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Moral distress among healthcare professionals in long-term care settings:a scoping review
No full textAIM: To explore the body of knowledge available regarding the moral distress of healthcare professionals in long-term care settings, focusing on influencing factors and strategies to cope with moral distress.DESIGN: Scoping review.METHODS: This scoping review follows the guidelines of the PRISMA-ScR protocol (Tricco et al. 2018) Searches were done using a strategy that included MeSH terms and free text terms.DATA SOURCES: Data sources were PubMed, CINAHL, Psychinfo and Embase. Searches were done in October 2023 without any date restrictions.RESULTS: Eight articles were included in this review. Moral distress can impact the wellbeing of healthcare professionals. Influencing factors of moral distress of health care professionals appeared to be lack of resources, lack of communication and incongruence with colleagues. Strategies to cope with moral distress were talking about ethical issues with others, receiving support from colleagues and managers, and seeking support from outside the team or organization. Individual healthcare professionals relied on their personal characteristics or their professional identity and used rationalization, distancing themselves or acceptance of the situation to cope with their moral distress.CONCLUSION: Moral distress of healthcare professionals in long-term care settings appears not differently experienced than moral distress among healthcare professionals in other healthcare settings. This can be beneficial in learning from each other, but also raises the question whether moral distress is too broadly defined.IMPACT: This review addressed the scope and experiences of moral distress in long-term care settings. Future research can contribute to further insight into if and how specific features of long-term care are of influence on moral distress and formulate tailored strategies to lessen moral distress.REPORTING METHOD: PRISMA-ScR.</p
Demonstreren kun je leren. Zo doen ze het in Servië
No full textHaar generatie weet zich niet goed raad met demonstraties zoals komende zaterdag in Amsterdam tegen fascisme en racisme, schrijft Niké Wentholt. Haar advies: kijk eens over de grens, naar de recordbetoging in Servië afgelopen weekeinde
Opening up the black box of chaplaincy:a qualitative study into the reported workings of a narrative and interfaith spiritual care intervention in palliative care at home
No full textThis study investigated the reported workings of a narrative and interfaith spiritual care intervention in palliative care at home called “In dialogue with your life story.” It was developed to address clients’ spiritual needs in the religious plural context of the Netherlands. Thus far, how the intervention impacted clients’ spiritual well-being remained a black box. A thematic analysis of semi-structured interviews with and workbooks of clients (N = 75) and chaplains (N = 33) indicated seven intervention elements that promoted clients’ spiritual well-being in four ways: (1) they offered new insights and a better overview, (2) provided a place to connect and share experiences, (3) helped to reach deeper layers of meaning, and (4) brought out feelings of calmness and gratitude. The findings shed light on the intervention’s black box and encourage further exploration of associations between chaplaincy goals, processes, and outcomes
Slagvaardig met Afasie:4.2 Identiteit
No full textMensen met afasie na hersenletsel hebben baat bij een benadering die verder gaat dan het behandelen van de stoornis alleen. Het uitgangspunt voor de logopedist moet liggen bij hun mogelijkheden om deel te nemen aan het dagelijks leven en de maatschappij. Daarom staat in Aan de slag met afasie communicatieve participatie centraal.In het boek is de levensloop van een persoon met afasie de rode draad. Van acute zorg tot het opnieuw vinden van balans in het dagelijks leven: elk hoofdstuk geeft inzicht in de rol van de logopedist in de verschillende fasen van herstel. Deze holistische benadering benadrukt niet alleen de communicatie, maar ook het omgaan met levend verlies; een belangrijk aspect waar veel mensen met hersenletsel en hun omgeving mee te maken krijgen. Naast een theoretisch kader biedt dit boek een duidelijke focus op klinisch redeneren. Het helpt om theorie en praktijk samen te brengen, ondersteund door realistische casussen en praktische voorbeelden. Dankzij de bijdragen van ervaringsdeskundigen en studenten is het boek herkenbaar en direct toepasbaar in de praktijk
Education at a Crossroads:Diversity, Equity and Inclusion in the Anthropocene
No full textIn her inaugural address, Education at a Crossroads: Diversity, Equity and Inclusion in the Anthropocene, Carolina Suransky argues that education cannot be neutral in times of ecological crises, inequality and polarization. She weaves together two main threads: pluralism and justice. Pluralism, she maintains, is at once a pedagogical practice that embraces dialogue and discomfort, an analytical lens to resist binaries, an epistemological stance that honors diverse traditions of knowledge and a political horizon where knowledge and politics meet. Justice, the second thread, is inseparable from ecological and social concerns. To ground these ideas, she interweaves personal stories that show how lived experience and theory speak to one another. Drawing on thinkers such as Appadurai, Mbembe and Latour, Suransky calls for humanistic education that opens spaces for many voices, confronts colonial legacies and helps us imagine more just and sustainable futures
Goede zorg aan vrouwen met migratieachtergrond:Dilemma's rondom vrijheidsinperking, gender en cultuur
No full textVrouwen met een niet-westerse migratieachtergrond kunnen in Nederland door hun omgeving ernstig worden ingeperkt in hun vrijheid. Sommigen krijgen bijvoorbeeld te maken met huwelijksdwang of huiselijk en eergerelateerd geweld. Ze kunnen er aanhoudende fysieke en psychische klachten door ontwikkelen. Hoe geef je als hulp- of zorgverlener goede zorg aan deze vrouwen?Goede zorg aan vrouwen met migratieachtergrond helpt je een open blik te ontwikkelen op situaties van vrijheidsinperking en dwang, en leert je hoe je de autonomie van je patiënt of cliënt kunt ondersteunen door samen nieuwe mogelijkheden te onderzoeken. We bespreken niet alleen casussen uit de beroepspraktijk, maar ook de verhalen van vrouwen zelf over hoe zij leven met vrijheidsinperking, gender en cultuur. Pas als je hun geleefde ervaringen, dilemma’s en leefwereld kent, kan je samen het gesprek en handelen goed vormgeven. In dit boek ontdek je gaandeweg dat verbeeldingskracht, zowel van professionals als van vrouwen, een sleutel kan zijn waarmee vrouwen meer zeggenschap krijgen over hun leven.Dit boek is bedoeld voor (aankomende) hulp- en zorgverleners zoals sociaal werkers, huisartsen, psychologen en schooldecanen die met deze problematiek te maken krijgen of er meer over willen leren. Maar het zal ook anderen die geïnteresseerd zijn in vraagstukken rond autonomie, vrijheidsinperking en dwang aanspreken
Relational rehabilitation.:Competencies and qualities needed in psychosocial rehabilitation when responding to hope and hopelessness.
No full textThis study explores how rehabilitation professionals engage with the dynamic nature of hope in acquired brain injury rehabilitation, identifying the qualities and competencies needed to respond with care. Using a qualitative design, data were collected through focus groups and individual interviews with cross-disciplinary professionals at a Danish rehabilitation centre. Reflexive thematic analysis revealed four distinct episodes of hope, each demanding a different response. Drawing on the concepts of ‘relational caring’ and ‘practicing presence’, and engaging with empirical data, essential qualities and competencies were revealed: being present, attuned, giving and sharing time, moving along, faithfully staying with, and embracing powerlessness and uncertainty. We conclude that current rehabilitation competency frameworks, such as Wade (Clin Rehabil 34(8):995–1003, 2020) and the Rehabilitation Competency Framework as reported by World Health Organization (Rehabilitation Competency Framework, World Health Organization, Geneva, 2020), fail to capture the more nuanced competencies required to address hopelessness in rehabilitation practice. This indicates that acknowledging and validating the full dynamics of hope and hopelessness within the frameworks shaping rehabilitation practice is essential to recognising the comprehensive range of qualities and competencies needed by rehabilitation professionals. This encompasses the capacity to navigate the shifting nature of hope as well as endure and ‘stay with’ the person in need during hardship. Specifically, education of rehabilitation professionals could gain from integrating the theoretical framework from relational caring and presence theory as a supplement to the International Classification of Functioning, disability and Health (ICF), enabling professionals to effectively navigate the psychosocial and existential dimensions of hope in their practice.This study explores how rehabilitation professionals engage with the dynamic nature of hope in acquired brain injury rehabilitation, identifying the qualities and competencies needed to respond with care. Using a qualitative design, data were collected through focus groups and individual interviews with cross-disciplinary professionals at a Danish rehabilitation centre. Reflexive thematic analysis revealed four distinct episodes of hope, each demanding a different response. Drawing on the concepts of ‘relational caring’ and ‘practicing presence’, and engaging with empirical data, essential qualities and competencies were revealed: being present, attuned, giving and sharing time, moving along, faithfully staying with, and embracing powerlessness and uncertainty. We conclude that current rehabilitation competency frameworks, such as Wade (Clin Rehabil 34(8):995–1003, 2020) and the Rehabilitation Competency Framework as reported by World Health Organization (Rehabilitation Competency Framework, World Health Organization, Geneva, 2020), fail to capture the more nuanced competencies required to address hopelessness in rehabilitation practice. This indicates that acknowledging and validating the full dynamics of hope and hopelessness within the frameworks shaping rehabilitation practice is essential to recognising the comprehensive range of qualities and competencies needed by rehabilitation professionals. This encompasses the capacity to navigate the shifting nature of hope as well as endure and ‘stay with’ the person in need during hardship. Specifically, education of rehabilitation professionals could gain from integrating the theoretical framework from relational caring and presence theory as a supplement to the International Classification of Functioning, disability and Health (ICF), enabling professionals to effectively navigate the psychosocial and existential dimensions of hope in their practice
Doing socio-political work in chaplaincy
No full textThroughout this volume, spiritual care is conceptualized in terms of caring for processes of orientation in life. These processes are entangled in socio-cultural contexts as systems, structures, and developments at the macrolevel have an impact on the capacity of individuals and groups to imagine, strive for, and live a good life. In this view, chaplains, as the professionals who care for people’s attempts to orient in life, have the task of publicly exposing and questioning the dehumanizing effects of macrosystems and –structures on these attempts. In this chapter, the socio-political dimension of chaplaincy, in which chaplains speak and act in the public domain, is explored. In particular, a chaplaincy method for providing spiritual care to communities which are affected by challenging events or circumstances is described, consisting of four elements: presence, sharing community narratives, forging structural partnerships, and spiritual counseling
