ConclusionCultural models shape young’s people responses to loss in diverse ways, and there is a need to attend to the cultural background of the young person in order to assist bereaved youths in dealing with the loss.<br/
Who am I now? A scoping review on identity changes in post-stroke aphasia.
No full textPurposeProvide an overview of existing knowledge on the concept of identity and identity changes and formation of people with language disorders of aphasia. To date, there has been limited exploration of identity changes of people with aphasia as communication difficulties have been perceived as a barrier to participation by researchers.MethodA scoping review was performed utilizing Arksey and O’Malley’s methodological framework. The databases PubMed, PsycINFO, CINAHL, and Cochrane Library were searched, and both descriptive and thematic analysis were conducted.ResultsThe search yielded 492 records, of which 20 studies were included. The analysis revealed various theories and definitions of identity. There was limited uniformity in defining identity in the publications. A recurrent theme was, that identity is a social construct and storytelling is the vehicle through which it is navigated. Language and communication are essential in this process.ConclusionsThe model of Narrative Identity might be useful to clarify identity and its dynamic nature, since it integrates various theories of identity referred to in the publications. Different aspects of identity should be considered in future research to add to existing knowledge of identity changes and formation in people with aphasia and to tailor future interventions if necessary
The Existential Dimension of Loss and Grief.
No full textThis chapter discusses integrating grief support and spiritual care in palliative care. It explores the existential dimension of grieving and focuses on the process of loss both patients and families are going through. First, the state of the art of grief research is sketched, and some reasons are given why until now the existential dimension of loss and grief has not had sufficient attention. From there, we will develop a multi-dimensional understanding of loss and grief, connected with the four ultimate concerns identified by Irvin Yalom in his existential therapy. Following the total pain approach in palliative care, we will develop an understanding of loss and grief that brings together the physical, emotional, cognitive, social, and spiritual dimension of the phenomena. We will conclude the chapter by introducing a case of a palliative care patient and his wife, illustrating how an integrative understanding of loss and grief in palliative care may lead to a deeper and more comprehensive approach to loss as a universal human experience
Beyond Assumptions: Rethinking Intercultural Competence Development in North-South Virtual Exchanges:The potential of Art-Based Research
No full textIn today’s globalized higher education landscape, intercultural competence (ICC) is essential, particularly for graduates engaging in virtual exchange programmes like Collaborative Online International Learning (COIL). This paper challenges the assumption that such exchanges inherently foster ICC development, especially in North-South contexts. Critically assessing the limitations of prevalent self-assessment methods and Eurocentric frameworks, the paper argues for a nuanced understanding of ICC before assuming its occurrence in COIL projects. To address these gaps, alternative research approaches, including narrative research and art-based research (ABR), are proposed. These methods aim to redefine ICC within North-South relationships, moving beyond Eurocentric perspectives. By utilizing narrative research and ABR, researchers can explore students’ experiences in a more collaborative and empathetic manner, fostering dialogue and mitigating stereotypes. The paper contends that such alternative approaches are crucial for a more equitable understanding of ICC within North-South COIL projects, providing valuable insights into ICC development and assessment in a globalized educational landscape
Fostering a Trusting Relationship With Family in Dementia Special Care Units:A Participatory Action Research Project
No full textAim: To explore experiences of nursing home staff in implementing self-designed interventions to foster trusting relationships with family in practice. Design: This qualitative study used a Participatory Action Research approach. Methods: Data collection included focus groups (n = 15), interviews (n = 28) and observations (n = 5). A holistic narrative approach was used for data analysis, resulting in co-constructed narratives representing experiences of nursing home staff in implementing four different interventions in five Dutch dementia special care units in nursing homes. The data collection period began in August 2021 and ended in April 2022. Results: Nursing home staff implemented self-designed interventions to foster trusting relationships with family, including initiating informal conversations, sharing residents’ ‘happy’ moments, discussing mutual expectations, and being more aware of families’ emotional burdens. Identified facilitators emphasise the importance of reciprocity, familiarity, transparency, realistic goal setting and empathy. Identified barriers are related to moral uncertainty in balancing competing demands, conflicting social norms, prioritising hands-on care tasks over family contact and lack of courage to act. Conclusion: Nursing home staff conclude that their interventions contribute positively to building and maintaining a trusting relationship with families. Implications for the Profession and/or Patient Care: Sharing the narratives of nursing home staff with peers would support them in implementing interventions to foster trust. Regular Moral Case Deliberations can be used to address moral uncertainty. Collective dialogue among nursing home staff can be useful in establishing new social norms that prioritise family involvement. Conversation skills training can empower nursing home staff. Impact: Trust between nursing home staff and families can be improved by implementing the conducted interventions. Reporting Method: This report adheres to the standards for reporting qualitative research (COREQ). Patient or Public Contribution: No patient or public contribution