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81.
Desiree Boughtwood Christine Halse 《Journal of community & applied social psychology》2010,20(2):83-94
This paper examines how teenage girls diagnosed with and being treated for anorexia nervosa in hospital construct their anorexia, their identity as patients, medical authority and their doctors. In‐depth interviews were conducted with 25 adolescent girls in two large, metropolitan hospitals in Australia. Using a discourse analytic approach informed by poststructural theory, we elucidate how girls perform as patients, contest the authoritative position of doctors and deploy popular, taken‐for‐granted discourses of femininity to resist treatment regimes and the construction of themselves by others as ‘anorexic’ and ‘sick’. Our analysis indicates that medical discourses in the hospital do not necessarily define or delimit girls' constructions of themselves, of anorexia, treatment or their relationships with doctors. The paper argues that understanding and validating girls' perspectives is essential in building and maintaining a therapeutic alliance in hospitals. We conclude by discussing how insights from poststructural analysis can assist in improving hospital practice. Copyright © 2009 John Wiley & Sons, Ltd. 相似文献
82.
Lisa Pagotto Alberto Voci Valentina Maculan 《Journal of community & applied social psychology》2010,20(4):317-330
The present research examines the effectiveness of intergroup contact between 167 Italian hospital workers and foreign patients in reducing prejudice towards immigrants in general. The outcomes of contact at work were analysed controlling for the influence of contact outside the workplace and through mass media, and taking into account the role of empathy, anxiety and group membership salience. Results indicate that the beneficial effects of contact at work were partially mediated by increased empathy and reduced anxiety, experienced both in the work environment and towards immigrants in general. Finally, high levels of group membership salience facilitated the influence of contact on intergroup emotions. These findings show that contact at work can be a powerful means to reduce prejudice, thanks to its capacity to evoke changes in affective responses. Copyright © 2010 John Wiley & Sons, Ltd. 相似文献
83.
Denise Bulling Tarik Abdel-Monem Jason A. Nieuwsma William C. Cantrell Keith Ethridge 《Military psychology》2013,25(6):557-567
Confidentiality can both facilitate and inhibit working relationships of chaplains and mental health professionals addressing the needs of service members and veterans in the United States. Researchers conducted this study to examine opportunities for improving integration of care within the Department of Defense (DoD) and Department of Veterans Affairs (VA). Interviews were conducted with 198 chaplains and 201 mental health professionals in 33 DoD and VA facilities. Using a blended qualitative research approach, researchers identified several themes from the interviews, including recognition that integration can improve services; chaplaincy confidentiality can facilitate help seeking behavior; and mental health and chaplain confidentiality can inhibit information sharing and active participation on interdisciplinary teams. Cross-disciplinary training on confidentiality requirements and developing policies for sharing information across disciplines is recommended to address barriers to integrated service delivery. 相似文献
84.
Emily Staite;Farah Francine; 《Counselling and Psychotherapy Research》2024,24(4):1641-1648
There is a limited amount of research assessing the effectiveness of group therapy on acute inpatient psychiatric wards, and mixed results from research assessing inpatient psychological therapies in general. Previous studies highlight challenges for conducting research on psychiatric inpatient hospitals, such as short admissions, high patient turnover, engagement challenges, acuteness of illness, overmedication and feelings of stigma and disempowerment. 相似文献
85.
Liza-Marie Johnson Christopher L. Church Monika Metzger Justin N. Baker 《The American journal of bioethics : AJOB》2015,15(5):3-17
There is little information about the content of ethics consultations (EC) in pediatrics. We sought to describe the reasons for consultation and ethical principles addressed during EC in pediatrics through retrospective review and directed content analysis of EC records (2000–2011) at St. Jude Children's Research Hospital. Patient-based EC were highly complex and often involved evaluation of parental decision making, particularly consideration of the risks and benefits of a proposed medical intervention, and the physician's fiduciary responsibility to the patient. Nonpatient consultations provided guidance in the development of institutional policies that would broadly affect patients and families. This is one of the few existing reviews of the content of pediatric EC and indicates that the distribution of ethical issues and reasons for moral distress are different than with adults. Pediatric EC often facilitates complex decision making among multiple stakeholders, and further prospective research is needed on the role of ethics consultation in pediatrics. 相似文献
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《Médecine & Droit》2016,2016(140):125-129
Public hospitals in France are submitted to special rules different from those in private hospitals. Missions of judicial experts are quite similar but some differences may be found during expertal meetings. 相似文献
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阳康丽 《医学与哲学(人文社会医学版)》2020,41(4):64-67
为了解地市级医院医学人文继续教育现状,对湖南省6所地市级医院的医护人员采用问卷调查的方法收集信息,共回收672份有效问卷。数据分析显示,湖南省地市级医院对医学人文继续教育重视程度还有待进一步加强;医院开展医学人文继续教育活动的频率较低,教育方法和手段比较单一,不能因地制宜地与医护人员实际工作有机结合;开展医学人文继续教育的内容和形式没有做到与时俱进。建议地市级医院要高度重视医学人文继续教育工作,积极探索医学人文继续教育新模式,创新医学人文继续教育方式方法,合理凝练医学人文继续教育内容,建立医学人文继续教育激励机制,进一步提升医护人员医学人文素养。 相似文献