Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 4.584
Filtrar
1.
J Environ Public Health ; 2022: 7309888, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35910748

RESUMO

In this era of gradual scarcity of resources, sustainable development has become an important issue for society. In this environment, the cultural, economic, and social environment has a decisive influence on sustainable development. This paper mainly starts with service design and humanistic aesthetics and introduces the sustainable design development theory into the design so that the design can better respond to the sustainable development strategy. We established the integration method of marketing and design, through the combination of humanistic art design and the cognitive psychological effect and the cognitive psychological effect of customers, advocating appropriate design and humanism in the information age, which not only improves the sustainable society but also enriches the service design system theory.


Assuntos
Humanismo , Serviço Social , Cognição , Estética , Humanos
2.
Nurs Sci Q ; 35(3): 332-340, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35762052

RESUMO

The purpose of this article is to present a Parsesciencing inquiry about the universal humanuniverse living experience of persevering. Six adult historians who engaged in dialogue with the scholar were invited to describe their experiences with the question: "Please tell me, what is your experience of persevering?" The discerning extant moment of the living experience of persevering was as follows: Persevering is resolutely pressing on with the cherished arising with the restricting barriers of diverse affiliations with the transsubstantiating as: Persevering is powering valuing the enabling-limiting of connecting-separating.


Assuntos
Humanismo , Adulto , Humanos
3.
Nurs Sci Q ; 35(3): 286-290, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35762057

RESUMO

The humanbecoming concept of powering is explored in this article with the author describing her experiences with whitewater waves on the Missouri River in South Dakota. The third principle of humanbecoming along with four humanbecoming inquiries on feeling sad, feeling unsure, feeling disrespected, and living hope are also presented in examining the paradoxical processes involved in powering.


Assuntos
Emoções , Humanismo , Feminino , Humanos , Missouri , Incerteza
4.
Cien Saude Colet ; 27(5): 1781-1792, 2022 May.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35544808

RESUMO

Since 2009, there have been two training models promoting medical training at the Federal University of Bahia: the traditional and the cycle system. The curricular changes aimed to guide the professional profile for a better performance at the Brazilian Unified Health System and to develop a greater understanding of human diversity, illness and care. This study analyzed whether these models have produced different conceptions about what humanized care means to medical students. The similitude analysis was used, with the support of the Iramuteq software for data treatment. It was observed that both groups share conceptions centered on the patient; however, students graduating from the Interdisciplinary Bachelor Degree in Health demonstrated that they based their ideas on an expanded concept of health considering its various determinants. Students enrolled in the course through their grades at the National High School Examination, exposed perceptions of the topic considering necessary ethical and humanistic aspects but limited to the direct contact between doctor and patient. It is concluded that the previous training in the Interdisciplinary Bachelor's Degree in Health could be responsible for the development of the students' critical assessment of the concept of health and the importance of the Humanization of Care.


Desde 2009, coexistem na Universidade Federal da Bahia dois modelos formativos influindo sobre a formação médica: o tradicional e o regime de ciclos. As mudanças curriculares produzidas na instituição tiveram como objetivo reorientar o perfil profissional ao Sistema Único de Saúde e desenvolver maior compreensão sobre a diversidade humana, o adoecer e o cuidar. Este estudo analisou se esses modelos têm produzido diferentes concepções acerca do que é um atendimento humanizado entre os estudantes de medicina. Recorreu-se à análise de similitude, com suporte do software Iramuteq para o tratamento dos dados. Observamos que ambos os grupos têm concepções centradas no paciente, entretanto, estudantes egressos do Bacharelado Interdisciplinar em Saúde demonstraram basear suas ideias em um conceito ampliado de saúde, considerando seus vários determinantes. Estudantes ingressos no curso via Exame Nacional do Ensino Médio expuseram percepções considerando aspectos éticos e humanísticos necessários, mas limitadas ao contato direto entre médico e paciente. Conclui-se que a formação prévia no Bacharelado Interdisciplinar em Saúde pode ser responsável pela ampliação da criticidade estudantil sobre o conceito de saúde e a humanização do atendimento.


Assuntos
Estudantes de Medicina , Brasil , Humanismo , Humanos , Assistência ao Paciente
7.
Nurs Sci Q ; 35(2): 203-216, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35392707

RESUMO

The authors in this article provide a review and synthesis of 46 studies and investigations that were published between 2007 to 2020 that were guided by the everchanging humanbecoming paradigm. Moreover, the authors present details and a synthesis of published studies using the Parse research method and humanbecoming hermeneutic method as well as the extant Parsesciencing and humanbecoming hermeneutic sciencing investigations published up to the date of December 31, 2020. The article builds on the previous review conducted by Doucet and Bournes in 2007, which addressed studies conducted from 1985-2006. Newknowings for the enhancement of the everchanging humanbecoming paradigm and the discipline of nursing are provided for scholars to ponder.


Assuntos
Humanismo , Hermenêutica , Humanos
8.
Nurs Sci Q ; 35(2): 226-234, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35392715

RESUMO

With the humanbecoming concept inventing model, the scholar conceptualized a novel idea about the universal humanuniverse living experience of feeling trusted. The now-truth of feeling trusted is cherished acknowledgment with sureness-unsureness arising with gracious alliances. The ingenuous proclamation of feeling trusted as a theoretical statement is valuing the originating of connecting-separating and as an artform is the film of The King's Speech. The conceptualization of feeing trusted using the humanbecoming concept inventing model contributes to the advancement of nursing knowledge of universal humanuniverse living experiences.


Assuntos
Emoções , Humanismo , Formação de Conceito , Humanos , Confiança , Incerteza
9.
Acad Med ; 97(8): 1114-1116, 2022 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-35385400

RESUMO

How are ways of knowing similar between clinical reasoning and the humanities, and can the latter be used to elucidate the former? This commentary considers a conceptual model proposed by Prince and colleagues in this issue to explore the different ways of knowing in art and medicine. Their proposed model links 2 approaches to clinical reasoning with an analytic approach said to be characteristic of the humanities-visual thinking strategies (VTS)-to teach skills in clinical reasoning. They suggest that the VTS approach aligns well with the 2 clinical reasoning approaches and use this relationship to argue for the introduction of the humanities into graduate medical education. However, is VTS truly an exemplar of analytic approaches used in the humanities? The approach to clinical decision making is a version of what Donald A. Schön calls technical rationality, but what is the epistemology used in the humanities and art? This commentary explores this question through the perspective of hermeneutics, a branch of philosophy that centers on an interpretive understanding of art, and through art, a way of knowing the self, others, and the world. In contrast to limiting the focus of the humanities in medical education to sharpening the powers of observation and analytical thinking, the author argues that art also offers a way to explore the challenges and triumphs of providing care to those in need and to explore the meanings, feelings, and experiences of living and dying. It offers a way of understanding and expressing the moral dilemmas of our time that aspires toward the aesthetic, philosophical, and existential truths of a life in medicine.


Assuntos
Educação Médica , Ciências Humanas , Humanismo , Ciências Humanas/educação , Conhecimento , Filosofia
10.
Medicina (Kaunas) ; 58(3)2022 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-35334506

RESUMO

Concerns have been raised regarding medicine's dehumanization of patients and providers and regarding the need to include, in the medical school curriculum, components that encourage the development of empathy and humanistic practice. This essay suggests that the development of humanistic practice requires attention to not only the cognitive and affective/emotive aspects of humanism, but also to the nurturing of intersubjectivity between the provider and the patient through strategies designed to promote embodied awareness. Several approaches to the development of embodied awareness are discussed, including puppetry pedagogy, drama, and virtual reality applications.


Assuntos
Empatia , Humanismo , Currículo , Humanos , Faculdades de Medicina
11.
Acad Med ; 97(7): 1065-1070, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35320128

RESUMO

PURPOSE: Tzu Chi University's anatomy curriculum incorporates interaction with donors' families and regards body donors as silent teachers and altruistic role models. In this silent mentor program (SMP), students learn about their donor's life before dissection to better appreciate the selfless donation. This study explores the influence of the program on students' humanistic literacy based on student letters to silent mentors, which students wrote near the end of the program and laid by the silent mentor during the coffining ceremony. METHOD: The study included 125 letters from third-year medical students who took the gross anatomy curriculum in academic years 2015, 2016, and 2017. With student consent, the program collated and published the letters in the open-access SMP yearbook. Using thematic analysis, the authors manually analyzed the letters in their original Mandarin, with the names of students made anonymous to ensure the authors were blind to students' identity throughout the study. RESULTS: The analysis identified 3 themes and 11 subthemes. Theme 1, my silent mentor, included 3 subthemes: life characteristics, altruistic attitude, and expectation of offering body. Theme 2, connection to silent mentor and family, included 4 subthemes: intersubjective bonding, emotive first encounter, spiritual communication, and encouragement from silent mentor. Theme 3, reflection and transformation, included 4 subthemes: reflection on life and death, professional self-expectation, inner transformation, and feedback action. CONCLUSIONS: The findings suggest that interactions with donors' families increased students' appreciation of the donation and enhanced students' humanistic literacy. Further, the letters seem to indicate that the SMP inspired students to develop a grateful, respectful, and empathic attitude toward life and their career. Thus, by implementing similar programs, gross anatomy curricula could go beyond the acquisition of structural knowledge to the cultivation of medical students' humanistic literacy.


Assuntos
Anatomia , Educação de Graduação em Medicina , Estudantes de Medicina , Anatomia/educação , Currículo , Humanismo , Humanos , Mentores , Doadores de Tecidos
12.
BMC Med Educ ; 22(1): 131, 2022 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-35219311

RESUMO

PURPOSE: This scoping review explores how virtue and care ethics are incorporated into health professions education and how these factors may relate to the development of humanistic patient care. METHOD: Our team identified citations in the literature emphasizing virtue ethics and care ethics (in PubMed, NLM Catalog, WorldCat, EthicsShare, EthxWeb, Globethics.net , Philosopher's Index, and ProQuest Central) lending themselves to constructs of humanism curricula. Our exclusion criteria consisted of non-English articles, those not addressing virtue and care ethics and humanism in medical pedagogy, and those not addressing aspects of character in health ethics. We examined in a stepwise fashion whether citations: 1) Contained definitions of virtue and care ethics; 2) Implemented virtue and care ethics in health care curricula; and 3) Evidenced patient-directed caregiver humanism. RESULTS: Eight hundred eleven citations were identified, 88 intensively reviewed, and the final 25 analyzed in-depth. We identified multiple key themes with relevant metaphors associated with virtue/care ethics, curricula, and humanism education. CONCLUSIONS: This research sought to better understand how virtue and care ethics can potentially promote humanism and identified themes that facilitate and impede this mission.


Assuntos
Educação Médica , Humanismo , Currículo , Atenção à Saúde , Ética Médica , Humanos , Virtudes
13.
Nurs Ethics ; 29(3): 608-620, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35144499

RESUMO

BACKGROUND: One of the main concerns in critical care units is the development of humanistic approaches. In this regard, recognizing the factors affecting humanistic nursing can contribute to humanizing nursing care in these units. OBJECTIVE: The objective was to recognize the influential factors of humanistic nursing in critical care units. RESEARCH DESIGN: This qualitative study was carried out using a phenomenology method. Thirty-nine in-depth unstructured interviews were performed. The data were analyzed using the phenomenological nursology approach. To guarantee trustworthiness, prolonged engagement, member check, triangulation of resources, and maximum variation sampling were used. PARTICIPANTS AND RESEARCH CONTEXT: Purposeful sampling was employed to select 10 nurses, 8 patients, and 4 patient's relatives from the intensive care unit and critical care unit departments. ETHICAL CONSIDERATION: This study was approved by the ethics committee of Lorestan University of Medical Sciences with the code of LUMS.REC.1395.121. FINDING: The participants' experiences were reflected in the following three main concepts: (a) moral, educational, and existential nature of the two humans involved in the interaction; (b) maintenance of the nurses' dignity; and (c) interactions in the cultural and social context. DISCUSSION: The nurse and patient, organizational environment, and society give rise to a set of intertwined characteristics which influence the realization of humanistic nursing. By affecting the nurses' educational background and maintaining their dignity, the atmosphere of the hospital and cultural readiness of the society pave the way for delivering the humanistic care.


Assuntos
Enfermagem de Cuidados Críticos , Cuidados de Enfermagem , Humanismo , Humanos , Unidades de Terapia Intensiva , Pesquisa Qualitativa
15.
Nurse Educ Today ; 111: 105276, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35131563

RESUMO

BACKGROUND: Research regarding humanistic caring has proliferated to enable person-centred and holistic care. Empirical evidence investigating the humanistic caring ability is largely derived from studies recruiting general nursing students. Midwifery students, however, remain underrepresented. OBJECTIVES: To assess the humanistic caring ability of midwifery students in China and investigate its associated factors. DESIGN: A multi-centre cross-sectional descriptive study. SETTINGS: Five medical colleges spreading across Eastern, Central and Southern China. PARTICIPANTS: Secondary vocational, higher vocational and undergraduate midwifery students (N = 303). METHODS: The Caring Ability Inventory (CAI), the Jefferson Scale of Physician Empathy for Nursing Students (JSPE-NS), the Connor-Davidson Resilience Scale (CD-RISC) and the Professional Identity Scale for Nursing Students (PISNS) were used to measure humanistic caring ability, empathy, resilience and professional identity, respectively. Stepwise multiple linear regression was used to explore associated factors. RESULTS: The midwifery students' total mean CAI score was 184.63 ± 19.88. In the multiple linear regression analysis, empathy (ß = 0.394, p < 0.001), resilience (ß = 0.233, p < 0.001) and professional identity (ß = 0.161, p = 0.002) were positively associated with the humanistic caring ability of midwifery students. The humanistic caring ability was also influenced by educationl level, perceived concern from peers and recognition of caring ability as a prerequisite for midwifery profession. CONCLUSIONS: Midwifery students in China have poor humanistic caring ability, which needs to be further improved. Interventions that cultivate the empathy, resilience and professional identity have the potential to advance the humanistic caring ability of midwifery students. Promoting a supportive and caring atmosphere among peers is also important.


Assuntos
Tocologia , Estudantes de Enfermagem , China , Estudos Transversais , Empatia , Feminino , Humanismo , Humanos , Gravidez , Inquéritos e Questionários
16.
J Pastoral Care Counsel ; 76(1): 15-28, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35068263

RESUMO

This paper investigates the functions, downsides, and limitations of empathy in chaplaincy care. Data were collected from 20 humanist chaplains working in health care, prison, and military settings using semi-structured interviews. According to the participants, empathy is at the heart of their profession but has disadvantages as well. The analysis yields seven major functions of empathy with corresponding downsides and limitations: (1) to connect, (2) to understand, (3) to guide, (4) to acknowledge, (5) to motivate, (6) to inspire, and (7) to humanize. We argue for a need to "talk about empathy" since despite its importance and challenges, there is little professional and academic discussion about empathy in chaplaincy care. We hope that the findings of this study can function as starting points for the discussion and thus contribute to the ongoing professionalization of chaplaincy care. To that end, we propose three topics for further reflection and conversation.


Assuntos
Serviço Religioso no Hospital , Assistência Religiosa , Clero , Empatia , Humanismo , Humanos
17.
Acad Med ; 97(5): 649-654, 2022 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-35020611

RESUMO

Discomfort is a constant presence in the practice of medicine and an oft-ignored feature of medical education. Nonetheless, if approached with thoughtfulness, patience, and understanding, discomfort may play a critical role in the education of physicians who practice with excellence, compassion, and justice. Taking Plato's notion of aporia-a moment of discomfort, perplexity, or impasse-as a starting point, the author follows the meandering path of aporia through Western philosophy and educational theory to argue for the importance of discomfort in opening up and orienting perspectives toward just and humanistic practice. Practical applications of this approach include problem-posing questions (from the work of Brazilian education theorist Paulo Freire), exercises to "make strange" beliefs and assumptions that are taken for granted, and the use of stories-especially stories without endings-all of which may prompt reflection and dialogical exchange. Framing this type of teaching and learning in Russian psychologist L.S. Vygotsky's theories of development, the author proposes that mentorship and dialogical interactions may help learners to navigate through moments of discomfort and uncertainty and extend the edge of learning. This approach may give birth to a zone of proximal development that is enriched with explorations of self, others, and the world.


Assuntos
Educação Médica , Aprendizagem , Empatia , Humanismo , Humanos , Mentores
18.
Ann Intern Med ; 175(1): 114-118, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35038401

RESUMO

William Osler's essay "An Alabama Student" made John Young Bassett (1804-1851) a widely admired avatar of idealism in medicine. However, Bassett fiercely attacked the idea that all humans are members of the same species (known as monogenesis) and asserted that Black inferiority was a justification for slavery. Antebellum physician-anthropologists bequeathed a legacy of scientific racism that in subtler forms still runs deep in American society, including in the field of medicine.


Assuntos
Negros , Escravização/história , Humanismo/história , Médicos/história , Racismo/história , Livros de Texto como Assunto/história , Alabama , Educação Médica/história , História do Século XIX , Humanos , Estados Unidos
19.
Patient Educ Couns ; 105(3): 641-646, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34281722

RESUMO

INTRODUCTION: The Tell Me More (TMM)® program provides a template for guided interviews to help providers procure an expansive social history from patients and connect with them as people beyond their illness. (TMM)® may provide a dual benefit: it improves the patient's experience with their healthcare team and the medical students' experience in developing their identity as a physician. Our aim was to characterize the impact of the patient-student conversations in TMM® on the participating medical students through analysis of their written reflections throughout the program. METHODS: Students conducted interviews with hospitalized patients using the TMM® template, Through narrative medicine and individualized posters, patients were able to highlight their unique qualities. RESULTS: Qualitative analyses of 63 journal reflections from 14 students, across 7 hospital settings, identified 6 themes. These included connection, humanism, discovery, impact, privilege, and perspective. CONCLUSION: Reflective practice as a learning pedagogy created an opportunity to enhance the medical students' awareness of empathy and compassion during the TMM® program. Documentation of reflections assured students would process the encounter as a profound learning experience and develop their professional identity formation as a student preparing to become a physician. PRACTICAL IMPLICATIONS: TMM® provides an opportunity for medical students to practice and apply their interpersonal and communication skills through authentic patient encounters.


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Comunicação , Empatia , Humanismo , Humanos , Identificação Social
20.
Patient Educ Couns ; 105(2): 492-493, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34092447

RESUMO

In light of the COVID-19 pandemic and resulting visitor restrictions, the inpatient setting has become isolative for many patients. We initiated a program, Bedside Healers, in which medical students rotating at Allegheny General Hospital in Pittsburgh, Pennsylvania dedicate time to bedside discussions with patients in the Complex Medical Care Unit in an effort to provide more individualized care to patients and enable them to feel connected with their physicians. After collecting their weekly entries detailing the patient experiences the students had, we found that this program was able to increase patient-centric humanistic practices and improved the overall patient care experience for patients and physicians alike. We encourage other inpatient settings to adopt similar initiatives especially during these unprecedented and isolating times.


Assuntos
COVID-19 , Pacientes Internados , Humanismo , Humanos , Pandemias , Relações Médico-Paciente , SARS-CoV-2
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...