Leading and managing a multidisciplinary team in health and social care: a critical and personal reflection.

This article presents a synthesis of the leadership and management knowledge and experience gained while participating in project work in health and social care. The first part presents a critical evaluation of leadership and management across health and social care services, with a focus on a multidisciplinary team in a ward setting. The second part presents a critical reflection on a personal leadership and management experience during the project using an appropriate model of reflection, a synthesis of lessons learnt and application to future practice as a registered nurse. A range of theories and frameworks related to leadership, management and team working are critically evaluated and a critical understanding of both political and economic perspectives within today's healthcare system is presented.

A personal reflection: using theoretical frameworks to understand the impact of starting university on health and wellbeing.

This article presents a personal reflection using theoretical frameworks as the basis of understanding multifaceted influences on the personal health of the primary author since beginning undergraduate university degree studies in nursing. It also explores theoretical and lay definitions of health and wellbeing, before analysing influences on health from a personal perspective. This illustrates how understanding, developed through the use of theoretical frameworks, can enable individuals to enhance their own health and wellbeing.

Using diaries to collect data in phenomenological research.

BACKGROUND: Collecting data in phenomenological research can be difficult and an often under-explored area of data collection is the use of diaries. AIM: To enable the reader to understand how diaries can be used to collect data in phenomenological research. DISCUSSION: The author discusses how diaries can provide unadulterated insight into a phenomenon. CONCLUSION: Diaries can be useful to gain a personal insight into a phenomenon. IMPLICATIONS FOR PRACTICE: Diaries can be a challenge for those maintaining them, but offer a personal insight which can be useful as a data collection method and also cathartic for the participant.

No Child Left in the Morgue: Standing in as Hope's Family.

This personal reflection expresses a chaplaincy department's feelings as they became the surrogate family for a child whose body was abandoned by its mother in the hospital morgue.

My first time.

A medical student's recount and personal reflection of her first patient death.

Expressive Flamenco ©: An Emerging Expressive Arts-Based Practice.

Expressive Flamenco© theory and praxis is presented by Sánchez through this art-based personal reflection paper, which explores the applications of flamenco for its inherent psycho-somatic therapeutic capacities. She asserts the applied practice of flamenco (in its broadest definition), when combined with other expressive arts practices, can have therapeutic benefits; including (but not limited to) psycho-social, spiritual, and aesthetic connection to the individual's unconscious. During these experiences of arts based emotional expression, one can transcend the self into divine connection with their authentic self, what the author understands as the "duende". By allowing one's authentic truth to be expressed through Expressive Flamenco©, a spirit of evocation, born from within the self, appears when the self-connects with and is in creative conversation with its unconscious. The main hypothesis asserts the emergence of the "duende" facilitates an epistemological process of self-knowledge and an emotional process of catharsis, suggesting that when this art form is utilized as 'Expressive Flamenco' it helps facilitate holistic healing. This paper aims to stretch flamenco into new applied therapeutic practice territories, specifically in the arts therapies. Practical applications of Expressive Flamenco in the expressive therapies, including expressive arts therapy and dance/movement therapy, is presented along with the preliminary results of a virtual telehealth group facilitated during Covid-19. Professor Pinna-Perez's critical reflections on Expressive Flamenco© and its importance to the field is presented in response to this emerging expressive arts practice.

Spirituality in Aotearoa, New Zealand: Personal Reflections From a Spirituality in Health Care Researcher.

Spirituality is about what is of utmost value; it is a values lens that asks "what really matters most to me, my family, our community, our country, and our world." This personal reflection comes from a New Zealand academic who works in the spirituality and health care research field. Although largely biographical, this reflection offers some insight into the New Zealand context and this emergent field.

Is there a relationship between personal reflection ability and moral reasoning ability in Indonesian medical students?

OBJECTIVES: To determine the relationship of personal reflection ability and moral reasoning ability of medical students of the Faculty of Medicine Universitas Gadjah Mada (UGM). METHODS: A cross-sectional study was conducted by distributing questionnaires to 293 medical students in Year-3 at the Faculty of Medicine, Public Health, and Nursing after obtaining their agreement to participate in this research by signing an informed consent form. Personal reflection ability was measured by the Groningen Reflective Ability Scale (GRAS) questionnaire; moral reasoning ability was measured by the Defining Issues Test (DIT) questionnaire. Descriptive statistics, T-test, and regression analysis were used to analyze the anonymized results. RESULTS: The mean GRAS score of all students was 89.59 (SD = 6.80) (GRAS score ranged 0-110) which showed a high level. The mean score of Principled Morality Score (P) DIT of all students was 32.39 (SD=11.04), ranging between 28-41 which indicated a moderate level. In general, personal reflection ability scores of all students were positively correlated with their moral reasoning ability score. However, this correlation was not significant statistically (r=0.080, p=0.239). CONCLUSIONS: Personal reflection ability of medical students was correlated positively with their moral reasoning ability, however, statistically it was not significant . The high level of personal reflection ability needs to be maintained. The moderate moral reasoning ability needs some efforts to improve it. Further studies are necessary to assess other factors which influence the moral reasoning ability so that appropriate interventions can be developed.

Primary Care Residents Improve Knowledge, Skills, Attitudes, and Practice After a Clinical Curriculum With a Hospice.

Effective approaches to teaching attitudes, knowledge, and skills to resident physicians in primary care that can be implemented in any residency program are needed. We examined the feasibility and impact of a single palliative care residency curriculum, including a clinical rotation with a hospice program, across 5 cohorts of residents in 7 divergent primary care residency programs (both family medicine and internal medicine). The didactic content was drawn from the national Education for Physicians on End-of-Life Care Project. A total of 448 residents completed the curriculum. A large effect size was seen in measures of knowledge change (*Cohen d = .89) when compared to a national sample of primary care residency programs. Additionally, measures of confidence to perform palliative care skills and ethical concerns also improved significantly ( P < .001). A frequent comment is wishing the rest of medicine were like that experienced in the hospice setting. In a separate, ancillary evaluation, the average length of stay of patients enrolled in hospice care was 18.5 days longer for the alumni of this program when compared to physicians referring for hospice care who hadn't experienced the curriculum.