Type | Journal Article |
---|---|
Author | Ahmed M Abdel-Khalek |
Abstract | BACKGROUND: The majority of published research in quality of life (QOL), subjective well-being (SWB), and religiosity has been carried out on Western populations. The objective of this study was to explore the associations between QOL, SWB, and religiosity in an Arabic, Muslim, and understudied sample. METHODS: A convenience sample of 224 Kuwait University undergraduates was recruited. Their ages ranged from 18 to 28 years. The Arabic version of the World Health Organization QOL scale-Brief (WHOQOL-Bref), along with six self-rating scales of physical health, mental health, happiness, satisfaction with life, religiosity, and strength of religious belief were used. The test-retest reliabilities of all the scales ranged between 0.72 and 0.88, indicating good temporal stability. All the correlations of the scales with criteria were significant and ranged from 0.39 to 0.65 indicating from acceptable to good criterion-related validity. RESULTS: Sex-related differences were significant favoring men in nine out of the 13 scales. All the 66 correlations but two were significant and positive. The principal components analysis followed by varimax orthogonal rotation yielded two factors: "Quality of life and well-being" and "Religiosity". CONCLUSIONS: Based on the significant and positive correlations between QOL, SWB, and religiosity, it was concluded that religiosity may be considered as a salient component of, and a contributing factor to, QOL among this sample of Muslim college students. Therefore, Islamic beliefs and practices may have the potential to be integrated in the psychotherapeutic procedures among Muslim clients. |
Publication | Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation |
Volume | 19 |
Issue | 8 |
Pages | 1133-1143 |
Date | Oct 2010 |
Journal Abbr | Qual Life Res |
DOI | 10.1007/s11136-010-9676-7 |
ISSN | 1573-2649 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20585988 |
Accessed | Monday, November 15, 2010 3:09:10 PM |
Date Added | Thursday, September 29, 2011 8:59:31 AM |
Modified | Thursday, September 29, 2011 8:59:31 AM |
Type | Journal Article |
---|---|
Author | Vincanne Adams |
Abstract | The ambiguous terrain of 'fact-making' in biomedical clinical research is explored by way of an investigation of the criminalization of Tibetan medicine and Tibetan medical practitioners who participate in the global pharmaceutical pursuit of new medical products. Transcultural encounters between biomedical research interests and Tibetan medical practitioners suggest the production of awkward alliances between the state, markets, and measures of medical efficacy on an uneven global playing field. Moving beyond the possibility that a postcolonial science will be inherently hybrid, this paper seeks to uncover the inequalities of such hybrid-making encounters. When 'medical facts' must be derived from 'magical beliefs' in the centres of biomedical science, the state often intervenes to criminalize practitioners of alternative medicine. But, when profits are to be made on the fact that 'the magical' sells in alternative medicine, the state also makes it possible to shift ownership of medical knowledge, sometimes by way of the randomized controlled trial and the pursuit of active ingredients. The possibility of relocating the label of 'crime' is explored in this paper by way of an inquiry into processes that enable this shift in ownership, and a relocation of what constitutes medical 'fact' versus 'belief'. |
Publication | Social Studies of Science |
Volume | 32 |
Issue | 5/6 |
Pages | 659-690 |
Date | Oct. - Dec., 2002 |
ISSN | 03063127 |
Short Title | Randomized Controlled Crime |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3183051 |
Accessed | Sunday, November 08, 2009 11:18:49 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Oct. - Dec., 2002 / Copyright © 2002 Sage Publications, Ltd. |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
The ambiguous terrain of ‘fact-making’ in biomedical clinical research is explored by way of an investigation of the criminalization of Tibetan medicine and Tibetan medical practitioners who participate in the global pharmaceutical pursuit of new medical products. Transcultural encounters between biomedical research interests and Tibetan medical practitioners suggest the production of awkward alliances between the state, markets, and measures of medical efficacy on an uneven global playing field. Moving beyond the possibility that a postcolonial science will be inherently hybrid, this paper seeks to uncover the inequalities of such hybrid-making encounters. When ‘medical facts’ must be derived from ‘magical beliefs’ in the centres of biomedical science, the state often intervenes to criminalize practitioners of alternative medicine. But, when profits are to be made on the fact that ‘the magical’ sells in alternative medicine, the state also makes it possible to shift ownership of medical knowledge, sometimes by way of the randomized controlled trial and the pursuit of active ingredients. The possibility of relocating the label of ‘crime’ is explored in this paper by way of an inquiry into processes that enable this shift in ownership, and a relocation of what constitutes medical ‘fact’ versus ‘belief’.
Type | Journal Article |
---|---|
Author | Karen E Adams |
Author | Michael H Cohen |
Author | David Eisenberg |
Author | Albert R Jonsen |
Abstract | Increasing use of complementary and alternative medical (CAM) therapies by patients, health care providers, and institutions has made it imperative that physicians consider their ethical obligations when recommending, tolerating, or proscribing these therapies. The authors present a risk-benefit framework that can be applied to determine the appropriateness of using CAM therapies in various clinical scenarios. The major relevant issues are the severity and acuteness of illness; the curability of the illness by conventional forms of treatment; the degree of invasiveness, associated toxicities, and side effects of the conventional treatment; the availability and quality of evidence of utility and safety of the desired CAM treatment; the level of understanding of risks and benefits of the CAM treatment combined with the patient's knowing and voluntary acceptance of those risks; and the patient's persistence of intention to use CAM therapies. Even in the absence of scientific evidence for CAM therapies, by considering these relevant issues, providers can formulate a plan that is clinically sound, ethically appropriate, and targeted to the unique circumstances of individual patients. Physicians are encouraged to remain engaged in problem-solving with their patients and to attempt to elucidate and clarify the patient's core values and beliefs when counseling about CAM therapies. |
Publication | Annals of Internal Medicine |
Volume | 137 |
Issue | 8 |
Pages | 660-664 |
Date | Oct 15, 2002 |
Journal Abbr | Ann. Intern. Med |
ISSN | 1539-3704 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12379066 |
Accessed | Monday, September 07, 2009 11:30:19 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12379066 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Increasing use of complementary and alternative medical (CAM) therapies by patients, health care providers, and institutions has made it imperative that physicians consider their ethical obligations when recommending, tolerating, or proscribing these therapies. The authors present a risk-benefit framework that can be applied to determine the appropriateness of using CAM therapies in various clinical scenarios. The major relevant issues are the severity and acuteness of illness; the curability of the illness by conventional forms of treatment; the degree of invasiveness, associated toxicities, and side effects of the conventional treatment; the availability and quality of evidence of utility and safety of the desired CAM treatment; the level of understanding of risks and benefits of the CAM treatment combined with the patient’s knowing and voluntary acceptance of those risks; and the patient’s persistence of intention to use CAM therapies. Even in the absence of scientific evidence for CAM therapies, by considering these relevant issues, providers can formulate a plan that is clinically sound, ethically appropriate, and targeted to the unique circumstances of individual patients. Physicians are encouraged to remain engaged in problem-solving with their patients and to attempt to elucidate and clarify the patient’s core values and beliefs when counseling about CAM therapies.
Type | Journal Article |
---|---|
Author | Raafat Y Afifi |
Abstract | Most of the currently accepted western basic principles of ethics in research are consistent with the instructions of Islam. This statement may come as a surprise to some western researchers. In this article, I will discuss why Islam rejects secularization and this is not because the ethical principles embedded in Islam's teachings are archaic and out of touch with current realities. In addition, I will point out the agreement between general broad principles of research ethics and Islamic teachings concerning life; this would show clearly that Islam has addressed the regulation of ethics in research more than 14 centuries ago. |
Publication | International Journal of Surgery (London, England) |
Volume | 5 |
Issue | 5 |
Pages | 292-296 |
Date | Oct 2007 |
Journal Abbr | Int J Surg |
DOI | 10.1016/j.ijsu.2006.04.011 |
ISSN | 1743-9159 |
Short Title | Biomedical research ethics |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17933692 |
Accessed | Monday, November 02, 2009 1:26:53 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17933692 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Most of the currently accepted western basic principles of ethics in research are consistent with the instructions of Islam. This statement may come as a surprise to some western researchers. In this article, I will discuss why Islam rejects secularization and this is not because the ethical principles embedded in Islam’s teachings are archaic and out of touch with current realities. In addition, I will point out the agreement between general broad principles of research ethics and Islamic teachings concerning life; this would show clearly that Islam has addressed the regulation of ethics in research more than 14 centuries ago.
Type | Journal Article |
---|---|
Author | Raafat Y Afifi |
Abstract | In part I of this article I discussed why Islam rejects secularization and this is not because the ethical principles embedded in Islam's teachings are archaic and out of touch with current realities. In addition, I pointed out the agreement between general broad principles of research ethics and Islamic teachings concerning life; which showed clearly that Islam has addressed the regulation of ethics in research more than 14 centuries ago. In this part, I will address two controversial issues concerning women's rights and age of consent for children as possible research subjects in a Muslim community. |
Publication | International Journal of Surgery (London, England) |
Volume | 5 |
Issue | 6 |
Pages | 381-383 |
Date | Dec 2007 |
Journal Abbr | Int J Surg |
DOI | 10.1016/j.ijsu.2006.04.010 |
ISSN | 1743-9159 |
Short Title | Biomedical research ethics |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18078683 |
Accessed | Monday, November 02, 2009 1:26:42 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18078683 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
In part I of this article I discussed why Islam rejects secularization and this is not because the ethical principles embedded in Islam’s teachings are archaic and out of touch with current realities. In addition, I pointed out the agreement between general broad principles of research ethics and Islamic teachings concerning life; which showed clearly that Islam has addressed the regulation of ethics in research more than 14 centuries ago. In this part, I will address two controversial issues concerning women’s rights and age of consent for children as possible research subjects in a Muslim community.
Type | Journal Article |
---|---|
Author | Laurie B Agrimson |
Author | Lois B Taft |
Abstract | AIM: This paper is a report of an analysis of the concept of spiritual crisis. BACKGROUND: The term spiritual crisis has been used ambiguously in the literature, resulting in lack of clarity. A holistic approach includes spirituality in nursing care of the whole person. DATA SOURCES: Papers available online between 1998 and 2007 in the CINAHL, Medline and PsycInfo databases were retrieved for analysis. The search engine Google was also used to examine additional references to 'spiritual crisis'. REVIEW METHODS: Spiritual crisis, spiritual emergency and life crisis were the terms initially used to search each database. The search was expanded to include spirituality to draw more literature into the review. FINDINGS: Using Walker and Avant's method of concept analysis, a definition of spiritual crisis was identified. Spiritual crisis can be described as a unique form of grieving or loss, marked by a profound questioning of or lack of meaning in life, in which an individual or community reaches a turning point, leading to a significant alteration in the way life is viewed. Possible antecedents include sudden acute illness and loss of important relationships. Potential consequences may include physical and emotional responses. CONCLUSION: People with terminal illness, depression, and those who are grieving losses may be at special risk of spiritual crisis. The literature suggests an interdisciplinary approach, nurses' self-exploration of spirituality, and refraining from defining spirituality by religious affiliation as part of improving practice. |
Publication | Journal of Advanced Nursing |
Volume | 65 |
Issue | 2 |
Pages | 454-461 |
Date | Feb 2009 |
Journal Abbr | J Adv Nurs |
DOI | 10.1111/j.1365-2648.2008.04869.x |
ISSN | 1365-2648 |
Short Title | Spiritual crisis |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19040691 |
Accessed | Friday, November 13, 2009 7:39:18 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19040691 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
This paper is a report of an analysis of the concept of spiritual crisis. People with terminal illness, depression, and those who are grieving losses may be at special risk of spiritual crisis. The literature suggests an interdisciplinary approach, nurses’ self-exploration of spirituality, and refraining from defining spirituality by religious affiliation as part of improving practice.
Type | Journal Article |
---|---|
Author | Shaida Ghazala Akhtar |
Abstract | This article describes the main teachings and customs of Islam. It offers some guidelines to enable nurses to provide sensitive and appropriate care to Muslim patients. |
Publication | Nursing Times |
Volume | 98 |
Issue | 16 |
Pages | 40-42 |
Date | 2002 Apr 16-22 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 8 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11997996 |
Accessed | Monday, November 02, 2009 1:58:21 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11997996 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
This article describes the main teachings and customs of Islam. It offers some guidelines to enable nurses to provide sensitive and appropriate care to Muslim patients.
Type | Journal Article |
---|---|
Author | Aida I Al-Aqeel |
Abstract | We are at a time of unprecedented increase in knowledge of rapidly changing technology. Such biotechnology especially when it involves human subjects raises complex ethical, legal, social and religious issues. A World Health Organization expert consultation concluded that "genetics advances will only be acceptable if their application is carried out ethically, with due regard to autonomy, justice, education and the beliefs and resources of each nation and community." Public health authorities are increasingly concerned by the high rate of births with genetic disorders especially in developing countries where Muslims are a majority. Therefore, it is imperative to scrutinize the available methods of prevention and management of genetic disorders. A minimum level of cultural awareness is a necessary prerequisite for the delivery of care that is culturally sensitive, especially in Islamic countries. Islam presents a complete moral, ethical, and medical framework, it is a religion which encompasses the secular with the spiritual, the mundane with the celestial and hence forms the basis of the ethical, moral and even juridical attitudes and laws towards any problem or situation. Islamic teachings carry a great deal of instructions for health promotion and disease prevention including hereditary and genetic disorders, therefore, we will discuss how these teachings play an important role in the diagnostic, management and preventive measures including: genomic research; population genetic screening pre-marital screening, pre-implantation genetic diagnosis; assisted reproduction technology; stem cell therapy; genetic counseling and others. |
Publication | Saudi Medical Journal |
Volume | 26 |
Issue | 12 |
Pages | 1862-1870 |
Date | Dec 2005 |
Journal Abbr | Saudi Med J |
ISSN | 0379-5284 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16380763 |
Accessed | Monday, November 02, 2009 1:35:29 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16380763 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
We are at a time of unprecedented increase in knowledge of rapidly changing technology. Such biotechnology especially when it involves human subjects raises complex ethical, legal, social and religious issues. A World Health Organization expert consultation concluded that “genetics advances will only be acceptable if their application is carried out ethically, with due regard to autonomy, justice, education and the beliefs and resources of each nation and community.” Public health authorities are increasingly concerned by the high rate of births with genetic disorders especially in developing countries where Muslims are a majority. Therefore, it is imperative to scrutinize the available methods of prevention and management of genetic disorders. A minimum level of cultural awareness is a necessary prerequisite for the delivery of care that is culturally sensitive, especially in Islamic countries. Islam presents a complete moral, ethical, and medical framework, it is a religion which encompasses the secular with the spiritual, the mundane with the celestial and hence forms the basis of the ethical, moral and even juridical attitudes and laws towards any problem or situation. Islamic teachings carry a great deal of instructions for health promotion and disease prevention including hereditary and genetic disorders, therefore, we will discuss how these teachings play an important role in the diagnostic, management and preventive measures including: genomic research; population genetic screening pre-marital screening, pre-implantation genetic diagnosis; assisted reproduction technology; stem cell therapy; genetic counseling and others.
Type | Journal Article |
---|---|
Author | M A Albar |
Abstract | Genetic counselling is the process by which an individual or a family obtains information about a genetic condition that may affect them, so that they can take the appropriate decisions about marriage, reproduction and health management. Islamic teaching encourages counselling and stresses that the counsellor should be considerate, compassionate and should keep the secrets of the person or family involved. He/she should not impose his/her views on the clients. Some Arab countries encourage premarital medical examination to detect carriers of common hereditary diseases such as thalassaemia. However, this is still controversial, as it infringes the human rights of individuals. Reproductive options open to carriers of hereditary diseases are outlined in this paper, such as prenatal diagnosis, adoption, donation of a sperm, ova or preembryo and preimplantation diagnosis, and their acceptability within Islam is discussed. |
Publication | Eastern Mediterranean Health Journal = La Revue De Santé De La Méditerranée Orientale = Al-Majallah Al-Ṣiḥḥīyah Li-Sharq Al-Mutawassiṭ |
Volume | 5 |
Issue | 6 |
Pages | 1129-1133 |
Date | Nov 1999 |
Journal Abbr | East. Mediterr. Health J |
ISSN | 1020-3397 |
Short Title | Counselling about genetic disease |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11924100 |
Accessed | Monday, November 02, 2009 1:50:15 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11924100 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Genetic counselling is the process by which an individual or a family obtains information about a genetic condition that may affect them, so that they can take the appropriate decisions about marriage, reproduction and health management. Islamic teaching encourages counselling and stresses that the counsellor should be considerate, compassionate and should keep the secrets of the person or family involved. He/she should not impose his/her views on the clients. Some Arab countries encourage premarital medical examination to detect carriers of common hereditary diseases such as thalassaemia. However, this is still controversial, as it infringes the human rights of individuals. Reproductive options open to carriers of hereditary diseases are outlined in this paper, such as prenatal diagnosis, adoption, donation of a sperm, ova or preembryo and preimplantation diagnosis, and their acceptability within Islam is discussed.
Type | Journal Article |
---|---|
Author | D Aldridge |
Abstract | The natural science base of modern medicine influences the way in which medicine is delivered and may ignore the spiritual factors associated with illness. The history of spirituality in healing presented here reflects the growth of scientific knowledge, demands for religious renewal, and the shift in the understanding of the concept of health within a broader cultural context. General practitioners have been willing to entertain the idea of spiritual healing and include it in their daily practice, or referral network. Recognizing patients' beliefs in the face of suffering is an important factor in health care practice. |
Publication | The British Journal of General Practice: The Journal of the Royal College of General Practitioners |
Volume | 41 |
Issue | 351 |
Pages | 425-427 |
Date | Oct 1991 |
Journal Abbr | Br J Gen Pract |
ISSN | 0960-1643 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/1777299 |
Accessed | Thursday, November 12, 2009 5:14:05 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 1777299 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
The natural science base of modern medicine influences the way in which medicine is delivered and may ignore the spiritual factors associated with illness. The history of spirituality in healing presented here reflects the growth of scientific knowledge, demands for religious renewal, and the shift in the understanding of the concept of health within a broader cultural context. General practitioners have been willing to entertain the idea of spiritual healing and include it in their daily practice, or referral network. Recognizing patients’ beliefs in the face of suffering is an important factor in health care practice.
Type | Journal Article |
---|---|
Author | Gowri Anandarajah |
Abstract | PURPOSE: The explosion of evidence in the last decade supporting the role of spirituality in whole-person patient care has prompted proposals for a move to a biopsychosocial-spiritual model for health. Making this paradigm shift in today's multicultural societies poses many challenges, however. This article presents 2 theoretical models that provide common ground for further exploration of the role of spirituality in medicine. METHODS: The 3 H model (head, heart, hands) and the BMSEST models (body, mind, spirit, environment, social, transcendent) evolved from the author's 12-year experience with curricula development regarding spirituality and medicine, 16-year experience as an attending family physician and educator, lived experience with both Hinduism and Christianity since childhood, and a lifetime study of the world's great spiritual traditions. The models were developed, tested with learners, and refined. RESULTS: The 3 H model offers a multidimensional definition of spirituality, applicable across cultures and belief systems, that provides opportunities for a common vocabulary for spirituality. Therapeutic options, from general spiritual care (compassion, presence, and the healing relationship), to specialized spiritual care (eg, by clinical chaplains), to spiritual self-care are discussed. The BMSEST model provides a conceptual framework for the role of spirituality in the larger health care context, useful for patient care, education, and research. Interactions among the 6 BMSEST components, with references to ongoing research, are proposed. CONCLUSIONS: Including spirituality in whole-person care is a way of furthering our understanding of the complexities of human health and well-being. The 3 H and BMSEST models suggest a multidimensional and multidisciplinary approach based on universal concepts and a foundation in both the art and science of medicine. |
Publication | Annals of Family Medicine |
Volume | 6 |
Issue | 5 |
Pages | 448-458 |
Date | 2008 Sep-Oct |
Journal Abbr | Ann Fam Med |
DOI | 10.1370/afm.864 |
ISSN | 1544-1717 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18779550 |
Accessed | Friday, November 13, 2009 7:27:50 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18779550 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Purpose: The explosion of evidence in the last decade supporting the role of spirituality in whole-person patient care has prompted proposals for a move to a biopsychosocial-spiritual model for health. Making this paradigm shift in today’s multicultural societies poses many challenges, however. This article presents 2 theoretical models that provide common ground for further exploration of the role of spirituality in medicine. Methods: The 3 H model (head, heart, hands) and the BMSEST models (body, mind, spirit, environment, social, transcendent) evolved from the author’s 12-year experience with curricula development regarding spirituality and medicine, 16-year experience as an attending family physician and educator, lived experience with both Hinduism and Christianity since childhood, and a lifetime study of the world’s great spiritual traditions. The models were developed, tested with learners, and refined. Results: The 3 H model offers a multidimensional definition of spirituality, applicable across cultures and belief systems, that provides opportunities for a common vocabulary for spirituality. Therapeutic options, from general spiritual care (compassion, presence, and the healing relationship), to specialized spiritual care (eg, by clinical chaplains), to spiritual self-care are discussed. The BMSEST model provides a conceptual framework for the role of spirituality in the larger health care context, useful for patient care, education, and research. Interactions among the 6 BMSEST components, with references to ongoing research, are proposed. Conclusions: Including spirituality in whole-person care is a way of furthering our understanding of the complexities of human health and well-being. The 3 H and BMSEST models suggest a multidimensional and multidisciplinary approach based on universal concepts and a foundation in both the art and science of medicine.
Type | Journal Article |
---|---|
Author | Gowri Anandarajah |
Author | Maureen Mitchell |
Abstract | BACKGROUND: Evidence suggests that spirituality is important in patient care and medical education, yet there are few reports of spirituality and medicine curricular evaluation. METHODS: We developed, implemented, and evaluated a 17-hour elective on spirituality and patient care for 4 consecutive years. We presented the elective to 10 fourth-year medical students (MS4s) in years one and two and to eight MS4s and 15 residents, faculty, and staff in years three and four. We evaluated knowledge and skills using pre-course and post-course questionnaires and written cases and learner satisfaction using course evaluations. RESULTS: Students' knowledge improved on the evidence about spirituality, clinical resources, role of chaplains, approaches to patient care, and recognizing spiritual distress. Reported course strengths included diversity of topics and instructors, universal principles, small-group format, case discussions, and opportunity for self-reflection. Comments reflected enhanced value in the "meaning in medicine" and "whole person care." CONCLUSIONS: Senior medical students rated the elective positively and increased their knowledge of spirituality and medicine. It was also positively received by residents, faculty, and staff and paved the way for residency curricula in this subject. |
Publication | Family Medicine |
Volume | 39 |
Issue | 5 |
Pages | 313-315 |
Date | May 2007 |
Journal Abbr | Fam Med |
ISSN | 0742-3225 |
Short Title | A spirituality and medicine elective for senior medical students |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17476601 |
Accessed | Friday, November 13, 2009 5:42:00 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17476601 |
Date Added | Saturday, October 01, 2011 3:01:53 PM |
Modified | Saturday, October 01, 2011 3:01:53 PM |
Background: Evidence suggests that spirituality is important in patient care and medical education, yet there are few reports of spirituality and medicine curricular evaluation. Methods: We developed, implemented, and evaluated a 17-hour elective on spirituality and patient care for 4 consecutive years. We presented the elective to 10 fourth-year medical students (MS4s) in years one and two and to eight MS4s and 15 residents, faculty, and staff in years three and four. We evaluated knowledge and skills using pre-course and post-course questionnaires and written cases and learner satisfaction using course evaluations. Results: Students’ knowledge improved on the evidence about spirituality, clinical resources, role of chaplains, approaches to patient care, and recognizing spiritual distress. Reported course strengths included diversity of topics and instructors, universal principles, small-group format, case discussions, and opportunity for self-reflection. Comments reflected enhanced value in the “meaning in medicine” and “whole person care.” Conclusions: Senior medical students rated the elective positively and increased their knowledge of spirituality and medicine. It was also positively received by residents, faculty, and staff and paved the way for residency curricula in this subject.
Type | Journal Article |
---|---|
Author | Gowri Anandarajah |
Author | Frederic Craigie |
Author | Robert Hatch |
Author | Stephen Kliewer |
Author | Lucille Marchand |
Author | Dana King |
Author | Richard Hobbs |
Author | Timothy P Daaleman |
Abstract | Spiritual care is increasingly recognized as an important component of medical care. Although many primary care residency programs incorporate spiritual care into their curricula, there are currently no consensus guidelines regarding core competencies necessary for primary care training. In 2006, the Society of Teachers of Family Medicine's Interest Group on Spirituality undertook a three-year initiative to address this need. The project leader assembled a diverse panel of eight educators with dual expertise in (1) spirituality and health and (2) family medicine. The multidisciplinary panel members represented different geographic regions and diverse faith traditions and were nationally recognized senior faculty. They underwent three rounds of a modified Delphi technique to achieve initial consensus regarding spiritual care competencies (SCCs) tailored for family medicine residency training, followed by an iterative process of external validation, feedback, and consensus modifications of the SCCs. Panel members identified six knowledge, nine skills, and four attitude core SCCs for use in training and linked these to competencies of the Accreditation Council for Graduate Medical Education. They identified three global competencies for use in promotion and graduation criteria. Defining core competencies in spiritual care clarifies training goals and provides the basis for robust curricula evaluation. Given the breadth of family medicine, these competencies may be adaptable to other primary care fields, to medical and surgical specialties, and to medical student education. Effective training in this area may enhance physicians' ability to attend to the physical, mental, and spiritual needs of patients and better maintain sustainable healing relationships. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 85 |
Issue | 12 |
Pages | 1897-1904 |
Date | Dec 2010 |
Journal Abbr | Acad Med |
DOI | 10.1097/ACM.0b013e3181fa2dd1 |
ISSN | 1938-808X |
Short Title | Toward competency-based curricula in patient-centered spiritual care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/20978428 |
Accessed | Tuesday, January 18, 2011 6:51:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20978428 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Chittaranjan Andrade |
Author | Rajiv Radhakrishnan |
Abstract | Religious traditions across the world display beliefs in healing through prayer. The healing powers of prayer have been examined in triple-blind, randomized controlled trials. We illustrate randomized controlled trials on prayer and healing, with one study in each of different categories of outcome. We provide a critical analysis of the scientific and philosophical dimensions of such research. Prayer has been reported to improve outcomes in human as well as nonhuman species, to have no effect on outcomes, to worsen outcomes and to have retrospective healing effects. For a multitude of reasons, research on the healing effects of prayer is riddled with assumptions, challenges and contradictions that make the subject a scientific and religious minefield. We believe that the research has led nowhere, and that future research, if any, will forever be constrained by the scientific limitations that we outline. |
Publication | Indian Journal of Psychiatry |
Volume | 51 |
Issue | 4 |
Pages | 247-253 |
Date | 2009 Oct-Dec |
Journal Abbr | Indian J Psychiatry |
DOI | 10.4103/0019-5545.58288 |
ISSN | 1998-3794 |
Short Title | Prayer and healing |
Accessed | Saturday, January 23, 2010 1:03:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20048448 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
This article provides a critical analysis of three types of prayer studies on scientific (methodological) and philosophical grounds and concludes that any future research into the effectiveness of prayer in healing will inevitably run up against these problems.
Type | Journal Article |
---|---|
Author | H J Aponte |
Abstract | Today psychotherapists face a challenge quite different from Karl Menninger's early efforts to foster an understanding between the new science of psychiatry and traditional religion. Today the mental health sciences are struggling with the contradictions and conflicts about society's values and spirituality that are currently vexing us all. The challenge today for psychotherapists is how to address values and spirituality professionally, ethically, and usefully in our work. This article looks at the scope of the task of training psychotherapists to work with values and spirituality in today's climate of amorphous values and culture wars. |
Publication | Bulletin of the Menninger Clinic |
Volume | 60 |
Issue | 4 |
Pages | 488-502 |
Date | 1996 |
Journal Abbr | Bull Menninger Clin |
ISSN | 0025-9284 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9009377 |
Accessed | Thursday, November 12, 2009 5:29:20 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9009377 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Today psychotherapists face a challenge quite different from Karl Menninger’s early efforts to foster an understanding between the new science of psychiatry and traditional religion. Today the mental health sciences are struggling with the contradictions and conflicts about society’s values and spirituality that are currently vexing us all. The challenge today for psychotherapists is how to address values and spirituality professionally, ethically, and usefully in our work. This article looks at the scope of the task of training psychotherapists to work with values and spirituality in today’s climate of amorphous values and culture wars.
Type | Journal Article |
---|---|
Author | Karine Toupin April |
Author | Rishma Walji |
Abstract | This article reviews available evidence on complementary and alternative medicine in pediatric rheumatology. Despite its common use in pediatric rheumatology (34%–92%), there is still uncertainty as to its efficacy and safety. Although results are promising for some treatments such as massage, acupuncture, mind-body interventions (eg, guided imagery and meditative breathing), and some natural health products (eg, calcium supplements and Tripterygium wilfordii), there is a need for high-quality trials investigating the long-term effects and underlying mechanisms of these therapies as well as research on their use in this population of patients. |
Publication | Rheumatic Disease Clinics of North America |
Volume | 37 |
Issue | 1 |
Pages | 85-94 |
Date | February 2011 |
DOI | 10.1016/j.rdc.2010.11.011 |
ISSN | 0889-857X |
Accessed | Tuesday, March 15, 2011 2:51:57 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 8:56:57 AM |
Modified | Thursday, September 29, 2011 8:56:57 AM |
Type | Journal Article |
---|---|
Author | John A. Astin |
Abstract | Context.-- Research both in the United States and abroad suggests that significant numbers of people are involved with various forms of alternative medicine. However, the reasons for such use are, at present, poorly understood. Objective.-- To investigate possible predictors of alternative health care use. Methods.-- Three primary hypotheses were tested. People seek out these alternatives because (1) they are dissatisfied in some way with conventional treatment; (2) they see alternative treatments as offering more personal autonomy and control over health care decisions; and (3) the alternatives are seen as more compatible with the patients' values, worldview, or beliefs regarding the nature and meaning of health and illness. Additional predictor variables explored included demographics and health status. Design.-- A written survey examining use of alternative health care, health status, values, and attitudes toward conventional medicine. Multiple logistic regression analyses were used in an effort to identify predictors of alternative health care use. Setting and Participants.-- A total of 1035 individuals randomly selected from a panel who had agreed to participate in mail surveys and who live throughout the United States. Main Outcome Measure.-- Use of alternative medicine within the previous year. Results.-- The response rate was 69%.The following variables emerged as predictors of alternative health care use: more education (odds ratio [OR], 1.2; 95% confidence interval [CI], 1.1-1.3); poorer health status (OR, 1.3; 95% CI, 1.1-1.5); a holistic orientation to health (OR, 1.4; 95% CI, 1.1-1.9); having had a transformational experience that changed the person's worldview (OR, 1.8; 95% CI, 1.3-2.5); any of the following health problems: anxiety (OR, 3.1; 95% CI, 1.6-6.0); back problems (OR, 2.3; 95% CI, 1.7-3.2); chronic pain (OR, 2.0; 95% CI, 1.1-3.5); urinary tract problems (OR, 2.2; 95% CI, 1.3-3.5); and classification in a cultural group identifiable by their commitment to environmentalism, commitment to feminism, and interest in spirituality and personal growth psychology (OR, 2.0; 95% CI, 1.4-2.7). Dissatisfaction with conventional medicine did not predict use of alternative medicine. Only 4.4% of those surveyed reported relying primarily on alternative therapies. Conclusion.-- Along with being more educated and reporting poorer health status, the majority of alternative medicine users appear to be doing so not so much as a result of being dissatisfied with conventional medicine but largely because they find these health care alternatives to be more congruent with their own values, beliefs, and philosophical orientations toward health and life. |
Publication | JAMA |
Volume | 279 |
Issue | 19 |
Pages | 1548-1553 |
Date | May 20, 1998 |
DOI | 10.1001/jama.279.19.1548 |
Short Title | Why Patients Use Alternative Medicine |
URL | http://jama.ama-assn.org/cgi/content/abstract/279/19/1548 |
Accessed | Friday, September 25, 2009 5:55:30 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Context.-- Research both in the United States and abroad suggests that significant numbers of people are involved with various forms of alternative medicine. However, the reasons for such use are, at present, poorly understood. Objective.-- To investigate possible predictors of alternative health care use. Methods.-- Three primary hypotheses were tested. People seek out these alternatives because (1) they are dissatisfied in some way with conventional treatment; (2) they see alternative treatments as offering more personal autonomy and control over health care decisions; and (3) the alternatives are seen as more compatible with the patients’ values, worldview, or beliefs regarding the nature and meaning of health and illness. Additional predictor variables explored included demographics and health status. Design.-- A written survey examining use of alternative health care, health status, values, and attitudes toward conventional medicine. Multiple logistic regression analyses were used in an effort to identify predictors of alternative health care use. Setting and Participants.-- A total of 1035 individuals randomly selected from a panel who had agreed to participate in mail surveys and who live throughout the United States. Main Outcome Measure.-- Use of alternative medicine within the previous year. Results.-- The response rate was 69%.The following variables emerged as predictors of alternative health care use: more education (odds ratio [OR], 1.2; 95% confidence interval [CI], 1.1-1.3); poorer health status (OR, 1.3; 95% CI, 1.1-1.5); a holistic orientation to health (OR, 1.4; 95% CI, 1.1-1.9); having had a transformational experience that changed the person’s worldview (OR, 1.8; 95% CI, 1.3-2.5); any of the following health problems: anxiety (OR, 3.1; 95% CI, 1.6-6.0); back problems (OR, 2.3; 95% CI, 1.7-3.2); chronic pain (OR, 2.0; 95% CI, 1.1-3.5); urinary tract problems (OR, 2.2; 95% CI, 1.3-3.5); and classification in a cultural group identifiable by their commitment to environmentalism, commitment to feminism, and interest in spirituality and personal growth psychology (OR, 2.0; 95% CI, 1.4-2.7). Dissatisfaction with conventional medicine did not predict use of alternative medicine. Only 4.4% of those surveyed reported relying primarily on alternative therapies. Conclusion.-- Along with being more educated and reporting poorer health status, the majority of alternative medicine users appear to be doing so not so much as a result of being dissatisfied with conventional medicine but largely because they find these health care alternatives to be more congruent with their own values, beliefs, and philosophical orientations toward health and life.
Type | Journal Article |
---|---|
Author | J A Astin |
Author | A Marie |
Author | K R Pelletier |
Author | E Hansen |
Author | W L Haskell |
Abstract | BACKGROUND: Studies suggest that between 30% and 50% of the adult population in industrialized nations use some form of complementary and/or alternative medicine (CAM) to prevent or treat a variety of health-related problems. METHOD: A comprehensive literature search identified 25 surveys conducted between 1982 and 1995 that examined the practices and beliefs of conventional physicians with regard to 5 of the more prominent CAM therapies: acupuncture, chiropractic, homeopathy, herbal medicine, and massage. Six studies were excluded owing to their methodological limitations. RESULTS: Across surveys, acupuncture had the highest rate of physician referral (43%) among the 5 CAM therapies, followed by chiropractic (40%) and massage (21%). Rates of CAM practice by conventional physicians varied from a low of 9% for homeopathy to a high of 19% for chiropractic and massage therapy. Approximately half of the surveyed physicians believed in the efficacy of acupuncture (51%), chiropractic (53%), and massage (48%), while fewer believed in the value of homeopathy (26%) and herbal approaches (13%). CONCLUSIONS: This review suggests that large numbers of physicians are either referring to or practicing some of the more prominent and well-known forms of CAM and that many physicians believe that these therapies are useful or efficacious. These data vary considerably across surveys, most likely because of regional differences and sampling methods, suggesting the need for more rigorous surveys using national, representative samples. Finally, outcomes studies are needed so that physicians can make decisions about the use of CAM based on scientific evidence of efficacy rather than on regional economics and cultural norms. |
Publication | Archives of Internal Medicine |
Volume | 158 |
Issue | 21 |
Pages | 2303-2310 |
Date | Nov 23, 1998 |
Journal Abbr | Arch. Intern. Med |
ISSN | 0003-9926 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/9827781 |
Accessed | Tuesday, November 03, 2009 10:47:46 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9827781 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: Studies suggest that between 30% and 50% of the adult population in industrialized nations use some form of complementary and/or alternative medicine (CAM) to prevent or treat a variety of health-related problems. Method: A comprehensive literature search identified 25 surveys conducted between 1982 and 1995 that examined the practices and beliefs of conventional physicians with regard to 5 of the more prominent CAM therapies: acupuncture, chiropractic, homeopathy, herbal medicine, and massage. Six studies were excluded owing to their methodological limitations. Results: Across surveys, acupuncture had the highest rate of physician referral (43%) among the 5 CAM therapies, followed by chiropractic (40%) and massage (21%). Rates of CAM practice by conventional physicians varied from a low of 9% for homeopathy to a high of 19% for chiropractic and massage therapy. Approximately half of the surveyed physicians believed in the efficacy of acupuncture (51%), chiropractic (53%), and massage (48%), while fewer believed in the value of homeopathy (26%) and herbal approaches (13%). Conclusions: This review suggests that large numbers of physicians are either referring to or practicing some of the more prominent and well-known forms of CAM and that many physicians believe that these therapies are useful or efficacious. These data vary considerably across surveys, most likely because of regional differences and sampling methods, suggesting the need for more rigorous surveys using national, representative samples. Finally, outcomes studies are needed so that physicians can make decisions about the use of CAM based on scientific evidence of efficacy rather than on regional economics and cultural norms.
Type | Journal Article |
---|---|
Author | John A. Astin |
Author | Shauna L. Shapiro |
Author | David M. Eisenberg |
Author | Kelly L. Forys |
Abstract | Background: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions. Methods: An electronic search was undertaken of the MEDLINE, PsycLIT, and the Cochrane Library databases and a manual search of the reference sections of relevant articles for related clinical trials and reviews of the literature. Studies examining mind-body interventions for psychological disorders were excluded. Owing to space limitations, studies examining more body-based therapies, such as yoga and tai chi chuan, were also not included. Data were extracted from relevant systematic reviews, meta-analyses, and randomized controlled trials. Results: Drawing principally from systematic reviews and meta-analyses, there is considerable evidence of efficacy for several mind-body therapies in the treatment of coronary artery disease (eg, cardiac rehabilitation), headaches, insomnia, incontinence, chronic low back pain, disease and treatment-related symptoms of cancer, and improving postsurgical outcomes. We found moderate evidence of efficacy for mind-body therapies in the areas of hypertension and arthritis. Additional research is required to clarify the relative efficacy of different mind-body therapies, factors (such as specific patient characteristics) that might predict more or less successful outcomes, and mechanisms of action. Research is also necessary to examine the cost offsets associated with mind-body therapies. Conclusions: There is now considerable evidence that an array of mind-body therapies can be used as effective adjuncts to conventional medical treatment for a number of common clinical conditions. |
Publication | Journal of the American Board of Family Practice |
Volume | 16 |
Issue | 2 |
Pages | 131-147 |
Date | March 1, 2003 |
DOI | 10.3122/jabfm.16.2.131 |
Short Title | Mind-Body Medicine |
URL | http://www.jabfm.org/cgi/content/abstract/16/2/131 |
Accessed | Monday, October 12, 2009 11:52:26 AM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions. Methods: An electronic search was undertaken of the MEDLINE, PsycLIT, and the Cochrane Library databases and a manual search of the reference sections of relevant articles for related clinical trials and reviews of the literature. Studies examining mind-body interventions for psychological disorders were excluded. Owing to space limitations, studies examining more body-based therapies, such as yoga and tai chi chuan, were also not included. Data were extracted from relevant systematic reviews, meta-analyses, and randomized controlled trials. Results: Drawing principally from systematic reviews and meta-analyses, there is considerable evidence of efficacy for several mind-body therapies in the treatment of coronary artery disease (eg, cardiac rehabilitation), headaches, insomnia, incontinence, chronic low back pain, disease and treatment-related symptoms of cancer, and improving postsurgical outcomes. We found moderate evidence of efficacy for mind-body therapies in the areas of hypertension and arthritis. Additional research is required to clarify the relative efficacy of different mind-body therapies, factors (such as specific patient characteristics) that might predict more or less successful outcomes, and mechanisms of action. Research is also necessary to examine the cost offsets associated with mind-body therapies. Conclusions: There is now considerable evidence that an array of mind-body therapies can be used as effective adjuncts to conventional medical treatment for a number of common clinical conditions.
Type | Book |
---|---|
Author | Dariusch Atighetchi |
Series | International library of ethics, law, and the new medicine |
Series Number | 31 |
Place | New York |
Publisher | Springer |
Date | 2007 |
# of Pages | 375 |
ISBN | 9781402049613 |
Short Title | Islamic bioethics |
Library Catalog | Open WorldCat |
Call Number | R725.59 .A884 2007 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
This book presents a critical analysis of the debate at the religious, legal and political level sparked off by the introduction of new biomedical technologies (cloning, genetics, organ transplants, IVF, etc.) in Muslim countries. It compares the positions of “classic” Muslim law and contemporary religious authorities; laws in Muslim countries; the attitudes and concrete behaviour of populations, families and individuals, as well as the regulations of medical associations, bioethics committees etc.. The result is a mosaic of positions which are often different (including from the point of view of ethics) but all in pursuit of legitimisation according to the Koran and the Shari’a. The work has an interdisciplinary approach, drawing on law, sociology, anthropology, politics and the history of science. For this reason it will be of interest to scholars and operators in a wide variety of disciplines and fields.
Type | Journal Article |
---|---|
Author | Bishara S Atiyeh |
Author | Mohamed Kadry |
Author | Shady N Hayek |
Author | Ramzi S Musharafieh |
Abstract | BACKGROUND: Plastic surgeons are called upon to perform aesthetic surgery on patients of every gender, race, lifestyle, and religion. Currently, it may seem natural that cosmetic surgery should be perceived as permissible, and in our modern liberal age, it seems strange to attempt justifying certain surgical acts in the light of a particular cultural or religious tradition. Yet every day, cruel realities demonstrate that although the foremost intention of any scripture or tradition has been mainly to promote religious and moral values, most religions, including Christianity, Islam, and Judaism, invariably affect human behavior and attitude deeply, dictating some rigid positions regarding critical health issues. METHODS: A Web search was conducted, and the literature was reviewed using the Medline search tool. RESULTS: Islamic law closely regulates and governs the life of every Muslim. Bioethical deliberation is inseparable from the religion itself, which emphasizes continuities between body and mind, between material and spiritual realms, and between ethics and jurisprudence. CONCLUSIONS: The rule in Islam is that individuals should be satisfied with the way Allah has created them. Islam welcomes, however, the practice of plastic surgery as long as it is done for the benefit of patients. Even if it clearly considers "changing the creation of Allah" as unlawful, Islamic law is ambiguous regarding cosmetic surgery. Its objection to cosmetic surgery is not absolute. It is rather an objection to exaggeration and extremism. It has been mentioned that "Allah is beautiful and loves beauty." |
Publication | Aesthetic Plastic Surgery |
Volume | 32 |
Issue | 1 |
Pages | 1-10 |
Date | Jan 2008 |
Journal Abbr | Aesthetic Plast Surg |
DOI | 10.1007/s00266-007-9040-7 |
ISSN | 0364-216X |
Short Title | Aesthetic surgery and religion |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17968614 |
Accessed | Monday, November 02, 2009 1:29:03 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17968614 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Background: Plastic surgeons are called upon to perform aesthetic surgery on patients of every gender, race, lifestyle, and religion. Currently, it may seem natural that cosmetic surgery should be perceived as permissible, and in our modern liberal age, it seems strange to attempt justifying certain surgical acts in the light of a particular cultural or religious tradition. Yet every day, cruel realities demonstrate that although the foremost intention of any scripture or tradition has been mainly to promote religious and moral values, most religions, including Christianity, Islam, and Judaism, invariably affect human behavior and attitude deeply, dictating some rigid positions regarding critical health issues. Methods: A Web search was conducted, and the literature was reviewed using the Medline search tool. Results: Islamic law closely regulates and governs the life of every Muslim. Bioethical deliberation is inseparable from the religion itself, which emphasizes continuities between body and mind, between material and spiritual realms, and between ethics and jurisprudence. Conclusions: The rule in Islam is that individuals should be satisfied with the way Allah has created them. Islam welcomes, however, the practice of plastic surgery as long as it is done for the benefit of patients. Even if it clearly considers “changing the creation of Allah” as unlawful, Islamic law is ambiguous regarding cosmetic surgery. Its objection to cosmetic surgery is not absolute. It is rather an objection to exaggeration and extremism. It has been mentioned that “Allah is beautiful and loves beauty.”
Type | Journal Article |
---|---|
Author | Nancy L Atkinson |
Author | Rachel Permuth-Levine |
Abstract | OBJECTIVES To explore perceived benefits, barriers, and cues to action of yoga practice among adults. METHODS Focus groups were conducted with persons who had never practiced yoga, practitioners of one year or less, and practitioners for more than one year. The Health Belief Model was the theoretical foundation of inquiry. RESULTS All participants acknowledged a variety of benefits of yoga. Barriers outweighed benefits among persons who had never practiced despite knowledge of benefits. Positive experiences with yoga and yoga instructors facilitated practice. CONCLUSIONS Newly identified benefits and barriers indicate the need for quantitative research and behavioral trials. |
Publication | American Journal of Health Behavior |
Volume | 33 |
Issue | 1 |
Pages | 3-14 |
Date | 2009 Jan-Feb |
Journal Abbr | Am J Health Behav |
ISSN | 1087-3244 |
Short Title | Benefits, barriers, and cues to action of yoga practice |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18844516 |
Accessed | Monday, March 28, 2011 6:29:00 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18844516 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | S Au |
Author | S Hiew |
Abstract | The popularity of complementary medicine has been relentless over the past decade. Among the most popular are Traditional Chinese Medicine (TCM) which has a long and unbroken history. This article reports on two integrated health care pilot schemes where TCM and Western medicine are merged, to varying degrees, for the benefits of patients. One of the schemes focuses on general medicine whilst the other focuses on mental health. The authors conclude that the integrated schemes have many advantages and, on the whole, are beneficial for patients. The issues involved and learning points are discussed. |
Publication | The Journal of the Royal Society for the Promotion of Health |
Volume | 122 |
Issue | 4 |
Pages | 220-225 |
Date | Dec 2002 |
Journal Abbr | J R Soc Promot Health |
ISSN | 1466-4240 |
Short Title | Integrating Western medicine and Traditional Chinese medicine in GP surgeries and the community |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12557730 |
Accessed | Tuesday, November 03, 2009 1:18:29 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12557730 |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
The popularity of complementary medicine has been relentless over the past decade. Among the most popular are Traditional Chinese Medicine (TCM) which has a long and unbroken history. This article reports on two integrated health care pilot schemes where TCM and Western medicine are merged, to varying degrees, for the benefits of patients. One of the schemes focuses on general medicine whilst the other focuses on mental health. The authors conclude that the integrated schemes have many advantages and, on the whole, are beneficial for patients. The issues involved and learning points are discussed.
Type | Journal Article |
---|---|
Author | Henri-Jean Aubin |
Publication | International Journal of Palliative Nursing |
Volume | 15 |
Issue | 7 |
Pages | 318; author reply 318 |
Date | Jul 2009 |
Journal Abbr | Int J Palliat Nurs |
ISSN | 1357-6321 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19648845 |
Accessed | Friday, November 13, 2009 8:10:26 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19648845 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Type | Journal Article |
---|---|
Author | Charlotte Baarts |
Author | Inge Kryger Pedersen |
Abstract | Since the 1960s, in Western societies, there has been a striking growth of consumer interest in complementary or alternative medicine (CAM). In order to make this increased popularity intelligible this paper challenges stereotypical images of users' motives and the results of clinical studies of CAM by exploring bodily experiences of acupuncture, reflexology treatments, and mindfulness training. The study draws on 138 in-depth interviews with 46 clients, client diaries and observations of 92 clinical treatments in order to identify bodily experiences of health and care: experiences that are contested between forces of mastery, control and resistance. We discuss why clients continue to use CAM even when the treatments do not help or even after they have been relieved of their physiological or mental problems. The encounter between the client and CAM produces derivative benefits such as a fresh and sustained sense of bodily responsibility that induces new health practices. |
Publication | Sociology of Health & Illness |
Volume | 31 |
Issue | 5 |
Pages | 719-733 |
Date | Jul 2009 |
Journal Abbr | Sociol Health Illn |
DOI | 10.1111/j.1467-9566.2009.01163.x |
ISSN | 1467-9566 |
Short Title | Derivative benefits |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19392940 |
Accessed | Friday, February 04, 2011 11:21:36 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19392940 |
Date Added | Thursday, September 29, 2011 9:06:02 AM |
Modified | Thursday, September 29, 2011 9:06:02 AM |
Since the 1960s, in Western societies, there has been a striking growth of consumer interest in complementary or alternative medicine (CAM). In order to make this increased popularity intelligible this paper challenges stereotypical images of users’ motives and the results of clinical studies of CAM by exploring bodily experiences of acupuncture, reflexology treatments, and mindfulness training. The study draws on 138 in-depth interviews with 46 clients, client diaries and observations of 92 clinical treatments in order to identify bodily experiences of health and care: experiences that are contested between forces of mastery, control and resistance. We discuss why clients continue to use CAM even when the treatments do not help or even after they have been relieved of their physiological or mental problems. The encounter between the client and CAM produces derivative benefits such as a fresh and sustained sense of bodily responsibility that induces new health practices.
Type | Journal Article |
---|---|
Author | Charlotte Baarts |
Author | Inge Kryger Pedersen |
Abstract | Since the 1960s, in Western societies, there has been a striking growth of consumer interest in complementary or alternative medicine (CAM). In order to make this increased popularity intelligible this paper challenges stereotypical images of users' motives and the results of clinical studies of CAM by exploring bodily experiences of acupuncture, reflexology treatments, and mindfulness training. The study draws on 138 in-depth interviews with 46 clients, client diaries and observations of 92 clinical treatments in order to identify bodily experiences of health and care: experiences that are contested between forces of mastery, control and resistance. We discuss why clients continue to use CAM even when the treatments do not help or even after they have been relieved of their physiological or mental problems. The encounter between the client and CAM produces derivative benefits such as a fresh and sustained sense of bodily responsibility that induces new health practices. |
Publication | Sociology of Health & Illness |
Volume | 31 |
Issue | 5 |
Pages | 719-733 |
Date | Jul 2009 |
Journal Abbr | Sociol Health Illn |
DOI | 10.1111/j.1467-9566.2009.01163.x |
ISSN | 1467-9566 |
Short Title | Derivative benefits |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19392940 |
Accessed | Saturday, September 26, 2009 3:14:34 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19392940 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Marilyn Baetz |
Author | John Toews |
Abstract | The relation between religion and (or) spirituality (RS), and mental health has shown generally positive associations; however, it is a complex and often emotion-laden field of study. We attempt to examine potential mechanisms that have been proposed as mediators for the RS and mental health relation. We also examine more philosophical areas including patient and physician opinions about inclusion of RS in patient care, and ethical issues that may arise. We review suggested guidelines for sensitive patient inquiry, and opportunities and challenges for education of psychiatrists and trainees. We also study practical ways to incorporate psychospiritual interventions into patient treatment, with specific reference to more common spiritual issues such as forgiveness, gratitude, and altruism. |
Publication | Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie |
Volume | 54 |
Issue | 5 |
Pages | 292-301 |
Date | May 2009 |
Journal Abbr | Can J Psychiatry |
ISSN | 0706-7437 |
Accessed | Tuesday, February 22, 2011 6:58:31 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19497161 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Arshiya A. Baig |
Author | Carol M. Mangione |
Author | Alice L. Sorrell-Thompson |
Author | Jeanne M. Miranda |
Abstract | OBJECTIVE: To measure the effect of faith community nurse referrals versus telephone-assisted physician appointments on blood pressure control among persons with elevated blood pressure at health fairs. METHODS: Randomized community-based intervention trial conducted from October 2006 to October 2007 of 100 adults who had an average blood pressure reading equal to or above a systolic of 140 mm Hg or a diastolic of 90 mm Hg obtained at a faith community nurse-led church health event. Participants were randomized to either referral to a faith community nurse or to a telephone-assisted physician appointment. The average enrollment systolic blood pressure (SBP) was 149 +/- 14 mm Hg, diastolic blood pressure (DBP) was 87 +/- 11 mm Hg, 57% were uninsured and 25% were undiagnosed at the time of enrollment. RESULTS: The follow-up rate was 85% at 4 months. Patients in the faith community nurse referral arm had a 7 +/- 15 mm Hg drop in SBP versus a 14 +/- 15 mm Hg drop in the telephone-assisted physician appointment arm (p = 0.04). Twenty-seven percent of the patients in the faith community nurse referral arm had medication intensification compared to 32% in the telephone-assisted physician appointment arm (p = 0.98). CONCLUSIONS: Church health fairs conducted in low-income, multiethnic communities can identify many people with elevated blood pressure. Facilitating physician appointments for people with elevated blood pressure identified at health fairs confers a greater decrease in SBP than referral to a faith community nurse at four months. |
Publication | Journal of General Internal Medicine |
Volume | 25 |
Issue | 7 |
Pages | 701-709 |
Date | Jul 2010 |
Journal Abbr | J Gen Intern Med |
DOI | 10.1007/s11606-010-1326-9 |
ISSN | 1525-1497 |
Accessed | Tuesday, July 27, 2010 12:21:59 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20349155 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | Maria E Bailey |
Author | Sue Moran |
Author | Margaret M Graham |
Abstract | This study aims to describe nurses' experiences of delivering spiritual support in a palliative care setting in the Republic of Ireland. The authors conducted semi-structured interviews with 22 nurses working in the area of specialist palliative care. A content analysis of the transcriptions revealed five sub-themes: understanding spirituality; the art of nursing in spiritual care; education and learning; the challenge of spiritual caring; and the dimensions of time. The resulting creation of a spiritual tapestry provided an overall theme. Nurses in this study were spiritually self-aware and placed a high value on the spiritual element of their caring role. Nurses described their individual understanding of spirituality and discussed how they recognized and addressed a patient's spiritual needs. Time was described as essential to the provision of spiritual support and appeared to be a significant resource challenge to the provision of spiritual care. The challenges of assessing spiritual needs and measuring outcomes of care were also reported. Participants in this study described the creation of a spiritual tapestry that 'weaves' together care and compassion with skills and knowledge in their nursing practice. |
Publication | International Journal of Palliative Nursing |
Volume | 15 |
Issue | 1 |
Pages | 42-48 |
Date | Jan 2009 |
Journal Abbr | Int J Palliat Nurs |
ISSN | 1357-6321 |
Short Title | Creating a spiritual tapestry |
Accessed | Tuesday, February 22, 2011 7:47:34 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19234430 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Premalatha Balachandran |
Author | Rajgopal Govindarajan |
Abstract | An integrated approach is needed to manage cancer using the growing body of knowledge gained through scientific developments. Thousands of herbal and traditional compounds are being screened worldwide to validate their use as anti-cancerous drugs. The science of Ayurveda is supposed to add a step on to the curative aspects of cancers that have resemblance with clinical entities of arbuda and granthi mentioned in Sushrutha samhita. Hence, an attempt is made in this review to discuss about the pathology and therapeutic management of various cancers described in Ayurveda. Review of literature on anticancer drugs of plant origin revealed identification of newer ayurvedic drugs that are not mentioned in the ancient texts. These new findings add up to ayurvedic science that has been developed through ages. In addition, details of experimental and clinical studies conducted on single and compound ayurvedic preparations for their anticancer efficacy strongly emphasize ayurvedic therapy as a scientifically driven one and not simply unconventional. |
Publication | Pharmacological Research: The Official Journal of the Italian Pharmacological Society |
Volume | 51 |
Issue | 1 |
Pages | 19-30 |
Date | Jan 2005 |
Journal Abbr | Pharmacol. Res |
DOI | 10.1016/j.phrs.2004.04.010 |
ISSN | 1043-6618 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15519531 |
Accessed | Monday, November 02, 2009 2:34:27 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15519531 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
An integrated approach is needed to manage cancer using the growing body of knowledge gained through scientific developments. Thousands of herbal and traditional compounds are being screened worldwide to validate their use as anti-cancerous drugs. The science of Ayurveda is supposed to add a step on to the curative aspects of cancers that have resemblance with clinical entities of arbuda and granthi mentioned in Sushrutha samhita. Hence, an attempt is made in this review to discuss about the pathology and therapeutic management of various cancers described in Ayurveda. Review of literature on anticancer drugs of plant origin revealed identification of newer ayurvedic drugs that are not mentioned in the ancient texts. These new findings add up to ayurvedic science that has been developed through ages. In addition, details of experimental and clinical studies conducted on single and compound ayurvedic preparations for their anticancer efficacy strongly emphasize ayurvedic therapy as a scientifically driven one and not simply unconventional.
Type | Journal Article |
---|---|
Author | Donia R Baldacchino |
Abstract | The study unit on 'The spiritual dimension in care'had a Judeo-Christian orientation. It was introduced to the Diploma nursing curriculum at the University of Malta in the academic year 2002-2003. The aim was to increase students' awareness about the essence of spirituality in care so as to enable them to implement holistic care. Spirituality may or may not incorporate religiosity. Thus, believers may have spiritual needs which may include religious needs whilst the atheists and agnostics may still have spiritual needs. While considering secularisation, the Christian culture of Malta was addressed in this study unit. This article describes the content structure of the study unit based on the ASSET model (Narayanasamy, A., 1999. ASSET: a model for actioning spirituality and spiritual care education and training in nursing. Nurse Education Today 19, 274-285) and outlines the various teaching methods used. Following feedback from the first and second cohort groups in 2003 and 2004, respectively, the reviewed study unit was delivered to the third cohort group of students (n=65) in Semester 2 in the academic year 2004-2005. Apart from the use of traditional teaching methods, such as lessons and a seminar, other methods were used constantly throughout the study unit, for example, self-reflection exercises, case-studies and small group discussions to enhance learning. Recommendations are proposed to review the content of this study unit and to introduce other teaching methods for effective learning. |
Publication | Nurse Education Today |
Volume | 28 |
Issue | 5 |
Pages | 550-562 |
Date | Jul 2008 |
Journal Abbr | Nurse Educ Today |
DOI | 10.1016/j.nedt.2007.09.003 |
ISSN | 0260-6917 |
Short Title | Teaching on the spiritual dimension in care to undergraduate nursing students |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17950959 |
Accessed | Friday, November 13, 2009 6:01:05 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17950959 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
The study unit on ‘The spiritual dimension in care’ had a Judeo-Christian orientation. It was introduced to the Diploma nursing curriculum at the University of Malta in the academic year 2002-2003. The aim was to increase students’ awareness about the essence of spirituality in care so as to enable them to implement holistic care.
Type | Journal Article |
---|---|
Author | D Baldacchino |
Author | P Draper |
Abstract | AIMS OF THE PAPER: This paper reviews some of the limited nursing research-based literature, orientated towards the use of spiritual coping strategies in illness. This review aims at identifying those spiritual coping strategies used by the believers and nonbelievers followed by implications for holistic nursing care. LITERATURE SEARCH: The CINAHL and MEDLINE CD Rom databases were searched, identifying literature published from 1975 onwards which amounted to 187 articles. The majority of the literature traced were found anecdotal with only few studies investigating directly spiritual coping strategies. Following scrutiny of the available articles, only five research studies explored directly the spiritual coping strategies used in various illness, four of which were conducted in USA and one in UK. Because of the small scale research studies, generalization of the findings of this review is limited to the samples used. THEORETICAL BACKGROUND: Research suggests that spiritual coping strategies, involving relationship with self, others, Ultimate other/God or nature were found to help individuals to cope with their ailments. This may be because of finding meaning, purpose and hope, which may nurture individuals in their suffering. Spirituality is oftenly referred by literature as being synonymous with religiosity. Thus the use of spiritual coping strategies is restricted to individuals who hold religious beliefs. However, the definition of spirituality indicates that this concept is broader than religiosity. The theories on stress-coping (Folkman & Lazarus 1984) and the numinous experience (Otto 1950) outline the rationale for the use of these strategies which are applicable to both the believers and nonbelievers. IMPLICATIONS: This review suggests that the onset of illness may render the individual, being a believer or nonbeliever to realize the lack of control over his/her life. However the use of spiritual coping strategies may enhance self-empowerment, leading to finding meaning and purpose in illness. This implies that holistic care incorporates facilitation of various spiritual coping strategies to safeguard the wholeness and integrity of the patients. |
Publication | Journal of Advanced Nursing |
Volume | 34 |
Issue | 6 |
Pages | 833-841 |
Date | Jun 2001 |
Journal Abbr | J Adv Nurs |
ISSN | 0309-2402 |
Short Title | Spiritual coping strategies |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11422554 |
Accessed | Thursday, November 12, 2009 9:02:30 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11422554 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
This paper reviews some of the limited nursing research-based literature, orientated towards the use of spiritual coping strategies in illness. This review aims at identifying those spiritual coping strategies used by the believers and nonbelievers followed by implications for holistic nursing care. This review suggests that the onset of illness may render the individual, being a believer or nonbeliever to realize the lack of control over his/her life. However, the use of spiritual coping strategies may enhance self-empowerment, leading to finding meaning and purpose in illness.
Type | Journal Article |
---|---|
Author | Linda L. Barnes |
Abstract | By its very definition, efficacy's meanings remain fluid, their particularities contingent on context. The change seen as significant may occur on a symbolic level or through the removal of physical symptoms. It may address conditions of a social body. Some discussions differentiate between "healing" and "curing." Many of these meanings surface when examining what efficacy means in the practice of acupuncture in the United States. This complex phenomenon is possible largely because acupuncture draws on the qi paradigm on the one hand, allowing for the most ephemeral dimensions of experience to be included in considerations of efficacy. On the other hand, in the most material sense, acupuncture is also susceptible to being conceptualized as a device, independent of that same paradigm, allowing for the insertion of biomedical models and criteria. Pluralism within acupuncture itself intersects with, and even embodies, the medical pluralism of U.S. culture. |
Publication | Medical Anthropology Quarterly |
Volume | 19 |
Issue | 3 |
Pages | 239-266 |
Date | 2005 |
DOI | 10.1525/maq.2005.19.3.239 |
Short Title | American Acupuncture and Efficacy |
URL | http://dx.doi.org.ezproxy.bu.edu/10.1525/maq.2005.19.3.239 |
Accessed | Monday, October 12, 2009 11:50:16 PM |
Library Catalog | Wiley InterScience |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
By its very definition, efficacy’s meanings remain fluid, their particularities contingent on context. The change seen as significant may occur on a symbolic level or through the removal of physical symptoms. It may address conditions of a social body. Some discussions differentiate between “healing” and “curing.” Many of these meanings surface when examining what efficacy means in the practice of acupuncture in the United States. This complex phenomenon is possible largely because acupuncture draws on the qi paradigm on the one hand, allowing for the most ephemeral dimensions of experience to be included in considerations of efficacy. On the other hand, in the most material sense, acupuncture is also susceptible to being conceptualized as a device, independent of that same paradigm, allowing for the insertion of biomedical models and criteria. Pluralism within acupuncture itself intersects with, and even embodies, the medical pluralism of U.S. culture.
Type | Journal Article |
---|---|
Author | L L Barnes |
Abstract | This paper explores ways in which Chinese healing practices have undergone acculturation in the United States since the early 1970s. Reacting to what is perceived as biomedicine's focus on the physiological, those who describe themselves as favoring a holistic orientation often use the language of "energy blockage" to explain illness, whether thought of as "physical," "emotional," or "spiritual." Acupuncture in particular has been appropriated as one modality with which to "unblock" such conditions, leading to its being used by some practitioners in conjunction with more psychotherapeutic approaches which include valuing the verbalizing of feelings. Some non-Chinese practitioners in the United States, returning to older Chinese texts to develop "an American acupuncture," are reinserting diagnoses eliminated from Traditional Chinese Medicine (TCM) by the People's Republic of China as "superstition." The assumption has been that many such diagnostic categories refer to psychological or spiritual conditions, and therefore may be useful in those American contexts which favor this orientation. Among these categories are those drawn from traditions of demonology in Chinese medicine. What was once a religious category in China turns psychological in the American setting. At the same time, many who use these terms have, since the late 1960s, increasingly conflated the psychological and the religious, the latter being reframed as "spiritual." Thus, this indigenization of Chinese practices is a complex synthesis which can be described as simultaneously medical, psychotherapeutic, and religious. |
Publication | Culture, Medicine and Psychiatry |
Volume | 22 |
Issue | 4 |
Pages | 413-443 |
Date | Dec 1998 |
Journal Abbr | Cult Med Psychiatry |
ISSN | 0165-005X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/10063466 |
Accessed | Tuesday, November 03, 2009 10:49:00 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10063466 |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
This paper explores ways in which Chinese healing practices have undergone acculturation in the United States since the early 1970s. Reacting to what is perceived as biomedicine’s focus on the physiological, those who describe themselves as favoring a holistic orientation often use the language of “energy blockage” to explain illness, whether thought of as “physical,” “emotional,” or “spiritual.” Acupuncture in particular has been appropriated as one modality with which to “unblock” such conditions, leading to its being used by some practitioners in conjunction with more psychotherapeutic approaches which include valuing the verbalizing of feelings. Some non-Chinese practitioners in the United States, returning to older Chinese texts to develop “an American acupuncture,” are reinserting diagnoses eliminated from Traditional Chinese Medicine (TCM) by the People’s Republic of China as “superstition.” The assumption has been that many such diagnostic categories refer to psychological or spiritual conditions, and therefore may be useful in those American contexts which favor this orientation. Among these categories are those drawn from traditions of demonology in Chinese medicine. What was once a religious category in China turns psychological in the American setting. At the same time, many who use these terms have, since the late 1960s, increasingly conflated the psychological and the religious, the latter being reframed as “spiritual.” Thus, this indigenization of Chinese practices is a complex synthesis which can be described as simultaneously medical, psychotherapeutic, and religious.
Type | Book |
---|---|
Author | Linda Barnes |
Author | Susan Sered |
Place | Oxford |
Publisher | Oxford University Press |
Date | 2005 |
ISBN | 9780195167955 |
Library Catalog | Open WorldCat |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Throughout much of the modern era, faith healing received attention only when it came into conflict with biomedical practice. During the 1990s, however, American culture changed dramatically and religious healing became a commonplace feature of our society. Increasing numbers of mainstream churches and synagogues began to hold held “healing services” and “healing circles.” The use of complementary and alternative therapies-some connected with spiritual or religious traditions-became widespread, and the growing hospice movement drew attention to the spiritual aspects of medical care. At the same time, changes in immigration laws brought to the United States new cultural communities, each with their own approaches to healing. Cuban santeros, Haitian mambos and oungans, Cambodian Buddhist priests, Chinese herbalist-acupuncturists, and Hmong shamans are only a few of the newer types of American religious healers, often found practicing within blocks of prestigious biomedical institutions. This book offers a richly comprehensive collection of essays examining this new reality. It brings together, for the first time, scholars from a wide variety of disciplinary perspectives to explore the relatively uncharted field of religious healing as understood and practiced in diverse cultural communities in the United States. The book will be an invaluable resource for students of anthropology, religious studies, American studies, and ethnic studies, health care professionals, clergy, and anyone interested in the changing American cultural landscape.
Type | Journal Article |
---|---|
Author | Ven. Sreemat Swapan Kumar Barua |
Abstract | The author presents a Buddhist understanding of the cognitive process of incoming information, its circulation and its congruent reactions based on the Buddhist spiritual meditative tradition of South and Southeast Asia. He asserts that Buddha can be credited as the first cognitive psychologist who propounded one of the most comprehensive analytic systems of cognitive process with an ultimate aim of achieving an altered psychological state of positive change and equilibrium reaction. Abstract from a paper given at the Epilepsy, Brain and Mind conference in March 2010, in Prague, Czech Republic. |
Publication | Epilepsy & Behavior |
Volume | 17 |
Issue | 4 |
Pages | 598 |
Date | April 2010 |
DOI | 10.1016/j.yebeh.2010.01.090 |
ISSN | 1525-5050 |
Short Title | 65. Cognitive process |
Accessed | Friday, May 07, 2010 2:59:14 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Wednesday, November 30, 2011 7:40:03 PM |
Applies Buddhist philosophy to cognitive processes; positions BUddha as a cognitive psychologist meditation The author presents a Buddhist understanding of the cognitive process of incoming information, its circulation and its congruent reactions based on the Buddhist spiritual meditative tradition of South and Southeast Asia. He asserts that Buddha can be credited as the first cognitive psychologist who propounded one of the most comprehensive analytic systems of cognitive process with an ultimate aim of achieving an altered psychological state of positive change and equilibrium reaction. Abstract from a paper given at the Epilepsy, Brain and Mind conference in March 2010, in Prague, Czech Republic.
Type | Journal Article |
---|---|
Author | Anthony Bash |
Abstract | BACKGROUND: This paper explores the concept of 'spirituality' with reference to the Patients' Charter that stipulates that a person's religious, spiritual and cultural needs should be respected at all times. AIMS AND OBJECTIVES: The aim is to offer a critical analysis of what the word 'spirituality' may mean when used in the Patients' Charter and to explore the implications of this for clinical practice. DESIGN: A critical discussion based on a literature review, examining in particular methodological presuppositions. METHODS: The meaning of 'spirituality' in the Judaeo-Christian biblical traditions is explored. Some of the heuristic assumptions in contemporary research on 'spirituality' are examined. Philosophical (i.e. non-scientific) and scientific questions to do with 'spirituality' are disentangled. RESULTS AND CONCLUSIONS: The paper concludes that: (i) 'Spirituality' is an elastic term not capable of universal definition as each person's spirituality is an individual matter for them and (ii) tools that are being developed for identifying a person's spirituality run the risk of making wrong presuppositions about what comprises spirituality. RELEVANCE TO CLINICAL PRACTICE: It is unlikely that tools can be developed that are widely applicable for identifying and assessing spirituality. |
Publication | Journal of Clinical Nursing |
Volume | 13 |
Issue | 1 |
Pages | 11-16 |
Date | Jan 2004 |
Journal Abbr | J Clin Nurs |
ISSN | 0962-1067 |
Short Title | Spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/14687288 |
Accessed | Friday, November 13, 2009 12:38:54 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 14687288 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Background: This paper explores the concept of ‘spirituality’ with reference to the Patients’ Charter that stipulates that a person’s religious, spiritual and cultural needs should be respected at all times. Aims and Objectives The aim is to offer a critical analysis of what the word ‘spirituality’ may mean when used in the Patients’ Charter and to explore the implications of this for clinical practice. Design: A critical discussion based on a literature review, examining in particular methodological presuppositions. Methods: The meaning of ‘spirituality’ in the Judaeo-Christian biblical traditions is explored. Some of the heuristic assumptions in contemporary research on ‘spirituality’ are examined. Philosophical (i.e. non-scientific) and scientific questions to do with ‘spirituality’ are disentangled. Results and Conclusions: The paper concludes that: (i) ‘Spirituality’ is an elastic term not capable of universal definition as each person’s spirituality is an individual matter for them and (ii) tools that are being developed for identifying a person’s spirituality run the risk of making wrong presuppositions about what comprises spirituality. Relevance to Clinical Practice: It is unlikely that tools can be developed that are widely applicable for identifying and assessing spirituality.
Type | Journal Article |
---|---|
Author | Steven L Baumann |
Abstract | Israel, the Gaza Strip, and the West Bank share a small land area and the birthplace of three of the world's great monotheistic religions: Judaism, Christianity, and Islam. It is a land of paradoxes: ancient and modern, religious and secular. Nursing in this unique geographic and historical place struggles with many of the same issues and challenges facing nursing in other modern countries, but it also shines with dramatic episodes of nursing's ability to be a sign of hope and contradiction. |
Publication | Nursing Science Quarterly |
Volume | 20 |
Issue | 4 |
Pages | 370-371 |
Date | Oct 2007 |
Journal Abbr | Nurs Sci Q |
DOI | 10.1177/0894318407306540 |
ISSN | 0894-3184 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17911335 |
Accessed | Monday, November 02, 2009 1:30:08 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17911335 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Israel, the Gaza Strip, and the West Bank share a small land area and the birthplace of three of the world’s great monotheistic religions: Judaism, Christianity, and Islam. It is a land of paradoxes: ancient and modern, religious and secular. Nursing in this unique geographic and historical place struggles with many of the same issues and challenges facing nursing in other modern countries, but it also shines with dramatic episodes of nursing’s ability to be a sign of hope and contradiction.
Type | Book |
---|---|
Author | R. Barker Bausell |
Publisher | Oxford University Press |
Date | 2007-10-31 |
ISBN | 0195313682 |
Short Title | Snake Oil Science |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Carol Baxter |
Publication | Nursing Times |
Volume | 98 |
Issue | 13 |
Pages | 42-43 |
Date | 2002 Mar 28-Apr 1 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 5 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11974763 |
Accessed | Monday, November 02, 2009 1:58:43 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11974763 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Type | Journal Article |
---|---|
Author | Paul S Bay |
Author | Steven S Ivy |
Author | Colin L Terry |
Abstract | This study tested whether two 1-day retreats focused on spiritual self-care would positively change nurse participants' spirituality. A total of 199 critical care nurses were accepted into this study; 87 were randomized to receive the retreat intervention. All 199 nurses were tested preretreat, 1 month and 6 months postretreat. Retreat participants demonstrated increased spirituality. |
Publication | Holistic Nursing Practice |
Volume | 24 |
Issue | 3 |
Pages | 125-133 |
Date | 2010 May-Jun |
Journal Abbr | Holist Nurs Pract |
DOI | 10.1097/HNP.0b013e3181dd47dd |
ISSN | 1550-5138 |
Short Title | The effect of spiritual retreat on nurses' spirituality |
Accessed | Friday, May 07, 2010 2:43:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20421752 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Annette L Becker |
Abstract | Despite evidence in college students indicating a hunger for spiritual insight and spirituality's application in health care, there continues to be guardedness within the academy towards inclusion of curricula that address spirituality. The purpose of this article is to examine the ethical considerations of teaching spirituality in the academy by describing current trends, issues relevant to nursing education and practice, legitimate concerns of the academy, and the importance of an ethical instructional response when teaching about spirituality. Data supporting the interest and desire by students to explore meaning and purpose in the context of spirituality will be presented. Challenges and barriers inherent in teaching this topic will be described, including the affective response, the lack of a universally accepted definition of spirituality, and spirituality's relationship to religion. Pedagogical strategies consistent with an ethical instructional response will be discussed as the key to eliciting trust within the academy. A model of teaching spirituality and health will be offered to illustrate these possibilities. |
Publication | Nursing Ethics |
Volume | 16 |
Issue | 6 |
Pages | 697-706 |
Date | Nov 2009 |
Journal Abbr | Nurs Ethics |
DOI | 10.1177/0969733009342639 |
ISSN | 0969-7330 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19889911 |
Accessed | Friday, November 13, 2009 8:15:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19889911 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
The purpose of this article is to examine the ethical considerations of teaching spirituality in the academy by describing current trends, issues relevant to nursing education and practice, legitimate concerns of the academy, and the importance of an ethical instructional response when teaching about spirituality. Data supporting the interest and desire by students to explore meaning and purpose in the context of spirituality will be presented.
Type | Journal Article |
---|---|
Author | Karen Bell |
Author | Nancy Boutin |
Abstract | Objectives 1. Define story-teaching, distinguish it from story telling, describe benefits identified by research in education and psychology sciences, and demonstrate applicability in palliative and end-of-life care. 2. Describe and demonstrate story-teaching methodology, applications, and event triggers for patients and families, students and practitioners new to palliative and end-of-life care, and the general public. 3. Develop attendees story-teaching skills through hands-on exercises, and provide resources for attendees to teach this methodology to colleagues not in attendance. From the caves at Lascaux to Grimm's fairy tales and beyond, humans have used story to share hard-earned experience and shorten learning curves for other members of the tribe. Experts claim the human brain is hardwired to receive story and data shows that information conveyed through story is understood and retained at higher rates than when the same information is delivered “bare.” Data also demonstrates that under optimal circumstances patients/families typically retain only 40% of information shared by healthcare providers. As the amount of information increases if the news is unfavorable, and if the patient is ill or on medication, memory and understanding are further impaired. Research from psychology and education sciences shows that story teaching—true story illustrating fact—enhances learning, fosters critical and creative thinking, and improves problem-solving skills. Story teaching is especially effective for those who have experienced surprises or expectation failures and need to reshape goals and expectations—common experiences for patients/families at end of life. It's recognized as a non-threatening way to introduce learning when anxiety compromises comprehension and recall. It brings abstract concepts to life, while inviting the listener to apply his or her values to interpret meaning. In classrooms and public-policy dialogue, true story combined with data enhances recall and fosters empathy. It creates interest and provides cohesion of facts, while conveying nuance and complexity. Like any intervention, story teaching must be goal-specific and apply a methodology to achieve efficacy. This session will share the foundations of effective story teaching, engage participants in active learning to enhance story-teaching skills, and provide tools to teach this technique to colleagues in all disciplines. Palliative care physician Nancy Boutin holds an MFA in Creative Writing and is managing editor of the Los Angeles Literary Review. Hospice and palliative care RN Karen Whitley Bell authored Living at the End of Life, a resource employing story-teaching technique. |
Publication | Journal of Pain and Symptom Management |
Volume | 41 |
Issue | 1 |
Pages | 269-270 |
Date | January 2011 |
DOI | 10.1016/j.jpainsymman.2010.10.176 |
ISSN | 0885-3924 |
Short Title | Help Me Understand |
Accessed | Tuesday, February 15, 2011 7:01:08 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
Type | Journal Article |
---|---|
Author | David Bell |
Author | Mark Harbinson |
Author | Gary Toman |
Author | Vivienne Crawford |
Author | Harold Cunningham |
Abstract | OBJECTIVE: This Student Selected Component (SSC) was designed to equip United Kingdom (UK) medical students to engage in whole-person care. The aim was to explore students' reactions to experiences provided, and consider potential benefits for future clinical practice. METHODS: The SSC was delivered in the workplace. Active learning was encouraged through facilitated discussion with and observation of clinicians, the palliative team, counselling services, hospital chaplaincy and healing ministries; sharing of medical histories by patients; and training in therapeutic communication. Assessment involved reflective journals, literature appraisal, and role-play simulation of the doctor-patient consultation. Module impact was evaluated by analysis of student coursework and a questionnaire. RESULTS: Students agreed that the content was stimulating, relevant, and enjoyable and that learning outcomes were achieved. They reported greater awareness of the benefit of clinicians engaging in care of the "whole person" rather than "the disease." Contributions of other professions to the healing process were acknowledged, and students felt better equipped for discussion of spiritual issues with patients. Many identified examples of activities which could be incorporated into core teaching to benefit all medical students. CONCLUSION: The SSC provided relevant active learning opportunities for medical students to receive training in a whole-person approach to patient care. |
Publication | Southern Medical Journal |
Volume | 103 |
Issue | 12 |
Pages | 1204-1209 |
Date | Dec 2010 |
Journal Abbr | South. Med. J |
DOI | 10.1097/SMJ.0b013e3181f968ce |
ISSN | 1541-8243 |
Short Title | Wholeness of healing |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/20978457 |
Accessed | Tuesday, January 18, 2011 7:06:10 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20978457 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Sonia Karkabi |
Author | Chen Shapira |
Author | Elad Schiff |
Author | Ofer Lavie |
Author | Yael Keshet |
Abstract | <AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The purpose of this study was to examine the use of complementary and alternative medicine (CAM) in a primary care practice in Israel to determine prevalence and patterns of use.</AbstractText> <AbstractText Label="METHODS" NlmCategory="METHODS">Trained research assistants invited all patients attending the administrative, medical, pharmaceutical, or nursing services of 7 clinics in urban and rural areas of northern Israel over a 16-month period, from April 1, 2005, through August 1, 2006, to complete a 13-item written questionnaire about CAM use and beliefs about CAM safety and efficacy. CAM was defined as therapies often referred to as alternative, complementary, natural, or folk/traditional medicine, and which are not usually offered as part of the medical treatment in the clinic, including herbal medicine, Chinese medicine (including acupuncture), homeopathy, folk and traditional remedies, dietary/nutritional therapy (including nutritional supplements), chiropractic, movement/manual healing therapies (including massage, reflexology, yoga, and Alexander and Feldenkrais techniques), mind-body techniques (including meditation, guided imagery, and relaxation), energy and healing therapies, and other naturopathic therapies. The Pearson chi(2) test and multivariate logistic regression were used to assess univariate associations with the odds ratios of CAM use among Arab and Jewish women. A t test was performed to determine whether there were any differences in the continuous variables between the 2 groups.</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 3972 consecutive patients who received the questionnaire, 3447 responded; 2139 respondents (62%) were women. Of the female respondents, 2121 reported their religion (1238 respondents [58%] self-identified as being Arab, and 883 [41.6%] as being Jewish). Compared with men, more women used CAM during the previous year (46.4% vs 39.4%; P < 0.001). Women were more likely to use CAM and to be interested in receiving CAM at primary care clinics. Arab women reported less CAM use than Jewish women but were more interested in experiencing CAM, had a higher degree of confidence in CAM efficacy and safety, and more frequently supported the integration of CAM practitioners in primary care clinics.</AbstractText> <AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this study, women visiting primary care clinics in northern Israel used CAM more often than men did. Arab women reported less use of CAM than did Jewish women but also reported greater confidence in CAM efficacy and safety.</AbstractText> |
Publication | Gender Medicine |
Volume | 6 |
Issue | 2 |
Pages | 384-397 |
Date | Jul 2009 |
Journal Abbr | Gend Med |
DOI | 10.1016/j.genm.2009.07.002 |
ISSN | 1878-7398 |
Short Title | Complementary medicine in the primary care setting |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19682666 |
Accessed | Friday, February 04, 2011 11:06:48 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19682666 |
Date Added | Thursday, September 29, 2011 9:06:02 AM |
Modified | Thursday, September 29, 2011 9:06:02 AM |
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Elad Schiff |
Author | Khaled Karkabi |
Author | Yael Keshet |
Author | Efraim Lev |
Abstract | Background. Spirituality, as distinct from religiosity, has become a most common term in complementary and alternative medicine (CAM) discourse. The association between religiosity and spirituality in the context of CAM use is a complex one and is worthy of being researched in specific local cultural contexts. Objective. Exploring the association between CAM use and religiosity, in patients with and without diabetes Type 2 attending primary care clinics in Northern Israel. Research design and methods. Research assistants administered a questionnaire developed to assess CAM use in primary care to a convenience sample of patients attending seven primary care clinics. Results. Of the 3742 respondents, 485 (12.9%) reported having Type 2 diabetes. Respondents with diabetes reported more overall CAM use during the previous year (46.9% vs. 42%, P=0.049). A logistic regression model of patients with diabetes Type 2 indicated that CAM use was associated with higher self-assessed religiosity [Exp(B)=1.898, 95% CI for Exp(B) 1.02-3.529, P=0.043]. CAM use among patients with diabetes was also associated more with female gender, higher education, and age under 60. The positive association between CAM use and degree of self-assessed religiosity was further studied in sub-populations of Jewish and Arab patients with diabetes Type 2. A logistic regression model of the Jewish population indicated significant association between CAM use and higher religiosity [Exp(B)=3.668, 95% CI for Exp(B) 1.232-10.922, P=0.02]. Conclusion. Primary care physicians need to be aware of a possible association between religiosity and CAM use in patients with diabetes. Physicians may consider adding questions on CAM and religiosity to routine clinical interviews in order to enrich their dialog with diabetes patients. [ABSTRACT FROM AUTHOR] |
Publication | Ethnicity & Health |
Volume | 16 |
Issue | 1 |
Pages | 1-10 |
Date | February 2011 |
DOI | 10.1080/13557858.2010.510181 |
ISSN | 13557858 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 8:57:14 AM |
Modified | Thursday, September 29, 2011 8:57:14 AM |
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Khaled Karkabi |
Author | Sonia Karkabi |
Author | Yael Keshet |
Author | Maria Haddad |
Author | Moshe Frenkel |
Abstract | The purpose of this cross-cultural study was to evaluate patient perspectives on complementary and alternative medicine (CAM) integration within primary care clinics. It is one of the first multiethnic studies to explore patients' perspectives on the best model for integrating CAM into the conventional care setting. We developed a 13-item questionnaire that addresses issues of CAM use, expectations from the primary care physicians concerning CAM, and attitudes toward CAM integration within a patient's primary care clinic. We constructed the questionnaire with cross-cultural sensitivity concerning the core concepts of CAM and traditional medicine in both the Arab and Jewish communities in northern Israel. Data for statistical analysis were obtained from 3840 patients attending seven primary care clinics. Of the 3713 respondents who were willing to identify their religion, 2184 defined themselves as Muslims, Christians, or Druze and 1529 as Jews. Respondents in the two groups were equally distributed by sex but differed significantly by age, education, self-rated religiosity, and self-reported chronic diseases in their medical background. Respondents in the two groups reported comparable overall CAM use during the previous year, but the Arab respondents reported more use of herbs and traditional medicine. Respondents in both groups stated that their primary expectation from a family physician concerning CAM was to refer them appropriately and safely to a CAM practitioner. Respondents in both groups greatly supported a theoretical scenario of CAM integration into primary medical care. However, Arab respondents were more supportive of the option that non-physician CAM practitioners would provide CAM rather than physicians. |
Publication | Social Science & Medicine (1982) |
Volume | 68 |
Issue | 1 |
Pages | 177-182 |
Date | Jan 2009 |
Journal Abbr | Soc Sci Med |
DOI | 10.1016/j.socscimed.2008.10.004 |
ISSN | 0277-9536 |
Short Title | Attitudes of Arab and Jewish patients toward integration of complementary medicine in primary care clinics in Israel |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18992983 |
Accessed | Monday, March 28, 2011 6:23:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18992983 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Gil Bar-Sela |
Author | Moshe Frenkel |
Author | Abraham Kuten |
Author | Doron Hermoni |
Abstract | BACKGROUND: Complementary and alternative medicine (CAM) is increasingly being used by patients with cancer. OBJECTIVES: Our aim is to compare the attitudes of cancer patients who use CAM to those of nonusers, on issues of CAM, biopsychosocial considerations, and spiritual needs. METHODS: Questionnaires were administered to patients and medical care providers in a tertiary teaching hospital with a comprehensive cancer center. RESULTS: Forty-nine percent of the study patients reported integrating CAM into their conventional care. Health care providers considered psychological and spiritual needs as major reasons for CAM use, while patients considered the familial-social aspect to be more important. CONCLUSIONS: Cancer patients do not correlate CAM use with spiritual concerns but expect their physicians to attend to spiritual themes. Health care providers involved in oncology cancer care should emphasize spiritual as well as CAM themes. The integration of these themes into a biopsychosocial-spiritual approach may enrich the dialogue between patients and health providers. |
Publication | Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer |
Volume | 14 |
Issue | 2 |
Pages | 147-152 |
Date | Feb 2006 |
Journal Abbr | Support Care Cancer |
DOI | 10.1007/s00520-005-0866-8 |
ISSN | 0941-4355 |
Short Title | Is a biopsychosocial-spiritual approach relevant to cancer treatment? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16133071 |
Accessed | Friday, November 13, 2009 3:24:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16133071 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: Complementary and alternative medicine (CAM) is increasingly being used by patients with cancer. Objectives Our aim is to compare the attitudes of cancer patients who use CAM to those of nonusers, on issues of CAM, biopsychosocial considerations, and spiritual needs. Methods: Questionnaires were administered to patients and medical care providers in a tertiary teaching hospital with a comprehensive cancer center. Results: Forty-nine percent of the study patients reported integrating CAM into their conventional care. Health care providers considered psychological and spiritual needs as major reasons for CAM use, while patients considered the familial-social aspect to be more important. Conclusions: Cancer patients do not correlate CAM use with spiritual concerns but expect their physicians to attend to spiritual themes. Health care providers involved in oncology cancer care should emphasize spiritual as well as CAM themes. The integration of these themes into a biopsychosocial-spiritual approach may enrich the dialogue between patients and health providers.
Type | Journal Article |
---|---|
Author | Christoph Benn |
Author | Adnan A Hyder |
Abstract | Inequities in health and health care are one of the greatest challenges facing the international community today. This problem raises serious questions for health care planners, politicians and ethicists alike. The major world religions can play an important role in this discussion. Therefore, interreligious dialogue on this topic between ethicists and health care professionals is of increasing relevance and urgency. This article gives an overview on the positions of Islam and Christianity on equity and the distribution of resources in health care. It has been written in close collaboration and constant dialogue between the two authors coming from the two religions. Although there is no specific concept for the modern term equity in either of the two religions, several areas of agreement have been identified: All human beings share the same values and status, which constitutes the basis for an equitable distribution of rights and benefits. Special provisions need to be made for the most needy and disadvantaged. The obligation to provide equitable health services extends beyond national and religious boundaries. Several areas require intensified research and further dialogue: the relationship between the individual and the community in terms of rights and responsibilities, how to operationalize the moral duty to decrease global inequalities in health, and the understanding and interpretation of human rights in regard to social services. |
Publication | Medicine, Health Care, and Philosophy |
Volume | 5 |
Issue | 2 |
Pages | 181-189 |
Date | 2002 |
Journal Abbr | Med Health Care Philos |
ISSN | 1386-7423 |
Short Title | Equity and resource allocation in health care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12168993 |
Accessed | Monday, November 02, 2009 1:49:04 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12168993 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Inequities in health and health care are one of the greatest challenges facing the international community today. This problem raises serious questions for health care planners, politicians and ethicists alike. The major world religions can play an important role in this discussion. Therefore, interreligious dialogue on this topic between ethicists and health care professionals is of increasing relevance and urgency. This article gives an overview on the positions of Islam and Christianity on equity and the distribution of resources in health care. It has been written in close collaboration and constant dialogue between the two authors coming from the two religions. Although there is no specific concept for the modern term equity in either of the two religions, several areas of agreement have been identified: All human beings share the same values and status, which constitutes the basis for an equitable distribution of rights and benefits. Special provisions need to be made for the most needy and disadvantaged. The obligation to provide equitable health services extends beyond national and religious boundaries. Several areas require intensified research and further dialogue: the relationship between the individual and the community in terms of rights and responsibilities, how to operationalize the moral duty to decrease global inequalities in health, and the understanding and interpretation of human rights in regard to social services.
Type | Book |
---|---|
Author | Herbert Benson |
Place | New York NY |
Publisher | Scribner |
Date | 1996 |
ISBN | 9780684814414 |
Short Title | Timeless healing |
Library Catalog | Open WorldCat |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
In this book, Dr. Herbert Benson draws on his twenty-five years as a physician and researcher to reveal how affirming beliefs, particularly belief in a higher power, make an important contribution to our physical health. We are not simply nourished by meditation and prayer, but are, in essence, “wired for God.” Combining the wisdom of modem medicine and of age-old faith. Dr. Benson shows how anyone can, with the aid of a caring physician or healer, use their beliefs and other self-care methods to heal over 60 percent of medical problems.
Type | Journal Article |
---|---|
Author | Netta Bentur |
Author | Shirli Resnizky |
Abstract | In recent years, pioneering spiritual-care training programs and services have been developed in Israel. This paper examines the implementation of the training programs and the challenge of integrating program graduates in the healthcare services. The information was collected through in-depth interviews with 12 students and graduates and the directors of the three training programs. All the interviews were transcribed in full and analyzed using qualitative study methods. The interviewees emphasized the importance of practical experience, although many of them encountered some degree of antagonism during their training or placement. Continuation of personal counseling and supervision after the conclusion of the program is also essential. Some were worried that they would not find work or were concerned about negotiations with potential employers. Evidently, the implementation of spiritual-care education must continue apace and careful consideration be given to optimizing its acceptance by the establishment. [ABSTRACT FROM AUTHOR] |
Publication | Palliative Medicine |
Volume | 24 |
Issue | 8 |
Pages | 771-776 |
Date | 12 December 2010 |
DOI | 10.1177/0269216310380490 |
ISSN | 02692163 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Sandra Bergquist |
Author | Jean King |
Abstract | Parish nursing is a current nursing care delivery model that practices holistic health care. Parish nurses provide care to a faith community, emphasizing the relationship between faith and health. Specific nursing activities address physical, emotional, and spiritual health and well-being, closely attending to the inseparability of these dimensions. Parish nurses may assume one or more roles associated with this practice to accomplish parish nursing activities and achieve the holistic health and well-being of individuals, families, and groups within the faith community. The five broad categories of client, health, nurse, environment, and nursing process provide a framework for organizing the concept of parish nursing for future nursing theory, research, and practice. |
Publication | Journal of Holistic Nursing |
Volume | 12 |
Issue | 2 |
Pages | 155 -170 |
Date | June 01 , 1994 |
DOI | 10.1177/089801019401200206 |
URL | http://jhn.sagepub.com/content/12/2/155.abstract |
Accessed | Tuesday, December 13, 2011 7:44:15 PM |
Library Catalog | Highwire 2.0 |
Date Added | Tuesday, December 13, 2011 7:44:15 PM |
Modified | Tuesday, December 13, 2011 7:44:15 PM |
Type | Journal Article |
---|---|
Author | Devon Berry |
Abstract | The number of studies demonstrating a relationship between religiosity and spirituality and physical and psychological health have increased rapidly during the past decade. There are significant disputes in the literature regarding the methodological quality of research in this area. Despite nursing scholars' interest in this area, no thorough review of the methodological critiques is available. The purpose of this study is to review areas of methodological difficulty in the study of religiosity and spirituality by identifying contemporary methodological critiques, critically evaluating the critiques and the underlying issues, and making suggestions for methodological advancement in the field. Three main areas of methodological critique exist: construct measurement, study design, and data analysis. Research in this area should aim for conceptual clarity, deliberate design, and appropriate analysis. Considerations of these critiques are instructive for nursing research done in the area of religiosity and spirituality. |
Publication | Western Journal of Nursing Research |
Volume | 27 |
Issue | 5 |
Pages | 628-647 |
Date | Aug 2005 |
Journal Abbr | West J Nurs Res |
DOI | 10.1177/0193945905275519 |
ISSN | 0193-9459 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16020569 |
Accessed | Friday, November 13, 2009 3:16:01 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16020569 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
The purpose of this study is to review areas of methodological difficulty in the study of religiosity and spirituality by identifying contemporary methodological critiques, critically evaluating the critiques and the underlying issues, and making suggestions for methodological advancement in the field. Three main areas of methodological critique exist: construct measurement, study design, and data analysis.
Type | Journal Article |
---|---|
Author | Suzanne M Bertisch |
Author | Christina C Wee |
Author | Russell S Phillips |
Author | Ellen P McCarthy |
Abstract | OBJECTIVE: Mind-body therapies (MBT) are used by 16.6% of adults in the United States. Little is known about the patterns of and reasons for use of MBT by adults with common medical conditions. METHODS: We analyzed data on MBT use from the 2002 National Health Interview Survey Alternative Medicine Supplement (n=31,044). MBT included relaxation techniques (deep breathing exercises, guided imagery, meditation, and progressive muscle relaxation), yoga, tai chi, and qigong. To identify medical conditions associated with use of MBT overall and of individual MBT, we used multivariable models adjusted for sociodemographic factors, insurance status, and health habits. Among users of MBT (n=5170), we assessed which medical conditions were most frequently treated with MBT, additional rationale for using MBT, and perceived helpfulness. RESULTS: We found a positive association between MBT use and several medical conditions including various pain syndromes and anxiety/depression. Among adults using MBT to treat specific medical conditions, MBT was most commonly used for anxiety/depression and musculoskeletal pain syndromes. More than 50% of respondents used MBT in conjunction with conventional medical care, and 20% used MBT for conditions they thought conventional medicine would not help. Overall, we found high rates (68-90%) of perceived helpfulness of MBT for specific medical conditions. DISCUSSION: MBT is commonly used by patients with prevalent medical conditions. Further research is needed to determine the reasons for widespread use of MBT for treatment of specific medical conditions and to evaluate the efficacy of MBT. |
Publication | Journal of Psychosomatic Research |
Volume | 66 |
Issue | 6 |
Pages | 511-519 |
Date | Jun 2009 |
Journal Abbr | J Psychosom Res |
DOI | 10.1016/j.jpsychores.2008.12.003 |
ISSN | 1879-1360 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19446710 |
Accessed | Monday, November 02, 2009 12:59:16 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19446710 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Objective: Mind-body therapies (MBT) are used by 16.6% of adults in the United States. Little is known about the patterns of and reasons for use of MBT by adults with common medical conditions. Methods: We analyzed data on MBT use from the 2002 National Health Interview Survey Alternative Medicine Supplement (n=31,044). MBT included relaxation techniques (deep breathing exercises, guided imagery, meditation, and progressive muscle relaxation), yoga, tai chi, and qigong. To identify medical conditions associated with use of MBT overall and of individual MBT, we used multivariable models adjusted for sociodemographic factors, insurance status, and health habits. Among users of MBT (n=5170), we assessed which medical conditions were most frequently treated with MBT, additional rationale for using MBT, and perceived helpfulness. Results: We found a positive association between MBT use and several medical conditions including various pain syndromes and anxiety/depression. Among adults using MBT to treat specific medical conditions, MBT was most commonly used for anxiety/depression and musculoskeletal pain syndromes. More than 50% of respondents used MBT in conjunction with conventional medical care, and 20% used MBT for conditions they thought conventional medicine would not help. Overall, we found high rates (68-90%) of perceived helpfulness of MBT for specific medical conditions. Discussion: MBT is commonly used by patients with prevalent medical conditions. Further research is needed to determine the reasons for widespread use of MBT for treatment of specific medical conditions and to evaluate the efficacy of MBT.
Type | Journal Article |
---|---|
Author | Velda Biddix |
Author | Hazel N. Brown |
Abstract | Parish nurses serve as health educators and counselors in religious communities. A Baptist church developed a parish nursing program, based on a parishioner survey, that provided blood pressure screenings and health and wellness classes with the help of volunteers. (SK) |
Publication | Nursing and Health Care Perspectives |
Volume | 20 |
Issue | 2 |
Pages | 72-75 |
Date | 1999 |
Journal Abbr | Nursing and Health Care Perspectives |
ISSN | ISSN-1094-2831 |
URL | http://www.eric.ed.gov/ERICWebPortal/detail? accno=EJ580969 |
Accessed | Tuesday, December 13, 2011 7:47:32 PM |
Library Catalog | ERIC |
Date Added | Tuesday, December 13, 2011 7:47:32 PM |
Modified | Tuesday, December 13, 2011 7:47:32 PM |
Type | Journal Article |
---|---|
Author | Kirk Bingaman |
Abstract | This article draws on recent neuroscientific research evidence that demonstrates the plasticity and malleability of the human brain to make the case for greater use of contemplative and mindfulness practices in pastoral care and counseling. It explores the negativity bias of the brain as it has evolved and argues that mindful awareness practices have the ability to work against this bias in favor of less fearful and anxious perspectives on life, including interpersonal relationships. Contending for a higher evaluation of Christian practices than beliefs, it specifically targets the doctrine of original sin as a contributor to this negativity bias, and advocates the use of Christian meditative practices, especially the Centering Prayer, as a means to foster brain resculpting that is integral to the experience of becoming aware of oneself as a new creation. [ABSTRACT FROM AUTHOR] |
Publication | Pastoral Psychology |
Volume | 60 |
Issue | 3 |
Pages | 477-489 |
Date | June 2011 |
DOI | 10.1007/s11089-011-0328-9 |
ISSN | 00312789 |
Short Title | The Art of Contemplative and Mindfulness Practice |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 8:53:56 AM |
Modified | Thursday, September 29, 2011 8:53:56 AM |
Type | Journal Article |
---|---|
Author | Gurjeet S Birdee |
Author | Peter M Wayne |
Author | Roger B Davis |
Author | Russell S Phillips |
Author | Gloria Y Yeh |
Abstract | BACKGROUND: Little is known in the United States about those who practice t'ai chi and qigong, two mind-body techniques that originated in Asia. OBJECTIVE: The objective of this study is to characterize use of t'ai chi and qigong for health with regard to sociodemographics, health status, medical conditions, perceptions of helpfulness, and disclosure of use to medical professionals. METHODS: We analyzed associations of t'ai chi and qigong use for health using cross-sectional data from the 2002 National Health Interview Survey (NHIS) Alternative Medicine Supplement (n = 31,044). The 2002 NHIS estimated the number of t'ai chi and qigong users for health to be 2.5 and 0.5 million persons, respectively. We collapsed t'ai chi and qigong use into a single category (TCQ) for analysis, representing 2.8 million individuals. RESULTS: We found that neither age nor sex was associated with TCQ use. TCQ users were more likely than nonusers to be Asian than white (odds ratio [OR] 2.02, 95% confidence interval [CI] 1.30-3.15), college educated (OR 2.44, 95% CI 1.97-3.03), and less likely to live in the Midwest (OR 0.64, 95% CI 0.42-0.96) or the southern United States (OR 0.51, 95% CI 0.36-0.72) than the West. TCQ use was associated independently with higher reports of musculoskeletal conditions (OR 1.43, 95% CI 1.11-1.83), severe sprains (OR 1.65, 95% CI 1.14-2.40), and asthma (OR 1.50, 95% CI 1.08-2.10). Half of TCQ users also used yoga for health in the last 12 months. Most TCQ users reported their practice to be important to maintain health, but only a quarter of users disclosed their practice to a medical professional. CONCLUSIONS: In the United States, TCQ is practiced for health by a diverse population, and users report benefits for maintaining health. Further research is needed to establish efficacy and safety for target populations, including those with musculoskeletal and pulmonary disease, as well as for preventive health. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 15 |
Issue | 9 |
Pages | 969-973 |
Date | Sep 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2009.0174 |
ISSN | 1557-7708 |
Short Title | T'ai chi and qigong for health |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19757974 |
Accessed | Tuesday, October 20, 2009 9:30:49 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19757974 |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
Background: Little is known in the United States about those who practice t’ai chi and qigong, two mind-body techniques that originated in Asia. Objective: The objective of this study is to characterize use of t’ai chi and qigong for health with regard to sociodemographics, health status, medical conditions, perceptions of helpfulness, and disclosure of use to medical professionals. Methods: We analyzed associations of t’ai chi and qigong use for health using cross-sectional data from the 2002 National Health Interview Survey (NHIS) Alternative Medicine Supplement (n = 31,044). The 2002 NHIS estimated the number of t’ai chi and qigong users for health to be 2.5 and 0.5 million persons, respectively. We collapsed t’ai chi and qigong use into a single category (TCQ) for analysis, representing 2.8 million individuals. Results: We found that neither age nor sex was associated with TCQ use. TCQ users were more likely than nonusers to be Asian than white (odds ratio [OR] 2.02, 95% confidence interval [CI] 1.30-3.15), college educated (OR 2.44, 95% CI 1.97-3.03), and less likely to live in the Midwest (OR 0.64, 95% CI 0.42-0.96) or the southern United States (OR 0.51, 95% CI 0.36-0.72) than the West. TCQ use was associated independently with higher reports of musculoskeletal conditions (OR 1.43, 95% CI 1.11-1.83), severe sprains (OR 1.65, 95% CI 1.14-2.40), and asthma (OR 1.50, 95% CI 1.08-2.10). Half of TCQ users also used yoga for health in the last 12 months. Most TCQ users reported their practice to be important to maintain health, but only a quarter of users disclosed their practice to a medical professional. Conclusions: In the United States, TCQ is practiced for health by a diverse population, and users report benefits for maintaining health. Further research is needed to establish efficacy and safety for target populations, including those with musculoskeletal and pulmonary disease, as well as for preventive health.
Type | Journal Article |
---|---|
Author | Jeffrey P. Bishop |
Publication | Archives of Internal Medicine |
Volume | 163 |
Issue | 12 |
Pages | 1405-1408 |
Date | June 23, 2003 |
DOI | 10.1001/archinte.163.12.1405 |
URL | http://archinte.ama-assn.org |
Accessed | Tuesday, October 13, 2009 12:08:47 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Dana Bjarnason |
Abstract | The influence of religious beliefs and practices at the end of life is underinvestigated. Given nursing's advocacy role and the intimate and personal nature of the dimensions of religiosity and the end of life, exploring the multidimensional interplay of religiosity and end-of-life care is a significant aspect of the nurse-patient relationship and must be better understood. The question that must be faced is whether nurses' own belief systems impinge on or influence patient care, especially for patients who are at the end of life. When nurses understand their own beliefs and respect the religious practices and needs of patients and their families, it deepens the humanistic dimensions of the nurse-patient relationship. |
Publication | The Nursing Clinics of North America |
Volume | 44 |
Issue | 4 |
Pages | 517-525 |
Date | Dec 2009 |
Journal Abbr | Nurs. Clin. North Am |
DOI | 10.1016/j.cnur.2009.07.010 |
ISSN | 1558-1357 |
Short Title | Nursing, religiosity, and end-of-life care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19850187 |
Accessed | Monday, December 28, 2009 12:14:46 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19850187 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
The influence of religious beliefs and practices at the end of life is underinvestigated. Given nursing’s advocacy role and the intimate and personal nature of the dimensions of religiosity and the end of life, exploring the multidimensional interplay of religiosity and end-of-life care is a significant aspect of the nurse-patient relationship and must be better understood.
Type | Journal Article |
---|---|
Author | Dana Bjarnason |
Abstract | The influence of religious beliefs and practices at the end of life is underinvestigated. Given nursing's advocacy role and the intimate and personal nature of the dimensions of religiosity and the end of life, exploring the multidimensional interplay of religiosity and end-of-life care is a significant aspect of the nurse-patient relationship and must be better understood. The question that must be faced is whether nurses' own belief systems impinge on or influence patient care, especially for patients who are at the end of life. When nurses understand their own beliefs and respect the religious practices and needs of patients and their families, it deepens the humanistic dimensions of the nurse-patient relationship. |
Publication | The Nursing Clinics of North America |
Volume | 44 |
Issue | 4 |
Pages | 517-525 |
Date | Dec 2009 |
Journal Abbr | Nurs. Clin. North Am |
DOI | 10.1016/j.cnur.2009.07.010 |
ISSN | 1558-1357 |
Short Title | Nursing, religiosity, and end-of-life care |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19850187 |
Accessed | Friday, November 13, 2009 8:13:10 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19850187 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Type | Journal Article |
---|---|
Author | Katja Boehm |
Author | Christa Raak |
Author | Horst Christian Vollmar |
Author | Thomas Ostermann |
Abstract | Background: Complementary and alternative medicine (CAM) has succeeded to implement itself in the academic context of universities. In order to get information on CAM, clinicians, researchers and healthcare professionals as well as the lay public are increasingly turning to online portals and databases, which disseminate relevant resources. One specific type of online information retrieval systems, namely the database, is being reviewed in this article. Question: This overview aims at systematically retrieving and describing all databases covering the field of CAM. One of the requirements for inclusion was that the database would also have to be published in a medical journal. Data sources: The databases amed, CAMbase, embase, and medline/PubMed were searched between December 2008 and December 2009 for publications relevant to CAM databases. The authors’ specialist library was also searched for grey literature to be included. Study selection: All included databases were then visited online and information on the context, structure and volume of the database was extracted. Main results: Forty-five databases were included in this overview. Databases covered herbal therapies (n = 11), traditional Chinese medicine (n = 9) and some dealt with a vast number of CAM modalities (n = 9), amongst others. The amount of time the databases had been in existence ranged from 4 to 53 years. Countries of origin included the USA (n = 14), UK (n = 7) and Germany (n = 6), amongst others. The main language in 42 of 45 databases was English. Conclusions: Although this overview is quite comprehensive with respect to the field of CAM, certain CAM practices such as chiropractic, massage, reflexology, meditation or yoga may not have been covered adequately. A more detailed assessment of the quality of the included databases might give additional insights into the listed resources. The creation of a personalised meta-search engine is suggested, towards which this overview could be seen as a first step. |
Publication | Health Information & Libraries Journal |
Volume | 27 |
Issue | 2 |
Pages | 93-105 |
Date | 05/2010 |
DOI | 10.1111/j.1471-1842.2010.00888.x |
ISSN | 14711834 |
URL | http://doi.wiley.com/10.1111/j.1471-1842.2010.00888.x |
Date Added | Thursday, September 29, 2011 9:03:07 AM |
Modified | Thursday, September 29, 2011 9:03:07 AM |
Type | Journal Article |
---|---|
Author | Hans A. Boer |
Abstract | Despite the popular roots of the holistic health/New Age movements, a growing number of biomedical physicians have become proponents of holistic health as well as New Age healing. Over the past two decades, Andrew Weil and Deepak Chopra, two biomedically trained physicians, have emerged as the visible and financially successful spokespersons of the movement. This article provides brief biographical sketches of Weil and Chopra and compares and contrasts their respective views on health, illness, healing, and health care. It also considers the response of various biomedical parties to these holistic health/New Age gurus who have attempted to integrate biomedicine and various alternative healing and metaphysical systems. Finally, this article argues that Weil and Chopra both epitomize the limitations of the holistic health/New Age movements, albeit in different ways, [holistic health/New Age movements, Andrew Weil, Deepak Chopra] |
Publication | Medical Anthropology Quarterly |
Volume | 17 |
Issue | 2 |
Pages | 233-250 |
Date | 2003 |
DOI | 10.1525/maq.2003.17.2.233 |
Short Title | The Work of Andrew Weil and Deepak Chopra-Two Holistic Health/New Age Gurus |
URL | http://dx.doi.org.ezproxy.bu.edu/10.1525/maq.2003.17.2.233 |
Accessed | Monday, October 12, 2009 11:28:11 PM |
Library Catalog | Wiley InterScience |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Despite the popular roots of the holistic health/New Age movements, a growing number of biomedical physicians have become proponents of holistic health as well as New Age healing. Over the past two decades, Andrew Weil and Deepak Chopra, two biomedically trained physicians, have emerged as the visible and financially successful spokespersons of the movement. This article provides brief biographical sketches of Weil and Chopra and compares and contrasts their respective views on health, illness, healing, and health care. It also considers the response of various biomedical parties to these holistic health/New Age gurus who have attempted to integrate biomedicine and various alternative healing and metaphysical systems. Finally, this article argues that Weil and Chopra both epitomize the limitations of the holistic health/New Age movements, albeit in different ways.
Type | Journal Article |
---|---|
Author | K W Bowman |
Author | E C Hui |
Abstract | Chinese Canadians form one of the largest groups in the Canadian cultural mosaic. Many of the assumptions implicit in a Western autonomy-based approach to bioethical deliberation may not be shared by Chinese Canadians. In traditional Chinese culture, greater social and moral meaning rests in the interdependence of family and community, which overrides self-determination. Consequently, many Chinese may vest in family members the right to receive and disclose information, to make decisions and to organize patient care. Furthermore, interactions between Chinese patients and health care workers may be affected by important differences in values and goals and in the perception of the nature and meaning of illness. Acknowledging and negotiating these differences can lead to considerable improvement in communication and in the quality of care. |
Publication | Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne |
Volume | 163 |
Issue | 11 |
Pages | 1481-1485 |
Date | Nov 28, 2000 |
Journal Abbr | CMAJ |
ISSN | 0820-3946 |
Short Title | Bioethics for clinicians |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11192658 |
Accessed | Monday, November 02, 2009 2:02:07 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11192658 |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
Chinese Canadians form one of the largest groups in the Canadian cultural mosaic. Many of the assumptions implicit in a Western autonomy-based approach to bioethical deliberation may not be shared by Chinese Canadians. In traditional Chinese culture, greater social and moral meaning rests in the interdependence of family and community, which overrides self-determination. Consequently, many Chinese may vest in family members the right to receive and disclose information, to make decisions and to organize patient care. Furthermore, interactions between Chinese patients and health care workers may be affected by important differences in values and goals and in the perception of the nature and meaning of illness. Acknowledging and negotiating these differences can lead to considerable improvement in communication and in the quality of care.
Type | Journal Article |
---|---|
Author | Michal Braun |
Author | Dalya Gordon |
Author | Beatrice Uziely |
Abstract | PURPOSE/OBJECTIVES: To examine relationships between oncology nurses' attitudes toward death and caring for dying patients. DESIGN: Cross-sectional, descriptive, and correlational. SETTING: Israeli Oncology Nurses Society annual conference in June 2006. SAMPLE: A convenience sample of 147 Israeli nurses who were exposed to death in their daily work. Most worked in oncology departments and were of Jewish faith. METHODS: Completion of the Frommelt Attitude Toward Care of the Dying Scale, Death Attitude Profile-Revised Scale, and a demographic questionnaire. MAIN RESEARCH VARIABLES: Attitudes toward caring for dying patients, attitudes toward death (fear of death, death avoidance, and types of death acceptance), and demographic variables (e.g., religiosity). FINDINGS: Nurses demonstrated positive attitudes toward care of dying patients. The attitudes were significantly negatively correlated with death avoidance, fear of death, and approach acceptance of death. A mediating role of death avoidance was found between fear of death and attitudes toward caring for dying patients. CONCLUSIONS: Nurses' personal attitudes toward death were associated with their attitudes toward the care of dying patients. The mediating model suggests that some nurses may use avoidance to cope with their own personal fears of death. Inconsistency between the current results and previous studies of associations between acceptance of death and attitudes toward care for dying patients imply that culture and religion might play important roles in the development of these attitudes. IMPLICATIONS FOR NURSING: Training and support programs for oncology nurses should take into consideration nurses' personal attitudes toward death as well as their religious and cultural backgrounds. |
Publication | Oncology Nursing Forum |
Volume | 37 |
Issue | 1 |
Pages | E43-49 |
Date | Jan 2010 |
Journal Abbr | Oncol Nurs Forum |
DOI | 10.1188/10.ONF.E43-E49 |
ISSN | 1538-0688 |
Accessed | Saturday, January 23, 2010 1:04:02 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20044331 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Sue Brayne |
Author | Chris Farnham |
Author | Peter Fenwick |
Abstract | Anecdotal evidence suggests that death may be heralded by deathbed phenomena (DBP) such as visions that comfort the dying and prepare them spiritually for death. Medical practitioners have been slow to recognize DBP, and there has been little research into the spiritual effect that DBP have on caregivers or on how these phenomena influence their work. A pilot study looking into the occurrence of DBP was conducted by the palliative care team at Camden Primary Care Trust. Interviews revealed that patients regularly report these phenomena as an important part of their dying process, and that DBP are far broader than the traditional image of an apparition at the end of the bed. Results of the interviews raise concerns about the lack of education or training to help palliative care teams recognize the wider implications of DBP and deal with difficult questions or situations associated with them. Many DBP may go unreported because of this. Results of this pilot study also suggest that DBP are not drug-induced, and that patients would rather talk to nurses than doctors about their experiences. |
Publication | The American Journal of Hospice & Palliative Care |
Volume | 23 |
Issue | 1 |
Pages | 17-24 |
Date | 2006 Jan-Feb |
Journal Abbr | Am J Hosp Palliat Care |
ISSN | 1049-9091 |
Short Title | Deathbed phenomena and their effect on a palliative care team |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16450659 |
Accessed | Friday, November 13, 2009 3:38:37 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16450659 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Anecdotal evidence suggests that death may be heralded by deathbed phenomena (DBP) such as visions that comfort the dying and prepare them spiritually for death. A pilot study looking into the occurrence of DBP was conducted by the palliative care team at Camden Primary Care Trust.
Type | Journal Article |
---|---|
Author | Mark J Brenner |
Abstract | The use of Zen Buddhist meditation in clinical practice has received specific attention from mental health disciplines in the West. A study was undertaken to examine the influence of a personal practice of Zen on the professional work of clinical social workers. Ten experienced clinical social workers who were long-term Zen practitioners were interviewed. Findings from this qualitative study suggest that Zen meditation has direct application to clinical social work in three areas: (1) cultivating Awareness, (2) enhancing Acceptance, and (3) nurturing Responsibility. This article reports on the findings in the area of Awareness. Awareness increases a social worker's focus on the present moment with the client, providing for a suspension of preconceived ideas about the client. Building on the view that social work is both art and science, the author proposes the use of Zen in the training of clinical social workers. |
Publication | Social Work in Health Care |
Volume | 48 |
Issue | 4 |
Pages | 462-470 |
Date | 2009 May-Jun |
Journal Abbr | Soc Work Health Care |
DOI | 10.1080/00981380802589860 |
ISSN | 0098-1389 |
Short Title | Zen practice |
Accessed | Tuesday, February 22, 2011 7:14:55 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19396713 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Barbara Brillhart |
Abstract | The purpose of this study was to investigate the relationship of spirituality and life satisfaction among persons with spinal cord injury. A nationwide sample of 230 persons with long-term spinal cord injury completed the Satisfaction With Life Scale (SWLS), the Quality of Life Index (QLI), and a demographic data form. Data analysis also indicated that there was a significant positive correlation between life satisfaction and psychological/spiritual factors of the QLI instrument. Nurses are mandated by the International Council of Nurses, the Joint Commission on Accreditation of Healthcare Organizations, and the Patient's Bill of Rights (Maddox, 2001) to provide spiritual care for clients. Rehabilitation nurses have the opportunity to support spirituality and life satisfaction as we assist our clients with disabilities to redefine their lives and explore new life opportunities. |
Publication | Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses |
Volume | 30 |
Issue | 1 |
Pages | 31-34 |
Date | 2005 Jan-Feb |
Journal Abbr | Rehabil Nurs |
ISSN | 0278-4807 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15736617 |
Accessed | Friday, November 13, 2009 2:22:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15736617 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
The purpose of this study was to investigate the relationship of spirituality and life satisfaction among persons with spinal cord injury. Data analysis indicated that there was a significant positive correlation between life satisfaction and psychological/spiritual factors of the QLI instrument.
Type | Book |
---|---|
Editor | Jonathan E Brockopp |
Editor | Thomas Eich |
Place | Columbia, S.C |
Publisher | University of South Carolina Press |
Date | 2008 |
ISBN | 9781570037535 |
Short Title | Muslim Medical Ethics |
Library Catalog | library.bu.edu Library Catalog |
Call Number | R725.59 .M87 2008 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Muslim Medical Ethics draws on the work of historians, health-care professionals, theologians, and social scientists to produce an interdisciplinary view of medical ethics in Muslim societies and of the impact of caring for Muslim patients in non-Muslim societies. Edited by Jonathan E. Brockopp and Thomas Eich, the volume challenges traditional presumptions of theory and practice to demonstrate the ways in which Muslims balance respect for their heritage with the health issues of a modern world. Like members of many other faiths, Muslims are deeply engaged by the technological challenges posed by modern biomedicine, and they respond to those challenges with enormous creativity--whether as patients, doctors, or religious scholars. Muslim Medical Ethics demonstrates that religiously based cultural norms often inform medical practice, and vice versa, in an ongoing discourse. The contributors map the breadth and boundaries of this discourse through discussions of contested issues on the cutting edge of ethical debates, from fertilized embryos in Saudi Arabia to patient autonomy in Toronto, from organ trafficking in Egypt to sterilization in Tanzania. As the authors illustrate, the effects of Muslim medical ethics have ramifications beyond the Muslim world. With growing populations of Muslims in North America and Europe, Western physicians and health-care workers should be educated on the special needs of this category of patients. In every essay the richness of the Islamic tradition is visible. In the premodern period Muslim physicians were considered among the best in the world, building and improving on Greek and Indian traditions. Muslim physicians today continue that tradition while incorporating scientific advances. Scholars of Islamic law work closely with physicians to develop ethical guidelines for national and international bodies, and individual Muslims take full advantage of advances in medicine and religious law, combining them with the wisdom of Sufism and traditions of family and community. This exploration of Muslim medical ethics is therefore a foray into the richness and sophistication of the Islamic tradition itself. Designed as an engaging point of entrance for students in religious studies, anthropology, ethics, and medical humanities, this pathbreaking volume also has utility for health-care professionals and policy makers.
Type | Journal Article |
---|---|
Author | Daniel Brown |
Abstract | Western psychological research on positive psychology and Buddhism have recently converged in their emphasis on the development of positive states, like states of excellence and everyday happiness. Yet, these traditions differ in their approaches to positive states, with respect to a state-trait and doing-being distinction. Western scientific research on peak performance emphasizes discontinuous, time-limited peak performance states wherein individuals do things extraordinarily well in sports and in the arts. The Eastern spiritual traditions emphasize continuous excellence of being, in the form of traits or character strengths. In both traditions mental imagery is a key ingredient to excellence training. With respect to everyday happiness, Western psychological research has focused on the role of meaning systems in the transformation of flow states into vital engagement in everyday life, while Buddhism stresses the role of meditation training to gain mastery over all levels of mind that leads to everyday happiness. Rorschach and tachistoscopic research on advanced meditators suggests that advance meditators have gained unusual mastery over states of mind not yet documented in the Western psychological research on positive psychology. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 231-251 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1196/annals.1393.018 |
ISSN | 1749-6632 |
Short Title | Mastery of the mind East and West |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19743557 |
Accessed | Tuesday, September 15, 2009 1:55:09 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19743557 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Western psychological research on positive psychology and Buddhism have recently converged in their emphasis on the development of positive states, like states of excellence and everyday happiness. Yet, these traditions differ in their approaches to positive states, with respect to a state-trait and doing-being distinction. Western scientific research on peak performance emphasizes discontinuous, time-limited peak performance states wherein individuals do things extraordinarily well in sports and in the arts. The Eastern spiritual traditions emphasize continuous excellence of being, in the form of traits or character strengths. In both traditions mental imagery is a key ingredient to excellence training. With respect to everyday happiness, Western psychological research has focused on the role of meaning systems in the transformation of flow states into vital engagement in everyday life, while Buddhism stresses the role of meditation training to gain mastery over all levels of mind that leads to everyday happiness. Rorschach and tachistoscopic research on advanced meditators suggests that advance meditators have gained unusual mastery over states of mind not yet documented in the Western psychological research on positive psychology.
Type | Journal Article |
---|---|
Author | Anne Bruce |
Author | Laurene Sheilds |
Author | Anita Molzahn |
Abstract | Despite growing interest in spiritual matters throughout society, definitions and descriptions of spirituality seem incomplete or otherwise unsatisfactory. In this article, the authors consider the possibility that such incompleteness is perhaps necessary and welcomed in addressing spirituality. In particular, they investigate the challenges of using metaphor and metonymic approaches to "languaging" spirituality. By exploring these figures of speech they hope to diversify how nurses articulate deeply personal and perhaps enigmatic human phenomena such as spirituality. Metaphoric language uses everyday structures to help make sense of complex, emotional, and abstract experience. Whereas metaphor creates substitutive relationships between things and provides insights into conceptualizing spirituality, metonymy and metonymic writing establish relationships of contiguity. Whereas metaphor functions to represent and facilitates understanding and feelings about spirituality, metonymy disrupts while opening possibilities of moving beyond binary thinking. Attending to language and its various ontological assumptions opens diverse and potentially more inclusive possibilities. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 29 |
Issue | 1 |
Pages | 44-52 |
Date | Mar 2011 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010110381116 |
ISSN | 1552-5724 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20841392 |
Accessed | Monday, April 04, 2011 7:48:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20841392 |
Date Added | Thursday, September 29, 2011 8:56:31 AM |
Modified | Thursday, September 29, 2011 8:56:31 AM |
Type | Journal Article |
---|---|
Author | Ingrid Brudenell |
Abstract | Parish nursing is a model of nursing care that focuses on health promotion and disease prevention within a faith community. A descriptive study was conducted in the intermountain West to determine how faith communities form parish nursing programs and what their effect is. Thirteen congregations representing eight denominations with parish nurse/health ministries participated. Parish nurses, parish nurse coordinators from two medical centers, pastors, and hospital chaplains (n = 24) were interviewed and provided documents from their programs. Over time, congregations formed parish nursing/health ministries using strategies in a developmental process. The process involved significant support from the pastor, congregation members, and the parish nurses. Collaboration between faith communities and health organizations were successful using a limited domain approach to attain specific health goals. Parish nursing is making a contribution to integrating faith and health practices, promoting health, and increasing accessibility to health care and congregational activities. Conclusions and recommendations are included for future research, practice, and education. |
Publication | Public Health Nursing (Boston, Mass.) |
Volume | 20 |
Issue | 2 |
Pages | 85-94 |
Date | 2003 Mar-Apr |
Journal Abbr | Public Health Nurs |
ISSN | 0737-1209 |
Short Title | Parish nursing |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12588425 |
Accessed | Thursday, November 12, 2009 11:09:08 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12588425 |
Date Added | Saturday, October 01, 2011 3:43:18 PM |
Modified | Saturday, October 01, 2011 3:43:18 PM |
A descriptive study was conducted in the intermountain West to determine how faith communities form parish nursing programs and what their effect is. Parish nurses, parish nurse coordinators from two medical centers, pastors, and hospital chaplains (n = 24) were interviewed and provided documents from their programs. Over time, congregations formed parish nursing/health ministries using strategies in a developmental process. The process involved significant support from the pastor, congregation members, and the parish nurses.
Type | Journal Article |
---|---|
Author | Ingrid Brudenell |
Abstract | Abstract Parish nursing is a model of nursing care that focuses on health promotion and disease prevention within a faith community. A descriptive study was conducted in the intermountain West to determine how faith communities form parish nursing programs and what their effect is. Thirteen congregations representing eight denominations with parish nurse/health ministries participated. Parish nurses, parish nurse coordinators from two medical centers, pastors, and hospital chaplains (n = 24) were interviewed and provided documents from their programs. Over time, congregations formed parish nursing/health ministries using strategies in a developmental process. The process involved significant support from the pastor, congregation members, and the parish nurses. Collaboration between faith communities and health organizations were successful using a limited domain approach to attain specific health goals. Parish nursing is making a contribution to integrating faith and health practices, promoting health, and increasing accessibility to health care and congregational activities. Conclusions and recommendations are included for future research, practice, and education. |
Publication | Public Health Nursing |
Volume | 20 |
Issue | 2 |
Pages | 85-94 |
Date | 2003/03/01 |
Language | en |
DOI | 10.1046/j.1525-1446.2003.20202.x |
ISSN | 1525-1446 |
Short Title | Parish Nursing |
URL | http://onlinelibrary.wiley.com.ezproxy.bu.edu/doi/10.1046/j.1525-1446.2003.20202.x/abstract |
Accessed | Tuesday, December 13, 2011 7:45:23 PM |
Library Catalog | Wiley Online Library |
Date Added | Tuesday, December 13, 2011 7:45:23 PM |
Modified | Tuesday, December 13, 2011 7:45:23 PM |
Type | Journal Article |
---|---|
Author | Georgine L Buckwalter |
Publication | Home Healthcare Nurse |
Volume | 21 |
Issue | 1 |
Pages | 20-24 |
Date | Jan 2003 |
Journal Abbr | Home Healthc Nurse |
ISSN | 0884-741X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12544458 |
Accessed | Thursday, November 12, 2009 11:05:39 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12544458 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
Type | Journal Article |
---|---|
Author | Alister Bull |
Author | Marjorie Gillies |
Abstract | AIMS: To explore the views of hospitalised school-aged children with complex healthcare needs related to spiritual care. This could help inform national policies and raise awareness of the impact that a stay in an acute paediatric hospital can have on the spiritual needs of some of the children who use the NHS. METHOD: Pictures used in previous (US) studies were used to facilitate story telling, enabling children to talk about concepts that may not have emerged through direct conversation. A convenience sample of five hospitalised children were presented with the pictures one at a time and asked open-ended questions about each picture. Data analysis involved identifying emerging themes from the transcriptions using a grounded theory approach. FINDINGS: The main themes to emerge from the interview data were: the role of the child's relationships with family, friends and healthcare professionals; the impact of the hospital environment on the child; coping with invasive procedures; belief--children's views about their health and belief system. CONCLUSION: There is a need for all healthcare professionals to recognise that children have spiritual needs that can include religious beliefs, and that it is part of their duty of care to attempt to identify and meet such needs. |
Publication | Paediatric Nursing |
Volume | 19 |
Issue | 9 |
Pages | 34-38 |
Date | Nov 2007 |
Journal Abbr | Paediatr Nurs |
ISSN | 0962-9513 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18047170 |
Accessed | Friday, November 13, 2009 6:20:46 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18047170 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
AIMS: To explore the views of hospitalised school-aged children with complex healthcare needs related to spiritual care. This could help inform national policies and raise awareness of the impact that a stay in an acute paediatric hospital can have on the spiritual needs of some of the children who use the NHS. Method: Pictures used in previous (US) studies were used to facilitate story telling, enabling children to talk about concepts that may not have emerged through direct conversation. A convenience sample of five hospitalised children were presented with the pictures one at a time and asked open-ended questions about each picture. Data analysis involved identifying emerging themes from the transcriptions using a grounded theory approach. Findings: The main themes to emerge from the interview data were: the role of the child’s relationships with family, friends and healthcare professionals; the impact of the hospital environment on the child; coping with invasive procedures; belief--children’s views about their health and belief system. Conclusion: There is a need for all healthcare professionals to recognise that children have spiritual needs that can include religious beliefs, and that it is part of their duty of care to attempt to identify and meet such needs.
Type | Journal Article |
---|---|
Author | M A Burkhardt |
Abstract | Learning to listen for indications of significant relationships and experience of connection is an important skill for the nurse. The nurse needs to be aware of the variety of expressions of spiriting, recognizing that it is often not expressed in traditional religious language. Dealing effectively with spiriting with clients requires an investment of the self, which is an intentional way of being with the client and can be a part of every nurse-client relationship. |
Publication | Holistic Nursing Practice |
Volume | 3 |
Issue | 3 |
Pages | 69-77 |
Date | May 1989 |
Journal Abbr | Holist Nurs Pract |
ISSN | 0887-9311 |
Short Title | Spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/2670980 |
Accessed | Thursday, November 12, 2009 5:07:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 2670980 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Learning to listen for indications of significant relationships and experience of connection is an important skill for the nurse. The nurse needs to be aware of the variety of expressions of spiriting, recognizing that it is often not expressed in traditional religious language. Dealing effectively with spiriting with clients requires an investment of the self, which is an intentional way of being with the client and can be a part of every nurse-client relationship.
Type | Journal Article |
---|---|
Author | S Burns |
Abstract | Attention to the spiritual dimension of a person is essential in a holistic approach to hospice care. Although other hospice team members may be involved in matters of faith with patients, chaplains are the primary professionals concerned with the transcendent nature of life and the integrative role that spirituality plays in care for the dying. Understanding spirituality in a person's living and dying requires an understanding of religion and theology. Religion is meant to connect us to a caring community and to give us a place on which to stand--a tradition. Theology is a search for meaning. Spirituality is "the life principle that pervades a person's entire being ... and generates a capacity for transcendent values." The body cannot be touched without the spirit's being affected, and vice versa. Efforts to help patients toward wholeness necessitate helping them accept freely their whole lives. The chaplain is not limited to nor bound by religious language. The needs of the patient should determine the use of prayer or God-talk. Listening is one of the greatest spiritual gifts a chaplain can give a suffering patient. Being a companion is often all the chaplain can do. Pastoral care personnel are also sensitive to the needs of the hospice staff. The chaplain does not so much fulfill a role as represent a perspective based on concern and solicitude for the whole person, the whole family unit, the whole staff. |
Publication | Health Progress (Saint Louis, Mo.) |
Volume | 72 |
Issue | 7 |
Pages | 48-52, 54 |
Date | Sep 1991 |
Journal Abbr | Health Prog |
ISSN | 0882-1577 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10112958 |
Accessed | Thursday, November 12, 2009 5:14:30 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10112958 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Understanding spirituality in a person’s living and dying requires an understanding of religion and theology. Religion is meant to connect us to a caring community and to give us a place on which to stand--a tradition. Theology is a search for meaning. Spirituality is “the life principle that pervades a person’s entire being ... and generates a capacity for transcendent values.”
Type | Journal Article |
---|---|
Author | William C Bushell |
Author | Neil D Theise |
Abstract | The orientation of this volume and the Longevity and Optimal Health: Integrating Eastern and Western Perspectives conference is that there is abundant evidence in the scientific and medical literatures that the diligent practice of certain yoga-meditational regimens can lead to a spectrum of health enhancements, ranging from modest to profound, and that these can be investigated in a scientifically rigorous fashion. This overview will summarize these possibilities regarding improved human longevity, regeneration, and protection of health and serve to introduce the perspectives of conference participants from all of the traditions represented. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 5-19 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1111/j.1749-6632.2009.04959.x |
ISSN | 1749-6632 |
Short Title | Toward a unified field of study |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19735235 |
Accessed | Saturday, September 26, 2009 3:43:18 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19735235 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
The orientation of this volume and the Longevity and Optimal Health: Integrating Eastern and Western Perspectives conference is that there is abundant evidence in the scientific and medical literatures that the diligent practice of certain yoga-meditational regimens can lead to a spectrum of health enhancements, ranging from modest to profound, and that these can be investigated in a scientifically rigorous fashion. This overview will summarize these possibilities regarding improved human longevity, regeneration, and protection of health and serve to introduce the perspectives of conference participants from all of the traditions represented.
Type | Journal Article |
---|---|
Author | Wendy Cadge |
Author | Elaine Howard Ecklund |
Abstract | BACKGROUND: Physicians and researchers have recently paid increased attention to prayer in physician-patient interactions. Research focuses more on attitudinal questions about whether physicians and/or patients think prayer is relevant than on actual data about when and how prayer comes up in the clinic and how physicians respond. We focus on pediatric physicians to investigate: 1) how prayer enters clinical contexts and 2) how physicians respond. METHODS: We examined in-depth interviews with 30 academic pediatricians and pediatric oncologists. All of these physicians were employed by the most highly ranked hospitals according to US News and World Report. RESULTS: In close to 100% of cases when the subject of prayer came up in clinical contexts, it was patients and families who raised it. Patients and families mostly talked about prayer in response to a seriously ill or dying child. When it was raised, pediatric physicians responded to prayer by participating; accommodating but not participating; reframing; and directing families to other resources. CONCLUSIONS: Physicians wanted to respect patients and families around the topic of prayer. They negotiated between patient/family requests, the specific situation, and their own comfort levels to respond in one of four ways. Their four responses allowed researchers to generate hypotheses about the independent variables that influence how pediatric physicians respond to prayer. Asking how prayer actually came up in clinical situations rather than how patients and/or physicians thought it should be raised, better informs ongoing conversations about the significance of prayer in physician-patient interactions. |
Publication | Southern Medical Journal |
Volume | 102 |
Issue | 12 |
Pages | 1218-1221 |
Date | Dec 2009 |
Journal Abbr | South. Med. J |
DOI | 10.1097/SMJ.0b013e3181bfac71 |
ISSN | 1541-8243 |
Short Title | Prayers in the clinic |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/20016427 |
Accessed | Monday, December 28, 2009 12:15:08 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20016427 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | W Cadge |
Author | EH Ecklund |
Author | N Short |
Abstract | We investigate how 30 pediatricians and pediatric oncologists who practice and teach at elite medical centers determine whether religion and spirituality are relevant to what Andrew Abbot (1988) calls their professional "jurisdictions." Through in-depth interviews we focus on their everyday interactions with patients and families. We ask: (1) How do they gather information about religion and spirituality and determine when that information is relevant to their professional work? (2) Do they perceive religion and spirituality to be a barrier or a bridge to medical care as they do what Thomas Gieryn (1983) calls "boundary work"? We find that pediatric oncologists more than pediatricians see religion and spirituality as relevant to their professional work, though still largely outside their professional jurisdiction. It is most relevant when families are making medical decisions and in end of life situations. Physicians tend to view religion and spirituality functionally, describing impermeable boundaries in medical decision making situations and more permeable boundaries at the end of life. Physicians view religion and spirituality as a barrier when it impedes medical recommendations and as a bridge when it helps families answer questions medicine inherently cannot. Such findings have implications for a wide range of professionals as they negotiate their jurisdictions, particularly around religion and spirituality, in everyday practice. |
Publication | Social Problems |
Volume | 56 |
Issue | 4 |
Pages | 702-721 |
Date | NOV 2009 |
DOI | 10.1525/sp.2009.56.4.702 |
ISSN | 0037-7791 |
Short Title | Religion and Spirituality |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=GeneralSearch&qid=1&… |
Accessed | Wednesday, December 02, 2009 9:13:11 PM |
Library Catalog | ISI Web of Knowledge |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Book |
---|---|
Author | Barbara Caiger |
Abstract | This is a book about the practice of a healing ministry in a faith community. The concept of parish nursing is a burgeoning field in nursing practice today and this book offers practical guidelines, tips, and wonderful stories of parish nursing ministry. This book is intended for faith communities, nurses, nursing instructors, faith community leaders, physicians in family practice, and anyone interested in the field of parish nursing. There is useful information for everyone. Barbara's role evolved from her ongoing recognition of changing health care needs. At the same time as the Reverend Granger Westberg began a similar movement in the United States, and before his work was known in Canada, Barbara envisioned how a nurse could promote health and healing in the congregation and the community. As a respected member of a committed, caring ministry team, she developed a practice that included education, advocacy, empowerment, emotional and spiritual support, and connection with community services. Emerging out of her 15 years of experience, this book promotes excellent, practical, "how to" aspects of parish nursing. It is a uniquely Canadian, uniquely nursing, experiential perspective on parish nursing, and a must for anyone interested in this field. |
Publisher | Trafford Publishing |
Date | 2006-04-26 |
# of Pages | 573 |
Language | en |
ISBN | 9781412053853 |
Short Title | Walking Alongside |
Library Catalog | Google Books |
Date Added | Tuesday, December 13, 2011 7:43:03 PM |
Modified | Tuesday, December 13, 2011 7:43:03 PM |
Type | Journal Article |
---|---|
Author | L C Callister |
Author | S Semenic |
Author | J C Foster |
Abstract | This descriptive, phenomenological study investigated the cultural and spiritual meanings of the childbirth experience from the personal perspectives of 30 Canadian Orthodox Jewish and 30 American Mormon women. Fewer Jewish women had childbirth education and attendance of their partners during childbirth than did Mormon women. Participants in the study, having codified belief systems, expressed the primary importance of bearing children in obedience to religious law. Birth was articulated as a bittersweet paradox, often accompanied by a sense of empowerment. Women described the importance of personal connectedness with others and with God, the importance of childbearing, and the spiritual and emotional dimensions of their childbirth experiences. Religious beliefs help women define the meaning of childbirth and may provide coping mechanisms for the intensity of giving birth. It is essential for holistic nurses to value and acknowledge the cultural and spiritual dimensions of the childbirth experience. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 17 |
Issue | 3 |
Pages | 280-295 |
Date | Sep 1999 |
Journal Abbr | J Holist Nurs |
ISSN | 0898-0101 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/10690070 |
Accessed | Tuesday, November 03, 2009 10:29:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10690070 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
This descriptive, phenomenological study investigated the cultural and spiritual meanings of the childbirth experience from the personal perspectives of 30 Canadian Orthodox Jewish and 30 American Mormon women. Fewer Jewish women had childbirth education and attendance of their partners during childbirth than did Mormon women. Participants in the study, having codified belief systems, expressed the primary importance of bearing children in obedience to religious law. Birth was articulated as a bittersweet paradox, often accompanied by a sense of empowerment. Women described the importance of personal connectedness with others and with God, the importance of childbearing, and the spiritual and emotional dimensions of their childbirth experiences. Religious beliefs help women define the meaning of childbirth and may provide coping mechanisms for the intensity of giving birth. It is essential for holistic nurses to value and acknowledge the cultural and spiritual dimensions of the childbirth experience.
Type | Journal Article |
---|---|
Author | Andrea Calvo |
Author | Cristina Moglia |
Author | Antonio Ilardi |
Author | Stefania Cammarosano |
Author | Sara Gallo |
Author | Antonio Canosa |
Author | Enza Mastro |
Author | Anna Montuschi |
Author | Adriano Chiò |
Abstract | Abstract It has been repeatedly shown that religiousness and spirituality have positive effects on quality of life (QoL) and outcome in ALS patients. There are, however, very few data on the impact of religiousness/spirituality on ALS caregivers. We determined the impact of religiousness on caregivers and its correlation with quality of life, depression and anxiety. A total of 75 consecutive ALS patients and their informal caregivers were interviewed using tests evaluating religiousness, depression, anxiety, quality of life and satisfaction with life. Results showed that there was a significant correlation between patients and caregivers' public and total religiousness. Caregivers' private religiousness was related to their age and education level, while their public religiousness was related only to their education level. Caregivers' quality of life was related to their private religiousness and satisfaction with life with their total religiousness. We conclude that religiousness is positively associated with ALS caregivers' quality of life and satisfaction with life, in a measure similar to that observed in ALS patients. Health care professionals caring for ALS patients should consider that the needs of the caregivers include religious/spiritual concerns. |
Publication | Amyotrophic Lateral Sclerosis: Official Publication of the World Federation of Neurology Research Group on Motor Neuron Diseases |
Volume | 12 |
Issue | 3 |
Pages | 168-171 |
Date | May 2011 |
Journal Abbr | Amyotroph Lateral Scler |
DOI | 10.3109/17482968.2011.560947 |
ISSN | 1471-180X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21348787 |
Accessed | Wednesday, June 08, 2011 6:30:30 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21348787 |
Date Added | Thursday, September 29, 2011 8:54:49 AM |
Modified | Thursday, September 29, 2011 8:54:49 AM |
Type | Journal Article |
---|---|
Author | Donald Capps |
Abstract | Taking its point of departure from the author's theory that humor has a placebo effect, this article explores evidence that placebos have a positive biochemical effect, argues on the basis of this evidence that the placebo serves religious ends, and draws implications of this argument for physicians with religious convictions and for pastors who understand themselves to be agents of hope. It specifically argues that physicians should not pray with their patients and pastors should inform their parishioners of the negative as well as the positive effects of religion. [ABSTRACT FROM AUTHOR] |
Publication | Pastoral Psychology |
Volume | 59 |
Issue | 5 |
Pages | 541-549 |
Date | October 2010 |
DOI | 10.1007/s11089-009-0258-y |
ISSN | 00312789 |
Date Added | Thursday, September 29, 2011 8:59:59 AM |
Modified | Thursday, September 29, 2011 8:59:59 AM |
Type | Journal Article |
---|---|
Author | James Carmody |
Abstract | A number of issues important to the clinical utility of mindfulness require systematic study. These include the most parsimonious definition of mindfulness for clinical purposes, how mindfulness is best described to be most approachable to patients, and the extent to which mindfulness shares common mechanisms with other mind-body programs. The discussion includes a brief review of the transition of mindfulness from traditional into clinical settings as well as the components commonly contained within clinical descriptions of mindfulness. A model based on facility in the use of attention is proposed, and a description of mechanisms by which attentional skill may lead to the recognition of internal associational processes and account for psychological outcomes is given. Using constructs already familiar to patients, an attention-based conception may also be more accessible to patients than more elaborate descriptions and have greater utility in identifying commonalities that mindfulness training may have with other mind-body programs. |
Publication | Journal of Cognitive Psychotherapy |
Volume | 23 |
Pages | 270-280 |
Date | August 2009 |
DOI | 10.1891/0889-8391.23.3.270 |
URL | http://www.ingentaconnect.com/content/springer/jcogp/2009/00000023/00000003/art00007 |
Accessed | Saturday, September 26, 2009 5:03:13 PM |
Library Catalog | IngentaConnect |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
A number of issues important to the clinical utility of mindfulness require systematic study. These include the most parsimonious definition of mindfulness for clinical purposes, how mindfulness is best described to be most approachable to patients, and the extent to which mindfulness shares common mechanisms with other mind-body programs. The discussion includes a brief review of the transition of mindfulness from traditional into clinical settings as well as the components commonly contained within clinical descriptions of mindfulness. A model based on facility in the use of attention is proposed, and a description of mechanisms by which attentional skill may lead to the recognition of internal associational processes and account for psychological outcomes is given. Using constructs already familiar to patients, an attention-based conception may also be more accessible to patients than more elaborate descriptions and have greater utility in identifying commonalities that mindfulness training may have with other mind-body programs.
Type | Journal Article |
---|---|
Author | Tracy Jean Carr |
Abstract | Although nurses of the past and present recognize the importance of spiritual care to health and healing, in practice and education, spiritual care dwells on the periphery of the profession. The purpose of this study was to gain a better understanding of the reasons behind this contradiction. Using the phenomenological approach, open-ended interviews were conducted with 29 individuals, including oncology nurses, patients and their families, chaplains, and hospital administrators. Their accounts reveal examples of how attitudes, beliefs, and practices of the larger organizational culture can shape the everyday lived experience of bedside nursing. Specifically, these influences tend to create a lived space that is uncaring, and a lived time that is "too tight." Moreover, lived body is experienced as an object for technical intervention, and lived other is experienced from a distance rather than "up close and personal." It was argued that, together, these existential experiences of lived time, space, body, and other create formidable barriers to spiritual nursing care. |
Publication | Qualitative Health Research |
Volume | 20 |
Issue | 10 |
Pages | 1379-1392 |
Date | Oct 2010 |
Journal Abbr | Qual Health Res |
DOI | 10.1177/1049732310372377 |
ISSN | 1049-7323 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20530402 |
Accessed | Monday, November 15, 2010 3:09:21 PM |
Date Added | Thursday, September 29, 2011 8:59:59 AM |
Modified | Thursday, September 29, 2011 8:59:59 AM |
Type | Book |
---|---|
Author | Verna Benner Carson |
Author | Harold George Koenig |
Abstract | Parish nursing presents a new approach to healthcare as well as pastoral care, linking together the spiritual and medical communities. With today's over-burdened healthcare system and an aging population, the need for parish nursing is becoming crucial. The parish nurse could be a key link between the two systems, providing truly wholistic care.Parish Nursing describes the preparation needed to become a parish nurse and looks at several leaders in the parish nurse movement, presenting the steps needed to initiate a program and look at the future of parish nursing in the areas of clinical practice, education, and research. The appendix includes: parish nursing curricula, resources for parish nursing, sample surveys and assessment tools, and a sample healing service.Stories from parish nurses illustrate their work as health advocates and educators, counselors, and integrators of faith and health. |
Publisher | Templeton Foundation Press |
Date | 2002-01 |
# of Pages | 253 |
Language | en |
ISBN | 9781890151942 |
Short Title | Parish nursing |
Library Catalog | Google Books |
Date Added | Tuesday, December 13, 2011 7:42:19 PM |
Modified | Tuesday, December 13, 2011 7:42:19 PM |
Type | Journal Article |
---|---|
Author | David J Carter |
Author | Anahita Rashidi |
Abstract | Psychotherapists' knowledge and understanding of Muslim women's culture is essential for them to effectively treat patients. Muslim women's culture is based on Islam, which permeates their thinking patterns, their interaction with themselves and others, and all activities of their daily lives. Western psychotherapy ineffectively treats Muslim women because its individualistic and fragmented method is contrary to the Muslim population's holistic spiritual approach to life. This article provides a theoretical integration of Eastern and Western therapeutic concepts for Muslim women, to promote a more effective therapeutic approach for this population residing in the United States. |
Publication | Holistic Nursing Practice |
Volume | 18 |
Issue | 3 |
Pages | 152-159 |
Date | 2004 May-Jun |
Journal Abbr | Holist Nurs Pract |
ISSN | 0887-9311 |
Short Title | East meets West |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15222603 |
Accessed | Monday, November 02, 2009 1:40:42 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15222603 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Psychotherapists’ knowledge and understanding of Muslim women’s culture is essential for them to effectively treat patients. Muslim women’s culture is based on Islam, which permeates their thinking patterns, their interaction with themselves and others, and all activities of their daily lives. Western psychotherapy ineffectively treats Muslim women because its individualistic and fragmented method is contrary to the Muslim population’s holistic spiritual approach to life. This article provides a theoretical integration of Eastern and Western therapeutic concepts for Muslim women, to promote a more effective therapeutic approach for this population residing in the United States.
Type | Journal Article |
---|---|
Author | Elizabeth Ann Catlin |
Author | Wendy Cadge |
Author | Elaine Howard Ecklund |
Author | Elizabeth A Gage |
Author | Angelika Annette Zollfrank |
Abstract | PURPOSE: Physicians' spiritual and religious identities, beliefs, and practices are beginning to be explored. The objective of this study was to gather descriptive information about personal religion and spirituality from a random sample of academic American pediatricians and to compare this information with similar data from the public. METHOD: In 2005, a Web-based survey of a random sample of 208 pediatrician faculty from 13 academic centers ranked by the US News & World Report as "honor roll" hospitals was conducted. Surveys elicited information about personal beliefs and practices as well as their influence on decisions about patient care and clinical practice. Multiple questions were replicated from the General Social Survey to enable comparisons with the public. Descriptive statistics were generated, and logistic regression analyses were conducted on relevant variables. RESULTS: Nearly 88% of respondents were raised in a religious tradition, but just 67.2% claimed current religious identification. More than half (52.6%) reported praying privately; additional spiritual practices reported included relaxation techniques (38.8%), meditation (29.3%), sacred readings (26.7%), and yoga (19%). The majority of academic pediatricians (58.6%) believed that personal spiritual or religious beliefs influenced their interactions with patients/colleagues. These odds increased 5.1-fold when academic pediatricians attended religious services monthly or more (P < .05). CONCLUSIONS: Compared with the American public, a notably smaller proportion of academic pediatricians reported a personal religious identity. The majority believed spiritual and religious beliefs influenced their practice of pediatrics. Whether secular or faith-based belief systems measurably modify academic pediatric practice is unknown. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 83 |
Issue | 12 |
Pages | 1146-1152 |
Date | Dec 2008 |
Journal Abbr | Acad Med |
DOI | 10.1097/ACM.0b013e31818c64a5 |
ISSN | 1938-808X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19202482 |
Accessed | Monday, November 09, 2009 12:42:00 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19202482 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Purpose: Physicians’ spiritual and religious identities, beliefs, and practices are beginning to be explored. The objective of this study was to gather descriptive information about personal religion and spirituality from a random sample of academic American pediatricians and to compare this information with similar data from the public. Method: In 2005, a Web-based survey of a random sample of 208 pediatrician faculty from 13 academic centers ranked by the US News & World Report as “honor roll” hospitals was conducted. Surveys elicited information about personal beliefs and practices as well as their influence on decisions about patient care and clinical practice. Multiple questions were replicated from the General Social Survey to enable comparisons with the public. Descriptive statistics were generated, and logistic regression analyses were conducted on relevant variables. Results: Nearly 88% of respondents were raised in a religious tradition, but just 67.2% claimed current religious identification. More than half (52.6%) reported praying privately; additional spiritual practices reported included relaxation techniques (38.8%), meditation (29.3%), sacred readings (26.7%), and yoga (19%). The majority of academic pediatricians (58.6%) believed that personal spiritual or religious beliefs influenced their interactions with patients/colleagues. These odds increased 5.1-fold when academic pediatricians attended religious services monthly or more (P < .05). Conclusions: Compared with the American public, a notably smaller proportion of academic pediatricians reported a personal religious identity. The majority believed spiritual and religious beliefs influenced their practice of pediatrics. Whether secular or faith-based belief systems measurably modify academic pediatric practice is unknown.
Type | Journal Article |
---|---|
Author | Joseph M Cervantes |
Abstract | Development of culturally syntonic models for treatment that are consistent with belief systems of ethnically diverse populations is at a beginning stage of evolution. This paper is a step toward laying a new conceptual and psychotherapeutic approach with Latina/o clients, specifically those of Mexican American and Mexican backgrounds. It is argued that a psychospiritual belief system is at the base of these populations, and that a culturally consistent framework must appropriately address theory, skills, and practice. Mestizo spirituality is presented and described, and a review of those forces that have impacted this understanding is offered. Key concepts, therapeutic goals, and relationship assumptions of the model, two case examples, application, and limitations of this framework are provided. Lastly, implications for professional practice are given. (PsycINFO Database Record (c) 2010 APA, all rights reserved). |
Publication | Psychotherapy (Chicago, Ill.) |
Volume | 47 |
Issue | 4 |
Pages | 527-539 |
Date | Dec 2010 |
Journal Abbr | Psychotherapy (Chic) |
DOI | 10.1037/a0022078 |
ISSN | 1939-1536 |
Short Title | Mestizo spirituality |
Accessed | Tuesday, January 18, 2011 7:05:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21198240 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | C Chan |
Author | P S Ho |
Author | E Chow |
Abstract | Under the division of labor of Western medicine, the medical physician treats the body of patients, the social worker attends to their emotions and social relations, while the pastoral counselor provides spiritual guidance. Body, mind, cognition, emotion and spirituality are seen as discrete entities. In striking contrast, Eastern philosophies of Buddhism, Taoism and traditional Chinese medicine adopt a holistic conceptualization of an individual and his or her environment. In this view, health is perceived as a harmonious equilibrium that exists between the interplay of 'yin' and 'yang': the five internal elements (metal, wood, water, fire and earth), the six environmental conditions (dry, wet, hot, cold, wind and flame), other external sources of harm (physical injury, insect bites, poison, overeat and overwork), and the seven emotions (joy, sorrow, anger, worry, panic, anxiety and fear). The authors have adopted a body-mind-spirit integrated model of intervention to promote the health of their Chinese clients. Indeed, research results on these body-mind-spirit groups for cancer patients, bereaved wives and divorced women have shown very positive intervention outcomes. There are significant improvements in their physical health, mental health, sense of control and social support. |
Publication | Social Work in Health Care |
Volume | 34 |
Issue | 3-4 |
Pages | 261-282 |
Date | 2001 |
Journal Abbr | Soc Work Health Care |
ISSN | 0098-1389 |
Short Title | A body-mind-spirit model in health |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12243428 |
Accessed | Thursday, November 12, 2009 9:52:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12243428 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Under the division of labor of Western medicine, the medical physician treats the body of patients, the social worker attends to their emotions and social relations, while the pastoral counselor provides spiritual guidance. Body, mind, cognition, emotion and spirituality are seen as discrete entities. In striking contrast, Eastern philosophies of Buddhism, Taoism and traditional Chinese medicine adopt a holistic conceptualization of an individual and his or her environment. In this view, health is perceived as a harmonious equilibrium that exists between the interplay of ‘yin’ and ‘yang’: the five internal elements (metal, wood, water, fire and earth), the six environmental conditions (dry, wet, hot, cold, wind and flame), other external sources of harm (physical injury, insect bites, poison, overeat and overwork), and the seven emotions (joy, sorrow, anger, worry, panic, anxiety and fear). The authors have adopted a body-mind-spirit integrated model of intervention to promote the health of their Chinese clients. Indeed, research results on these body-mind-spirit groups for cancer patients, bereaved wives and divorced women have shown very positive intervention outcomes. There are significant improvements in their physical health, mental health, sense of control and social support.
Type | Journal Article |
---|---|
Author | S Chattopadhyay |
Abstract | Religion, spirituality, health and medicine have common roots in the conceptual framework of relationship amongst human beings, nature and God. Of late, there has been a surge in interest in understanding the interplay of religion, spirituality, health and medicine, both in popular and scientific literature. A number of published empirical studies suggest that religious involvement is associated with better outcomes in physical and mental health. Despite some methodological limitations, these studies do point towards a positive association between religious involvement and better health. When faced with disease, disability and death, many patients would like physicians to address their emotional and spiritual needs, as well. The renewed interest in the interaction of religion and spirituality with health and medicine has significant implications in the Indian context. Although religion is translated as dharma in major Indian languages, dharma and religion are etymologically different and dharma is closer to spirituality than religion as an organized institution. Religion and spirituality play important roles in the lives of millions of Indians and therefore, Indian physicians need to respectfully acknowledge religious issues and address the spiritual needs of their patients. Incorporating religion and spirituality into health and medicine may also go a long way in making the practice of medicine more holistic, ethical and compassionate. It may also offer new opportunities to learn more about Ayurveda and other traditional systems of medicine and have more enriched understanding and collaborative interaction between different systems of medicine. Indian physicians may also find religion and spirituality significant and fulfilling in their own lives. |
Publication | Journal of Postgraduate Medicine |
Volume | 53 |
Issue | 4 |
Pages | 262-266 |
Date | 2007 Oct-Dec |
Journal Abbr | J Postgrad Med |
ISSN | 0022-3859 |
Short Title | Religion, spirituality, health and medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18097118 |
Accessed | Friday, November 13, 2009 6:24:33 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18097118 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Religion, spirituality, health and medicine have common roots in the conceptual framework of relationship amongst human beings, nature and God. Of late, there has been a surge in interest in understanding the interplay of religion, spirituality, health and medicine, both in popular and scientific literature. A number of published empirical studies suggest that religious involvement is associated with better outcomes in physical and mental health. Despite some methodological limitations, these studies do point towards a positive association between religious involvement and better health. When faced with disease, disability and death, many patients would like physicians to address their emotional and spiritual needs, as well. The renewed interest in the interaction of religion and spirituality with health and medicine has significant implications in the Indian context. Although religion is translated as dharma in major Indian languages, dharma and religion are etymologically different and dharma is closer to spirituality than religion as an organized institution. Religion and spirituality play important roles in the lives of millions of Indians and therefore, Indian physicians need to respectfully acknowledge religious issues and address the spiritual needs of their patients. Incorporating religion and spirituality into health and medicine may also go a long way in making the practice of medicine more holistic, ethical and compassionate. It may also offer new opportunities to learn more about Ayurveda and other traditional systems of medicine and have more enriched understanding and collaborative interaction between different systems of medicine. Indian physicians may also find religion and spirituality significant and fulfilling in their own lives.
Type | Journal Article |
---|---|
Author | Kerry H Cheever |
Author | Boyce Jubilan |
Author | Thomas Dailey |
Author | Kathleen Ehrhardt |
Author | Robert Blumenstein |
Author | Christopher J Morin |
Author | Charles Lewis |
Abstract | This study aimed to identify the religious practices and beliefs of surgeons and the relationship between surgeons' locus of control and religiosity. Thirty-five surgeons completed a survey that included items from the Duke University Religion Index, the Salesian Center Intrinsic Religiosity Scale for Clinicians, and Rotter's Locus of Control Scale. Over 68% of sampled surgeons affirmed that their religious beliefs play a part in their practice, 47% attend religious services at least weekly, and 44% pray daily. There was no correlation between locus of control and religiosity. These results challenge the myth of the egocentric, agnostic surgeon. |
Publication | Journal of Religion and Health |
Volume | 44 |
Issue | 1 |
Pages | 67-80 |
Date | 2005 |
Journal Abbr | J Relig Health |
ISSN | 0022-4197 |
Short Title | Surgeons and the spirit |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16285133 |
Accessed | Friday, November 13, 2009 3:30:01 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16285133 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This study aimed to identify the religious practices and beliefs of surgeons and the relationship between surgeons’ locus of control and religiosity. Thirty-five surgeons completed a survey that included items from the Duke University Religion Index, the Salesian Center Intrinsic Religiosity Scale for Clinicians, and Rotter’s Locus of Control Scale. Over 68% of sampled surgeons affirmed that their religious beliefs play a part in their practice, 47% attend religious services at least weekly, and 44% pray daily. There was no correlation between locus of control and religiosity. These results challenge the myth of the egocentric, agnostic surgeon.
Type | Journal Article |
---|---|
Author | John T. Chibnall |
Author | Joseph M. Jeral |
Author | Michael A. Cerullo |
Abstract | EXPERIMENTAL studies on the health effects of distant intercession (prayer) ignore important facets of construct validity, philosophy of science, and theology while focusing on issues like randomization and double-blinding. These tendencies reflect a desire on the part of researchers to remove nature as a causal factor when intercession seems efficacious. We argue that close attention to construct validity of cause-and-effect variables invalidates distant intercessory prayer as a scientific construct. Further, the application of statistical techniques to metaphysical causal phenomena is critiqued. We conclude that research on the effects of religion and spirituality on health should avoid attempting to validate God through scientific methods. |
Publication | Archives of Internal Medicine |
Volume | 161 |
Issue | 21 |
Pages | 2529-2536 |
Date | November 26, 2001 |
DOI | 10.1001/archinte.161.21.2529 |
Short Title | Experiments on Distant Intercessory Prayer |
URL | http://archinte.ama-assn.org |
Accessed | Friday, October 09, 2009 1:23:50 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
EXPERIMENTAL studies on the health effects of distant intercession (prayer) ignore important facets of construct validity, philosophy of science, and theology while focusing on issues like randomization and double-blinding. These tendencies reflect a desire on the part of researchers to remove nature as a causal factor when intercession seems efficacious. We argue that close attention to construct validity of cause-and-effect variables invalidates distant intercessory prayer as a scientific construct. Further, the application of statistical techniques to metaphysical causal phenomena is critiqued. We conclude that research on the effects of religion and spirituality on health should avoid attempting to validate God through scientific methods.
Type | Journal Article |
---|---|
Author | Alberto Chiesa |
Abstract | OBJECTIVE: Despite the growing interest in the neurobiological and clinical correlates of many meditative practices, in particular mindfulness meditations, no review has specifically focused on current evidence on electroencephalographic, neuroimaging, biological, and clinical evidence about an important traditional practice, Zen meditation. METHODS: A literature search was conducted using MEDLINE, the ISI Web of Knowledge, the Cochrane collaboration database, and references of selected articles. Randomized controlled and cross-sectional studies with controls published in English prior to May 2008 were included. RESULTS: Electroencephalographic studies on Zen meditation found increased alpha and theta activity, generally related to relaxation, in many brain regions, including the frontal cortex. Theta activity in particular seemed to be related to the degree of experience, being greater in expert practitioners and advanced masters. Moreover, Zen meditation practice could protect from cognitive decline usually associated with age and enhance antioxidant activity. From a clinical point of view, Zen meditation was found to reduce stress and blood pressure, and be efficacious for a variety of conditions, as suggested by positive findings in therapists and musicians. CONCLUSION: To date, actual evidence about Zen meditation is scarce and highlights the necessity of further investigations. Comparison with further active treatments, explanation of possible mechanisms of action, and the limitations of current evidence are discussed. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 15 |
Issue | 5 |
Pages | 585-592 |
Date | May 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0416 |
ISSN | 1557-7708 |
Short Title | Zen meditation |
Accessed | Tuesday, February 22, 2011 7:11:26 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19422285 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Lisa Astalos Chism |
Author | Morris A Magnan |
Abstract | Guided by Chism's Middle-Range Theory of Spiritual Empathy, the overarching purpose of this study was to determine the extent to which nursing students' spiritual care perspectives account for their expressions of spiritual empathy. In this descriptive correlational study, spiritual care perspectives accounted for 8.6% of the variance in nursing students' (N = 223) expressions of spiritual empathy after controlling for relevant demographic and spirituality variables. Findings of the study suggest that the provision of spiritual care in nursing practice depends, in part, on nurses clarifying their own spiritual care perspectives. |
Publication | The Journal of Nursing Education |
Volume | 48 |
Issue | 11 |
Pages | 597-605 |
Date | Jul 30, 2009 |
Journal Abbr | J Nurs Educ |
DOI | 10.3928/01484834-20090716-05 |
ISSN | 0148-4834 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19650610 |
Accessed | Saturday, September 26, 2009 4:10:32 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19650610 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Maxine Christmas |
Publication | Nursing Times |
Volume | 98 |
Issue | 11 |
Pages | 37-39 |
Date | 2002 Mar 14-20 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 3 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11933807 |
Accessed | Monday, November 02, 2009 1:58:58 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11933807 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Type | Journal Article |
---|---|
Author | Michael S Christopher |
Author | Sukjai Charoensuk |
Author | Brennan D Gilbert |
Author | Timothy J Neary |
Author | Kelly L Pearce |
Abstract | The study and practice of mindfulness is rapidly expanding in Western psychology. Recently developed self-report measures of mindfulness were derived from Western operationalizations and cross-cultural validation of many of these measures is lacking, particularly in Buddhist cultures. Therefore, this study examined the measurement equivalence of the Kentucky Inventory of Mindfulness Skills (KIMS) and Mindful Attention Awareness Scale (MAAS) among Thai (n=385) and American (n=365) college students. Multigroup confirmatory factor analysis models fit to the data revealed that the KIMS lacked configural invariance across groups, which precluded subsequent invariance tests, and although the MAAS demonstrated configural, metric, and partial scalar invariance, there was no significant latent mean MAAS difference between Thais and Americans. These findings suggest that Eastern and Western conceptualizations of mindfulness may have important differences. |
Publication | Journal of Clinical Psychology |
Volume | 65 |
Issue | 6 |
Pages | 590-612 |
Date | Jun 2009 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20580 |
ISSN | 1097-4679 |
Short Title | Mindfulness in Thailand and the United States |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19358288 |
Accessed | Saturday, September 26, 2009 3:17:08 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19358288 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
The study and practice of mindfulness is rapidly expanding in Western psychology. Recently developed self-report measures of mindfulness were derived from Western operationalizations and cross-cultural validation of many of these measures is lacking, particularly in Buddhist cultures. Therefore, this study examined the measurement equivalence of the Kentucky Inventory of Mindfulness Skills (KIMS) and Mindful Attention Awareness Scale (MAAS) among Thai (n=385) and American (n=365) college students. Multigroup confirmatory factor analysis models fit to the data revealed that the KIMS lacked configural invariance across groups, which precluded subsequent invariance tests, and although the MAAS demonstrated configural, metric, and partial scalar invariance, there was no significant latent mean MAAS difference between Thais and Americans. These findings suggest that Eastern and Western conceptualizations of mindfulness may have important differences.
Type | Journal Article |
---|---|
Author | A Mark Clarfield |
Author | Michael Gordon |
Author | Hazel Markwell |
Author | Shabbir M H Alibhai |
Abstract | Ethical dilemmas pervade modern geriatric medicine. What is considered right or wrong will differ depending on, among other things, the patient's religion. The three Abrahamic monotheistic religions, Judaism, Christianity (its Catholic variant), and Islam all have carefully considered positions on medical ethics. Although much is held in common, there are significant differences. The authors present three clinical cases, each of which presents ethical dilemmas typical of geriatric care, especially at the end of life. On the basis of these scenarios, the normative ethical position of each religion is compared and contrasted. It is hoped that this approach will offer the geriatrician a useful approach to treating patients in an increasingly multicultural society. |
Publication | Journal of the American Geriatrics Society |
Volume | 51 |
Issue | 8 |
Pages | 1149-1154 |
Date | Aug 2003 |
Journal Abbr | J Am Geriatr Soc |
ISSN | 0002-8614 |
Short Title | Ethical issues in end-of-life geriatric care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12890081 |
Accessed | Monday, November 02, 2009 1:42:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12890081 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Ethical dilemmas pervade modern geriatric medicine. What is considered right or wrong will differ depending on, among other things, the patient’s religion. The three Abrahamic monotheistic religions, Judaism, Christianity (its Catholic variant), and Islam all have carefully considered positions on medical ethics. Although much is held in common, there are significant differences. The authors present three clinical cases, each of which presents ethical dilemmas typical of geriatric care, especially at the end of life. On the basis of these scenarios, the normative ethical position of each religion is compared and contrasted. It is hoped that this approach will offer the geriatrician a useful approach to treating patients in an increasingly multicultural society.
Type | Journal Article |
---|---|
Author | Peter A. Clark |
Publication | Journal of Public Health Policy |
Volume | 21 |
Issue | 4 |
Pages | 447-470 |
Date | 2000 |
ISSN | 01975897 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3343283 |
Accessed | Tuesday, November 10, 2009 1:17:59 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: 2000 / Copyright © 2000 Palgrave Macmillan Journals |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Janice Clarke |
Abstract | AIMS: To offer a detailed discussion of the issue of 'lack of critique' in the literature on spirituality in nursing. The discussion will include the limited use of sources from theology and religious studies and the demand to separate spirituality and religion and will go on to examine the consequences of the resulting approach. The drive for unique knowledge to further professionalisation and the demands of inclusiveness are suggested as possible reasons for the development of the current model. The dangers and pitfalls of definition are explored. The paper suggests that theology could provide insights into explaining spirituality. BACKGROUND: The last four decades have seen a proliferation of definitions of spirituality in the nursing literature. Recently, in response to their own concerns and prompts from outside the 'spirituality' community authors have suggested that we revisit this literature with a more critical stance. This paper is in response to that suggestion. During the course of a PhD supervised from a department of practical theology I have critically analysed the literature from several perspectives and this paper is one result of that review. DESIGN: Literature review. METHODS: Critical reflection on how spirituality has been defined. CONCLUSION: The lack of critique has produced a bias in the literature towards broad, generic, existential definitions which, together with the intentional divorce from religion and theology have led to definitions which have the tendency to result in a type of spiritual care which is indistinguishable from psychosocial care, hard to explain to patients and difficult to put into practice. RELEVANCE TO CLINICAL PRACTICE: The acceptance of a diverse range of understandings of spirituality and a greater focus on practical ways of using it in nursing care are the direction the profession should be moving into. |
Publication | Journal of Clinical Nursing |
Volume | 18 |
Issue | 12 |
Pages | 1666-1673 |
Date | Jun 2009 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2008.02707.x |
ISSN | 1365-2702 |
Accessed | Tuesday, February 22, 2011 6:42:08 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19646113 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
AIMS: To offer a detailed discussion of the issue of ‘lack of critique’ in the literature on spirituality in nursing. The discussion will include the limited use of sources from theology and religious studies and the demand to separate spirituality and religion and will go on to examine the consequences of the resulting approach.
Type | Journal Article |
---|---|
Author | Janice Clarke |
Abstract | AIMS: To offer a detailed discussion of the issue of 'lack of critique' in the literature on spirituality in nursing. The discussion will include the limited use of sources from theology and religious studies and the demand to separate spirituality and religion and will go on to examine the consequences of the resulting approach. The drive for unique knowledge to further professionalisation and the demands of inclusiveness are suggested as possible reasons for the development of the current model. The dangers and pitfalls of definition are explored. The paper suggests that theology could provide insights into explaining spirituality. BACKGROUND: The last four decades have seen a proliferation of definitions of spirituality in the nursing literature. Recently, in response to their own concerns and prompts from outside the 'spirituality' community authors have suggested that we revisit this literature with a more critical stance. This paper is in response to that suggestion. During the course of a PhD supervised from a department of practical theology I have critically analysed the literature from several perspectives and this paper is one result of that review. DESIGN: Literature review. METHODS: Critical reflection on how spirituality has been defined. CONCLUSION: The lack of critique has produced a bias in the literature towards broad, generic, existential definitions which, together with the intentional divorce from religion and theology have led to definitions which have the tendency to result in a type of spiritual care which is indistinguishable from psychosocial care, hard to explain to patients and difficult to put into practice. RELEVANCE TO CLINICAL PRACTICE: The acceptance of a diverse range of understandings of spirituality and a greater focus on practical ways of using it in nursing care are the direction the profession should be moving into. |
Publication | Journal of Clinical Nursing |
Volume | 18 |
Issue | 12 |
Pages | 1666-1673 |
Date | Jun 2009 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2008.02707.x |
ISSN | 1365-2702 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19646113 |
Accessed | Friday, November 13, 2009 8:10:15 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19646113 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
Type | Journal Article |
---|---|
Author | Marc M Cohen |
Author | Stephen Penman |
Author | Marie Pirotta |
Author | Cliff Da Costa |
Abstract | METHODS: Australian general practitioners' (GPs) attitudes toward and use of a range of complementary therapies (CTs) were determined through a self-administered postal survey sent to a random sample of 2000 Australian GPs. The survey canvassed GPs' opinions as to the harmfulness and effectiveness of CTs; current levels of training and interest in further training; personal use of, and use in practice of, CTs; referrals to CT; practitioners; appropriateness for GPs to practice and for government regulation; perceived patient demand and the need for undergraduate education. RESULTS: The response rate was 33.2%. Based on GPs' responses, complementary therapies could be classified into: nonmedicinal and nonmanipulative therapies, such as acupuncture, massage, meditation, yoga, and hypnosis, that were seen to be highly effective and safe; medicinal and manipulative therapies, including chiropractic, Chinese herbal medicine, osteopathy, herbal medicine, vitamin and mineral therapy, naturopathy, and homeopathy, which more GPs considered potentially harmful than potentially effective; and esoteric therapies, such as spiritual healing, aromatherapy, and reflexology, which were seen to be relatively safe yet also relatively ineffective. The risks of CTs were seen to mainly arise from incorrect, inadequate, or delayed diagnoses and interactions between complementary medications and pharmaceuticals, rather than the specific risks of the therapies themselves. CONCLUSIONS: Nonmedicinal therapies along with chiropractic are widely accepted in Australia and can be considered mainstream. GPs are open to training in complementary therapies, and better communication between patients and GPs about use of CTs is required to minimize the risk of adverse events. There is also a need to prioritize and provide funding for further research into the potential adverse events from these therapies and other therapies currently lacking an evidence base. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 11 |
Issue | 6 |
Pages | 995-1004 |
Date | Dec 2005 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2005.11.995 |
ISSN | 1075-5535 |
Short Title | The integration of complementary therapies in Australian general practice |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16398590 |
Accessed | Monday, November 09, 2009 12:43:27 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16398590 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Methods: Australian general practitioners’ (GPs) attitudes toward and use of a range of complementary therapies (CTs) were determined through a self-administered postal survey sent to a random sample of 2000 Australian GPs. The survey canvassed GPs’ opinions as to the harmfulness and effectiveness of CTs; current levels of training and interest in further training; personal use of, and use in practice of, CTs; referrals to CT; practitioners; appropriateness for GPs to practice and for government regulation; perceived patient demand and the need for undergraduate education. Results: The response rate was 33.2%. Based on GPs’ responses, complementary therapies could be classified into: nonmedicinal and nonmanipulative therapies, such as acupuncture, massage, meditation, yoga, and hypnosis, that were seen to be highly effective and safe; medicinal and manipulative therapies, including chiropractic, Chinese herbal medicine, osteopathy, herbal medicine, vitamin and mineral therapy, naturopathy, and homeopathy, which more GPs considered potentially harmful than potentially effective; and esoteric therapies, such as spiritual healing, aromatherapy, and reflexology, which were seen to be relatively safe yet also relatively ineffective. The risks of CTs were seen to mainly arise from incorrect, inadequate, or delayed diagnoses and interactions between complementary medications and pharmaceuticals, rather than the specific risks of the therapies themselves. Conclusions: Nonmedicinal therapies along with chiropractic are widely accepted in Australia and can be considered mainstream. GPs are open to training in complementary therapies, and better communication between patients and GPs about use of CTs is required to minimize the risk of adverse events. There is also a need to prioritize and provide funding for further research into the potential adverse events from these therapies and other therapies currently lacking an evidence base.
Type | Journal Article |
---|---|
Author | Alisa Collins |
Publication | Nursing Times |
Volume | 98 |
Issue | 9 |
Pages | 34-35 |
Date | 2002 Feb 28-Mar 6 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 1 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11917391 |
Accessed | Monday, November 02, 2009 1:59:16 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11917391 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Type | Journal Article |
---|---|
Author | L. A. Conboy |
Author | A. Wilson |
Author | T. Braun |
Abstract | Research in the medical and psychological fields has primarily followed a "disease-focused" approach to health. Although there is growing research on the components and outcomes of well-being, very few studies have focused on traditional practices that can be used as interventions to encourage human flourishing. The current study was developed to address this research gap. We suggest one effective method of increasing psychological well-being, the practice of yoga, an age-old practice that has been said to produce physical and psychological health. In this observational study, we examined associations with participation in a 4-week yoga teacher training resident program. Measurement instruments were chosen to capture changes in psychosocial health and human flourishing. Measurements were taken before the start of the program, immediately after the program, and 3 months postprogram. As expected, in this healthy population, the human flourishing scales showed more change than the psychosocial health scales. For example, in this healthy sample, there were no significant changes in perceived social support, quality of life, or self-efficacy from baseline to the 3-month follow-up. However, optimism, a positive psychology research measure, improved from baseline to follow-up. The mindfulness subscales of observation, awareness, and nonreactivity all improved following the training, suggesting that one benefit of yoga practice is a more refined ability to attend to one's inner experience. This study adds to the growing literature focusing on interventions that move beyond relieving pathology to those that produce optimal functioning and human thriving. |
Publication | The Scientific World Journal |
Volume | 10 |
Pages | 788-795 |
Date | 2010 |
DOI | 10.1100/tsw.2010.87 |
ISSN | 1537-744X |
Short Title | Moving Beyond Health to Flourishing |
Accessed | Tuesday, June 15, 2010 11:22:10 AM |
Library Catalog | ISI Web of Knowledge |
Date Added | Thursday, September 29, 2011 9:04:02 AM |
Modified | Thursday, September 29, 2011 9:04:02 AM |
Type | Journal Article |
---|---|
Author | Ann Connor |
Author | Monica L. Donohue |
Abstract | This article describes the Parish Nurse Faculty Practice Model (PNFPM), which provides care to a medically underserved, high-risk homeless population at a community-based, multipartner service center. The PNFPM offers a holistic integrated approach to care of the mind, body, and spirit and encourages those who are homeless to draw on their faith to improve their health. The faculty practice integrates faith and spirituality as a way to improve health and decrease health disparities using Healthy People 2010's Focus Areas to guide the practice. A variety of approaches are used including art therapy, cognitive behavioral approaches, exercise and health behavior strategies, screenings, advocacy, and referrals. This PNFPM can be replicated by others working with persons who are homeless or other underserved populations. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract) |
Publication | Family & Community Health: The Journal of Health Promotion & Maintenance |
Volume | 33 |
Issue | 2 |
Pages | 123-132 |
Date | April 2010 |
ISSN | 0160-6379 |
Accessed | Tuesday, June 15, 2010 10:18:01 AM |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Dan Cooper |
Author | Michael Aherne |
Author | José Pereira |
Abstract | The Canadian Hospice Palliative Care Association (2002) identifies spiritual care of the dying and their families as a core service for Hospice Palliative Care programs. Yet, until the Spiritual Care Development Initiative of the Canadian Pallium Project, there was no published literature indicating systematic profiling of occupationally relevant core competencies or competency-based training programs specific to this specialized field of practice. This article describes a Canadian Community of Practice process to develop an occupational analysis-based competency profile for the Professional Hospice Palliative Care Spiritual Care Provider utilizing a modified Developing a Curriculum (DACUM) methodology. Competency profiles are important contributions to the development of curricula to train care providers who are recognized by other professions and by institutions as possessing the requisite theoretical and clinical expertise, particularly in academic tertiary care settings. |
Publication | Journal of Palliative Medicine |
Volume | 13 |
Issue | 7 |
Pages | 869-875 |
Date | Jul 2010 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2009.0429 |
ISSN | 1557-7740 |
Accessed | Tuesday, July 27, 2010 11:48:38 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20636158 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | Başak Coruh |
Author | Hana Ayele |
Author | Meredith Pugh |
Author | Thomas Mulligan |
Abstract | OBJECTIVE: Many Americans use religious activity to cope with stressful life events. Our goal was to review systematically the recent medical literature to assess the role of religion in health outcomes. DATA SOURCES: We conducted a comprehensive literature search using MEDLINE to identify studies published in the English language between January 1999 and June 2003 describing the effect of religion on health outcomes. The search strategy used the medical subject headings (MeSH) of religion; religion AND medicine; religion OR intercessory prayer; prayer; prayer therapy; religious rites; faith; medicine, traditional; religiosity; religion AND psychology; and religion AND health. STUDY SELECTION: Religious, but not spiritual, interventions were selected for inclusion. Thus, papers describing interventions such as yoga, meditation, acupuncture, and qigong were excluded. Manuscripts describing randomized controlled trials, clinical trials, and partnerships with faith-based organizations were included. DATA EXTRACTION: We found five randomized controlled trials, four clinical trials, and seven faith-based partnerships that describe the impact of religious intervention on health outcomes. Papers were analyzed by four reviewers using a modified Delphi technique to reach consensus. DATA SYNTHESIS: Religious intervention such as intercessory prayer may improve success rates of in vitro fertilization, decrease length of hospital stay and duration of fever in septic patients, increase immune function, improve rheumatoid arthritis, and reduce anxiety. Frequent attendance at religious services likely improves health behaviors. Moreover, prayer may decrease adverse outcomes in patients with cardiac disease. CONCLUSIONS: Religious activity may improve health outcomes. |
Publication | Explore |
Volume | 1 |
Issue | 3 |
Pages | 186-191 |
Date | May 2005 |
Journal Abbr | Explore (NY) |
DOI | 10.1016/j.explore.2005.02.001 |
ISSN | 1878-7541 |
Short Title | Does religious activity improve health outcomes? |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16781528 |
Accessed | Monday, November 02, 2009 1:10:58 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16781528 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objective: Many Americans use religious activity to cope with stressful life events. Our goal was to review systematically the recent medical literature to assess the role of religion in health outcomes. Data sources: We conducted a comprehensive literature search using MEDLINE to identify studies published in the English language between January 1999 and June 2003 describing the effect of religion on health outcomes. The search strategy used the medical subject headings (MeSH) of religion; religion AND medicine; religion OR intercessory prayer; prayer; prayer therapy; religious rites; faith; medicine, traditional; religiosity; religion AND psychology; and religion AND health. Study selection: Religious, but not spiritual, interventions were selected for inclusion. Thus, papers describing interventions such as yoga, meditation, acupuncture, and qigong were excluded. Manuscripts describing randomized controlled trials, clinical trials, and partnerships with faith-based organizations were included. Data extraction: We found five randomized controlled trials, four clinical trials, and seven faith-based partnerships that describe the impact of religious intervention on health outcomes. Papers were analyzed by four reviewers using a modified Delphi technique to reach consensus. Data synthesis: Religious intervention such as intercessory prayer may improve success rates of in vitro fertilization, decrease length of hospital stay and duration of fever in septic patients, increase immune function, improve rheumatoid arthritis, and reduce anxiety. Frequent attendance at religious services likely improves health behaviors. Moreover, prayer may decrease adverse outcomes in patients with cardiac disease. Conclusions: Religious activity may improve health outcomes.
Type | Journal Article |
---|---|
Author | Waldeciria Costa |
Author | Conceição Nogueira |
Author | Teresa Freire |
Abstract | This study investigated the existence/non-existence of subjects on the theme of religion/spirituality, in psychology degree courses in Brazil. Data were collected from university websites and through e-mail. The data include 301 (84.6%) of all existing courses; the subject of religiosity/spirituality is incorporated into 13% of public institutions and in 16% of private institutions; 84% of the courses do not have this subject incorporated into their curricula. Actually, few programs provide formal training in religion/spirituality. We present the definition of some terms, conclusions from publications within the theme of religion/spirituality, and a brief background on the place that religion holds in the culture of the Brazilians. |
Publication | Journal of Religion and Health |
Volume | 49 |
Issue | 3 |
Pages | 322-332 |
Date | 6/2010 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-009-9255-9 |
ISSN | 0022-4197 |
Short Title | The Lack of Teaching/Study of Religiosity/Spirituality in Psychology Degree Courses in Brazil |
Accessed | Wednesday, October 06, 2010 8:56:14 PM |
Library Catalog | CrossRef |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Journal Article |
---|---|
Author | H Coward |
Author | T Sidhu |
Abstract | Hindus and Sikhs constitute important minority communities in Canada. Although their cultural and religious traditions have profound differences, they both traditionally take a duty-based rather than rights-based approach to ethical decision-making. These traditions also share a belief in rebirth, a concept of karma (in which experiences in one life influence experiences in future lives), an emphasis on the value of purity, and a holistic view of the person that affirms the importance of family, culture, environment and the spiritual dimension of experience. Physicians with Hindu and Sikh patients need to be sensitive to and respectful of the diversity of their cultural and religious assumptions regarding human nature, purity, health and illness, life and death, and the status of the individual. |
Publication | CMAJ: Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne |
Volume | 163 |
Issue | 9 |
Pages | 1167-1170 |
Date | Oct 31, 2000 |
Journal Abbr | CMAJ |
ISSN | 0820-3946 |
Short Title | Bioethics for clinicians |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11079065 |
Accessed | Monday, November 02, 2009 2:02:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11079065 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Hindus and Sikhs constitute important minority communities in Canada. Although their cultural and religious traditions have profound differences, they both traditionally take a duty-based rather than rights-based approach to ethical decision-making. These traditions also share a belief in rebirth, a concept of karma (in which experiences in one life influence experiences in future lives), an emphasis on the value of purity, and a holistic view of the person that affirms the importance of family, culture, environment and the spiritual dimension of experience. Physicians with Hindu and Sikh patients need to be sensitive to and respectful of the diversity of their cultural and religious assumptions regarding human nature, purity, health and illness, life and death, and the status of the individual.
Type | Journal Article |
---|---|
Author | Ralph C. Croizier |
Publication | Comparative Studies in Society and History |
Volume | 12 |
Issue | 3 |
Pages | 275-291 |
Date | Jul., 1970 |
ISSN | 00104175 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/178238 |
Accessed | Monday, October 12, 2009 11:22:36 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jul., 1970 / Copyright © 1970 Society for Comparative Studies in Society and History |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Type | Journal Article |
---|---|
Author | Farr A Curlin |
Author | Kenneth A Rasinski |
Author | Ted J Kaptchuk |
Author | Ezekiel J Emanuel |
Author | Franklin G Miller |
Author | Jon C Tilburt |
Abstract | Abstract OBJECTIVE: The aim of this study was to compare religious characteristics of general internists, rheumatologists, naturopaths, and acupuncturists, as well as to examine associations between physicians' religious characteristics and their openness to integrating complementary and alternative medicine (CAM). DESIGN: The design involved a national mail survey. The subjects were internists, rheumatologists, naturopaths, and acupuncturists. MEASURES: Physician outcome measures were use of and attitudes toward six classes of CAM. Predictors were religious affiliation, intrinsic religiosity, spirituality, and religious traditionalism. RESULTS: There was a 65% response. Naturopaths and acupuncturists were three times as likely as internists and rheumatologists to report no religious affiliation (35% versus 12%, p < 0.001), but were more likely to describe themselves as very spiritual (51% versus 20%, p < 0.001) and to agree they try to carry religious beliefs into life's dealings (51% versus 44%, p < 0.01). Among physicians, increased spirituality and religiosity coincided with more personal use of CAM and willingness to integrate CAM into a treatment program. CONCLUSIONS: Current and future integrative medicine will be shaped in part by religious and spiritual characteristics of providers. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 15 |
Issue | 9 |
Pages | 987-994 |
Date | Sep 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0512 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19757976 |
Accessed | Saturday, February 05, 2011 8:57:42 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19757976 |
Date Added | Thursday, September 29, 2011 9:06:02 AM |
Modified | Thursday, September 29, 2011 9:06:02 AM |
Objective: The aim of this study was to compare religious characteristics of general internists, rheumatologists, naturopaths, and acupuncturists, as well as to examine associations between physicians’ religious characteristics and their openness to integrating complementary and alternative medicine (CAM). Design: The design involved a national mail survey. The subjects were internists, rheumatologists, naturopaths, and acupuncturists. Measures: Physician outcome measures were use of and attitudes toward six classes of CAM. Predictors were religious affiliation, intrinsic religiosity, spirituality, and religious traditionalism. Results: There was a 65% response. Naturopaths and acupuncturists were three times as likely as internists and rheumatologists to report no religious affiliation (35% versus 12%, p < 0.001), but were more likely to describe themselves as very spiritual (51% versus 20%, p < 0.001) and to agree they try to carry religious beliefs into life’s dealings (51% versus 44%, p < 0.01). Among physicians, increased spirituality and religiosity coincided with more personal use of CAM and willingness to integrate CAM into a treatment program. Conclusions: Current and future integrative medicine will be shaped in part by religious and spiritual characteristics of providers.
Type | Journal Article |
---|---|
Author | Farr A Curlin |
Author | Kenneth A Rasinski |
Author | Ted J Kaptchuk |
Author | Ezekiel J Emanuel |
Author | Franklin G Miller |
Author | Jon C Tilburt |
Abstract | OBJECTIVE: The aim of this study was to compare religious characteristics of general internists, rheumatologists, naturopaths, and acupuncturists, as well as to examine associations between physicians' religious characteristics and their openness to integrating complementary and alternative medicine (CAM). DESIGN: The design involved a national mail survey. The subjects were internists, rheumatologists, naturopaths, and acupuncturists. MEASURES: Physician outcome measures were use of and attitudes toward six classes of CAM. Predictors were religious affiliation, intrinsic religiosity, spirituality, and religious traditionalism. RESULTS: There was a 65% response. Naturopaths and acupuncturists were three times as likely as internists and rheumatologists to report no religious affiliation (35% versus 12%, p < 0.001), but were more likely to describe themselves as very spiritual (51% versus 20%, p < 0.001) and to agree they try to carry religious beliefs into life's dealings (51% versus 44%, p < 0.01). Among physicians, increased spirituality and religiosity coincided with more personal use of CAM and willingness to integrate CAM into a treatment program. CONCLUSIONS: Current and future integrative medicine will be shaped in part by religious and spiritual characteristics of providers. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 15 |
Issue | 9 |
Pages | 987-994 |
Date | Sep 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0512 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19757976 |
Accessed | Saturday, September 26, 2009 3:55:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19757976 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Timothy P. Daaleman |
Author | Larry VandeCreek |
Abstract | In 1995, the SUPPORT (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment) trial stimulated a reexamination of systems of care for seriously ill and dying patients.1 This study has accelerated efforts to improve end-of-life care and has indirectly promoted a rapprochement among religion, spirituality, medicine, and health care.2 The goal of a quality comfortable death is achieved by meeting a patient's physical needs and by attending to the social, psychological, and the now recognized spiritual and religious dimensions of care.3-4 This perspective is highlighted in a recent consensus statement that includes the assessment and support of spiritual and religious well-being and management of spiritual and religious problems as core principles of professional practice and care at the end of life.5 Yet multiple ethical and pragmatic issues arise. For example, should physicians identify patients' spiritual and religious needs and intervene in clinical settings? The roles and responsibilities of patients and physicians in this scenario are unclear. An understanding of religion and spirituality within the context of end-of-life care, quality of life, and patient-clinician interactions may illuminate the problems and potentialities for both patients and clinicians. |
Publication | JAMA |
Volume | 284 |
Issue | 19 |
Pages | 2514-2517 |
Date | November 15, 2000 |
DOI | 10.1001/jama.284.19.2514 |
URL | http://jama.ama-assn.org |
Accessed | Thursday, October 22, 2009 4:33:55 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
In 1995, the SUPPORT (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment) trial stimulated a reexamination of systems of care for seriously ill and dying patients.1 This study has accelerated efforts to improve end-of-life care and has indirectly promoted a rapprochement among religion, spirituality, medicine, and health care.2 The goal of a quality comfortable death is achieved by meeting a patient’s physical needs and by attending to the social, psychological, and the now recognized spiritual and religious dimensions of care.3-4 This perspective is highlighted in a recent consensus statement that includes the assessment and support of spiritual and religious well-being and management of spiritual and religious problems as core principles of professional practice and care at the end of life.5 Yet multiple ethical and pragmatic issues arise. For example, should physicians identify patients’ spiritual and religious needs and intervene in clinical settings? The roles and responsibilities of patients and physicians in this scenario are unclear. An understanding of religion and spirituality within the context of end-of-life care, quality of life, and patient-clinician interactions may illuminate the problems and potentialities for both patients and clinicians.
Type | Journal Article |
---|---|
Author | Timothy P Daaleman |
Author | Barbara M Usher |
Author | Sharon W Williams |
Author | Jim Rawlings |
Author | Laura C Hanson |
Abstract | PURPOSE: Although spiritual care is a core element of palliative care, it remains unclear how this care is perceived and delivered at the end of life. We explored how clinicians and other health care workers understand and view spiritual care provided to dying patients and their family members. METHODS: Our study was based on qualitative research using key informant interviews and editing analysis with 12 clinicians and other health care workers nominated as spiritual caregivers by dying patients and their family members. RESULTS: Being present was a predominant theme, marked by physical proximity and intentionality, or the deliberate ideation and purposeful action of providing care that went beyond medical treatment. Opening eyes was the process by which caregivers became aware of their patient's life course and the individualized experience of their patient's current illness. Participants also described another course of action, which we termed cocreating, that was a mutual and fluid activity between patients, family members, and caregivers. Cocreating began with an affirmation of the patient's life experience and led to the generation of a wholistic care plan that focused on maintaining the patient's humanity and dignity. Time was both a facilitator and inhibitor of effective spiritual care. CONCLUSIONS: Clinicians and other health care workers consider spiritual care at the end of life as a series of highly fluid interpersonal processes in the context of mutually recognized human values and experiences, rather than a set of prescribed and proscribed roles. |
Publication | Annals of Family Medicine |
Volume | 6 |
Issue | 5 |
Pages | 406-411 |
Date | 2008 Sep-Oct |
Journal Abbr | Ann Fam Med |
DOI | 10.1370/afm.883 |
ISSN | 1544-1717 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18779544 |
Accessed | Friday, November 13, 2009 7:13:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18779544 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Purpose: Although spiritual care is a core element of palliative care, it remains unclear how this care is perceived and delivered at the end of life. We explored how clinicians and other health care workers understand and view spiritual care provided to dying patients and their family members. Methods: Our study was based on qualitative research using key informant interviews and editing analysis with 12 clinicians and other health care workers nominated as spiritual caregivers by dying patients and their family members. Results: Being present was a predominant theme, marked by physical proximity and intentionality, or the deliberate ideation and purposeful action of providing care that went beyond medical treatment. Opening eyes was the process by which caregivers became aware of their patient’s life course and the individualized experience of their patient’s current illness. Participants also described another course of action, which we termed cocreating, that was a mutual and fluid activity between patients, family members, and caregivers. Cocreating began with an affirmation of the patient’s life experience and led to the generation of a wholistic care plan that focused on maintaining the patient’s humanity and dignity. Time was both a facilitator and inhibitor of effective spiritual care. Conclusions: Clinicians and other health care workers consider spiritual care at the end of life as a series of highly fluid interpersonal processes in the context of mutually recognized human values and experiences, rather than a set of prescribed and proscribed roles.
Type | Journal Article |
---|---|
Author | A S Daar |
Author | A B al Khitamy |
Abstract | Islamic bioethics derives from a combination of principles, duties and rights, and, to a certain extent, a call to virtue. In Islam, bioethical decision-making is carried out within a framework of values derived from revelation and tradition. It is intimately linked to the broad ethical teachings of the Qur'an and the tradition of the Prophet Muhammed, and thus to the interpretation of Islamic law. In this way, Islam has the flexibility to respond to new biomedical technologies. Islamic bioethics emphasizes prevention and teaches that the patient must be treated with respect and compassion and that the physical, mental and spiritual dimensions of the illness experience be taken into account. Because Islam shares many foundational values with Judaism and Christianity, the informed Canadian physician will find Islamic bioethics quite familiar. Canadian Muslims come from varied backgrounds and have varying degrees of religious observance. Physicians need to recognize this diversity and avoid a stereotypical approach to Muslim patients. |
Publication | CMAJ: Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne |
Volume | 164 |
Issue | 1 |
Pages | 60-63 |
Date | Jan 9, 2001 |
Journal Abbr | CMAJ |
ISSN | 0820-3946 |
Short Title | Bioethics for clinicians |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11202669 |
Accessed | Monday, November 02, 2009 1:51:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11202669 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Islamic bioethics derives from a combination of principles, duties and rights, and, to a certain extent, a call to virtue. In Islam, bioethical decision-making is carried out within a framework of values derived from revelation and tradition. It is intimately linked to the broad ethical teachings of the Qur’an and the tradition of the Prophet Muhammed, and thus to the interpretation of Islamic law. In this way, Islam has the flexibility to respond to new biomedical technologies. Islamic bioethics emphasizes prevention and teaches that the patient must be treated with respect and compassion and that the physical, mental and spiritual dimensions of the illness experience be taken into account. Because Islam shares many foundational values with Judaism and Christianity, the informed Canadian physician will find Islamic bioethics quite familiar. Canadian Muslims come from varied backgrounds and have varying degrees of religious observance. Physicians need to recognize this diversity and avoid a stereotypical approach to Muslim patients.
Type | Journal Article |
---|---|
Author | S Darwish |
Abstract | There are aspects of the practice of the religion of Islam that have some relevance to receiving dental treatment. This article aims to provide dentists with background knowledge of normal practices which may affect the treatment offered. The author does not attempt to inform the reader about Islam, but to assist the dentist in the management of a Muslim patient. Much of the content of this article describes how to manage a patient who is fasting during the Islamic month of Ramadan. Ramadan takes place this year in early October, lasting for 29 or 30 days. During Ramadan patients may present to dentists with the signs and symptoms described in this article. |
Publication | British Dental Journal |
Volume | 199 |
Issue | 8 |
Pages | 503-531 |
Date | Oct 22, 2005 |
Journal Abbr | Br Dent J |
DOI | 10.1038/sj.bdj.4812807 |
ISSN | 0007-0610 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16244617 |
Accessed | Monday, November 02, 2009 1:36:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16244617 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
There are aspects of the practice of the religion of Islam that have some relevance to receiving dental treatment. This article aims to provide dentists with background knowledge of normal practices which may affect the treatment offered. The author does not attempt to inform the reader about Islam, but to assist the dentist in the management of a Muslim patient. Much of the content of this article describes how to manage a patient who is fasting during the Islamic month of Ramadan. Ramadan takes place this year in early October, lasting for 29 or 30 days. During Ramadan patients may present to dentists with the signs and symptoms described in this article.
Type | Journal Article |
---|---|
Author | Hema Sharma Datta |
Author | S K Mitra |
Author | Rangesh Paramesh |
Author | Bhushan Patwardhan |
Abstract | Aging is a complex phenomenon, a sum total of changes that occur in a living organism with the passage of time and lead to decreasing ability to survive stress, increasing functional impairment and growing probability of death. There are many theories of aging and skin remains the largest organ of the study. Skin aging is described as a consequence of intrinsic and extrinsic factors. The most common amongst visible signs of skin aging are wrinkles and there are various therapies including antiaging cosmeceuticals, sunscreens, chemical peeling, injectable agents, such as botox, fibrel, autologous fat grafting as also few surgical procedures have been used. Ayurveda, the Indian traditional medicine, describes aging with great details. This review provides modern and Ayurvedic perspectives on theories and management of aging. |
Publication | Evidence-Based Complementary and Alternative Medicine: eCAM |
Date | Feb 20, 2009 |
Journal Abbr | Evid Based Complement Alternat Med |
DOI | 10.1093/ecam/nep005 |
ISSN | 1741-427X |
Short Title | Theories and Management of Aging |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19233879 |
Accessed | Monday, November 02, 2009 2:17:57 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19233879 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Aging is a complex phenomenon, a sum total of changes that occur in a living organism with the passage of time and lead to decreasing ability to survive stress, increasing functional impairment and growing probability of death. There are many theories of aging and skin remains the largest organ of the study. Skin aging is described as a consequence of intrinsic and extrinsic factors. The most common amongst visible signs of skin aging are wrinkles and there are various therapies including antiaging cosmeceuticals, sunscreens, chemical peeling, injectable agents, such as botox, fibrel, autologous fat grafting as also few surgical procedures have been used. Ayurveda, the Indian traditional medicine, describes aging with great details. This review provides modern and Ayurvedic perspectives on theories and management of aging.
Type | Journal Article |
---|---|
Author | Betty Davies |
Author | Paul Brenner |
Author | Stacy Orloff |
Author | Liz Sumner |
Author | William Worden |
Abstract | Hospice and palliative care principles mandate clinicIans to provide "total" care to patients and their families. Such care incorporates not only physical, emotional, and psychosocial care, but spiritual care as well. Even though considerable attention has been directed to spiritual issues for adult patients in hospice and palliative care, spirituality in pediatric palliative care has been virtually neglected. The need for guidelines to assess spirituality in this population was identified as a priority issue by members of a subcommittee of the Children's International Project on Children's Palliative/Hospice Services, created under the auspices of the National Hospice Organization. Committee members, based on their clinical, research, and personal experiences, identified several aspects relevant to spirituality in general, and to spirituality in pediatric palliative care in particular, and developed guidelines for clinicians in pediatric palliative care. The purpose of this paper is to share the results of this committee's work and, in particular, to present their guidelines for addressing spiritual issues in children and families in pediatric hospice and palliative care. |
Publication | Journal of Palliative Care |
Volume | 18 |
Issue | 1 |
Pages | 59-67 |
Date | 2002 |
Journal Abbr | J Palliat Care |
ISSN | 0825-8597 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12001404 |
Accessed | Thursday, November 12, 2009 9:33:08 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12001404 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Even though considerable attention has been directed to spiritual issues for adult patients in hospice and palliative care, spirituality in pediatric palliative care has been virtually neglected. The need for guidelines to assess spirituality in this population was identified as a priority issue by members of a subcommittee of the Children’s International Project on Children’s Palliative/Hospice Services.
Type | Journal Article |
---|---|
Author | Allan B. de Guzman |
Author | Naihra Jae Z. Dalay |
Author | Anthony Joe M. De Guzman |
Author | Luigi Lauren E. de Jesus |
Author | Jacqueline Barbara C. de Mesa |
Author | Jan Derick D. Flores |
Abstract | Spirituality is an aspect of holistic care delivery by health team members. However, despite the established relationship of spirituality and health, there had been little evidence of ways of assessing spirituality for nurses' clinical practice in Asia, particularly in regard to geriatric patients. This study aimed to establish an eiditic description of a selected group of Filipino elderly's concept of, distance from, and involvement with God. The goal was to strengthen the need for a holistic care delivery framework anchored on the recognition of spiritual well-being among geriatric patients. Seven Filipino geriatrics suffering from chronic illness participated voluntarily as respondents for this qualitative study. A three-part researcher-made instrument was used in eliciting the needed data and information. The first part of data gathering made use of a robotfoto to establish the demographic profile of the respondents. Doodling was utilized to ascertain the respondents' concept of God. Distance from God was assessed through a picture prompt presenting a seat plan in a theatre. A semistructured interview was employed to probe deeper into the respondents' involvement with God. Field texts were phenomenologically reduced via repertory grid and dendogram. The study has eiditically and interestingly surfaced the Filipino elderly's twin concept of God as creating and creative. Generally, the respondents' preferred a close distance from God to facilitate better understanding and higher concentration with God's words. Involvement with God portrayed a sequential process of connection coined as the Ladder to G-O-D, referring to the course of Getting involved, Outcome identification, and Deeper connection. |
Publication | Educational Gerontology |
Volume | 35 |
Issue | 10 |
Pages | 929-944 |
Date | October 2009 |
DOI | 10.1080/03601270902717962 |
ISSN | 03601277 |
Short Title | Spirituality in Nursing |
URL | http://search.ebscohost.com.ezproxy.bu.edu/login.aspx? direct=true&db=pbh&AN=44219048&… |
Accessed | Monday, October 19, 2009 2:59:44 PM |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Simon Dein |
Abstract | This article begins by asking whether religion and spirituality are useful terms for cross-cultural comparisons. After discussing the increasing distinction between religion and spirituality in Western cultures, it points out how the terms religion and spirituality are used in divergent ways in the literature and the need for conceptual clarification in this area. Broadly, spirituality relates to interconnectedness, ultimate meaning or life force itself. The current use of the term spirituality in Western cultures derives both from Christian spirituality and 'New Age' thinking, which often appropriates ideas from Eastern religious traditions. The sociocultural roots of this division are complex, involving both growth of individualism, the pursuit of meaning and discontent with materialism and scientific rationalism. This situation is contrasted with other monotheistic religions where there is no distinction between religion and spirituality. This turn to spirituality has influenced health care professionals' conceptualizations of health and healing. The implications for psychiatry are discussed. I conclude that spirituality is a way of 'being in the world' and shares affinities with Tambiah's notion of a participatory mode of thinking. |
Publication | Transcultural Psychiatry |
Volume | 42 |
Issue | 4 |
Pages | 526-544 |
Date | Dec 2005 |
Journal Abbr | Transcult Psychiatry |
ISSN | 1363-4615 |
Short Title | Spirituality, psychiatry and participation |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16570516 |
Accessed | Friday, November 13, 2009 3:44:57 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16570516 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
This article begins by asking whether religion and spirituality are useful terms for cross-cultural comparisons. After discussing the increasing distinction between religion and spirituality in Western cultures, it points out how the terms religion and spirituality are used in divergent ways in the literature and the need for conceptual clarification in this area. Broadly, spirituality relates to interconnectedness, ultimate meaning or life force itself. The current use of the term spirituality in Western cultures derives both from Christian spirituality and ‘New Age’ thinking, which often appropriates ideas from Eastern religious traditions. The sociocultural roots of this division are complex, involving both growth of individualism, the pursuit of meaning and discontent with materialism and scientific rationalism. This situation is contrasted with other monotheistic religions where there is no distinction between religion and spirituality. This turn to spirituality has influenced health care professionals’ conceptualizations of health and healing. The implications for psychiatry are discussed. I conclude that spirituality is a way of ‘being in the world’ and shares affinities with Tambiah’s notion of a participatory mode of thinking.
Type | Journal Article |
---|---|
Author | Colleen Delaney |
Abstract | PURPOSE: The purpose of this study was to develop, refine, and evaluate the psychometric characteristics of the Spirituality Scale (SS). The SS is a holistic instrument that attempts to measure the beliefs, intuitions, lifestyle choices, practices, and rituals representative of the human spiritual dimension and is designed to guide spiritual interventions. METHOD: A researcher-developed instrument was designed to assess spirituality from a holistic perspective. Items were generated to measure four conceptualized domains of spirituality. The SS was completed by 240 adults with chronic illness. FINDINGS: Psychometric analysis of the SS provided strong evidence of the reliability and validity of the instrument. Three factors of spirituality that supported the theoretical framework were identified: Self-Discovery, Relationships, and Eco-Awareness. IMPLICATIONS: These findings can assist in facilitating the inclusion of spirituality in health care and have the potential to provide a transforming vision for nursing care and a vehicle to evoking optimal patient outcomes. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 23 |
Issue | 2 |
Pages | 145-167; discussion 168-171 |
Date | Jun 2005 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010105276180 |
ISSN | 0898-0101 |
Short Title | The Spirituality Scale |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15883463 |
Accessed | Friday, November 13, 2009 3:00:42 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15883463 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
Purpose: The purpose of this study was to develop, refine, and evaluate the psychometric characteristics of the Spirituality Scale (SS). Method: Items were generated to measure four conceptualized domains of spirituality. The SS was completed by 240 adults with chronic illness. Findings: Psychometric analysis of the SS provided strong evidence of the reliability and validity of the instrument.
Type | Journal Article |
---|---|
Author | Sallie Stoltz Denner |
Abstract | The topic of energy therapies is prompted by the increasing attention of healthcare practitioners and consumers to Eastern philosophies and ancient healing practices. This article includes a conceptual framework of quantum physics principles providing the basis of interpretation of energetic phenomena, along with the exploration of theoretical concepts involving energy as a communicational network. An overview of the contemplative tradition of meditation indicates its necessity as a requisite element of energy therapies, the practice combining a knowledge base of the core scientific precepts with the experience of restorative strategies. The relevance of energy therapies as a path to self-transcendence along with the application of a specific touch technique, Zero Balancing, is highlighted. |
Publication | Holistic Nursing Practice |
Volume | 23 |
Issue | 6 |
Pages | 315-334 |
Date | 2009 Nov-Dec |
Journal Abbr | Holist Nurs Pract |
DOI | 10.1097/HNP.0b013e3181bf3784 |
ISSN | 1550-5138 |
Short Title | The science of energy therapies and contemplative practice |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19901607 |
Accessed | Monday, November 23, 2009 7:49:09 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19901607 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Paul Derrickson |
Author | Angelina Van Hise |
Abstract | In the immediate future Chaplains will need to practice evidence based spiritual care. To do this, they will need to be well versed in the research literature on spirituality and health, be able to critique it and incorporate it into their spiritual care, document their intervention, and measure its impact. To help train Chaplains for this reality, the Penn State Hershey Medical Center's Clinical Pastoral Education Residency program started the Spiritual Pathway Project in 2002. This paper describes the Spiritual Pathway Project, its evolution and contribution to the education of the next generation of Chaplains. |
Publication | Journal of Health Care Chaplaincy |
Volume | 16 |
Issue | 1-2 |
Pages | 3-12 |
Date | 2009 |
Journal Abbr | J Health Care Chaplain |
DOI | 10.1080/08854720903451030 |
ISSN | 1528-6916 |
Short Title | Curriculum for a Spiritual Pathway Project |
Accessed | Tuesday, February 22, 2011 6:30:31 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20183109 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
This article outlines the curriculum developed at Penn State Hershey Medical Center's Clinical Pastoral Education Residency program for training future hospital chaplains to practice evidence based spiritual care, to complement the evidence based approaches carried out by the rest of the medical profession.
Type | Journal Article |
---|---|
Author | Vikas Dhikav |
Author | Girish Karmarkar |
Author | Richa Gupta |
Author | Myank Verma |
Author | Ruchi Gupta |
Author | Supriya Gupta |
Author | Kuljeet S. Anand |
Abstract | After completion of a 12 week yoga camp, 40 participating women (m = 34.7) showed significantly improved scores on the Female Sexual Function Index (FSFI) compared to baseline. The improvement occurred in all six domains of FSFI (i.e., desire, arousal, lubrication, orgasm, satisfaction, and pain). The improvement was more in older women (age > 45 years) compared with younger women (age < 45 years). |
Publication | Journal of Sexual Medicine |
Volume | 7 |
Issue | 2pt2 |
Pages | 964-970 |
Date | 02/2010 |
DOI | 10.1111/j.1743-6109.2009.01580.x |
ISSN | 17436095 |
URL | http://blackwell-synergy.com/doi/abs/10.1111/j.1743-6109.2009.01580.x |
Date Added | Thursday, September 29, 2011 9:04:02 AM |
Modified | Thursday, September 29, 2011 9:04:02 AM |
Type | Journal Article |
---|---|
Author | Vikas Dhikav |
Author | Girish Karmarkar |
Author | Myank Verma |
Author | Ruchi Gupta |
Author | Supriya Gupta |
Author | Deeksha Mittal |
Author | Kuljeet Anand |
Abstract | INTRODUCTION: Yoga is practiced both in developing and developed countries. Many patients and yoga protagonists claim that it is useful in improving sexual functions and treating sexual disorders. AIM: We wanted to study the effect of yoga on male sexual functioning. METHODS: We studied 65 males (age range=?24-60 years, average age=40-8.26 years) who were enrolled in a yoga camp and administered a known questionnaire, i.e., Male Sexual Quotient (MSQ) before and after 12 weeks session of yoga. MAIN OUTCOME MEASURES: MSQ scores before and after yoga sessions. RESULTS: It was found that after the completion of yoga sessions, the sexual functions scores were significantly improved (P<0.0001). The improvement occurred in scores of all the domains of sexual functions as studied by MSQ (desire, intercourse satisfaction, performance, confidence, partner synchronization, erection, ejaculatory control, orgasm). CONCLUSIONS: Yoga appears to be an effective method of improving all domains of sexual functions in men as studied by MSQ. |
Publication | The Journal of Sexual Medicine |
Volume | 7 |
Issue | 10 |
Pages | 3460-3466 |
Date | Oct 2010 |
Journal Abbr | J Sex Med |
DOI | 10.1111/j.1743-6109.2010.01930.x |
ISSN | 1743-6109 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20646186 |
Accessed | Monday, November 15, 2010 3:08:25 PM |
Date Added | Thursday, September 29, 2011 8:59:31 AM |
Modified | Thursday, September 29, 2011 8:59:31 AM |
Type | Journal Article |
---|---|
Author | Lobsang Dhondup |
Author | Cynthia Husted |
Abstract | An overview of the concept of regeneration in Tibetan medicine is presented with descriptions of detoxification and tonification longevity protocols. The body must be fortified before receiving stronger treatments for regeneration. All disease is brought into balance with understanding of the interplay of the five elements, three humors, and their qualities and locations. The example of multiple sclerosis (MS) is given. The macroscopic three-humor interpretation of MS agrees with the microscopic three-humor description of demyelination, providing a new framework for the understanding and treatment of MS. Treatments for MS and other chronic conditions are based on age, season, time of day, and the individual's three-humor and hot (excess) and cold (deficiency) balance. Treatments to promote regeneration include nutrition, gentle exercise, herbal formulas, accessory therapies such as herbal baths and oils, and meditation. It is built into the theory of Tibetan medicine to have predictions about outcome and distinguish different disease patterns in patients with MS and other disorders. Taking into account daily and seasonal variations coupled with the changing nature of MS, it is critical to frequently evaluate people with MS and other chronic conditions for monitoring and adjustment of treatment for regeneration. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 115-122 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1111/j.1749-6632.2009.04500.x |
ISSN | 1749-6632 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19735245 |
Accessed | Saturday, September 26, 2009 3:42:03 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19735245 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
An overview of the concept of regeneration in Tibetan medicine is presented with descriptions of detoxification and tonification longevity protocols. The body must be fortified before receiving stronger treatments for regeneration. All disease is brought into balance with understanding of the interplay of the five elements, three humors, and their qualities and locations. The example of multiple sclerosis (MS) is given. The macroscopic three-humor interpretation of MS agrees with the microscopic three-humor description of demyelination, providing a new framework for the understanding and treatment of MS. Treatments for MS and other chronic conditions are based on age, season, time of day, and the individual’s three-humor and hot (excess) and cold (deficiency) balance. Treatments to promote regeneration include nutrition, gentle exercise, herbal formulas, accessory therapies such as herbal baths and oils, and meditation. It is built into the theory of Tibetan medicine to have predictions about outcome and distinguish different disease patterns in patients with MS and other disorders. Taking into account daily and seasonal variations coupled with the changing nature of MS, it is critical to frequently evaluate people with MS and other chronic conditions for monitoring and adjustment of treatment for regeneration.
Type | Journal Article |
---|---|
Author | Corita Dickinson |
Publication | The American Journal of Nursing |
Volume | 75 |
Issue | 10 |
Pages | 1789-1794 |
Date | Oct., 1975 |
ISSN | 0002936X |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3423567 |
Accessed | Sunday, November 08, 2009 11:22:45 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Issue Title: 75th Anniversary Issue / Full publication date: Oct., 1975 / Copyright © 1975 Wolters Kluwer Health, Inc. |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Type | Journal Article |
---|---|
Author | Gustav Dobos |
Abstract | In Integrative Medicine (IM) the basic concept is the combination of mainstream with Complementary and Alternative Medicine (CAM) supposably leading to synergistic therapeutic effects. In an extended version the methods of Mind/Body Medicine (MBM) are also added. As this is a new concept, changing the approach towards illness, while adding more instruments to the therapeutic [`]toolbox', IM might represent the beginning of a paradigm shift in modern medicine. The concept of Integrative Medicine is discussed here in detail by reviewing its scope and implications for the practice of medicine. |
Publication | European Journal of Integrative Medicine |
Volume | 1 |
Issue | 3 |
Pages | 109-115 |
Date | October 2009 |
DOI | 10.1016/j.eujim.2009.08.001 |
ISSN | 1876-3820 |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B984N-4X6M9NV-1/2/47c6e5e5e95d6e392e2818a16e2b27ee |
Accessed | Wednesday, October 28, 2009 11:17:12 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Book |
---|---|
Author | Elliot N Dorff |
Edition | 1st ed |
Place | Philadelphia |
Publisher | Jewish Publication Society |
Date | 1998 |
ISBN | 0827606478 |
Short Title | Matters of Life and Death |
Library Catalog | library.bu.edu.ezproxy.bu.edu Library Catalog |
Call Number | BM538.H43 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
Type | Journal Article |
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Author | L Dossey |
Publication | Alternative Therapies in Health and Medicine |
Volume | 5 |
Issue | 3 |
Pages | 16-18 |
Date | May 1999 |
Journal Abbr | Altern Ther Health Med |
ISSN | 1078-6791 |
Short Title | Do religion and spirituality matter in health? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10234862 |
Accessed | Thursday, November 12, 2009 7:39:51 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10234862 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Book |
---|---|
Author | Larry Dossey |
Edition | 1st ed. |
Place | San Francisco |
Publisher | HarperSanFrancisco |
Date | 1999 |
ISBN | 9780062516220 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Linda L Dunn |
Author | Marilyn C Handley |
Author | Jeri W Dunkin |
Abstract | PURPOSE: This study explores the spirituality, spiritual well-being (SWB), and spiritual care provision of registered nurses on a maternal-infant unit. METHODS: Data collection instruments included a demographic and spiritual care form, Spiritual Perspective Scale (SPS), and Spiritual Well-Being Scale (SWBS) to address the study's research questions. FINDINGS: Significant positive correlations were found between SPS and SWBS as well as religious well-being (RWB) and existential well-being (EWB; subscales of SWBS). Religious attendance was significantly correlated with SPS, SWBS, and RWB but not EWB. Frequency of spiritual assessment themes was first encounter and when needed, whereas reaching up and reaching out described their provision of spiritual care. CONCLUSION: The sample was highly spiritual, spiritually well, and provided varied spiritual care. IMPLICATIONS: More spiritual care research is needed. Content on providing spiritual care must be enhanced within nursing curricula as well as with nurses in practice. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 27 |
Issue | 1 |
Pages | 19-28; quiz 31-33 |
Date | Mar 2009 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010108323305 |
ISSN | 0898-0101 |
Accessed | Tuesday, February 22, 2011 7:56:17 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19176900 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Andrew Dutney |
Abstract | This chapter describes religion in general before discussing the centrality of its concern for family formation. In light of this, the impact of infertility on religious people is considered. Recognizing religion's cautiously positive attitude towards assisted reproductive technology (ART) as a potential ally in the project of family formation and the relief of infertility, two areas that have caused concern for the religions are discussed: perceived threats to marriage and the sanctity of the human embryo. Throughout the chapter, illustrations are drawn from particular religions, including Christianity, Judaism, Islam, Hinduism and Buddhism. There are striking similarities in their concerns and in the range of their responses to ART. Ways in which medical personnel should take into account the religious dimensions of the experience of infertility in their care for patients are suggested. |
Publication | Best Practice & Research. Clinical Obstetrics & Gynaecology |
Volume | 21 |
Issue | 1 |
Pages | 169-180 |
Date | Feb 2007 |
Journal Abbr | Best Pract Res Clin Obstet Gynaecol |
DOI | 10.1016/j.bpobgyn.2006.09.007 |
ISSN | 1521-6934 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17110170 |
Accessed | Monday, November 02, 2009 1:33:41 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17110170 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This chapter describes religion in general before discussing the centrality of its concern for family formation. In light of this, the impact of infertility on religious people is considered. Recognizing religion’s cautiously positive attitude towards assisted reproductive technology (ART) as a potential ally in the project of family formation and the relief of infertility, two areas that have caused concern for the religions are discussed: perceived threats to marriage and the sanctity of the human embryo. Throughout the chapter, illustrations are drawn from particular religions, including Christianity, Judaism, Islam, Hinduism and Buddhism. There are striking similarities in their concerns and in the range of their responses to ART. Ways in which medical personnel should take into account the religious dimensions of the experience of infertility in their care for patients are suggested.
Type | Journal Article |
---|---|
Author | J W Ehman |
Author | B B Ott |
Author | T H Short |
Author | R C Ciampa |
Author | J Hansen-Flaschen |
Abstract | BACKGROUND: Recognizing that many Americans draw on religious or spiritual beliefs when confronted by serious illness, some medical educators have recommended that physicians routinely ask about spirituality or religion when conducting a medical history. The most appropriate wording for such an inquiry remains unknown. OBJECTIVE: To examine patient acceptance of including the following question in the medical history of ambulatory outpatients: "Do you have spiritual or religious beliefs that would influence your medical decisions if you become gravely ill?" METHODS: Self-administered questionnaires were completed by 177 ambulatory adult patients visiting a pulmonary faculty office practice at a university teaching hospital in 1997 (83% response rate). RESULTS: Fifty-one percent of the study patients described themselves as religious and 90% believe that prayer may sometimes influence recovery from an illness. Forty-five percent reported that religious beliefs would influence their medical decisions if they become gravely ill. Ninety-four percent of individuals with such beliefs agreed or strongly agreed that physicians should ask them whether they have such beliefs if they become gravely ill. Forty-five percent of the respondents who denied having such beliefs also agreed that physicians should ask about them. Altogether, two thirds of the respondents indicated that they would welcome the study question in a medical history, whereas 16% reported that they would not. Only 15% of the study group recalled having been asked whether spiritual or religious beliefs would influence their medical decisions. CONCLUSION: Many but not all patients surveyed in a pulmonary outpatient practice welcome a carefully worded inquiry about their spiritual or religious beliefs in the event that they become gravely ill. |
Publication | Archives of Internal Medicine |
Volume | 159 |
Issue | 15 |
Pages | 1803-1806 |
Date | 1999 Aug 9-23 |
Journal Abbr | Arch. Intern. Med |
ISSN | 0003-9926 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10448785 |
Accessed | Thursday, November 12, 2009 7:44:07 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10448785 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: Recognizing that many Americans draw on religious or spiritual beliefs when confronted by serious illness, some medical educators have recommended that physicians routinely ask about spirituality or religion when conducting a medical history. The most appropriate wording for such an inquiry remains unknown. Objective: To examine patient acceptance of including the following question in the medical history of ambulatory outpatients: “Do you have spiritual or religious beliefs that would influence your medical decisions if you become gravely ill?” Methods: Self-administered questionnaires were completed by 177 ambulatory adult patients visiting a pulmonary faculty office practice at a university teaching hospital in 1997 (83% response rate). Results: Fifty-one percent of the study patients described themselves as religious and 90% believe that prayer may sometimes influence recovery from an illness. Forty-five percent reported that religious beliefs would influence their medical decisions if they become gravely ill. Ninety-four percent of individuals with such beliefs agreed or strongly agreed that physicians should ask them whether they have such beliefs if they become gravely ill. Forty-five percent of the respondents who denied having such beliefs also agreed that physicians should ask about them. Altogether, two thirds of the respondents indicated that they would welcome the study question in a medical history, whereas 16% reported that they would not. Only 15% of the study group recalled having been asked whether spiritual or religious beliefs would influence their medical decisions. Conclusion: Many but not all patients surveyed in a pulmonary outpatient practice welcome a carefully worded inquiry about their spiritual or religious beliefs in the event that they become gravely ill.
Type | Journal Article |
---|---|
Author | David M. Eisenberg |
Author | Ronald C. Kessler |
Author | Cindy Foster |
Author | Frances E. Norlock |
Author | David R. Calkins |
Author | Thomas L. Delbanco |
Abstract | Background Many people use unconventional therapies for health problems, but the extent of this use and the costs are not known. We conducted a national survey to determine the prevalence, costs, and patterns of use of unconventional therapies, such as acupuncture and chiropractic. Methods We limited the therapies studied to 16 commonly used interventions neither taught widely in U.S. medical schools nor generally available in U.S. hospitals. We completed telephone interviews with 1539 adults (response rate, 67 percent) in a national sample of adults 18 years of age or older in 1990. We asked respondents to report any serious or bothersome medical conditions and details of their use of conventional medical services; we then inquired about their use of unconventional therapy. Results One in three respondents (34 percent) reported using at least one unconventional therapy in the past year, and a third of these saw providers for unconventional therapy. The latter group had made an average of 19 visits to such providers during the preceding year, with an average charge per visit of $27.60. The frequency of use of unconventional therapy varied somewhat among sociodemographic groups, with the highest use reported by nonblack persons from 25 to 49 years of age who had relatively more education and higher incomes. The majority used unconventional therapy for chronic, as opposed to life-threatening, medical conditions. Among those who used unconventional therapy for serious medical conditions, the vast majority (83 percent) also sought treatment for the same condition from a medical doctor; however, 72 percent of the respondents who used unconventional therapy did not inform their medical doctor that they had done so. Extrapolation to the U.S. population suggests that in 1990 Americans made an estimated 425 million visits to providers of unconventional therapy. This number exceeds the number of visits to all U.S. primary care physicians (388 million). Expenditures associated with use of unconventional therapy in 1990 amounted to approximately $13.7 billion, three quarters of which ($10.3 billion) was paid out of pocket. This figure is comparable to the $12.8 billion spent out of pocket annually for all hospitalizations in the United States. Conclusions The frequency of use of unconventional therapy in the United States is far higher than previously reported. Medical doctors should ask about their patients' use of unconventional therapy whenever they obtain a medical history. |
Publication | New England Journal of Medicine |
Volume | 328 |
Issue | 4 |
Pages | 246-252 |
Date | January 28, 1993 |
DOI | 10.1056/NEJM199301283280406 |
URL | http://content.nejm.org/cgi/content/abstract/328/4/246 |
Accessed | Monday, September 07, 2009 11:01:36 AM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Background: Many people use unconventional therapies for health problems, but the extent of this use and the costs are not known. We conducted a national survey to determine the prevalence, costs, and patterns of use of unconventional therapies, such as acupuncture and chiropractic. Methods: We limited the therapies studied to 16 commonly used interventions neither taught widely in U.S. medical schools nor generally available in U.S. hospitals. We completed telephone interviews with 1539 adults (response rate, 67 percent) in a national sample of adults 18 years of age or older in 1990. We asked respondents to report any serious or bothersome medical conditions and details of their use of conventional medical services; we then inquired about their use of unconventional therapy. Results: One in three respondents (34 percent) reported using at least one unconventional therapy in the past year, and a third of these saw providers for unconventional therapy. The latter group had made an average of 19 visits to such providers during the preceding year, with an average charge per visit of $27.60. The frequency of use of unconventional therapy varied somewhat among sociodemographic groups, with the highest use reported by nonblack persons from 25 to 49 years of age who had relatively more education and higher incomes. The majority used unconventional therapy for chronic, as opposed to life-threatening, medical conditions. Among those who used unconventional therapy for serious medical conditions, the vast majority (83 percent) also sought treatment for the same condition from a medical doctor; however, 72 percent of the respondents who used unconventional therapy did not inform their medical doctor that they had done so. Extrapolation to the U.S. population suggests that in 1990 Americans made an estimated 425 million visits to providers of unconventional therapy. This number exceeds the number of visits to all U.S. primary care physicians (388 million). Expenditures associated with use of unconventional therapy in 1990 amounted to approximately $13.7 billion, three quarters of which ($10.3 billion) was paid out of pocket. This figure is comparable to the $12.8 billion spent out of pocket annually for all hospitalizations in the United States. Conclusions: The frequency of use of unconventional therapy in the United States is far higher than previously reported. Medical doctors should ask about their patients’ use of unconventional therapy whenever they obtain a medical history.
Type | Journal Article |
---|---|
Author | Gary Elkins |
Author | M Hasan Rajab |
Author | Joel Marcus |
Abstract | 82 psychiatric inpatients hospitalized for acute care were interviewed about their use of complementary and alternative medicine (CAM) modalities. The clinical diagnoses of respondents included Depressive Disorder (61%), Substance Abuse (26%), Schizophrenia (9%), and Anxiety Disorders (5%). Analysis indicated that 63% used at least one CAM modality within the previous 12 mo. The most frequently used modality was herbal therapies (44%), followed by mind-body therapies such as relaxation or mental imagery, hypnosis, meditation, biofeedback (30%), and spiritual healing by another (30%). Physical modalities such as massage, chiropractic treatment, acupuncture, and yoga were used by 21% of respondents. CAM therapies were used for a variety of reasons ranging from treatment of anxiety and depression to weight loss. However, most respondents indicated they did not discuss such use with their psychiatrist or psychotherapist. |
Publication | Psychological Reports |
Volume | 96 |
Issue | 1 |
Pages | 163-166 |
Date | Feb 2005 |
Journal Abbr | Psychol Rep |
ISSN | 0033-2941 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15825920 |
Accessed | Monday, November 09, 2009 12:43:34 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15825920 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
82 psychiatric inpatients hospitalized for acute care were interviewed about their use of complementary and alternative medicine (CAM) modalities. The clinical diagnoses of respondents included Depressive Disorder (61%), Substance Abuse (26%), Schizophrenia (9%), and Anxiety Disorders (5%). Analysis indicated that 63% used at least one CAM modality within the previous 12 mo. The most frequently used modality was herbal therapies (44%), followed by mind-body therapies such as relaxation or mental imagery, hypnosis, meditation, biofeedback (30%), and spiritual healing by another (30%). Physical modalities such as massage, chiropractic treatment, acupuncture, and yoga were used by 21% of respondents. CAM therapies were used for a variety of reasons ranging from treatment of anxiety and depression to weight loss. However, most respondents indicated they did not discuss such use with their psychiatrist or psychotherapist.
Type | Journal Article |
---|---|
Author | Mark R Ellis |
Publication | The Journal of Family Practice |
Volume | 51 |
Issue | 3 |
Pages | 259-260 |
Date | Mar 2002 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11978237 |
Accessed | Thursday, November 12, 2009 9:19:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11978237 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Hannah Kate Ellis |
Author | Aru Narayanasamy |
Abstract | This article examines spirituality in nursing in terms of a critical literature review. The literature suggests that there is an increasing demand for holistic care within the NHS. Holistic care is based on the idea that there should be a balance between body, mind and spirit, however, clinical experience suggests that the spiritual dimension of nursing is rarely considered as there is a focus on what is perceived as scientific professionalism. The aim of this article is to explore the nature of spiritual care, discuss whether there is a need for it in nursing and explore ways in which nurses can provide it. This article is based on a critical review of the literature and empirical data on spirituality in nursing and identifies contrasting opinions around the definition of spiritual nursing care. Nurses can provide spiritual care by being conscious of their own spirituality as well as that of patients. |
Publication | British Journal of Nursing |
Volume | 18 |
Issue | 14 |
Pages | 886-890 |
Date | July 2009 |
Journal Abbr | Br J Nurs |
ISSN | 0966-0461 |
Accessed | Friday, September 18, 2009 6:31:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19633601 |
Date Added | Thursday, September 29, 2011 9:06:02 AM |
Modified | Thursday, September 29, 2011 9:06:02 AM |
Type | Journal Article |
---|---|
Author | Mark R Ellis |
Author | James D Campbell |
Author | Ann Detwiler-Breidenbach |
Author | Dena K Hubbard |
Abstract | OBJECTIVES: To describe the context in which physicians address patients' spiritual concerns, including their attitudes toward this task, cues to discussion, practice patterns, and barriers and facilitators. STUDY DESIGN: This was a qualitative study using semistructured interviews of 13 family physicians. POPULATION: We selected board-certified Missouri family physicians in a nonrandom fashion to represent a range of demographic factors (age, sex, religious background), practice types (academic/community practice; urban/rural), and opinions and practice regarding physicians' roles in addressing patients' spiritual issues. OUTCOMES MEASURED: We coded and evaluated transcribed interviews for themes. RESULTS: Physicians who reported regularly addressing spiritual issues do so because of the primacy of spirituality in their lives and because of the scientific evidence associating spirituality with health. Respondents noted that patients' spiritual questions arise from their unique responses to chronic illness, terminal illness, and life stressors. Physicians reported varying approaches to spiritual assessment; affirmed that spiritual discussions should be approached with sensitivity and integrity; and reported physician, patient, mutual physician-patient, and situational barriers. Facilitators of spiritual discussions included physicians' modeling a life that includes a spiritual focus. CONCLUSIONS: These physicians differ in their comfort and practice of addressing spiritual issues with patients but affirm a role for family physicians in responding to patients' spiritual concerns. Factors that form a context for discussions of spiritual issues with patients include perceived barriers, physicians' role definition, familiarity with factors likely to prompt spiritual questions, and recognition of principles guiding spiritual discussions. |
Publication | The Journal of Family Practice |
Volume | 51 |
Issue | 3 |
Pages | 249-254 |
Date | Mar 2002 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11978236 |
Accessed | Thursday, November 12, 2009 9:20:23 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11978236 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objectives To describe the context in which physicians address patients’ spiritual concerns, including their attitudes toward this task, cues to discussion, practice patterns, and barriers and facilitators. Study Design: This was a qualitative study using semistructured interviews of 13 family physicians. Population: We selected board-certified Missouri family physicians in a nonrandom fashion to represent a range of demographic factors (age, sex, religious background), practice types (academic/community practice; urban/rural), and opinions and practice regarding physicians’ roles in addressing patients’ spiritual issues. Outcomes measured: We coded and evaluated transcribed interviews for themes. Results: Physicians who reported regularly addressing spiritual issues do so because of the primacy of spirituality in their lives and because of the scientific evidence associating spirituality with health. Respondents noted that patients’ spiritual questions arise from their unique responses to chronic illness, terminal illness, and life stressors. Physicians reported varying approaches to spiritual assessment; affirmed that spiritual discussions should be approached with sensitivity and integrity; and reported physician, patient, mutual physician-patient, and situational barriers. Facilitators of spiritual discussions included physicians’ modeling a life that includes a spiritual focus. Conclusions: These physicians differ in their comfort and practice of addressing spiritual issues with patients but affirm a role for family physicians in responding to patients’ spiritual concerns. Factors that form a context for discussions of spiritual issues with patients include perceived barriers, physicians’ role definition, familiarity with factors likely to prompt spiritual questions, and recognition of principles guiding spiritual discussions.
Type | Journal Article |
---|---|
Author | James W. Ellor |
Abstract | Chaplains offer a different perspective for this discussion as they are at once religious professionals, but often working in secular settings. As religious professionals they are seen as persons who represent a particular religion and yet must be available to persons of all faiths. In this context, chaplains do understand and define religion because in the course of their work they also understand that some people do not believe in religion. A chaplain's ministry is to both believer and nonbeliever. Chaplains may have greater difficulty incorporating spirituality into their work if they are from a religious tradition that does not generally include this concept in their work. Chaplains are practitioners who work directly with the dual role of religious professional working with the tools of religion and yet often operating in secular settings. |
Publication | Journal of Religion, Spirituality & Aging |
Volume | 21 |
Issue | 4 |
Pages | 310-315 |
Date | 2009 October |
DOI | 10.1080/15528030903191649 |
ISSN | 1552-8030 |
Short Title | Listening as a Symbol of Religion |
URL | http://www.informaworld.com.ezproxy.bu.edu/10.1080/15528030903191649 |
Accessed | Monday, November 02, 2009 8:32:12 PM |
Library Catalog | Informaworld |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
This article is a response to an article by Alice Glickman critiquing contemporary approaches to the study of religion and spirituality among the elderly. This article makes the point that from the perspectives of chaplains, who are religious professionals called to work in a secular setting, the crossing of boundaries between religious and secular is more natural than for those who approaching the problem from other perspectives.
Type | Journal Article |
---|---|
Author | J D Emblen |
Abstract | The nursing literature published from 1963 to 1989 was screened for definitions to distinguish the concept of religion from that of spirituality. Following concept analysis procedures, definitions were selected from journal articles and textbooks and the key words in the definitions were listed in order of frequency. In definitions of religion, six words appeared most frequently--system, beliefs, organized, person, worship, practices; in definitions of spirituality, nine words appeared most frequently--personal, life, principle, animator, being, God (god), quality, relationship, transcendent. Only the word person(al) appeared on both lists. Using these two lists, the words (defining attributes) that appeared most frequently were formed as consensus definitions. It was concluded that spirituality is currently the broader term and may subsume aspects of religion. If these concepts are not clearly defined, the care related to personal life principles, relationships, and transcendent experiences may be confused with care for personal beliefs and worship practices. |
Publication | Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing |
Volume | 8 |
Issue | 1 |
Pages | 41-47 |
Date | 1992 Jan-Feb |
Journal Abbr | J Prof Nurs |
ISSN | 8755-7223 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/1573115 |
Accessed | Thursday, November 12, 2009 5:13:03 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 1573115 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
The nursing literature published from 1963 to 1989 was screened for definitions to distinguish the concept of religion from that of spirituality. Following concept analysis procedures, definitions were selected from journal articles and textbooks and the key words in the definitions were listed in order of frequency.
Type | Book |
---|---|
Author | Edzard Ernst |
Publisher | Imprint Academic |
Date | 2008-09-01 |
ISBN | 1845401182 |
Short Title | Healing, Hype, or Harm? |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
The scientists writing this book are not ‘against’ complementary or alternative medicine (CAM), but they are very much ‘for’ evidence-based medicine and single standards. They aim to counter-balance the many uncritical books on CAM and to stimulate intelligent, well-informed public debate.
Type | Book |
---|---|
Author | Edzard Ernst |
Author | Simon Singh |
Publisher | W.W. Norton & Co. |
Date | 2009-10-19 |
ISBN | 0393337782 |
Short Title | Trick or Treatment |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Rebecca Erwin Wells |
Author | Russell S Phillips |
Author | Ellen P McCarthy |
Abstract | Background: Over 40% of adults with common neurological conditions use complementary and alternative medicine, and mind-body therapies are the most commonly used form. Our objective was to describe mind-body use in adults with common neurological conditions. Methods: We compared mind-body use between adults with and without common neurological conditions (regular headaches, migraines, back pain with sciatica, strokes, dementia, seizures or memory loss) using the 2007 National Health Interview Survey of 23,393 sampled American adults. Results: Adults with common neurological conditions used mind-body therapies more frequently than those without (24.5 vs. 16.6%, p < 0.0001); differences persisted after adjustment. Deep breathing exercises, meditation and yoga were used most frequently. Nearly 70% of the adults with common neurological conditions did not discuss their mind-body use with their health care provider. Those with neurological conditions used mind-body therapies more than those without these conditions because of provider recommendation (26 vs. 13%) or because conventional treatments were perceived ineffective (12 vs. 4%) or too costly (7 vs. 2%), respectively. Conclusions: Mind-body therapies are used more frequently among adults with common neurological conditions, more often when conventional treatments were perceived ineffective. More research is warranted on the efficacy of mind-body use for common neurological conditions. |
Publication | Neuroepidemiology |
Volume | 36 |
Issue | 1 |
Pages | 46-51 |
Date | Dec 22, 2010 |
Journal Abbr | Neuroepidemiology |
DOI | 10.1159/000322949 |
ISSN | 1423-0208 |
Accessed | Tuesday, January 18, 2011 6:46:30 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21196772 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Joseph B Fanning |
Author | Ellen Wright Clayton |
Abstract | This article provides an overview of a special issue on the religious and spiritual concerns that arise in the provision of genetic services. It introduces some of the challenges in defining religion and spirituality and provides contexts and summaries for the empirical and normative research that appears in the issue. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 1-5 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30191 |
ISSN | 1552-4876 |
Accessed | Tuesday, February 22, 2011 7:57:06 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170098 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Jennifer Farah |
Author | Mary Ann McColl |
Abstract | BACKGROUND: What does it mean to focus on the spiritual in occupational therapy? What interventions would qualify as spiritual modalities? This paper attempts to define the boundaries of what may be considered legitimate uses of spirituality in occupational therapy by using the example of prayer. PURPOSE: The purpose of this paper was to provide an in-depth analysis of the use of prayer in practice. METHOD: Medical and allied health journals were searched using the terms spirituality, spirit, religion, and prayer. Identified articles were synthesized to identify potential advantages and disadvantages of using prayer in therapy. FINDINGS: Prayer can be considered an appropriate occupational therapy intervention so long as four questions can be answered positively. IMPLICATIONS: To answer these questions, guidelines are provided that will lead the therapist through a decision making process to determine the appropriateness of incorporating prayer into any clinical situation. |
Publication | Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie |
Volume | 75 |
Issue | 1 |
Pages | 5-13 |
Date | Feb 2008 |
Journal Abbr | Can J Occup Ther |
ISSN | 0008-4174 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18323360 |
Accessed | Friday, November 13, 2009 6:47:31 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18323360 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: What does it mean to focus on the spiritual in occupational therapy? What interventions would qualify as spiritual modalities? This paper attempts to define the boundaries of what may be considered legitimate uses of spirituality in occupational therapy by using the example of prayer. Purpose: The purpose of this paper was to provide an in-depth analysis of the use of prayer in practice. Method: Medical and allied health journals were searched using the terms spirituality, spirit, religion, and prayer. Identified articles were synthesized to identify potential advantages and disadvantages of using prayer in therapy. Findings: Prayer can be considered an appropriate occupational therapy intervention so long as four questions can be answered positively. Implications: To answer these questions, guidelines are provided that will lead the therapist through a decision making process to determine the appropriateness of incorporating prayer into any clinical situation.
Type | Journal Article |
---|---|
Author | Tiffany Field |
Abstract | In this paper recent research is reviewed on the effects of yoga poses on psychological conditions including anxiety and depression, on pain syndromes, cardiovascular, autoimmune and immune conditions and on pregnancy. Further, the physiological effects of yoga including decreased heartrate and blood pressure and the physical effects including weight loss and increased muscle strength are reviewed. Finally, potential underlying mechanisms are proposed including the stimulation of pressure receptors leading to enhanced vagal activity and reduced cortisol. The reduction in cortisol, in turn, may contribute to positive effects such as enhanced immune function and a lower prematurity rate. |
Publication | Complementary Therapies in Clinical Practice |
Volume | 17 |
Issue | 1 |
Pages | 1-8 |
Date | February 2011 |
DOI | 10.1016/j.ctcp.2010.09.007 |
ISSN | 1744-3881 |
Accessed | Tuesday, March 15, 2011 2:49:27 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 8:56:57 AM |
Modified | Thursday, September 29, 2011 8:56:57 AM |
Type | Journal Article |
---|---|
Author | Shawn Teresa Flanigan |
Abstract | Some argue faith-based organizations (FBOs) provide desirable moral or spiritual components to health and human service provision, and that services are more effective due to staffs more supportive approach. However, the majority of research has been conducted in the United States, and has focused on the experiences of Christian FBOs. This article examines the benefits that FBO staff in Bosnia and Herzegovina, Lebanon, and Sri Lanka believe religious identity brings to the work of their organizations, based on interviews with more than 100 staff of Buddhist, Catholic, Druze, Orthodox Christian, Protestant Christian, Shiite Muslim, and Sunni Muslim FBOs, as well as secular NGOs. The interview data indicate that staff members from most of the religious traditions included in the study believe the faith orientation of their organization brings benefits to their service provision. However, these perceived benefits differ based on country context. Some of these benefits are similar to those often mentioned in the literature on FBOs in the United States; however, other benefits are quite different than those discussed in the US literature. |
Publication | Journal of Health and Human Services Administration |
Volume | 32 |
Issue | 2 |
Pages | 164-194 |
Date | October 2009 |
Journal Abbr | J Health Hum Serv Adm |
ISSN | 1079-3739 |
Short Title | Staff perceptions of the benefits of religion in health and human services nonprofits |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19803114 |
Accessed | Monday, October 19, 2009 8:17:10 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19803114 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Kevin J Flannelly |
Author | Kathleen Galek |
Author | George F Handzo |
Abstract | Although a substantial number of studies have documented the spiritual needs of hospitalized patients, few have examined the prevalence of these needs and even fewer have attempted to measure the extent to which they are being met. Since chaplains are the primary providers of spiritual care, chaplains' visits to patients would appear to provide a reasonable proxy for the latter. Based on the limited data available, we estimated the proportion of hospitalized patients who are visited by chaplains. Our analyses yielded a point estimate of 20% (+/- 10%), depending on a number of factors. |
Publication | International Journal of Psychiatry in Medicine |
Volume | 35 |
Issue | 3 |
Pages | 319-323 |
Date | 2005 |
Journal Abbr | Int J Psychiatry Med |
ISSN | 0091-2174 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16480247 |
Accessed | Friday, November 13, 2009 3:41:53 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16480247 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Although a substantial number of studies have documented the spiritual needs of hospitalized patients, few have examined the prevalence of these needs and even fewer have attempted to measure the extent to which they are being met. Since chaplains are the primary providers of spiritual care, chaplains’ visits to patients would appear to provide a reasonable proxy for the latter. Based on the limited data available, we estimated the proportion of hospitalized patients who are visited by chaplains. Our analyses yielded a point estimate of 20% (+/- 10%), depending on a number of factors.
Type | Journal Article |
---|---|
Author | Kevin J Flannelly |
Author | Andrew J Weaver |
Author | Karen G Costa |
Publication | Journal of Palliative Care |
Volume | 20 |
Issue | 1 |
Pages | 50-56 |
Date | 2004 |
Journal Abbr | J Palliat Care |
ISSN | 0825-8597 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15132077 |
Accessed | Friday, November 13, 2009 12:51:13 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15132077 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Type | Journal Article |
---|---|
Author | Luke Fortney |
Author | Molly Taylor |
Abstract | Meditation practice in the medical setting is proving to be an excellent adjunctive therapy for many illnesses and an essential and primary means of maintaining holistic health and wellness. Rather than being a fringe or marginal concept, meditation is now widely known and accepted as a beneficial mind-body practice by the general public and in the scientific community. Extensive research shows and continues to show the benefits of meditation practice for a wide range of medical conditions. Further efforts are required to operationalize and apply meditation practice in clinical and medical educational settings in ways that are practical, effective, and meaningful. |
Publication | Primary Care |
Volume | 37 |
Issue | 1 |
Pages | 81-90 |
Date | Mar 2010 |
Journal Abbr | Prim. Care |
DOI | 10.1016/j.pop.2009.09.004 |
ISSN | 1558-299X |
Short Title | Meditation in medical practice |
Accessed | Thursday, March 04, 2010 8:42:22 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20188999 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Pat Fosarelli |
Abstract | As a physician and pastoral theologian, and in my role as a teacher of medical, nursing, chaplaincy, and theology students, I am often asked (especially when speaking about the needs of seriously ill and dying patients), "Is spiritual care always an important part of medical care? If yes, who should assess the need for it?" Religion is defined as "the service and worship of God or the supernatural; a personal set or institutionalized system of religious attitudes, beliefs, and practices"; and spirituality is defined as "the quality or state of being spiritual" (with spiritual meaning "of or relating to sacred matters").1 In most individuals' estimation, religion tends to be associated with formal practices and rules that connect a person to the sacred. Because spirituality is not usually based on human-made laws of reason or logic, it is often described as the nonlogical or nonrational... |
Publication | Journal of the American Medical Association |
Volume | 300 |
Issue | 7 |
Pages | 836-838 |
Date | August 20, 2008 |
Journal Abbr | JAMA |
DOI | 10.1001/jama.300.7.836 |
URL | http://jama.ama-assn.org.ezproxy.bu.edu |
Accessed | Monday, September 07, 2009 2:29:43 AM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
As a physician and pastoral theologian, and in my role as a teacher of medical, nursing, chaplaincy, and theology students, I am often asked (especially when speaking about the needs of seriously ill and dying patients), “Is spiritual care always an important part of medical care? If yes, who should assess the need for it?” Religion is defined as “the service and worship of God or the supernatural; a personal set or institutionalized system of religious attitudes, beliefs, and practices”; and spirituality is defined as “the quality or state of being spiritual” (with spiritual meaning “of or relating to sacred matters”).1 In most individuals’ estimation, religion tends to be associated with formal practices and rules that connect a person to the sacred. Because spirituality is not usually based on human-made laws of reason or logic, it is often described as the nonlogical or nonrational...
Type | Journal Article |
---|---|
Author | Angel M Foster |
Author | Amanda Dennis |
Author | Fiona Smith |
Abstract | INTRODUCTION In the United States, ectopic pregnancies are relatively common and associated with significant maternal morbidity and mortality. The Ethical and Religious Directives for Catholic Health Care Services (the Directives) govern the provision of care in Catholic-affiliated hospitals and prohibit the provision of abortion in almost all circumstances. Although ectopic pregnancies are not viable, some Catholic ethicists have argued that the Directives preclude physicians at Catholic hospitals from managing tubal pregnancies with methods and procedures that involve "direct" action against the embryo. METHODS We undertook this qualitative study to explore the relationship between the Directives, hospital policies regarding ectopic pregnancy management, and clinical practices. We recruited participants at non-Catholic, longstanding Catholic, and recently merged facilities and conducted focused interviews with 24 physicians at 16 hospitals in 10 states. FINDINGS Participants from three Catholic facilities reported that medical therapy with methotrexate was not offered because of their hospitals' religious affiliation. The lack of methotrexate resulted in changes in counseling and practice patterns, including managing ectopic pregnancies expectantly, providing the medication surreptitiously, and transferring patients to other facilities. Further, several physicians reported that, before initiating treatment, they were required to document nonviability through what they perceived as unnecessary paperwork, tests, and imaging studies. CONCLUSION Our findings suggest that some interpretations of the Directives are precluding physicians from providing women with ectopic pregnancies with information about and access to a full range of treatment options and are resulting in practices that delay care and may expose women to unnecessary risks. |
Publication | Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health |
Volume | 21 |
Issue | 2 |
Pages | 104-109 |
Date | 2011 Mar-Apr |
Journal Abbr | Womens Health Issues |
DOI | 10.1016/j.whi.2010.11.006 |
ISSN | 1878-4321 |
Short Title | Do religious restrictions influence ectopic pregnancy management? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21353977 |
Accessed | Monday, April 04, 2011 7:46:40 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21353977 |
Date Added | Thursday, September 29, 2011 8:56:31 AM |
Modified | Thursday, September 29, 2011 8:56:31 AM |
Type | Journal Article |
---|---|
Author | Marsha D Fowler |
Abstract | The preface to an issue of Nursing Ethics on religion and nursing. |
Publication | Nursing Ethics |
Volume | 16 |
Issue | 4 |
Pages | 391-392 |
Date | Jul 2009 |
Journal Abbr | Nurs Ethics |
DOI | 10.1177/0969733009104603 |
ISSN | 0969-7330 |
Short Title | Preface to thematic section |
Accessed | Saturday, September 26, 2009 4:20:04 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19528096 |
Date Added | Thursday, September 29, 2011 9:06:02 AM |
Modified | Thursday, September 29, 2011 9:06:02 AM |
Type | Journal Article |
---|---|
Author | Ersilia Francesca |
Abstract | AIDS has been mentioned in Islamic ethical literature since about 1985 as an illness pertaining to European and American homosexuals. Only since about 1990 has the presence of HIV/AIDS in Islamic countries cast light on the fact that the actual sexual behaviour of the population does not always conform to religious norms. The increase in the numbers of people with HIV has compelled religious leaders to take a stand on sexual practices they consider "deviant", from prostitution to homosexuality and extramarital sex. The aim of this paper is to analyse the attitude of Muslim religious authorities towards individual sexual behaviour and AIDS. It is based mainly on contemporary legal responses that largely provide the necessary information on most of Islamic medical ethics. According to Muslim scholars, AIDS is a warning from God not to indulge in illicit conduct. As a remedy against the spread of AIDS, they encourage compliance with traditional family values and the enhancement of faith and devotion and strongly oppose sex education. They oppose promotion of condoms or any form of safe sex outside of marriage, which they perceive as promoting promiscuity and defiance of divine law. All the above-mentioned arguments are not exhaustive of the Islamic attitude towards AIDS. Some religious groups disagree with such a conservative way of conceiving the fight against AIDS as being antithetical to both men's and women's well-being. They support an alternative view of reproductive health and human rights within the Islamic framework and stress the great tolerance of Islam and why it must include people with HIV and AIDS. |
Publication | Medicine and Law |
Volume | 21 |
Issue | 2 |
Pages | 381-394 |
Date | 2002 |
Journal Abbr | Med Law |
ISSN | 0723-1393 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12184613 |
Accessed | Monday, November 02, 2009 1:47:53 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12184613 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
AIDS has been mentioned in Islamic ethical literature since about 1985 as an illness pertaining to European and American homosexuals. Only since about 1990 has the presence of HIV/AIDS in Islamic countries cast light on the fact that the actual sexual behaviour of the population does not always conform to religious norms. The increase in the numbers of people with HIV has compelled religious leaders to take a stand on sexual practices they consider “deviant”, from prostitution to homosexuality and extramarital sex. The aim of this paper is to analyse the attitude of Muslim religious authorities towards individual sexual behaviour and AIDS. It is based mainly on contemporary legal responses that largely provide the necessary information on most of Islamic medical ethics. According to Muslim scholars, AIDS is a warning from God not to indulge in illicit conduct. As a remedy against the spread of AIDS, they encourage compliance with traditional family values and the enhancement of faith and devotion and strongly oppose sex education. They oppose promotion of condoms or any form of safe sex outside of marriage, which they perceive as promoting promiscuity and defiance of divine law. All the above-mentioned arguments are not exhaustive of the Islamic attitude towards AIDS. Some religious groups disagree with such a conservative way of conceiving the fight against AIDS as being antithetical to both men’s and women’s well-being. They support an alternative view of reproductive health and human rights within the Islamic framework and stress the great tolerance of Islam and why it must include people with HIV and AIDS.
Type | Book |
---|---|
Contributor | College of Jewish Studies of Greater Washington (D.C.) |
Editor | Isaac Franck |
Editor | J. David Bleich |
Place | Silver Spring, Md |
Publisher | College of Jewish Studies of GreaterWashington (D.C.) |
Date | 1982 |
Short Title | Biomedical Ethics in Perspective of Jewish Teaching and Tradition |
Library Catalog | library.bu.edu.ezproxy.bu.edu Library Catalog |
Call Number | RA725.57 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
Type | Journal Article |
---|---|
Author | Fred M. Frohock |
Abstract | The standard narratives of medicine recognize its origins in natural cures and in religious or spiritual discourses. The uneasy relationships of such practices (now designated as complementary or alternative medicine [CAM]) to conventional health care today can be tracked to the formation of medicine as a distinct profession based on modern science. The author accepts four statements as a framework for exploring CAM in the context of modern medicine. The first is that all versions of unconventional medicine depend for their identity on the existence of conventional medicine. The second is that the distinctions between alternative and conventional medicine are variables of time, place, and the attitudes of health care practitioners. Third, CAM today in the West occupies no sharp and distinctive category. There are instead continuums of various slopes and lengths on which types of complementary and alternative medicine are arrayed. Fourth, the turn to CAM may represent a chronic (and, to some, welcome) inclination of the human intellect to delimit the energies of material inquiries with metaphysical baselines and options. |
Publication | Annals of the American Academy of Political and Social Science |
Volume | 583 |
Pages | 214-232 |
Date | Sep., 2002 |
ISSN | 00027162 |
Short Title | Moving Lines and Variable Criteria |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/1049698 |
Accessed | Tuesday, October 13, 2009 12:59:00 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Issue Title: Global Perspectives on Complementary and Alternative Medicine / Full publication date: Sep., 2002 / Copyright © 2002 American Academy of Political and Social Science |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
The standard narratives of medicine recognize its origins in natural cures and in religious or spiritual discourses. The uneasy relationships of such practices (now designated as complementary or alternative medicine [CAM]) to conventional health care today can be tracked to the formation of medicine as a distinct profession based on modern science. The author accepts four statements as a framework for exploring CAM in the context of modern medicine. The first is that all versions of unconventional medicine depend for their identity on the existence of conventional medicine. The second is that the distinctions between alternative and conventional medicine are variables of time, place, and the attitudes of health care practitioners. Third, CAM today in the West occupies no sharp and distinctive category. There are instead continuums of various slopes and lengths on which types of complementary and alternative medicine are arrayed. Fourth, the turn to CAM may represent a chronic (and, to some, welcome) inclination of the human intellect to delimit the energies of material inquiries with metaphysical baselines and options.
Type | Journal Article |
---|---|
Author | Kenji Fujiwara |
Author | Jiro Imanishi |
Author | Satoko Watanabe |
Author | Kotaro Ozasa |
Author | Kumi Sakurada |
Abstract | We surveyed the attitudes of Japanese medical doctors toward complementary and alternative medicine (CAM) in 1999. It is supposed that the situation concerning CAM has been changing recently. The aim of the present study is to survey the attitude of doctors toward CAM again, and to examine changes in attitude over the last 6 years. The attitudes of medical doctors belonging to the Kyoto Medical Association toward CAM were surveyed by a structured, self-administered questionnaire in 1999 and 2005. The results showed that the doctors familiar with the term 'CAM', practicing CAM therapies, and attending meetings or training courses related with CAM, increased significantly from 1999 to 2005. The doctors who possessed knowledge of CAM also increased significantly from 1999 to 2005. Almost all doctors believed in the effectiveness of Kampo (Japanese traditional herbal medicine) and acupuncture. The number of doctors who believed in the effectiveness of aromatherapy and ayurveda increased significantly in 2005, compared with 1999. In the near future, 58% of doctors desired to practice CAM therapies. In conclusion, the numbers of doctors who practice CAM therapies, possess CAM knowledge and desire to practice such therapies have increased over the last 6 years in Japan. |
Publication | Evidence-Based Complementary and Alternative Medicine |
Date | May 21, 2009 |
Journal Abbr | Evid Based Complement Alternat Med |
DOI | 10.1093/ecam/nep040 |
ISSN | 1741-427X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19465404 |
Accessed | Monday, November 02, 2009 2:16:29 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19465404 |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
We surveyed the attitudes of Japanese medical doctors toward complementary and alternative medicine (CAM) in 1999. It is supposed that the situation concerning CAM has been changing recently. The aim of the present study is to survey the attitude of doctors toward CAM again, and to examine changes in attitude over the last 6 years. The attitudes of medical doctors belonging to the Kyoto Medical Association toward CAM were surveyed by a structured, self-administered questionnaire in 1999 and 2005. The results showed that the doctors familiar with the term ‘CAM’, practicing CAM therapies, and attending meetings or training courses related with CAM, increased significantly from 1999 to 2005. The doctors who possessed knowledge of CAM also increased significantly from 1999 to 2005. Almost all doctors believed in the effectiveness of Kampo (Japanese traditional herbal medicine) and acupuncture. The number of doctors who believed in the effectiveness of aromatherapy and ayurveda increased significantly in 2005, compared with 1999. In the near future, 58% of doctors desired to practice CAM therapies. In conclusion, the numbers of doctors who practice CAM therapies, possess CAM knowledge and desire to practice such therapies have increased over the last 6 years in Japan.
Type | Journal Article |
---|---|
Author | Marc Galanter |
Author | Helen Dermatis |
Author | Nancy Talbot |
Author | Caitlin McMahon |
Author | Mary Jane Alexander |
Abstract | Spirituality is important to many psychiatric patients, and these patients may be moved toward recovery more effectively if their spiritual needs are addressed in treatment. This, however, is rarely given expression in the psychiatric services of teaching hospitals. In order to develop this potential area of improved care, we (1) evaluated the differential attitudes of patients and psychiatric trainees toward the value of spirituality in the recovery process, (2) established a program of group meetings conducted by psychiatric residents and staff where patients can discuss how to draw on their spirituality in coping with their problems, and (3) established related training experiences for psychiatric residents. The results and implications of these three initiatives are presented. |
Publication | Journal of Religion and Health |
Volume | 50 |
Issue | 1 |
Pages | 81-91 |
Date | Mar 2011 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-009-9282-6 |
ISSN | 1573-6571 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19728095 |
Accessed | Monday, April 04, 2011 7:48:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19728095 |
Date Added | Thursday, September 29, 2011 8:56:31 AM |
Modified | Thursday, September 29, 2011 8:56:31 AM |
Type | Journal Article |
---|---|
Author | Prachi Garodia |
Author | Haruyo Ichikawa |
Author | Nikita Malani |
Author | Gautam Sethi |
Author | Bharat B Aggarwal |
Abstract | Recent statistics indicate that the overall cancer incidence in the United States, in spite of billions of dollars spent on research each year, has not changed significantly in the last half-century. Cancers of the prostate, breast, lung, and colon, although most common in the Western world, are least common in the Eastern world. Allopathic medicine commonly practiced currently is only 100 years old. Although traditional medicine has been around for thousands of years, no integration exists between it and allopathic medicine. Ayurveda, the science of long life and one of the most ancient medical systems still practiced on the Indian subcontinent, can be used in combination with modern medicine to provide better treatment of cancer. This review focuses on the ayurvedic concept of the causes of cancer and its linkage with inflammation, diagnosis, prevention, and treatment. How ayurvedic medicine can be integrated with allopathic medicine is also discussed in this review. |
Publication | Journal of the Society for Integrative Oncology |
Volume | 5 |
Issue | 1 |
Pages | 25-37 |
Date | 2007 |
Journal Abbr | J Soc Integr Oncol |
ISSN | 1715-894X |
Short Title | From ancient medicine to modern medicine |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17309811 |
Accessed | Monday, November 02, 2009 2:30:22 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17309811 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Recent statistics indicate that the overall cancer incidence in the United States, in spite of billions of dollars spent on research each year, has not changed significantly in the last half-century. Cancers of the prostate, breast, lung, and colon, although most common in the Western world, are least common in the Eastern world. Allopathic medicine commonly practiced currently is only 100 years old. Although traditional medicine has been around for thousands of years, no integration exists between it and allopathic medicine. Ayurveda, the science of long life and one of the most ancient medical systems still practiced on the Indian subcontinent, can be used in combination with modern medicine to provide better treatment of cancer. This review focuses on the ayurvedic concept of the causes of cancer and its linkage with inflammation, diagnosis, prevention, and treatment. How ayurvedic medicine can be integrated with allopathic medicine is also discussed in this review.
Type | Journal Article |
---|---|
Author | A R Gatrad |
Author | A Sheikh |
Abstract | A minimum level of cultural awareness is a necessary prerequisite for the delivery of care that is culturally sensitive. In this paper we simplify and highlight certain key teachings in Islamic medical ethics and explore their applications. We hope that the insights gained will aid clinicians to better understand their Muslim patients and deliver care that pays due respect to their beliefs. |
Publication | Archives of Disease in Childhood |
Volume | 84 |
Issue | 1 |
Pages | 72-75 |
Date | Jan 2001 |
Journal Abbr | Arch. Dis. Child |
ISSN | 1468-2044 |
Short Title | Medical ethics and Islam |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11124793 |
Accessed | Monday, November 02, 2009 1:52:53 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11124793 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
A minimum level of cultural awareness is a necessary prerequisite for the delivery of care that is culturally sensitive. In this paper we simplify and highlight certain key teachings in Islamic medical ethics and explore their applications. We hope that the insights gained will aid clinicians to better understand their Muslim patients and deliver care that pays due respect to their beliefs.
Type | Journal Article |
---|---|
Author | Gil Gaudia |
Publication | Medscape General Medicine |
Volume | 9 |
Issue | 1 |
Pages | 56 |
Date | 2007 |
Journal Abbr | MedGenMed. |
Short Title | About Intercessory Prayer |
URL | http://www.pubmedcentral.nih.gov.ezproxy.bu.edu/articlerender.fcgi? artid=1924985 |
Accessed | Friday, October 09, 2009 2:52:26 PM |
Library Catalog | PubMed Central |
Extra | PMCID: PMC1924985 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Mary Catherine Gebhardt |
Abstract | The purpose of this phenomenological study was to examine rehabilitation nurses' experiences providing spiritual care. Rehabilitation nurses provide care for patients and their families after life-threatening events and are in a unique position to meet holistic health care needs. Little is written about rehabilitation nurses' perceptions of providing spiritual care. Fourteen rehabilitation nurses self-identified as providing spiritual care and agreed to participate in individual interviews. The interviews focused on the nurses' definition of spiritual care, interventions the nurses perceived as spiritual and their comfort in providing spiritual care. More studies are needed to determine if providing spiritual care improves patient outcomes. Copyright © 2008 John Wiley & Sons, Ltd. |
Publication | Spirituality and Health International |
Volume | 9 |
Issue | 4 |
Pages | 230-240 |
Date | 2008 |
DOI | 10.1002/shi.353 |
URL | http://dx.doi.org/10.1002/shi.353 |
Accessed | Monday, September 07, 2009 10:56:39 AM |
Library Catalog | Wiley InterScience |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
The purpose of this phenomenological study was to examine rehabilitation nurses’ experiences providing spiritual care. Rehabilitation nurses provide care for patients and their families after life-threatening events and are in a unique position to meet holistic health care needs. Little is written about rehabilitation nurses’ perceptions of providing spiritual care. Fourteen rehabilitation nurses self-identified as providing spiritual care and agreed to participate in individual interviews. The interviews focused on the nurses’ definition of spiritual care, interventions the nurses perceived as spiritual and their comfort in providing spiritual care. More studies are needed to determine if providing spiritual care improves patient outcomes.
Type | Journal Article |
---|---|
Author | Gail Geller |
Author | Ellyn Micco |
Author | Rachel J Silver |
Author | Ken Kolodner |
Author | Barbara A Bernhardt |
Abstract | This paper describes the impact of genetic service providers' personal faith and religious values on their experiences interacting with colleagues and patients. We surveyed 480 clinical geneticists (MDs), genetic counselors (GCs), and genetic nurses randomly selected from their professional associations, and then interviewed a sample of survey respondents. Outcomes included religiosity, coping with distress through spiritual beliefs, and personal value conflicts (PVCs). Two hundred fourteen providers completed the survey out of an estimated 348 eligible (61% response rate). Importance attributed to regular attendance at religious services ranged from 39% (not at all important) to 27% (very important). Reliance on religion and spiritual beliefs as a source of comfort ranged from 48% (never) to 33% (sometimes or often). Religiosity varied by discipline with 58% of nurses thinking regular attendance at religious services was moderately or very important as compared to 47% of GCs and 30% of MDs (P = 0.006). Ten percent of respondents had difficulty reconciling their own faith with being a genetics professional, 14% felt the need to hide their own faith from their colleagues or patients, 7% thought their professional stance was not consistent with their personal values, and 4% felt ostracized by the genetics community because of their personal beliefs. The experience of such PVCs was positively correlated with religiosity (r = 0.35; P < 0.0001). GCs were more likely to experience PVCs than MDs or nurses (P = 0.013). Data from the interviews (N = 54) support these findings. A significant minority of genetic service providers are religiously observant and rely on their religious values to cope with distress. These individuals often experience difficulty reconciling their religious beliefs with the expectations of their profession, and sharing their beliefs with their colleagues and patients. Efforts should be made to prevent or reduce the secrecy surrounding personal faith and religion among genetics professionals. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 31-40 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30193 |
ISSN | 1552-4876 |
Accessed | Tuesday, February 22, 2011 7:56:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170100 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Kareem Ghalib |
Author | Ligia Peralta |
Abstract | Islam is the fastest growing religion in the United States. African Americans make up the largest part of the Muslim community in America, and they are also the individuals at greatest risk for contracting HIV. With the objective of understanding the impact of religious and cultural beliefs on HIV risk behaviors, this article reviews the literature on HIV and AIDS in Muslim communities in America. While no specific data exists regarding HIV seroprevalence or the risk factors for transmission of HIV in specifically American Muslim communities, the available information is presented describing American Muslims' attitudes and beliefs regarding HIV. Furthermore, in order to help clinicians improve the delivery of HIV preventive services to members of these communities, Islamic doctrine is described in relation to the three main risk factors for acquiring HIV: sexual activity, drug use and perinatal transmission. American Muslims make up a diverse population which have unique needs regarding prevention of HIV and AIDS. These needs must be more fully investigated and understood in order to minimize rates of HIV transmission in these rapidly growing communities. |
Publication | Journal of the Association for Academic Minority Physicians: The Official Publication of the Association for Academic Minority Physicians |
Volume | 13 |
Issue | 2 |
Pages | 48-52 |
Date | Apr 2002 |
Journal Abbr | J Assoc Acad Minor Phys |
ISSN | 1048-9886 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12362567 |
Accessed | Monday, November 02, 2009 1:47:17 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12362567 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Islam is the fastest growing religion in the United States. African Americans make up the largest part of the Muslim community in America, and they are also the individuals at greatest risk for contracting HIV. With the objective of understanding the impact of religious and cultural beliefs on HIV risk behaviors, this article reviews the literature on HIV and AIDS in Muslim communities in America. While no specific data exists regarding HIV seroprevalence or the risk factors for transmission of HIV in specifically American Muslim communities, the available information is presented describing American Muslims’ attitudes and beliefs regarding HIV. Furthermore, in order to help clinicians improve the delivery of HIV preventive services to members of these communities, Islamic doctrine is described in relation to the three main risk factors for acquiring HIV: sexual activity, drug use and perinatal transmission. American Muslims make up a diverse population which have unique needs regarding prevention of HIV and AIDS. These needs must be more fully investigated and understood in order to minimize rates of HIV transmission in these rapidly growing communities.
Type | Journal Article |
---|---|
Author | Joris Gielen |
Author | Stef van den Branden |
Author | Bert Broeckaert |
Abstract | In this review of empirical studies we aimed to assess the influence of religion and world view on nurses' attitudes towards euthanasia and physician assisted suicide. We searched PubMed for articles published before August 2008 using combinations of search terms. Most identified studies showed a clear relationship between religion or world view and nurses' attitudes towards euthanasia or physician assisted suicide. Differences in attitude were found to be influenced by religious or ideological affiliation, observance of religious practices, religious doctrines, and personal importance attributed to religion or world view. Nevertheless, a coherent comparative interpretation of the results of the identified studies was difficult. We concluded that no study has so far exhaustively investigated the relationship between religion or world view and nurses' attitudes towards euthanasia or physician assisted suicide and that further research is required. |
Publication | Nursing Ethics |
Volume | 16 |
Issue | 3 |
Pages | 303-318 |
Date | May 2009 |
Journal Abbr | Nurs Ethics |
DOI | 10.1177/0969733009102692 |
ISSN | 0969-7330 |
Accessed | Tuesday, February 22, 2011 7:18:59 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19372125 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Joris Gielen |
Author | Stef Van den Branden |
Author | Bert Broeckaert |
Abstract | Most quantitative studies that survey nurses' attitudes toward euthanasia and/or assisted suicide, also attempt to assess the influence of religion on these attitudes. We wanted to evaluate the operationalisation of religion and world view in these surveys. In the Pubmed database we searched for relevant articles published before August 2008 using combinations of search terms. Twenty-eight relevant articles were found. In five surveys nurses were directly asked whether religious beliefs, religious practices and/or ideological convictions influenced their attitudes, or the respondents were requested to mention the decisional basis for their answers on questions concerning end-of-life issues. In other surveys the influence of religion and world view was assessed indirectly through a comparison of the attitudes of different types of believers and/or non-believers toward euthanasia or assisted suicide. In these surveys we find subjective religious or ideological questions (questions inquiring about the perceived importance of religion or world view in life, influence of religion or world view on life in general, or how religious the respondents consider themselves) and objective questions (questions inquiring about religious practice, acceptance of religious dogmas, and religious or ideological affiliation). Religious or ideological affiliation is the most frequently used operationalisation of religion and world view. In 16 surveys only one religious or ideological question was asked. In most articles the operationalisation of religion and world view is very limited and does not reflect the diversity and complexity of religion and world view in contemporary society. Future research should pay more attention to the different dimensions of religion and world view, the religious plurality of Western society and the particularities of religion in non-Western contexts. |
Publication | Medicine, Health Care, and Philosophy |
Date | Jul 21, 2009 |
Journal Abbr | Med Health Care Philos |
DOI | 10.1007/s11019-009-9217-8 |
ISSN | 1572-8633 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19629746 |
Accessed | Monday, November 09, 2009 12:48:07 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19629746 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Most quantitative studies that survey nurses’ attitudes toward euthanasia and/or assisted suicide also attempt to assess the influence of religion on these attitudes. We wanted to evaluate the operationalisation of religion and world view in these surveys. In most articles the operationalisation of religion and world view is very limited and does not reflect the diversity and complexity of religion and world view in contemporary society.
Type | Journal Article |
---|---|
Author | Peter Gilbert |
Abstract | Not so long ago Western society assumed that its citizens would get progressively richer and more leisured, and that inequality would not matter. There was also an assumption that health and social care services would simultaneously become more technically proficient and more concerned with a person's dignity and their individual needs. This paper considers this theme, looks at the current state of health and social care and the need to bring a sense of the spiritual back to revivify the service. |
Publication | Mental Health, Religion & Culture |
Volume | 13 |
Issue | 6 |
Pages | 533-546 |
Date | 9/2010 |
Journal Abbr | Mental Hlth., Religion & Culture |
DOI | 10.1080/13674676.2010.488422 |
ISSN | 1367-4676 |
URL | http://www.informaworld.com/openurl? genre=article&… |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Journal Article |
---|---|
Author | Balbir Kaur Gill |
Abstract | This article describes the main teachings and customs of Sikhism. It offers some guidelines to enable nurses to provide sensitive and appropriate nursing care to Sikh patients. |
Publication | Nursing Times |
Volume | 98 |
Issue | 14 |
Pages | 39-41 |
Date | 2002 Apr 2-8 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 6 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11974727 |
Accessed | Monday, November 02, 2009 1:58:50 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11974727 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
This article describes the main teachings and customs of Sikhism. It offers some guidelines to enable nurses to provide sensitive and appropriate nursing care to Sikh patients.
Type | Journal Article |
---|---|
Author | Annemarie Gockel |
Abstract | To respond to calls for qualitative research to compliment quantitative findings, deepen our understanding of spiritual coping, and build theory (Hood & Belzen, 2005; Miller & Kelley, 2005; Pargament, Ano, & Wachholtz, 2005), this pilot study used a narrative method to examine the experience of 12 participants who self-identified as drawing on spirituality for healing. Participants described a 7-step process characterized by (a) openness, (b) shifting to a spiritual perspective, (c) going within, (d) connecting with the sacred, (e) undoing patterns, (f) setting healing intentions, and (g) following their inner guidance to transform experiences of mental and physical illness into experiences of healing. Participants emphasized the role of spirituality in reconstructing positive meanings in the face of crisis, and deconstructing patterns of thought, feeling, behavior, and experience associated with illness. |
Publication | International Journal for the Psychology of Religion |
Volume | 19 |
Issue | 4 |
Pages | 217-230 |
Date | 2009 |
DOI | 10.1080/10508610903143248 |
ISSN | 1050-8619 |
Short Title | Spirituality and the Process of Healing |
URL | http://www.informaworld.com.ezproxy.bu.edu/10.1080/10508610903143248 |
Accessed | Monday, October 19, 2009 9:39:00 PM |
Library Catalog | Informaworld |
Date Added | Thursday, September 29, 2011 9:04:55 AM |
Modified | Thursday, September 29, 2011 9:04:55 AM |
Type | Journal Article |
---|---|
Author | G Goldsand |
Author | Z R Rosenberg |
Author | M Gordon |
Abstract | Jewish bioethics in the contemporary era emerges from the traditional practice of applying principles of Jewish law (Halacha) to ethical dilemmas. The Bible (written law) and the Talmud (oral law) are the foundational texts on which such deliberations are based. Interpretation of passages in these texts attempts to identify the duties of physicians, patients and families faced with difficult health care decisions. Although Jewish law is an integral consideration of religiously observant Jews, secularized Jewish patients often welcome the wisdom of their tradition when considering treatment options. Jewish bioethics exemplifies how an ethical system based on duties may differ from the secular rights-based model prevalent in North American society. |
Publication | CMAJ: Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne |
Volume | 164 |
Issue | 2 |
Pages | 219-222 |
Date | Jan 23, 2001 |
Journal Abbr | CMAJ |
ISSN | 0820-3946 |
Short Title | Bioethics for clinicians |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11332319 |
Accessed | Monday, November 02, 2009 2:01:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11332319 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
Jewish bioethics in the contemporary era emerges from the traditional practice of applying principles of Jewish law (Halacha) to ethical dilemmas. The Bible (written law) and the Talmud (oral law) are the foundational texts on which such deliberations are based. Interpretation of passages in these texts attempts to identify the duties of physicians, patients and families faced with difficult health care decisions. Although Jewish law is an integral consideration of religiously observant Jews, secularized Jewish patients often welcome the wisdom of their tradition when considering treatment options. Jewish bioethics exemplifies how an ethical system based on duties may differ from the secular rights-based model prevalent in North American society.
Type | Journal Article |
---|---|
Author | Mohammad Mehdi Golmakani |
Author | Mohammad Hussein Niknam |
Author | Kamyar M Hedayat |
Abstract | Organ transplantation has been transformed from an experimental procedure at Western academic centers to an increasingly common procedure in private and public hospitals throughout the world. Attendant with advancements in organ harvesting, preservation, and transplantation come moral issues. Islam is a holistic religion that takes into account social affairs of man as well as spiritual ones. Islam has a long history of ethics literature including the subgenre of medical ethics. Historical considerations are discussed as to why Muslim thinkers were late to consider contemporary medical issues such as organ donation. Islam respects life and values the needs of the living over the dead, thus allowing organ donation to be considered in certain circumstances. The sources of Islamic law are discussed in brief in order for non-Muslims to appreciate how the parameters of organ transplantation are derived. The Islamic viewpoint, both Shiite and Sunni, is examined in relation to organ donation and its various sources. The advantages and disadvantages of brain dead and cadaveric donation is reviewed with technical and ethical considerations. The Islamic concept of brain death, informed and proxy consent are also discussed. We discuss the concept of rewarded donation as a way to alleviate the current shortage of organs available for transplantation and consider secular and religious support for such a program. Suggestions are made for greater discussion and exchange of ideas between secular and religious thinkers in the Islamic world and between the Islamic world and secular Western countries. |
Publication | Medical Science Monitor: International Medical Journal of Experimental and Clinical Research |
Volume | 11 |
Issue | 4 |
Pages | RA105-109 |
Date | Apr 2005 |
Journal Abbr | Med. Sci. Monit |
ISSN | 1234-1010 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15795706 |
Accessed | Monday, November 02, 2009 1:38:32 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15795706 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Organ transplantation has been transformed from an experimental procedure at Western academic centers to an increasingly common procedure in private and public hospitals throughout the world. Attendant with advancements in organ harvesting, preservation, and transplantation come moral issues. Islam is a holistic religion that takes into account social affairs of man as well as spiritual ones. Islam has a long history of ethics literature including the subgenre of medical ethics. Historical considerations are discussed as to why Muslim thinkers were late to consider contemporary medical issues such as organ donation. Islam respects life and values the needs of the living over the dead, thus allowing organ donation to be considered in certain circumstances. The sources of Islamic law are discussed in brief in order for non-Muslims to appreciate how the parameters of organ transplantation are derived. The Islamic viewpoint, both Shiite and Sunni, is examined in relation to organ donation and its various sources. The advantages and disadvantages of brain dead and cadaveric donation is reviewed with technical and ethical considerations. The Islamic concept of brain death, informed and proxy consent are also discussed. We discuss the concept of rewarded donation as a way to alleviate the current shortage of organs available for transplantation and consider secular and religious support for such a program. Suggestions are made for greater discussion and exchange of ideas between secular and religious thinkers in the Islamic world and between the Islamic world and secular Western countries.
Type | Journal Article |
---|---|
Author | JC Gonsiorek |
Author | PS Richards |
Author | KI Pargament |
Author | MR McMinn |
Abstract | Incorporating spirituality and religion into psychotherapy has been controversial, but recent contributions have argued the importance and provided foundations for doing so. Discussions of ethical challenges in this process are emerging, and this contribution discusses several preliminary issues, relying on the Resolution on Religious, Religion-Based and/or Religion-Derived Prejudice adopted by the American Psychological Association in 2007, as guidance when used with the American Psychological Association's (2002) Ethical Principles of Psychologists and Code of Conduct. Specifically, this discussion of preliminary challenges addresses competence, bias, maintaining traditions and standards of psychology, and integrity in labeling services for reimbursement. Commentators deepen the discussion, addressing what constitutes minimal competence in this area; effective and truly mutual collaboration with clergy; the high level of ethical complexity and "inherent messiness" of this domain of psychological practice; and the particular challenges of demarcating the boundaries of these domains for regulatory and billing purposes. This discussion offers decidedly preliminary ideas on managing the interface of these domains. Further development is needed before this nascent area approximates precise guidelines or standards. |
Publication | Professional Psycholog-Research and Practice |
Volume | 40 |
Issue | 4 |
Pages | 385-395 |
Date | AUG 2009 |
DOI | 10.1037/a0016488 |
ISSN | 0735-7028 |
Short Title | Ethical Challenges and Opportunities at the Edge |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=AdvancedSearch&… |
Accessed | Sunday, November 01, 2009 11:45:40 AM |
Library Catalog | ISI Web of Knowledge |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Aravind Gopal |
Author | Sunita Mondal |
Author | Asha Gandhi |
Author | Sarika Arora |
Author | Jayashree Bhattacharjee |
Abstract | BACKGROUND Stress is often associated with an increased occurrence of autonomic, cardiovascular, and immune system pathology. This study was done to evaluate the impact of stress on psychological, physiological parameters, and immune system during medical term -academic examination and the effect of yoga practices on the same. MATERIALS AND METHODS The study was carried out on sixty first-year MBBS students randomly assigned to yoga group and control group (30 each). The yoga group underwent integrated yoga practices for 35 minutes daily in the presence of trained yoga teacher for 12 weeks. Control group did not undergo any kind of yoga practice or stress management. Physiological parameters like heart rate, respiratory rate, and blood pressure were measured. Global Assessment of Recent Stress Scale and Spielbergers State Anxiety score were assessed at baseline and during the examination. Serum cortisol levels, IL-4, and IFN-γ levels were determined by enzyme-linked immunosorbent assay technique. RESULT In the yoga group, no significant difference was observed in physiological parameters during the examination stress, whereas in the control group, a significant increase was observed. Likewise, the indicators of psychological stress showed highly significant difference in control group compared with significant difference in yoga group. During the examination, the increase in serum cortical and decrease in serum IFN-γ in yoga group was less significant (P<0.01) than in the control group (P<0.001). Both the groups demonstrated an increase in serum IL-4 levels, the changes being insignificant for the duration of the study. CONCLUSION Yoga resists the autonomic changes and impairment of cellular immunity seen in examination stress. |
Publication | International Journal of Yoga |
Volume | 4 |
Issue | 1 |
Pages | 26-32 |
Date | Jan 2011 |
Journal Abbr | Int J Yoga |
DOI | 10.4103/0973-6131.78178 |
ISSN | 0973-6131 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21654972 |
Accessed | Wednesday, July 13, 2011 6:15:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21654972 |
Date Added | Thursday, September 29, 2011 8:54:25 AM |
Modified | Thursday, September 29, 2011 8:54:25 AM |
Type | Journal Article |
---|---|
Author | Christian Gostecnik |
Author | Tanja Repic |
Author | Mateja Cvetek |
Author | Robert Cvetek |
Abstract | On the basis of mechanisms such as projective-introjective identification, basic affect, affect regulation, and repetition compulsion, we shall try to explain the essence of intrapsychic, interpersonal, and relational family dynamics. We will also try to explain how relational connections mutually intertwine in the family system, what sustains them, and why they are created and recreated again and again. It is in this regard that we will also be able to consider the essential salvational process, which occurs precisely on the basis of these mechanisms, that is, those that represent fundamental purification and salvation. Some basic biblical theological concepts are applied. These provide the basis for integrating the psychological and theological domains of family systems. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 4 |
Pages | 496-506 |
Date | Dec 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9215-9 |
ISSN | 1573-6571 |
Short Title | The salvational process in relationships |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19890724 |
Accessed | Monday, December 28, 2009 12:13:39 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19890724 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | D R Graber |
Author | J A Johnson |
Abstract | In recent years, the place of spirituality in organizations has become increasingly discussed and advocated. On a personal level, this may involve achieving personal fulfillment or spiritual growth in the workplace. In the broader sense, spirituality is considered by many to be essential in an organization's interactions with employees, customers, and the community. This article describes a possible role for greater spirituality in healthcare organizations, whose cultures in recent decades have largely excluded spirituality or religiousness. This is the consequence of an analytical, scientific perspective on human health; a reductionist paradigm in biomedical research; and the inevitable bureaucratization occurring in large healthcare organizations. However, in recent decades, numerous scientific articles supporting a connection between faith or religiousness and positive health outcomes have been published. Because individuals seek meaning when experiencing severe illnesses, and humans universally respond to compassion and caring, spirituality among healthcare workers and managers appears highly appropriate. The article describes organizational barriers to the greater inclusion of spirituality in healthcare and presents several approaches to developing a more caring organization. These include eliciting extensive input from all staff and clinicians in identifying core or common values, ethics, and a philosophy of caring. Programs should ensure that the views of nonreligious staff and patients are respected and that clear guidelines are established for the extent and nature of affective or spiritual support for patients. |
Publication | Journal of Healthcare Management / American College of Healthcare Executives |
Volume | 46 |
Issue | 1 |
Pages | 39-50; discussion 50-52 |
Date | 2001 Jan-Feb |
Journal Abbr | J Healthc Manag |
ISSN | 1096-9012 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11216122 |
Accessed | Thursday, November 12, 2009 8:46:34 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11216122 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
In recent years, the place of spirituality in organizations has become increasingly discussed and advocated. On a personal level, this may involve achieving personal fulfillment or spiritual growth in the workplace. In the broader sense, spirituality is considered by many to be essential in an organization’s interactions with employees, customers, and the community. This article describes a possible role for greater spirituality in healthcare organizations, whose cultures in recent decades have largely excluded spirituality or religiousness. This is the consequence of an analytical, scientific perspective on human health; a reductionist paradigm in biomedical research; and the inevitable bureaucratization occurring in large healthcare organizations. However, in recent decades, numerous scientific articles supporting a connection between faith or religiousness and positive health outcomes have been published. Because individuals seek meaning when experiencing severe illnesses, and humans universally respond to compassion and caring, spirituality among healthcare workers and managers appears highly appropriate. The article describes organizational barriers to the greater inclusion of spirituality in healthcare and presents several approaches to developing a more caring organization. These include eliciting extensive input from all staff and clinicians in identifying core or common values, ethics, and a philosophy of caring. Programs should ensure that the views of nonreligious staff and patients are respected and that clear guidelines are established for the extent and nature of affective or spiritual support for patients.
Type | Journal Article |
---|---|
Author | M.C. Gracia |
Abstract | Summary This article provides a theoretical basis and experimental evidence for the following rules: (1) All mental activities involving some level of intelligence ultimately follow the laws of operant conditioning and can exert a long-term control of behaviour only if they regularly provide the midbrain centres with the minimal set of neural rewards that these centres expect (2) Mental activity is always accompanied by a proportional amount of efferent-controlled physiological activity, which may be, for example, voluntary muscular work, but also internal, possibly surreptitious phenomena like inflammation, immune reactions, blood pressure increase, etc. These rules provide an explanation for most [`]civilization' diseases whose ultimate causes are currently unknown or uncontrollable, e.g. cardiovascular troubles, cancer, allergies, auto-immune disorders, non-congenital degenerative diseases, neural dysfunctions including Alzheimer and Parkinson diseases, ALS or multiple sclerosis, emotional troubles including depression, cyclothymic/bipolar disorders, uncontrollable compulsions, etc. Potentially, this explanation also provides a cure for all these diseases as long as there is no accumulation of many of them because, for example, of very advanced age, and only if we are ready to adopt a philosophy of happiness based on moderation and appreciation of the value of life, dignity and empathy, instead of attempting an unlimited accumulation of pleasure, which does not seem neurologically viable. |
Publication | Medical Hypotheses |
Volume | 73 |
Issue | 5 |
Pages | 838-842 |
Date | November 2009 |
DOI | 10.1016/j.mehy.2009.04.048 |
ISSN | 0306-9877 |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6WN2-4WHH77G-1/2/30d9673ee368876963dc29cf8cfe4be8 |
Accessed | Monday, November 23, 2009 9:41:15 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Pehr Granqvist |
Author | Berit Hagekull |
Abstract | The purpose of the present cross-sectional questionnaire study was to construct a comprehensive and reliable scale to assess new age orientation as a continuous individual difference variable. Given large increases in new age orientation in Sweden in recent years, an additional purpose was to test our emotional compensation hypothesis by studying connections of retrospective parental and adult romantic attachment in relation to new age orientation, emotionally-based religiosity, and socialization-based religiosity, as well as to study links between attachment and several aspects of spiritual change. The study group included 193 participants from upper secondary school classes, Christian youth organizations, and new age establishments in Stockholm, Sweden. The new age orientation scale was shown to be unidimensional according to an exploratory factor analysis, and to possess adequate reliability and construct validity. In line with the emotional compensation predictions, new age orientation was directly linked to attachment insecurity and emotionally-based religiosity and inversely related to socialization-based religiosity. Attachment insecurity was also linked to the experience of spiritual changes, whereas most findings pertaining to characteristics of spiritual change did not support predictions. In general, unlike perceived attachment to parents, adult romantic attachment did not display the predicted pattern of results. It was concluded that attachment theory may make an important contribution by highlighting predisposing factors for new age orientation, as representing one aspect of the emotional compensation profile, but that several methodological improvements are necessary in future studies. |
Publication | Journal for the Scientific Study of Religion |
Volume | 40 |
Issue | 3 |
Pages | 527-545 |
Date | Sep., 2001 |
ISSN | 00218294 |
Short Title | Seeking Security in the New Age |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/1388105 |
Accessed | Sunday, November 08, 2009 11:32:01 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Sep., 2001 / Copyright © 2001 Society for the Scientific Study of Religion |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
The purpose of the present cross-sectional questionnaire study was to construct a comprehensive and reliable scale to assess new age orientation as a continuous individual difference variable. Given large increases in new age orientation in Sweden in recent years, an additional purpose was to test our emotional compensation hypothesis by studying connections of retrospective parental and adult romantic attachment in relation to new age orientation, emotionally-based religiosity, and socialization-based religiosity, as well as to study links between attachment and several aspects of spiritual change. The study group included 193 participants from upper secondary school classes, Christian youth organizations, and new age establishments in Stockholm, Sweden. The new age orientation scale was shown to be unidimensional according to an exploratory factor analysis, and to possess adequate reliability and construct validity. In line with the emotional compensation predictions, new age orientation was directly linked to attachment insecurity and emotionally-based religiosity and inversely related to socialization-based religiosity. Attachment insecurity was also linked to the experience of spiritual changes, whereas most findings pertaining to characteristics of spiritual change did not support predictions. In general, unlike perceived attachment to parents, adult romantic attachment did not display the predicted pattern of results. It was concluded that attachment theory may make an important contribution by highlighting predisposing factors for new age orientation, as representing one aspect of the emotional compensation profile, but that several methodological improvements are necessary in future studies.
Type | Journal Article |
---|---|
Author | Darci L Graves |
Author | Carolyn K Shue |
Author | Louise Arnold |
Abstract | OBJECTIVE: To answer the call for the implementation of spirituality into medical school curriculum,(1) UMKC-School of Medicine has incorporated experiential spirituality instruction into the third year of a six-year combined BA-MD degree program. The multifaceted objective of the program is to (1) expand students' conceptualization of the patient as person to include dimensions of spiritual beliefs and needs, (2) develop an understanding of how patients' spiritual belief systems impact their health, (3) recognize how the student's spiritual beliefs impact his or her practice of medicine, and (4) highlight the value of the chaplain as a member of the health care team. With increased understanding of the role spirituality plays in healing as well as the spiritual services available to patients, students will be able to serve the needs of their patients. DESCRIPTION: To accomplish this objective, students participate in lectures on spirituality, small-group activities focusing on skills such as taking/crafting spiritual histories, and an on-call experience with a hospital chaplain. During the oncall experience, students shadow a chaplain for approximately six hours. The experience includes discussing philosophies of spirituality and medicine with the chaplain, rounding with the chaplain, visiting and praying with patients when requested, comforting family members, and assisting with advance directive discussions and paperwork. After completing the experience, the students are required to write a reflective essay examining the following components: (1) the interaction between the chaplain and other members of the health care team, (2) the utilization of alternative interview and history taking methods, (3) the connection between spirituality and illness as illustrated through patient encounters, and (4) the insights gained from the experience that can be applied to the practice of medicine. DISCUSSION: The writing of one's spiritual history and the on-call experience were integrated into a new portion of the curriculum. The components were initially met with some reticence. In the beginning, students had difficulty distinguishing spirituality from religion and were concerned that the curriculum would take away from their study of "real medicine." To ease concerns regarding the spiritual history, the course director modeled the objectives by sharing her own spiritual journey. Participation in the on-call experience substantially changed students' negative attitudes toward the curriculum. Essays revealed that the on-call experience had greatly impacted their view of the chaplain as well as their practice of medicine. Specifically, students demonstrated an understanding of the role of spirituality in healing, identified key components of the chaplain role in the hospital setting, shared ways in which they would utilize chaplains in the future, and discovered personal struggles. Crafting one's spiritual history, the on-call experience, and essays will continue to be a required part of the third-year curriculum. Modifications include adding the option of constructing one's own advance directive and striving for increased diversity of spiritual perspectives. The data provided in the essays and course evaluations will be utilized in several ways to determine the success of the curriculum and to answer critical research questions in the areas of spirituality and medical education. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 77 |
Issue | 11 |
Pages | 1167 |
Date | Nov 2002 |
Journal Abbr | Acad Med |
ISSN | 1040-2446 |
Short Title | The role of spirituality in patient care |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12431947 |
Accessed | Thursday, November 12, 2009 10:03:33 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12431947 |
Date Added | Saturday, October 01, 2011 3:01:53 PM |
Modified | Saturday, October 01, 2011 3:01:53 PM |
Objective: To answer the call for the implementation of spirituality into medical school curriculum,(1) UMKC-School of Medicine has incorporated experiential spirituality instruction into the third year of a six-year combined BA-MD degree program. The multifaceted objective of the program is to (1) expand students’ conceptualization of the patient as person to include dimensions of spiritual beliefs and needs, (2) develop an understanding of how patients’ spiritual belief systems impact their health, (3) recognize how the student’s spiritual beliefs impact his or her practice of medicine, and (4) highlight the value of the chaplain as a member of the health care team. With increased understanding of the role spirituality plays in healing as well as the spiritual services available to patients, students will be able to serve the needs of their patients. DESCRIPTION: To accomplish this objective, students participate in lectures on spirituality, small-group activities focusing on skills such as taking/crafting spiritual histories, and an on-call experience with a hospital chaplain. During the oncall experience, students shadow a chaplain for approximately six hours. The experience includes discussing philosophies of spirituality and medicine with the chaplain, rounding with the chaplain, visiting and praying with patients when requested, comforting family members, and assisting with advance directive discussions and paperwork. After completing the experience, the students are required to write a reflective essay examining the following components: (1) the interaction between the chaplain and other members of the health care team, (2) the utilization of alternative interview and history taking methods, (3) the connection between spirituality and illness as illustrated through patient encounters, and (4) the insights gained from the experience that can be applied to the practice of medicine. Discussion: The writing of one’s spiritual history and the on-call experience were integrated into a new portion of the curriculum. The components were initially met with some reticence. In the beginning, students had difficulty distinguishing spirituality from religion and were concerned that the curriculum would take away from their study of “real medicine.” To ease concerns regarding the spiritual history, the course director modeled the objectives by sharing her own spiritual journey. Participation in the on-call experience substantially changed students’ negative attitudes toward the curriculum. Essays revealed that the on-call experience had greatly impacted their view of the chaplain as well as their practice of medicine. Specifically, students demonstrated an understanding of the role of spirituality in healing, identified key components of the chaplain role in the hospital setting, shared ways in which they would utilize chaplains in the future, and discovered personal struggles. Crafting one’s spiritual history, the on-call experience, and essays will continue to be a required part of the third-year curriculum. Modifications include adding the option of constructing one’s own advance directive and striving for increased diversity of spiritual perspectives. The data provided in the essays and course evaluations will be utilized in several ways to determine the success of the curriculum and to answer critical research questions in the areas of spirituality and medical education.
Type | Journal Article |
---|---|
Author | P Greasley |
Author | L F Chiu |
Author | M Gartland |
Abstract | AIM: In this paper we aim to clarify the issue of spiritual care in the context of mental health nursing. BACKGROUND: The concept of spirituality in nursing has received a great deal of attention in recent years. However, despite many articles addressed to the issue, spiritual care remains poorly understood amongst nursing professionals and, as a result, spiritual needs are often neglected within the context of health care. METHODS: A series of focus groups was conducted to obtain the views of service users, carers and mental health nursing professionals about the concept of spirituality and the provision of spiritual care in mental health nursing. RESULTS: According to the views expressed in our focus groups, spiritual care relates to the acknowledgement of a person's sense of meaning and purpose to life which may, or may not, be expressed through formal religious beliefs and practices. The concept of spiritual care was also associated with the quality of interpersonal care in terms of the expression of love and compassion towards patients. Concerns were expressed that the ethos of mental health nursing and the atmosphere of care provision were becoming less personal, with increasing emphasis on the 'mechanics of nursing'. CONCLUSIONS: The perceived failure of service providers to attend adequately to this component of care may be symptomatic of a medical culture in which the more readily observable and measurable elements in care practice have assumed a prominence over the more subjective, deeply personal components. In order for staff to acknowledge these issues it is argued that a more holistic approach to care should be adopted, which would entail multidisciplinary education in spiritual care. |
Publication | Journal of Advanced Nursing |
Volume | 33 |
Issue | 5 |
Pages | 629-637 |
Date | Mar 2001 |
Journal Abbr | J Adv Nurs |
ISSN | 0309-2402 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11298199 |
Accessed | Thursday, November 12, 2009 8:55:06 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11298199 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
A series of focus groups was conducted to obtain the views of service users, carers and mental health nursing professionals about the concept of spirituality and the provision of spiritual care in mental health nursing. According to the views expressed in our focus groups, spiritual care relates to the acknowledgement of a person’s sense of meaning and purpose to life which may, or may not, be expressed through formal religious beliefs and practices.
Type | Book |
---|---|
Editor | R.M. Green |
Series | Theology and Medicine |
Publisher | Springer |
Date | 2010-12-10 |
ISBN | 9048141605 |
Short Title | Religion and Sexual Health |
Library Catalog | Amazon.com |
Date Added | Thursday, September 29, 2011 8:58:27 AM |
Modified | Thursday, September 29, 2011 8:58:27 AM |
Type | Journal Article |
---|---|
Author | A Grey |
Abstract | This article discusses the concept of spirituality within palliative care. It considers aspects of religion and creativity in relation to spirituality, which may be inter-related as well as being significant in their own right. The nurse's role within the interdisciplinary team is explored. The expertise required as well as the emotional effect on nurses offering spiritual support is described. |
Publication | Palliative Medicine |
Volume | 8 |
Issue | 3 |
Pages | 215-221 |
Date | 1994 |
Journal Abbr | Palliat Med |
ISSN | 0269-2163 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/7524969 |
Accessed | Thursday, November 12, 2009 5:21:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 7524969 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
This article discusses the concept of spirituality within palliative care. It considers aspects of religion and creativity in relation to spirituality, which may be inter-related as well as being significant in their own right. The nurse’s role within the interdisciplinary team is explored. The expertise required as well as the emotional effect on nurses offering spiritual support is described.
Type | Journal Article |
---|---|
Author | Andrew T. Griffin |
Author | Valerie Yancey |
Abstract | Nurses recognize the importance of spiritual care for facilitating healing and positive outcomes. Nurses caring for patients in highly technical surgical environments have unique opportunities and challenges when attending to patients' spiritual needs. Patients facing surgery often regard the event and the health implications associated with it as having meaning and significance for their lives. They draw upon spiritual resources to respond to the challenges of their illness and surgery.<br/>This article addresses the effect of life transition and uncertainty on a patient's surgical experience. Suggestions are made for ways perioperative nurses can provide spiritual care to help create healing environments. AORN J 89 (May 2009) 875-882. © AORN, Inc, 2009. |
Publication | AORN |
Volume | 89 |
Issue | 5 |
Pages | 875-882 |
Date | May 2009 |
DOI | 10.1016/j.aorn.2009.01.024 |
ISSN | 0001-2092 |
URL | http://www.sciencedirect.com/science/article/B83WR-4W75BWJ-J/2/4bb7da149a3a89f8ca8624c3f7adc223 |
Accessed | Monday, March 28, 2011 7:04:21 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Book |
---|---|
Author | James Griffith |
Place | New York |
Publisher | Guilford Press |
Date | 2010 |
ISBN | 9781606238899 |
Date Added | Thursday, September 29, 2011 9:03:07 AM |
Modified | Thursday, September 29, 2011 9:03:07 AM |
Type | Journal Article |
---|---|
Author | Daniel H Grossoehme |
Author | Judith R Ragsdale |
Author | Christine L McHenry |
Author | Celia Thurston |
Author | Thomas DeWitt |
Author | Larry VandeCreek |
Abstract | OBJECTIVE: The literature suggests that a majority of pediatricians believe that spirituality and religion are relevant in clinical practice, but only a minority gives them attention. This project explored this disparity by relating personal/professional characteristics of pediatricians to the frequency with which they give attention to spirituality and religion. METHODS: Pediatricians (N = 737) associated with 3 academic Midwestern pediatric hospitals responded to a survey that requested information concerning the frequency with which they (1) talked with patients/families about their spiritual and religious concerns and (2) participated with them in spiritual or religious practices (eg, prayer). The associations between these data and 10 personal and professional characteristics were examined. RESULTS: The results demonstrated the disparity, and the analysis identified 9 pediatrician characteristics that were significantly associated with more frequently talking with patients/families about their spiritual and religious concerns. The characteristics included increased age; a Christian religious heritage; self-description as religious; self-description as spiritual; the importance of one's own spirituality and religion in clinical practice; the belief that the spirituality and religion of patients/families are relevant in clinical practice; formal instruction concerning the role of spirituality and religion in health care; relative comfort asking about beliefs; and relative comfort asking about practices. All of these characteristics except pediatrician age were also significantly associated with the increased frequency of participation in spiritual and religious practices with patients/families. CONCLUSIONS: Attention to spiritual and religious concerns and practices are associated with a web of personal and professional pediatrician characteristics. Some characteristics pertain to the physician's personal investment in spirituality and religion in their own lives, and others include being uncomfortable with spiritual and religious concerns and practices. These associations shed light on the disparity between acknowledged spirituality and religion relevancy and inattention to it in clinical practice. |
Publication | Pediatrics |
Volume | 119 |
Issue | 1 |
Pages | e117-123 |
Date | Jan 2007 |
Journal Abbr | Pediatrics |
DOI | 10.1542/peds.2006-0642 |
ISSN | 1098-4275 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17200236 |
Accessed | Friday, November 13, 2009 5:09:43 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17200236 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objective: The literature suggests that a majority of pediatricians believe that spirituality and religion are relevant in clinical practice, but only a minority gives them attention. This project explored this disparity by relating personal/professional characteristics of pediatricians to the frequency with which they give attention to spirituality and religion. Methods: Pediatricians (N = 737) associated with 3 academic Midwestern pediatric hospitals responded to a survey that requested information concerning the frequency with which they (1) talked with patients/families about their spiritual and religious concerns and (2) participated with them in spiritual or religious practices (eg, prayer). The associations between these data and 10 personal and professional characteristics were examined. Results: The results demonstrated the disparity, and the analysis identified 9 pediatrician characteristics that were significantly associated with more frequently talking with patients/families about their spiritual and religious concerns. The characteristics included increased age; a Christian religious heritage; self-description as religious; self-description as spiritual; the importance of one’s own spirituality and religion in clinical practice; the belief that the spirituality and religion of patients/families are relevant in clinical practice; formal instruction concerning the role of spirituality and religion in health care; relative comfort asking about beliefs; and relative comfort asking about practices. All of these characteristics except pediatrician age were also significantly associated with the increased frequency of participation in spiritual and religious practices with patients/families. Conclusions: Attention to spiritual and religious concerns and practices are associated with a web of personal and professional pediatrician characteristics. Some characteristics pertain to the physician’s personal investment in spirituality and religion in their own lives, and others include being uncomfortable with spiritual and religious concerns and practices. These associations shed light on the disparity between acknowledged spirituality and religion relevancy and inattention to it in clinical practice.
Type | Journal Article |
---|---|
Author | John Gruzelier |
Abstract | Professionally significant enhancement of music and dance performance and mood has followed training with an EEG-neurofeedback protocol which increases the ratio of theta to alpha waves using auditory feedback with eyes closed. While originally the protocol was designed to induce hypnogogia, a state historically associated with creativity, the outcome was psychological integration, while subsequent applications focusing on raising the theta-alpha ratio, reduced depression and anxiety in alcoholism and resolved post traumatic stress syndrome (PTSD). In optimal performance studies we confirmed associations with creativity in musical performance, but effects also included technique and communication. We extended efficacy to dance and social anxiety. Diversity of outcome has a counterpart in wide ranging associations between theta oscillations and behaviour in cognitive and affective neuroscience: in animals with sensory-motor activity in exploration, effort, working memory, learning, retention and REM sleep; in man with meditative concentration, reduced anxiety and sympathetic autonomic activation, as well as task demands in virtual spatial navigation, focussed and sustained attention, working and recognition memory, and having implications for synaptic plasticity and long term potentiation. Neuroanatomical circuitry involves the ascending mescencephalic-cortical arousal system, and limbic circuits subserving cognitive as well as affective/motivational functions. Working memory and meditative bliss, representing cognitive and affective domains, respectively, involve coupling between frontal and posterior cortices, exemplify a role for theta and alpha waves in mediating the interaction between distal and widely distributed connections. It is posited that this mediation in part underpins the integrational attributes of alpha-theta training in optimal performance and psychotherapy, creative associations in hypnogogia, and enhancement of technical, communication and artistic domains of performance in the arts. |
Publication | Cognitive Processing |
Volume | 10 Suppl 1 |
Pages | S101-109 |
Date | Feb 2009 |
Journal Abbr | Cogn Process |
DOI | 10.1007/s10339-008-0248-5 |
ISSN | 1612-4790 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19082646 |
Accessed | Monday, March 28, 2011 6:18:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19082646 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Erminia (Mimi) Guarneri |
Author | Bonnie J. Horrigan |
Author | Constance M. Pechura |
Abstract | Data supporting the efficacy and cost effectiveness of an integrative approach to healthcare comes from three sources: medical research conducted at universities, studies carried out by corporations developing employee wellness programs, and pilot projects run by insurance companies. The integrative approaches being studied place the patient at the center of the care and address the full range of physical, emotional, mental, social, spiritual, and environmental influences that affect a person's health. Most importantly, they promote prevention by engaging the whole person in the attainment of a personalized lifestyle that supports health. A review of the medical, corporate, and payer literature reveals that, to start, immediate and significant health benefits and cost savings could be realized throughout our healthcare system by utilizing three integrative strategies: (1) integrative lifestyle change programs for those with chronic disease, (2) integrative interventions for people experiencing depression, and (3) integrative preventive strategies to support wellness in all populations. |
Publication | EXPLORE: The Journal of Science and Healing |
Volume | 6 |
Issue | 5 |
Pages | 308-312 |
Date | September 2010 |
DOI | 10.1016/j.explore.2010.06.012 |
ISSN | 1550-8307 |
Short Title | The Efficacy and Cost Effectiveness of Integrative Medicine |
Accessed | Saturday, September 11, 2010 7:41:30 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Journal Article |
---|---|
Author | Thomas P Guck |
Author | Michael G Kavan |
Abstract | The relationship between spirituality and health is receiving increased attention; consequently medical schools have begun asking how and in what manner these issues should be addressed in medical education. Unfortunately, student beliefs concerning spirituality and health have not been adequately assessed. This study examined medical student beliefs regarding the relationship between spirituality and health and the level of instruction spirituality should receive in the curriculum. Questionnaire results from 254 medical students indicated that religiousness and spirituality are important, with spirituality more important than religiousness. Spiritual practices were seen as more helpful for acute and mental health conditions than for chronic or terminal conditions and believed to be more helpful for coping with a health condition than healing tissue. Students believed that patients could benefit from spiritual practices more than they could for their own health conditions. Most students endorsed a lecture or one- to two-week seminar with instruction in the first or second year of medical school. Student spirituality was the only predictor of required level of instruction in the medical school curriculum. |
Publication | Medical Teacher |
Volume | 28 |
Issue | 8 |
Pages | 702-707 |
Date | Dec 2006 |
Journal Abbr | Med Teach |
DOI | 10.1080/01421590601047680 |
ISSN | 1466-187X |
Short Title | Medical student beliefs |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17594581 |
Accessed | Friday, November 13, 2009 5:47:46 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17594581 |
Date Added | Saturday, October 01, 2011 3:01:53 PM |
Modified | Saturday, October 01, 2011 3:01:53 PM |
The relationship between spirituality and health is receiving increased attention; consequently medical schools have begun asking how and in what manner these issues should be addressed in medical education. Unfortunately, student beliefs concerning spirituality and health have not been adequately assessed. This study examined medical student beliefs regarding the relationship between spirituality and health and the level of instruction spirituality should receive in the curriculum. Questionnaire results from 254 medical students indicated that religiousness and spirituality are important, with spirituality more important than religiousness. Spiritual practices were seen as more helpful for acute and mental health conditions than for chronic or terminal conditions and believed to be more helpful for coping with a health condition than healing tissue. Students believed that patients could benefit from spiritual practices more than they could for their own health conditions. Most students endorsed a lecture or one- to two-week seminar with instruction in the first or second year of medical school. Student spirituality was the only predictor of required level of instruction in the medical school curriculum.
Type | Journal Article |
---|---|
Author | Phil Halligan |
Abstract | AIM: To describe the critical care nurses' experiences in caring for patients of Muslim denomination in Saudi Arabia. BACKGROUND: Caring is known to be the essence of nursing but many health-care settings have become more culturally diverse. Caring has been examined mainly in the context of Western cultures. Muslims form one of the largest ethnic minority communities in Britain but to date, empirical studies relating to caring from an Islamic perspective is not well documented. Research conducted within the home of Islam would provide essential truths about the reality of caring for Muslim patients. DESIGN: Phenomenological descriptive. Methods. Six critical care nurses were interviewed from a hospital in Saudi Arabia. The narratives were analysed using Colaizzi's framework. RESULTS: The meaning of the nurses' experiences emerged as three themes: family and kinship ties, cultural and religious influences and nurse-patient relationship. The results indicated the importance of the role of the family and religion in providing care. In the process of caring, the participants felt stressed and frustrated and they all experienced emotional labour. Communicating with the patients and the families was a constant battle and this acted as a further stressor in meeting the needs of their patients. CONCLUSIONS: The concept of the family and the importance and meaning of religion and culture were central in the provision of caring. The beliefs and practices of patients who follow Islam, as perceived by expatriate nurses, may have an effect on the patient's health care in ways that are not apparent to many health-care professionals and policy makers internationally. RELEVANCE TO CLINICAL PRACTICE: Readers should be prompted to reflect on their clinical practice and to understand the impact of religious and cultural differences in their encounters with patients of Islam denomination. Policy and all actions, decisions and judgments should be culturally derived. |
Publication | Journal of Clinical Nursing |
Volume | 15 |
Issue | 12 |
Pages | 1565-1573 |
Date | Dec 2006 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2005.01525.x |
ISSN | 0962-1067 |
Short Title | Caring for patients of Islamic denomination |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17118079 |
Accessed | Monday, November 02, 2009 1:33:11 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17118079 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
AIM: To describe the critical care nurses’ experiences in caring for patients of Muslim denomination in Saudi Arabia. Conclusions: The concept of the family and the importance and meaning of religion and culture were central in the provision of caring. The beliefs and practices of patients who follow Islam, as perceived by expatriate nurses, may have an effect on the patient’s health care in ways that are not apparent to many health-care professionals and policy makers internationally.
Type | Journal Article |
---|---|
Author | M T Halstead |
Author | M Hull |
Abstract | PURPOSE/OBJECTIVES: To examine the process of spiritual development in women diagnosed with cancer within five years of initial treatment. DESIGN: Exploratory, qualitative. SETTING: Outpatients in the mid-central and southwestern United States. SAMPLE: 10 Caucasian women, ages 45-70, who completed initial treatment, were not undergoing treatment for recurrence, and were within five years of diagnosis for breast or ovarian cancer or non-Hodgkin's lymphoma. METHODS: Data collected during two semistructured interviews, coded and analyzed using grounded theory techniques. Frame of reference--symbolic interactionism. MAIN RESEARCH VARIABLES: Developmental processes of spirituality; responses to diagnosis, treatment, and survival of cancer. FINDINGS: Diagnosis of cancer threatened the meaning of the women's lives, resulting in a sense of disintegration. This problem was resolved through the basic social psychological process of Struggling With Paradoxes, a three-phase process of Deciphering the Meaning of Cancer for Me, Recognizing Human Limitations, and Learning to Live with Uncertainty. In phase I, the paradoxes focused on the possibility of death, distress, vulnerability, and maintaining connection. In phase II, the paradoxes involved confronting death, asking difficult questions, and letting go of ultimate control of their lives. In phase III, the paradoxes centered on uncertainty, redefining meaning, and identifying spiritual growth. Reintegration occurred over time, although when threatened by the possibility of recurrence, disintegration resurfaced for a time. CONCLUSIONS: Findings emphasize not only the importance of spirituality, but also that spiritual experience is individualized and developmental in nature. Spiritual growth occurs over time following the diagnosis of cancer and is not necessarily related to age. IMPLICATIONS FOR NURSING PRACTICE: Spiritual concerns may be painful for patients to address; spiritual caregiving requires an acknowledgment of need by the woman with cancer and a caring, sensitive caregiver. Nurses should be aware of the phases of spiritual development so that interventions can be designed to address individual needs that may vary over time. |
Publication | Oncology Nursing Forum |
Volume | 28 |
Issue | 10 |
Pages | 1534-1544 |
Date | 2001 Nov-Dec |
Journal Abbr | Oncol Nurs Forum |
ISSN | 0190-535X |
Short Title | Struggling with paradoxes |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11759301 |
Accessed | Thursday, November 12, 2009 9:06:11 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11759301 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
Purpose/Objectives To examine the process of spiritual development in women diagnosed with cancer within five years of initial treatment. Findings: Diagnosis of cancer threatened the meaning of the women’s lives, resulting in a sense of disintegration. This problem was resolved through the basic social psychological process of Struggling With Paradoxes. Implications for Nursing Practice: Spiritual concerns may be painful for patients to address; spiritual caregiving requires an acknowledgment of need by the woman with cancer and a caring, sensitive caregiver.
Type | Journal Article |
---|---|
Author | Jennifer L Hamilton |
Author | Jeffrey P Levine |
Publication | Family Medicine |
Volume | 38 |
Issue | 2 |
Pages | 83-84 |
Date | Feb 2006 |
Journal Abbr | Fam Med |
ISSN | 0742-3225 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16450223 |
Accessed | Friday, November 13, 2009 3:36:58 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16450223 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Type | Journal Article |
---|---|
Author | Diane M Hampton |
Author | Dana E Hollis |
Author | Dudley A Lloyd |
Author | James Taylor |
Author | Susan C McMillan |
Abstract | Spiritual needs, spiritual distress, and spiritual well-being of patients with terminal illnesses can affect their quality of life. The spiritual needs of patients with advanced cancer have not been widely studied. This study assessed the spiritual needs of 90 patients with advanced cancer who were newly admitted to hospice home care. They completed a demographic data form and the Spiritual Needs Inventory shortly after hospice admission. Scores could range from a low of 17 to a high of 85; study scores were 23 to 83. Results showed great variability in spiritual needs. Being with family was the most frequently cited need (80%), and 50% cited prayer as frequently or always a need. The most frequently cited unmet need was attending religious services. Results suggest the importance of a focus on the spiritual more than the religious in providing care to patients at the end of life. |
Publication | The American Journal of Hospice & Palliative Care |
Volume | 24 |
Issue | 1 |
Pages | 42-48 |
Date | 2007 Feb-Mar |
Journal Abbr | Am J Hosp Palliat Care |
DOI | 10.1177/1049909106295773 |
ISSN | 1049-9091 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17347504 |
Accessed | Friday, November 13, 2009 5:27:49 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17347504 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Spiritual needs, spiritual distress, and spiritual well-being of patients with terminal illnesses can affect their quality of life. The spiritual needs of patients with advanced cancer have not been widely studied. This study assessed the spiritual needs of 90 patients with advanced cancer who were newly admitted to hospice home care.
Type | Journal Article |
---|---|
Author | Laura C Hanson |
Author | Debra Dobbs |
Author | Barbara M Usher |
Author | Sharon Williams |
Author | Jim Rawlings |
Author | Timothy P Daaleman |
Abstract | OBJECTIVE: Patients and palliative care experts endorse the importance of spiritual care for seriously ill patients and their families. However, little is known about spiritual care during serious illness, and whether it satisfies patients' and families' needs. The objective of this study was to describe spiritual care received by patients and families during serious illness, and test whether the provider and the type of care is associated with satisfaction with care. METHODS: Cross-sectional interview with 38 seriously ill patients and 65 family caregivers about spiritual care experiences. RESULTS: The 103 spiritual care recipients identified 237 spiritual care providers; 95 (41%) were family or friends, 38 (17%) were clergy, and 66 (29%) were health care providers. Two-thirds of spiritual care providers shared the recipient's faith tradition. Recipients identified 21 different types of spiritual care activities. The most common activity was help coping with illness (87%) and the least common intercessory prayer (4%). Half of recipients were very or somewhat satisfied with spiritual care, and half found it very helpful for facilitating inner peace and meaning making. Satisfaction with spiritual care did not differ by provider age, race, gender, role, or frequency of visits. Types of care that helped with understanding or illness coping were associated with greater satisfaction with care. CONCLUSION: Seriously ill patients and family caregivers experience spiritual care from multiple sources, including health care providers. Satisfaction with this care domain is modest, but approaches that help with understanding and with coping are associated with greater satisfaction. |
Publication | Journal of Palliative Medicine |
Volume | 11 |
Issue | 6 |
Pages | 907-914 |
Date | Jul 2008 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2008.0008 |
ISSN | 1557-7740 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18715183 |
Accessed | Friday, November 13, 2009 7:10:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18715183 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objective: Patients and palliative care experts endorse the importance of spiritual care for seriously ill patients and their families. However, little is known about spiritual care during serious illness, and whether it satisfies patients’ and families’ needs. The objective of this study was to describe spiritual care received by patients and families during serious illness, and test whether the provider and the type of care is associated with satisfaction with care. Methods: Cross-sectional interview with 38 seriously ill patients and 65 family caregivers about spiritual care experiences. Results: The 103 spiritual care recipients identified 237 spiritual care providers; 95 (41%) were family or friends, 38 (17%) were clergy, and 66 (29%) were health care providers. Two-thirds of spiritual care providers shared the recipient’s faith tradition. Recipients identified 21 different types of spiritual care activities. The most common activity was help coping with illness (87%) and the least common intercessory prayer (4%). Half of recipients were very or somewhat satisfied with spiritual care, and half found it very helpful for facilitating inner peace and meaning making. Satisfaction with spiritual care did not differ by provider age, race, gender, role, or frequency of visits. Types of care that helped with understanding or illness coping were associated with greater satisfaction with care. Conclusion: Seriously ill patients and family caregivers experience spiritual care from multiple sources, including health care providers. Satisfaction with this care domain is modest, but approaches that help with understanding and with coping are associated with greater satisfaction.
Type | Journal Article |
---|---|
Author | Tayebeh Fasihi Harandy |
Author | Fazlollah Ghofranipour |
Author | Ali Montazeri |
Author | Monireh Anoosheh |
Author | Mohsen Bazargan |
Author | Eesa Mohammadi |
Author | Fazlollah Ahmadi |
Author | Shamsaddin Niknami |
Abstract | We explored the role of religiosity and spirituality on (i) feelings and attitudes about breast cancer, (ii) strategies for coping with breast cancer, and (iii) health care seeking behaviors among breast cancer survivors in Iran. We conducted in-depth semistructured interviews with 39 breast cancer survivors. We found that spirituality is the primary source of psychological support among participants. Almost all participants attributed their cancer to the will of God. Despite this, they actively have been engaged with their medical treatment. This is in surprising contrast to Western cultures in which a belief in an external health locus of control diminishes participation in cancer screening, detection, and treatment. These findings can help researchers to provide a framework for the development of appropriate and effective culturally sensitive health interventions. |
Publication | Health Care for Women International |
Volume | 31 |
Issue | 1 |
Pages | 88-98 |
Date | Jan 2010 |
Journal Abbr | Health Care Women Int |
DOI | 10.1080/07399330903104516 |
ISSN | 1096-4665 |
Short Title | Muslim breast cancer survivor spirituality |
Accessed | Sunday, April 25, 2010 5:33:39 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20390638 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Martha L. Hare |
Abstract | Fieldwork conducted among a diverse sample of non-Asian patients of Chinese medicine in New York City during 1989 and 1990 showed that they are formulating models of health, illness, and healing based mainly upon their own bodily experience with therapy. They view the Chinese medical therapy that they receive as holistic, in contrast to the fragmentary nature of biomedicine. While some practitioners who were interviewed also spoke of personal encounters with the healing mechanisms of this non-Western form of treatment, the models of both Asians and non-Asians in this second category tended to focus upon Confucian or Taoist ideals of order and responsibility. It is hypothesized that, while certainly affected by socioeconomic and political exigencies, an urban U.S. variant of Chinese medicine may be emerging from the ground up; that is, from the consumers and therapists who are most intimately involved with the system. |
Publication | Medical Anthropology Quarterly |
Volume | 7 |
Issue | 1 |
Pages | 30-49 |
Date | Mar., 1993 |
Series | New Series |
ISSN | 07455194 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/649245 |
Accessed | Monday, October 12, 2009 11:54:54 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Mar., 1993 / Copyright © 1993 American Anthropological Association |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
Fieldwork conducted among a diverse sample of non-Asian patients of Chinese medicine in New York City during 1989 and 1990 showed that they are formulating models of health, illness, and healing based mainly upon their own bodily experience with therapy. They view the Chinese medical therapy that they receive as holistic, in contrast to the fragmentary nature of biomedicine. While some practitioners who were interviewed also spoke of personal encounters with the healing mechanisms of this non-Western form of treatment, the models of both Asians and non-Asians in this second category tended to focus upon Confucian or Taoist ideals of order and responsibility. It is hypothesized that, while certainly affected by socioeconomic and political exigencies, an urban U.S. variant of Chinese medicine may be emerging from the ground up; that is, from the consumers and therapists who are most intimately involved with the system.
Type | Journal Article |
---|---|
Author | Tina M Harris |
Author | Bethany Keeley |
Author | Samantha Barrientos |
Author | Marita Gronnvoll |
Author | Jamie Landau |
Author | Christopher R Groscurth |
Author | Lijiang Shen |
Author | Youyou Cheng |
Author | J David Cisneros |
Abstract | The primary goal of this study was to determine the extent to which religious frameworks inform lay public understandings of genes and disease. Contrary to existing research, there were minimal differences between racial groups. We did, however, observe two patterns in that data that are worthy of discussion. First, because participants were from the south, the finding that participants from both racial groups ascribe to a religious belief system to make sense of their lived experiences is not surprising. Rather, it appears to be reflective of the religious culture that is an integral part of the south and our identity as a nation. A second noteworthy finding is that while a significant number of participants believe that a relationship exists between health status, genes, and religious behaviors, they also recognize that positive health behaviors must also be adopted as a means for staving off disease. In some cases, however, there was a belief that health issues could dissolve or disappear as a result of certain religious behaviors such as prayer. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 22-30 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30192 |
ISSN | 1552-4876 |
Accessed | Tuesday, February 22, 2011 7:56:57 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170099 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Craig Hassed |
Author | Steven de Lisle |
Author | Gavin Sullivan |
Author | Ciaran Pier |
Abstract | Medical students experience various stresses and many poor health behaviours. Previous studies consistently show that student wellbeing is at its lowest pre-exam. Little core-curriculum is traditionally dedicated to providing self-care skills for medical students. This paper describes the development, implementation and outcomes of the Health Enhancement Program (HEP) at Monash University. It comprises mindfulness and ESSENCE lifestyle programs, is experientially-based, and integrates with biomedical sciences, clinical skills and assessment. This study measured the program's impact on medical student psychological distress and quality of life. A cohort study performed on the 2006 first-year intake measured effects of the HEP on various markers of wellbeing. Instruments used were the depression, anxiety and hostility subscales of the Symptom Checklist-90-R incorporating the Global Severity Index (GSI) and the WHO Quality of Life (WHOQOL) questionnaire. Pre-course data (T1) was gathered mid-semester and post-course data (T2) corresponded with pre-exam week. To examine differences between T1 and T2 repeated measures ANOVA was used for the GSI and two separate repeated measures MANOVAs were used to examine changes in the subscales of the SCL-90-R and the WHOQOL-BREF. Follow-up t-tests were conducted to examine differences between individual subscales. A total of 148 of an eligible 270 students returned data at T1 and T2 giving a response rate of 55%. 90.5% of students reported personally applying the mindfulness practices. Improved student wellbeing was noted on all measures and reached statistical significance for the depression (mean T1 = 0.91, T2 = 0.78; p = 0.01) and hostility (0.62, 0.49; 0.03) subscales and the GSI (0.73, 0.64; 0.02) of the SCL-90, but not the anxiety subscale (0.62, 0.54; 0.11). Statistically significant results were also found for the psychological domain (62.42, 65.62; p < 0.001) but not the physical domain (69.11, 70.90; p = 0.07) of the WHOQOL. This study is the first to demonstrate an overall improvement in medical student wellbeing during the pre-exam period suggesting that the common decline in wellbeing is avoidable. Although the findings of this study indicate the potential for improving student wellbeing at the same time as meeting important learning objectives, the limitations in study design due to the current duration of follow-up and lack of a control group means that the data should be interpreted with caution. Future research should be directed at determining the contribution of individual program components, long-term outcomes, and impacts on future attitudes and clinical practice. |
Publication | Advances in Health Sciences Education: Theory and Practice |
Volume | 14 |
Issue | 3 |
Pages | 387-398 |
Date | Aug 2009 |
Journal Abbr | Adv Health Sci Educ Theory Pract |
DOI | 10.1007/s10459-008-9125-3 |
ISSN | 1573-1677 |
Short Title | Enhancing the health of medical students |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18516694 |
Accessed | Sunday, November 01, 2009 10:40:19 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18516694 |
Date Added | Thursday, September 29, 2011 9:04:55 AM |
Modified | Thursday, September 29, 2011 9:04:55 AM |
Type | Journal Article |
---|---|
Author | Meg Hayes |
Author | Sam Chase |
Abstract | More than 15.8 million people in the United States now practice some form of yoga, and nearly half of current practitioners stated they began yoga practice as a means of improving overall health. More broadly understood in a modern context, yoga is a set of principles and practices designed to promote health and well-being through the integration of body, breath, and mind. This article outlines the history of yoga and describes several forms, including asana-based yoga, which is becoming popular in the United States. Research findings related to use of yoga as a therapy for various health problems are reviewed. Guidelines for finding a yoga teacher are offered, as are a number of book and Internet sources of further information. |
Publication | Primary Care |
Volume | 37 |
Issue | 1 |
Pages | 31-47 |
Date | Mar 2010 |
Journal Abbr | Prim Care |
DOI | 10.1016/j.pop.2009.09.009 |
ISSN | 1558-299X |
Accessed | Thursday, March 04, 2010 8:42:35 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20188996 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | R S Hebert |
Author | M W Jenckes |
Author | D E Ford |
Author | D R O'Connor |
Author | L A Cooper |
Abstract | OBJECTIVE: To identify the preferences and concerns of seriously ill patients about discussing religious and spiritual beliefs with physicians. DESIGN: Three focus group discussions with patients who had experienced a recent life-threatening illness. Discussions were audiotaped, transcribed verbatim, and reviewed independently by two investigators to identify discrete comments for grouping into domains. A third investigator adjudicated differences in opinion. Comments were then independently reviewed for relevance and consistency by a health services researcher and a pastoral counselor. SETTING: Academic medical center. PARTICIPANTS: Referred sample of 22 patients hospitalized with a recent life-threatening illness. MEASUREMENTS AND MAIN RESULTS: Almost all of the 562 comments could be grouped into one of five broad domains: 1) religiosity/spirituality, 2) prayer, 3) patient-physician relationship, 4) religious/spiritual conversations, and 5) recommendations to physicians. God, prayer, and spiritual beliefs were often mentioned as sources of comfort, support, and healing. All participants stressed the importance of physician empathy. Willingness to participate in spiritual discussions with doctors was closely tied to the patient-physician relationship. Although divided on the proper context, patients agreed that physicians must have strong interpersonal skills for discussions to be fruitful. Physician-initiated conversation without a strong patient-physician relationship was viewed as inappropriate and as implying a poor prognosis. CONCLUSION: Religion and spirituality are a source of comfort for many patients. Although not necessarily expecting physicians to discuss spirituality, patients want physicians to ask about coping and support mechanisms. This exploratory study suggests that if patients then disclose the importance of spiritual beliefs in their lives, they would like physicians to respect these values. |
Publication | Journal of General Internal Medicine |
Volume | 16 |
Issue | 10 |
Pages | 685-692 |
Date | Oct 2001 |
Journal Abbr | J Gen Intern Med |
ISSN | 0884-8734 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11679036 |
Accessed | Thursday, November 12, 2009 9:08:26 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11679036 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objective: To identify the preferences and concerns of seriously ill patients about discussing religious and spiritual beliefs with physicians. Design: Three focus group discussions with patients who had experienced a recent life-threatening illness. Discussions were audiotaped, transcribed verbatim, and reviewed independently by two investigators to identify discrete comments for grouping into domains. A third investigator adjudicated differences in opinion. Comments were then independently reviewed for relevance and consistency by a health services researcher and a pastoral counselor. Setting: Academic medical center. Patricipants: Referred sample of 22 patients hospitalized with a recent life-threatening illness. Measurements and Main Results: Almost all of the 562 comments could be grouped into one of five broad domains: 1) religiosity/spirituality, 2) prayer, 3) patient-physician relationship, 4) religious/spiritual conversations, and 5) recommendations to physicians. God, prayer, and spiritual beliefs were often mentioned as sources of comfort, support, and healing. All participants stressed the importance of physician empathy. Willingness to participate in spiritual discussions with doctors was closely tied to the patient-physician relationship. Although divided on the proper context, patients agreed that physicians must have strong interpersonal skills for discussions to be fruitful. Physician-initiated conversation without a strong patient-physician relationship was viewed as inappropriate and as implying a poor prognosis. Conclusion: Religion and spirituality are a source of comfort for many patients. Although not necessarily expecting physicians to discuss spirituality, patients want physicians to ask about coping and support mechanisms. This exploratory study suggests that if patients then disclose the importance of spiritual beliefs in their lives, they would like physicians to respect these values.
Type | Journal Article |
---|---|
Author | K M Hedayat |
Author | R Pirzadeh |
Abstract | The United States is becoming increasingly pluralistic. Pediatricians must become familiar with the factors that affect the emotional, physical, and spiritual health of their patients that are outside the kin of the traditionally dominant value system. Although many articles have addressed the cultural and ethnic factors, very few have considered the impact of religion. Islam, as the largest and fastest-growing religion in the world, has adherent throughout the world, including the United States, with 50% of US Muslims being indigenous converts. Islam presents a complete moral, ethical, and medical framework that, while it sometimes concurs, at times diverges or even conflicts with the US secular ethical framework. This article introduces the pediatrician to the Islamic principles of ethics within the field of pediatric care and child-rearing. It demonstrates how these principles may impact outpatient and inpatient care. Special attention is also given to adolescent and end-of-life issues. |
Publication | Pediatrics |
Volume | 108 |
Issue | 4 |
Pages | 965-971 |
Date | Oct 2001 |
Journal Abbr | Pediatrics |
ISSN | 1098-4275 |
Short Title | Issues in Islamic biomedical ethics |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11581452 |
Accessed | Monday, November 02, 2009 1:50:55 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11581452 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
The United States is becoming increasingly pluralistic. Pediatricians must become familiar with the factors that affect the emotional, physical, and spiritual health of their patients that are outside the kin of the traditionally dominant value system. Although many articles have addressed the cultural and ethnic factors, very few have considered the impact of religion. Islam, as the largest and fastest-growing religion in the world, has adherent throughout the world, including the United States, with 50% of US Muslims being indigenous converts. Islam presents a complete moral, ethical, and medical framework that, while it sometimes concurs, at times diverges or even conflicts with the US secular ethical framework. This article introduces the pediatrician to the Islamic principles of ethics within the field of pediatric care and child-rearing. It demonstrates how these principles may impact outpatient and inpatient care. Special attention is also given to adolescent and end-of-life issues.
Type | Journal Article |
---|---|
Author | J F Hiatt |
Abstract | Contemporary medicine has given little attention to the spiritual dimension of human experience despite its relevance to our fundamental goal of healing. This exploratory work takes the position that this dimension can and should be reintegrated into health care models and practice. After delineating the scope of inquiry and providing some definitions, I draw upon paradigms from psychology and physics to provide a basis for such integration, and then extend the biopsychosocial model to include the spiritual dimension, discussing some ways in which this perspective might affect our thinking about disease and health care. |
Publication | Southern Medical Journal |
Volume | 79 |
Issue | 6 |
Pages | 736-743 |
Date | Jun 1986 |
Journal Abbr | South. Med. J |
ISSN | 0038-4348 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/3715539 |
Accessed | Thursday, November 12, 2009 5:04:59 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 3715539 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Contemporary medicine has given little attention to the spiritual dimension of human experience despite its relevance to our fundamental goal of healing. This exploratory work takes the position that this dimension can and should be reintegrated into health care models and practice. After delineating the scope of inquiry and providing some definitions, I draw upon paradigms from psychology and physics to provide a basis for such integration, and then extend the biopsychosocial model to include the spiritual dimension, discussing some ways in which this perspective might affect our thinking about disease and health care.
Type | Journal Article |
---|---|
Author | Wakoh Shannon Hickey |
Publication | CrossCurrents |
Volume | 60 |
Issue | 2 |
Pages | 168-184 |
Date | 06/2010 |
DOI | 10.1111/j.1939-3881.2010.00118.x |
ISSN | 00111953 |
URL | http://blackwell-synergy.com/doi/abs/10.1111/j.1939-3881.2010.00118.x |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | G J Hilsman |
Abstract | If managed care leaders are able to achieve their goals of enhancing total well-being within a capitated system of care, they must attend to the broad new societal interest in spiritual perspectives and find ways to integrate them into their structure of care. Imaginative and sensitive members of many professions, particularly those who acknowledge the value of spirituality in their own lives and are convinced of its value in healing, will likely spearhead this integrated movement. Promoting individuals' total well-being necessitates an acknowledgement that everyone has a unique personal spirituality that needs to be addressed at times of crisis, such as illness or hospitalization. Further, attention to the spiritual dimensions of problems that result in high healthcare costs, such as violence, alcoholism, and the fear of death, can help reduce those costs. The process of grief also needs to be addressed in healthcare settings, for professionals as well as patients, to enhance understanding, acceptance, and the quality of care. People recover and retain health through a balanced integration of physical, spiritual, and community aspects of their lives. If professional chaplains who have emphasized crisis and acute care in their ministry styles are to contribute to this integrative healing and its adoption into managed care systems, they may need to explore broader frameworks, holistic concepts of healing processes, motivations for self-care, and a personal holistic balance. |
Publication | Health Progress (Saint Louis, Mo.) |
Volume | 78 |
Issue | 1 |
Pages | 43-46 |
Date | 1997 Jan-Feb |
Journal Abbr | Health Prog |
ISSN | 0882-1577 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10165750 |
Accessed | Thursday, November 12, 2009 5:33:18 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10165750 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
If managed care leaders are able to achieve their goals of enhancing total well-being within a capitated system of care, they must attend to the broad new societal interest in spiritual perspectives and find ways to integrate them into their structure of care. Imaginative and sensitive members of many professions, particularly those who acknowledge the value of spirituality in their own lives and are convinced of its value in healing, will likely spearhead this integrated movement. Promoting individuals’ total well-being necessitates an acknowledgement that everyone has a unique personal spirituality that needs to be addressed at times of crisis, such as illness or hospitalization. Further, attention to the spiritual dimensions of problems that result in high healthcare costs, such as violence, alcoholism, and the fear of death, can help reduce those costs. The process of grief also needs to be addressed in healthcare settings, for professionals as well as patients, to enhance understanding, acceptance, and the quality of care. People recover and retain health through a balanced integration of physical, spiritual, and community aspects of their lives. If professional chaplains who have emphasized crisis and acute care in their ministry styles are to contribute to this integrative healing and its adoption into managed care systems, they may need to explore broader frameworks, holistic concepts of healing processes, motivations for self-care, and a personal holistic balance.
Type | Journal Article |
---|---|
Author | David R Hodge |
Abstract | Research indicates that many social work practitioners are interested in using spiritual interventions in clinical settings. Unfortunately, studies also indicate that practitioners have frequently received minimal training on the topic during their graduate education. Drawing from the evidence-based practice movement, this article develops some guidelines to assist practitioners in using spiritual interventions in an ethical, professional manner that fosters client well-being. These guidelines can be summarized under the following four rubrics: (1) client preference, (2) evaluation of relevant research, (3) clinical expertise, and (4) cultural competency. The article concludes by emphasizing that these overlapping guidelines should be considered concurrently, in a manner that privileges clients' needs and desires in the decision-making process. |
Publication | Social Work |
Volume | 56 |
Issue | 2 |
Pages | 149-158 |
Date | Apr 2011 |
Journal Abbr | Soc Work |
ISSN | 0037-8046 |
Short Title | Using spiritual interventions in practice |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21553578 |
Accessed | Wednesday, June 08, 2011 6:58:07 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21553578 |
Date Added | Thursday, September 29, 2011 8:55:16 AM |
Modified | Thursday, September 29, 2011 8:55:16 AM |
Type | Journal Article |
---|---|
Author | David R Hodge |
Abstract | Despite the media attention focused on the Islamic community after the terrorist attacks on the World Trade Center on September 11, 2001, Muslims remain one of the most misunderstood populations in the United States. Few articles have appeared in the social work literature orienting practitioners to the Islamic community, and much of the mainstream media coverage misrepresents the population.This article reviews the basic beliefs, practices, and values that commonly characterize, or inform, the House of Islam in the United States. The organizations that embody and sustain the Muslim communities that constitute the House of Islam are profiled, and areas of possible value conflicts are examined.The article concludes by offering suggestions for integrating the article's themes into practice settings. Particular attention is given to enhancing cultural competence and to suggestions for spiritual assessment and interventions. |
Publication | Social Work |
Volume | 50 |
Issue | 2 |
Pages | 162-173 |
Date | Apr 2005 |
Journal Abbr | Soc Work |
ISSN | 0037-8046 |
Short Title | Social work and the house of Islam |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15853193 |
Accessed | Monday, November 02, 2009 1:38:09 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15853193 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Despite the media attention focused on the Islamic community after the terrorist attacks on the World Trade Center on September 11, 2001, Muslims remain one of the most misunderstood populations in the United States. Few articles have appeared in the social work literature orienting practitioners to the Islamic community, and much of the mainstream media coverage misrepresents the population.This article reviews the basic beliefs, practices, and values that commonly characterize, or inform, the House of Islam in the United States. The organizations that embody and sustain the Muslim communities that constitute the House of Islam are profiled, and areas of possible value conflicts are examined.The article concludes by offering suggestions for integrating the article’s themes into practice settings. Particular attention is given to enhancing cultural competence and to suggestions for spiritual assessment and interventions.
Type | Journal Article |
---|---|
Author | Donna Hoffert |
Author | Christine Henshaw |
Author | Nyaradzo Mvududu |
Abstract | According to the literature, a majority of nurses and nursing students report a lack of comfort and ability to perform a spiritual assessment. The researchers designed and implemented an intervention program to address the 4 barriers most frequently identified as obstacles to performing a spiritual assessment. They discuss this study and suggest teaching interventions to assist nursing students to assess and implement spiritual care. Researcher-developed tools are presented and can be made available for use. |
Publication | Nurse Educator |
Volume | 32 |
Issue | 2 |
Pages | 66-72 |
Date | 2007 Mar-Apr |
Journal Abbr | Nurse Educ |
DOI | 10.1097/01.NNE.0000264327.17921.b7 |
ISSN | 0363-3624 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17496821 |
Accessed | Friday, November 13, 2009 5:42:53 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17496821 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
According to the literature, a majority of nurses and nursing students report a lack of comfort and ability to perform a spiritual assessment. The researchers designed and implemented an intervention program to address the 4 barriers most frequently identified as obstacles to performing a spiritual assessment. They discuss this study and suggest teaching interventions to assist nursing students to assess and implement spiritual care. Researcher-developed tools are presented and can be made available for use.
Type | Journal Article |
---|---|
Author | Claire Hollywell |
Author | Jan Walker |
Abstract | AIM This critical review seeks to identify if there is evidence that private (personal) prayer is capable of improving wellbeing for adult patients in hospital. BACKGROUND The review was conducted in the belief that the spiritual needs of hospitalised patients may be enhanced by encouragement and support to engage in prayer. DESIGN Systematic review. METHOD A systematic approach was used to gather evidence from published studies. In the absence of experimental research involving this type of population, evidence from qualitative and correlational studies was critically reviewed. Results. The findings indicate that private prayer, when measured by frequency, is usually associated with lower levels of depression and anxiety. Most of the studies that show positive associations between prayer and wellbeing were located in areas that have strong Christian traditions and samples reported a relatively high level of religiosity, church attendance and use of prayer. Church attenders, older people, women, those who are poor, less well educated and have chronic health problems appear to make more frequent use of prayer. Prayer appears to be a coping action that mediates between religious faith and wellbeing and can take different forms. Devotional prayers involving an intimate dialogue with a supportive God appear to be associated with improved optimism, wellbeing and function. In contrast, prayers that involve pleas for help may, in the absence of a pre-existing faith, be associated with increased distress and possibly poorer function. CONCLUSION Future research needs to differentiate the effects of different types of prayer. RELEVANCE TO CLINICAL PRACTICE Encouragement to engage in prayer should be offered only following assessment of the patient's faith and likely content and form of prayer to be used. Hospitalised patients who lack faith and whose prayers involve desperate pleas for help are likely to need additional support from competent nursing and chaplaincy staff. |
Publication | Journal of Clinical Nursing |
Volume | 18 |
Issue | 5 |
Pages | 637-651 |
Date | Mar 2009 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2008.02510.x |
ISSN | 1365-2702 |
Short Title | Private prayer as a suitable intervention for hospitalised patients |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19077024 |
Accessed | Monday, March 28, 2011 6:18:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19077024 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Cheryl L Holt |
Author | Chastity Roberts |
Author | Isabel Scarinci |
Author | Shereta R Wiley |
Author | Mohamad Eloubeidi |
Author | Martha Crowther |
Author | John Bolland |
Author | Mark S Litaker |
Author | Vivian Southward |
Author | Steven S Coughlin |
Abstract | This study describes the development of a spiritually based intervention to increase colorectal cancer screening through African American churches by framing the health message with spiritual themes and scripture. The intervention development phase consisted of ideas from an advisory panel and core content identified in focus groups. In the pilot-testing phase, prototypes of the intervention materials were tested for graphic appeal in additional focus groups, and content was tested for acceptability and comprehension in cognitive interviews. Participants preferred materials showing a variety of African Americans in real settings, bright color schemes, and an uplifting message emphasizing prevention and early detection. Spiritual themes such as stewardship over the body, being well to serve God, and using faith to overcome fear, were well received. The materials were then finalized for implementation and will be used by community health advisors to encourage screening. |
Publication | Health Communication |
Volume | 24 |
Issue | 5 |
Pages | 400-412 |
Date | Jul 2009 |
Journal Abbr | Health Commun |
DOI | 10.1080/10410230903023451 |
ISSN | 1532-7027 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19657823 |
Accessed | Friday, November 13, 2009 8:11:11 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19657823 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This study describes the development of a spiritually based intervention to increase colorectal cancer screening through African American churches by framing the health message with spiritual themes and scripture. The intervention development phase consisted of ideas from an advisory panel and core content identified in focus groups. In the pilot-testing phase, prototypes of the intervention materials were tested for graphic appeal in additional focus groups, and content was tested for acceptability and comprehension in cognitive interviews. Participants preferred materials showing a variety of African Americans in real settings, bright color schemes, and an uplifting message emphasizing prevention and early detection. Spiritual themes such as stewardship over the body, being well to serve God, and using faith to overcome fear, were well received. The materials were then finalized for implementation and will be used by community health advisors to encourage screening.
Type | Journal Article |
---|---|
Author | Sala Horowitz |
Publication | Alternative & Complementary Therapies |
Volume | 7 |
Issue | 2 |
Pages | 68-73 |
Date | 2001-04-01 |
ISSN | 1076-2809 |
Library Catalog | Open WorldCat |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Type | Journal Article |
---|---|
Author | Katherine Hunt |
Author | Edzard Ernst |
Abstract | OBJECTIVES: The principles of evidence-based practice (EBP) are fundamental to medical ethics and seem essential for any form of health care. In 2000, a House of Lords Select Committee recommended that the ethos of EBP should extend to complementary and alternative medicine. The aim of this investigation was to determine whether EBP is incorporated in the codes of ethics of British complementary and alternative medicine organizations. METHODS: We obtained the codes of the following bodies: Association of Naturopathic Practitioners, Association of Traditional Chinese Medicine (UK), Ayurvedic Practitioners Association, British Acupuncture Council, Complementary and Natural Healthcare Council, European Herbal Practitioners Association, General Chiropractic Council, General Osteopathic Council, General Regulatory Council for Complementary Therapies, National Institute of Medical Herbalists, Register of Chinese Herbal Medicine, Society of Homeopaths, UK Healers, Unified Register of Herbal Practitioners. We then extracted the statements referring to EBP and compared this with what the respective codes of British doctors and nurses proscribed. RESULTS: Only the General Chiropractic Council, the General Osteopathic Council and the General Regulatory Council for Complementary Therapies oblige their members to adopt EBP. CONCLUSIONS: This discloses double standards in UK health care which may compromise patient safety. |
Publication | Journal of Health Services Research & Policy |
Volume | 14 |
Issue | 4 |
Pages | 219-223 |
Date | Oct 2009 |
Journal Abbr | J Health Serv Res Policy |
DOI | 10.1258/jhsrp.2009.009009 |
ISSN | 1355-8196 |
Short Title | Evidence-based practice in British complementary and alternative medicine |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19770119 |
Accessed | Tuesday, October 27, 2009 8:40:19 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19770119 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Linda A. Hunter |
Author | Mark A. Yarhouse |
Abstract | Human beings are uniquely created with varying degrees of biological, psychological, sociological, and spiritual differences. Research suggests that many clients bring spiritual issues and concerns to counseling and request religiously accommodating interventions often in the form of prayer, scripture reading or referral to scripture, assurances of forgiveness by God, or forgiveness of self or others. These heightened requests from clients for religiously accommodating interventions must be matched by the clinician's heightened sensitivity to the disclosure of religious views, cultural diversity, and religious diversity through use of an advanced informed consent. This article will examine the ethical considerations in the use of religiously-congruent interventions through a more in-depth analysis of one specific approach to religiously accommodating interventions, i.e., Theophostic Prayer Ministry. It closes with suggestions for expanded informed consent when assisting clients requesting religiously accommodating interventions. [ABSTRACT FROM AUTHOR] |
Publication | Journal of Psychology & Christianity |
Volume | 28 |
Issue | 2 |
Pages | 159-166 |
Date | Summer2009 2009 |
ISSN | 07334273 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Trevor Hussey |
Abstract | Those matters that are judged to be spiritual are seen as especially valuable and important. For this reason it is claimed that nurses need to be able to offer spiritual care when appropriate and, to aid them in this, nurse theorists have discussed the nature of spirituality. In a recent debate John Paley has argued that nurses should adopt a naturalistic stance which would enable them to employ the insights of modern science. Barbara Pesut has criticized this thesis, especially as it is applied to palliative care. This paper re-examines this debate with particular attention to the meaning of 'spirituality' and the justification for accepting spiritual and religious theories. It is argued that when we take into consideration the great diversity among religious and spiritual ideas, the lack of rational means of deciding between them when they conflict, and the practicalities of nursing, we find that a spiritual viewpoint is less useful than a naturalistic one, when offering palliative care. |
Publication | Nursing Philosophy: An International Journal for Healthcare Professionals |
Volume | 10 |
Issue | 2 |
Pages | 71-80 |
Date | Apr 2009 |
Journal Abbr | Nurs Philos |
DOI | 10.1111/j.1466-769X.2008.00387.x |
ISSN | 1466-769X |
Accessed | Tuesday, February 22, 2011 7:35:05 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19291195 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Book |
---|---|
Author | Daisaku Ikeda |
Author | René Simard |
Author | Guy Bourgeault |
Place | Santa Monica, Calif |
Publisher | Middleway Press |
Date | 2003 |
ISBN | 0972326715 |
Short Title | On Being Human |
Library Catalog | library.bu.edu.ezproxy.bu.edu Library Catalog |
Call Number | BQ4570.M4 I324 2003 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
This exploration of what it means to be healthy from a physical, mental, and spiritual standpoint discusses Western humanism, Japanese Buddhism, and modern science from three divergent, yet expert, perspectives. Seeking common ground through dialogue, this ambitious work broaches questions about issues that face today’s society, such as cancer, AIDS, death with dignity, in vitro fertilization, biomedical ethics, and more. The discussions cut through linguistic and cultural barriers to present a vision of the potential-and the inherent challenges-of being human. Avoiding scientific jargon, the book begins with a medical discussion of cancer and AIDS, as well as the problem of social discrimination against those infected. Questions about the fundamental nature of a harmonious existence are considered, as are specific issues such as the nature of brain death and ethical problems relating to fertility and childbirth. The origins of life, evolution, and the birth of humanity are also discussed.
Type | Journal Article |
---|---|
Author | Muhammad Ilyas |
Author | Mukhtar Alam |
Author | Habib Ahmad |
Author | Sajid-ul-Ghafoor |
Abstract | Abortion is the most common and controversial issue in many parts of the world. Approximately 46 million abortions are performed worldwide every year. The world ratio is 26 induced abortions per 100 known pregnancies. Pakistan has an estimated abortion rate of 29 abortions per 1,000 women of reproductive age, despite the procedure being illegal except to save a woman's life. 890,000 abortions are performed annually in Pakistan. Many government and non-government organizations are working on the issue of abortion. Muslim jurists are unanimous in declaring that after the fetus is completely formed and has been given a soul, abortion is haram (forbidden). |
Publication | Human Reproduction and Genetic Ethics |
Volume | 15 |
Issue | 2 |
Pages | 55-59 |
Date | 2009 |
Journal Abbr | Hum Reprod Genet Ethics |
ISSN | 1028-7825 |
Short Title | Abortion and protection of the human fetus |
Accessed | Friday, January 29, 2010 11:10:26 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19957496 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Stella Iron Cloud |
Author | Raymond A Bucko |
Abstract | OBJECTIVES: This article provides strategies for health care delivery for the Oglala Lakota on the Pine Ridge reservation of South Dakota. METHODS: Both authors relied on their field experience as well as health care literature for constructing this article. Stella Iron Cloud is a member of the Oglala Sioux Tribe. CONCLUSIONS: It is important to attend to the internal heterogeneity of Oglala culture, differences across Native American groups, as well as changes over time. There is a consistent importance in acknowledging the importance of family, creating good relationships built on reciprocity in effective healthcare delivery, and respecting the close interrelationship between spirituality and healing and individual self-determination. One must also address with sensitivity many factors which cause poor health on the reservation. |
Publication | Southern Medical Journal |
Volume | 101 |
Issue | 6 |
Pages | 599-600 |
Date | Jun 2008 |
Journal Abbr | South. Med. J |
DOI | 10.1097/SMJ.0b013e318172dd12 |
ISSN | 1541-8243 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18475237 |
Accessed | Friday, November 13, 2009 6:56:51 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18475237 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Objectives This article provides strategies for health care delivery for the Oglala Lakota on the Pine Ridge reservation of South Dakota. Methods: Both authors relied on their field experience as well as health care literature for constructing this article. Stella Iron Cloud is a member of the Oglala Sioux Tribe. Conclusions: It is important to attend to the internal heterogeneity of Oglala culture, differences across Native American groups, as well as changes over time. There is a consistent importance in acknowledging the importance of family, creating good relationships built on reciprocity in effective healthcare delivery, and respecting the close interrelationship between spirituality and healing and individual self-determination. One must also address with sensitivity many factors which cause poor health on the reservation.
Type | Journal Article |
---|---|
Author | Karen Iseminger |
Author | Francesca Levitt |
Author | Lisa Kirk |
Abstract | This article addresses nursing presence, a phenomenon essential to holistic nursing care. The concept is introduced and explained, supporting background information is reviewed, barriers are identified, and successful applications are illustrated in different clinical settings. Avowing that metaphysical knowledge is the underpinning to the art of nursing presence, a Transformative Nursing Presence Model is offered as a distinctive framework for nurses and organizations interested in fostering enhanced nursing presence. |
Publication | The Nursing Clinics of North America |
Volume | 44 |
Issue | 4 |
Pages | 447-459 |
Date | Dec 2009 |
Journal Abbr | Nurs. Clin. North Am |
DOI | 10.1016/j.cnur.2009.07.001 |
ISSN | 1558-1357 |
Short Title | Healing during existential moments |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19850181 |
Accessed | Monday, December 28, 2009 12:14:52 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19850181 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Timothy P Jackson |
Abstract | In the past, the primary threat to the patient as person was a medical utilitarianism that would sacrifice the individual for the collective, that would coercively (ab)use a person for the sake of an in-group's health or happiness. Today, the threat is not only from vainglorious social groups but also from valorized genes and genomes. An over-valuation of genes risks making persons seem epiphenomenal. A central thesis of this article is that religious healthcare professionals have unique resources to combat this. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 89-94 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30198 |
ISSN | 1552-4876 |
Short Title | The patient as person in an increasingly gene-centric universe |
Accessed | Tuesday, February 22, 2011 7:57:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170083 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | J Jacob |
Author | E Jovic |
Author | MB Brinkerhoff |
Abstract | Employing data from a mailed survey of a sample of ecologically and spiritually aware respondents (N = 829), the study tests the hypothesized relationship between ecologically sustainable behavior (ESB) and subjective well-being (SWB). The proposed link between ESB and SWB is the spiritual practice of mindfulness meditation (MM). In multiple regression equations ESB and MM independently explain statistically significant amounts of variance in SWB, indicating, for at least the study's sample, that there can be a relationship between personal and planetary well-being. The inter-relationships among SWB, ESB and MM suggest that for specific segments of the general population (e.g., the spiritually inclined) there may not necessarily be an insurmountable conflict between an environmentally responsible lifestyle and personal quality of life. The research reported here also points to the potential for meditative/mindful experiences to play a prominent role in the explanation of variance in SWB, a direction in QoL studies recently highlighted by several researchers (Layard 2005, pp. 189-192; Nettle 2005, pp. 153-160; Haidt 2006). |
Publication | Social Indicators Research |
Volume | 93 |
Issue | 2 |
Pages | 275-294 |
Date | SEP 2009 |
DOI | 10.1007/s11205-008-9308-6 |
ISSN | 0303-8300 |
Short Title | Personal and Planetary Well-being |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=GeneralSearch&qid=1&… |
Accessed | Sunday, November 01, 2009 10:14:29 AM |
Library Catalog | ISI Web of Knowledge |
Date Added | Thursday, September 29, 2011 9:04:55 AM |
Modified | Thursday, September 29, 2011 9:04:55 AM |
Type | Journal Article |
---|---|
Author | G D Jacobs |
Abstract | Several hundred peer-reviewed studies in the past 20 years have shown that the relaxation response and mind-body interventions are clinically effective in the treatment of many health problems that are caused or made worse by stress. Recent studies show that mind-body interventions may improve prognosis in coronary heart disease and can enhance immune functioning. It is hypothesized that mind-body interventions reduce sympathetic nervous system activation and increase parasympathetic nervous system activity, and thereby restore homeostasis. Researchers have also concluded that cognitive therapy is as effective, and possibly more effective than antidepressant medication in the treatment of major depression. This report provides an overview of some studies that have shown a beneficial role of the relaxation response and cognitive restructuring in the treatment of headaches, insomnia, and cardiovascular disorders. Studies to date suggest that mind-body interventions are effective and can also provide cost savings in patient treatment. It is also clear, however, that mind-body therapies are not panaceas, and should be used in conjunction with standard medical care. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 7 Suppl 1 |
Pages | 93-101 |
Date | 2001 |
Journal Abbr | J Altern Complement Med |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11822640 |
Accessed | Tuesday, September 08, 2009 6:22:10 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11822640 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Several hundred peer-reviewed studies in the past 20 years have shown that the relaxation response and mind-body interventions are clinically effective in the treatment of many health problems that are caused or made worse by stress. Recent studies show that mind-body interventions may improve prognosis in coronary heart disease and can enhance immune functioning. It is hypothesized that mind-body interventions reduce sympathetic nervous system activation and increase parasympathetic nervous system activity, and thereby restore homeostasis. Researchers have also concluded that cognitive therapy is as effective, and possibly more effective than antidepressant medication in the treatment of major depression. This report provides an overview of some studies that have shown a beneficial role of the relaxation response and cognitive restructuring in the treatment of headaches, insomnia, and cardiovascular disorders. Studies to date suggest that mind-body interventions are effective and can also provide cost savings in patient treatment. It is also clear, however, that mind-body therapies are not panaceas, and should be used in conjunction with standard medical care.
Type | Journal Article |
---|---|
Author | Atul N Jadhav |
Author | K K Bhutani |
Abstract | The science of life--Ayurveda is practiced in India since time immemorial. Besides being cheap and easily available Ayurvedic drugs are considered safe. Moreover, there is surge in the interest in Ayurveda due to quest of alternative medicines. Many of the gynecological disorders being not reported to the physicians, are treated with household remedies in India. The science of Ayurveda deals with these issues in a systematic manner as evident from the classification of diseases available and the number of plant drugs or the combinations thereof available for the treatment. In the present article, Ayurvedic herbal formulations and single plant drugs used traditionally in treatment of gynecological disorders are described. |
Publication | Journal of Ethnopharmacology |
Volume | 97 |
Issue | 1 |
Pages | 151-159 |
Date | Feb 10, 2005 |
Journal Abbr | J Ethnopharmacol |
DOI | 10.1016/j.jep.2004.10.020 |
ISSN | 0378-8741 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15652289 |
Accessed | Monday, November 02, 2009 2:33:39 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15652289 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
The science of life--Ayurveda is practiced in India since time immemorial. Besides being cheap and easily available Ayurvedic drugs are considered safe. Moreover, there is surge in the interest in Ayurveda due to quest of alternative medicines. Many of the gynecological disorders being not reported to the physicians, are treated with household remedies in India. The science of Ayurveda deals with these issues in a systematic manner as evident from the classification of diseases available and the number of plant drugs or the combinations thereof available for the treatment. In the present article, Ayurvedic herbal formulations and single plant drugs used traditionally in treatment of gynecological disorders are described.
Type | Journal Article |
---|---|
Author | Roger Jahnke |
Author | Linda Larkey |
Author | Carol Rogers |
Author | Jennifer Etnier |
Author | Fang Lin |
Abstract | Objective Research examining psychological and physiological benefits of Qigong and Tai Chi is growing rapidly. The many practices described as Qigong or Tai Chi have similar theoretical roots, proposed mechanisms of action, and expected benefits. Research trials and reviews, however, treat them as separate targets of examination. This review examines the evidence for achieving outcomes from randomized controlled trials (RCTs) of both. Data Sources The key words Tai Chi, Taiji, Tai Chi Chuan, and Qigong were entered into electronic search engines for the Cumulative Index for Allied Health and Nursing (CINAHL), psychological literature (PsycINFO), PubMed, Cochrane database, and Google Scholar. Study Inclusion Criteria RCTs reporting on the results of Qigong or Tai Chi interventions and published in peer-reviewed journals from 1993 to 2007. Data Extraction Country, type and duration of activity, number/type of subjects, control conditions, and reported outcomes were recorded for each study. Synthesis Outcomes related to Qigong and Tai Chi practice were identified and evaluated. Results Seventy-seven articles met the inclusion criteria. The nine outcome category groupings that emerged were bone density (n = 4), cardiopulmonary effects (n = 19), physical function (n = 16), falls and related risk factors (n = 23), quality of life (n = 17), self-efficacy (n = 8), patient-reported outcomes (n = 13), psychological symptoms (n = 27), and immune function (n = 6). Conclusions Research has demonstrated consistent, significant results for a number of health benefits in RCTs, evidencing progress toward recognizing the similarity and equivalence of Qigong and Tai Chi. |
Publication | American Journal of Health Promotion |
Volume | 24 |
Issue | 6 |
Pages | e1-e25 |
Date | 07/2010 |
Journal Abbr | American Journal of Health Promotion |
DOI | 10.4278/ajhp.081013-LIT-248 |
ISSN | 0890-1171 |
URL | http://ajhpcontents.org/doi/abs/10.4278/ajhp.081013-LIT-248 |
Date Added | Thursday, September 29, 2011 9:03:23 AM |
Modified | Thursday, September 29, 2011 9:03:23 AM |
Type | Journal Article |
---|---|
Author | Manish Jain |
Author | Anmol Mathur |
Author | Santhosh Kumar |
Author | Prabu Duraiswamy |
Author | Suhas Kulkarni |
Abstract | The main objective of the study was to determine the oral hygiene levels and periodontal status among Jain monks attending a Chaturmass in Udaipur, India. To date, no study has been conducted on Jain monks. The study comprises of 180 subjects and the overall response rate was 76% among them. Oral hygiene status was assessed by the Simplified Oral Hygiene Index (OHI-S) of Greene, Vermillion14 (1964), and periodontal status was assessed by the Community Periodontal Index. Additional information was collected regarding food habits, education level and oral hygiene habits. Analysis of variance (ANOVA), Chi Square Test and Step-wise multiple linear regression analysis were carried out using SPSS Software (11.0). The results showed that the oral hygiene status of Jain monks was poor and only 5.6% of the subjects had good oral hygiene. Overall periodontal disease prevalence was 100% with bleeding and shallow pocket contributing a major part (72.8%) among all the age groups (p < 0.001). Multiple linear regression analysis revealed that oral hygiene habits, caloric intake and education level explained a variance of 11.7% for the Oral hygiene index collectively. The findings confirmed that Jain monks have poor oral hygiene and an increased prevalence of periodontal disease compared to that of the similarly aged general population because, as a part of their religion, many Jain individuals avoid brushing their teeth especially during fasting, keeping in mind not to harm the microorganisms present in the mouth. |
Publication | Brazilian Oral Research |
Volume | 23 |
Issue | 4 |
Pages | 370-376 |
Date | 2009 Oct-Dec |
Journal Abbr | Braz Oral Res |
ISSN | 1807-3107 |
Accessed | Friday, January 29, 2010 10:50:12 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20027442 |
Date Added | Thursday, September 29, 2011 9:04:02 AM |
Modified | Thursday, September 29, 2011 9:04:02 AM |
Type | Journal Article |
---|---|
Author | Katherine R. B. Jankowski |
Author | Nava R. Silton |
Author | Kathleen Galek |
Author | Martin G. Montonye |
Abstract | Religious professionals completed an online survey of their use of health related practices currently known as complementary and alternative medicine (CAM). They indicated how often they engaged in these practices and how often they had used these practices when helping other people. The majority of religious professionals used at least one of the practices when alone and when helping other people. The most frequently used practices were meditation and deep breathing exercises used both when alone and when helping others. Female respondents were more likely to use these practices on their own and when helping others than were males, and older respondents were more likely to use multiple CAM practices than their younger counterparts. Other Faith/Humanists used the most CAM practices when alone and Jewish respondents used the fewest. In general, religious professionals used fewer practices when helping others than they used for themselves. Limitations of this study and suggestions for future studies for examining CAM practices among religious professionals are discussed. |
Publication | Journal of Health Care Chaplaincy |
Volume | 16 |
Issue | 3 |
Pages | 172-182 |
Date | Jul 2010 |
Journal Abbr | J Health Care Chaplain |
DOI | 10.1080/08854726.2010.498694 |
ISSN | 1528-6916 |
Accessed | Tuesday, July 27, 2010 12:22:17 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20658430 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
This study looks into the employment of complementary and alternative medicine by religious professionals, both alone and when working with patients, and finds that the majority of religious professionals do use CAM practices, particularly meditation and deep breathing. There is more employment of the practices by women than men, and older professionals are more likely to use combinations of CAM practices than younger professionals. There is also a tendency for religious professionals to employ CAM practices for themselves more than for helping others.
Type | Journal Article |
---|---|
Author | Mamta Jeswani |
Author | Adrian Furnham |
Abstract | OBJECTIVE: To investigate to what extent paranormal beliefs, modern health worries (MHWs), and environmental concerns were related to beliefs about, and behaviour associated with complementary and alternative medicine (CAM). METHODS: Of the participants, 150 completed a four-part questionnaire measuring use and perception of CAM, MHWs, paranormal beliefs, and environmental concerns. RESULTS: A factor analysis on the CAM questions revealed three clear components, labelled efficacy of CAM, attitudes to CAM, and safety of CAM. Age, total MHWs, paranormal beliefs, and environmental concerns were used as predictor variables in regression analyses with efficacy as criterion variable. Age was found to be a significantly related to efficacy of CAM. When total MHW score, paranormal belief score, and environmental concern score were added to the model, the r(2) increased by 29%. Environmental concern did not significantly relate to efficacy but spiritualism beliefs did. A factor analysis of the MHW scale items revealed nine factors. Out of these, radiation, doctors playing God, disasters, and epidemics, as well as harmful rays and air contaminants significantly predict belief in the efficacy of CAM. CONCLUSION: Overall, older people, with more MHWs, and who believe in the paranormal are more likely to believe that CAM works, possibly because of a more intuitive, 'holistic', thinking style. Limitations of the study are considered. |
Publication | British Journal of Health Psychology |
Volume | 15 |
Issue | Pt 3 |
Pages | 599-609 |
Date | Sep 2010 |
Journal Abbr | Br J Health Psychol |
DOI | 10.1348/135910709X477511 |
ISSN | 1359-107X |
Accessed | Wednesday, October 06, 2010 8:45:55 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19878620 |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Journal Article |
---|---|
Author | Brick Johnstone |
Abstract | The Spirituality and Health Research Project of the MU Center on Religion and the Professions is investigating the relationships that exist among religion, spirituality, and health for persons with heterogeneous medical conditions. Pilot studies indicate that spirituality and congregational support are related to health outcomes, but religious practices are not. Additional research indicates that spiritual experiences are related to diminished right parietal functioning (through meditation/ prayer or brain injury), which is associated with decreased sense of the self. Implications for health professionals are discussed. |
Publication | Missouri Medicine |
Volume | 106 |
Issue | 2 |
Pages | 141-144 |
Date | 2009 Mar-Apr |
Journal Abbr | Mo Med |
ISSN | 0026-6620 |
Short Title | Spirituality, religion and health outcomes research |
Accessed | Tuesday, February 22, 2011 7:14:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19397115 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Christine Jonas-Simpson |
Abstract | Space consciousness is emerging as significant and necessary for the evolution of humanity according to spiritual teacher, Eckhart Tolle. Through space consciousness people become aware that we are timeless transcendent presence. This awareness is pronounced when with those who are living dying and their close others who are deeply grieving. Space consciousness and transcendent timeless presence in the context of living dying and deeply grieving are explored using nurse theorists' works in dialogue with Tolle's teachings. |
Publication | Nursing Science Quarterly |
Volume | 23 |
Issue | 3 |
Pages | 195-200 |
Date | Jul 2010 |
Journal Abbr | Nurs Sci Q |
DOI | 10.1177/0894318410371848 |
ISSN | 1552-7409 |
Accessed | Wednesday, July 07, 2010 9:51:00 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20558643 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | Dev Jootun |
Abstract | This article outlines the main beliefs and customs of Hinduism. It offers some guidelines to enable nurses to provide sensitive and appropriate nursing care to Hindu patients. |
Publication | Nursing Times |
Volume | 98 |
Issue | 15 |
Pages | 38-40 |
Date | 2002 Apr 9-15 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 7 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11993356 |
Accessed | Monday, November 02, 2009 1:58:35 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11993356 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
This article outlines the main beliefs and customs of Hinduism. It offers some guidelines to enable nurses to provide sensitive and appropriate nursing care to Hindu patients.
Type | Journal Article |
---|---|
Author | Karsten Juhl Jørgensen |
Author | Asbjørn Hróbjartsson |
Author | Peter C Gøtzsche |
Abstract | We discuss in this commentary a recent Cochrane review of 10 randomised trials aimed at testing the religious belief that praying to a god can help those who are prayed for. The review concluded that the available studies merit additional research. However, the review presented a scientifically unsound mixture of theological and scientific arguments, and two of the included trials that had a large impact on the findings had problems that were not described in the review. The review fails to live up to the high standards required for Cochrane reviews. |
Publication | Journal of Negative Results in Biomedicine |
Volume | 8 |
Pages | 7 |
Date | 2009 |
Journal Abbr | J Negat Results Biomed |
DOI | 10.1186/1477-5751-8-7 |
ISSN | 1477-5751 |
Short Title | Divine intervention? |
Accessed | Tuesday, February 22, 2011 6:55:37 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19515229 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Mini M Jose |
Abstract | Compassion is a language that is understood across cultures, religions, and nations. Being compassionate and empathetic is a basic responsibility of health care providers responding to disasters. Compassion and empathy cannot be operationalized unless providers show culturally competent, ethically right, and spiritually caring behavior. In addition to being accepting of cultures other than their own, providers must read literature and familiarize themselves with the predominant cultures of the affected population. Ethically right decision making is essentially an act of balancing the risks and benefits to the entire society. Spiritual care is an important dimension of total health, and therefore recognition and resolution of the spiritual needs of disaster victims is an essential role of health care providers. Disaster management is teamwork and therefore requires that health care providers draw on the expertise and support of other team members; coordinating efforts with local religious, social governmental organizations, and NGOs to deal with the intangible effects of the cultural and spiritual impact of a disaster and to prevent further demoralization of the affected community is imperative. Disasters occur, and the only thing that can ameliorate their devastating effects is to improve disaster preparedness and respond collectively and courageously to every catastrophic event. |
Publication | Critical Care Nursing Clinics of North America |
Volume | 22 |
Issue | 4 |
Pages | 455-464 |
Date | Dec 2010 |
Journal Abbr | Crit Care Nurs Clin North Am |
DOI | 10.1016/j.ccell.2010.09.001 |
ISSN | 1558-3481 |
Accessed | Tuesday, January 18, 2011 6:58:47 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21095554 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Allan M Josephson |
Abstract | Developing scientifically sound and clinically meaningful case formulations is so challenging that it may verge on becoming a "lost art." Pressures (scientific, economic, and cultural) remain that prevent child and adolescent psychiatrists from getting a complete understanding of the patient and family. Including a strong consideration of data related to religion, spirituality, and worldview may seem only to complicate an already arduous task. The clinician who includes these factors in treatment is faced with decisions of when to discuss these issues, how to discuss them and in what depth, and finally, when to refer to a religious/spiritual professional. Nonetheless, the importance of these factors in the lives of many children and families leaves no option but to address them as directly as possible. It is well worth the effort and, in many cases, will open new areas for clinical improvement in patients. |
Publication | Child and Adolescent Psychiatric Clinics of North America |
Volume | 13 |
Issue | 1 |
Pages | 71-84 |
Date | Jan 2004 |
Journal Abbr | Child Adolesc Psychiatr Clin N Am |
ISSN | 1056-4993 |
Short Title | Formulation and treatment |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/14723301 |
Accessed | Tuesday, November 03, 2009 1:25:19 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 14723301 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Several hundred peer-reviewed studies in the past 20 years have shown that the relaxation response and mind-body interventions are clinically effective in the treatment of many health problems that are caused or made worse by stress. Recent studies show that mind-body interventions may improve prognosis in coronary heart disease and can enhance immune functioning. It is hypothesized that mind-body interventions reduce sympathetic nervous system activation and increase parasympathetic nervous system activity, and thereby restore homeostasis. Researchers have also concluded that cognitive therapy is as effective, and possibly more effective than antidepressant medication in the treatment of major depression. This report provides an overview of some studies that have shown a beneficial role of the relaxation response and cognitive restructuring in the treatment of headaches, insomnia, and cardiovascular disorders. Studies to date suggest that mind-body interventions are effective and can also provide cost savings in patient treatment. It is also clear, however, that mind-body therapies are not panaceas, and should be used in conjunction with standard medical care.
Type | Book |
---|---|
Editor | Allan M Josephson |
Editor | John R Peteet |
Edition | 1st ed |
Place | Washington, DC |
Publisher | American Psychiatric Pub., Inc |
Date | 2004 |
ISBN | 1585621048 |
Library Catalog | library.bu.edu Library Catalog |
Call Number | WM 420 H23655 2004 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This refreshing new work is a practical overview of religious and spiritual issues in psychiatric assessment and treatment. 11 distinguished contributors assert that everyone has a worldview and that these religious and spiritual variables can be collaborative partners of science, bringing critical insight to assessment and healing to treatment. Unlike other works in this field, which focus primarily on spiritual experience, this clearly written volume focuses on the cognitive aspects of belief—and how personal worldview affects the behavior of both patient and clinician. Informative case vignettes and discussions illustrate how assessment, formulation, and treatment principles can be incorporated within different worldviews, including practical clinical information on major faith traditions and on atheist and agnostic worldviews. This well-organized text sheds much-needed light on an area too often obscure to many clinicians, fostering a balanced integration of religion and spirituality in mental health training and practice. Bridging several disciplines in a novel way, this thought-provoking volume will find a diverse audience among mental health care students, educators, and professionals everywhere who seek to better integrate the religious and spiritual aspects of their patients’ lives into assessment and treatment.
Type | Journal Article |
---|---|
Author | Aniruddha Joshi |
Author | Sharat Chandran |
Author | V K Jayaraman |
Author | B D Kulkarni |
Abstract | Ayurveda is one of the most comprehensive healing systems in the world and has classified the body system according to the theory of Tridosha to overcome ailments. Diagnosis similar to the traditional pulse-based method requires a system of clean input signals, and extensive experiments for obtaining classification features. In this paper we briefly describe our system of generating pulse waveforms and use various feature detecting methods to show that an arterial pulse contains typical physiological properties. The beat-to-beat variability is captured using a complex B-spline mother wavelet based peak detection algorithm. We also capture--to our knowledge for the first time--the self-similarity in the physiological signal, and quantifiable chaotic behavior using recurrence plot structures. |
Publication | Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference |
Volume | 2007 |
Pages | 608-611 |
Date | 2007 |
Journal Abbr | Conf Proc IEEE Eng Med Biol Soc |
DOI | 10.1109/IEMBS.2007.4352363 |
ISSN | 1557-170X |
Short Title | Arterial pulse system |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18002029 |
Accessed | Monday, November 02, 2009 2:26:03 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18002029 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Ayurveda is one of the most comprehensive healing systems in the world and has classified the body system according to the theory of Tridosha to overcome ailments. Diagnosis similar to the traditional pulse-based method requires a system of clean input signals, and extensive experiments for obtaining classification features. In this paper we briefly describe our system of generating pulse waveforms and use various feature detecting methods to show that an arterial pulse contains typical physiological properties. The beat-to-beat variability is captured using a complex B-spline mother wavelet based peak detection algorithm. We also capture--to our knowledge for the first time--the self-similarity in the physiological signal, and quantifiable chaotic behavior using recurrence plot structures.
Type | Journal Article |
---|---|
Author | Alan Jotkowitz |
Author | Ari Z Zivotofsky |
Abstract | Palliation of pain is universally regarded as a cardinal aspect of end-of-life care. In the early days of the palliative care and hospice movement there was concern that aggressive pain control with opioids could potentially hasten the death of the patient primarily through respiratory depression. For many ethicists and theologians who were opposed to active euthanasia, this raised the difficult question of whether it is permissible to use these potentially harmful medications. Traditional Jewish decisors also addressed this question and their writings can shed light on their attitudes toward terminal care. The purpose of this article is to analyze the view of three highly respected authorities on the use of pain medications with potentially significant side effects in terminal patients. The Jewish position demonstrates how an ancient tradition struggles to develop an ethic consistent with modern sensibilities. Religious decisors scour the ancient sources to find precedents and then apply that wisdom to contemporary questions. Jewish medical ethics by its very nature is highly pluralistic because there is no central body that determines policy and a wide spectrum of opinions are usually found. However, regarding pain treatment there appears to be a broad consensus mandating its aggressive use even at the risk of significant side effects as long as the motivation is relief of suffering. |
Publication | Journal of Palliative Medicine |
Volume | 13 |
Issue | 1 |
Pages | 67-71 |
Date | Jan 2010 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2009.0182 |
ISSN | 1557-7740 |
Short Title | "Love your neighbor like yourself" |
Accessed | Sunday, January 24, 2010 4:53:03 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19827965 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Ahmad Jazimin Jusoh |
Author | Roslee Ahmad |
Abstract | This article is meant to observe the practice of reality therapy in the context of Islamic perspective in Malaysia. Besides this, the article is also reviewing the related research on reality therapy in Asia. The method used by the author is based on library research. Findings show that there is a connection between WDEP aspects with the Islamic perspective. This finding also shows that Islam does not prohibit its followers to help individuals in that its method is not in conflict with the syariat, ibadah and akhlak. This relationship is explained in Al-Quran, Hadith, view of ulama' and kias. Moreover, the authors give example of reality therapy practice in Korea, Japan, Taiwan and Australia. All reality therapy practice in Asian countries still perpetuates the WDEP procedure based on their own culture and religion. As a conclusion, the WDEP procedure can be used universally with the aspect of religion and culture in a community. The authors view is that reality therapy cannot be separated from Islam as a living style, especially in Malaysia. [ABSTRACT FROM AUTHOR] |
Publication | International Journal of Reality Therapy |
Volume | 28 |
Issue | 2 |
Pages | 3-8 |
Date | Spring2009 2009 |
ISSN | 10997717 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Lisa C Kaley-Isley |
Author | John Peterson |
Author | Colleen Fischer |
Author | Emily Peterson |
Abstract | Yoga is being used by a growing number of youth and adults as a means of improving overall health and fitness. There is also a progressive trend toward use of yoga as a mind-body complementary and alternative medicine intervention to improve specific physical and mental health conditions. To provide clinicians with therapeutically useful information about yoga, the evidence evaluating yoga as an effective intervention for children and adolescents with health problems is reviewed and summarized. A brief overview of yoga and yoga therapy is presented along with yoga resources and practical strategies for clinical practitioners to use with their patients. The majority of available studies with children and adolescents suggest benefits to using yoga as a therapeutic intervention and show very few adverse effects. These results must be interpreted as preliminary findings because many of the studies have methodological limitations that prevent strong conclusions from being drawn. Yoga appears promising as a complementary therapy for children and adolescents. Further information about how to apply it most effectively and more coordinated research efforts are needed. |
Publication | Psychiatry (Edgmont (Pa.: Township)) |
Volume | 7 |
Issue | 8 |
Pages | 20-32 |
Date | Aug 2010 |
Journal Abbr | Psychiatry (Edgmont) |
ISSN | 1555-5194 |
Extra | PMID: 20877530 |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Journal Article |
---|---|
Author | Krishna Kaphle |
Author | Leang-Shin Wu |
Author | Nai-Yen Jack Yang |
Author | Jen-Hsou Lin |
Abstract | Of all the countries in the world, why did you choose Taiwan to pursue your study? It is a question that I (comments of the first author) have answered a thousand times. My first visit to a laboratory at National Taiwan University opened my eyes to the possibilities of herbal medicine research, especially in the area of veterinary medicine. It became my ambition to link the knowledge of Traditional Chinese Medicine (TCM) and Ayurveda from the Indian subcontinent and their integration with other systems of medicine, including Western medicine (WM), to achieve the concept of Sustainable Medicine, firstly for animals and then for humans. The Ministry of Economic Affairs (MOEA) has implemented a technology development program to quickly establish the key technologies, and this is a moment of opportunity for Taiwan's traditional herbal medicine industry to upgrade and transform itself. This paper, initially intended to be a student's narration, has evolved into a multi-author treatise on the present state and likely future scenario of herbal medicine research in Taiwan. |
Publication | Evidence-Based Complementary and Alternative Medicine |
Volume | 3 |
Issue | 1 |
Pages | 149-155 |
Date | Mar 2006 |
Journal Abbr | Evid Based Complement Alternat Med |
DOI | 10.1093/ecam/nek016 |
ISSN | 1741-427X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16550238 |
Accessed | Tuesday, November 03, 2009 1:13:33 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16550238 |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
Of all the countries in the world, why did you choose Taiwan to pursue your study? It is a question that I (comments of the first author) have answered a thousand times. My first visit to a laboratory at National Taiwan University opened my eyes to the possibilities of herbal medicine research, especially in the area of veterinary medicine. It became my ambition to link the knowledge of Traditional Chinese Medicine (TCM) and Ayurveda from the Indian subcontinent and their integration with other systems of medicine, including Western medicine (WM), to achieve the concept of Sustainable Medicine, firstly for animals and then for humans. The Ministry of Economic Affairs (MOEA) has implemented a technology development program to quickly establish the key technologies, and this is a moment of opportunity for Taiwan’s traditional herbal medicine industry to upgrade and transform itself. This paper, initially intended to be a student’s narration, has evolved into a multi-author treatise on the present state and likely future scenario of herbal medicine research in Taiwan.
Type | Journal Article |
---|---|
Author | Ayise Karadag |
Author | Zehra Göçmen Baykara |
Abstract | Colostomy irrigation (CI) is a bowel management method in individuals with permanent colostomy, as an alternative to pouch use, which may provide continence. CI helps the individuals with an artificial stoma to adjust to the stoma and may increase their quality of life (QOL). An uncontrolled intestinal gas discharge invalidates ablution, and noisy gas discharge and smell prevents congregational prayers, which cause problems to Muslims with stomas. Therefore, CI may be an appropriate solution for this patient group. Using the example of one affected individual we discuss how the praying problem can be resolved with teaching to self-perform CI and emphasize the beneficial effects on QOL. |
Publication | Asian Pacific Journal of Cancer Prevention: APJCP |
Volume | 10 |
Issue | 6 |
Pages | 1189-1190 |
Date | 2009 |
Journal Abbr | Asian Pac. J. Cancer Prev |
ISSN | 1513-7368 |
Short Title | Colostomy irrigation |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20192609 |
Accessed | Monday, March 28, 2011 6:18:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20192609 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | J Kendall |
Abstract | The concept of wellness as a spiritual process is examined in this grounded theory study on the role of human relationships in the well-being of gay men with HIV infection. The sample included 29 homosexual men in various stages of HIV illness. Findings reveal a description of the construct, wellness spirituality, in which the elements of human connectedness, meaning, and self-acceptance are discussed. This study confirms the findings of other researchers who demonstrated the importance of spirituality in the health and well-being of terminally ill people. |
Publication | The Journal of the Association of Nurses in AIDS Care: JANAC |
Volume | 5 |
Issue | 4 |
Pages | 28-34 |
Date | 1994 Jul-Aug |
Journal Abbr | J Assoc Nurses AIDS Care |
ISSN | 1055-3290 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/7948970 |
Accessed | Thursday, November 12, 2009 5:28:23 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 7948970 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
The concept of wellness as a spiritual process is examined in this grounded theory study on the role of human relationships in the well-being of gay men with HIV infection. The sample included 29 homosexual men in various stages of HIV illness. Findings reveal a description of the construct, wellness spirituality, in which the elements of human connectedness, meaning, and self-acceptance are discussed.
Type | Journal Article |
---|---|
Author | Sat Bir S Khalsa |
Abstract | Although yoga is historically a spiritual discipline, it has also been used clinically as a therapeutic intervention. A bibliometric analysis on the biomedical journal literature involving research on the clinical application of yoga has revealed an increase in publication frequency over the past 3 decades with a substantial and growing use of randomized controlled trials. Types of medical conditions have included psychopathological (e.g. depression, anxiety), cardiovascular (e.g. hypertension, heart disease), respiratory (e.g. asthma), diabetes and a variety of others. A majority of this research has been conducted by Indian investigators and published in Indian journals, particularly yoga specialty journals, although recent trends indicate increasing contributions from investigators in the U.S. and England. Yoga therapy is a relatively novel and emerging clinical discipline within the broad category of mind-body medicine, whose growth is consistent with the burgeoning popularity of yoga in the West and the increasing worldwide use of alternative medicine. |
Publication | Indian Journal of Physiology and Pharmacology |
Volume | 48 |
Issue | 3 |
Pages | 269-285 |
Date | Jul 2004 |
Journal Abbr | Indian J. Physiol. Pharmacol |
ISSN | 0019-5499 |
Short Title | Yoga as a therapeutic intervention |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15648399 |
Accessed | Monday, November 09, 2009 12:43:50 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15648399 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Although yoga is historically a spiritual discipline, it has also been used clinically as a therapeutic intervention. A bibliometric analysis on the biomedical journal literature involving research on the clinical application of yoga has revealed an increase in publication frequency over the past 3 decades with a substantial and growing use of randomized controlled trials. Types of medical conditions have included psychopathological (e.g. depression, anxiety), cardiovascular (e.g. hypertension, heart disease), respiratory (e.g. asthma), diabetes and a variety of others. A majority of this research has been conducted by Indian investigators and published in Indian journals, particularly yoga specialty journals, although recent trends indicate increasing contributions from investigators in the U.S. and England. Yoga therapy is a relatively novel and emerging clinical discipline within the broad category of mind-body medicine, whose growth is consistent with the burgeoning popularity of yoga in the West and the increasing worldwide use of alternative medicine.
Type | Journal Article |
---|---|
Author | Shelley Dean Kilpatrick |
Author | Andrew J Weaver |
Author | Michael E McCullough |
Author | Christina Puchalski |
Author | David B Larson |
Author | Judith C Hays |
Author | Carol J Farran |
Author | Kevin J Flannelly |
Abstract | Background: A series of systematic reviews has revealed relatively high levels of interest in religion and spirituality in different nursing specialties, but not in general nursing research journals. Purpose: To identify the extent to which spirituality and religiousness were measured in all quantitative and qualitative research articles published in Research in Nursing and Health, Nursing Research, Advances in Nursing Science (ANS), and Image: The Journal of Nursing Scholarship from 1995 to 1999. Methods: A full-text search was conducted of ANS and Image using the Ovid search system. Nursing Research and Research in Nursing and Health were hand searched for spiritual/religious measures. Characteristics of selected studies, the measures taken, and their uses were coded for data analysis. Results: A total of 564 research studies were identified, of which 67 (11.9%) included at least one measure of spirituality or religiousness. A significant difference was found between the percentage of qualitative and quantitative studies that contained measures of these concepts. Of the 119 qualitative studies, 23 (19.3%) contained a measure of religion or spirituality, compared to 44 of the 445 (9.9%) quantitative studies. Nominal indicators of religious affiliation were the most commonly used measures in the quantitative studies and measures of religion and spirituality were rarely used in the analyses. Although only a few quantitative or qualitative studies intended to focus on religion or spirituality, these themes often emerged spontaneously in the qualitative research. Conclusions: Research in Nursing and Health, Advances in Nursing Science, Nursing Research, and Image: The Journal of Nursing Scholarship all published research measuring spirituality and religiousness during the time-period studies. The rate at which spirituality and religion appeared in these nursing research articles is substantially higher than that found in most fields outside of nursing. Even more frequent inclusion of spiritual and religious variables and richer measures of spirituality and religiousness would help to increase the available scientific information on the role of spirituality and religion in nursing care. |
Publication | Journal of Religion and Health |
Volume | 44 |
Issue | 1 |
Pages | 55-66 |
Date | 2005 |
Journal Abbr | J Relig Health |
ISSN | 0022-4197 |
Short Title | A review of spiritual and religious measures in nursing research journals |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16285132 |
Accessed | Friday, November 13, 2009 3:28:40 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16285132 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
Purpose: To identify the extent to which spirituality and religiousness were measured in all quantitative and qualitative research articles published in Research in Nursing and Health, Nursing Research, Advances in Nursing Science (ANS), and Image: The Journal of Nursing Scholarship from 1995 to 1999.
Type | Book |
---|---|
Author | Dan King |
Publisher | D. Clapp |
Date | 1858 |
URL | http://www.archive.org/details/quackeryunmaske00kinggoog |
Accessed | Tuesday, November 03, 2009 9:06:53 PM |
Library Catalog | Internet Archive |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Michael B King |
Author | Harold G Koenig |
Abstract | The ne ed to take account of spirituality in research and health services provision is assuming ever greater importance. However the field has long been hampered by a lack of conceptual clarity about the nature of spirituality itself. We do not agree with the sceptical claim that it is impossible to conceptualize spirituality within a scientific paradigm. Our aims are to 1) provide a brief over-view of critical thinking that might form the basis for a useful definition of spirituality for research and clinical work and 2) demystify the language of spirituality for clinical practice and research. |
Publication | BMC Health Services Research |
Volume | 9 |
Pages | 116 |
Date | July 2009 |
Journal Abbr | BMC Health Serv Res |
DOI | 10.1186/1472-6963-9-116 |
ISSN | 1472-6963 |
Accessed | Friday, September 18, 2009 6:31:58 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19594903 |
Date Added | Thursday, September 29, 2011 9:06:02 AM |
Modified | Thursday, September 29, 2011 9:06:02 AM |
Type | Journal Article |
---|---|
Author | M Klein |
Publication | Midwifery Today with International Midwife |
Issue | 60 |
Pages | 54-57, 64, 66 |
Date | 2001 |
Journal Abbr | Midwifery Today Int Midwife |
ISSN | 1551-8892 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12584823 |
Accessed | Thursday, November 12, 2009 11:07:37 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12584823 |
Date Added | Saturday, October 01, 2011 3:42:51 PM |
Modified | Saturday, October 01, 2011 3:42:51 PM |
Type | Book |
---|---|
Editor | Harold G Koenig |
Editor | Harvey Jay Cohen |
Place | Oxford |
Publisher | Oxford University Press |
Date | 2002 |
ISBN | 0195143604 |
Short Title | The Link Between Religion and Health |
Library Catalog | library.bu.edu Library Catalog |
Call Number | QP356.47 .L56 2002 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This book is the first to present new medical research establishing a connection between religion and health and to examine the implications for Eastern and Western religious traditions and for society and culture. The distinguished list of contributors examine a series of psychoneuroimmunology (PNI) topics that relate to religious faith and behavior. PNI studies the relationships between mental states and the nervous, endocrine, and immune systems. Among the issues it focuses upon are how mental states, in general, and belief states, in particular, affect physical health. The contributors argue that religious involvement and belief can affect certain neuroendocrine and immune mechanisms, and that these mechanisms, in turn, susceptibility to cancer and recovery following surgery. This volume is essential reading for those interested in the relationship between religion and health.
Type | Book |
---|---|
Author | Harold G. Koenig |
Author | Michael E. McCullough |
Author | David B. Larson |
Publisher | Oxford University Press |
Date | 2001-01-11 |
ISBN | 0195118669 |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This handbook reviews and discusses the extensive research on the relationships between religion and a variety of mental and physical health outcomes, including depression, anxiety, heart disease, hypertension, stroke, cancer, and immune system dysfunction. It critiques 1,200 separate studies and ranks them according to their methodology and results.
Type | Journal Article |
---|---|
Author | Tiburtius Koslander |
Author | Barbro Arvidsson |
Abstract | AIM: This paper reports a study to describe patients' conceptions of how the spiritual dimension is addressed in mental health care. BACKGROUND: Spirituality is a broad concept, and is highly subjective, multidimensional and difficult to define. Spirituality and religiousness are two separate concepts but have several common features. In mental health care, it is essential that nursing care be built on a holistic view, and the spiritual dimension has an important function in nursing care. The notion of spirituality is full of nuances, and in a multi-cultural society patients express their spirituality in different ways. METHOD: Data were collected by interviewing 12 strategically selected patients in mental health care and analysed according to a qualitative method inspired by the phenomenographic approach. The data were collected in 2003 in Sweden. FINDINGS: Three descriptive categories emerged: patients wish to have their spiritual needs addressed; patients must see to it that their spiritual needs are addressed; patients lack confidence in nurses with regard to discussing spirituality. The findings show that patients actively sought the assistance of nurses to meet their spiritual needs. They turned their thoughts inwards and found community with other patients, while nurses often avoided addressing the spiritual dimension. CONCLUSION: Nurses should work actively to seek new knowledge about how they can address patients' spiritual needs. It is also important that there be scope for discussing and reflecting on spiritual questions at the workplace. Additional research is needed to explore how knowledge about spirituality should be implemented in mental health care and nursing education. |
Publication | Journal of Advanced Nursing |
Volume | 57 |
Issue | 6 |
Pages | 597-604 |
Date | Mar 2007 |
Journal Abbr | J Adv Nurs |
DOI | 10.1111/j.1365-2648.2006.04190.x |
ISSN | 0309-2402 |
Short Title | Patients' conceptions of how the spiritual dimension is addressed in mental health care |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17346318 |
Accessed | Friday, November 13, 2009 5:27:02 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17346318 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
This paper reports a study to describe patients’ conceptions of how the spiritual dimension is addressed in mental health care. Nurses should work actively to seek new knowledge about how they can address patients’ spiritual needs. It is also important that there be scope for discussing and reflecting on spiritual questions at the workplace.
Type | Journal Article |
---|---|
Author | Diana Koszycki |
Author | Kelley Raab |
Author | Fahad Aldosary |
Author | Jacques Bradwejn |
Abstract | This pilot trial evaluated the efficacy of a multifaith spiritually based intervention (SBI) for generalized anxiety disorder (GAD). Patients meeting DSM-IV criteria for GAD of at least moderate severity were randomized to either 12 sessions of the SBI (n=11) delivered by a spiritual care counselor or 12 sessions of psychologist-administered cognitive-behavioral therapy (CBT; n=11). Outcome measures were completed at baseline, post-treatment, and 3-month and 6-month follow-ups. Primary efficacy measures included the Hamilton Anxiety Rating Scale, Beck Anxiety Inventory, and Penn State Worry Questionnaire. Data analysis was performed on the intent-to-treat sample using the Last Observation Carried Forward method. Eighteen patients (82%) completed the study. The SBI produced robust and clinically significant reductions from baseline in psychic and somatic symptoms of GAD and was comparable in efficacy to CBT. A reduction in depressive symptoms and improvement in social adjustment was also observed. Treatment response occurred in 63.6% of SBI-treated and 72.3% of CBT-treated patients. Gains were maintained at 3-month and 6-month follow-ups. These preliminary findings are encouraging and suggest that a multifaith SBI may be an effective treatment option for GAD. Further randomized controlled trials are needed to establish the efficacy of this intervention. (c) 2010 Wiley Periodicals, Inc. J Clin Psychol: 66(4):1-12, 2010. |
Publication | Journal of Clinical Psychology |
Volume | 66 |
Issue | 4 |
Pages | 430-441 |
Date | Feb 8, 2010 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20663 |
ISSN | 1097-4679 |
Short Title | A multifaith spiritually based intervention for generalized anxiety disorder |
Accessed | Thursday, March 04, 2010 9:02:25 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20143382 |
Date Added | Thursday, September 29, 2011 9:04:19 AM |
Modified | Thursday, September 29, 2011 9:04:19 AM |
After a multifaith spiritually based intervention was applied to patients suffering generalized anxiety disorder, a reduction in depressive symptoms and improvement in social adjustment was observed.
Type | Journal Article |
---|---|
Author | Mary Jo Kreitzer |
Author | Cynthia R Gross |
Author | On-anong Waleekhachonloet |
Author | Maryanne Reilly-Spong |
Author | Marcia Byrd |
Abstract | PURPOSE: This article describes a factor analysis of a 22-item version of the Serenity Scale, a tool that measures spirituality and well-being. METHOD: A sample of 87 participants, enrolled in a National Institutes of Health-funded clinical trial examining the impact of mindfulness-based stress reduction on symptom management post-solid organ transplantation, completed the abbreviated instrument. FINDINGS: Exploratory factor analysis yielded three subscales: acceptance, inner haven, and trust. The Serenity Scale was positively associated with positive affect and mindful awareness and inversely related to negative affect, anxiety, depression, health distress and transplant-related stress. CONCLUSIONS: Serenity, a dimension of spirituality that is secular and distinct from religious orientation or religiosity, shows promise as a tool that could be used to measure outcomes of nursing interventions that improve health and well-being. IMPLICATIONS: Spirituality is recognized as being an essential component of holistic nursing practice. As nurses expand their use of spiritual interventions, it is important to document outcomes related to nursing care. The Serenity Scale appears to capture a dimension of spirituality, a state of acceptance, inner haven and trust that is distinct from other spirituality instruments. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 27 |
Issue | 1 |
Pages | 7-16 |
Date | Mar 2009 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010108327212 |
ISSN | 0898-0101 |
Short Title | The brief serenity scale |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19176898 |
Accessed | Tuesday, September 15, 2009 12:03:06 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19176898 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Purpose: This article describes a factor analysis of a 22-item version of the Serenity Scale, a tool that measures spirituality and well-being. Method: A sample of 87 participants, enrolled in a National Institutes of Health-funded clinical trial examining the impact of mindfulness-based stress reduction on symptom management post-solid organ transplantation, completed the abbreviated instrument. Findings: Exploratory factor analysis yielded three subscales: acceptance, inner haven, and trust. The Serenity Scale was positively associated with positive affect and mindful awareness and inversely related to negative affect, anxiety, depression, health distress and transplant-related stress. Conclusions: Serenity, a dimension of spirituality that is secular and distinct from religious orientation or religiosity, shows promise as a tool that could be used to measure outcomes of nursing interventions that improve health and well-being. Implications: Spirituality is recognized as being an essential component of holistic nursing practice. As nurses expand their use of spiritual interventions, it is important to document outcomes related to nursing care. The Serenity Scale appears to capture a dimension of spirituality, a state of acceptance, inner haven and trust that is distinct from other spirituality instruments.
Type | Journal Article |
---|---|
Author | Mary Jo Kreitzer |
Author | Denise Mitten |
Author | Ilene Harris |
Author | Janet Shandeling |
Abstract | CONTEXT: As interest in CAM continues to increase, schools of medicine, nursing, and other health professional training programs are being encouraged to integrate content on CAM into curricula. OBJECTIVE: To assess the attitudes of faculty and staff toward CAM in medicine, nursing, and pharmacy within an academic health center. DESIGN: A survey was used to obtain data on general attitudes toward CAM, personal use, training needs, and perceived barriers to use. SETTING AND PARTICIPANTS: The survey was taken of 627 faculty and students employed or enrolled at the University of Minnesota. The overall response rate exceeded 50% for both students and faculty. RESULTS: More than 90% of faculty and students believe that clinical care should integrate the best of conventional and CAM practices and that health professionals should be prepared to advise patients about commonly used CAM methods; 88% of faculty and 84% of students indicated that CAM should be included in their school's curriculum. While there were similarities between the 3 faculty groups, the nursing faculty expressed the greatest interest in practicing CAM. CONCLUSIONS: Faculty and students within medicine, nursing, and pharmacy have favorable attitudes toward the integration of CAM within education and clinical care. Personal use of CAM and training is limited. Lack of evidence is perceived to be the most significant barrier to integration of CAM into Western medicine. The high degree of receptivity suggests the need for both faculty training and curriculum development. |
Publication | Alternative Therapies in Health and Medicine |
Volume | 8 |
Issue | 6 |
Pages | 44-47, 50-53 |
Date | 2002 Nov-Dec |
Journal Abbr | Altern Ther Health Med |
ISSN | 1078-6791 |
Short Title | Attitudes toward CAM among medical, nursing, and pharmacy faculty and students |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12440838 |
Accessed | Thursday, November 12, 2009 10:56:41 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12440838 |
Date Added | Saturday, October 01, 2011 3:01:53 PM |
Modified | Saturday, October 01, 2011 3:01:53 PM |
Context: As interest in CAM continues to increase, schools of medicine, nursing, and other health professional training programs are being encouraged to integrate content on CAM into curricula. Objective: To assess the attitudes of faculty and staff toward CAM in medicine, nursing, and pharmacy within an academic health center. Design: A survey was used to obtain data on general attitudes toward CAM, personal use, training needs, and perceived barriers to use. SETTING AND Patricipants: The survey was taken of 627 faculty and students employed or enrolled at the University of Minnesota. The overall response rate exceeded 50% for both students and faculty. Results: More than 90% of faculty and students believe that clinical care should integrate the best of conventional and CAM practices and that health professionals should be prepared to advise patients about commonly used CAM methods; 88% of faculty and 84% of students indicated that CAM should be included in their school’s curriculum. While there were similarities between the 3 faculty groups, the nursing faculty expressed the greatest interest in practicing CAM. Conclusions: Faculty and students within medicine, nursing, and pharmacy have favorable attitudes toward the integration of CAM within education and clinical care. Personal use of CAM and training is limited. Lack of evidence is perceived to be the most significant barrier to integration of CAM into Western medicine. The high degree of receptivity suggests the need for both faculty training and curriculum development.
Type | Journal Article |
---|---|
Author | Mary Jo Kreitzer |
Author | Cynthia R Gross |
Author | On-anong Waleekhachonloet |
Author | Maryanne Reilly-Spong |
Author | Marcia Byrd |
Abstract | PURPOSE: This article describes a factor analysis of a 22-item version of the Serenity Scale, a tool that measures spirituality and well-being. METHOD: A sample of 87 participants, enrolled in a National Institutes of Health-funded clinical trial examining the impact of mindfulness-based stress reduction on symptom management post-solid organ transplantation, completed the abbreviated instrument. FINDINGS: Exploratory factor analysis yielded three subscales: acceptance, inner haven, and trust. The Serenity Scale was positively associated with positive affect and mindful awareness and inversely related to negative affect, anxiety, depression, health distress and transplant-related stress. CONCLUSIONS: Serenity, a dimension of spirituality that is secular and distinct from religious orientation or religiosity, shows promise as a tool that could be used to measure outcomes of nursing interventions that improve health and well-being. IMPLICATIONS: Spirituality is recognized as being an essential component of holistic nursing practice. As nurses expand their use of spiritual interventions, it is important to document outcomes related to nursing care. The Serenity Scale appears to capture a dimension of spirituality, a state of acceptance, inner haven and trust that is distinct from other spirituality instruments. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 27 |
Issue | 1 |
Pages | 7-16 |
Date | Mar 2009 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010108327212 |
ISSN | 0898-0101 |
Short Title | The brief serenity scale |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19176898 |
Accessed | Friday, November 13, 2009 7:50:54 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19176898 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
Purpose: This article describes a factor analysis of a 22-item version of the Serenity Scale, a tool that measures spirituality and well-being. Findings: Exploratory factor analysis yielded three subscales: acceptance, inner haven, and trust. The Serenity Scale was positively associated with positive affect and mindful awareness and inversely related to negative affect, anxiety, depression, health distress and transplant-related stress.
Type | Journal Article |
---|---|
Author | J L Kristeller |
Author | C S Zumbrun |
Author | R F Schilling |
Abstract | Medical providers are called upon to address a wide range of psychosocial issues, under increasing time constraints. Spiritual/existential distress was one of 18 issues covered in a survey of oncologists' (n=94) and oncology nurses' (n=267) attitudes and practices regarding psychosocial issues. The survey included patient vignettes at good, moderate and poor prognosis levels, and questions regarding attitudes toward patient care, typical and ideal services, and expectation for impact. A substantial proportion of both oncologists (37.5%) and nurses (47.5%) identified themselves as primarily responsible for addressing spiritual distress in their setting. However, over 85% of both MDs and RNs felt that ideally a chaplain should address such issues. Working in an inpatient setting predicted that nurses, but not doctors, would confer with chaplains. When ranking spiritual distress as important to address in comparison to 17 other issues, only 11.8% of MDs and 8.5% of RNs ranked it in the top three for the poor prognosis vignette, with yet lower values with better prognoses. For the poor prognosis, younger MDs were more likely to address spirituality (r=-0.26) and were also more likely to address anxiety or depression (r=0.25) and family distress (r=0.20). For RNs, no such relationships appeared. Perceived impact was also a predictor of whether spirituality issues were addressed. These results suggest that spiritual distress experienced by cancer patients may be under-addressed due to time constraints, lack of confidence in effectiveness, and role uncertainty. |
Publication | Psycho-Oncology |
Volume | 8 |
Issue | 5 |
Pages | 451-458 |
Date | 1999 Sep-Oct |
Journal Abbr | Psychooncology |
ISSN | 1057-9249 |
Short Title | 'I would if I could' |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10559804 |
Accessed | Thursday, November 12, 2009 8:31:45 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10559804 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
Medical providers are called upon to address a wide range of psychosocial issues, under increasing time constraints. Spiritual/existential distress was one of 18 issues covered in a survey of oncologists’ (n=94) and oncology nurses’ (n=267) attitudes and practices regarding psychosocial issues. Results suggest that spiritual distress experienced by cancer patients may be under-addressed due to time constraints, lack of confidence in effectiveness, and role uncertainty.
Type | Journal Article |
---|---|
Author | Robert E Krout |
Abstract | Hospice care seeks to address the diverse needs of terminally ill patients in a number of physical, psychosocial, and spiritual areas. Family members of the patient often are included in the care and services provided by the hospice team, and hospice clinicians face a special challenge when working with families of patients who are imminently dying. When loved ones are anticipating the patient's impending death, they may find it difficult to express feelings, thoughts, and last wishes. Music therapy is a service modality that can help to facilitate such communication between the family and the patient who is actively dying, while also providing a comforting presence. Music therapy as a way to ease communication and sharing between dying patients and their loved ones is discussed in this article. The ways in which music therapy can facilitate a means of release for both patients and family members in an acute care unit of a large US hospice organization are specifically described. Case descriptions illustrate how music therapy functioned to allow five patients and their families to both come together and let go near the time of death. Elements to consider when providing such services to imminently dying patients and their families are discussed. |
Publication | The American Journal of Hospice & Palliative Care |
Volume | 20 |
Issue | 2 |
Pages | 129-134 |
Date | 2003 Mar-Apr |
Journal Abbr | Am J Hosp Palliat Care |
ISSN | 1049-9091 |
Short Title | Music therapy with imminently dying hospice patients and their families |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12693645 |
Accessed | Thursday, November 12, 2009 11:15:46 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12693645 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
When loved ones are anticipating the patient’s impending death, they may find it difficult to express feelings, thoughts, and last wishes. Music therapy is a service modality that can help to facilitate such communication between the family and the patient who is actively dying, while also providing a comforting presence.
Type | Journal Article |
---|---|
Author | Daniel J Kruger |
Author | Yvonne Lewis |
Author | Erin Schlemmer |
Abstract | This study reports the use of a community-based health survey to share local health information with faith leaders. Geographical information systems software identified survey respondents within 2 km (1.25 miles) of places of worship. Results were tabulated for the community surrounding each place of worship and were compared with city- and county-level data. Faith leaders were presented with community-specific reports describing the health attributes of residents who lived in the surrounding area, in order to assist with the identification issues of concern and opportunities to develop health ministries to address these issues. Faith leaders were encouraged to share this information with members of their faith community and develop means of obtaining additional information on the people of interest. We believe that engaging faith leaders with neighborhood-specific health information will be critical in providing an understanding of the importance of their voice in improving health outcomes of their faith community, the surrounding neighborhood, and the community at large. Our goal is to empower faith leaders to understand personal and community health issues and to act as a conduit for health-related information and health promotion at a local level. Church health teams developed an HIV and sexually transmitted infection prevention program for African American adolescents and young adults. |
Publication | Health Promotion Practice |
Volume | 11 |
Issue | 6 |
Pages | 837-844 |
Date | Nov 2010 |
Journal Abbr | Health Promot Pract |
DOI | 10.1177/1524839908328995 |
ISSN | 1524-8399 |
Short Title | Mapping a message for faith leaders |
Accessed | Tuesday, February 22, 2011 7:58:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19168891 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Alfred Laengler |
Author | Claudia Spix |
Author | Georg Seifert |
Author | Sven Gottschling |
Author | Norbert Graf |
Author | Peter Kaatsch |
Abstract | INTRODUCTION: Few studies have been conducted to date on the prevalence of use of complementary and alternative treatment methods (CAMs) in paediatric oncology, and those that have been conducted are often not representative. We therefore decided to study a representative sample of children with cancer in the German population. PATIENTS AND METHODS: The study took the form of a retrospective survey amongst all parents whose children were first diagnosed with a disease covered by the German Childhood Cancer Registry in 2001. The primary objectives of the survey were to establish the prevalence of use of CAM and the factors related to its use. RESULTS: Of the 1595 questionnaires sent out, 1063 (67%) could be evaluated. 35% of the responders had used CAM. The most frequently used methods were homeopathy, dietary supplements and anthroposophic medicine including mistletoe therapy. Factors which increased the probability of using CAM were the previous use of CAM, higher social status and poor prognosis of the child's disease. The most frequently named reasons for use of CAM were physical stabilisation, strengthening the immune system and improving the chance of cure. Whilst the sources of information about CAM were in most cases not doctors, 71% of users had nevertheless spoken to a doctor about using CAM. The effects of the CAM perceived by the parents were for the most part positive. 89% of the users reported that they would recommend CAM to other parents. CONCLUSIONS: CAMs are administered alongside standard therapy to 35% of children with cancer in Germany, usually by the parents. Prospective studies on the effects and side-effects of the most frequently used methods are urgently needed, and paediatric oncologists should have sufficient knowledge of CAM to enable them to advise parents professionally and competently about these treatments, too. |
Publication | European Journal of Cancer |
Volume | 44 |
Issue | 15 |
Pages | 2233-2240 |
Date | Oct 2008 |
Journal Abbr | Eur. J. Cancer |
DOI | 10.1016/j.ejca.2008.07.020 |
ISSN | 1879-0852 |
Short Title | Complementary and alternative treatment methods in children with cancer |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18809313 |
Accessed | Monday, November 09, 2009 12:56:58 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18809313 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Introduction: Few studies have been conducted to date on the prevalence of use of complementary and alternative treatment methods (CAMs) in paediatric oncology, and those that have been conducted are often not representative. We therefore decided to study a representative sample of children with cancer in the German population. Patients and Methods: The study took the form of a retrospective survey amongst all parents whose children were first diagnosed with a disease covered by the German Childhood Cancer Registry in 2001. The primary objectives of the survey were to establish the prevalence of use of CAM and the factors related to its use. Results: Of the 1595 questionnaires sent out, 1063 (67%) could be evaluated. 35% of the responders had used CAM. The most frequently used methods were homeopathy, dietary supplements and anthroposophic medicine including mistletoe therapy. Factors which increased the probability of using CAM were the previous use of CAM, higher social status and poor prognosis of the child’s disease. The most frequently named reasons for use of CAM were physical stabilisation, strengthening the immune system and improving the chance of cure. Whilst the sources of information about CAM were in most cases not doctors, 71% of users had nevertheless spoken to a doctor about using CAM. The effects of the CAM perceived by the parents were for the most part positive. 89% of the users reported that they would recommend CAM to other parents. Conclusions: CAMs are administered alongside standard therapy to 35% of children with cancer in Germany, usually by the parents. Prospective studies on the effects and side-effects of the most frequently used methods are urgently needed, and paediatric oncologists should have sufficient knowledge of CAM to enable them to advise parents professionally and competently about these treatments, too.
Type | Journal Article |
---|---|
Author | Gregg Lahood |
Abstract | Some contemporary women can experience non-ordinary states of consciousness when childbearing. The purpose of this paper is to bring a 'transpersonal' frame to these non-ordinary states of consciousness (hereafter: NOSC). Transpersonal psychology is an interdisciplinary movement in Western science that studies 'religious', 'peak' or 'healing' experiences in different cultures and social contexts. Between 2001 and 2006 in Auckland, New Zealand, while engaged in anthropological fieldwork, I collected stories from mothers, fathers, and midwives who had participated in transpersonal events during childbirth. I will compare the local women's NOSC with ethnographic accounts of spirit-possession and its relationship to indigenous midwifery then revisit and reconstruct the witch-hunts of Medieval Europe from this perspective. Midwives are encouraged to learn to identify and support women's NOSC during labour and birth as many women find strength and wisdom by passing through these states in labour. The subject is also critical to men, whether they are present with women and birth as fathers or health professionals. The hoped for result of this inquiry is to revalorise NOSC among birth-giving mothers, and to educate birth attendants in this field. |
Publication | Women and Birth: Journal of the Australian College of Midwives |
Volume | 20 |
Issue | 1 |
Pages | 3-10 |
Date | Mar 2007 |
Journal Abbr | Women Birth |
DOI | 10.1016/j.wombi.2006.10.002 |
ISSN | 1871-5192 |
Short Title | Rumour of angels and heavenly midwives |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17127114 |
Accessed | Friday, November 13, 2009 5:00:16 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17127114 |
Date Added | Saturday, October 01, 2011 3:42:51 PM |
Modified | Saturday, October 01, 2011 3:42:51 PM |
Some contemporary women can experience non-ordinary states of consciousness when childbearing. The purpose of this paper is to bring a ‘transpersonal’ frame to these non-ordinary states of consciousness (NOSC).
Type | Journal Article |
---|---|
Author | Jean Langford |
Publication | Cultural Anthropology |
Volume | 10 |
Issue | 3 |
Pages | 330-366 |
Date | Aug., 1995 |
ISSN | 08867356 |
Short Title | Ayurvedic Interiors |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/656341 |
Accessed | Monday, October 12, 2009 11:21:20 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Aug., 1995 / Copyright © 1995 American Anthropological Association |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Type | Journal Article |
---|---|
Author | Cheryl M Lantz |
Abstract | This article reviews the status of teaching spiritual care in a public institution of higher education. The resurgence of interest in spiritual care across the United States has spurred interest and expanded theories of spirituality within the nursing profession. Nursing education rose to the challenge of teaching spiritual care theories and interventions to students, despite the absence of policy to guide educators. However, differences between public and private educational institutions have led to variations in the teaching of spiritual care. In addition to the legal implications stemming from the need for separation of church and state, nurses must also be aware of their ethical obligations in order to teach spiritual care concepts appropriately. The accrediting agencies for nursing education programs and hospitals, as well as state licensure boards, foster high expectations for nurses to provide spiritual care. A call for research and policy development to guide nurse educators is also addressed in this article. |
Publication | The Journal of Nursing Education |
Volume | 46 |
Issue | 1 |
Pages | 33-38 |
Date | Jan 2007 |
Journal Abbr | J Nurs Educ |
ISSN | 0148-4834 |
Short Title | Teaching spiritual care in a public institution |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17302098 |
Accessed | Friday, November 13, 2009 5:14:58 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17302098 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
This article reviews the status of teaching spiritual care in a public institution of higher education.
Type | Journal Article |
---|---|
Author | Bagher Larijani |
Author | Farzaneh Zahedi |
Abstract | The growing potential of biomedical technologies has increasingly been associated with discussions surrounding the ethical aspects of the new technologies in different societies. Advances in genetics, stem cell research and organ transplantation are some of the medical issues that have raised important ethical and social issues. Special attention has been paid towards moral ethics in Islam and medical and religious professions in Iran have voiced the requirement for an emphasis on ethics. In the last decade, great strides have been made in biomedical ethics, especially in the field of education, research and legislation. In this article, contemporary medical ethics in Iran, and the related moral philosophy, have been reviewed in brief and we have discussed some of the activities in the field of medical ethics that have been carried out in our country within recent years. These activities have included the establishment of the National and Regional Committees for Medical Research Ethics and the production of national codes of ethics in biomedical research in the 1990 s and the introduction of a comprehensive strategic plan for medical ethics at the national level in 2002. This paper will discuss these issues, along with the production, in 2005, of the Specific National Ethical Guidelines for Biomedical Research. |
Publication | Developing World Bioethics |
Volume | 8 |
Issue | 3 |
Pages | 192-196 |
Date | Dec 2008 |
Journal Abbr | Dev World Bioeth |
DOI | 10.1111/j.1471-8847.2006.00180.x |
ISSN | 1471-8847 |
Short Title | Contemporary medical ethics |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19046256 |
Accessed | Monday, November 02, 2009 1:19:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19046256 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
The growing potential of biomedical technologies has increasingly been associated with discussions surrounding the ethical aspects of the new technologies in different societies. Advances in genetics, stem cell research and organ transplantation are some of the medical issues that have raised important ethical and social issues. Special attention has been paid towards moral ethics in Islam and medical and religious professions in Iran have voiced the requirement for an emphasis on ethics. In the last decade, great strides have been made in biomedical ethics, especially in the field of education, research and legislation. In this article, contemporary medical ethics in Iran, and the related moral philosophy, have been reviewed in brief and we have discussed some of the activities in the field of medical ethics that have been carried out in our country within recent years. These activities have included the establishment of the National and Regional Committees for Medical Research Ethics and the production of national codes of ethics in biomedical research in the 1990 s and the introduction of a comprehensive strategic plan for medical ethics at the national level in 2002. This paper will discuss these issues, along with the production, in 2005, of the Specific National Ethical Guidelines for Biomedical Research.
Type | Journal Article |
---|---|
Author | Walter L Larimore |
Author | Michael Parker |
Author | Martha Crowther |
Abstract | Most of the rhetoric decrying the incorporation of basic and positive spiritual care into clinical practice is not based on reliable evidence. We briefly review the current evidence, which demonstrates that (a) there is frequently a positive association between positive spirituality and mental and physical health and well being, (b) most patients desire to be offered basic spiritual care by their clinicians, (c) most patients censure our professions for ignoring their spiritual needs, (d) most clinicians believe that spiritual interventions would help their patients but have little training in providing basic spiritual assessment or care, (e) professional associations and educational institutions are beginning to provide learners and clinicians information on how to incorporate spirituality and practice, and (j) anecdotal evidence indicates that clinicians having received such training find it immediately helpful and do apply it to their practice. We point out the reasons that much more research is needed, especially outcome-based, clinical research on the effects of these spiritual interventions by clinicians. We conclude that the evidence to date demonstrates trained or experienced clinicians should encourage positive spirituality with their patients and that there is no evidence that such therapy is, in general, harmful. Further, unless or until there is evidence of harm from a clinician's provision of either basic spiritual care or a spiritually sensitive practice, interested clinicians and systems should learn to assess their patients' spiritual health and to provide indicated and desired spiritual intervention. Clinicians and health care systems should not, without compelling data to the contrary, deprive their patients of the spiritual support and comfort on which their hope, health, and well-being may hinge. |
Publication | Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine |
Volume | 24 |
Issue | 1 |
Pages | 69-73 |
Date | 2002 |
Journal Abbr | Ann Behav Med |
ISSN | 0883-6612 |
Short Title | Should clinicians incorporate positive spirituality into their practices? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12008796 |
Accessed | Thursday, November 12, 2009 9:26:00 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12008796 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Most of the rhetoric decrying the incorporation of basic and positive spiritual care into clinical practice is not based on reliable evidence. We briefly review the current evidence, which demonstrates that (a) there is frequently a positive association between positive spirituality and mental and physical health and well being, (b) most patients desire to be offered basic spiritual care by their clinicians, (c) most patients censure our professions for ignoring their spiritual needs, (d) most clinicians believe that spiritual interventions would help their patients but have little training in providing basic spiritual assessment or care, (e) professional associations and educational institutions are beginning to provide learners and clinicians information on how to incorporate spirituality and practice, and (j) anecdotal evidence indicates that clinicians having received such training find it immediately helpful and do apply it to their practice. We point out the reasons that much more research is needed, especially outcome-based, clinical research on the effects of these spiritual interventions by clinicians. We conclude that the evidence to date demonstrates trained or experienced clinicians should encourage positive spirituality with their patients and that there is no evidence that such therapy is, in general, harmful. Further, unless or until there is evidence of harm from a clinician’s provision of either basic spiritual care or a spiritually sensitive practice, interested clinicians and systems should learn to assess their patients’ spiritual health and to provide indicated and desired spiritual intervention. Clinicians and health care systems should not, without compelling data to the contrary, deprive their patients of the spiritual support and comfort on which their hope, health, and well-being may hinge.
Type | Journal Article |
---|---|
Author | Kathie Lasater |
Author | Sonya Salanti |
Author | Susan Fleishman |
Author | Joseph Coletto |
Author | Hong Jin |
Author | Roger Lore |
Author | Richard Hammerschlag |
Abstract | As complementary and alternative medicine (CAM) therapies become increasingly accepted healthcare options, it is of major importance for CAM institutions to enhance research literacy and an evidence-based perspective in their curricula. A research education program for students and faculty at the Oregon College of Oriental Medicine (OCOM), developed in collaboration with the Oregon Health & Science University School of Nursing, has been supported by an R25 award from the National Center for Complementary and Alternative Medicine (NCCAM). A key initiative of OCOM's grant is the design of learning activities that infuse a research perspective into nonresearch courses in both the traditional Chinese medicine and biomedicine curricula. This approach was pilot-tested in course sequences chosen from each of the 3 years of the master's degree program. Learner-centered activities included Infusing Evidence and Reflection Into Introductory Qigong Classes (Year 1: Qigong), Using Evidence to Inform Acupuncture Point Selection (Year 2: Point Actions and Indications), and Media and Research in Western Clinical Medicine (Year 3: Western Clinical Diagnosis). Among the lessons learned are the need to infuse learning activities into the curriculum in a manner that minimizes interactivity redundancy and reinforces learning, the importance for faculty to communicate to students the rationale for introducing the learning activities, and the value of creating a learning activity design template to guide faculty recognition of essential elements in design and evaluation and to provide sustainable overviews of the learning activities. |
Publication | Alternative Therapies in Health and Medicine |
Volume | 15 |
Issue | 4 |
Pages | 46-54 |
Date | 2009 Jul-Aug |
Journal Abbr | Altern Ther Health Med |
ISSN | 1078-6791 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19623832 |
Accessed | Monday, November 02, 2009 12:58:14 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19623832 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
As complementary and alternative medicine (CAM) therapies become increasingly accepted healthcare options, it is of major importance for CAM institutions to enhance research literacy and an evidence-based perspective in their curricula. A research education program for students and faculty at the Oregon College of Oriental Medicine (OCOM), developed in collaboration with the Oregon Health & Science University School of Nursing, has been supported by an R25 award from the National Center for Complementary and Alternative Medicine (NCCAM). A key initiative of OCOM’s grant is the design of learning activities that infuse a research perspective into nonresearch courses in both the traditional Chinese medicine and biomedicine curricula. This approach was pilot-tested in course sequences chosen from each of the 3 years of the master’s degree program. Learner-centered activities included Infusing Evidence and Reflection Into Introductory Qigong Classes (Year 1: Qigong), Using Evidence to Inform Acupuncture Point Selection (Year 2: Point Actions and Indications), and Media and Research in Western Clinical Medicine (Year 3: Western Clinical Diagnosis). Among the lessons learned are the need to infuse learning activities into the curriculum in a manner that minimizes interactivity redundancy and reinforces learning, the importance for faculty to communicate to students the rationale for introducing the learning activities, and the value of creating a learning activity design template to guide faculty recognition of essential elements in design and evaluation and to provide sustainable overviews of the learning activities.
Type | Journal Article |
---|---|
Author | Raymond Lawrence |
Abstract | Abstract Recent proposals to join spirituality and medicine are facile and ill defined. The notion that physicians have the time or training to make assessments and recommendations about spirituality is misguided. Whenever a physician demonstrates personal caring for a patient, the healing process is likely enhanced, and in that sense, physicians often promote the spirituality of the patient. However, recent proposals to extend the physician’s task to that of assessing religion and directing the patient toward approved forms of spirituality are inappropriate. The languages of religion and science are radically different. The cultural body-mind split will not be solved by such simplistic solutions as having physicians endorse spirituality, which will result only in denigration of both medicine and religion. Physicians are encouraged to rely on clinically trained ministers for assistance in understanding the patient’s state of mind or spirit and its possible effects on the course of illness and health. |
Publication | Annals of Behavioral Medicine |
Volume | 24 |
Issue | 1 |
Pages | 74-76 |
Date | February 01, 2002 |
DOI | 10.1207/S15324796ABM2401_09 |
URL | http://dx.doi.org/10.1207/S15324796ABM2401_09 |
Accessed | Friday, October 09, 2009 1:02:30 PM |
Library Catalog | SpringerLink |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Recent proposals to join spirituality and medicine are facile and ill defined. The notion that physicians have the time or training to make assessments and recommendations about spirituality is misguided. Whenever a physician demonstrates personal caring for a patient, the healing process is likely enhanced, and in that sense, physicians often promote the spirituality of the patient. However, recent proposals to extend the physician’s task to that of assessing religion and directing the patient toward approved forms of spirituality are inappropriate. The languages of religion and science are radically different. The cultural body-mind split will not be solved by such simplistic solutions as having physicians endorse spirituality, which will result only in denigration of both medicine and religion. Physicians are encouraged to rely on clinically trained ministers for assistance in understanding the patient’s state of mind or spirit and its possible effects on the course of illness and health.
Type | Journal Article |
---|---|
Author | R E Lawrence |
Author | F A Curlin |
Abstract | BACKGROUND: Patient autonomy has been promoted as the most important principle to guide difficult clinical decisions. To examine whether practising physicians indeed value patient autonomy above other considerations, physicians were asked to weight patient autonomy against three other criteria that often influence doctors' decisions. Associations between physicians' religious characteristics and their weighting of the criteria were also examined. METHODS: Mailed survey in 2007 of a stratified random sample of 1000 US primary care physicians, selected from the American Medical Association masterfile. Physicians were asked how much weight should be given to the following: (1) the patient's expressed wishes and values, (2) the physician's own judgment about what is in the patient's best interest, (3) standards and recommendations from professional medical bodies and (4) moral guidelines from religious traditions. RESULTS: Response rate 51% (446/879). Half of physicians (55%) gave the patient's expressed wishes and values "the highest possible weight". In comparative analysis, 40% gave patient wishes more weight than the other three factors, and 13% ranked patient wishes behind some other factor. Religious doctors tended to give less weight to the patient's expressed wishes. For example, 47% of doctors with high intrinsic religious motivation gave patient wishes the "highest possible weight", versus 67% of those with low (OR 0.5; 95% CI 0.3 to 0.8). CONCLUSIONS: Doctors believe patient wishes and values are important, but other considerations are often equally or more important. This suggests that patient autonomy does not guide physicians' decisions as much as is often recommended in the ethics literature. |
Publication | Journal of Medical Ethics |
Volume | 35 |
Issue | 4 |
Pages | 214-218 |
Date | Apr 2009 |
Journal Abbr | J Med Ethics |
DOI | 10.1136/jme.2008.027565 |
ISSN | 1473-4257 |
Short Title | Autonomy, religion and clinical decisions |
Accessed | Tuesday, February 22, 2011 7:29:54 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19332575 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | P Lawrence |
Author | C Rozmus |
Abstract | The number of Muslims in the United States is growing. This article outlines a few of the major beliefs in Islam. Religious and philosophical factors that affect health care are discussed, and practical suggestions are made for nursing actions that lead to culture care preservation, culture care accommodation, and culture care restructuring. Major topics covered include the need for cleanliness, preparation for prayer, modesty, family structure, fasting and diet, and care of the dying. |
Publication | Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society / Transcultural Nursing Society |
Volume | 12 |
Issue | 3 |
Pages | 228-233 |
Date | Jul 2001 |
Journal Abbr | J Transcult Nurs |
ISSN | 1043-6596 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11989038 |
Accessed | Monday, November 02, 2009 1:49:50 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11989038 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
The number of Muslims in the United States is growing. This article outlines a few of the major beliefs in Islam. Religious and philosophical factors that affect health care are discussed, and practical suggestions are made for nursing actions that lead to culture care preservation, culture care accommodation, and culture care restructuring. Major topics covered include the need for cleanliness, preparation for prayer, modesty, family structure, fasting and diet, and care of the dying.
Type | Journal Article |
---|---|
Author | Robert T Lawrence |
Author | Dwight W Smith |
Publication | The Journal of Family Practice |
Volume | 53 |
Issue | 8 |
Pages | 625-631 |
Date | Aug 2004 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15298832 |
Accessed | Friday, November 13, 2009 12:59:20 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15298832 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Karen Lawson |
Publication | Word & World |
Volume | 30 |
Issue | 1 |
Pages | 71-80 |
Date | 2010 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | A.I. Leshner |
Publication | Science |
Volume | 302 |
Issue | 5650 |
Pages | 1479-1479 |
Date | NOV 28 2003 |
ISSN | 0036-8075 |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=GeneralSearch&qid=1&… |
Accessed | Tuesday, October 27, 2009 11:10:46 PM |
Library Catalog | ISI Web of Knowledge |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Jeff Levin |
Abstract | Over the past two decades, researchers have successfully accumulated lots of data pointing to a salutary impact of religious involvement. But progress in the religion and health field has been inhibited by the relative lack of attention to important conceptual and theoretical issues. This paper asserts that until we focus as much on the latter as on the former, this field will remain marginalized and thus ineffective in contributing to understandings of the determinants of health and healing. Careful attention to the how and why of a religion-health connection is imperative for bringing this research into the mainstream of biomedicine. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 4 |
Pages | 482-495 |
Date | Dec 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9212-z |
ISSN | 1573-6571 |
Short Title | Restoring the spiritual |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19890723 |
Accessed | Monday, December 28, 2009 12:13:41 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19890723 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Jeff Levin |
Abstract | After years of marginality, research on religion and health is entering the academic mainstream. Scholarship on this topic has evolved into a large, productive field. As in any emerging field, there are competing visions for what the field should be about and what research questions should be pursued. Different opinions exist as to which constructs should be researched. Words like religion, spirituality, faith, and prayer, and health, healing, medicine, and healthcare, imply different things. The study of their various interconnections can thus take myriad forms. This article argues for a welcoming approach open to the widest range of research subjects. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 2 |
Pages | 125-145 |
Date | Jun 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-009-9243-0 |
ISSN | 1573-6571 |
Short Title | "And let us make us a name" |
Accessed | Tuesday, February 22, 2011 7:34:55 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19291406 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Book |
---|---|
Author | Jeffrey Levin |
Place | New York |
Publisher | J. Wiley |
Date | 2001 |
ISBN | 9780471355038 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Jeff Levin |
Abstract | This study identifies a significant health effect of a loving relationship with God. Based on work by Sorokin, an eight-item scale was developed and validated to assess what he termed religious love: the feeling of loving and being loved by God. Using a sample of 205 family practice outpatients, hierarchical OLS regression was used to investigate the effect of this construct on a standard self-rating of health. Several sets of factors were hypothesized to mediate the relationship between religious love and self-rated health: religious involvement, social resources, psychological resources, objective health status, and sociode-mographic factors. These effects were controlled for in six successive models. In the end, despite controlling for effects of 15 variables and scales that accounted for nearly 40% of the variance in self-rated health, the statistically significant association between religious love and self-rated health at baseline (β =.33, p <.001) remained strong, significant, and only marginally affected (β =.24, p < .05). These findings provide evidence that loving and being loved by God exerts a positive influence on perceptions of health. |
Publication | Review of Religious Research |
Volume | 42 |
Issue | 3 |
Pages | 277-293 |
Date | March 2001 |
ISSN | 0034673X |
Short Title | God, Love, and Health |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3512570 |
Accessed | Friday, September 25, 2009 12:07:00 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Mar., 2001 / Copyright © 2001 Religious Research Association, Inc. |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This study identifies a significant health effect of a loving relationship with God. Based on work by Sorokin, an eight-item scale was developed and validated to assess what he termed religious love: the feeling of loving and being loved by God. Using a sample of 205 family practice outpatients, hierarchical OLS regression was used to investigate the effect of this construct on a standard self-rating of health. Several sets of factors were hypothesized to mediate the relationship between religious love and self-rated health: religious involvement, social resources, psychological resources, objective health status, and sociode-mographic factors. These effects were controlled for in six successive models. In the end, despite controlling for effects of 15 variables and scales that accounted for nearly 40% of the variance in self-rated health, the statistically significant association between religious love and self-rated health at baseline (β =.33, p <.001) remained strong, significant, and only marginally affected (β =.24, p < .05). These findings provide evidence that loving and being loved by God exerts a positive influence on perceptions of health.
Type | Journal Article |
---|---|
Author | D C Ley |
Author | I B Corless |
Abstract | While scientific developments have done much to improve the lot of mankind, especially in the developed world, this progress has been purchased by the division of our understanding of the person into parts. The effect has been that spiritual concerns of the person have not been considered the proper role of the medical community. The number of aged persons who are less reticent to demand discussion of their overall needs as well as the hospice movement itself has had the effect of bringing the spiritual back into consideration by health-care professionals. |
Publication | Death Studies |
Volume | 12 |
Issue | 2 |
Pages | 101-110 |
Date | 1988 |
Journal Abbr | Death Stud |
ISSN | 0748-1187 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10302346 |
Accessed | Thursday, November 12, 2009 5:10:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10302346 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
While scientific developments have done much to improve the lot of mankind, especially in the developed world, this progress has been purchased by the division of our understanding of the person into parts. The effect has been that spiritual concerns of the person have not been considered the proper role of the medical community.
Type | Journal Article |
---|---|
Author | Torsten Liem |
Abstract | Summary Differences and points of contact between osteopathy and yoga as regards their history and practical application are outlined. Both seek to promote healing. Yoga seeks the attainment of consciousness; osteopathy aims for providing support to health. One fundamental difference is the personal involvement of the individual in yoga. Teacher and student alike are challenged to re-examine the attitudes of mind they have adopted toward their lives. Osteopathy generally involves a relatively passive patient while the osteopath is active in providing treatment. Practical examples are used to highlight points of contact between yoga and osteopathy. The text includes a discussion of the importance of physicality and a description of ways of using it in healing processes. Furthermore, processes of attaining consciousness are outlined. Possible reductionist misconceptions in yoga and osteopathy are also pointed out. Fundamental attitudes and focus that complement each other are presented, taking the concept of stillness as a particular example. |
Publication | Journal of Bodywork and Movement Therapies |
Volume | 15 |
Issue | 1 |
Pages | 92-102 |
Date | January 2011 |
DOI | 10.1016/j.jbmt.2009.11.001 |
ISSN | 1360-8592 |
Accessed | Tuesday, February 15, 2011 6:59:27 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
Type | Book |
---|---|
Author | Scott O. Lilienfeld |
Author | Steven Jay Lynn |
Author | Jeffrey M. Lohr |
Publisher | The Guilford Press |
Date | 2004-07-26 |
ISBN | 1593850700 |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Gordon E. Limb |
Author | David R. Hodge |
Abstract | This study signifies an initial step at giving family therapists an important assessment tool as they seek to increase cultural competence with Native American families and children. To determine the relevancy and consistency of utilizing a spiritual ecogram assessment tool with Native Americans, 50 Native American participants, with extensive experience with this population, reviewed, rated, and gave feedback on its use. Although some limitations were noted, results showed that spiritual ecograms were moderately consistent with Native American culture and, if used properly, can help family therapists develop culturally appropriate interventions with Native American families and children. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract) |
Publication | Journal of Marital and Family Therapy |
Volume | 37 |
Issue | 1 |
Pages | 81-94 |
Date | January 2011 |
DOI | 10.1111/j.1752-0606.2009.00163.x |
ISSN | 0194-472X |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
Type | Journal Article |
---|---|
Author | GE Limb |
Author | DR Hodge |
Abstract | Native Americans tend to hold culturally unique beliefs about the origin of problems and the ways in which those problems can be ameliorated. For most Native American tribal communities, spirituality is interconnected with health and well-being. Accordingly, developing some degree of spiritual competency is essential for work with Native American clients. Consequently, this paper discusses the relationship between spirituality and health, highlighting the roles that balance and harmony play in fostering health and well-being in many tribal cultures. Also discussed are common spiritual beliefs and practices, the American Indian Religious Freedom Act, areas of potential value conflict, and practice suggestions to enhance spiritual competency when working with Native Americans. |
Publication | Families in Society - The Journal of Contemporary Social Services |
Volume | 89 |
Issue | 4 |
Pages | 615-622 |
Date | OCT-DEC 2008 |
DOI | 10.1606/1044-3894.3816 |
ISSN | 1044-3894 |
Short Title | Developing Spiritual Competency With Native Americans |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=GeneralSearch&qid=1&… |
Accessed | Friday, December 04, 2009 4:19:44 PM |
Library Catalog | ISI Web of Knowledge |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Chien-Hui Liou |
Author | Chang-Wei Hsieh |
Author | Chao-Hsien Hsieh |
Author | Der-Yow Chen |
Author | Chi-Hong Wang |
Author | Jyh-Horng Chen |
Author | Si-Chen Lee |
Abstract | BACKGROUND/PURPOSE: Some research has shown that melatonin levels increase after meditation practices, but other research has shown that they do not. In our previous functional magnetic resonance imaging study, we found positive activation of the pineal body during Chinese Original Quiet Sitting (COQS). To find other supporting evidence for pineal activation, the aim of this study was to evaluate the effect of COQS on nighttime melatonin levels. METHODS: Twenty subjects (11 women and 9 men, aged 29-64 years) who had regularly practiced daily meditation for 5-24 years participated in this study. All subjects served alternately as participants in the mediation and control groups. COQS was adopted in this study. Tests were performed during two nighttime sessions. Saliva was sampled at 0, 10, 20, 30, 45, 60 and 90 minutes after COQS and tested for level of melatonin. Time period effect analysis and mixed effect model analysis were preceded by paired t test analysis. RESULTS: In the meditation group (n = 20), the mean level of melatonin was significantly higher than the baseline level at various times post-meditation (p < 0.001). Within the control group (n = 20), the mean level of melatonin at various times was not significantly different compared with baseline (p>0.05). These results suggested that the melatonin level was statistically elevated in the meditation group and almost unchanged in the control group after nighttime meditation. The urine serotonin levels detected by measuring 5-hydroxy-indole-3-acetic acid levels were also studied, but no detectable difference between the groups was found. CONCLUSION: Our results support the hypothesis that meditation might elevate the nighttime salivary melatonin levels. It suggests that COQS can be used as a psychophysiological stimulus to increase endogenous secretion of melatonin, which in turn, might contribute to an improved sense of well-being. |
Publication | Journal of the Formosan Medical Association = Taiwan Yi Zhi |
Volume | 109 |
Issue | 10 |
Pages | 694-701 |
Date | Oct 2010 |
Journal Abbr | J. Formos. Med. Assoc |
DOI | 10.1016/S0929-6646(10)60113-1 |
ISSN | 0929-6646 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20970065 |
Accessed | Monday, November 15, 2010 2:54:19 PM |
Date Added | Thursday, September 29, 2011 8:59:31 AM |
Modified | Thursday, September 29, 2011 8:59:31 AM |
Type | Journal Article |
---|---|
Author | Ping-Cheung Lo |
Abstract | Two crucial topics in the philosophy of medicine are the philosophy of nature and philosophical anthropology. In this essay I engage the philosophy of nature by exploring Anne Fagot-Largeault's study of norms in nature as a way of articulating a Confucian philosophy of medicine. I defend the Confucian position as a moderate naturalism. |
Publication | The Journal of Medicine and Philosophy |
Volume | 35 |
Issue | 4 |
Pages | 466-476 |
Date | Aug 2010 |
Journal Abbr | J Med Philos |
DOI | 10.1093/jmp/jhq029 |
ISSN | 1744-5019 |
Accessed | Monday, September 13, 2010 9:03:50 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20634269 |
Date Added | Thursday, September 29, 2011 9:03:07 AM |
Modified | Thursday, September 29, 2011 9:03:07 AM |
Type | Journal Article |
---|---|
Author | Joseph Loizzo |
Abstract | This overview surveys the new optimism about the aging mind/brain, focusing on the potential for self-regulation practices to advance research in stress-protection and optimal health. It reviews recent findings and offers a research framework. The review links the age-related biology of stress and regeneration to the variability of mind/brain function found under a range of conditions from trauma to enrichment. The framework maps this variation along a biphasic continuum from atrophic dysfunction to peak performance. It adopts the concept of allostatic load as a measure of the wear-and-tear caused by stress, and environmental enrichment as a measure of the use-dependent enhancement caused by positive reinforcement. It frames the dissociation, aversive affect and stereotyped reactions linked with stress as cognitive, affective and behavioral forms of allostatic drag; and the association, positive affect, and creative responses in enrichment as forms of allostatic lift. It views the human mind/brain as a heterarchy of higher intelligence systems that shift between a conservative, egocentric mode heightening self-preservation and memory and a generative, altruistic mode heightening self-correction and learning. Cultural practices like meditation and psychotherapy work by teaching the self-regulation of shifts from the conservative to the generative mode. This involves a systems shift from allostatic drag to allostatic lift, minimizing wear-and-tear and optimizing plasticity and learning. For cultural practices to speed research and application, a universal typology is needed. This framework includes a typology aligning current brain models of stress and learning with traditional Indo-Tibetan models of meditative stress-cessation and learning enrichment. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 186-198 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1196/annals.1393.006 |
ISSN | 1749-6632 |
Short Title | Optimizing learning and quality of life throughout the lifespan |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19743554 |
Accessed | Saturday, September 26, 2009 3:39:23 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19743554 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This overview surveys the new optimism about the aging mind/brain, focusing on the potential for self-regulation practices to advance research in stress-protection and optimal health. It reviews recent findings and offers a research framework. The review links the age-related biology of stress and regeneration to the variability of mind/brain function found under a range of conditions from trauma to enrichment. The framework maps this variation along a biphasic continuum from atrophic dysfunction to peak performance. It adopts the concept of allostatic load as a measure of the wear-and-tear caused by stress, and environmental enrichment as a measure of the use-dependent enhancement caused by positive reinforcement. It frames the dissociation, aversive affect and stereotyped reactions linked with stress as cognitive, affective and behavioral forms of allostatic drag; and the association, positive affect, and creative responses in enrichment as forms of allostatic lift. It views the human mind/brain as a heterarchy of higher intelligence systems that shift between a conservative, egocentric mode heightening self-preservation and memory and a generative, altruistic mode heightening self-correction and learning. Cultural practices like meditation and psychotherapy work by teaching the self-regulation of shifts from the conservative to the generative mode. This involves a systems shift from allostatic drag to allostatic lift, minimizing wear-and-tear and optimizing plasticity and learning. For cultural practices to speed research and application, a universal typology is needed. This framework includes a typology aligning current brain models of stress and learning with traditional Indo-Tibetan models of meditative stress-cessation and learning enrichment.
Type | Journal Article |
---|---|
Author | A Long |
Abstract | This article explores and examines the fundamental need for nurses to include the promotion of the spiritual dimension of the health of human beings as well as the physical, mental and social facets if they truly wish to engage in holistic care. The author attempts to define the phenomenon of spirituality, aware of the dilemma that many individuals face when thinking and reflecting on this very personal and intangible issue. To be spiritual is to become fully human, the article argues, and the reverse is also true. Spirituality in health is inextricable in each person's search for the discovery of the truth about self and the meaning and purpose of life. Healthy communities are the product of healthy individuals who sow spiritual seeds such as unconditional positive regard, acceptance, respect and dignity for the benefit and advancement of individuals and humankind as a whole. The global nature of the phenomenon of spirituality is also shown by using examples of people who demonstrate compassion and communion with other human beings, in other countries in times of suffering, war and disaster. Compassion and empathy is expressed and experienced for victims of earthquakes that happen miles from home and far removed from personal or religious beliefs. Yet at such times we are all connected in the tapestry of life by our own human spirituality and earthiness. Abstract themes like compassion and justice are treated in the text within the context of spirituality. The author argues that being just and fair means that all patients have the right to achieve spiritual healing regardless of their belief systems, culture or creed. The works of some spiritual philosophers are used to reflect on this integral aspect of human caregiving. Historical symbols of spirituality are examined. The need for nurses to explore and reflect on the paradoxical concepts involved in their own spirituality is highlighted. Nurses are the essential providers of care and, therefore, the paper argues, guardians of that essential humanity that ensures that patients never become less than full human beings, whatever their condition, faith, culture or belief, or whoever they may be. The author contends that this responsibility is uniquely essential to being a nurse. |
Publication | Nursing Ethics |
Volume | 4 |
Issue | 6 |
Pages | 496-510 |
Date | Nov 1997 |
Journal Abbr | Nurs Ethics |
ISSN | 0969-7330 |
Short Title | Nursing |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9416108 |
Accessed | Thursday, November 12, 2009 5:38:22 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9416108 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
This article explores and examines the fundamental need for nurses to include the promotion of the spiritual dimension of the health of human beings as well as the physical, mental and social facets if they truly wish to engage in holistic care. Nurses are the essential providers of care and, therefore, the paper argues, guardians of that essential humanity that ensures that patients never become less than full human beings, whatever their condition, faith, culture or belief, or whoever they may be. The author contends that this responsibility is uniquely essential to being a nurse.
Type | Book |
---|---|
Author | Robert Love |
Place | New York |
Publisher | Viking |
Date | 2010 |
ISBN | 9780670021758 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Sara E Luckhaupt |
Author | Michael S Yi |
Author | Caroline V Mueller |
Author | Joseph M Mrus |
Author | Amy H Peterman |
Author | Christina M Puchalski |
Author | Joel Tsevat |
Abstract | PURPOSE: To assess primary care residents' beliefs regarding the role of spirituality and religion in the clinical encounter with patients. METHOD: In 2003, at a major midwestern U.S. teaching institution, 247 primary care residents were administered a questionnaire adapted from that used in the Religion and Spirituality in the Medical Encounter Study to assess whether primary care house officers feel they should discuss religious and spiritual issues with patients, pray with patients, or both, and whether personal characteristics of residents, including their own spiritual well-being, religiosity, and tendency to use spiritual and religious coping mechanisms, are related to their sentiments regarding spirituality and religion in health care. Simple descriptive, univariate, and two types of multivariable analyses were performed. RESULTS: Data were collected from 227 residents (92%) in internal medicine, pediatrics, internal medicine/pediatrics, and family medicine. One hundred four (46%) respondents felt that they should play a role in patients' spiritual or religious lives. In multivariable analysis, this sentiment was associated with greater frequency of participating in organized religious activity (odds ratio [OR] 1.55, 95% confidence interval [CI] 1.20-1.99), a higher level of personal spirituality (OR 1.05, 95% CI 1.02-1.08), and older resident age (OR 1.11, 95% CI 1.02-1.21; C-statistic 0.76). In general, advocating spiritual and religious involvement was most often associated with high personal levels of spiritual and religious coping and with the family medicine training program. Residents were more likely to agree with incorporating spirituality and religion into patient encounters as the gravity of the patient's condition increased (p < .0001). CONCLUSIONS: Approximately half of primary care residents felt that they should play a role in their patients' spiritual or religious lives. Residents' agreement with specific spiritual and religious activities depended on both the patient's condition and the resident's personal characteristics. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 80 |
Issue | 6 |
Pages | 560-570 |
Date | Jun 2005 |
Journal Abbr | Acad Med |
ISSN | 1040-2446 |
Short Title | Beliefs of primary care residents regarding spirituality and religion in clinical encounters with patients |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15917361 |
Accessed | Friday, November 13, 2009 3:10:09 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15917361 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Purpose: To assess primary care residents’ beliefs regarding the role of spirituality and religion in the clinical encounter with patients. Method: In 2003, at a major midwestern U.S. teaching institution, 247 primary care residents were administered a questionnaire adapted from that used in the Religion and Spirituality in the Medical Encounter Study to assess whether primary care house officers feel they should discuss religious and spiritual issues with patients, pray with patients, or both, and whether personal characteristics of residents, including their own spiritual well-being, religiosity, and tendency to use spiritual and religious coping mechanisms, are related to their sentiments regarding spirituality and religion in health care. Simple descriptive, univariate, and two types of multivariable analyses were performed. Results: Data were collected from 227 residents (92%) in internal medicine, pediatrics, internal medicine/pediatrics, and family medicine. One hundred four (46%) respondents felt that they should play a role in patients’ spiritual or religious lives. In multivariable analysis, this sentiment was associated with greater frequency of participating in organized religious activity (odds ratio [OR] 1.55, 95% confidence interval [CI] 1.20-1.99), a higher level of personal spirituality (OR 1.05, 95% CI 1.02-1.08), and older resident age (OR 1.11, 95% CI 1.02-1.21; C-statistic 0.76). In general, advocating spiritual and religious involvement was most often associated with high personal levels of spiritual and religious coping and with the family medicine training program. Residents were more likely to agree with incorporating spirituality and religion into patient encounters as the gravity of the patient’s condition increased (p < .0001). Conclusions: Approximately half of primary care residents felt that they should play a role in their patients’ spiritual or religious lives. Residents’ agreement with specific spiritual and religious activities depended on both the patient’s condition and the resident’s personal characteristics.
Type | Journal Article |
---|---|
Author | David S. Ludwig |
Author | Jon Kabat-Zinn |
Abstract | Mindfulness refers to a meditation practice that cultivates present moment awareness. In the past 30 years, interest in the therapeutic uses of mindfulness has increased, with more than 70 scientific articles on the topic published in 2007. Meditation practices, including mindfulness, have come to the attention of neuroscientists investigating consciousness and affect regulation through mental training and to psychotherapists interested in personal development and interpersonal relationships. In this Commentary, we define mindfulness, consider possible mechanisms, explore clinical applications, and identify challenges to the field. |
Publication | Journal of the American Medical Association |
Volume | 300 |
Issue | 11 |
Pages | 1350-1352 |
Date | September 17, 2008 |
Journal Abbr | JAMA |
DOI | 10.1001/jama.300.11.1350 |
URL | http://jama.ama-assn.org |
Accessed | Monday, September 07, 2009 11:54:27 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Mindfulness refers to a meditation practice that cultivates present moment awareness. In the past 30 years, interest in the therapeutic uses of mindfulness has increased, with more than 70 scientific articles on the topic published in 2007. Meditation practices, including mindfulness, have come to the attention of neuroscientists investigating consciousness and affect regulation through mental training and to psychotherapists interested in personal development and interpersonal relationships. In this Commentary, we define mindfulness, consider possible mechanisms, explore clinical applications, and identify challenges to the field.
Type | Journal Article |
---|---|
Author | Pranee C Lundberg |
Author | Petcharat Kerdonfag |
Abstract | Aim. The aim of this study was to explore how Thai nurses in intensive care units of a university hospital in Bangkok provided spiritual care to their patients.Background. The function of nursing is to promote health, prevent illness, restore health and alleviate suffering. An holistic approach to this promotion includes spirituality.Design. An explorative qualitative study was used.Method. Thirty Thai nurses, selected through purposive sampling with the snowball technique, participated voluntarily. Semi-structured interviews with open-ended questions were carried out, taped-recorded, transcribed verbatim and subjected to content analysis.Results. Five themes related to the provision of spiritual care emerged: giving mental support, facilitating religious rituals and cultural beliefs, communicating with patients and patients' families, assessing the spiritual needs of patients and showing respect and facilitating family participation in care. Several ways of improving the spiritual care were suggested by the nurses.Conclusions. Spirituality was an important part of the care for the nurses when meeting the needs of their patients and the patients' families. Therefore, nursing education should enhance nurses' understanding and awareness of spiritual issues and prepare them to respond to human spiritual needs.Relevance to clinical practice. Nurses should consider spirituality as an important component of holistic care. During their professional career, they should expand their knowledge and understanding of spirituality and develop tools for assessment of spiritual needs. |
Publication | Journal of Clinical Nursing |
Volume | 19 |
Issue | 7-8 |
Pages | 1121-1128 |
Date | 2010 |
DOI | 10.1111/j.1365-2702.2009.03072.x |
Accessed | Saturday, May 08, 2010 6:02:58 PM |
Library Catalog | Wiley InterScience |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Frederic Luskin |
Abstract | This paper explores the clinical use of transformative practices that arose from the varied religious traditions of the world. Examples include prayer, meditation, mantra, affirmation, tai chi, and yoga. The purpose of these practices was to lead the practitioner to long term spiritual transformation toward an enhanced awareness of spirit, and a corresponding diminishment of identification with the mental and physical aspects of life. Unfortunately, the vagueness of the definition of transformation demonstrates that it is a broad and diffuse multidimensional concept difficult to quantify and resistant to rigorous research. However, these spiritual practices, offered as interventions separate from their spiritual tradition, have begun to be evaluated to document their effect on psychological and physical well-being. Currently, there are a number of well-designed studies that attest to the health-enhancing and suffering-reducing benefits derived from religiously transformative practices. There also is research, although sporadic and mostly on forgiveness, slowly emerging to show that prosocial positive emotion skills can be taught, and when measured, demonstrate benefit. Randomized trials of transformative practices are needed to help all levels of the health care system focus their attention on the manifestations and effect of the care delivered. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 10 Suppl 1 |
Pages | S15-23 |
Date | 2004 |
Journal Abbr | J Altern Complement Med |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15630819 |
Accessed | Monday, November 09, 2009 12:44:20 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15630819 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This paper explores the clinical use of transformative practices that arose from the varied religious traditions of the world. Examples include prayer, meditation, mantra, affirmation, tai chi, and yoga. The purpose of these practices was to lead the practitioner to long term spiritual transformation toward an enhanced awareness of spirit, and a corresponding diminishment of identification with the mental and physical aspects of life. Unfortunately, the vagueness of the definition of transformation demonstrates that it is a broad and diffuse multidimensional concept difficult to quantify and resistant to rigorous research. However, these spiritual practices, offered as interventions separate from their spiritual tradition, have begun to be evaluated to document their effect on psychological and physical well-being. Currently, there are a number of well-designed studies that attest to the health-enhancing and suffering-reducing benefits derived from religiously transformative practices. There also is research, although sporadic and mostly on forgiveness, slowly emerging to show that prosocial positive emotion skills can be taught, and when measured, demonstrate benefit. Randomized trials of transformative practices are needed to help all levels of the health care system focus their attention on the manifestations and effect of the care delivered.
Type | Journal Article |
---|---|
Author | Charles D MacLean |
Author | Beth Susi |
Author | Nancy Phifer |
Author | Linda Schultz |
Author | Deborah Bynum |
Author | Mark Franco |
Author | Andria Klioze |
Author | Michael Monroe |
Author | Joanne Garrett |
Author | Sam Cykert |
Abstract | OBJECTIVE: To determine patient preferences for addressing religion and spirituality in the medical encounter. DESIGN: Multicenter survey verbally administered by trained research assistants. Survey items included questions on demographics, health status, health care utilization, functional status, spiritual well-being, and patient preference for religious/spiritual involvement in their own medical encounters and in hypothetical medical situations. SETTING: Primary care clinics of 6 academic medical centers in 3 states (NC, Fla, Vt). PATIENTS/PARTICIPANTS: Patients 18 years of age and older who were systematically selected from the waiting rooms of their primary care physicians. MEASUREMENTS AND MAIN RESULTS: Four hundred fifty-six patients participated in the study. One third of patients wanted to be asked about their religious beliefs during a routine office visit. Two thirds felt that physicians should be aware of their religious or spiritual beliefs. Patient agreement with physician spiritual interaction increased strongly with the severity of the illness setting, with 19% patient agreement with physician prayer in a routine office visit, 29% agreement in a hospitalized setting, and 50% agreement in a near-death scenario (P <.001). Patient interest in religious or spiritual interaction decreased when the intensity of the interaction moved from a simple discussion of spiritual issues (33% agree) to physician silent prayer (28% agree) to physician prayer with a patient (19% agree; P <.001). Ten percent of patients were willing to give up time spent on medical issues in an office visit setting to discuss religious/spiritual issues with their physician. After controlling for age, gender, marital status, education, spirituality score, and health care utilization, African-American subjects were more likely to accept this time trade-off (odds ratio, 4.9; confidence interval, 2.1 to 11.7). CONCLUSION: Physicians should be aware that a substantial minority of patients desire spiritual interaction in routine office visits. When asked about specific prayer behaviors across a range of clinical scenarios, patient desire for spiritual interaction increased with increasing severity of illness setting and decreased when referring to more-intense spiritual interactions. For most patients, the routine office visit may not be the optimal setting for a physician-patient spiritual dialog. |
Publication | Journal of General Internal Medicine |
Volume | 18 |
Issue | 1 |
Pages | 38-43 |
Date | Jan 2003 |
Journal Abbr | J Gen Intern Med |
ISSN | 0884-8734 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12534762 |
Accessed | Thursday, November 12, 2009 11:05:25 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12534762 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objective: To determine patient preferences for addressing religion and spirituality in the medical encounter. Design: Multicenter survey verbally administered by trained research assistants. Survey items included questions on demographics, health status, health care utilization, functional status, spiritual well-being, and patient preference for religious/spiritual involvement in their own medical encounters and in hypothetical medical situations. Setting: Primary care clinics of 6 academic medical centers in 3 states (NC, Fla, Vt). Patients/Patricipants: Patients 18 years of age and older who were systematically selected from the waiting rooms of their primary care physicians. Measurements and main results: Four hundred fifty-six patients participated in the study. One third of patients wanted to be asked about their religious beliefs during a routine office visit. Two thirds felt that physicians should be aware of their religious or spiritual beliefs. Patient agreement with physician spiritual interaction increased strongly with the severity of the illness setting, with 19% patient agreement with physician prayer in a routine office visit, 29% agreement in a hospitalized setting, and 50% agreement in a near-death scenario (P <.001). Patient interest in religious or spiritual interaction decreased when the intensity of the interaction moved from a simple discussion of spiritual issues (33% agree) to physician silent prayer (28% agree) to physician prayer with a patient (19% agree; P <.001). Ten percent of patients were willing to give up time spent on medical issues in an office visit setting to discuss religious/spiritual issues with their physician. After controlling for age, gender, marital status, education, spirituality score, and health care utilization, African-American subjects were more likely to accept this time trade-off (odds ratio, 4.9; confidence interval, 2.1 to 11.7). Conclusion: Physicians should be aware that a substantial minority of patients desire spiritual interaction in routine office visits. When asked about specific prayer behaviors across a range of clinical scenarios, patient desire for spiritual interaction increased with increasing severity of illness setting and decreased when referring to more-intense spiritual interactions. For most patients, the routine office visit may not be the optimal setting for a physician-patient spiritual dialog.
Type | Journal Article |
---|---|
Author | M Maddox |
Abstract | PURPOSE: To describe the author's experience in locating and implementing a spiritual assessment tool in teaching a first semester clinical nurse practitioner (NP) course. DATA SOURCES: Selected articles and responses of NP students to the use of the tool. CONCLUSIONS: A spiritual assessment is an important component of a comprehensive health assessment. The use of a formal structured protocol provides a framework for beginning students to become comfortable with sprirituality and spiritual assessments and to begin to recognize spiritual distress in clients. IMPLICATIONS FOR PRACTICE: The protocol used in the course is very extensive and might not be practical in a busy practice setting. An alternative, 4-point assessment is provided. |
Publication | Journal of the American Academy of Nurse Practitioners |
Volume | 13 |
Issue | 3 |
Pages | 134-139 |
Date | Mar 2001 |
Journal Abbr | J Am Acad Nurse Pract |
ISSN | 1041-2972 |
Short Title | Teaching spirituality to nurse practitioner students |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11930585 |
Accessed | Thursday, November 12, 2009 9:22:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11930585 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
Purpose: To describe the author’s experience in locating and implementing a spiritual assessment tool in teaching a first semester clinical nurse practitioner (NP) course. Conclusions: A spiritual assessment is an important component of a comprehensive health assessment.
Type | Journal Article |
---|---|
Author | Victoria Maizes |
Author | David Rakel |
Author | Catherine Niemiec |
Abstract | Integrative medicine has emerged as a potential solution to the American healthcare crisis. It provides care that is patient centered, healing oriented, emphasizes the therapeutic relationship, and uses therapeutic approaches originating from conventional and alternative medicine. Initially driven by consumer demand, the attention integrative medicine places on understanding whole persons and assisting with lifestyle change is now being recognized as a strategy to address the epidemic of chronic diseases bankrupting our economy. This paper defines integrative medicine and its principles, describes the history of complementary and alternative medicine (CAM) in American healthcare, and discusses the current state and desired future of integrative medical practice. The importance of patient-centered care, patient empowerment, behavior change, continuity of care, outcomes research, and the challenges to successful integration are discussed. The authors suggest a model for an integrative healthcare system grounded in team-based care. A primary health partner who knows the patient well, is able to addresses mind, body, and spiritual needs, and coordinates care with the help of a team of practitioners is at the centerpiece. Collectively, the team can meet all the health needs of the particular patient and forms the patient-centered medical home. The paper culminates with 10 recommendations directed to key actors to facilitate the systemic changes needed for a functional healthcare delivery system. Recommendations include creating financial incentives aligned with health promotion and prevention. Insurers are requested to consider the total costs of care, the potential cost effectiveness of lifestyle approaches and CAM modalities, and the value of longer office visits to develop a therapeutic relationship and stimulate behavioral change. Outcomes research to track the effectiveness of integrative models must be funded, as well as feedback and dissemination strategies. Additional competencies for primary health partners, including CAM and conventional medical providers, will need to be developed to foster successful integrative practices. Skills include learning to develop appropriate healthcare teams that function well in a medical home, developing an understanding of the diverse healing traditions, and enhancing communication skills. For integrative medicine to flourish in the United States, new providers, new provider models, and a realignment of incentives and a commitment to health promotion and disease management will be required. |
Publication | Explore (New York, N.Y.) |
Volume | 5 |
Issue | 5 |
Pages | 277-289 |
Date | 2009 Sep-Oct |
Journal Abbr | Explore (NY) |
DOI | 10.1016/j.explore.2009.06.008 |
ISSN | 1878-7541 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19733814 |
Accessed | Tuesday, October 27, 2009 9:02:08 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19733814 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Jun J Mao |
Author | Peter F Cronholm |
Author | Emma Stein |
Author | Joseph B Straton |
Author | Steven C Palmer |
Author | Frances K Barg |
Abstract | PURPOSE: Spirituality is an important component of the cancer experience. This study aims to assess characteristics of spiritual health following a cancer diagnosis, and evaluate the relationship between spiritual change and the use of complementary and alternative medicine (CAM) among a population-based cohort of cancer survivors. METHOD: A mailed, cross-sectional survey was completed by 614 cancer survivors identified through the Pennsylvania Cancer Registry. All subjects were 3 to 4.5 years postdiagnosis. Relationships between various characteristics of spiritual health and CAM use were examined, along with clinical and sociodemographic factors. RESULTS: Although large proportions of individuals reported that having cancer had positively affected their spiritual well-being (eg, 40.3% experienced highly positive spiritual changes, 68% felt a high sense of purpose, 75.9% reported being very hopeful), some individuals experienced negative spiritual change (36.1%) and continued to experience high levels of uncertainty (27.2%). In multivariate analyses, those survivors who felt spiritual life became more important (adjusted odds ratio [AOR] = 1.92, 95% confidence interval (CI) = 1.21-3.04, P = .006), or experienced positive changes resulting from the cancer experience (AOR = 1.99, 95% CI = 1.26-3.15, P = .003), were more likely to use CAM than those who stated otherwise. CONCLUSIONS: Having cancer affects many different aspects of spiritual well-being, both positively and negatively. Positive changes and increased spiritual importance appear to be associated with the use of CAM. Prospective research is needed to test whether integrating CAM into conventional cancer care systems will facilitate positive, spiritually transformative processes among diverse groups of cancer survivors. |
Publication | Integrative Cancer Therapies |
Volume | 9 |
Issue | 4 |
Pages | 339-347 |
Date | Dec 2010 |
Journal Abbr | Integr Cancer Ther |
DOI | 10.1177/1534735410387419 |
ISSN | 1552-695X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21106614 |
Accessed | Tuesday, January 18, 2011 6:59:42 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21106614 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Donald M Marcus |
Author | Laurence McCullough |
Abstract | Alternative therapies are popular, and information about them should be included in the curricula of health profession schools. During 2000 to 2003, the National Institutes of Health National Center for Complementary and Alternative Medicine awarded five-year education grants to 14 health professions schools in the United States and to the American Medical Students Association Foundation. The purpose of the grants was to integrate evidence-based information about complementary and alternative medicine (CAM) into the curriculum. The authors reviewed the educational material concerning four popular CAM therapies-herbal remedies, chiropractic, acupuncture, and homeopathy-posted on the integrative medicine Web sites of the grant recipients and compared it with the best evidence available. The curricula on the integrative medicine sites were strongly biased in favor of CAM, many of the references were to poor-quality clinical trials, and they were five to six years out of date. These "evidence-based CAM" curricula, which are used all over the country, fail to meet the generally accepted standards of evidence-based medicine. By tolerating this situation, health professions schools are not meeting their educational and ethical obligations to learners, patients, or society. Because integrative medicine programs have failed to uphold educational standards, medical and nursing schools need to assume responsibility for their oversight. The authors suggest (1) appointing faculty committees to review the educational materials and therapies provided by integrative medicine programs, (2) holding integrative medicine programs' education about CAM to the same standard of evidence used for conventional treatments, and (3) providing ongoing oversight of integrative medicine education programs. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 84 |
Issue | 9 |
Pages | 1229-1234 |
Date | Sep 2009 |
Journal Abbr | Acad Med |
DOI | 10.1097/ACM.0b013e3181b185f4 |
ISSN | 1938-808X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19707062 |
Accessed | Tuesday, October 27, 2009 9:26:50 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19707062 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Donald M Marcus |
Author | Laurence McCullough |
Abstract | Alternative therapies are popular, and information about them should be included in the curricula of health profession schools. During 2000 to 2003, the National Institutes of Health National Center for Complementary and Alternative Medicine awarded five-year education grants to 14 health professions schools in the United States and to the American Medical Students Association Foundation. The purpose of the grants was to integrate evidence-based information about complementary and alternative medicine (CAM) into the curriculum. The authors reviewed the educational material concerning four popular CAM therapies-herbal remedies, chiropractic, acupuncture, and homeopathy-posted on the integrative medicine Web sites of the grant recipients and compared it with the best evidence available. The curricula on the integrative medicine sites were strongly biased in favor of CAM, many of the references were to poor-quality clinical trials, and they were five to six years out of date. These "evidence-based CAM" curricula, which are used all over the country, fail to meet the generally accepted standards of evidence-based medicine. By tolerating this situation, health professions schools are not meeting their educational and ethical obligations to learners, patients, or society. Because integrative medicine programs have failed to uphold educational standards, medical and nursing schools need to assume responsibility for their oversight. The authors suggest (1) appointing faculty committees to review the educational materials and therapies provided by integrative medicine programs, (2) holding integrative medicine programs' education about CAM to the same standard of evidence used for conventional treatments, and (3) providing ongoing oversight of integrative medicine education programs. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 84 |
Issue | 9 |
Pages | 1229-1234 |
Date | Sep 2009 |
Journal Abbr | Acad Med |
DOI | 10.1097/ACM.0b013e3181b185f4 |
ISSN | 1938-808X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19707062 |
Accessed | Monday, November 09, 2009 12:52:43 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19707062 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Alternative therapies are popular, and information about them should be included in the curricula of health profession schools. During 2000 to 2003, the National Institutes of Health National Center for Complementary and Alternative Medicine awarded five-year education grants to 14 health professions schools in the United States and to the American Medical Students Association Foundation. The purpose of the grants was to integrate evidence-based information about complementary and alternative medicine (CAM) into the curriculum. The authors reviewed the educational material concerning four popular CAM therapies-herbal remedies, chiropractic, acupuncture, and homeopathy-posted on the integrative medicine Web sites of the grant recipients and compared it with the best evidence available. The curricula on the integrative medicine sites were strongly biased in favor of CAM, many of the references were to poor-quality clinical trials, and they were five to six years out of date. These “evidence-based CAM” curricula, which are used all over the country, fail to meet the generally accepted standards of evidence-based medicine. By tolerating this situation, health professions schools are not meeting their educational and ethical obligations to learners, patients, or society. Because integrative medicine programs have failed to uphold educational standards, medical and nursing schools need to assume responsibility for their oversight. The authors suggest (1) appointing faculty committees to review the educational materials and therapies provided by integrative medicine programs, (2) holding integrative medicine programs’ education about CAM to the same standard of evidence used for conventional treatments, and (3) providing ongoing oversight of integrative medicine education programs.
Type | Journal Article |
---|---|
Author | H J Markwell |
Author | B F Brown |
Abstract | There is a long tradition of bioethical reasoning within the Roman Catholic faith, a tradition expressed in scripture, the writings of the Doctors of the Church, papal encyclical documents and reflections by contemporary Catholic theologians. Catholic bioethics is concerned with a broad range of issues, including social justice and the right to health care, the duty to preserve life and the limits of that duty, the ethics of human reproduction and end-of-life decisions. Fundamental to Catholic bioethics is a belief in the sanctity of life and a metaphysical conception of the person as a composite of body and soul. Although there is considerable consensus among Catholic thinkers, differences in philosophical approach have given rise to some diversity of opinion with respect to specific issues. Given the influential history of Catholic reflection on ethical matters, the number of people in Canada who profess to be Catholic, and the continuing presence of Catholic health care institutions, it is helpful for clinicians to be familiar with the central tenets of this tradition while respecting the differing perspectives of patients who identify themselves as Catholic. |
Publication | CMAJ: Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne |
Volume | 165 |
Issue | 2 |
Pages | 189-192 |
Date | Jul 24, 2001 |
Journal Abbr | CMAJ |
ISSN | 0820-3946 |
Short Title | Bioethics for clinicians |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11501460 |
Accessed | Monday, November 02, 2009 2:01:21 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11501460 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
There is a long tradition of bioethical reasoning within the Roman Catholic faith, a tradition expressed in scripture, the writings of the Doctors of the Church, papal encyclical documents and reflections by contemporary Catholic theologians. Catholic bioethics is concerned with a broad range of issues, including social justice and the right to health care, the duty to preserve life and the limits of that duty, the ethics of human reproduction and end-of-life decisions. Fundamental to Catholic bioethics is a belief in the sanctity of life and a metaphysical conception of the person as a composite of body and soul. Although there is considerable consensus among Catholic thinkers, differences in philosophical approach have given rise to some diversity of opinion with respect to specific issues. Given the influential history of Catholic reflection on ethical matters, the number of people in Canada who profess to be Catholic, and the continuing presence of Catholic health care institutions, it is helpful for clinicians to be familiar with the central tenets of this tradition while respecting the differing perspectives of patients who identify themselves as Catholic.
Type | Journal Article |
---|---|
Author | R Marrone |
Abstract | Based in an unfortunate tradition that stretches back in time to Watson's behaviorism and Freud's psychoanalysis, psychology has tended to reject and to pathologize matters of the spirit. In the past 30 years, however, with the advent of what has been termed the cognitive revolution, psychology has greatly expanded the scope of its subject matter. Psychologists and thanatologists have begun to unravel the cognitive underpinnings of our assumptive world and the transformation of those underpinnings in times of crisis and stress. This article examines the cognitive basis of the spiritual experience and the use of cognitive assimilation, accommodation strategies during the process of mourning the death of a loved one, as well as during the process of living our own dying. Of special importance to mental health professionals and clergy, new research on dying, mourning, and spirituality suggests that the specific ways in which people rediscover meaning--such as belief in traditional religious doctrine, the afterlife, reincarnation, philanthropy, or a spiritual order to the universe--may be less important than the process itself. In other words, in the midst of dealing with profound loss in our lives, the ability to reascribe meaning to a changed world through spiritual transformation, religious conversion, or existential change may be more significant than the specific content by which that need is filled. |
Publication | Death Studies |
Volume | 23 |
Issue | 6 |
Pages | 495-519 |
Date | Sep 1999 |
Journal Abbr | Death Stud |
ISSN | 0748-1187 |
Short Title | Dying, mourning, and spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10558611 |
Accessed | Thursday, November 12, 2009 8:33:15 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10558611 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
This article examines the cognitive basis of the spiritual experience and the use of cognitive assimilation, accommodation strategies during the process of mourning the death of a loved one, as well as during the process of living our own dying.
Type | Journal Article |
---|---|
Author | Thomas S. Mars |
Author | Hilary Abbey |
Abstract | Background Mindfulness may be viewed as a supra-cognitive state of consciousness focussed on the decentred, objective and compassionate observation of transient mental and physical phenomena that may be attained through meditation practices. Mindfulness meditation is thought to be beneficial in the management of various physical and mental health conditions.Objective To assess the effectiveness of mindfulness meditation practice as a healthcare intervention.Methods Systematic computerised and hand literature searches for randomised controlled trials and evaluation using methodological quality criteria.Results The higher quality studies analysed in this review have demonstrated replicated statistically significant improvements in spirituality and positive health measures and decreases in depressive relapse, depressive recurrence and psychological distress.Conclusions Despite the lack of specific, reliable and validated mindfulness measures, mindfulness shows potential as a positive healthcare intervention and continued investigation is warranted. Further research using improved methodology and utilising specific mindfulness outcome measures in trials with long-term follow up, larger populations and a wider demographic range is recommended. |
Publication | International Journal of Osteopathic Medicine |
Volume | 13 |
Issue | 2 |
Pages | 56-66 |
Date | June 2010 |
DOI | 10.1016/j.ijosm.2009.07.005 |
ISSN | 1746-0689 |
Short Title | Mindfulness meditation practise as a healthcare intervention |
Accessed | Wednesday, July 07, 2010 5:11:22 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:04:02 AM |
Modified | Thursday, September 29, 2011 9:04:02 AM |
Type | Journal Article |
---|---|
Author | Kevin S Masters |
Author | Glen I Spielmans |
Author | Jason T Goodson |
Abstract | BACKGROUND: The use of alternative treatments for illness is common in the United States. Practitioners of these interventions find them compatible with personal philosophies. Consequently, distant intercessory prayer (IP) for healing is one of the most commonly practiced alternative interventions and has recently become the topic of scientific scrutiny. PURPOSE: This study was designed to provide a current meta-analytic review of the effects of IP and to assess the impact of potential moderator variables. METHODS: A random effects model was adopted. Outcomes across dependent measures within each study were pooled to arrive at one omnibus effect size. These were combined to generate the overall effect size. A test of homogeneity and examination of several potential moderator variables was conducted. RESULTS: Fourteen studies were included in the meta-analysis yielding an overall effect size of g = .100 that did not differ from zero. When one controversial study was removed, the effect size reduced to g = .012. No moderator variables significantly influenced results. CONCLUSIONS: There is no scientifically discernable effect for IP as assessed in controlled studies. Given that the IP literature lacks a theoretical or theological base and has failed to produce significant findings in controlled trials, we recommend that further resources not be allocated to this line of research. |
Publication | Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine |
Volume | 32 |
Issue | 1 |
Pages | 21-26 |
Date | Aug 2006 |
Journal Abbr | Ann Behav Med |
DOI | 10.1207/s15324796abm3201_3 |
ISSN | 0883-6612 |
Short Title | Are there demonstrable effects of distant intercessory prayer? |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16827626 |
Accessed | Friday, October 09, 2009 3:04:50 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16827626 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Background: The use of alternative treatments for illness is common in the United States. Practitioners of these interventions find them compatible with personal philosophies. Consequently, distant intercessory prayer (IP) for healing is one of the most commonly practiced alternative interventions and has recently become the topic of scientific scrutiny. Purpose: This study was designed to provide a current meta-analytic review of the effects of IP and to assess the impact of potential moderator variables. Methods: A random effects model was adopted. Outcomes across dependent measures within each study were pooled to arrive at one omnibus effect size. These were combined to generate the overall effect size. A test of homogeneity and examination of several potential moderator variables was conducted. Results: Fourteen studies were included in the meta-analysis yielding an overall effect size of g = .100 that did not differ from zero. When one controversial study was removed, the effect size reduced to g = .012. No moderator variables significantly influenced results. Conclusions: There is no scientifically discernable effect for IP as assessed in controlled studies. Given that the IP literature lacks a theoretical or theological base and has failed to produce significant findings in controlled trials, we recommend that further resources not be allocated to this line of research.
Type | Journal Article |
---|---|
Author | Todd Maugans |
Author | William Wadland |
Abstract | The purpose of this preliminary study was to investigate the role that religion plays in the practice of family medicine. Both physicians and adult patients without age restrictions were surveyed. The following issues were addressed in both groups: 1. Personal religious beliefs and practices 2. The physician's right and responsibility to address religious issues with patients 3. The importance of religious factors in the establishment and maintenance of the physician-patient relationship 4. The circumstances under which physicians should and actually are addressing religious issues with patients Methods A cross-sectional sample of the entire (N = 146) active membership of the Vermont Academy of Family Physicians was surveyed using a 31-item self-administered questionnaire, which was distributed by mail. The instrument included dichotomous variables, Likert scales, and narrative responses. Many questions concerning religious beliefs were modeled after those used by national pollsters. [1-5] The questionnaire was piloted, revised, and distributed in two mailings 6 weeks apart with telephone follow-up used to assess nonresponse. |
Publication | Journal of Family Practice |
Date | February 1991 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
The purpose of this preliminary study was to investigate the role that religion plays in the practice of family medicine. Both physicians and adult patients without age restrictions were surveyed. The following issues were addressed in both groups: 1. Personal religious beliefs and practices, 2. The physician’s right and responsibility to address religious issues with patients, 3. The importance of religious factors in the establishment and maintenance of the physician-patient relationship, and 4. The circumstances under which physicians should and actually are addressing religious issues with patients. Methods: A cross-sectional sample of the entire (N = 146) active membership of the Vermont Academy of Family Physicians was surveyed using a 31-item self-administered questionnaire, which was distributed by mail. The instrument included dichotomous variables, Likert scales, and narrative responses. Many questions concerning religious beliefs were modeled after those used by national pollsters. [1-5] The questionnaire was piloted, revised, and distributed in two mailings 6 weeks apart with telephone follow-up used to assess nonresponse.
Type | Journal Article |
---|---|
Author | Barry McBrien |
Abstract | Background: The researcher's interest in spiritual care arose during clinical experience in an emergency department. Over a 10-year period, I have observed, that in midst of a busy and increasingly overcrowded setting, nurses find time to provide spiritual care. Although this dimension of nursing practice is not explicitly labelled as spiritual care, it is apparent that interventions such as active listening, touch and ultimately connecting with the patient has, on most occasions, positive effects on the patient's spiritual dimension. Subsequently, this has provided the momentum to carry out a study on how nurses provide spiritual care, in an emergency setting. The findings revealed that participants regarded spiritual care to be an integral component of their role. In addition, participants reported that they derived positive personal outcomes from providing this aspect of nursing care. Nevertheless, although most participants would argue that spiritual care is central to nursing practice, concerns were expressed with regard to its provision, in the emergency setting. |
Publication | International Emergency Nursing |
Volume | 18 |
Issue | 3 |
Pages | 119-126 |
Date | Jul 2010 |
Journal Abbr | Int Emerg Nurs |
DOI | 10.1016/j.ienj.2009.09.004 |
ISSN | 1878-013X |
Accessed | Tuesday, July 27, 2010 12:18:28 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20542237 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | Caitlin McElroy-Cox |
Abstract | Complementary and alternative medicine (CAM) is a diverse group of health care practices and products that fall outside the realm of traditional Western medical theory and practice and that are used to complement or replace conventional medical therapies. The use of CAM has increased over the past two decades, and surveys have shown that up to 44% of patients with epilepsy are using some form of CAM treatment. This article reviews the CAM modalities of meditation, yoga, relaxation techniques, biofeedback, nutritional and herbal supplements, dietary measures, chiropractic care, acupuncture, Reiki, and homeopathy and what is known about their potential efficacy in patients with epilepsy. |
Publication | Current Neurology and Neuroscience Reports |
Volume | 9 |
Issue | 4 |
Pages | 313-318 |
Date | Jul 2009 |
Journal Abbr | Curr Neurol Neurosci Rep |
ISSN | 1534-6293 |
Accessed | Saturday, September 26, 2009 3:45:42 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19515284 |
Date Added | Thursday, September 29, 2011 9:05:38 AM |
Modified | Thursday, September 29, 2011 9:05:38 AM |
Type | Journal Article |
---|---|
Author | Caitlin McElroy-Cox |
Abstract | Complementary and alternative medicine (CAM) is a diverse group of health care practices and products that fall outside the realm of traditional Western medical theory and practice and that are used to complement or replace conventional medical therapies. The use of CAM has increased over the past two decades, and surveys have shown that up to 44% of patients with epilepsy are using some form of CAM treatment. This article reviews the CAM modalities of meditation, yoga, relaxation techniques, biofeedback, nutritional and herbal supplements, dietary measures, chiropractic care, acupuncture, Reiki, and homeopathy and what is known about their potential efficacy in patients with epilepsy. |
Publication | Current Neurology and Neuroscience Reports |
Volume | 9 |
Issue | 4 |
Pages | 313-318 |
Date | Jul 2009 |
Journal Abbr | Curr Neurol Neurosci Rep |
ISSN | 1534-6293 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19515284 |
Accessed | Monday, November 09, 2009 12:53:34 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19515284 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Complementary and alternative medicine (CAM) is a diverse group of health care practices and products that fall outside the realm of traditional Western medical theory and practice and that are used to complement or replace conventional medical therapies. The use of CAM has increased over the past two decades, and surveys have shown that up to 44% of patients with epilepsy are using some form of CAM treatment. This article reviews the CAM modalities of meditation, yoga, relaxation techniques, biofeedback, nutritional and herbal supplements, dietary measures, chiropractic care, acupuncture, Reiki, and homeopathy and what is known about their potential efficacy in patients with epilepsy.
Type | Journal Article |
---|---|
Author | Melanie McEwen |
Abstract | Although most nurses believe spiritual care is an integral component of quality, holistic nursing care, they rarely address spiritual issues and typically feel unprepared to do so. One reason for nurses' lack of preparedness to provide spiritual interventions is that their basic education only minimally discusses spirituality and related issues. This is compounded by the problem that only sporadic reference to spiritual care is found in most nursing textbooks. This study was conducted to analyze the content related to spirituality in nursing textbooks in order to determine where spiritual care is addressed and evaluate its adequacy. A total of 50 textbooks from a wide variety of nursing specialty areas were selected from the most recent Brandon Hill list. These books were examined to assess the percentage of pages discussing spiritual issues and analyze inclusion of core content essential for nursing practice. Although there was considerable variation among the books from all specialty areas, overall, hospice/terminal care, fundamentals of nursing, health assessment/health promotion, and transcultural nursing textbooks provided the most information about spirituality and spiritual care. Textbooks focusing on professional issues, medical-surgical nursing, maternal-child health nursing, critical care nursing, and community health nursing contained the least spiritual content. Suggestions are made regarding how to integrate spiritual issues and spiritual care in all nursing textbooks that pertain directly to patient care. |
Publication | The Journal of Nursing Education |
Volume | 43 |
Issue | 1 |
Pages | 20-30 |
Date | Jan 2004 |
Journal Abbr | J Nurs Educ |
ISSN | 0148-4834 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/14748531 |
Accessed | Friday, November 13, 2009 12:43:59 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 14748531 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
Although most nurses believe spiritual care is an integral component of quality, holistic nursing care, they rarely address spiritual issues and typically feel unprepared to do so. One reason for nurses’ lack of preparedness to provide spiritual interventions is that their basic education only minimally discusses spirituality and related issues.
Type | Journal Article |
---|---|
Author | Meredith B. McGuire |
Abstract | One theme of particular importance in contemporary U. S. religion and quasi-religion is health and healing. Groups as diverse as Pentecostal Christians and New Age groups, women's spirituality groups and New Thought churches are promoting non-medical approaches to health and healing. Indeed, to many contemporary Americans, health and healing appear to be salient metaphors for salvation and holiness. Religious and quasi-religious attention to health is adamantly holistic in the belief that spiritual, emotional, social, and physical aspects of well-being are fundamentally interconnected. To understand the significance of this widespread focus on health and healing, we need to look beyond the religious groups themselves and appreciate some twentieth-century structural and cultural changes in the meanings of the body, the self, and the nature of well-being. |
Publication | Annals of the American Academy of Political and Social Science |
Volume | 527 |
Pages | 144-154 |
Date | May, 1993 |
ISSN | 00027162 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/1048682 |
Accessed | Tuesday, October 13, 2009 12:54:11 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Issue Title: Religion in the Nineties / Full publication date: May, 1993 / Copyright © 1993 American Academy of Political and Social Science |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
One theme of particular importance in contemporary U. S. religion and quasi-religion is health and healing. Groups as diverse as Pentecostal Christians and New Age groups, women’s spirituality groups and New Thought churches are promoting non-medical approaches to health and healing. Indeed, to many contemporary Americans, health and healing appear to be salient metaphors for salvation and holiness. Religious and quasi-religious attention to health is adamantly holistic in the belief that spiritual, emotional, social, and physical aspects of well-being are fundamentally interconnected. To understand the significance of this widespread focus on health and healing, we need to look beyond the religious groups themselves and appreciate some twentieth-century structural and cultural changes in the meanings of the body, the self, and the nature of well-being.
Type | Journal Article |
---|---|
Author | D D McKee |
Author | J N Chappel |
Abstract | Spirituality is an important aspect of health care that is not often addressed in modern day primary medical practice. Controversy surrounds the role of spiritual issues in medical practice. Some of this stems from confusing spirituality with religion. This paper distinguishes between spiritual and religious issues and reviews the history of these issues in medicine, the growing medical literature in this area, and some practical guidelines for the practicing physician. The authors conclude that, when appropriate, spiritual issues should be addressed in patient care since they may have a positive impact on patient health and behavior, and recommend that the medical model be expanded to a biopsychosocial-spiritual one. The guidelines developed by the American Psychiatric Association provide a useful model for the practicing physician to follow. More research is needed in this area, but the authors conclude that enough is already known to support the inclusion of spiritual issues in medical education. |
Publication | The Journal of Family Practice |
Volume | 35 |
Issue | 2 |
Pages | 201, 205-208 |
Date | Aug 1992 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/1645114 |
Accessed | Thursday, November 12, 2009 5:12:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 1645114 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Spirituality is an important aspect of health care that is not often addressed in modern day primary medical practice. Controversy surrounds the role of spiritual issues in medical practice. Some of this stems from confusing spirituality with religion. This paper distinguishes between spiritual and religious issues and reviews the history of these issues in medicine, the growing medical literature in this area, and some practical guidelines for the practicing physician. The authors conclude that, when appropriate, spiritual issues should be addressed in patient care since they may have a positive impact on patient health and behavior, and recommend that the medical model be expanded to a biopsychosocial-spiritual one. The guidelines developed by the American Psychiatric Association provide a useful model for the practicing physician to follow. More research is needed in this area, but the authors conclude that enough is already known to support the inclusion of spiritual issues in medical education.
Type | Journal Article |
---|---|
Author | A T McKennis |
Abstract | The delivery of culturally sensitive care by perioperative nurses is an essential element of patient advocacy. To provide culturally astute care, nurses must familiarize themselves with the world's religious and ethnic groups. Islam is a worldwide religion and, like all religions, is practiced along a spectrum ranging from very conservative and traditional practices to the more liberal and contemporary ones. A person may accept some, all, or none, of the principles discussed in this manuscript. Additionally, the patient's country of origin plays an integral role in the planning of culturally competent care. |
Publication | Association of periOperative Registered Nurses Journal |
Volume | 69 |
Issue | 6 |
Pages | 1187-1196; quiz 1199-1206 |
Date | Jun 1999 |
Journal Abbr | AORN J |
ISSN | 0001-2092 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/10376090 |
Accessed | Monday, November 02, 2009 1:53:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10376090 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
The delivery of culturally sensitive care by perioperative nurses is an essential element of patient advocacy. To provide culturally astute care, nurses must familiarize themselves with the world’s religious and ethnic groups. Islam is a worldwide religion and, like all religions, is practiced along a spectrum ranging from very conservative and traditional practices to the more liberal and contemporary ones. A person may accept some, all, or none, of the principles discussed in this manuscript. Additionally, the patient’s country of origin plays an integral role in the planning of culturally competent care.
Type | Book |
---|---|
Editor | G.P. McKenny |
Editor | J.R. Sande |
Series | Theology and Medicine |
Publisher | Springer |
Date | 2010-12-09 |
ISBN | 904814292X |
Library Catalog | Amazon.com |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Wilfred McSherry |
Author | Keith Cash |
Abstract | BACKGROUND: This paper explores the relationships that exist between the language used to describe spirituality within nursing and the appropriateness of constructing a universal definition acceptable to all individuals. 'Spirituality' is a term that is increasingly used in nursing but there may be problems about exactly what the term means and how it is interpreted and understood by both nurses and patients. AIM: The aim of the paper is to explore some of the commonly cited definitions to establish if the concept of spirituality could be termed 'universal'. METHOD: This paper presents a discussion, based upon a literature review, of the nursing and health care databases, combined with manual searches. The review demonstrates how the term spirituality is being constructed within nursing suggesting that there are numerous definitions each with several layers of meaning. FINDINGS: From the review the authors have developed 'a spiritual taxonomy' that may explain and accommodate the different layers of meaning found within nursing and health care definitions. At the extreme left there is a spirituality based on religious and theist ideals, while at the extreme right there is a spirituality based upon secular, humanistic, existential elements. A middle way is explained containing elements from both the left and right but not as fundamental or radical. CONCLUSION: The authors argue that because there are so many definitions with different layers of meanings, spirituality can imply different things depending upon an individual's personal interpretation or worldview. The results of the review suggest nursing is constructing a 'blanket' definition of spirituality, which has a broad, almost inexhaustible set of defining characteristics. If this approach continues then there is a danger that the word may become so broad in meaning that it loses any real significance. |
Publication | International Journal of Nursing Studies |
Volume | 41 |
Issue | 2 |
Pages | 151-161 |
Date | Feb 2004 |
Journal Abbr | Int J Nurs Stud |
ISSN | 0020-7489 |
Short Title | The language of spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/14725779 |
Accessed | Friday, November 13, 2009 12:33:31 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 14725779 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
This paper explores the relationships that exist between the language used to describe spirituality within nursing and the appropriateness of constructing a universal definition acceptable to all individuals. From the review the authors have developed ‘a spiritual taxonomy’ that may explain and accommodate the different layers of meaning found within nursing and health care definitions.
Type | Journal Article |
---|---|
Author | Wilfred McSherry |
Author | Mark Gretton |
Author | Peter Draper |
Author | Roger Watson |
Abstract | BACKGROUND: There is a professional requirement for student nurses to achieve competence in the delivery of spiritual care. However, there is no research exploring students nurses perceptions of being educated in these matters. AIM: This paper explores the ethical basis of teaching student nurses about the concepts of spirituality and spiritual care by reporting the findings from the first year of a 3 year investigation. DESIGN: An exploratory longitudinal design was used to obtain student nurses perceptions of spirituality and spiritual care as they progressed through a 3 year programme. METHOD: A questionnaire incorporating the Spirituality and Spiritual Care Rating Scale was distributed to 176 pre-registration nursing students undertaking either the Advanced Diploma or Bachelor of Science degree programmes. RESULTS: A response rate of 76.7% was obtained. Findings reveal that the majority of student nurses perceived spirituality to be a universal phenomenon of a type that can be associated with existentialism. Some students were very uncertain and apprehensive about being instructed in spiritual matters. CONCLUSION: A cohort of student nurses held similar understandings of spirituality to those presented in the nursing literature. However the results also suggest an overwhelming majority felt it was wrong for spirituality to imply that some people are better than others and most were uncertain whether spirituality was related to good and evil. RELEVANCE TO NURSE EDUCATION: The investigation reveals that there are a number of ethical concerns surrounding the teaching of spirituality to student nurses that need to be resolved. |
Publication | Nurse Education Today |
Volume | 28 |
Issue | 8 |
Pages | 1002-1008 |
Date | Nov 2008 |
Journal Abbr | Nurse Educ Today |
DOI | 10.1016/j.nedt.2008.05.013 |
ISSN | 0260-6917 |
Short Title | The ethical basis of teaching spirituality and spiritual care |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18597898 |
Accessed | Friday, November 13, 2009 7:03:35 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18597898 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
This paper explores the ethical basis of teaching student nurses about the concepts of spirituality and spiritual care by reporting the findings from the first year of a 3 year investigation.
Type | Journal Article |
---|---|
Author | Wilfred McSherry |
Author | Keith Cash |
Author | Linda Ross |
Abstract | BACKGROUND: This research outlines some preliminary findings emerging from a grounded theory investigation into the 'meaning of spirituality'. These initial results raise some important questions about the terminology and language that nurses use regarding the term spirituality. It seems that many of the policy directives and statutory guidelines make two major assumptions regarding 'spirituality'. Firstly, patients and nurses are aware and understand the concept, and secondly, patients may require their spiritual needs to be met. These preliminary findings suggest that a dichotomy is emerging between professional assumption and patient expectation regarding the meaning of spirituality. AIM: The study had one broad research aim, to gain a deeper insight into how patients, nurses, and people from the major world religions understand the concept of 'spirituality'. DESIGN: A qualitative research design was used involving a grounded theory method of inquiry. It was felt that this qualitative method would aid the investigation of this subjective dimension of peoples' existence, enabling existing theoretical constructs and arguments to be tested. METHODS: The constant comparative method was used throughout the data collection and analysis. Analysis was undertaken at two levels, 'overview analysis' and 'line-by-line analysis'. This enabled the creation of categories and central themes. RESULTS: Constant comparative analysis resulted in the formation of several categories and central themes. Two categories presented and discussed in detail are 'definitions of spirituality', and 'diverse perceptions of spirituality'. CONCLUSION: It would seem that there is now an urgent need for nursing to evaluate and perhaps adjust its vision regarding what constitutes spirituality. Such an approach may serve to reduce the gap between policy and public expectation. RELEVANCE TO CLINICAL PRACTICE: It seems that there may be no 'precise' terminology associated with the language used to define spirituality, raising possible implications for nursing practice and nurse education. |
Publication | Journal of Clinical Nursing |
Volume | 13 |
Issue | 8 |
Pages | 934-941 |
Date | Nov 2004 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2004.01006.x |
ISSN | 0962-1067 |
Short Title | Meaning of spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15533099 |
Accessed | Friday, November 13, 2009 1:07:01 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15533099 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
This research outlines some preliminary findings emerging from a grounded theory investigation into the ‘meaning of spirituality’. These initial results raise some important questions about the terminology and language that nurses use regarding the term spirituality.
Type | Journal Article |
---|---|
Author | Wilfred McSherry |
Author | Peter Draper |
Author | Don Kendrick |
Abstract | A postal survey, containing a questionnaire and covering letter, was distributed to 1029 ward-based nurses, of all grades, in a Large NHS Trust in an attempt to establish how nurses perceived spirituality and spiritual care. A response rate of 55.3% (n = 549) was obtained. Part of the questionnaire contained "The Spirituality and Spiritual Care Rating Scale" (SSCRS) a newly constructed instrument to aid the investigation and measurement of Spirituality and Spiritual Care. Factor Analysis was performed in an attempt to establish construct validity and to identify any underlying associations between items in the scale. It suggested a 17-item instrument with four factor-based subscales: Spirituality, Spiritual Care, Religiosity and Personalised Care. The 17-item SSCRS demonstrated a reasonable level of internal consistency reliability, having a Cronbach's alpha coefficient of 0.64. Confirmatory Factor Analysis is recommended in order to cross-validate and refine this new Rating Scale. |
Publication | International Journal of Nursing Studies |
Volume | 39 |
Issue | 7 |
Pages | 723-734 |
Date | Sep 2002 |
Journal Abbr | Int J Nurs Stud |
ISSN | 0020-7489 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12231029 |
Accessed | Thursday, November 12, 2009 9:53:32 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12231029 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
A postal survey, containing a questionnaire and covering letter, was distributed to 1029 ward-based nurses, of all grades, in a Large NHS Trust in an attempt to establish how nurses perceived spirituality and spiritual care. Part of the questionnaire contained “The Spirituality and Spiritual Care Rating Scale” (SSCRS) a newly constructed instrument to aid the investigation and measurement of Spirituality and Spiritual Care.
Type | Journal Article |
---|---|
Author | Michael R McVay |
Abstract | Medical science has achieved impressive accomplishments in the diagnosis and treatment of human disease. However, the emphasis on science and technology has created a generation of physicians who find it difficult to relate to their patients about their suffering. Time constraints and economic pressures also add to the challenge of giving meaningful time to patients. Patients want to talk to their physician about their concerns, but surveys indicate that this is not being accomplished. Medical educators are developing curricula to teach how care can be given compassionately. This article reviews the importance of addressing spiritual care in medicine. Spirituality is defined and the spiritual history is explained. Research on the role of spirituality in health care is also reviewed. The role of the physician as a healer, attending to mind, body and spirit is encouraged. |
Publication | South Dakota Journal of Medicine |
Volume | 55 |
Issue | 11 |
Pages | 487-491 |
Date | Nov 2002 |
Journal Abbr | S D J Med |
ISSN | 0038-3317 |
Short Title | Medicine and spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12449590 |
Accessed | Thursday, November 12, 2009 10:55:55 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12449590 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Medical science has achieved impressive accomplishments in the diagnosis and treatment of human disease. However, the emphasis on science and technology has created a generation of physicians who find it difficult to relate to their patients about their suffering. Time constraints and economic pressures also add to the challenge of giving meaningful time to patients. Patients want to talk to their physician about their concerns, but surveys indicate that this is not being accomplished. Medical educators are developing curricula to teach how care can be given compassionately. This article reviews the importance of addressing spiritual care in medicine. Spirituality is defined and the spiritual history is explained. Research on the role of spirituality in health care is also reviewed. The role of the physician as a healer, attending to mind, body and spirit is encouraged.
Type | Journal Article |
---|---|
Author | Giuseppina Messina |
Author | Stefania Anania |
Author | Claudia Bonomo |
Author | Laura Veneroni |
Author | Antonietta Andreoli |
Author | Francesca Mameli |
Author | Chiara Ortolina |
Author | Paola De Fabritiis |
Author | Maria Gaffuri |
Author | Francesco Imbesi |
Author | Egidio Moja |
Abstract | BACKGROUND It has been shown that the pineal gland plays a fundamental role in mediating either the spiritual perception or the anticancer immunity by stimulating the endogenous production of anticancer cytokine interleukin (IL)-2. OBJECTIVE The present study was performed to evaluate the impact of a spiritual approach consisting of Kriya Yoga program alone or in association with melatonin (MLT) or low-dose IL-2 plus MLT on the survival time in a group of metastatic cancer patients with life expectancy less than 1 year. MATERIALS AND METHODS A case-control study was carried out in 240 patients (M/F: 146/94; median age: 62 years, range: 34-71, suffering from non-small-cell lung cancer or gastrointestinal tumors) who were subdivided into 6 groups of 40 patients, treated with supportive care alone as a control group, supportive care plus Yoga, MLT alone, MLT plus Yoga, inteleukin-2 plus MLT, or IL-2 plus MLT plus Yoga. RESULTS The best results in terms of increased survival time were obtained by the association between neuroimmunotherapy with MLT plus IL-2 and Yoga program (2 years), which was significantly longer with respect to that achieved by supportive care alone, Yoga alone, or IL-2 plus MLT alone (1 year). CONCLUSIONS This study would suggest that a spiritual therapeutic approach may improve the survival time of untreatable metastatic solid tumor patients. |
Publication | International Journal of Yoga |
Volume | 4 |
Issue | 1 |
Pages | 33-38 |
Date | Jan 2011 |
Journal Abbr | Int J Yoga |
DOI | 10.4103/0973-6131.78181 |
ISSN | 0973-6131 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21654973 |
Accessed | Wednesday, July 13, 2011 6:15:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21654973 |
Date Added | Thursday, September 29, 2011 8:53:56 AM |
Modified | Thursday, September 29, 2011 8:53:56 AM |
Type | Journal Article |
---|---|
Author | Margaret A Miklancie |
Abstract | You have been a nurse for many years, yet you have never cared for a patient who practices Islam until now. You are assigned to a Muslim family for a home visit. What aspects about Muslim beliefs and way of life might be helpful to know before your visit? |
Publication | Home Healthcare Nurse |
Volume | 25 |
Issue | 6 |
Pages | 413-417 |
Date | Jun 2007 |
Journal Abbr | Home Healthc Nurse |
DOI | 10.1097/01.NHH.0000277692.11916.f3 |
ISSN | 0884-741X |
Short Title | Caring for patients of diverse religious traditions |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17556925 |
Accessed | Monday, November 02, 2009 1:31:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17556925 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
You have been a nurse for many years, yet you have never cared for a patient who practices Islam until now. You are assigned to a Muslim family for a home visit. What aspects about Muslim beliefs and way of life might be helpful to know before your visit?
Type | Journal Article |
---|---|
Author | M A Miller |
Abstract | A review of the literature on culture, health/women's health, and spirituality/religion reveals that the purported relationships among these variables may be tenuous. Nevertheless, there is a need for health care professionals to be aware of existing cultural/religious beliefs that may affect women's health behavior if provision of holistic health care is a goal. Implications for practice and research can be drawn from the existing evidence in the literature. |
Publication | Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN / NAACOG |
Volume | 24 |
Issue | 3 |
Pages | 257-263 |
Date | 1995 Mar-Apr |
Journal Abbr | J Obstet Gynecol Neonatal Nurs |
ISSN | 0884-2175 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/7782959 |
Accessed | Thursday, November 12, 2009 5:24:06 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 7782959 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
A review of the literature on culture, health/women’s health, and spirituality/religion reveals that the purported relationships among these variables may be tenuous. Nevertheless, there is a need for health care professionals to be aware of existing cultural/religious beliefs that may affect women’s health behavior if provision of holistic health care is a goal. Implications for practice and research can be drawn from the existing evidence in the literature.
Type | Journal Article |
---|---|
Author | M Millison |
Author | J R Dudley |
Abstract | This research examines spirituality as an aspect of professional practice. A questionnaire on spirituality was sent in 1991 to the hospice directors in New York, New Jersey, and Pennsylvania. The findings strongly indicate that spirituality is important in the hospice setting and plays a prominent role in the treatment of patients. Also, hospice programs were found to be supportive of the spiritual component of care. The spiritual approaches used by the respondents were the more traditionally religious ones such as listening to the patient talk about God or referring to clergy. Approaches such as meditation or guided imagery, which are not necessarily related to religion, were used less frequently. Clergy in the study placed greater importance on spirituality in hospice work and used more traditionally religious approaches than did non-clergy. While some professional caregivers choose to leave spiritual matters to clergy, the findings reveal that many non-clergy hospice professionals are assisting patients with spiritual concerns. |
Publication | The Hospice Journal |
Volume | 8 |
Issue | 4 |
Pages | 49-66 |
Date | 1992 |
Journal Abbr | Hosp J |
ISSN | 0742-969X |
Short Title | Providing spiritual support |
URL | http://www.ncbi.nlm.nih.gov/pubmed/1302747 |
Accessed | Thursday, November 12, 2009 5:13:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 1302747 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
This research examines spirituality as an aspect of professional practice. A questionnaire on spirituality was sent in 1991 to the hospice directors in New York, New Jersey, and Pennsylvania. The findings strongly indicate that spirituality is important in the hospice setting and plays a prominent role in the treatment of patients.
Type | Journal Article |
---|---|
Author | L Mishra |
Author | B B Singh |
Author | S Dagenais |
Abstract | Because the disharmony of mental doshas (satogun, rajogun, and tamogun) and body doshas (vata, pitta, and kapha) are the major cause of illness, the goal of illness management in Ayurveda is to bring back harmony among the doshas. The management includes clinical examination, diagnosis, and dietary and lifestyle interventions and treatment. The clinical examination consists of Astha Sthana Pariksha (8-point diagnosis: pulse-diagnosis, urine, stool, tongue, voice and body sound, eye, skin, and total body appearance examinations) and examination of the digestive system and the patient's physical strength. The treatment consists of cleansing (Panchkarma), palliation (improve digestion, remove toxic waste, fasting, observe thirst, exercise, sunbathing, and meditation), mental nurturing, and spiritual healing depending on the disturbed doshas and the patient's constitution. The preferred use of bhasms and herbal formulas over the respective metallic salts or the single herbs is discussed. This review suggests a great potential for integration of Ayurvedic therapies into the healthcare system in the United States. |
Publication | Alternative Therapies in Health and Medicine |
Volume | 7 |
Issue | 2 |
Pages | 44-50 |
Date | Mar 2001 |
Journal Abbr | Altern Ther Health Med |
ISSN | 1078-6791 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11253416 |
Accessed | Monday, November 02, 2009 2:41:07 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11253416 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Because the disharmony of mental doshas (satogun, rajogun, and tamogun) and body doshas (vata, pitta, and kapha) are the major cause of illness, the goal of illness management in Ayurveda is to bring back harmony among the doshas. The management includes clinical examination, diagnosis, and dietary and lifestyle interventions and treatment. The clinical examination consists of Astha Sthana Pariksha (8-point diagnosis: pulse-diagnosis, urine, stool, tongue, voice and body sound, eye, skin, and total body appearance examinations) and examination of the digestive system and the patient’s physical strength. The treatment consists of cleansing (Panchkarma), palliation (improve digestion, remove toxic waste, fasting, observe thirst, exercise, sunbathing, and meditation), mental nurturing, and spiritual healing depending on the disturbed doshas and the patient’s constitution. The preferred use of bhasms and herbal formulas over the respective metallic salts or the single herbs is discussed. This review suggests a great potential for integration of Ayurvedic therapies into the healthcare system in the United States.
Type | Journal Article |
---|---|
Author | Sandra Miskely |
Publication | Journal of Community Health Nursing |
Volume | 12 |
Issue | 1 |
Pages | 1-14 |
Date | 1995 |
DOI | 10.1207/s15327655jchn1201_1 |
ISSN | 0737-0016 |
Short Title | A Parish Nursing Model |
URL | http://www.tandfonline.com.ezproxy.bu.edu/doi/abs/10.1207/s15327655jchn1201_1 |
Library Catalog | Taylor&Francis |
Date Added | Tuesday, December 13, 2011 7:44:55 PM |
Modified | Tuesday, December 13, 2011 7:44:55 PM |
Type | Journal Article |
---|---|
Author | Mary Mitchell |
Author | Jenny Hall |
Abstract | The nature of midwifery both as an art and a science requires methods of teaching students that will enhance this understanding. A philosophy of holistic care of women should underpin education of student midwives and these concepts should be put across to the students in meaningful ways. In the formal midwifery curriculum this has been a neglected aspect (Hall, 2001) [Hall, J., 2001. Midwifery Mind and spirit: emerging issues of care. Books for Midwives, Oxford]. We have developed a teaching session on 'Spirituality and the meaning of birth'. A creative approach, using mediums of video, music, aroma and storytelling, combined with an opportunity for the students to express their selves through art have been utilised (Cameron, 1993) [Cameron, J., 1993. The Artists Way--A course in discovering and recovering your creative self. Pan Macmillan, London]. Although creative approaches in teaching arts based disciplines is well established, these approaches have not been evaluated for their effectiveness within midwifery education. We conducted a study which aimed to develop an understanding of student's views on the meaning of birth by examining creative work produced by the student midwives. This aspect is reported elsewhere. Further exploration through open-ended questionnaires was made of the effectiveness and value of the activity as a teaching method. This paper will describe the innovative teaching methods used. In addition student's views of birth established through their art and their views of the teaching session elicited through our research will be explored. |
Publication | Nurse Education in Practice |
Volume | 7 |
Issue | 6 |
Pages | 416-424 |
Date | Nov 2007 |
Journal Abbr | Nurse Educ Pract |
DOI | 10.1016/j.nepr.2007.02.007 |
ISSN | 1873-5223 |
Short Title | Teaching spirituality to student midwives |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17936548 |
Accessed | Friday, November 13, 2009 6:00:40 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17936548 |
Date Added | Saturday, October 01, 2011 3:42:51 PM |
Modified | Saturday, October 01, 2011 3:42:51 PM |
The nature of midwifery both as an art and a science requires methods of teaching students that will enhance this understanding. A philosophy of holistic care of women should underpin education of student midwives and these concepts should be put across to the students in meaningful ways.
Type | Journal Article |
---|---|
Author | Frank J. Moncher |
Author | Craig Steven Titus |
Abstract | This article discusses the possibility of founding a psychotherapy of virtue on a Roman Catholic anthropology and on an Aristotelian-Thomist virtue theory. We explore the common ground, the diversity, and the therapeutic pathways in a life of virtue. The common ground is rooted in the normativeness of human nature according to cognitive, volitional, emotional, and relational domains, where we find the basic virtue areas identified in the cardinal and theological virtues. The diversity is manifest at the level of human development in which associated virtue strengths and supporting practices are historically and culturally embedded. The therapeutic pathways revisit these levels with a goal of healing. It is argued that the therapeutic process must prioritize attention to emotional wounds to stabilize the foundation for growth in the capacity to become free and responsible agents. In addition, for clients who bring an intention to employ Christian spiritual resources, this psychotherapy concurrently seeks not only symptom reduction and the development of acquired virtue strengths and practices, but also the concomitant development of spiritual ones. [ABSTRACT FROM AUTHOR] |
Publication | Journal of Psychology & Christianity |
Volume | 28 |
Issue | 1 |
Pages | 22-35 |
Date | Spring2009 2009 |
ISSN | 07334273 |
Short Title | Foundations for a Psychotherapy of Virtue |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Book |
---|---|
Author | Tom Monte |
Place | New York NY |
Publisher | Putnam Pub. Group |
Date | 1993 |
ISBN | 9780874777338 |
Short Title | World medicine |
Library Catalog | Open WorldCat |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Type | Journal Article |
---|---|
Author | Geoff Morgan |
Abstract | The Mental Capacity Act (2005) and the amendments to the Mental Health Act (1983) in 2007-which came into effect in 2007 and 2009, respectively, in England and Wales-made it a statutory duty for the NHS and local authorities to refer to advocacy services. This is part of a growth in advocacy which coincides with an increase in literature on mental health and spirituality. Independent advocates and spiritual care coordinators (or chaplains) provide expressions of advocacy. For Independent Mental Capacity Advocates, social, cultural and spiritual factors are influential. Research involved a literature review on the history of advocacy and interviews with over 30 advocates, chaplains and service users and subsequent grounded theory analysis. The attested “rediscovery of the spiritual dimension in health and social care” was supported by overlaps in the practices of advocates and chaplains. This highlighted shortcomings around the professionalisation of advocacy in relation to culture and spirituality. |
Publication | Mental Health, Religion & Culture |
Volume | 13 |
Issue | 6 |
Pages | 625-636 |
Date | 9/2010 |
Journal Abbr | Mental Hlth., Religion & Culture |
DOI | 10.1080/13674676.2010.488435 |
ISSN | 1367-4676 |
URL | http://www.informaworld.com/openurl? genre=article&… |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Book |
---|---|
Author | Glendon Moriarty |
Place | Downers Grove Ill. |
Publisher | IVP Academic |
Date | 2010 |
ISBN | 9780830838851 |
Date Added | Thursday, September 29, 2011 9:03:07 AM |
Modified | Thursday, September 29, 2011 9:03:07 AM |
Type | Journal Article |
---|---|
Author | P S Mueller |
Author | D J Plevak |
Author | T A Rummans |
Abstract | Surveys suggest that most patients have a spiritual life and regard their spiritual health and physical health as equally important. Furthermore, people may have greater spiritual needs during illness. We reviewed published studies, meta-analyses, systematic reviews, and subject reviews that examined the association between religious involvement and spirituality and physical health, mental health, health-related quality of life, and other health outcomes. We also reviewed articles that provided suggestions on how clinicians might assess and support the spiritual needs of patients. Most studies have shown that religious involvement and spirituality are associated with better health outcomes, including greater longevity, coping skills, and health-related quality of life (even during terminal illness) and less anxiety, depression, and suicide. Several studies have shown that addressing the spiritual needs of the patient may enhance recovery from illness. Discerning, acknowledging, and supporting the spiritual needs of patients can be done in a straightforward and noncontroversial manner. Furthermore, many sources of spiritual care (e.g., chaplains) are available to clinicians to address the spiritual needs of patients. |
Publication | Mayo Clinic Proceedings. Mayo Clinic |
Volume | 76 |
Issue | 12 |
Pages | 1225-1235 |
Date | Dec 2001 |
Journal Abbr | Mayo Clin. Proc |
ISSN | 0025-6196 |
Short Title | Religious involvement, spirituality, and medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11761504 |
Accessed | Thursday, November 12, 2009 9:05:00 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11761504 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Surveys suggest that most patients have a spiritual life and regard their spiritual health and physical health as equally important. Furthermore, people may have greater spiritual needs during illness. We reviewed published studies, meta-analyses, systematic reviews, and subject reviews that examined the association between religious involvement and spirituality and physical health, mental health, health-related quality of life, and other health outcomes. We also reviewed articles that provided suggestions on how clinicians might assess and support the spiritual needs of patients. Most studies have shown that religious involvement and spirituality are associated with better health outcomes, including greater longevity, coping skills, and health-related quality of life (even during terminal illness) and less anxiety, depression, and suicide. Several studies have shown that addressing the spiritual needs of the patient may enhance recovery from illness. Discerning, acknowledging, and supporting the spiritual needs of patients can be done in a straightforward and noncontroversial manner. Furthermore, many sources of spiritual care (e.g., chaplains) are available to clinicians to address the spiritual needs of patients.
Type | Journal Article |
---|---|
Author | Hisayuki Murata |
Abstract | OBJECTIVE: In discussing spiritual care of patients with terminal cancer, it is important to clarify the structure of spiritual pain to be evaluated. METHODS: In this article, spiritual pain is defined as "pain caused by extinction of the being and the meaning of the self," and its structure was evaluated according to the three dimensions of the human being, that is, a being founded on temporality, a being in relationship, and a being with autonomy. RESULTS: As a result, spiritual pain of patients with terminal cancer could be described as meaninglessness of life, loss of identity, and worthlessness of living derived from loss of the future, loss of others, and loss of autonomy of a dying individual. SIGNIFICANCE OF RESULTS: On the basis of these understandings, the author deduced principles of spiritual care of terminally ill cancer patients as recovery of the future beyond death, others beyond death, and autonomy toward death in each dimension of the human being. |
Publication | Palliative & Supportive Care |
Volume | 1 |
Issue | 1 |
Pages | 15-21 |
Date | Mar 2003 |
Journal Abbr | Palliat Support Care |
ISSN | 1478-9515 |
Short Title | Spiritual pain and its care in patients with terminal cancer |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16594284 |
Accessed | Friday, November 13, 2009 3:46:17 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16594284 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
In this article, spiritual pain is defined as “pain caused by extinction of the being and the meaning of the self,” and its structure was evaluated according to the three dimensions of the human being, that is, a being founded on temporality, a being in relationship, and a being with autonomy. The author deduced principles of spiritual care of terminally ill cancer patients as recovery of the future beyond death, others beyond death, and autonomy toward death in each dimension of the human being.
Type | Journal Article |
---|---|
Author | David W Musick |
Author | Todd R Cheever |
Author | Sue Quinlivan |
Author | Lois Margaret Nora |
Abstract | OBJECTIVE: The authors sought to examine attitudes about spirituality in medicine among medical students in psychiatric clerkships and determine whether instruction on concepts of spirituality in medicine had an effect on students' clinical performance in related tasks. METHODS: A total of 192 students entering psychiatric clerkships were randomly assigned to one of two groups; both groups received identical didactic instruction on spirituality in medicine. One group worked on a problem-based learning case that featured spirituality as a prominent theme, whereas the other group worked on problem-based learning cases that made no mention of it. Students completed pre- and posttest questionnaires, and their examination at the end of rotation included a standardized patient encounter requiring them to elicit a spiritual history. RESULTS: Among the 131 students who completed and returned both questionnaires, a significant difference (p=0.001) was noted between groups on students' self-reported knowledge of taking a spiritual history. However, students in the two groups received identical scores on the component of the examination requiring them to write a spiritual history. CONCLUSIONS: Although students who were exposed to material on spirituality in medicine reported greater understanding of the issue, no difference in clinical performance was observed. |
Publication | Academic Psychiatry: The Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry |
Volume | 27 |
Issue | 2 |
Pages | 67-73 |
Date | 2003 |
Journal Abbr | Acad Psychiatry |
DOI | 10.1176/appi.ap.27.2.67 |
ISSN | 1042-9670 |
Short Title | Spirituality in medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12824105 |
Accessed | Thursday, November 12, 2009 11:26:54 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12824105 |
Date Added | Saturday, October 01, 2011 3:01:53 PM |
Modified | Saturday, October 01, 2011 3:01:53 PM |
Objective: The authors sought to examine attitudes about spirituality in medicine among medical students in psychiatric clerkships and determine whether instruction on concepts of spirituality in medicine had an effect on students’ clinical performance in related tasks. Methods: A total of 192 students entering psychiatric clerkships were randomly assigned to one of two groups; both groups received identical didactic instruction on spirituality in medicine. One group worked on a problem-based learning case that featured spirituality as a prominent theme, whereas the other group worked on problem-based learning cases that made no mention of it. Students completed pre- and posttest questionnaires, and their examination at the end of rotation included a standardized patient encounter requiring them to elicit a spiritual history. Results: Among the 131 students who completed and returned both questionnaires, a significant difference (p=0.001) was noted between groups on students’ self-reported knowledge of taking a spiritual history. However, students in the two groups received identical scores on the component of the examination requiring them to write a spiritual history. Conclusions: Although students who were exposed to material on spirituality in medicine reported greater understanding of the issue, no difference in clinical performance was observed.
Type | Journal Article |
---|---|
Author | Joan Myers |
Abstract | The idea that patients' spiritual needs should be incorporated into nursing care is supported by literature and policy. |
Publication | Nursing Standard (Royal College of Nursing (Great Britain): 1987) |
Volume | 23 |
Issue | 40 |
Pages | 22 |
Date | 2009 Jun 10-16 |
Journal Abbr | Nurs Stand |
ISSN | 0029-6570 |
Accessed | Tuesday, February 22, 2011 6:47:29 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19579370 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Bjørn K Myskja |
Abstract | Jürgen Habermas has argued that religious views form a legitimate background for contributions to an open public debate, and that religion plays a particular role in formulating moral intuitions. Translating religious arguments into "generally accessible language" (Habermas, Eur J Philos 14(1):1-25, 2006) to enable them to play a role in political decisions is a common task for religious and non-religious citizens. The article discusses Habermas' view, questioning the particular role of religion, but accepting the significance of including such counter-voices to the predominant views. Furthermore it is pointed out that not only religious but also numerous secular views stand in need of translation to be able to bear on policy matters. Accepting Habermas' general framework, I raise the question whether experts (such as clinicians working in relevant specialised areas of care) participating in political debates on biomedical issues have a duty to state their religious worldview, and to what extent the American government decision to restrict embryo stem cell research is an illegitimate transgression of the State-Church divide. |
Publication | Medicine, Health Care, and Philosophy |
Volume | 12 |
Issue | 2 |
Pages | 213-224 |
Date | Jun 2009 |
Journal Abbr | Med Health Care Philos |
DOI | 10.1007/s11019-008-9172-9 |
ISSN | 1572-8633 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19034688 |
Accessed | Monday, March 28, 2011 6:23:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19034688 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | M G Nagai-Jacobson |
Author | M A Burkhardt |
Abstract | Practitioners of holistic nursing seek to be part of an environment that is healing, recognizing that healing occurs on many levels. Suffering and pain are viewed as part of larger life experience and may be sources of growth and transformation. Understanding that spirituality has to do with all of life and is expressed in a variety of ways, the practitioner of holistic nursing is open to the spirituality of self and others, as manifested in the ordinary as well as the dramatic, and in gentle ways encourages its experience and expression. |
Publication | Holistic Nursing Practice |
Volume | 3 |
Issue | 3 |
Pages | 18-26 |
Date | May 1989 |
Journal Abbr | Holist Nurs Pract |
ISSN | 0887-9311 |
Short Title | Spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/2768352 |
Accessed | Thursday, November 12, 2009 5:07:03 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 2768352 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Practitioners of holistic nursing seek to be part of an environment that is healing, recognizing that healing occurs on many levels. Suffering and pain are viewed as part of larger life experience and may be sources of growth and transformation.
Type | Journal Article |
---|---|
Author | Richard L. Nahin |
Author | Stephen E. Straus |
Publication | BMJ: British Medical Journal |
Volume | 322 |
Issue | 7279 |
Pages | 161-164 |
Date | Jan. 20, 2001 |
ISSN | 09598138 |
Short Title | Research Into Complementary And Alternative Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/25466025 |
Accessed | Sunday, November 08, 2009 11:23:34 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jan. 20, 2001 / Copyright © 2001 BMJ Publishing Group |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | A A Nanji |
Abstract | After tracing the main features of the foundational ethical perspectives and their relationship to the rise of medical practice in early Islam, the paper focuses on the development of the moral concept of adab. This concept served as an important tool in defining and shaping an ethical tradition based on the integration of the Hippocratic tradition into Muslim medicine and its underlying moral values. The existence of plural therapeutic systems and their moral and theological sources are also noted and an attempt is made to show how all of these diverse modes co-existed through most of the pre-modern history of medicine among Muslims. The paper ends by outlining the impact the European colonial and cultural encounter with the World of Islam had, in creating a duality in medical practice, education and institutions, thus limiting sustained and meaningful discourse between modern medical science and the ethical values of Islam. |
Publication | The Journal of Medicine and Philosophy |
Volume | 13 |
Issue | 3 |
Pages | 257-275 |
Date | Aug 1988 |
Journal Abbr | J Med Philos |
ISSN | 0360-5310 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/3058851 |
Accessed | Monday, November 02, 2009 1:27:31 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 3058851 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
After tracing the main features of the foundational ethical perspectives and their relationship to the rise of medical practice in early Islam, the paper focuses on the development of the moral concept of adab. This concept served as an important tool in defining and shaping an ethical tradition based on the integration of the Hippocratic tradition into Muslim medicine and its underlying moral values. The existence of plural therapeutic systems and their moral and theological sources are also noted and an attempt is made to show how all of these diverse modes co-existed through most of the pre-modern history of medicine among Muslims. The paper ends by outlining the impact the European colonial and cultural encounter with the World of Islam had, in creating a duality in medical practice, education and institutions, thus limiting sustained and meaningful discourse between modern medical science and the ethical values of Islam.
Type | Journal Article |
---|---|
Author | Saravu R Narahari |
Author | Terence J Ryan |
Author | Kuthaje S Bose |
Author | Kodimoole S Prasanna |
Author | Guruprasad M Aggithaya |
Abstract | BACKGROUND Globally, governments have recognized the growing popularity of Complementary and Alternative Medicines and the possibility of their combined use with biomedicine. Decisions within the Government of India have led to a conducive environment for conducting clinical studies, to achieve integration of more than one system of medicine, so that their combined benefits can be brought to bear on chronic, difficult-to-treat conditions. AIM To develop integrative dermatology treatment protocols for patients with long-standing skin diseases who have received treatment from many centers. MATERIALS AND METHODS A team of doctors from modern dermatology, Ayurveda, yoga therapy, and homeopathy studied recruited patients to develop mutual orientation on each therapeutic system and a working knowledge of approach to their clinical diagnosis. Six-hundred thirty-eight patients affected by lower limb lymphedema requiring skin care as a major part of treatment were treated integrating modern dermatology and Ayurveda. Three-hundred eighty-one vitiligo patients were examined and treated to understand the clinical presentations and treatment options in Ayurveda. RESULTS A two-step cluster analysis performed by SPSS Version 16 showed average volume reductions of 13.3% and 23% on day 14, 19.7% and 31.1% on day 45, and 23.4% and 39.7% on day 90 of treatment in small and large lymphedematous limbs. Inflammatory episodes before the onset on this treatment was reported by 79.5% of our lymphedema patients, and 9.4% reported this at the end of three months after our treatment. Among vitiligo patients, we found that 39.6% of patients had kapha, 39.8% pitta, 10.8% had vatha and 0.52% has tridoshaja presentation. There are over 100 treatment options available in Ayurveda to treat vitiligo. DISCUSSION Each system of medicine recognizes the same disease albeit with minor difference in description. Skin care procedures like washing and emollients restore the barrier function and skin health. We have converged Ayurvedic skin care with that of dermatology with an aim of achieving patient management that is better than that achievable by a single system alone. Overload of the lymphatic system due to loss of epidermal barrier function and consequent inflammation from bacteria and soil irritants is responsive to selected Ayurvedic herbal preparations. CONCLUSION It is evident that integration at the therapeutic level is possible, although the pathological basis is interpreted differently. Irrespective of background understanding of the given disease, a mutually oriented multisystem therapeutic team was able to effectively use medicines from more than one system of medicine and to develop guidelines for their prescription and a patient care algorithm. |
Publication | International Journal of Dermatology |
Volume | 50 |
Issue | 3 |
Pages | 310-334 |
Date | Mar 2011 |
Journal Abbr | Int. J. Dermatol |
DOI | 10.1111/j.1365-4632.2010.04744.x |
ISSN | 1365-4632 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21342165 |
Accessed | Monday, April 04, 2011 7:46:40 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21342165 |
Date Added | Thursday, September 29, 2011 8:56:10 AM |
Modified | Thursday, September 29, 2011 8:56:10 AM |
Type | Journal Article |
---|---|
Author | Aru Narayanasamy |
Abstract | AIMS AND OBJECTIVES: The aim of this paper is to share reflectively how my empirical studies on spirituality and culture have had an impact upon nurse education. BACKGROUND: Spirituality and cultural dimensions of care are considered to be integral to holistic care. The healing potentials of spiritual and cultural care are well documented. The commitment to the research programme came due to the concern within early literature on nursing that the provision of spiritual care for patients is inadequate. METHODS: The research programme used action research comprising largely qualitative approaches. As the holistic and multiperspective nature of spirituality and culture requires a multidisciplinary approach and flexibility of methodology, various research techniques were used. RESULTS: The findings from the research programme led to the development of theories, models and conceptual literature on spiritual and cultural care. In particular, two models evolved from the studies: the ASSET for spiritual cares education and training and the ACCESS for transcultural care practice. The critical incident studies provide insights into nurses' roles in spiritual care interventions. The phenomenological study highlights that chronically ill patients use spiritual strategies in coping with their illness. CONCLUSION: Overall, the paper offers a body of evidence that has an impact upon curriculum development in nurse education and nursing practice. RELEVANCE TO CLINICAL PRACTICE: The ASSET model offers a framework for spiritual care education. The ACCESS model offers a framework for transcultural care practice. The critical incident studies map out nurses' roles in spiritual and cultural care with scope for development of care intervention models for the future. The coping mechanisms study highlights how patients use spiritual coping strategies such as prayer and other resources to cope with their chronic illnesses. |
Publication | Journal of Clinical Nursing |
Volume | 15 |
Issue | 7 |
Pages | 840-851 |
Date | Jul 2006 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2006.01616.x |
ISSN | 0962-1067 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16879377 |
Accessed | Friday, November 13, 2009 4:45:55 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16879377 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
In spite of an unjustified negative portrayal of Islam, it continues to grow at what is sometimes perceived as an unprecedented rate, having, it is estimated, one billion followers, i.e. one-fifth of the world’s population. This signals the need for nurse education to take on board curriculum measures to incorporate spiritual and cultural dimensions in the care of Muslim patients. Therefore, curriculum strategies are identified for putting into action educational programmes that address the needs of Muslims.
Type | Journal Article |
---|---|
Author | A Narayanasamy |
Abstract | In this paper a review of spirituality as applied to nursing is carried out. In doing so, it is shown that the holistic understanding of spirituality has been derived almost exclusively from the Christian theological tradition. Whilst recognizing the importance of this tradition, the relatively unknown element, that is, the biological basis of spirituality as advanced by empirical research on spiritual awareness is brought to the debate in this review. Following the review, an operational definition of spirituality embracing its biological roots is provided to highlight its significance to nursing. |
Publication | International Journal of Nursing Studies |
Volume | 36 |
Issue | 2 |
Pages | 117-125 |
Date | Apr 1999 |
Journal Abbr | Int J Nurs Stud |
ISSN | 0020-7489 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10376221 |
Accessed | Thursday, November 12, 2009 8:25:58 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10376221 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
In this paper a review of spirituality as applied to nursing is carried out. In doing so, it is shown that the holistic understanding of spirituality has been derived almost exclusively from the Christian theological tradition. Whilst recognizing the importance of this tradition, the relatively unknown element, that is, the biological basis of spirituality as advanced by empirical research on spiritual awareness is brought to the debate in this review.
Type | Journal Article |
---|---|
Author | A Narayanasamy |
Author | A Andrews |
Abstract | In this paper the cultural impact of Islam on the future directions of nurse education is considered. In so doing, Islam is demonstrated as a living and growing religion, transcending almost all races and cultures in many parts of the globe. The historical review of Islam suggests its pervasive impact on almost all aspects of life: affecting both the East and West. In spite of an unjustified negative portrayal of Islam, it continues to grow at what is sometimes perceived as an unprecedented rate, having, it is estimated, one-billion followers, i.e. one-fifth of the world's population. This signals the need for nurse education to take on board curriculum measures to incorporate spiritual and cultural dimensions in the care of Muslim patients. Therefore, curriculum strategies are identified for putting into action educational programmes that address the needs of Muslims. |
Publication | Nurse Education Today |
Volume | 20 |
Issue | 1 |
Pages | 57-64; discussion 65-72 |
Date | Jan 2000 |
Journal Abbr | Nurse Educ Today |
DOI | 10.1054/nedt.2000.0425 |
ISSN | 0260-6917 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11138216 |
Accessed | Monday, November 02, 2009 1:52:11 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11138216 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
The ASSET model offers a framework for spiritual care education. The ACCESS model offers a framework for transcultural care practice. The critical incident studies map out nurses’ roles in spiritual and cultural care with scope for development of care intervention models for the future. The coping mechanisms study highlights how patients use spiritual coping strategies such as prayer and other resources to cope with their chronic illnesses.
Type | Journal Article |
---|---|
Author | Aru Narayanasamy |
Author | Mani Narayanasamy |
Abstract | Ayurvedic medicine is an ancient Indian form of healing. It is gaining popularity as part of the growing interest in New Age spirituality and in complementary and alternative medicine (CAM). In this article the principles and practices of Ayurvedic medicine are outlined. In doing so, the safety of ayurvedic medicine is explored in the context of evidence-based practice and the implications of Ayurvedic medicine for nursing are discussed. It is concluded that an awareness of Ayurvedic medicine may help nurses to be cognisant of its benefits and potential complications if it is used with conventional medicine. Although the therapeutic value of ayurvedic treatment is yet to be fully established through randomized control trials, its potential in terms of health promotion, nutrition and spirituality are acknowledged in the emerging literature. |
Publication | British Journal of Nursing (Mark Allen Publishing) |
Volume | 15 |
Issue | 21 |
Pages | 1185-1190 |
Date | 2006 Nov 23-Dec 13 |
Journal Abbr | Br J Nurs |
ISSN | 0966-0461 |
Short Title | Ayurvedic medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17170694 |
Accessed | Friday, November 13, 2009 5:06:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17170694 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
In this article the principles and practices of Ayurvedic medicine are outlined. In doing so, the safety of ayurvedic medicine is explored in the context of evidence-based practice and the implications of Ayurvedic medicine for nursing are discussed. It is concluded that an awareness of Ayurvedic medicine may help nurses to be cognisant of its benefits and potential complications if it is used with conventional medicine.
Type | Journal Article |
---|---|
Author | Kelley Newlin |
Author | Kathleen Knafl |
Author | Gail D'Eramo Melkus |
Abstract | Culturally competent care for African Americans requires sensitivity to spirituality as a component of the cultural context. To foster understanding, measurement, and delivery of the spiritual component of culturally competent care, this article presents an evolutionary concept analysis of African-American spirituality. The analysis is based on a sample of multidisciplinary research studies reflecting spirituality of African Americans. Findings indicate that African-American spirituality involves quintessential, internal, external, consoling, and transformative attributive dimensions. Findings are considered in relation to previous conceptual analyses of spirituality and suggest that defining attributes of African-American spirituality are both global and culturally prominent. Implications for practice and research are discussed. |
Publication | ANS. Advances in Nursing Science |
Volume | 25 |
Issue | 2 |
Pages | 57-70 |
Date | Dec 2002 |
Journal Abbr | ANS Adv Nurs Sci |
ISSN | 0161-9268 |
Short Title | African-American spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12484641 |
Accessed | Thursday, November 12, 2009 11:00:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12484641 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Culturally competent care for African Americans requires sensitivity to spirituality as a component of the cultural context. To foster understanding, measurement, and delivery of the spiritual component of culturally competent care, this article presents an evolutionary concept analysis of African-American spirituality.
Type | Journal Article |
---|---|
Author | S M Ng |
Author | Josephine K Y Yau |
Author | Cecilia L W Chan |
Author | Celia H Y Chan |
Author | David Y F Ho |
Abstract | The Body-Mind-Spirit model of health promotion (Chan, Ho&Chow, 2002) guided the construction of a multidimensional inventory for assessing holistic health. Named Body-Mind-Spirit Well-Being Inventory (BMSWBI), it comprises four scales: Physical Distress, Daily Functioning, Affect, and Spirituality (differentiated from religiosity and conceived as ecumenical). Respondents (674 Chinese adults from Hong Kong) completed the BMSWBI via the Internet. Results indicate that all four scales have high reliability, with alpha coefficients ranging from .87 to .92, and concurrent validity. Factor analysis indicates that (a) positive and negative affect form two distinct factors; and (b) spirituality comprises three distinct aspects, tranquility, resistance to disorientation, and resilience. Spirituality is positively associated with mental well-being, positive affect, satisfaction with life, and hope; but negatively associated with negative affect and perceived stress. These results suggest that the inventory may be used to assess different dimensions of health satisfactorily. |
Publication | Social Work in Health Care |
Volume | 41 |
Issue | 1 |
Pages | 33-52 |
Date | 2005 |
Journal Abbr | Soc Work Health Care |
ISSN | 0098-1389 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16048855 |
Accessed | Friday, November 13, 2009 3:18:54 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16048855 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
The Body-Mind-Spirit model of health promotion (Chan, Ho & Chow, 2002) guided the construction of a multidimensional inventory for assessing holistic health. Named Body-Mind-Spirit Well-Being Inventory (BMSWBI), it comprises four scales: Physical Distress, Daily Functioning, Affect, and Spirituality (differentiated from religiosity and conceived as ecumenical). Respondents (674 Chinese adults from Hong Kong) completed the BMSWBI via the Internet. Results indicate that all four scales have high reliability, with alpha coefficients ranging from .87 to .92, and concurrent validity. Factor analysis indicates that (a) positive and negative affect form two distinct factors; and (b) spirituality comprises three distinct aspects, tranquility, resistance to disorientation, and resilience. Spirituality is positively associated with mental well-being, positive affect, satisfaction with life, and hope; but negatively associated with negative affect and perceived stress. These results suggest that the inventory may be used to assess different dimensions of health satisfactorily.
Type | Journal Article |
---|---|
Author | Hanyu Ni |
Author | Catherine Simile |
Author | Ann M. Hardy |
Publication | Medical Care |
Volume | 40 |
Issue | 4 |
Pages | 353-358 |
Date | Apr., 2002 |
ISSN | 00257079 |
Short Title | Utilization of Complementary and Alternative Medicine by United States Adults |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3767839 |
Accessed | Sunday, November 08, 2009 11:19:04 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Apr., 2002 / Copyright © 2002 Lippincott Williams & Wilkins |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Michael E. Nielsen |
Author | Jennifer Williams |
Author | Brandon Randolph-Seng |
Abstract | Human stem cell research has revived long-standing debates regarding the sanctity and beginning of life. The current study addresses the issue by examining the ability of selected religiosity and personality variables to predict attitudes regarding stem cell research. Participants were given questionnaires measuring attitudes regarding stem cell research, along with the Need for Closure scale, the Internal Control Index, the Need for Uniqueness scale, religious orientation scales, and the Literal-Antiliteral-Mythological scale. Results indicate that those who hold more traditional religious beliefs are likely to oppose stem cell research for moral reasons, whereas those who have a more open-ended approach to religion are likely to be in favor of such research. Results also showed that personality variables were helpful in predicting people's confidence in institutions' ability to manage the ethical questions surrounding such research. [ABSTRACT FROM AUTHOR] |
Publication | International Journal for the Psychology of Religion |
Volume | 19 |
Issue | 2 |
Pages | 81-91 |
Date | April 2009 |
DOI | 10.1080/10508610802711095 |
ISSN | 10508619 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Steve Nolan |
Abstract | Using Grounded Theory, this study examines the experience of 19 palliative care chaplains in counselling dying people. Taking a broad-based definition of counselling, and using unstructured individual interviews and group work, the study aimed to understand how palliative care chaplains work with patients at the point when it has been decided to cease active treatment, the point where they risk losing hope and falling into despair. Analysing the data using code-based theory building software, the author identified four organic moments in the chaplain-patient relationship, each moment being a discernable development in the chaplain's being-with the patient: 'evocative presence'; 'accompanying presence'; 'comforting presence'; and 'hopeful presence'. The author represents the four moments as a theory of 'chaplain as hopeful presence', and offers a description of the way in which the quality of presence can facilitate patients to develop 'a hopeful manner' in which hope is reconfigured into an attribute of being. The author concludes (with Levinas) that chaplains and other palliative care staff should be aware that simply being-with an other can, in itself, be hope fostering. |
Publication | Palliative Medicine |
Volume | 25 |
Issue | 1 |
Pages | 21-25 |
Date | Jan 2011 |
Journal Abbr | Palliat Med |
DOI | 10.1177/0269216310380297 |
ISSN | 1477-030X |
Short Title | Hope beyond (redundant) hope |
Accessed | Sunday, February 13, 2011 10:32:52 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21245080 |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
This article analyzes the role of chaplains with dying patients who have decided to cease seeking a medical cure for their ailment. It identifies four moments in the work chaplains do with such patients: evocative presence, accompanying presence, comforting presence, and hopeful presence. The article confirms the role of presence in chaplaincy as primary.
Type | Book |
---|---|
Author | Rolf Nolasco |
Place | Minneapolis |
Publisher | Fortress Press |
Date | 2011 |
ISBN | 9780800696627 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
This book bridges the worlds of counseling, contemplation, and action. It seeks to identify a pastoral mode arising from contemplative practice that is both effective in counseling settings and provides an avenue into social action. Less a study of counseling than a methodology for counseling.
Type | Journal Article |
---|---|
Author | Nigel Northcott |
Publication | Nursing Times |
Volume | 98 |
Issue | 10 |
Pages | 36-38 |
Date | 2002 Mar 7-13 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 2 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11921622 |
Accessed | Monday, November 02, 2009 1:59:10 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11921622 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Type | Journal Article |
---|---|
Author | Gloria B Nussbaum |
Abstract | Creating an environment of compassion where patients feel that their emotional and spiritual needs are met is at the heart of holistic care. Patient satisfaction surveys address this powerful aspect of care and nurses find themselves in the position of making an impact. The nurse is at the bedside when crisis occurs, both physical and spiritual. Superficial attention to matters of spirituality is no longer acceptable. Nurses need to examine spirituality within themselves and be available when the patients give the invitation to join them in the struggle for peace. The critical care unit is most vulnerable because the intensity of illness is so great. Conscious or unconscious, the patient needs human touch and consolation, which transcends technology. Indifference to this is all but negligence on the part of the nurse. Addressing this through careful care planning and joining the "fellowship of pain" brings the nurse into the healing process. "Burnout" decreases as care increases, and nurses experience the healing process themselves as well. |
Publication | Critical Care Nursing Quarterly |
Volume | 26 |
Issue | 3 |
Pages | 214-220 |
Date | 2003 Jul-Sep |
Journal Abbr | Crit Care Nurs Q |
ISSN | 0887-9303 |
Short Title | Spirituality in critical care |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12930036 |
Accessed | Thursday, November 12, 2009 11:22:49 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12930036 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Creating an environment of compassion where patients feel that their emotional and spiritual needs are met is at the heart of holistic care. Patient satisfaction surveys address this powerful aspect of care and nurses find themselves in the position of making an impact. The nurse is at the bedside when crisis occurs, both physical and spiritual. Superficial attention to matters of spirituality is no longer acceptable.
Type | Journal Article |
---|---|
Author | D C Obalum |
Author | C N Ogo |
Abstract | BACKGROUND Osteoarthritis (OA), a chronic degenerative disease of synovial joints is characterised by pain and stiffness. Aim of treatment is pain relief. Complementary and alternative medicine (CAM) refers to practices which are not an integral part of orthodox medicine. AIMS AND OBJECTIVES To determine the pattern of usage of CAM among OA patients in Nigeria. PATIENTS AND METHODS Consecutive patients with OA attending orthopaedic clinic of Havana Specialist Hospital, Lagos, Nigeria were interviewed over a 6- month period st st of 1 May to 31 October 2007 on usage of CAM. Structured and open-ended questions were used. Demographic data, duration of OA and treatment as well as compliance to orthodox medications were documented. RESULTS One hundred and sixty four patients were studied.120 (73.25%) were females and 44(26.89%) were males. Respondents age range between 35-74 years. 66(40.2%) patients used CAM. 35(53.0%) had done so before presenting to the hospital. The most commonly used CAM were herbal products used by 50(75.8%) of CAM users. Among herbal product users, 74.0% used non- specific local products, 30.0% used ginger, 36.0% used garlic and 28.0% used Aloe Vera. Among CAM users, 35(53.0%) used local embrocation and massage, 10(15.2%) used spiritual methods. There was no significant difference in demographics, clinical characteristics and pain control among CAM users and non-users. CONCLUSION Many OA patients receiving orthodox therapy also use CAM. Medical doctors need to keep a wary eye on CAM usage among patients and enquire about this health-seeking behaviour in order to educate them on possible drug interactions, adverse effects and long term complications. |
Publication | The Nigerian Postgraduate Medical Journal |
Volume | 18 |
Issue | 1 |
Pages | 44-47 |
Date | Mar 2011 |
Journal Abbr | Niger Postgrad Med J |
ISSN | 1117-1936 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21445112 |
Accessed | Monday, April 04, 2011 7:40:12 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21445112 |
Date Added | Thursday, September 29, 2011 8:56:31 AM |
Modified | Thursday, September 29, 2011 8:56:31 AM |
Type | Book |
---|---|
Author | Mary O'Brien |
Place | Sudbury, Mass. |
Publisher | Jones and Bartlett Publishers |
Date | Jan 2010 |
ISBN | 9780763774851 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Book |
---|---|
Author | Mary Elizabeth O'Brien |
Abstract | Parish nursing has been shown to have a positive impact on the spiritual well-being and quality of life of chronically ill parishioners. Now recognized as a specialty of nursing by theAmerican Nurses Association, the emerging role of the parish nurse strengthens partnerships between churches, the community, and health care providers. |
Publisher | Jones & Bartlett Learning |
Date | 2003-04-01 |
# of Pages | 364 |
Language | en |
ISBN | 9780763723897 |
Short Title | Parish nursing |
Library Catalog | Google Books |
Date Added | Tuesday, December 13, 2011 7:42:09 PM |
Modified | Tuesday, December 13, 2011 7:42:09 PM |
Type | Journal Article |
---|---|
Author | Barbara L O'Brien |
Author | Rosemary M Anslow |
Author | Wanda Begay |
Author | Sister Benvinda A Pereira |
Author | Mary Pat Sullivan |
Abstract | Past experiences enhance the future. Health care providers gaining expertise in creative thinking, traditional medicine, spirituality, and cultural sensitivity is an essential requirement for 21st century health care. We must stay mindful that poverty, isolation, and rural living may create new forms of social exclusion because of lack of communication and rapidly changing technology. Conversely, sensory overload resulting from a faster paced lifestyle and rapid enhancements in technology may cause increased tension and stress. This article reviews successes that may offer the reader ideas on coping with the provision of health care services in such a volatile changing environment, while honoring tradition and cultural competency. |
Publication | Nursing Administration Quarterly |
Volume | 26 |
Issue | 5 |
Pages | 47-57 |
Date | 2002 |
Journal Abbr | Nurs Adm Q |
ISSN | 0363-9568 |
Short Title | 21st century rural nursing |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12515233 |
Accessed | Thursday, November 12, 2009 11:04:17 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12515233 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Health care providers gaining expertise in creative thinking, traditional medicine, spirituality, and cultural sensitivity is an essential requirement for 21st century health care. We must stay mindful that poverty, isolation, and rural living may create new forms of social exclusion because of lack of communication and rapidly changing technology.
Type | Journal Article |
---|---|
Author | Kathryn A O'Connell |
Author | Suzanne M Skevington |
Abstract | Measures of quality of life have not conventionally or routinely included concepts of spirituality, religion, or existential wellbeing. Although spirituality has been seen as irrelevant, or difficult to measure, a growing body of peer-reviewed articles point to a positive and important relationship between spiritual beliefs and other domains of quality of life in health. Following a discussion of current theoretical issues surrounding the inclusion of these generic concepts, we select and review seven quality-of-life assessments in health that provide a spiritual and/or religious dimension, and evaluate each in psychometric terms. Such information could be useful to clinicians working in chronic illness, surgery and terminal care, who seek concept clarification before using an assessment that includes a spiritual domain. |
Publication | Chronic Illness |
Volume | 3 |
Issue | 1 |
Pages | 77-87 |
Date | Mar 2007 |
Journal Abbr | Chronic Illn |
ISSN | 1742-3953 |
Short Title | To measure or not to measure? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18072699 |
Accessed | Friday, November 13, 2009 6:22:18 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18072699 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Measures of quality of life have not conventionally or routinely included concepts of spirituality, religion, or existential wellbeing. Although spirituality has been seen as irrelevant, or difficult to measure, a growing body of peer-reviewed articles point to a positive and important relationship between spiritual beliefs and other domains of quality of life in health. Following a discussion of current theoretical issues surrounding the inclusion of these generic concepts, we select and review seven quality-of-life assessments in health that provide a spiritual and/or religious dimension, and evaluate each in psychometric terms. Such information could be useful to clinicians working in chronic illness, surgery and terminal care, who seek concept clarification before using an assessment that includes a spiritual domain.
Type | Book |
---|---|
Author | Bonnie Blair O'Connor |
Series | Studies in health, illness, and caregiving |
Place | Philadelphia |
Publisher | University of Pennsylvania Press |
Date | 1995 |
ISBN | 0812231848 |
Short Title | Healing Traditions |
Library Catalog | library.bu.edu Library Catalog |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Type | Journal Article |
---|---|
Author | Stacey L Oke |
Author | Kevin J Tracey |
Abstract | The body's first defense against invading pathogens or tissue injury is the innate immune system. Since excessive immune responses can be damaging, anti-inflammatory mechanisms function to control the pro-inflammatory response and prevent injury. The cholinergic anti-inflammatory pathway is a neural mechanism that suppresses the innate inflammatory response. Knowledge concerning innervation of the immune system offers a unique opportunity to explore previously unrecognized techniques to treat disease. It also enables consideration of the neurological basis of complementary and alternative medical therapies, such as meditation and acupuncture. This evolving area of research has implications for the pathogenesis of chronic inflammatory conditions including inflammatory bowel disease, rheumatoid arthritis, type 2 diabetes, and other conditions of excessive cytokine release. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 172-180 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1196/annals.1393.013 |
ISSN | 1749-6632 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19743552 |
Accessed | Saturday, September 26, 2009 3:39:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19743552 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
The body’s first defense against invading pathogens or tissue injury is the innate immune system. Since excessive immune responses can be damaging, anti-inflammatory mechanisms function to control the pro-inflammatory response and prevent injury. The cholinergic anti-inflammatory pathway is a neural mechanism that suppresses the innate inflammatory response. Knowledge concerning innervation of the immune system offers a unique opportunity to explore previously unrecognized techniques to treat disease. It also enables consideration of the neurological basis of complementary and alternative medical therapies, such as meditation and acupuncture. This evolving area of research has implications for the pathogenesis of chronic inflammatory conditions including inflammatory bowel disease, rheumatoid arthritis, type 2 diabetes, and other conditions of excessive cytokine release.
Type | Journal Article |
---|---|
Author | A S Oldnall |
Publication | Journal of Advanced Nursing |
Volume | 21 |
Issue | 3 |
Pages | 417-418 |
Date | Mar 1995 |
Journal Abbr | J Adv Nurs |
ISSN | 0309-2402 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/7745192 |
Accessed | Thursday, November 12, 2009 5:24:25 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 7745192 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Type | Journal Article |
---|---|
Author | Emmanuel B Omobowale |
Author | Peter A Singer |
Author | Abdallah S Daar |
Abstract | ABSTRACT: BACKGROUND: Public acceptance of genetically modified crops is partly rooted in religious views. However, the views of different religions and their potential influence on consumers' decisions have not been systematically examined and summarized in a brief overview. We review the positions of the Judaism, Islam and Christianity - the three major monotheistic religions to which more than 55% of humanity adheres to - on the controversies aroused by GM technology. DISCUSSION: The article establishes that there is no overarching consensus within the three religions. Overall, however, it appears that mainstream theology in all three religions increasingly tends towards acceptance of GM technology per se, on performing GM research, and on consumption of GM foods. These more liberal approaches, however, are predicated on there being rigorous scientific, ethical and regulatory scrutiny of research and development of such products, and that these products are properly labeled. SUMMARY: We conclude that there are several other interests competing with the influence exerted on consumers by religion. These include the media, environmental activists, scientists and the food industry, all of which function as sources of information and shapers of perception for consumers. |
Publication | BMC International Health and Human Rights |
Volume | 9 |
Pages | 18 |
Date | 2009 |
Journal Abbr | BMC Int Health Hum Rights |
DOI | 10.1186/1472-698X-9-18 |
ISSN | 1472-698X |
Short Title | The three main monotheistic religions and gm food technology |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19698118 |
Accessed | Tuesday, October 27, 2009 9:57:25 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19698118 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Peter F Omonzejele |
Author | Chukwugozie Maduka |
Abstract | This study investigated the extent to which recourse to traditional healers depended on biometric variables; ways of knowing in good time what ailments were more likely to be better handled by traditional healers; rationale behind traditional healing methodologies. On the whole, four research questions were engaged. The sample for the study included residents in urban (Benin City) and rural (Ehime Mbano) communities in Nigeria. The instruments comprised of two questionnaires. The traditional healers were also interviewed in addition. The findings of the research included the following: in both rural and urban areas, women and more elderly persons had more recourse than other groups to traditional medicine; Christians, less educated persons, self-employed persons and women affirmed most strongly to the efficacy of traditional medicine over Western medicine with respect to certain ailments; ways for averting spiritual illnesses included obeying instructions from ancestors and offering regular sacrifices to the gods; methods used by traditional healers to determine whether an ailment was "spiritual" or as a result of home problems included diagnosis linked to divination, interpretation of dreams particularly those involving visits by ancestors, interpretation of nightmares and omens such as the appearance of owls; methods for curing patients included use of herbs particularly those believed to have magical powers, offering of sacrifices, use of incantations and wearing of protective medicine. |
Publication | Chinese Journal of Integrative Medicine |
Volume | 17 |
Issue | 2 |
Pages | 99-104 |
Date | Feb 2011 |
Journal Abbr | Chin J Integr Med |
DOI | 10.1007/s11655-011-0649-y |
ISSN | 1672-0415 |
Accessed | Tuesday, March 15, 2011 2:21:48 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21390575 |
Date Added | Thursday, September 29, 2011 8:57:14 AM |
Modified | Thursday, September 29, 2011 8:57:14 AM |
Type | Journal Article |
---|---|
Author | Eileen R O'Shea |
Author | Meredith Wallace |
Author | Mary Quinn Griffin |
Author | Joyce J Fitzpatrick |
Abstract | This study evaluated the effect of a spiritual education session on pediatric nurses' perspectives toward providing spiritual care. A one-group pretest and posttest design was used to evaluate the effectiveness of the educational session. Participants consisted of 41 pediatric and neonatal nurses that worked in a large university-affiliated children's hospital. Findings confirmed that the spiritual education session had a positive effect on nurses' perspectives toward providing spiritual care. In addition, a positive correlation was identified between the pediatric nurses' perception of their own spirituality and their perspective toward providing care. |
Publication | Journal of Pediatric Nursing |
Volume | 26 |
Issue | 1 |
Pages | 34-43 |
Date | Jan 2011 |
Journal Abbr | J Pediatr Nurs |
DOI | 10.1016/j.pedn.2009.07.009 |
ISSN | 1532-8449 |
Accessed | Sunday, February 13, 2011 10:16:16 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21256410 |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
Type | Journal Article |
---|---|
Author | Thomas Ostermann |
Author | Christa K Raak |
Author | Peter F Matthiessen |
Author | Arndt Büssing |
Author | Hartmut Zillmann |
Abstract | Complementary and alternative therapies and medicines (CAM) such as acupuncture or mistletoe treatment are much asked for by cancer patients. With a growing interest in such therapies, physicians need a simple tool with which to get an overview of the scientific publications on CAM, particularly those that are not listed in common bibliographic databases like MEDLINE. CAMbase is an XML-based bibliographical database on CAM which serves to address this need. A custom front end search engine performs semantic analysis of textual input enabling users to quickly find information relevant to the search queries. This article describes the technical background and the architecture behind CAMbase, a free online database on CAM (www.cambase.de). We give examples on its use, describe the underlying algorithms and present recent statistics for search terms related to complementary therapies in oncology. |
Publication | Cancer Informatics |
Volume | 7 |
Pages | 159-169 |
Date | July 2009 |
Journal Abbr | Cancer Inform |
ISSN | 1176-9351 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19718447 |
Accessed | Tuesday, October 27, 2009 9:13:39 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19718447 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Pragati Oswal |
Author | Raghuram Nagarathna |
Author | John Ebnezar |
Author | Hongasandra Ramarao Nagendra |
Abstract | Abstract Objectives: The objective was to study the effect of the add-on yogic prana energization technique (YPET) on healing of fresh fractures. Materials and methods: Thirty (30) patients (22 men and 8 women) between 18 and 55 years with simple extra-articular fractures of long and short bones were selected from the outpatient department of Ebnezar Orthopaedic Centre and Parimala Speciality Hospital, Bengaluru. They were randomized into yoga (n = 15) and control (n = 15) groups. Compound, complicated, pathologic fractures, old fractures, and those associated with dislocations were excluded. Both groups received the conventional plaster of paris immobilization of the fracture site as the primary treatment. The yoga group, in addition, practiced YPET twice a day (30 minutes/session) for 2 weeks using taped audio instructions after learning under supervision for 1 week. YPET is an advanced yoga relaxation practice that involves breath regulation, chanting, and visualization, which according to yogic science revitalizes the tissues by activating the subtle energies (prana) within the body. Both the groups were assessed on the 1st and 21st day by the Numerical Pain Rating Scale for pain (NRS), tenderness (0-4), swelling (0-4), fracture line density (1-4), and the bridging of cortices (1-4). Results: Two (2) groups were matched on all variables. The Wilcoxon test showed significant improvement in both groups on all variables. Pain reduction (NRS) was better (p = 0.001 Mann-Whitney test) in the YPET group (94.5%) than in the control group (58.6%); Tenderness reduced (p = 0.001) better in the YPET group (94.4 %) than in the control group (69.12%); Swelling reduced by 93% in the YPET group and by 69.4% in controls (between-groups p = 0.093, i.e., nonsignificant); increase in fracture line density was better (p = 0.001) in the YPET group (48%) than in the control group (18.25%). The number of cortices united was significantly better (p = 0.001) in the YPET group (81.4%) than in controls (39.7 %). Conclusions: Add-on yoga-based YPET accelerates fracture healing. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 17 |
Issue | 3 |
Pages | 253-258 |
Date | Mar 2011 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2010.0001 |
ISSN | 1557-7708 |
Short Title | The Effect of Add-On Yogic Prana Energization Technique (YPET) on Healing of Fresh Fractures |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21417810 |
Accessed | Monday, April 04, 2011 7:42:30 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21417810 |
Date Added | Thursday, September 29, 2011 8:56:10 AM |
Modified | Thursday, September 29, 2011 8:56:10 AM |
Type | Journal Article |
---|---|
Author | Ranzaburo Otori |
Publication | Monumenta Nipponica |
Volume | 19 |
Issue | 3/4 |
Pages | 254-274 |
Date | 1964 |
ISSN | 00270741 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/2383172 |
Accessed | Tuesday, October 13, 2009 12:14:30 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: 1964 / Copyright © 1964 Sophia University |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Book |
---|---|
Author | Stephen Owoahene-Acheampong |
Place | New York |
Publisher | Peter Lang |
Date | 1998 |
ISBN | 9780820431291 |
Short Title | Inculturation and African religion |
Library Catalog | Open WorldCat |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
The devastating conditions prevailing in Africa continue to intrigue observers. This study argues that understanding the conditions requires setting them within a broad contextual framework of development of the peoples’ cultural, economic, political, religious, and social systems from pre-colonial times to the present. It breaks new ground by clearly demonstrating the impact of the social and religious teachings and practices of the colonists on patterns of illness and medical responses of Ghanaians. It insists that it is in the spirit of dialogue and equality that the material and spiritual needs of Africans will be met.
Type | Journal Article |
---|---|
Author | Aasim I Padela |
Abstract | Modern medical practice is becoming increasingly pluralistic and diverse. Hence, cultural competency and awareness are given more focus in physician training seminars and within medical school curricula. A renewed interest in describing the varied ethical constructs of specific populations has taken place within medical literature. This paper aims to provide an overview of Islamic Medical Ethics. Beginning with a definition of Islamic Medical Ethics, the reader will be introduced to the scope of Islamic Medical Ethics literature, from that aimed at developing moral character to writings grounded in Islamic law. In the latter form, there is an attempt to derive an Islamic perspective on bioethical issues such as abortion, gender relations within the patient-doctor relationship, end-of-life care and euthanasia. It is hoped that the insights gained will aid both clinicians and ethicists to better understand the Islamic paradigm of medical ethics and thereby positively affect patient care. |
Publication | Bioethics |
Volume | 21 |
Issue | 3 |
Pages | 169-178 |
Date | Mar 2007 |
Journal Abbr | Bioethics |
DOI | 10.1111/j.1467-8519.2007.00540.x |
ISSN | 0269-9702 |
Short Title | Islamic medical ethics |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17845488 |
Accessed | Monday, November 02, 2009 1:55:51 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17845488 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Modern medical practice is becoming increasingly pluralistic and diverse. Hence, cultural competency and awareness are given more focus in physician training seminars and within medical school curricula. A renewed interest in describing the varied ethical constructs of specific populations has taken place within medical literature. This paper aims to provide an overview of Islamic Medical Ethics. Beginning with a definition of Islamic Medical Ethics, the reader will be introduced to the scope of Islamic Medical Ethics literature, from that aimed at developing moral character to writings grounded in Islamic law. In the latter form, there is an attempt to derive an Islamic perspective on bioethical issues such as abortion, gender relations within the patient-doctor relationship, end-of-life care and euthanasia. It is hoped that the insights gained will aid both clinicians and ethicists to better understand the Islamic paradigm of medical ethics and thereby positively affect patient care.
Type | Journal Article |
---|---|
Author | A I Padela |
Author | H Shanawani |
Author | J Greenlaw |
Author | H Hamid |
Author | M Aktas |
Author | N Chin |
Abstract | BACKGROUND: Islam and Muslims are underrepresented in the medical literature and the influence of physician's cultural beliefs and religious values upon the clinical encounter has been understudied. OBJECTIVE: To elicit the perceived influence of Islam upon the practice patterns of immigrant Muslim physicians in the USA. DESIGN: Ten face-to-face, in-depth, semistructured interviews with Muslim physicians from various backgrounds and specialties trained outside the USA and practising within the the country. Data were analysed according to the conventions of qualitative research using a modified grounded-theory approach. RESULTS: There were a variety of views on the role of Islam in medical practice. Several themes emerged from our interviews: (1) a trend to view Islam as enhancing virtuous professional behaviour; (2) the perception of Islam as influencing the scope of medical practice through setting boundaries on career choices, defining acceptable medical procedures and shaping social interactions with physician peers; (3) a perceived need for Islamic religious experts within Islamic medical ethical deliberation. Limitations: This is a pilot study intended to yield themes and hypotheses for further investigation and is not meant to fully characterise Muslim physicians at large. CONCLUSIONS: Immigrant Muslim physicians practising within the USA perceive Islam to play a variable role within their clinical practice, from influencing interpersonal relations and character development to affecting specialty choice and procedures performed. Areas of ethical challenges identified include catering to populations with lifestyles at odds with Islamic teachings, end-of-life care and maintaining a faith identity within the culture of medicine. Further study of the interplay between Islam and Muslim medical practice and the manner and degree to which Islamic values and law inform ethical decision-making is needed. |
Publication | Journal of Medical Ethics |
Volume | 34 |
Issue | 5 |
Pages | 365-369 |
Date | May 2008 |
Journal Abbr | J Med Ethics |
DOI | 10.1136/jme.2007.021345 |
ISSN | 1473-4257 |
Short Title | The perceived role of Islam in immigrant Muslim medical practice within the USA |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18448718 |
Accessed | Monday, November 09, 2009 1:11:32 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18448718 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Background: Islam and Muslims are underrepresented in the medical literature and the influence of physician’s cultural beliefs and religious values upon the clinical encounter has been understudied. Objective: To elicit the perceived influence of Islam upon the practice patterns of immigrant Muslim physicians in the USA. Design: Ten face-to-face, in-depth, semistructured interviews with Muslim physicians from various backgrounds and specialties trained outside the USA and practising within the the country. Data were analysed according to the conventions of qualitative research using a modified grounded-theory approach. Results: There were a variety of views on the role of Islam in medical practice. Several themes emerged from our interviews: (1) a trend to view Islam as enhancing virtuous professional behaviour; (2) the perception of Islam as influencing the scope of medical practice through setting boundaries on career choices, defining acceptable medical procedures and shaping social interactions with physician peers; (3) a perceived need for Islamic religious experts within Islamic medical ethical deliberation. Limitations: This is a pilot study intended to yield themes and hypotheses for further investigation and is not meant to fully characterise Muslim physicians at large. Conclusions: Immigrant Muslim physicians practising within the USA perceive Islam to play a variable role within their clinical practice, from influencing interpersonal relations and character development to affecting specialty choice and procedures performed. Areas of ethical challenges identified include catering to populations with lifestyles at odds with Islamic teachings, end-of-life care and maintaining a faith identity within the culture of medicine. Further study of the interplay between Islam and Muslim medical practice and the manner and degree to which Islamic values and law inform ethical decision-making is needed.
Type | Journal Article |
---|---|
Author | John Paley |
Abstract | Several authors have commented on my reductionist account of spirituality in nursing, describing it variously as naive, disrespectful, demeaning, paternalistic, arrogant, reifying, indicative of a closed mind, akin to positivism, a procrustean bed, a perpetuation of fraud, a matter of faith, an attempt to secure ideological power, and a perspective that puritanically forbids interesting philosophical topics. In responding to this list of felonies and misdemeanours, I try to justify my excesses by arguing that the critics have not really understood what reductionism involves; that rejecting reductionism is not the same as providing arguments against it; that the ethical dilemmas allegedly associated with reductionist views are endemic to health care; that 'reifying' is what believers in the spiritual realm do; and that the closed minds belong to those who dismiss reductionist science without having studied its achievements. |
Publication | Nursing Philosophy: An International Journal for Healthcare Professionals |
Volume | 11 |
Issue | 3 |
Pages | 178-190 |
Date | Jul 2010 |
Journal Abbr | Nurs Philos |
DOI | 10.1111/j.1466-769X.2010.00439.x |
ISSN | 1466-769X |
Short Title | Spirituality and reductionism |
Accessed | Wednesday, July 07, 2010 10:20:46 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20536767 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | John Paley |
Abstract | Aims and objectives. To assess the claim that conceptualisations of religion and spirituality should be grounded in theology, and acknowledge the global resurgence of religion.Background. Although there is widespread agreement in the nursing literature that 'spirituality' is a broader concept than 'religion,' and should be understood generically, this approximate consensus has occasionally been challenged. A recent paper by Barbara Pesut and colleagues argues that the generic view not only empties spirituality of powerful religious symbols and narratives, but underestimates the continuing social influence of religion, and its resurgence on a global scale. Accordingly, these authors suggest three principles for conceptualising spirituality and religion in health care, one of which is that conceptualisations should be grounded in philosophical and theological thinking, and should not ignore the global resurgence of religion.Method. Critical review.Conclusion. The Pesut principle privileges theology, disregarding other disciplines which theorise religion. Arguably, it privileges specifically Christian theology, the history of which suggests a politics of orthodoxy and an epistemology of authority and obedience. The global resurgence of religion is not, in fact, global, as the industrialised countries have experienced a marked shift towards secular-rational values; and the postindustrial phase of development is associated with self-expression values, which represent a challenge not merely to religious institutions (arguably an affirmation of 'spirituality') but to traditional elites and structures of all kinds. Finally, religion 'resurgent' is not an attractive model for health care, since many of its most obvious manifestations are incompatible with the ideology of health professionals.Relevance to clinical practice. In the secular societies of Europe, if not North America, there should be no expectation that nurses provide spiritual care. It is a requirement of the great separation between civil order and religion that the health services, as a public space, should remain thoroughly secular. |
Publication | Journal of Clinical Nursing |
Volume | 18 |
Issue | 14 |
Pages | 1963-1974 |
Date | 2009 |
DOI | 10.1111/j.1365-2702.2009.02780.x |
URL | http://dx.doi.org/10.1111/j.1365-2702.2009.02780.x |
Accessed | Monday, September 07, 2009 2:21:46 AM |
Library Catalog | Wiley InterScience |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Aims and objectives: To assess the claim that conceptualisations of religion and spirituality should be grounded in theology, and acknowledge the global resurgence of religion. Background. Although there is widespread agreement in the nursing literature that ‘spirituality’ is a broader concept than ‘religion,’ and should be understood generically, this approximate consensus has occasionally been challenged. A recent paper by Barbara Pesut and colleagues argues that the generic view not only empties spirituality of powerful religious symbols and narratives, but underestimates the continuing social influence of religion, and its resurgence on a global scale. Accordingly, these authors suggest three principles for conceptualising spirituality and religion in health care, one of which is that conceptualisations should be grounded in philosophical and theological thinking, and should not ignore the global resurgence of religion. Method: Critical review. Conclusion: The Pesut principle privileges theology, disregarding other disciplines which theorise religion. Arguably, it privileges specifically Christian theology, the history of which suggests a politics of orthodoxy and an epistemology of authority and obedience. The global resurgence of religion is not, in fact, global, as the industrialised countries have experienced a marked shift towards secular-rational values; and the postindustrial phase of development is associated with self-expression values, which represent a challenge not merely to religious institutions (arguably an affirmation of ‘spirituality’) but to traditional elites and structures of all kinds. Finally, religion ‘resurgent’ is not an attractive model for health care, since many of its most obvious manifestations are incompatible with the ideology of health professionals. Relevance to clinical practice: In the secular societies of Europe, if not North America, there should be no expectation that nurses provide spiritual care. It is a requirement of the great separation between civil order and religion that the health services, as a public space, should remain thoroughly secular.
Type | Journal Article |
---|---|
Author | Irena Papadopoulos |
Publication | Nursing Times |
Volume | 98 |
Issue | 12 |
Pages | 36-37 |
Date | 2002 Mar 21-27 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 4 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11933782 |
Accessed | Monday, November 02, 2009 1:59:03 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11933782 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
Type | Journal Article |
---|---|
Author | Jenny A Parratt |
Author | Kathleen M Fahy |
Abstract | Since the subordination of midwifery by medicine and nursing in the 19th and 20th centuries the standard approach to childbirth has been dominated by rationality. This approach proceeds by creating dichotomies and then prioritising one half of the dichotomy whilst rejecting the opposite term. Rationality itself is prioritised, for example, by contrasting it with the rejected opposite: irrationality. Expert clinical practice is, however, increasingly identified as being inclusive of more than merely rational ways of knowing and behaving. This paper is based on a post-structural study concerning changes to women's embodied sense of self during childbearing. We expose the limitations of pure rationality in the context of childbirth and use the concept of safety to exemplify the limitations that pure rationality imposes. The paper draws on philosophical and spiritual theory to present an analysis of ideas about mind, body, soul and spirit. The standard rational/irrational dichotomy is critiqued and contrasted with the embodied reality of nonrational experiences that are individual, contextual and 'in-the-moment'. Nonrational experiences are identified to be inclusive of power and knowledge that are both rational and nonrational. This revised conceptualisation provides a theoretical basis that allows for and promotes more possibilities and thus more holistic ways of knowing in midwifery. Our thesis is that midwives and women need to take conscious account of nonrational knowledge and power during the childbearing year. We argue that pure rational thinking limits possibilities by excluding the midwife's embodied ways of knowing along with the ways of knowing embodied by the woman. The inclusion of women's and midwives'nonrational ways of knowing in childbearing situations opens us up to knowledge and power that provides for a more complete, and therefore a more optimal, decision-making process. |
Publication | Women and Birth: Journal of the Australian College of Midwives |
Volume | 21 |
Issue | 1 |
Pages | 37-42 |
Date | Mar 2008 |
Journal Abbr | Women Birth |
DOI | 10.1016/j.wombi.2007.12.002 |
ISSN | 1871-5192 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18243836 |
Accessed | Friday, November 13, 2009 6:37:22 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18243836 |
Date Added | Saturday, October 01, 2011 3:42:51 PM |
Modified | Saturday, October 01, 2011 3:42:51 PM |
This paper draws on philosophical and spiritual theory to present an analysis of ideas about mind, body, soul and spirit. The standard rational/irrational dichotomy is critiqued and contrasted with the embodied reality of nonrational experiences that are individual, contextual and ‘in-the-moment’. Our thesis is that midwives and women need to take conscious account of nonrational knowledge and power during the childbearing year.
Type | Journal Article |
---|---|
Author | Bhushan Patwardhan |
Author | Raghunath Anant Mashelkar |
Abstract | Drug discovery strategies based on natural products and traditional medicines are re-emerging as attractive options. We suggest that drug discovery and development need not always be confined to new molecular entities. Rationally designed, carefully standardized, synergistic traditional herbal formulations and botanical drug products with robust scientific evidence can also be alternatives. A reverse pharmacology approach, inspired by traditional medicine and Ayurveda, can offer a smart strategy for new drug candidates to facilitate discovery process and also for the development of rational synergistic botanical formulations. |
Publication | Drug Discovery Today |
Volume | 14 |
Issue | 15-16 |
Pages | 804-811 |
Date | August 2009 |
DOI | 10.1016/j.drudis.2009.05.009 |
ISSN | 1359-6446 |
Short Title | Traditional medicine-inspired approaches to drug discovery |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6T64-4WCSRFR-7/2/4ec31dd3bed40025bf61979a784409ca |
Accessed | Monday, September 07, 2009 2:12:45 AM |
Library Catalog | ScienceDirect |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Drug discovery strategies based on natural products and traditional medicines are re-emerging as attractive options. We suggest that drug discovery and development need not always be confined to new molecular entities. Rationally designed, carefully standardized, synergistic traditional herbal formulations and botanical drug products with robust scientific evidence can also be alternatives. A reverse pharmacology approach, inspired by traditional medicine and Ayurveda, can offer a smart strategy for new drug candidates to facilitate discovery process and also for the development of rational synergistic botanical formulations.
Type | Journal Article |
---|---|
Author | Merril Pauls |
Author | Roger C Hutchinson |
Abstract | "Protestant" is a term applied to many different Christian denominations, with a wide range of beliefs, who trace their common origin to the Reformation of the 16th century. Protestant ideas have profoundly influenced modern bioethics, and most Protestants would see mainstream bioethics as compatible with their personal beliefs. This makes it difficult to define a uniquely Protestant approach to bioethics. In this article we provide an overview of common Protestant beliefs and highlight concepts that have emerged from Protestant denominations that are particularly relevant to bioethics. These include the sovereignty of God, the value of autonomy and the idea of medicine as a calling as well as a profession. Most Canadian physicians will find that they share certain values and beliefs with the majority of their Protestant patients. Physicians should be particularly sensitive to their Protestant patients' beliefs when dealing with end-of-life issues, concerns about consent and refusal of care, and beginning-of-life issues such as abortion, genetic testing and the use of assisted reproductive technologies. Physicians should also recognize that members of certain Protestant groups and denominations may have unique wishes concerning treatment. Understanding how to elicit these wishes and respond appropriately will allow physicians to enhance patient care and minimize conflict. |
Publication | CMAJ: Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne |
Volume | 166 |
Issue | 3 |
Pages | 339-343 |
Date | Feb 5, 2002 |
Journal Abbr | CMAJ |
ISSN | 0820-3946 |
Short Title | Bioethics for clinicians |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11868645 |
Accessed | Monday, November 02, 2009 2:00:49 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11868645 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
“Protestant” is a term applied to many different Christian denominations, with a wide range of beliefs, who trace their common origin to the Reformation of the 16th century. Protestant ideas have profoundly influenced modern bioethics, and most Protestants would see mainstream bioethics as compatible with their personal beliefs. This makes it difficult to define a uniquely Protestant approach to bioethics. In this article we provide an overview of common Protestant beliefs and highlight concepts that have emerged from Protestant denominations that are particularly relevant to bioethics. These include the sovereignty of God, the value of autonomy and the idea of medicine as a calling as well as a profession. Most Canadian physicians will find that they share certain values and beliefs with the majority of their Protestant patients. Physicians should be particularly sensitive to their Protestant patients’ beliefs when dealing with end-of-life issues, concerns about consent and refusal of care, and beginning-of-life issues such as abortion, genetic testing and the use of assisted reproductive technologies. Physicians should also recognize that members of certain Protestant groups and denominations may have unique wishes concerning treatment. Understanding how to elicit these wishes and respond appropriately will allow physicians to enhance patient care and minimize conflict.
Type | Book |
---|---|
Author | Rosemary Payne |
Edition | 4th ed. |
Place | Edinburgh; New York |
Publisher | Churchill Livingstone/Elsevier |
Date | 2010 |
ISBN | 9780702031120 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Hedley G Peach |
Abstract | Greater participation in religious activities is associated with better health outcomes. In the US, most inpatients have religious needs, but physicians address them only occasionally and infrequently refer patients to clergy. US medical students are learning to do spiritual assessments and integrate the findings into patient management, which may reverse this. Religion does not play a central role in the lives of Australians as it does for US citizens. Research is required to better understand the spirituality of Australians, its relationship to health and the benefit, cost and acceptability of doctors enquiring into spirituality compared with spiritual advisers and counsellors. |
Publication | The Medical Journal of Australia |
Volume | 178 |
Issue | 2 |
Pages | 86-88 |
Date | Jan 20, 2003 |
Journal Abbr | Med. J. Aust |
ISSN | 0025-729X |
Short Title | Religion, spirituality and health |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12526730 |
Accessed | Monday, November 02, 2009 2:25:04 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12526730 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Greater participation in religious activities is associated with better health outcomes. In the US, most inpatients have religious needs, but physicians address them only occasionally and infrequently refer patients to clergy. US medical students are learning to do spiritual assessments and integrate the findings into patient management, which may reverse this. Religion does not play a central role in the lives of Australians as it does for US citizens. Research is required to better understand the spirituality of Australians, its relationship to health and the benefit, cost and acceptability of doctors enquiring into spirituality compared with spiritual advisers and counsellors.
Type | Journal Article |
---|---|
Author | Gilly Pelleg |
Author | Ronit D Leichtentritt |
Abstract | The purpose of the study was to compare spiritual beliefs and practices between nurses and health care social workers based on their involvement with dying patients. Exposure to the dying was identified by two indicators: the percentage of terminally ill patients in the provider's care and the work environment. On the basis of the literature, differences were expected between the two types of professionals and the three degrees of involvement with the dying. Nurses were expected to have a higher spiritual perspective than social workers; and health care providers with high involvement in care for the dying were expected to hold the highest levels of spiritual beliefs. Contrary to expectations, no differences in spirituality were found between nurses and social workers; both groups exhibited medium levels of spirituality. Furthermore, health care providers who were highly involved with dying patients had the lowest spiritual perspectives. Tentative explanations of these unexpected results are presented and discussed. |
Publication | Omega |
Volume | 59 |
Issue | 3 |
Pages | 239-252 |
Date | 2009 |
Journal Abbr | Omega (Westport) |
ISSN | 0030-2228 |
Short Title | Spiritual beliefs among Israeli nurses and social workers |
Accessed | Tuesday, February 22, 2011 6:38:43 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19791519 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Barbara Pesut |
Abstract | North American society has undergone a period of sacralization where ideas of spirituality have increasingly been infused into the public domain. This sacralization is particularly evident in the nursing discourse where it is common to find claims about the nature of persons as inherently spiritual, about what a spiritually healthy person looks like and about the environment as spiritually energetic and interconnected. Nursing theoretical thinking has also used claims about the nature of persons, health, and the environment to attempt to establish a unified ontology for the discipline. However, despite this common ground, there has been little discussion about the intersections between nursing philosophic thinking and the spirituality in nursing discourse, or about the challenges of adopting a common view of these claims within a spiritually pluralist society. The purpose of this paper is to discuss the call for ontological unity within nursing philosophic thinking in the context of the sacralization of a diverse society. I will begin with a discussion of secularization and sacralization, illustrating the diversity of beliefs and experiences that characterize the current trend towards sacralization. I will then discuss the challenges of a unified ontological perspective, or closed world view, for this diversity, using examples from both a naturalistic and a unitary perspective. I will conclude by arguing for a unified approach within nursing ethics rather than nursing ontology. |
Publication | Nursing Philosophy: An International Journal for Healthcare Professionals |
Volume | 11 |
Issue | 1 |
Pages | 15-23 |
Date | Jan 2010 |
Journal Abbr | Nurs Philos |
DOI | 10.1111/j.1466-769X.2009.00420.x |
ISSN | 1466-769X |
Short Title | Ontologies of nursing in an age of spiritual pluralism |
Accessed | Sunday, January 24, 2010 5:17:29 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20017879 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Barbara Pesut |
Abstract | Educators are increasingly being called on to teach nursing students the fundamentals of spiritual care. The purpose of this study was to investigate and analyze what was being taught to nursing students about spirituality and spiritual care through nursing fundamentals textbooks. Findings of this study suggest that although this body of literature provides comprehensive content about spirituality and spiritual care, there are some underlying conceptual problems. The clear demarcation between spirituality and religion creates problematic dichotomies between patients' individual and cultural selves and their cognitive and experiential selves. Defining spirituality primarily by positive emotional descriptors and cognitive capacity tends to pathologize the basic human experience of suffering and marginalize those most vulnerable in society. Spiritual care is problematic in that it is difficult to identify what constitutes a uniquely spiritual intervention, the outcomes being proposed for care are questionable, and there is an assumption that nurses' spiritual worldviews are biases in the context of care. |
Publication | The Journal of Nursing Education |
Volume | 47 |
Issue | 4 |
Pages | 167-173 |
Date | Apr 2008 |
Journal Abbr | J Nurs Educ |
ISSN | 0148-4834 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18468293 |
Accessed | Friday, November 13, 2009 6:56:12 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18468293 |
Date Added | Saturday, October 01, 2011 3:43:26 PM |
Modified | Saturday, October 01, 2011 3:43:26 PM |
Educators are increasingly being called on to teach nursing students the fundamentals of spiritual care. The purpose of this study was to investigate and analyze what was being taught to nursing students about spirituality and spiritual care through nursing fundamentals textbooks. Findings of this study suggest that although this body of literature provides comprehensive content about spirituality and spiritual care, there are some underlying conceptual problems.
Type | Journal Article |
---|---|
Author | Barbara Pesut |
Author | Sheryl Reimer-Kirkham |
Abstract | BACKGROUND: Despite increasingly diverse, globalized societies, little attention has been paid to the influence of religious and spiritual diversity on clinical encounters within healthcare. OBJECTIVES: The purpose of the study was to analyze the negotiation of religious and spiritual plurality in clinical encounters, and the social, gendered, cultural, historical, economic and political contexts that shape that negotiation. DESIGN: Qualitative: critical ethnography. SETTINGS: The study was conducted in Western Canada between 2006 and 2009. Data collection occurred on palliative, hospice, medical and renal in-patient units at two tertiary level hospitals and seven community hospitals. PARTICIPANTS: Participants were recruited through purposive sampling and snowball technique. Twenty healthcare professionals, seventeen spiritual care providers, sixteen patients and families and twelve administrators, representing diverse ethnicities and religious affiliations, took part in the study. METHODS: Data collection included 65 in-depth interviews and over 150h of participant observation. RESULTS: Clinical encounters between care providers and recipients were shaped by how individual identities in relation to religion and spirituality were constructed. Importantly, these identities did not occur in isolation from other lines of social classification such as gender, race, and class. Negotiating difference was a process of seeing spirituality as a point of connection, eliciting the meaning systems of patients and creating safe spaces for the expression of that meaning. CONCLUSIONS: The complexity of religious and spiritual identity construction and negotiation raises important questions about language and about professional competence and boundaries in clinical encounters where religion and spirituality are relevant concerns. |
Publication | International Journal of Nursing Studies |
Volume | 47 |
Issue | 7 |
Pages | 815-825 |
Date | Jul 2010 |
Journal Abbr | Int J Nurs Stud |
DOI | 10.1016/j.ijnurstu.2009.11.014 |
ISSN | 1873-491X |
Short Title | Situated clinical encounters in the negotiation of religious and spiritual plurality |
Accessed | Tuesday, July 27, 2010 12:18:49 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20022006 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | Barbara Pesut |
Author | Marsha Fowler |
Author | Sheryl Reimer-Kirkham |
Author | Elizabeth Johnston Taylor |
Author | Rick Sawatzky |
Abstract | The tremendous growth in nursing literature about spirituality has garnered proportionately little critique. Part of the reason may be that the broad generalizing claims typical of this literature have not been sufficiently explicated so that their particular implications for a practice discipline could be evaluated. Further, conceptualizations that attempt to encompass all possible views are difficult to challenge outside of a particular location. However, once one assumes a particular location in relation to spirituality, then the question becomes how one resolves the tension between what are essentially theological or philosophical commitments and professional commitments. In this study, we discuss the tension between these perspectives using the idea of a responsible nursing response to spiritual pluralism. We then problematize three claims about spirituality in nursing discourse based upon our location as scholars influenced by Christian theological understandings: (i) the claim that all individuals are spiritual; (ii) the claim that human spirituality can be assessed and evaluated; and (iii) the claim that spirituality is a proper domain of nursing's concern and intervention. We conclude by suggesting that the widely shared values of social justice, compassion and human dignity may well serve as a grounding for the critique of spiritual discourses in nursing across particularized positions. |
Publication | Nursing Inquiry |
Volume | 16 |
Issue | 4 |
Pages | 337-346 |
Date | Dec 2009 |
Journal Abbr | Nurs Inq |
DOI | 10.1111/j.1440-1800.2009.00462.x |
ISSN | 1440-1800 |
Short Title | Particularizing spirituality in points of tension |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19906284 |
Accessed | Monday, December 28, 2009 2:58:59 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19906284 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Barbara Pesut |
Author | Marsha Fowler |
Author | Elizabeth J Taylor |
Author | Sheryl Reimer-Kirkham |
Author | Richard Sawatzky |
Abstract | AIMS: To discuss some of the challenges of conceptualising spirituality and religion for healthcare practice. BACKGROUND: With the growing interest in spirituality in healthcare, has come the inevitable task of trying to conceptualise spirituality, a daunting task given the amorphous nature of spirituality, the changing understandings of spirituality among individuals and the diverse globalised society within which this task is taking place. Spirituality's relationship to religion is a particularly challenging point of debate. DESIGN: Critical review. CONCLUSIONS: Three social and historical conditions - located in the context of Western thought - have contributed to current conceptualisations of spirituality and religion: the diminishment of the social authority of religion as a result of the Enlightenment focus on reason, the rise of a postmodern spirituality emphasising spiritual experience and current tensions over the ideological and political roles of religion in society. The trend to minimise the social influence of religion is a particular Western bias that seems to ignore the global megatrend of the resurgence of religion. Current conceptualisations are critiqued on the following grounds: that they tend to be ungrounded from a rich history of theological and philosophical thought, that a particular form of elitist spirituality is emerging and that the individualistic emphasis in recent conceptualisations of spirituality diminishes the potential for societal critique and transformation while opening the door for economic and political self interest. RELEVANCE TO CLINICAL PRACTICE: Constructing adequate conceptualisations of spirituality and religion for clinical practice entails grounding them in the wealth of centuries of philosophical and theological thinking, ensuring that they represent the diverse society that nursing serves and anchoring them within a moral view of practice. |
Publication | Journal of Clinical Nursing |
Volume | 17 |
Issue | 21 |
Pages | 2803-2810 |
Date | Nov 2008 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2008.02344.x |
ISSN | 1365-2702 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18665876 |
Accessed | Tuesday, November 03, 2009 1:23:20 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18665876 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
AIMS: To discuss some of the challenges of conceptualising spirituality and religion for healthcare practice. Background: With the growing interest in spirituality in healthcare, has come the inevitable task of trying to conceptualise spirituality, a daunting task given the amorphous nature of spirituality, the changing understandings of spirituality among individuals and the diverse globalised society within which this task is taking place. Spirituality’s relationship to religion is a particularly challenging point of debate. Design: Critical review. Conclusions: Three social and historical conditions - located in the context of Western thought - have contributed to current conceptualisations of spirituality and religion: the diminishment of the social authority of religion as a result of the Enlightenment focus on reason, the rise of a postmodern spirituality emphasising spiritual experience and current tensions over the ideological and political roles of religion in society. The trend to minimise the social influence of religion is a particular Western bias that seems to ignore the global megatrend of the resurgence of religion. Current conceptualisations are critiqued on the following grounds: that they tend to be ungrounded from a rich history of theological and philosophical thought, that a particular form of elitist spirituality is emerging and that the individualistic emphasis in recent conceptualisations of spirituality diminishes the potential for societal critique and transformation while opening the door for economic and political self interest. Relevance to clinical practice: Constructing adequate conceptualisations of spirituality and religion for clinical practice entails grounding them in the wealth of centuries of philosophical and theological thinking, ensuring that they represent the diverse society that nursing serves and anchoring them within a moral view of practice.
Type | Journal Article |
---|---|
Author | Barbara Pesut |
Author | Marsha Fowler |
Author | Elizabeth J Taylor |
Author | Sheryl Reimer-Kirkham |
Author | Richard Sawatzky |
Abstract | AIMS: To discuss some of the challenges of conceptualising spirituality and religion for healthcare practice. BACKGROUND: With the growing interest in spirituality in healthcare, has come the inevitable task of trying to conceptualise spirituality, a daunting task given the amorphous nature of spirituality, the changing understandings of spirituality among individuals and the diverse globalised society within which this task is taking place. Spirituality's relationship to religion is a particularly challenging point of debate. DESIGN: Critical review. CONCLUSIONS: Three social and historical conditions - located in the context of Western thought - have contributed to current conceptualisations of spirituality and religion: the diminishment of the social authority of religion as a result of the Enlightenment focus on reason, the rise of a postmodern spirituality emphasising spiritual experience and current tensions over the ideological and political roles of religion in society. The trend to minimise the social influence of religion is a particular Western bias that seems to ignore the global megatrend of the resurgence of religion. Current conceptualisations are critiqued on the following grounds: that they tend to be ungrounded from a rich history of theological and philosophical thought, that a particular form of elitist spirituality is emerging and that the individualistic emphasis in recent conceptualisations of spirituality diminishes the potential for societal critique and transformation while opening the door for economic and political self interest. RELEVANCE TO CLINICAL PRACTICE: Constructing adequate conceptualisations of spirituality and religion for clinical practice entails grounding them in the wealth of centuries of philosophical and theological thinking, ensuring that they represent the diverse society that nursing serves and anchoring them within a moral view of practice. |
Publication | Journal of Clinical Nursing |
Volume | 17 |
Issue | 21 |
Pages | 2803-2810 |
Date | Nov 2008 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2008.02344.x |
ISSN | 1365-2702 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18665876 |
Accessed | Friday, November 13, 2009 7:07:07 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18665876 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
Three social and historical conditions - located in the context of Western thought - have contributed to current conceptualisations of spirituality and religion: the diminishment of the social authority of religion as a result of the Enlightenment focus on reason, the rise of a postmodern spirituality emphasising spiritual experience and current tensions over the ideological and political roles of religion in society.
Type | Journal Article |
---|---|
Author | Judith J Petry |
Author | Robert Finkel |
Abstract | BACKGROUND: Patients who include a complementary and alternative medicine (CAM) practitioner in their health care represent a small percentage of the population identified as CAM users. Their choice may be motivated by intangible personality or worldview characteristics. OBJECTIVE: A prospective study was designed to determine if a patient's choice of conventional or alternative health care practitioner was related to total score on an instrument for scaling psychospiritual characteristics. DESIGN: A sequential convenience sample of patients attending five different health care practices in New England. SETTING: A family practitioner (FP) who uses CAM. (1) A FP clearly not identified with CAM. (3) A chiropractor. (4) A naturopath, and (5) A homeopath. OUTCOME MEASURES: Total scores on the Spiritual Involvement and Beliefs Scale (SIBS), plus item scores of five separate questions and two factors. RESULTS: With 210 respondents, SIBS scores in Practice 2 were significantly lower than in practice 1 (p = 0.004), 3 (p = 0.001), 4 (p = 0.018), and 5 (p = 0.02). This pattern remained over the five question scores and two factors. CONCLUSION: Patients who chose a physician associated with CAM, or an alternative practitioner (chiropractor, naturopath, or homeopath) for their direct health care scored higher on a psychospiritual testing instrument (SIBS) than those who chose a conventional physician. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 10 |
Issue | 6 |
Pages | 939-945 |
Date | Dec 2004 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2004.10 .939 |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15673987 |
Accessed | Tuesday, November 10, 2009 1:38:58 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15673987 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: Patients who include a complementary and alternative medicine (CAM) practitioner in their health care represent a small percentage of the population identified as CAM users. Their choice may be motivated by intangible personality or worldview characteristics. Objective: A prospective study was designed to determine if a patient’s choice of conventional or alternative health care practitioner was related to total score on an instrument for scaling psychospiritual characteristics. Design: A sequential convenience sample of patients attending five different health care practices in New England. Setting: A family practitioner (FP) who uses CAM. (1) A FP clearly not identified with CAM. (3) A chiropractor. (4) A naturopath, and (5) A homeopath. Outcome measures: Total scores on the Spiritual Involvement and Beliefs Scale (SIBS), plus item scores of five separate questions and two factors. Results: With 210 respondents, SIBS scores in Practice 2 were significantly lower than in practice 1 (p = 0.004), 3 (p = 0.001), 4 (p = 0.018), and 5 (p = 0.02). This pattern remained over the five question scores and two factors. Conclusion: Patients who chose a physician associated with CAM, or an alternative practitioner (chiropractor, naturopath, or homeopath) for their direct health care scored higher on a psychospiritual testing instrument (SIBS) than those who chose a conventional physician.
Type | Journal Article |
---|---|
Author | Mark C Pettus |
Abstract | OBJECTIVE: To promote greater sensitivity to and heightened awareness of the relevance and therapeutic potential of integrating medicine and spirituality in the healing process of patients cared for by our medical residents. Strategies for clear, effective, and empathetic communication are integrated into the curriculum. DESCRIPTION: With the support of The University of Massachusetts Medical School Macy Initiative in health communication, funded by the Josiah Macy, Jr. Foundation, we have fully implemented a medicine-spirituality curriculum as an integral aspect of our residency program. Current strategies include (1) new house officers participate in the workshop "Communicating Bad News," which is based on a videotaped interaction and experiential role-play about the challenging "art" of sharing bad and often traumatic news; (2) a monthly lecture series that looks at various aspects of religious and spiritual practices and their implications on science and health with topics including the following: taking a spiritual history, exploring world religious views from a Judeo-Christian perspective, studying Eastern philosophies such as Buddhism and Hinduism, and discussing cultural diversity's effect on how people understand and cope with illness; (3) residents receive a comprehensive, evidence-based syllabus that encompasses all of the medical literature relating to spirituality, religion and health; (4) local hospice professionals give end-of-life care lectures about pain management, palliation, advanced directives, and ethical implications; (5) our residents spend one or two days per year with our pastoral care leaders and one to two days per year with our hospice team; (6) monthly ward rounds with a faculty member who emphasizes the spiritual dimension of a particular case and the faith-based resources in our hospital and community. DISCUSSION: Traditionally, graduate medical education has not emphasized the importance of spirituality as a "target" for routine inquiry, understanding, and sharing in the context of patient care. We are beginning to see that residents need to be aware of the relationship between spirituality and health, as a consequence of this curriculum. Because the curriculum is seamlessly integrated into a preexisting infrastructure (e.g., noon conferences, ambulatory off-site experiences, walk-rounds, etc.), it has been relatively easy to implement. Focusing on the literature has also provided a "scientific door" that has made this more palatable. Over time, we will foster a growing alliance of the medical and faith communities in our rural area. This has potent implications for community health initiatives. Two of our residents have already volunteered to give talks at local congregations. Spirituality and religion are sensitive and personal areas that can be awkward to embrace and openly discuss. By remaining sensitive and respectful of all views, we strive to diminish the obstacles and enable a more provocative, enlightening residency experience. As a consequence, we are forced to reconsider what it is to be a "healer" and what it is to be "healed." Annual verbal and written feedback will allow us to refine our curriculum. I anticipate this to be a permanent aspect of our residents' training. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 77 |
Issue | 7 |
Pages | 745 |
Date | Jul 2002 |
Journal Abbr | Acad Med |
ISSN | 1040-2446 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12114166 |
Accessed | Thursday, November 12, 2009 9:40:04 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12114166 |
Date Added | Saturday, October 01, 2011 3:01:53 PM |
Modified | Saturday, October 01, 2011 3:01:53 PM |
Objective: To promote greater sensitivity to and heightened awareness of the relevance and therapeutic potential of integrating medicine and spirituality in the healing process of patients cared for by our medical residents. Strategies for clear, effective, and empathetic communication are integrated into the curriculum. DESCRIPTION: With the support of The University of Massachusetts Medical School Macy Initiative in health communication, funded by the Josiah Macy, Jr. Foundation, we have fully implemented a medicine-spirituality curriculum as an integral aspect of our residency program. Current strategies include (1) new house officers participate in the workshop “Communicating Bad News,” which is based on a videotaped interaction and experiential role-play about the challenging “art” of sharing bad and often traumatic news; (2) a monthly lecture series that looks at various aspects of religious and spiritual practices and their implications on science and health with topics including the following: taking a spiritual history, exploring world religious views from a Judeo-Christian perspective, studying Eastern philosophies such as Buddhism and Hinduism, and discussing cultural diversity’s effect on how people understand and cope with illness; (3) residents receive a comprehensive, evidence-based syllabus that encompasses all of the medical literature relating to spirituality, religion and health; (4) local hospice professionals give end-of-life care lectures about pain management, palliation, advanced directives, and ethical implications; (5) our residents spend one or two days per year with our pastoral care leaders and one to two days per year with our hospice team; (6) monthly ward rounds with a faculty member who emphasizes the spiritual dimension of a particular case and the faith-based resources in our hospital and community. Discussion: Traditionally, graduate medical education has not emphasized the importance of spirituality as a “target” for routine inquiry, understanding, and sharing in the context of patient care. We are beginning to see that residents need to be aware of the relationship between spirituality and health, as a consequence of this curriculum. Because the curriculum is seamlessly integrated into a preexisting infrastructure (e.g., noon conferences, ambulatory off-site experiences, walk-rounds, etc.), it has been relatively easy to implement. Focusing on the literature has also provided a “scientific door” that has made this more palatable. Over time, we will foster a growing alliance of the medical and faith communities in our rural area. This has potent implications for community health initiatives. Two of our residents have already volunteered to give talks at local congregations. Spirituality and religion are sensitive and personal areas that can be awkward to embrace and openly discuss. By remaining sensitive and respectful of all views, we strive to diminish the obstacles and enable a more provocative, enlightening residency experience. As a consequence, we are forced to reconsider what it is to be a “healer” and what it is to be “healed.” Annual verbal and written feedback will allow us to refine our curriculum. I anticipate this to be a permanent aspect of our residents’ training.
Type | Journal Article |
---|---|
Author | John R Phillips |
Abstract | The universality of Rogers' science is discussed within the context of science and religion with an emphasis on an alive universe. Barrett's power theory is presented as an exemplar of the universality of Rogers' science. The implications of an alive universe are discussed. Rogers and Barrett are recognized for their contributions to nursing science and the sacred alive universe. |
Publication | Nursing Science Quarterly |
Volume | 23 |
Issue | 1 |
Pages | 55-59 |
Date | Jan 2010 |
Journal Abbr | Nurs Sci Q |
DOI | 10.1177/0894318409353795 |
ISSN | 1552-7409 |
Accessed | Saturday, January 23, 2010 8:47:25 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20026729 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Joanne Pike |
Abstract | Spirituality in nursing care has been discussed for many years in the nursing press. There has been no literature review that explores only UK literature, and this article updates a literature review carried out in 2006 (Ross, 2006). Aim: The review was designed to investigate the current nursing evidence underpinning the concept of spirituality and its application. Method: A systematic review of the literature was undertaken and a thematic analysis performed following a search for literature using defined dates, databases and search terms. Results: Four major themes emerged from the literature: concept clarification; spiritual care-giving; religion and spirituality; and nurse education. Conclusion: Definitions of spiritual care vary, and the concept of spirituality in nursing is still under development. However, until a common language of spirituality is developed, models of spiritual care developed through research involving mainly nursing staff will be difficult for nurses to apply. |
Publication | British Journal of Nursing (Mark Allen Publishing) |
Volume | 20 |
Issue | 12 |
Pages | 743-749 |
Date | 2011 Jun 24-Jul 7 |
Journal Abbr | Br J Nurs |
ISSN | 0966-0461 |
Short Title | Spirituality in nursing |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21727836 |
Accessed | Wednesday, July 13, 2011 6:06:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21727836 |
Date Added | Thursday, September 29, 2011 8:53:56 AM |
Modified | Thursday, September 29, 2011 8:53:56 AM |
Type | Journal Article |
---|---|
Author | Sandra Cristina Pillon |
Author | Manoel Antônio Dos Santos |
Author | Angélica Martins de Souza Gonçalves |
Author | Keila Maria de Araújo |
Abstract | The purpose of this cross-sectional study was to investigate alcohol use and the levels of spirituality among nursing students. The tests used were the Alcohol Use Disorders Identification Test and the Spirituality Scale. Participants were 191 (80.2%) nursing undergraduates from a city in the state of Minas Gerais, 75.4% of which were female, average age 25 years, and 149 (78%) were Catholic. As for alcohol use per gender, 117 (75%) women used alcoholic beverages and 33 (56.9%) had a drinking problem (p?0.05), against 25 men (431%). Low scores for spirituality levels were found in the sample: in average, women had lower scores compared to men (12.7 against 13.5). Comparing the level of spirituality with having a drinking problem, it was observed that students with low risk alcohol use had lower levels of spirituality. In conclusion, spirituality may not function as a protecting factor for alcohol use, hence this behavior may be under the control of other variables. |
Publication | Revista Da Escola De Enfermagem Da U S P |
Volume | 45 |
Issue | 1 |
Pages | 100-107 |
Date | Mar 2011 |
Journal Abbr | Rev Esc Enferm USP |
ISSN | 0080-6234 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21445495 |
Accessed | Monday, April 04, 2011 7:40:12 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21445495 |
Date Added | Thursday, September 29, 2011 8:56:10 AM |
Modified | Thursday, September 29, 2011 8:56:10 AM |
Type | Journal Article |
---|---|
Author | Thomas G Plante |
Abstract | Professional and scientific psychology appears to have rediscovered spirituality and religion during recent years, with a large number of conferences, seminars, workshops, books, and special issues in major professional journals on spirituality and psychology integration. The purpose of this commentary is to highlight some of the more compelling ethical principles and issues to consider in spirituality and psychology integration with a focus on psychotherapy. This commentary will use the American Psychological Association's (2002) Ethics Code and more specifically, the RRICC model of ethics that readily applies to various mental health ethics codes across the world. The RRICC model highlights the ethical values of respect, responsibility, integrity, competence, and concern. Being thoughtful about ethical principles and possible dilemmas as well as getting appropriate training and ongoing consultation can greatly help the professional better navigate these challenging waters. |
Publication | Journal of Clinical Psychology |
Volume | 63 |
Issue | 9 |
Pages | 891-902 |
Date | Sep 2007 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20383 |
ISSN | 0021-9762 |
Short Title | Integrating spirituality and psychotherapy |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17674403 |
Accessed | Friday, November 13, 2009 5:51:41 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17674403 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Professional and scientific psychology appears to have rediscovered spirituality and religion during recent years, with a large number of conferences, seminars, workshops, books, and special issues in major professional journals on spirituality and psychology integration. The purpose of this commentary is to highlight some of the more compelling ethical principles and issues to consider in spirituality and psychology integration with a focus on psychotherapy. This commentary will use the American Psychological Association’s (2002) Ethics Code and more specifically, the RRICC model of ethics that readily applies to various mental health ethics codes across the world. The RRICC model highlights the ethical values of respect, responsibility, integrity, competence, and concern. Being thoughtful about ethical principles and possible dilemmas as well as getting appropriate training and ongoing consultation can greatly help the professional better navigate these challenging waters.
Type | Journal Article |
---|---|
Author | Paul L. Poelstra |
Abstract | Doing integration in research and statistics oriented courses presents unique challenges to faculty. The content of these courses seems far removed from the integration of faith and learning as generally understood in the literature. Faith-praxis integration provides an overarching vision that rises above the content of a given course and impacts many aspects of the educational process for both the faculty member and the student. Developing expertise in research skills becomes a spiritual exercise that has import for the student's motivations, goals and character. For faculty, faith-praxis integration carries implications for how their faith can be lived out in their courses. It will affect interactions with students outside of class as well. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract) |
Publication | Journal of Psychology and Theology |
Volume | 37 |
Issue | 1 |
Pages | 62-69 |
Date | 2009 |
Series | Teaching the integration of faith and psychology |
ISSN | 0091-6471 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Rob Poole |
Author | Robert Higgo |
Abstract | There is a determined campaign to make exploration of patients' spiritual experience an intrinsic and necessary part of routine psychiatric care. This has support from the Royal College of Psychiatrists, though there has been no consultation with psychiatrists. Whilst many of the proposals are uncontroversial, some involve serious breaches of normal professional boundaries of behaviour as set out in General Medical Council guidance. The contentious proposals are that a spiritual history should be taken from all patients, even where they resist; that it is sometimes acceptable to pray with patients; and that clinicians should support 'healthy' religious beliefs and challenge 'unhealthy' ones. The proposals are based on a model of universal spirituality which, we argue, is culture bound and lacks neutrality. This paper explores these issues and the consequences that might flow from altering professional boundaries in psychiatry. We conclude that the changes are unnecessary and should be resisted. [ABSTRACT FROM AUTHOR] |
Publication | Mental Health, Religion & Culture |
Volume | 14 |
Issue | 1 |
Pages | 19-29 |
Date | January 2011 |
DOI | 10.1080/13674671003746845 |
ISSN | 13674676 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
Type | Journal Article |
---|---|
Author | Saxby Pridmore |
Author | Mohamed Iqbal Pasha |
Abstract | OBJECTIVE: To explore psychiatry in Islam, with a view to informing Western psychiatrists working with Islamic patients, and Islamic medical students studying in Western countries. METHODS: The first necessary step was to acquire some understanding of Islam, Sharia and Sharia law, as the basis on which the available psychiatric literature was considered. Standard textbooks on Islam and English-language papers in the psychiatric literature were examined. Discussions with knowledgeable Muslim people were conducted. RESULTS: Islam shares roots with the other Abrahamic, monotheistic religions: Judaism and Christianity. A central issues is unity: the unity of God, unity with God and unity within the Islamic community. Islam is more than a religion, because it informs all aspects of behaviour and has been described as 'a comprehensive way of life'. Individualism is less important than the welfare of the community. The Sharia is a list of rules and regulations derived from authentic sources. Psychiatric services in Islam, according to Western standards, are somewhat limited. This issue is being addressed through epidemiological studies, provision of new services and policy development. Although mental health legislation is not universal, forensic psychiatry has a role, in many ways similar to that in the West. CONCLUSION: Islam is based on unity and core values of compassion, justice and benevolence. Islamic psychiatry has a proud early history, and advances are occurring. There is an opportunity for the profession of psychiatry to bridge religious, ethnic and cultural boundaries. |
Publication | Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists |
Volume | 12 |
Issue | 4 |
Pages | 380-385 |
Date | Dec 2004 |
Journal Abbr | Australas Psychiatry |
DOI | 10.1111/j.1440-1665.2004.02131.x |
ISSN | 1039-8562 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15715812 |
Accessed | Monday, November 02, 2009 1:38:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15715812 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Objective: To explore psychiatry in Islam, with a view to informing Western psychiatrists working with Islamic patients, and Islamic medical students studying in Western countries. Methods: The first necessary step was to acquire some understanding of Islam, Sharia and Sharia law, as the basis on which the available psychiatric literature was considered. Standard textbooks on Islam and English-language papers in the psychiatric literature were examined. Discussions with knowledgeable Muslim people were conducted. Results: Islam shares roots with the other Abrahamic, monotheistic religions: Judaism and Christianity. A central issues is unity: the unity of God, unity with God and unity within the Islamic community. Islam is more than a religion, because it informs all aspects of behaviour and has been described as ‘a comprehensive way of life’. Individualism is less important than the welfare of the community. The Sharia is a list of rules and regulations derived from authentic sources. Psychiatric services in Islam, according to Western standards, are somewhat limited. This issue is being addressed through epidemiological studies, provision of new services and policy development. Although mental health legislation is not universal, forensic psychiatry has a role, in many ways similar to that in the West. Conclusion: Islam is based on unity and core values of compassion, justice and benevolence. Islamic psychiatry has a proud early history, and advances are occurring. There is an opportunity for the profession of psychiatry to bridge religious, ethnic and cultural boundaries.
Type | Journal Article |
---|---|
Author | Christina M Puchalski |
Publication | Journal of Cancer Education: The Official Journal of the American Association for Cancer Education |
Volume | 21 |
Issue | 1 |
Pages | 14-18 |
Date | 2006 |
Journal Abbr | J Cancer Educ |
DOI | 10.1207/s15430154jce2101_6 |
ISSN | 0885-8195 |
Short Title | Spirituality and medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16918282 |
Accessed | Friday, November 13, 2009 4:48:23 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16918282 |
Date Added | Saturday, October 01, 2011 3:01:53 PM |
Modified | Saturday, October 01, 2011 3:01:53 PM |
Type | Journal Article |
---|---|
Author | Christina M Puchalski |
Publication | Journal of Palliative Medicine |
Volume | 5 |
Issue | 2 |
Pages | 289-294 |
Date | Apr 2002 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/109662102753641287 |
ISSN | 1096-6218 |
Short Title | Spirituality and end-of-life care |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12006231 |
Accessed | Thursday, November 12, 2009 9:32:35 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12006231 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Type | Book |
---|---|
Author | Christina Puchalski |
Author | Betty Ferrell |
Publisher | Templeton Press |
Date | 2010-05-01 |
ISBN | 159947350X |
Short Title | Making Health Care Whole |
Library Catalog | Amazon.com |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | C Pulchaski |
Author | B Ferrell |
Author | R Virani |
Author | S Otis-Green |
Author | P Baird |
Author | J Bull |
Author | H Chochinov |
Author | G Handzo |
Author | H Nelson-Becker |
Author | M Prince-Paul |
Author | K Pugliese |
Author | D Sulmasy |
Abstract | A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February 17-18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental component of quality palliative care. This document and the conference recommendations it includes builds upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings. |
Publication | Journal of Palliative Medicine |
Volume | 12 |
Issue | 10 |
Pages | 855-904 |
Date | October 2009 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February 17-18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental component of quality palliative care. This document and the conference recommendations it includes builds upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings.
Type | Journal Article |
---|---|
Author | Julian Raffay |
Abstract | A systems approach to training staff in spiritual healthcare is advocated and six essential principles are suggested. Their underpinning theology is described and a relational approach to service users is advocated. Thirteen practical suggestions are subsequently offered and an outline of the training package is presented. This article is largely practical in its content and offers an approach that will hopefully be of benefit to anyone undertaking a similar project. |
Publication | Mental Health, Religion & Culture |
Volume | 13 |
Issue | 6 |
Pages | 605-614 |
Date | 9/2010 |
Journal Abbr | Mental Hlth., Religion & Culture |
DOI | 10.1080/13674676.2010.488439 |
ISSN | 1367-4676 |
URL | http://www.informaworld.com/openurl? genre=article&… |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Journal Article |
---|---|
Author | Shireen S Rajaram |
Author | Anahita Rashidi |
Abstract | Muslims constitute a growing proportion of the African-American population. This paper explores the health practices, health behaviors, and code of ethics as informed by the Islamic religion within the context of African-American Muslim women's lives. An overview of the history of Islam in the world, and in the U.S., the main Islamic tenets, and the socio-cultural context of African-American Muslim women provides the broad framework for this paper. This information will be helpful in meeting the health needs of African-American Islamic women, within an outreach/community health promotion setting, within a clinical/hospital setting, or within a home care setting. |
Publication | Women & Health |
Volume | 37 |
Issue | 3 |
Pages | 81-96 |
Date | 2003 |
Journal Abbr | Women Health |
ISSN | 0363-0242 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12839309 |
Accessed | Monday, November 02, 2009 1:43:46 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12839309 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Muslims constitute a growing proportion of the African-American population. This paper explores the health practices, health behaviors, and code of ethics as informed by the Islamic religion within the context of African-American Muslim women’s lives. An overview of the history of Islam in the world, and in the U.S., the main Islamic tenets, and the socio-cultural context of African-American Muslim women provides the broad framework for this paper. This information will be helpful in meeting the health needs of African-American Islamic women, within an outreach/community health promotion setting, within a clinical/hospital setting, or within a home care setting.
Type | Journal Article |
---|---|
Author | Varadaraja V. Raman |
Abstract | As we develop a global ethic in the context of diseases, we need to reconsider the wisdom of the religious traditions, for there is more to ailments than their material causes. In the Hindu framework, aside from the Ayurvedic system, which is based on herbal medicines and a philosophical framework, there is the insight that much of what we experience is a direct consequence of our karma (consequential actions). Therefore, here one emphasizes self-restraint and self-discipline in contexts that are conducive to self- hurting behavior. |
Publication | Zygon |
Volume | 38 |
Issue | 1 |
Pages | 141-145 |
Date | 2003 |
DOI | 10.1111/1467-9744.00487 |
URL | http://dx.doi.org/10.1111/1467-9744.00487 |
Accessed | Monday, September 07, 2009 10:54:21 AM |
Library Catalog | Wiley InterScience |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
As we develop a global ethic in the context of diseases, we need to reconsider the wisdom of the religious traditions, for there is more to ailments than their material causes. In the Hindu framework, aside from the Ayurvedic system, which is based on herbal medicines and a philosophical framework, there is the insight that much of what we experience is a direct consequence of our karma (consequential actions). Therefore, here one emphasizes self-restraint and self-discipline in contexts that are conducive to self-hurting behavior.
Type | Book |
---|---|
Author | James Randi |
Edition | Upd Sub |
Place | Buffalo |
Publisher | Prometheus Books |
Date | 1989-05 |
ISBN | 0879755350 |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Celebrated magician James Randi uncovers the faith-healing fakery found in the disturbing performances of evangelist Peter Popoff, W.V. Grant, Leroy Jenkins, Oral Roberts, Pentecostal A.A. Allen, Roman Catholic Ralph DiOrio, and Pat Robertson.
Type | Journal Article |
---|---|
Author | G H Rassool |
Abstract | Caring from Islamic perspectives is not well versed in Eurocentric nursing literature. There is widespread misunderstanding of the concept and practice of Islam within the context of health care and nursing practice. The areas of contention, in the context of health care systems, are whether the western paradigm to nursing care and management are applicable to Muslims and non-Muslims in both Islamic and non-Islamic countries. What is lacking in some of the conceptual frameworks and models of care is not only the fundamental spiritual dimension of care, but also the significance of spiritual development of the individual towards healing. The focus of this paper is to provide an awareness of Islamic health practices, health behaviours, code of ethics and the framework of Islamic perspectives of caring and spirituality. A brief overview of the Muslim world, the historical development in caring and health and the pillars of the Islamic faith provide the context of the paper. The development of a model of care based on the Islamic perspective is suggested. |
Publication | Journal of Advanced Nursing |
Volume | 32 |
Issue | 6 |
Pages | 1476-1484 |
Date | Dec 2000 |
Journal Abbr | J Adv Nurs |
ISSN | 0309-2402 |
Short Title | The crescent and Islam |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11136416 |
Accessed | Monday, November 02, 2009 1:52:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11136416 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
The focus of this paper is to provide an awareness of Islamic health practices, health behaviours, code of ethics and the framework of Islamic perspectives of caring and spirituality. A brief overview of the Muslim world, the historical development in caring and health and the pillars of the Islamic faith provide the context of the paper. The development of a model of care based on the Islamic perspective is suggested.
Type | Journal Article |
---|---|
Author | Reza Rastmanesh |
Author | Marci E Gluck |
Author | Zhaleh Shadman |
Abstract | OBJECTIVE The relationship between Islamic veiling, body dissatisfaction, and desire for cosmetic rhinoplasty (CR) has not been studied. We therefore compared body dissatisfaction (BD), depression, self-esteem, and prevalence and desire to have CR in 1,771 Iranian females. METHOD A battery of questionnaires was administered and participants were categorized into three groups of Islamic veil practicing: voluntarily and ideologically (IVP), non-complete (NCIVP), and Inconsiderate (IIVP). RESULTS Despite a similar BMI, the IVP group scored significantly lower on BD, prevalence of dieting and exercising in order to be sexually appealing, and depression, higher on self-esteem, and had a lower desire for a CR than the two other groups. Prevalence of CR was significantly higher in the IIVP group than the other groups. DISCUSSION Women who practiced more strict Islamic veiling techniques had increased body satisfaction and self esteem, and decreased depression scores and desire for CR. Consistent with other studies, our findings show that observance of a strict religious practice has a protective effect on psychological health. |
Publication | The International Journal of Eating Disorders |
Volume | 42 |
Issue | 4 |
Pages | 339-345 |
Date | May 2009 |
Journal Abbr | Int J Eat Disord |
DOI | 10.1002/eat.20613 |
ISSN | 1098-108X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19115373 |
Accessed | Monday, March 28, 2011 6:18:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19115373 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Ali Ravari |
Author | Zohreh Vanaki |
Author | Hydarali Houmann |
Author | Anooshirvan Kazemnejad |
Abstract | This article reports the results of a qualitative study that used a deep interview method. The aim was to gather lived experiences of clinical nurses employed at government-funded medical centres regarding the non-materialistic and spiritual aspects of the profession that have had an important impact on their job satisfaction. On analysing the participants' concepts of spiritual satisfaction, the following themes were extracted: spiritually pleasant feelings, patients as celestial gifts, spiritual commitment, spiritual penchant, spiritual rewards, and spiritual dilemmas. Content analysis of the data indicated that nurses who viewed these dimensions of job satisfaction as a significant factor considered nursing as an opportunity to worship God while providing care for patients, and regarded their aim as achieving patients' contentment by providing nursing care compatible with scientific care methods. |
Publication | Nursing Ethics |
Volume | 16 |
Issue | 1 |
Pages | 19-30 |
Date | Jan 2009 |
Journal Abbr | Nurs Ethics |
DOI | 10.1177/0969733008097987 |
ISSN | 0969-7330 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19103688 |
Accessed | Monday, March 28, 2011 6:18:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19103688 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Nicola Reavley |
Author | Julie F. Pallant |
Abstract | This paper describes the initial development of a scale to assess the effects of meditation. The scale consists of two sections: Experiences During Meditation (EOM-DM) and Effects of Meditation in Everyday Life (EOM-EL). Scale evaluation on 236 participants involved factor analysis, reliability and validity analysis. The EOM-DM scale had five subscales: Cognitive effects, Emotional effects, Mystical experiences, Relaxation and Physical discomfort. The physical, emotional, expanded consciousness and cognitive item groups of the EOM-EL were analysed separately. Each scale had a single factor structure whereas analysis of the EOM-EL-cognitive scale identified four factors: Social relations, Cognitive ability, Non-judgemental acceptance and Behaviours and habits. Construct validity was explored by assessing correlations with existing measures: Mindful Attention Awareness Scale, FACIT Spiritual wellbeing subscale and POMS-Short Form. Although further development is required, the scale showed adequate psychometric properties and may be useful for clinicians and researchers to improve understanding of the effects of meditation practices. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (from the journal abstract) |
Publication | Personality and Individual Differences |
Volume | 47 |
Issue | 6 |
Pages | 547-552 |
Date | October 2009 |
DOI | 10.1016/j.paid.2009.05.007 |
ISSN | 0191-8869 |
URL | http://search.ebscohost.com.ezproxy.bu.edu/login.aspx? direct=true&db=psyh&AN=2009-10749-005&… |
Accessed | Saturday, September 26, 2009 5:31:31 PM |
Library Catalog | EBSCOhost |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This paper describes the initial development of a scale to assess the effects of meditation. The scale consists of two sections: Experiences During Meditation (EOM-DM) and Effects of Meditation in Everyday Life (EOM-EL). Scale evaluation on 236 participants involved factor analysis, reliability and validity analysis. The EOM-DM scale had five subscales: Cognitive effects, Emotional effects, Mystical experiences, Relaxation and Physical discomfort. The physical, emotional, expanded consciousness and cognitive item groups of the EOM-EL were analysed separately. Each scale had a single factor structure whereas analysis of the EOM-EL-cognitive scale identified four factors: Social relations, Cognitive ability, Non-judgemental acceptance and Behaviours and habits. Construct validity was explored by assessing correlations with existing measures: Mindful Attention Awareness Scale, FACIT Spiritual wellbeing subscale and POMS-Short Form. Although further development is required, the scale showed adequate psychometric properties and may be useful for clinicians and researchers to improve understanding of the effects of meditation practices.
Type | Journal Article |
---|---|
Author | Sita Reddy |
Abstract | Ayurveda, the classical South Asian medical tradition, was first introduced to American audiences in the mid-1980s as a holistic alternative to biomedical orthodoxy. This article argues that transplanted Ayurveda is shaped not only by aspects of American medical culture, but by millennial, heterodox elements of American religious culture, such as the loose cluster of beliefs and practices known as the New Age. Because New Age Ayurvedic practices occupy the ideological and statutory middle ground between medicine and metaphysics, they face a unique professionalizing dilemma: whether to present themselves as healing religions or as practicing branches of medicine. Drawing on an ethnographic study of this professionalizing dilemma in legal, clinical and popular arenas, this article shows that New Age Ayurveda-far from being a monolith-reveals a wide-ranging plurality of sub-traditions in practice. Taken together, they suggest multiple modes of reinvention and a variety of professionalizing routes that Ayurveda follows other than licensing and institutional credentialization. |
Publication | Annals of the American Academy of Political and Social Science |
Volume | 583 |
Pages | 97-121 |
Date | Sep., 2002 |
ISSN | 00027162 |
Short Title | Asian Medicine in America |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/1049691 |
Accessed | Monday, October 12, 2009 11:19:45 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Issue Title: Global Perspectives on Complementary and Alternative Medicine / Full publication date: Sep., 2002 / Copyright © 2002 American Academy of Political and Social Science |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Ayurveda, the classical South Asian medical tradition, was first introduced to American audiences in the mid-1980s as a holistic alternative to biomedical orthodoxy. This article argues that transplanted Ayurveda is shaped not only by aspects of American medical culture, but by millennial, heterodox elements of American religious culture, such as the loose cluster of beliefs and practices known as the New Age. Because New Age Ayurvedic practices occupy the ideological and statutory middle ground between medicine and metaphysics, they face a unique professionalizing dilemma: whether to present themselves as healing religions or as practicing branches of medicine. Drawing on an ethnographic study of this professionalizing dilemma in legal, clinical and popular arenas, this article shows that New Age Ayurveda-far from being a monolith-reveals a wide-ranging plurality of sub-traditions in practice. Taken together, they suggest multiple modes of reinvention and a variety of professionalizing routes that Ayurveda follows other than licensing and institutional credentialization.
Type | Journal Article |
---|---|
Author | Lesley Rees |
Author | Andrew Weil |
Publication | BMJ: British Medical Journal |
Volume | 322 |
Issue | 7279 |
Pages | 119-120 |
Date | Jan. 20, 2001 |
ISSN | 09598138 |
Short Title | Integrated Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/25465997 |
Accessed | Tuesday, November 10, 2009 1:29:03 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jan. 20, 2001 / Copyright © 2001 BMJ Publishing Group |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Rachel Naomi Remen |
Abstract | Integrative medicine has been defined in several ways. For some it is a discipline that combines such approaches to the resolution of disease as acupuncture and homeopathy, meditation and imagery with more familiar and accepted health practices, such as surgery, pediatrics, and oncology. For others it is about cultivating awareness and sensitivity beyond symptoms to the mental, emotional, and spiritual needs of the patient. But, integrative medicine is more than the weaving together of techniques, or understanding the intimate interaction of the mental, emotional, and spiritual dimensions of human experience. It is about rethinking the task of medicine and the infrastructure of relationships and beliefs that have limited its power to serve all people. |
Publication | Hematology/Oncology Clinics of North America |
Volume | 22 |
Issue | 4 |
Pages | 767-773, x |
Date | Aug 2008 |
Journal Abbr | Hematol. Oncol. Clin. North Am |
DOI | 10.1016/j.hoc.2008.04.001 |
ISSN | 0889-8588 |
Short Title | Practicing a medicine of the whole person |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18638701 |
Accessed | Monday, November 09, 2009 12:58:09 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18638701 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Integrative medicine has been defined in several ways. For some it is a discipline that combines such approaches to the resolution of disease as acupuncture and homeopathy, meditation and imagery with more familiar and accepted health practices, such as surgery, pediatrics, and oncology. For others it is about cultivating awareness and sensitivity beyond symptoms to the mental, emotional, and spiritual needs of the patient. But, integrative medicine is more than the weaving together of techniques, or understanding the intimate interaction of the mental, emotional, and spiritual dimensions of human experience. It is about rethinking the task of medicine and the infrastructure of relationships and beliefs that have limited its power to serve all people.
Type | Journal Article |
---|---|
Author | Carlos A Reyes-Ortiz |
Author | Michael Rodriguez |
Author | Kyriakos S Markides |
Abstract | BACKGROUND: Little is known about the relationship between spirituality healing and perceptions about the medical encounter among Latinos. OBJECTIVES: To examine the association between spirituality healing and attitudes of self-reported perceptions about the medical encounter. DESIGN: A cross-sectional telephone survey. PARTICIPANTS: 3,728 Latinos aged >or=18 years residing in the United States from Wave 1 of the Pew Hispanic Center/Robert Wood Johnson Foundation Latino Health Survey. MEASUREMENTS: Dependent variables were ever prayed for healing (yes/no), ever asked others to pray for healing (yes/no), considered important spiritual healing (very vs. somewhat or not important), and ever consulted a 'curandero' (folk healer in Latin America) (yes/no). The primary independent variables were feelings about the last time seeing a Doctor (confused by information given, or frustrated by lack of information) and perception of quality of medical care (excellent, good, fair or poor) within the past 12 months. RESULTS: Six percent of individuals reported that they had ever consulted a curandero, 60% prayed for healing, 49% asked others to pray for healing, and 69% considered spiritual healing as very important. In multivariable analyses, feeling confused was associated with increased odds of consulting a curandero (OR = 1.58; 95% CI, 1.02-2.45), praying for healing (OR = 1.30; 95% CI, 1.03-1.64), asking others to pray for healing (OR = 1.29; 95% CI, 1.03-1.62), and considering spiritual healing as very important (OR = 1.30; 95% CI, 1.01-1.66). Feeling frustrated by a lack of information was associated with asking others to pray for healing (OR = 1.29; 95% CI, 1.04-1.60). A better perception of quality of medical care was associated with lower odds of consulting a curandero (OR = 0.83; 95% CI, 0.70-0.98). CONCLUSION: Feelings about the medical encounter were associated with spirituality healing, praying for healing, and asking others to pray for healing. Feeling confused and perception of poor quality of medical care were associated with consulting a curandero. |
Publication | Journal of General Internal Medicine |
Volume | 24 Suppl 3 |
Pages | 542-547 |
Date | Nov 2009 |
Journal Abbr | J Gen Intern Med |
DOI | 10.1007/s11606-009-1067-9 |
ISSN | 1525-1497 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19842004 |
Accessed | Friday, November 13, 2009 8:13:47 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19842004 |
Date Added | Saturday, October 01, 2011 3:03:26 PM |
Modified | Saturday, October 01, 2011 3:03:26 PM |
Background: Little is known about the relationship between spirituality healing and perceptions about the medical encounter among Latinos. Objectives To examine the association between spirituality healing and attitudes of self-reported perceptions about the medical encounter. Design: A cross-sectional telephone survey. Patricipants: 3,728 Latinos aged >or=18 years residing in the United States from Wave 1 of the Pew Hispanic Center/Robert Wood Johnson Foundation Latino Health Survey. Measurements: Dependent variables were ever prayed for healing (yes/no), ever asked others to pray for healing (yes/no), considered important spiritual healing (very vs. somewhat or not important), and ever consulted a ‘curandero’ (folk healer in Latin America) (yes/no). The primary independent variables were feelings about the last time seeing a Doctor (confused by information given, or frustrated by lack of information) and perception of quality of medical care (excellent, good, fair or poor) within the past 12 months. Results: Six percent of individuals reported that they had ever consulted a curandero, 60% prayed for healing, 49% asked others to pray for healing, and 69% considered spiritual healing as very important. In multivariable analyses, feeling confused was associated with increased odds of consulting a curandero (OR = 1.58; 95% CI, 1.02-2.45), praying for healing (OR = 1.30; 95% CI, 1.03-1.64), asking others to pray for healing (OR = 1.29; 95% CI, 1.03-1.62), and considering spiritual healing as very important (OR = 1.30; 95% CI, 1.01-1.66). Feeling frustrated by a lack of information was associated with asking others to pray for healing (OR = 1.29; 95% CI, 1.04-1.60). A better perception of quality of medical care was associated with lower odds of consulting a curandero (OR = 0.83; 95% CI, 0.70-0.98). Conclusion: Feelings about the medical encounter were associated with spirituality healing, praying for healing, and asking others to pray for healing. Feeling confused and perception of poor quality of medical care were associated with consulting a curandero.
Type | Journal Article |
---|---|
Author | Sue Rice |
Author | Donna McAuliffe |
Abstract | Social work practice takes many different forms, depending on purpose and context. An increased diversity in fields and methods of practice has driven the need to explore the intersection between acceptable standards of practice and issues pertaining to religion and spirituality. This discussion utilises the opportunity to co-report on the findings of a selection of similar questions gathered from two independent online survey studies, conducted one year apart, with members of the Australian Association of Social Workers. One study explored attitudes and behaviours about ethical conduct, and the other investigated the role of religion and spirituality in social work practice. Findings from the questions in common, about the acceptability and practice of spiritually-influenced forms of intervention, are presented. These indicate a degree of acceptance, conditional acceptance, and usage for some interventions, and clear non-acceptance and non-usage of others. Implications for ethical thinking in practice, education, and research are explored. |
Publication | Australian Social Work |
Volume | 62 |
Issue | 3 |
Pages | 403-420 |
Date | Sept. 2009 |
DOI | 10.1080/03124070902964640 |
ISSN | 0312-407X |
Short Title | Ethics of the Spirit |
URL | http://www.informaworld.com.ezproxy.bu.edu/10.1080/03124070902964640 |
Accessed | Monday, November 02, 2009 8:44:00 PM |
Library Catalog | Informaworld |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | V Rispler-Chaim |
Abstract | While the practice of Western medicine is known today to doctors of all ethnic and religious groups, its standards are subject to the availability of resources. The medical ethics guiding each doctor is influenced by his/her religious or cultural background or affiliation, and that is where diversity exists. Much has been written about Jewish and Christian medical ethics. Islamic medical ethics has never been discussed as an independent field of ethics, although several selected topics, especially those concerning sexuality, birth control and abortions, have been more discussed than others. Islamic medical ethics in the 20th century will be characterised on the basis of Egyptian fatawa (legal opinions) issued by famous Muslim scholars and several doctors. Some of the issues discussed by Islamic medical ethics are universal: abortions, organ transplants, artificial insemination, cosmetic surgery, doctor-patient relations, etc. Other issues are typically Islamic, such as impediments to fasting in Ramadan, diseases and physical conditions that cause infringement of the state of purity, medicines containing alcohol, etc. Muslims' attitudes to both types of ethical issues often prove that pragmatism prevails and the aim is to seek a compromise between Islamic heritage and the achievements of modern medicine, as long as basic Islamic dogma is not violated. |
Publication | Journal of Medical Ethics |
Volume | 15 |
Issue | 4 |
Pages | 203-208 |
Date | Dec 1989 |
Journal Abbr | J Med Ethics |
ISSN | 0306-6800 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/2614792 |
Accessed | Monday, November 02, 2009 1:27:13 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 2614792 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
While the practice of Western medicine is known today to doctors of all ethnic and religious groups, its standards are subject to the availability of resources. The medical ethics guiding each doctor is influenced by his/her religious or cultural background or affiliation, and that is where diversity exists. Much has been written about Jewish and Christian medical ethics. Islamic medical ethics has never been discussed as an independent field of ethics, although several selected topics, especially those concerning sexuality, birth control and abortions, have been more discussed than others. Islamic medical ethics in the 20th century will be characterised on the basis of Egyptian fatawa (legal opinions) issued by famous Muslim scholars and several doctors. Some of the issues discussed by Islamic medical ethics are universal: abortions, organ transplants, artificial insemination, cosmetic surgery, doctor-patient relations, etc. Other issues are typically Islamic, such as impediments to fasting in Ramadan, diseases and physical conditions that cause infringement of the state of purity, medicines containing alcohol, etc. Muslims’ attitudes to both types of ethical issues often prove that pragmatism prevails and the aim is to seek a compromise between Islamic heritage and the achievements of modern medicine, as long as basic Islamic dogma is not violated.
Type | Journal Article |
---|---|
Author | Carol E Rogers |
Author | Linda K Larkey |
Author | Colleen Keller |
Abstract | Initiation and maintenance of physical activity (PA) in older adults is of increasing concern as the benefits of PA have been shown to improve physical functioning, mood, weight, and cardiovascular risk factors. Meditative movement forms of PA, such as tai chi and qigong (TC & QG), are holistic in nature and have increased in popularity over the past few decades. Several randomized controlled trials have evaluated TC & QG interventions from multiple perspectives, specifically targeting older adults. The purpose of this report is to synthesize intervention studies targeting TC & QG and identify the physical and psychological health outcomes shown to be associated with TC & QG in community dwelling adults older than 55. Based on specific inclusion criteria, 36 research reports with a total of 3,799 participants were included in this review. Five categories of study outcomes were identified, including falls and balance, physical function, cardiovascular disease, and psychological and additional disease-specific responses. Significant improvement in clusters of similar outcomes indicated interventions utilizing TC & QG may help older adults improve physical function and reduce blood pressure, fall risk, and depression and anxiety. Missing from the reviewed reports is a discussion of how spiritual exploration with meditative forms of PA, an important component of these movement activities, may contribute to successful aging. |
Publication | Western Journal of Nursing Research |
Volume | 31 |
Issue | 2 |
Pages | 245-279 |
Date | Mar 2009 |
Journal Abbr | West J Nurs Res |
DOI | 10.1177/0193945908327529 |
ISSN | 0193-9459 |
Accessed | Tuesday, February 22, 2011 7:56:09 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19179544 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | George W. Rosenfeld |
Abstract | <p><br/>Historically ignored or "treated," clients' religious beliefs are being incorporated into psychotherapy because they influence client and therapist thinking and have potential to heal and harm. This paper examines how professional codes of ethics and research on religion-friendly therapeutic interventions and on helpful and harmful religious beliefs and practices provide direction in dealing with religious matters in psychotherapy. Ethical codes emphasize self-determination, beneficence, and nonmaleficence, which lead to different treatment decisions depending on how they are prioritized. The informed consent process and motivational interviewing have potential to ethically reduce harm and maximize benefits from the client's religious beliefs.</p> |
Publication | Professional Psychology: Research and Practice |
Volume | 42 |
Issue | 2 |
Pages | 192-199 |
Date | April 2011 |
DOI | 10.1037/a0022742 |
ISSN | 0735-7028 |
URL | http://www.sciencedirect.com/science/article/B6X00-52SJV98-7/2/f1491dfe1a0cb81b6b1593950a674de0 |
Accessed | Monday, May 09, 2011 7:23:51 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 8:55:49 AM |
Modified | Thursday, September 29, 2011 8:55:49 AM |
Type | Journal Article |
---|---|
Author | George W Rosenfield |
Abstract | The 2 main roles of the psychotherapist involve identifying and understanding the client's problems/strengths and treating problems. Suggestions are offered to guide addressing or avoiding religious beliefs in both roles. Types of religious beliefs that contribute to distress, particularly for youth, are identified and treatment options are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved). |
Publication | Psychotherapy (Chicago, Ill.) |
Volume | 47 |
Issue | 4 |
Pages | 512-526 |
Date | Dec 2010 |
Journal Abbr | Psychotherapy (Chic) |
DOI | 10.1037/a0021176 |
ISSN | 1939-1536 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21198239 |
Accessed | Tuesday, January 18, 2011 7:05:39 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21198239 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Linda Ross |
Abstract | AIMS: The paper gives an overview of nursing research papers published on spiritual care between 1983 and October 2005. It also provides pointers for the future direction of research in this emerging field. BACKGROUND: Spiritual care of patients/clients is expected of nurses and is reflected in nursing codes of ethics, nurse education guidelines, policy documents and nursing guidance. Recent years have seen a proliferation in nursing research in this area, particularly in the UK and North America, and now in other European countries. It seemed timely, therefore, to review this published research. METHOD: Included in the review were 47 original published nursing research papers identified from a CINAHL search and from a collection held by the author since 1983. Papers were sorted into five categories, a template to aid reviewing was produced and a short summary and critique of each paper was written. CONCLUSIONS: Research on spirituality and health needs to move forward in a systematic and co-ordinated way. RELEVANCE TO CLINICAL PRACTICE: Hopefully, the research summarized in this paper will be useful to clinicians and nurse educators as they strive to incorporate spiritual care within their practice. In turn patients/clients and their families should benefit from care which is more holistic and addresses their deepest concerns and needs. |
Publication | Journal of Clinical Nursing |
Volume | 15 |
Issue | 7 |
Pages | 852-862 |
Date | Jul 2006 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2006.01617.x |
ISSN | 0962-1067 |
Short Title | Spiritual care in nursing |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16879378 |
Accessed | Friday, November 13, 2009 4:46:21 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16879378 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
The paper gives an overview of nursing research papers published on spiritual care between 1983 and October 2005. It also provides pointers for the future direction of research in this emerging field.
Type | Journal Article |
---|---|
Author | Michael Roth |
Author | Juan Lin |
Author | Mimi Kim |
Author | Karen Moody |
Abstract | BACKGROUND: Pediatric oncology patients commonly use complementary and alternative medicine (CAM), yet approximately only 50% of these patients discuss CAM with their oncologist. OBJECTIVE: The aim of this study is to assess barriers to CAM communication in pediatric oncology. DESIGN/METHODS: A 33-question survey was sent via electronic mail to 358 pediatric oncologists in the United States. RESULTS: Ninety pediatric oncologists completed the survey. Ninety-nine percent of pediatric oncologists think it is important to know what CAM therapies their patients use. However, less than half of pediatric oncologists routinely ask their patients about CAM. This is primarily because of a lack of time and knowledge. Many physicians think some forms of CAM may improve quality of life, such as massage (74%) and yoga (57%). Over half of physicians thought that dietary supplements, herbal medicine, special diets, vitamins, and chiropractic might be harmful to patients. CONCLUSIONS: Pediatric oncologists believe it is important to know which CAM therapies their patients use; however, they are not asking about them owing to lack of time and knowledge. To improve communication about CAM, increased physician education is needed. In addition, physicians should identify patients using potentially harmful CAM therapies. Furthermore, CAM research in pediatric oncology should focus on those modalities physicians believe may improve patient quality of life. |
Publication | Journal of Pediatric Hematology/Oncology |
Volume | 31 |
Issue | 3 |
Pages | 177-182 |
Date | Mar 2009 |
Journal Abbr | J. Pediatr. Hematol. Oncol |
DOI | 10.1097/MPH.0b013e3181984f5a |
ISSN | 1536-3678 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19262243 |
Accessed | Monday, September 28, 2009 11:55:13 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19262243 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: Pediatric oncology patients commonly use complementary and alternative medicine (CAM), yet approximately only 50% of these patients discuss CAM with their oncologist. Objective: The aim of this study is to assess barriers to CAM communication in pediatric oncology. DESIGN/Methods: A 33-question survey was sent via electronic mail to 358 pediatric oncologists in the United States. Results: Ninety pediatric oncologists completed the survey. Ninety-nine percent of pediatric oncologists think it is important to know what CAM therapies their patients use. However, less than half of pediatric oncologists routinely ask their patients about CAM. This is primarily because of a lack of time and knowledge. Many physicians think some forms of CAM may improve quality of life, such as massage (74%) and yoga (57%). Over half of physicians thought that dietary supplements, herbal medicine, special diets, vitamins, and chiropractic might be harmful to patients. Conclusions: Pediatric oncologists believe it is important to know which CAM therapies their patients use; however, they are not asking about them owing to lack of time and knowledge. To improve communication about CAM, increased physician education is needed. In addition, physicians should identify patients using potentially harmful CAM therapies. Furthermore, CAM research in pediatric oncology should focus on those modalities physicians believe may improve patient quality of life.
Type | Book |
---|---|
Author | John Ruscio |
Edition | 1 |
Publisher | Wadsworth Publishing |
Date | 2001-07-13 |
ISBN | 053453659X |
Short Title | Clear Thinking with Psychology |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Do your students have the tools to distinguish between the true science of human thought and behavior, and pop psychology? Ruscio’s new book provides a tangible and compelling framework for making that distinction. Because we are inundated with “scientific” claims, the author does not merely differentiate science and pseudoscience, but goes further to teach the fundamentals of scientific reasoning on which students can base their evaluation of information.
Type | Journal Article |
---|---|
Author | Becky Salmon |
Author | Cheryl Bruick-Sorge |
Author | Sarah J. Beckman |
Author | Sanna Boxley-Harges |
Abstract | Spirituality has different meanings to individuals from diverse backgrounds with minimal definitions documented in academe. This qualitative research study was to determine the evolution of student nurses' concepts of spirituality by comparing their definitions on admission and at completion of their nursing education. Student responses are discussed. |
Publication | Holistic Nursing Practice |
Volume | 24 |
Issue | 2 |
Pages | 73-78 |
Date | 2010 March/April |
Journal Abbr | Holist Nurs Pract |
DOI | 10.1097/HNP.0b013e3181d39aba |
ISSN | 1550-5138 |
Accessed | Thursday, March 04, 2010 8:43:59 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20186017 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Book |
---|---|
Author | Wallace Sampson |
Author | Lewis Vaughn |
Edition | 1st |
Publisher | Prometheus Books |
Date | 2000-06-15 |
ISBN | 1573928038 |
Short Title | Science Meets Alternative Medicine |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Commercial radio and television, the Internet, and the vast majority of print media have spawned a promotion bonanza for herbal remedies and alternative therapies -- e.g., acupuncture, homeopathy, Ayurvedic medicine, aroma therapy, therapeutic touch, and many others. These therapies claim to do what scientific, evidence-based medicine sometimes cannot -- provide cures for a wide variety of diseases and physical ailments. How can the average consumer find objective, scientific information evaluating these products and treatments? Without reliable data from scientifically qualified sources, consumers run the risk of wasting their money, or worse, endangering their health. This authoritative collection of research articles by reputable scientists is dedicated exclusively to the careful scrutiny of the claims of alternative medicine. Using scientific and rational criteria, well-respected scientists and physicians review available evidence for therapeutic claims, critique published studies, and discuss the methods and principles of valid research. Among the topics covered are the origins of alternative medicine and current trends; the theories and therapies of Andrew Weil, naturopathy, therapeutic touch, and colloidal silver treatment; the psychological dimensions of belief in unvconventional treatments; and the ethics of promoting unproven treatments.
Type | Journal Article |
---|---|
Author | K M Sancier |
Abstract | This article reviews clinical studies from the Qigong Bibliographic Database, developed by the Qigong Institute, a nonprofit organization. This database was started in 1994 and holds approximately 1300 references going back to 1986, covering medical applications, scientific, and experimental studies on qigong from China, the United States, and Europe. Records in English have been compiled from International Qigong conferences and seminars, scientific journals, magazines, dissertations, MEDLINE, and other databases. The therapeutic role of qigong exercises combined with drugs is reported for three medical conditions that require drug therapy for health maintenance: hypertension, respiratory disease, and cancer. In these studies, drugs were administered to all patients who were divided into two groups, a group that practiced qigong exercises and a control group that did not. Taken together, these studies suggest that practicing qigong exercises may favorably affect many functions of the body, permit reduction of the dosage of drugs required for health maintenance, and provide greater health benefits than the use of drug therapy alone. For hypertensive patients, combining qigong practice with drug therapy for hypertensive patients resulted in reduced incidence of stroke and mortality and reduced dosage of drugs required for blood pressure maintenance. For asthma patients, the combination therapy permitted reduction in drug dosage, the need for sick leave, duration of hospitalization, and costs of therapy. For cancer patients, the combination therapy reduced the side effects of cancer therapy. Also reported is a study showing that the practice of qigong helps to rehabilitate drug addicts. The reported studies do not necessarily measure up to the strict protocols required for randomized controlled clinical trials. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 5 |
Issue | 4 |
Pages | 383-389 |
Date | Aug 1999 |
Journal Abbr | J Altern Complement Med |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/10471019 |
Accessed | Tuesday, October 20, 2009 9:29:22 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10471019 |
Date Added | Saturday, October 01, 2011 3:03:45 PM |
Modified | Saturday, October 01, 2011 3:03:45 PM |
This article reviews clinical studies from the Qigong Bibliographic Database, developed by the Qigong Institute, a nonprofit organization. This database was started in 1994 and holds approximately 1300 references going back to 1986, covering medical applications, scientific, and experimental studies on qigong from China, the United States, and Europe. Records in English have been compiled from International Qigong conferences and seminars, scientific journals, magazines, dissertations, MEDLINE, and other databases. The therapeutic role of qigong exercises combined with drugs is reported for three medical conditions that require drug therapy for health maintenance: hypertension, respiratory disease, and cancer. In these studies, drugs were administered to all patients who were divided into two groups, a group that practiced qigong exercises and a control group that did not. Taken together, these studies suggest that practicing qigong exercises may favorably affect many functions of the body, permit reduction of the dosage of drugs required for health maintenance, and provide greater health benefits than the use of drug therapy alone. For hypertensive patients, combining qigong practice with drug therapy for hypertensive patients resulted in reduced incidence of stroke and mortality and reduced dosage of drugs required for blood pressure maintenance. For asthma patients, the combination therapy permitted reduction in drug dosage, the need for sick leave, duration of hospitalization, and costs of therapy. For cancer patients, the combination therapy reduced the side effects of cancer therapy. Also reported is a study showing that the practice of qigong helps to rehabilitate drug addicts. The reported studies do not necessarily measure up to the strict protocols required for randomized controlled clinical trials.
Type | Journal Article |
---|---|
Author | Deepak Sarma |
Abstract | The author offers a commentary on the question, "Are there Hindu bioethics?" After deconstructing the term "Hindu," the author shows that there are indeed no Hindu bioethics. He shows that from a classical and Brahminical perspective, medicine is an inappropriate and impure profession. |
Publication | The Journal of Law, Medicine & Ethics: A Journal of the American Society of Law, Medicine & Ethics |
Volume | 36 |
Issue | 1 |
Pages | 51-58, 3 |
Date | 2008 |
Journal Abbr | J Law Med Ethics |
DOI | 10.1111/j.1748-720X.2008.00236.x |
ISSN | 1073-1105 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18315760 |
Accessed | Monday, November 09, 2009 1:01:38 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18315760 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
The author offers a commentary on the question, “Are there Hindu bioethics?” After deconstructing the term “Hindu,” the author shows that there are indeed no Hindu bioethics. He shows that from a classical and Brahminical perspective, medicine is an inappropriate and impure profession.
Type | Journal Article |
---|---|
Author | Penny Sartori |
Abstract | Despite spirituality being an important aspect of patient care, few nurses feel they meet patients' needs in this area. This first in a two part series examines definitions of spirituality and the difference between this concept and religion. It also discusses spirituality at certain points in t hepatient pathway, such as at the end of life, and finding meaning in illness. |
Publication | Nursing Times |
Volume | 106 |
Issue | 28 |
Pages | 14-17 |
Date | 2010 Jul 20-26 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Spirituality 1 |
Accessed | Monday, August 30, 2010 4:56:06 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20715648 |
Date Added | Thursday, September 29, 2011 9:03:07 AM |
Modified | Thursday, September 29, 2011 9:03:07 AM |
Type | Journal Article |
---|---|
Author | Penny Sartori |
Abstract | Although meeting patients' spiritual needs is important, many nurses are uncertain about what spiritual care involves and lack confidence in this area. This second article in a two part series on spirituality considers ways of addressing spiritual needs and provides an overview of the principles of assessment and implementation. Part 1 explored definitions of spirituality, the difference between religion and spirituality, and finding meaning in illness. |
Publication | Nursing Times |
Volume | 106 |
Issue | 29 |
Pages | 23-25 |
Date | 2010 Jul 27-Aug 2 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Spirituality. 2 |
Accessed | Monday, August 30, 2010 4:56:04 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20718373 |
Date Added | Thursday, September 29, 2011 9:03:07 AM |
Modified | Thursday, September 29, 2011 9:03:07 AM |
Type | Journal Article |
---|---|
Author | Stephen M. Saunders |
Author | Melissa L. Miller |
Author | Melissa M. Bright |
Abstract | There is increasing recognition of the importance of identifying and perhaps incorporating into psychological services the spiritual and religious beliefs and practices (SRBP) of patients. Research suggests that psychologists are reluctant to address the SRBP of their patients, because they are unsure how to do so without contravention of ethical standards. Moreover, numerous approaches have been published and promoted, and psychologists may feel overwhelmed by the profusion of advice. We organize the suggested approaches into four categories and place them on a continuum, and we discuss the ethical concerns related to each. At one end is spiritually avoidant care, which entails the attempt to avoid conversations with patients about their SRBP. Given the importance of these issues to psychological health and to understanding the patient, this approach is untenable. At the other end of the continuum, spiritually directive psychotherapy is characterized by an explicit attempt to maintain or change the SRBP of patients. Spiritually integrated psychotherapy entails utilizing SRBP to ameliorate patients' emotional distress. We suggest that psychologists should at least engage in spiritually conscious care, which we characterize as the explicit assessment of the general importance of SRBP to the patient, its influence on the presenting problem, and the potential of SRBP as a resource to help recovery. Specific suggestions are presented for how spiritually conscious care might be implemented. Finally, the need for better training in both basic and specific competencies needed to address patients' SRBP is reviewed. (PsycINFO Database Record (c) 2010 APA, all rights reserved). (from the journal abstract) |
Publication | Professional Psychology: Research and Practice |
Volume | 41 |
Issue | 5 |
Pages | 355-362 |
Date | October 2010 |
DOI | 10.1037/a0020953 |
ISSN | 0735-7028 |
Date Added | Thursday, September 29, 2011 8:59:59 AM |
Modified | Thursday, September 29, 2011 8:59:59 AM |
Type | Journal Article |
---|---|
Author | Larry Scherwitz |
Author | Marcie Pullman |
Author | Pamela McHenry |
Author | Billy Gao |
Author | Frank Ostaseski |
Abstract | BACKGROUND: Inspired by a 2,500-year-old Buddhist tradition, the Zen Hospice Project (ZHP) provides residential hospice care, volunteer programs, and educational efforts that cultivate wisdom and compassion in service. OBJECTIVE: The present study was designed to understand how being with dying hospice residents affects hospice volunteers well-being and the role of spiritual practice in ameliorating the fear of death. DESIGN: A one-year longitudinal study of two volunteer cohorts (N = 24 and N = 22) with repeated measures of spiritual practice, well-being, and hospice performance during one-year service as volunteers. SETTING: The Zen Hospice Guest House and Laguna Honda Residential Hospital of San Francisco, CA. PARTICIPANTS: All 46 individuals who became ZHP volunteers during two years. INTERVENTIONS: A 40-hour training program for beginning hospice volunteers stressing compassion, equanimity, mindfulness, and practical bedside care; a one-year caregiver assignment five hours per week; and monthly group meeting. MAIN OUTCOME MEASURES: Self-report FACIT spiritual well-being, general well-being, self-transcendence scale, and a volunteer coordinator-rated ZHP performance scale. RESULTS: The volunteers had a high level of self-care and well-being at baseline and maintained both throughout the year; they increased compassion and decreased fear of death. Those (n = 20) practicing yoga were found to have consistently lower fear of death than the group average (P = .04, P = .008, respectively). All rated the training and program highly, and 63% continued to volunteer after the first year's commitment. The results suggest that this approach to training and supporting hospice volunteers fosters emotional well-being and spiritual growth. |
Publication | Explore (New York, N.Y.) |
Volume | 2 |
Issue | 4 |
Pages | 304-313 |
Date | 2006 Jul-Aug |
Journal Abbr | Explore (NY) |
DOI | 10.1016/j.explore.2006.04.001 |
ISSN | 1550-8307 |
Short Title | A contemplative care approach to training and supporting hospice volunteers |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16846818 |
Accessed | Friday, November 13, 2009 4:40:10 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16846818 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
The present study was designed to understand how being with dying hospice residents affects hospice volunteers well-being and the role of spiritual practice in ameliorating the fear of death. Results: The volunteers had a high level of self-care and well-being at baseline and maintained both throughout the year; they increased compassion and decreased fear of death.
Type | Journal Article |
---|---|
Author | Neil Scheurich |
Abstract | Increasing awareness of possible links between religion and health has led to greater attention to spirituality and medicine in medical education; both trends have culminated in vigorous debate about the place of spirituality and related values in medical care. The author argues that due to basic ambiguities of the term "spirituality" as well as prevailing biases of both patients and practitioners, this debate risks valorizing theistic religious views, a trend that would be to the detriment of physicians, residents, and students who happen to be non-believers or adherents of minority faiths. It is maintained that philosophical value theory, a broad inquiry into value and meaning that is carefully neutral as regards religious matters, provides the greatest possible protection of both secular and non-secular world views. A notion of "separation of church and medicine," similar in some ways to the well-known political model, is proposed. Because so many issues of meaning and value may be relevant to health, vigilance is required to properly delineate the purview of medicine. The author concludes by proposing that a medicine that neither exalts nor demeans religious belief but rather situates the latter among the countless values persons may hold should be the goal. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 78 |
Issue | 4 |
Pages | 356-360 |
Date | Apr 2003 |
Journal Abbr | Acad Med |
ISSN | 1040-2446 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12691963 |
Accessed | Friday, October 09, 2009 1:13:32 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12691963 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Increasing awareness of possible links between religion and health has led to greater attention to spirituality and medicine in medical education; both trends have culminated in vigorous debate about the place of spirituality and related values in medical care. The author argues that due to basic ambiguities of the term “spirituality” as well as prevailing biases of both patients and practitioners, this debate risks valorizing theistic religious views, a trend that would be to the detriment of physicians, residents, and students who happen to be non-believers or adherents of minority faiths. It is maintained that philosophical value theory, a broad inquiry into value and meaning that is carefully neutral as regards religious matters, provides the greatest possible protection of both secular and non-secular world views. A notion of “separation of church and medicine,” similar in some ways to the well-known political model, is proposed. Because so many issues of meaning and value may be relevant to health, vigilance is required to properly delineate the purview of medicine. The author concludes by proposing that a medicine that neither exalts nor demeans religious belief but rather situates the latter among the countless values persons may hold should be the goal.
Type | Journal Article |
---|---|
Author | S J Schuster |
Abstract | A contemporary health system seeks to overcome the excesses and shortcomings of the medical model by integrating wholistic concepts and practices into the medical care it provides. Established on the grounds of an acute care hospital as one of its departments, the Franciscan Wholistic Health Center's (FWHC) goal-explicit spirituality and the involvement of FWHC staff in their own as well as their client's spiritual development-distinguishes it from other efforts. |
Publication | Nursing Management |
Volume | 28 |
Issue | 6 |
Pages | 56-59; quiz 60 |
Date | Jun 1997 |
Journal Abbr | Nurs Manage |
ISSN | 0744-6314 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9325917 |
Accessed | Thursday, November 12, 2009 5:35:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9325917 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
A contemporary health system seeks to overcome the excesses and shortcomings of the medical model by integrating wholistic concepts and practices into the medical care it provides. Established on the grounds of an acute care hospital as one of its departments, the Franciscan Wholistic Health Center’s (FWHC) goal-explicit spirituality and the involvement of FWHC staff in their own as well as their client’s spiritual development-distinguishes it from other efforts.
Type | Journal Article |
---|---|
Author | Stephan A. Schwartz |
Author | Larry Dossey |
Abstract | All research domains are based upon epistemological assumptions. Periodic reassessment of these assumptions is crucial because they influence how we interpret experimental outcomes. Perhaps nowhere is this reassessment needed more than in the study of prayer and intention experiments. For if positive results from this field of research are sustained, the reality of nonlocal consciousness must be confronted. This paper explores the current status of healing and intention research, citing a number of major studies and using the “Study of the Therapeutic Effects of Intercessory Prayer (STEP) in Cardiac Bypass Surgery Patients: A Multicenter Randomized Trial of Uncertainty and Certainty of Receiving Intercessory Prayer” as a case study of this line of research. The paper argues that the dose-dependent model typical of drug trials, and adopted for use in the STEP and other studies, is not the optimal model for intention-healing research, and critiques this approach in detail, citing apposite research from which we draw our recommendations and conclusions. The paper suggests that the usual assumptions concerning blindness and randomization that prevail in studies using the pharmacological model must be reappraised. Experimental data suggest that a nonlocal relationship exists among the various individuals participating in a study, one which needs to be understood and taken seriously. We argue that it is important to account for and understand the role of both local and nonlocal observer effects, since both can significantly affect outcome. Research is presented from an array of disciplines to support why the authors feel these issues of linkage, belief, and intention are so important to a successful, accurate, and meaningful study outcome. Finally, the paper offers suggestions for new lines of research and new protocol designs that address these observer-effect issues, particularly the nonlocal aspects. The paper finally suggests that if these effects occur in intention studies, they must necessarily exist in all studies, although in pharmacological studies they are often overshadowed by the power of chemical and biological agents. |
Publication | EXPLORE: The Journal of Science and Healing |
Volume | 6 |
Issue | 5 |
Pages | 295-307 |
Date | September 2010 |
DOI | 10.1016/j.explore.2010.06.011 |
ISSN | 1550-8307 |
Short Title | Nonlocality, Intention, and Observer Effects in Healing Studies |
Accessed | Saturday, September 11, 2010 7:41:19 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Journal Article |
---|---|
Author | Loralee Sessanna |
Author | Deborah Finnell |
Author | Mary Ann Jezewski |
Abstract | Spirituality has become an increasingly popular concept among the nursing and health-related literature. The purpose for conducting this concept analysis, guided by Walker and Avant's methodology, was to (a) examine how spirituality has been used within the current body of nursing and health-related literature, (b) clarify the meaning of spirituality by discovering what this concept's current critical attributes/characteristics are, and (c) propose a definition of spirituality based on the concept analysis findings. A total of 90 references were reviewed, including 73 nursing and health-related references. Concept analysis findings revealed that spirituality was defined within four main themes in the nursing and health-related literature: (a) spirituality as religious systems of beliefs and values (spirituality = religion); (b) spirituality as life meaning, purpose, and connection with others; (c) spirituality as nonreligious systems of beliefs and values; and (d) spirituality as metaphysical or transcendental phenomena. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 25 |
Issue | 4 |
Pages | 252-262; discussion 263-264 |
Date | Dec 2007 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010107303890 |
ISSN | 0898-0101 |
Short Title | Spirituality in nursing and health-related literature |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18029966 |
Accessed | Friday, November 13, 2009 6:19:28 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18029966 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
The purpose for conducting this concept analysis, guided by Walker and Avant’s methodology, was to (a) examine how spirituality has been used within the current body of nursing and health-related literature, (b) clarify the meaning of spirituality by discovering what this concept’s current critical attributes/characteristics are, and (c) propose a definition of spirituality based on the concept analysis findings.
Type | Journal Article |
---|---|
Author | Shauna L Shapiro |
Abstract | As the field of psychology continues to expand and evolve, one fruitful avenue of exploration has been the integration of mindfulness into psychological theory and practice. Mindfulness is defined as the awareness that arises out of intentionally attending in an open and discerning way to whatever is arising in the present moment. Two decades of empirical research have generated considerable evidence supporting the efficacy of mindfulness-based interventions across a wide range of clinical and nonclinical populations, and these interventions have been incorporated into a variety of health care settings. Still, there are many unanswered questions and potential horizons to be investigated. This special issue endeavors to assist in this exploration. It presents a combination of articles concerning aspects of clinical and scientific integration of mindfulness within psychotherapy and psychoeducational settings. This commentary attempts to highlight the main findings of the featured articles as well as elucidate areas for future inquiry. Taken as a whole, the volume supports the importance and viability of the integration of mindfulness into psychology, and offers interesting and meaningful directions for future research. |
Publication | Journal of Clinical Psychology |
Volume | 65 |
Issue | 6 |
Pages | 555-560 |
Date | Jun 2009 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20602 |
ISSN | 1097-4679 |
Accessed | Tuesday, February 22, 2011 7:27:34 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19340826 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Book |
---|---|
Author | Rose Shapiro |
Publisher | Random House |
Date | 2008-02-07 |
ISBN | 1846550289 |
Short Title | Suckers |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Alternative medicine is an increasingly mainstream industry with a predicted worth of five trillion dollars by the year 2050. Its treatments range from reputable methods like homeopathy and acupuncture to such bizarre therapies as nutraceuticals, ear candling, and ergogenics. Alternative approaches are endorsed by celebrities, embraced by the middle class, and have become a lifestyle choice for many based on their spurious claims of rediscovery of ancient wisdom and the supposedly benign quality of nature. As this hard-hitting survey reveals, despite their growing popularity and expanding market share, there is no hard evidence that any of these so-called natural treatments actually work. It reveals how alternative medicine jeopardizes the health of those it claims to treat, leaches resources from treatments of proven efficacy, and is largely unaccountable and unregulated. Bracing and funny, this is a calling to account of a social and intellectual fraud that has produced a global delusion.
Type | Journal Article |
---|---|
Author | Hari Sharma |
Author | H M Chandola |
Author | Gurdip Singh |
Author | Gopal Basisht |
Abstract | Ayurveda is a natural health care system that originated in India more than 5000 years ago. Its main objective is to achieve optimal health and well-being through a comprehensive approach that addresses mind, body, behavior, and environment. Ayurveda emphasizes prevention and health promotion, and provides treatment for disease. It considers the development of consciousness to be essential for optimal health and meditation as the main technique for achieving this. Treatment of disease is highly individualized and depends on the psychophysiologic constitution of the patient. There are different dietary and lifestyle recommendations for each season of the year. Common spices are utilized in treatment, as well as herbs and herbal mixtures, and special preparations known as Rasayanas are used for rejuvenation, promotion of longevity, and slowing of the aging process. A group of purification procedures known as Panchakarma removes toxins from the physiology. Whereas Western allopathic medicine is excellent in handling acute medical crises, Ayurveda demonstrates an ability to manage chronic disorders that Western medicine has been unable to. It may be projected from Ayurveda's comprehensive approach, emphasis on prevention, and ability to manage chronic disorders that its widespread use would improve the health status of the world's population. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 13 |
Issue | 9 |
Pages | 1011-1019 |
Date | Nov 2007 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2007.7017-A |
ISSN | 1075-5535 |
Short Title | Utilization of Ayurveda in health care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18047449 |
Accessed | Monday, November 02, 2009 2:23:37 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18047449 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Ayurveda is a natural health care system that originated in India more than 5000 years ago. Its main objective is to achieve optimal health and well-being through a comprehensive approach that addresses mind, body, behavior, and environment. Ayurveda emphasizes prevention and health promotion, and provides treatment for disease. It considers the development of consciousness to be essential for optimal health and meditation as the main technique for achieving this. Treatment of disease is highly individualized and depends on the psychophysiologic constitution of the patient. There are different dietary and lifestyle recommendations for each season of the year. Common spices are utilized in treatment, as well as herbs and herbal mixtures, and special preparations known as Rasayanas are used for rejuvenation, promotion of longevity, and slowing of the aging process. A group of purification procedures known as Panchakarma removes toxins from the physiology. Whereas Western allopathic medicine is excellent in handling acute medical crises, Ayurveda demonstrates an ability to manage chronic disorders that Western medicine has been unable to. It may be projected from Ayurveda’s comprehensive approach, emphasis on prevention, and ability to manage chronic disorders that its widespread use would improve the health status of the world’s population.
Type | Journal Article |
---|---|
Author | Hari Sharma |
Author | H M Chandola |
Author | Gurdip Singh |
Author | Gopal Basisht |
Abstract | Ayurveda is a comprehensive natural health care system that originated in India more than 5000 years ago. It is still widely used in India as a system of primary health care, and interest in it is growing worldwide as well. Ayurveda has unique concepts and methodologies to address health care throughout the course of life, from pregnancy and infant care to geriatric disorders. Common spices are utilized, as well as herbs, herbal mixtures, and special preparations known as Rasayanas. Purification procedures known as Panchakarma remove toxins from the physiology. Research has been conducted worldwide on Ayurveda. There are encouraging results for its effectiveness in treating various ailments, including chronic disorders associated with the aging process. Pilot studies presented in this paper were conducted on depression, anxiety, sleep disorders, hypertension, diabetes mellitus, Parkinson's disease, and Alzheimer's disease. These preliminary studies yielded positive results and provide a basis for conducting larger, more rigorous clinical trials. Conducting research that compares Ayurveda's comprehensive treatment approach, Western allopathic treatment, and an integrated approach combining the Ayurvedic and allopathic treatments would shed light on which treatment approach is the most effective for the benefit of the patient. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 13 |
Issue | 10 |
Pages | 1135-1150 |
Date | Dec 2007 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2007.7017-B |
ISSN | 1075-5535 |
Short Title | Utilization of Ayurveda in health care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18166127 |
Accessed | Monday, November 02, 2009 2:23:28 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18166127 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Ayurveda is a comprehensive natural health care system that originated in India more than 5000 years ago. It is still widely used in India as a system of primary health care, and interest in it is growing worldwide as well. Ayurveda has unique concepts and methodologies to address health care throughout the course of life, from pregnancy and infant care to geriatric disorders. Common spices are utilized, as well as herbs, herbal mixtures, and special preparations known as Rasayanas. Purification procedures known as Panchakarma remove toxins from the physiology. Research has been conducted worldwide on Ayurveda. There are encouraging results for its effectiveness in treating various ailments, including chronic disorders associated with the aging process. Pilot studies presented in this paper were conducted on depression, anxiety, sleep disorders, hypertension, diabetes mellitus, Parkinson’s disease, and Alzheimer’s disease. These preliminary studies yielded positive results and provide a basis for conducting larger, more rigorous clinical trials. Conducting research that compares Ayurveda’s comprehensive treatment approach, Western allopathic treatment, and an integrated approach combining the Ayurvedic and allopathic treatments would shed light on which treatment approach is the most effective for the benefit of the patient.
Type | Book |
---|---|
Author | Aziz Sheikh |
Author | Abdul Rashid Gatrad |
Edition | 2nd ed |
Place | Oxford |
Publisher | Radcliffe |
Date | 2008 |
ISBN | 9781857758122 |
Library Catalog | library.bu.edu.ezproxy.bu.edu Library Catalog |
Call Number | W 50 C2767 2008 |
Date Added | Saturday, October 01, 2011 3:03:53 PM |
Modified | Saturday, October 01, 2011 3:03:53 PM |
Muslim patients customarily have particular ways of approaching health and healthcare. This book addresses common misunderstandings and bridges cultural gaps. It includes a profile of the Islamic worldview, taking an ‘insiders perspective’ and explores the concept of health and disease within this paradigm. Muslim practices and customs of direct relevance to health and healthcare are also explored and illustrated with case histories. This new edition is now broader in scope and has been thoroughly updated following recent world events. This book offers practical advice to enable all healthcare professionals in hospitals and in the community to provide care in a culturally appropriate manner.
Type | Journal Article |
---|---|
Author | D W Sherman |
Abstract | OBJECTIVE: Use Rogers' (1992) framework of the science of unitary human beings to examine relationships among spirituality, perceived social support, death anxiety, and nurses' willingness to care for AIDS patients. DESIGN: Descriptive, correlational. POPULATION, SAMPLE, SETTING: Population, female RNs in the New York City Metropolitan area who care for patients with AIDS. Convenience sample of 220 RNs who worked in eight hospitals either on AIDS-dedicated units (n = 88), or medical-surgical scatterbed units (n = 132) with a daily AIDS patient census of between 5% to 50%. Data were collected in 1992. MEASURES: Spiritual Orientation Inventory, the Personal Resource Questionnaire-85, the Templer Death Anxiety Scale, and the Willingness to Care for AIDS Patients Instrument. METHODS: Pearson product-moment correlations and hierarchical multiple regression analyses to test hypotheses. FINDINGS: Willingness to care for AIDS patients was positively correlated with spirituality and perceived social support, and negatively correlated with death anxiety. Death anxiety moderated the relationship between spirituality and willingness to care. In total, 17% of the variance in nurses' willingness to care for AIDS patients was explained. Additional regression analyses indicated that group membership as either an AIDS-dedicated nurse or medical-surgical nurse did not moderate or change hypothesized relationships. CONCLUSION: Because group membership explained 22% of the variance in willingness to care, the data indicate that group culture or professional identity should be further examined as predictors of nurses' willingness to care for AIDS patients. CLINICAL IMPLICATIONS: Social support at work from administrators and colleagues, as well as the support from patients themselves is important to nurses and should be fostered. |
Publication | Image--the Journal of Nursing Scholarship |
Volume | 28 |
Issue | 3 |
Pages | 205-213 |
Date | 1996 |
Journal Abbr | Image J Nurs Sch |
ISSN | 0743-5150 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/8854541 |
Accessed | Thursday, November 12, 2009 5:29:43 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 8854541 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
Objective: Use Rogers’ (1992) framework of the science of unitary human beings to examine relationships among spirituality, perceived social support, death anxiety, and nurses’ willingness to care for AIDS patients. Findings: Willingness to care for AIDS patients was positively correlated with spirituality and perceived social support, and negatively correlated with death anxiety.
Type | Journal Article |
---|---|
Author | Michael Shermer |
Abstract | Scientific experiments claiming that distant intercessory prayer produces salubrious effects are deeply flawed |
Publication | Scientific American |
Volume | 291 |
Issue | 5 |
Pages | 34 |
Date | Nov 2004 |
Journal Abbr | Sci. Am |
ISSN | 0036-8733 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15521144 |
Accessed | Friday, October 09, 2009 3:14:57 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 15521144 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Fu-Jin Shih |
Author | Hung-Ru Lin |
Author | Meei-Ling Gau |
Author | Ching-Huey Chen |
Author | Szu-Mei Hsiao |
Author | Shaw-Nin Shih |
Author | Shuh-Jen Sheu |
Abstract | PURPOSE/OBJECTIVES: To explore the core constitutive patterns from the perspective of the older patient with terminal cancer, the major foci of spiritual needs, and professional actions that manifest tangibly as spiritual care. DESIGN: Hermeneutic inquiry. SETTING: Two leading teaching hospitals in Taiwan. SAMPLE: 35 older patients with terminal cancer with a life expectancy of three months. METHODS: Participatory observation and in-depth interviews were the major data collection strategies. Hermeneutic inquiry was used to disclose, document, and interpret participants' lived experiences. MAIN RESEARCH VARIABLES: The perceptions of older Taiwanese patients with terminal cancer and their particular healthcare needs across various transition stages. FINDINGS: Two constitutive patterns, "caring for the mortal body" and "transcending the worldly being," each with three themes and a related transformational process emerged from the data analysis. Two foci of spiritual needs were discovering patients' concerns about their dying bodies and their worldly being and facilitating the transcendence of the spiritual being from the physical realm. CONCLUSIONS: Caring for older Taiwanese patients with terminal cancer and helping them transcend the fear of the unknown when they give up worldly being can produce insights into patients' primary concerns, perceptions, and spiritual needs to help them achieve a "good" death. IMPLICATIONS FOR NURSING: The knowledge gained in this study and the six major spiritual care actions identified may empower oncology nurse educators to develop culturally valid spiritual care courses. Research-based guidance for nurse clinicians who are taking care of older Taiwanese patients with terminal cancer will be provided. |
Publication | Oncology Nursing Forum |
Volume | 36 |
Issue | 1 |
Pages | E31-38 |
Date | Jan 2009 |
Journal Abbr | Oncol Nurs Forum |
DOI | 10.1188/09.ONF.E31-E38 |
ISSN | 1538-0688 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19136329 |
Accessed | Friday, November 13, 2009 7:48:32 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19136329 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
PURPOSE/Objectives To explore the core constitutive patterns from the perspective of the older patient with terminal cancer, the major foci of spiritual needs, and professional actions that manifest tangibly as spiritual care. Conclusions: Caring for older Taiwanese patients with terminal cancer and helping them transcend the fear of the unknown when they give up worldly being can produce insights into patients’ primary concerns, perceptions, and spiritual needs to help them achieve a “good” death.
Type | Journal Article |
---|---|
Author | K Shirahama |
Author | E M Inoue |
Abstract | The purpose of this study was to explore the concept of spirituality and its expression among persons in a Japanese farming community. It was found that spirituality was described as "living in harmony with nature and surrounding people." Common expressions of this spirituality were through faith and ways of worship, prayer, search for inner peace, hope and thanksgiving, including spiritual well-being. The latter was defined as showing thanks to nature, ancestors, and people; caring for surrounding people; and peacefully embracing the concept of death. To provide congruent spiritual care, it was suggested that nurses need to expand their own knowledge and understanding of spirituality; integrate spirituality in their nursing care; and improve communication with their clients and their families. |
Publication | Holistic Nursing Practice |
Volume | 15 |
Issue | 3 |
Pages | 63-72 |
Date | Apr 2001 |
Journal Abbr | Holist Nurs Pract |
ISSN | 0887-9311 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12120113 |
Accessed | Thursday, November 12, 2009 9:39:09 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12120113 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
The purpose of this study was to explore the concept of spirituality and its expression among persons in a Japanese farming community. It was found that spirituality was described as “living in harmony with nature and surrounding people.” Common expressions of this spirituality were through faith and ways of worship, prayer, search for inner peace, hope and thanksgiving, including spiritual well-being.
Type | Journal Article |
---|---|
Author | Kambiz Karimzadeh Shirazi |
Author | Mohammad Ali Morowatisharifabad |
Abstract | This study evaluates the safe sex determinants in college students. In the qualitative section, premarital sex, sex with steady girlfriend and religion's impact were highlighted. In the quantitative part, the relations between the religiosity score and past sexual activity, attitude, norms, and self-efficacy with regard to sexual abstinence were investigated. Students who had a higher religious score were significantly more likely to have high self-efficacy in refusing sex, and their attitudes supported their abstinence. Additionally, these students were more likely never to have had a sexual relationship. Findings suggest that greater religious involvement is a protective factor in high-risk sexual behavior. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 1 |
Pages | 29-36 |
Date | Mar 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9174-1 |
ISSN | 1573-6571 |
Accessed | Tuesday, February 22, 2011 7:47:57 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19229622 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Cynthia I Shores |
Abstract | Holistic nursing care requires attention to spiritual aspects of a person. The purpose of this descriptive, non-experimental study was to describe spiritual perspectives of nursing students. Students' spiritual perspectives were measured and described using Reed's Spiritual Perspective Scale (SPS).The convenience sample consisted of 205 nursing students enrolled in a baccalaureate nursing program in the southeastern United States. Data were analyzed using descriptive statistics. Findings suggest that nursing students in this sample perceived themselves as having a high level of spirituality as indicated by scores on the SPS (M = 5.04, SD = 0.9). Reliability of the SPS was estimated by determining Cronbach's alpha (0.94). Findings of this study contribute to the body of nursing knowledge concerning the spirituality of nursing students. Research into the spiritual domain is necessary to provide a scientific knowledge base for nursing. |
Publication | Nursing Education Perspectives |
Volume | 31 |
Issue | 1 |
Pages | 8-11 |
Date | 2010 Jan-Feb |
Journal Abbr | Nurs Educ Perspect |
ISSN | 1536-5026 |
Accessed | Wednesday, April 21, 2010 5:05:16 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20397473 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Book |
---|---|
Author | Joel James Shuman |
Series | Radical traditions |
Place | Boulder, Colo |
Publisher | Westview Press |
Date | 1999 |
ISBN | 0813367042 |
Short Title | The Body of Compassion |
Library Catalog | library.bu.edu.ezproxy.bu.edu Library Catalog |
Call Number | R725.56 .S54 1999 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
Type | Book |
---|---|
Author | Joel James Shuman |
Author | Keith G. Meador |
Edition | 1 |
Publisher | Oxford University Press, USA |
Date | December 2002 |
ISBN | 019515469X |
Short Title | Heal Thyself |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
In recent years, a movement stressing a causal relationship between spirituality and good health has captured the public imagination. Told that research demonstrates that people of strong faith are healthier, physicians and clergy alike urge us to become more religious. The religion and health movement, as it has become known, has attracted its fair share of skeptics. While most root their criticism in science or secularism, the authors of Heal Thyself, one a theological ethicist, the other a physician, instead challenge the basic precepts of the movement from the standpoint of Christian theology. Heal Thyself argues that popular culture’s fascination with the health benefits of religion reflects not the renaissance of religious tradition but the powerful combination of consumer capitalism and self-interested individualism. A faith-for-health exchange misrepresents and devalues the true meaning of faith. For Christians, being religious does not mean enlisting faith as a vehicle to get what we want--be it health or wealth--but rather learning by faith to want the right things at the right time, and to live with a spirit of gratitude and hope.
Type | Book |
---|---|
Author | Joel James Shuman |
Author | Brian Volck |
Place | Grand Rapids, Mich |
Publisher | Brazos Press |
Date | 2006 |
ISBN | 1587431270 |
Short Title | Reclaiming the Body |
Library Catalog | library.bu.edu.ezproxy.bu.edu Library Catalog |
Call Number | BT732 .S482 2006 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
We live in an age of incredible medical technology, and with it, a great emphasis on health and well-being. We fully entrust the care of our bodies to the medical profession, often taking its solutions and judgments as gospel. But what role, if any, should our Christian faith play in all this? In Reclaiming the Body, a physician and a theologian take a critical look at some of the assumptions we draw from the medical profession and explore what theology has to say about medicine, our bodies, our health, and the Body of Christ. The authors deal with such issues as suffering, caring for the sick, children and reproductive technologies, medicine and the poor, our obsession with physical perfection, and death and dying.
Type | Book |
---|---|
Author | Anson Shupe |
Place | New Brunswick N.J. |
Publisher | Transaction Publishers |
Date | 2010 |
ISBN | 9781412813488 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Erica M S Sibinga |
Author | Kathi J Kemper |
Abstract | Interest in, practice of, and research about a variety of meditation forms for children and youth is growing. Thus far, the evidence supports the feasibility and acceptability of numerous meditative practices, including mindfulness practices, TM, RR, yoga, and tai chi. A number of well-controlled studies support the use of meditation for blood pressure reduction. In addition, research suggests that meditative practices are associated with improvements in attention, behavior, and psychological functioning in children and youth. More rigorous comparative effectiveness research in larger, diverse pediatric populations is needed to be confident that these results are related specifically to the instruction and practice of meditative practices and to tailor recommendations to specific patients. Despite the desirability of additional research, meditation is a very safe practice, with a variety of approaches that can suit diverse unique needs, values, and preferences. Clinicians should use similar approaches and considerations in referring pediatric patients for meditation training as for other complementary therapies and therapists such as massage and acupuncture. |
Publication | Pediatrics in Review / American Academy of Pediatrics |
Volume | 31 |
Issue | 12 |
Pages | e91-103 |
Date | Dec 2010 |
Journal Abbr | Pediatr Rev |
DOI | 10.1542/pir.31-12-e91 |
ISSN | 1526-3347 |
Short Title | Complementary, holistic, and integrative medicine |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21123509 |
Accessed | Tuesday, January 18, 2011 7:05:28 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21123509 |
Date Added | Thursday, September 29, 2011 8:58:27 AM |
Modified | Thursday, September 29, 2011 8:58:27 AM |
Type | Journal Article |
---|---|
Author | June Simpson |
Abstract | This article describes the main teachings and customs of Jehovah's Witnesses. It offers some guidelines to enable nurses to provide sensitive and appropriate care to patients who are Jehovah's Witnesses. |
Publication | Nursing Times |
Volume | 98 |
Issue | 17 |
Pages | 36-37 |
Date | 2002 Apr 23-29 |
Journal Abbr | Nurs Times |
ISSN | 0954-7762 |
Short Title | Nursing with dignity. Part 9 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12008260 |
Accessed | Monday, November 02, 2009 1:58:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12008260 |
Date Added | Saturday, October 01, 2011 3:43:05 PM |
Modified | Saturday, October 01, 2011 3:43:05 PM |
This article describes the main teachings and customs of Jehovah’s Witnesses. It offers some guidelines to enable nurses to provide sensitive and appropriate care to patients who are Jehovah’s Witnesses.
Type | Journal Article |
---|---|
Author | Jennifer L Simpson |
Author | Kimberly Carter |
Abstract | This study used phenomenology to explore the experience of Muslim women through descriptions of their encounters with health care providers in a rural area. Participants (N = 7) were eligible for inclusion if the foreign-born woman had lived in the area for at least 2 years, had interaction with a health care provider within the last 6 months, and was able to articulate her experience either in English or through a interpreter. Data were recorded, transcribed, coded, and analyzed for the emergence of reoccurring themes, employing decision trails. Constant comparative analysis was used to promote the integrity of the data. Three themes were identified: (1) perceived power of the provider, (2) religiously defined gender relations, and (3) being a stranger in the U.S. healthcare system. Education of the Muslim patient and the provider is needed to increase health care satisfaction and use by rural Muslim women. |
Publication | Journal of Transcultural Nursing |
Volume | 19 |
Issue | 1 |
Pages | 16-23 |
Date | Jan 2008 |
Journal Abbr | J Transcult Nurs |
DOI | 10.1177/1043659607309146 |
ISSN | 1043-6596 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18165422 |
Accessed | Monday, November 09, 2009 1:12:35 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18165422 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This study used phenomenology to explore the experience of Muslim women through descriptions of their encounters with health care providers in a rural area. Participants (N = 7) were eligible for inclusion if the foreign-born woman had lived in the area for at least 2 years, had interaction with a health care provider within the last 6 months, and was able to articulate her experience either in English or through a interpreter. Data were recorded, transcribed, coded, and analyzed for the emergence of reoccurring themes, employing decision trails. Constant comparative analysis was used to promote the integrity of the data. Three themes were identified: (1) perceived power of the provider, (2) religiously defined gender relations, and (3) being a stranger in the U.S. healthcare system. Education of the Muslim patient and the provider is needed to increase health care satisfaction and use by rural Muslim women.
Type | Journal Article |
---|---|
Author | Ram Harsh Singh |
Abstract | This paper critically examines the Ayurvedic concept of cancer diathesis and its pathogenesis in terms of the theory of Tridosa, Sapta Dhātus (body tissues), the Agni or body's biologic fire, Srotámsi (i.e., channels of the body), and the generic sequence of events in the genesis of a disease (e.g., Satkriyākala). All this depicts a new paradigm of the disease state. This paper also examines the scope of plant drugs used in the treatment of cancer. A retrospective meta-analysis of observations on 85 plant drugs reported to have an anticancer effect indicates that herbs with Katu, Tikta, Kasāya Rasa (bitter, pungent, and astringent taste), Usna Virya (e.g., hot biopotency), and Katu Vipāka (catabolic active metabolites), and herbs with dry, coarse, light, and sharp biophysical properties have significantly greater possibilities of producing anticancer effects. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 8 |
Issue | 5 |
Pages | 609-614 |
Date | Oct 2002 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/107555302320825129 |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12470442 |
Accessed | Monday, November 02, 2009 2:38:49 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12470442 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
This paper critically examines the Ayurvedic concept of cancer diathesis and its pathogenesis in terms of the theory of Tridosa, Sapta Dhatus (body tissues), the Agni or body’s biologic fire, Srotámsi (i.e., channels of the body), and the generic sequence of events in the genesis of a disease (e.g., Satkriyakala). All this depicts a new paradigm of the disease state. This paper also examines the scope of plant drugs used in the treatment of cancer. A retrospective meta-analysis of observations on 85 plant drugs reported to have an anticancer effect indicates that herbs with Katu, Tikta, Kasaya Rasa (bitter, pungent, and astringent taste), Usna Virya (e.g., hot biopotency), and Katu Vipaka (catabolic active metabolites), and herbs with dry, coarse, light, and sharp biophysical properties have significantly greater possibilities of producing anticancer effects.
Type | Book |
---|---|
Author | Mark Singleton |
Place | Oxford; New York |
Publisher | Oxford University Press |
Date | 2010 |
ISBN | 9780195395341 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Rasjid Skinner |
Abstract | It is unclear whether the development of “Western” psychology and psychiatry, in the last century or so, has overall actually been good for our mental health. The article argues that a deficiency has been the lack of attention paid by these disciplines, to the spiritual component of the Self. There are, however, psychologies” developed within religious traditions, which integrate the spiritual into a more holistic understanding of mental health. The psychology that has developed within the Islamic tradition is exampled. |
Publication | Mental Health, Religion & Culture |
Volume | 13 |
Issue | 6 |
Pages | 547-551 |
Date | 9/2010 |
Journal Abbr | Mental Hlth., Religion & Culture |
DOI | 10.1080/13674676.2010.488441 |
ISSN | 1367-4676 |
URL | http://www.informaworld.com/openurl? genre=article&… |
Date Added | Thursday, September 29, 2011 9:02:29 AM |
Modified | Thursday, September 29, 2011 9:02:29 AM |
Type | Book |
---|---|
Author | Richard P. Sloan |
Publisher | St. Martin's Griffin |
Date | 2008-03-18 |
ISBN | 0312348827 |
Short Title | Blind Faith |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Richard P Sloan |
Author | Emilia Bagiella |
Abstract | Claims about religion, spirituality, and health have recently appeared with increasing frequency, in both the popular media and professional journals. These claims have asserted that there are a great many studies in the literature that have examined relations between religious involvement and health outcomes and that the majority of them have shown that religious people are healthier. We examined the validity of these claims in two ways: (a) To determine the percentage of articles in the literature that were potentially relevant to such a claim, we identified all English-language articles with published abstracts identified by a Medline search using the search term religion in the year 2000, and (b) to examine the quality of the data in articles cited as providing supportfor such a claim, we examined all articles in the area of cardiovascular disease and hypertension cited by two comprehensive reviews of the literature. Of the 266 articles published in the year 2000 and identified by the Medline search, only 17% were relevant to claims of health benefits associated with religious involvement. About half of the articles cited in the comprehensive reviews were irrelevant to these claims. Of those that actually were relevant, many either had significant methodological flaws or were misrepresented, leaving only afew articles that could truly be described as demonstrating beneficial effects of religious involvement. We conclude that there is little empirical basis for assertions that religious involvement or activity is associated with beneficial health outcomes. |
Publication | Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine |
Volume | 24 |
Issue | 1 |
Pages | 14-21 |
Date | 2002 |
Journal Abbr | Ann Behav Med |
ISSN | 0883-6612 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12008790 |
Accessed | Thursday, November 12, 2009 9:31:37 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12008790 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Claims about religion, spirituality, and health have recently appeared with increasing frequency, in both the popular media and professional journals. These claims have asserted that there are a great many studies in the literature that have examined relations between religious involvement and health outcomes and that the majority of them have shown that religious people are healthier. We examined the validity of these claims in two ways: (a) To determine the percentage of articles in the literature that were potentially relevant to such a claim, we identified all English-language articles with published abstracts identified by a Medline search using the search term religion in the year 2000, and (b) to examine the quality of the data in articles cited as providing supportfor such a claim, we examined all articles in the area of cardiovascular disease and hypertension cited by two comprehensive reviews of the literature. Of the 266 articles published in the year 2000 and identified by the Medline search, only 17% were relevant to claims of health benefits associated with religious involvement. About half of the articles cited in the comprehensive reviews were irrelevant to these claims. Of those that actually were relevant, many either had significant methodological flaws or were misrepresented, leaving only afew articles that could truly be described as demonstrating beneficial effects of religious involvement. We conclude that there is little empirical basis for assertions that religious involvement or activity is associated with beneficial health outcomes.
Type | Journal Article |
---|---|
Author | Richard P. Sloan |
Author | Emilia Bagiella |
Abstract | Letter |
Publication | Archives of Internal Medicine |
Volume | 160 |
Issue | 12 |
Pages | 1870 |
Date | June 26, 2000 |
DOI | 10.1001/archinte.160.12.1870 |
URL | http://archinte.ama-assn.org |
Accessed | Friday, October 09, 2009 1:26:05 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | R P Sloan |
Author | E Bagiella |
Abstract | In the general public and within medicine, interest in the possibility that religious and spiritual activity may confer health benefits is increasing, as the article by Anandarajah and Hight1 in this issue of American Family Physician clearly demonstrates. The empiric support required to convert this interest into recommendations for medical practice is weak and inconclusive at best, with most studies having numerous methodologic shortcomings.2 Even if there were methodologically solid findings demonstrating associations between religious and spiritual activities and health outcomes, problems would still exist. |
Publication | American Family Physician |
Volume | 63 |
Issue | 1 |
Pages | 33-34 |
Date | Jan 1, 2001 |
Journal Abbr | Am Fam Physician |
ISSN | 0002-838X |
Short Title | Spirituality and medical practice |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11195768 |
Accessed | Friday, October 09, 2009 1:29:35 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11195768 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
In the general public and within medicine, interest in the possibility that religious and spiritual activity may confer health benefits is increasing, as the article by Anandarajah and Hight1 in this issue of American Family Physician clearly demonstrates. The empiric support required to convert this interest into recommendations for medical practice is weak and inconclusive at best, with most studies having numerous methodologic shortcomings.2 Even if there were methodologically solid findings demonstrating associations between religious and spiritual activities and health outcomes, problems would still exist.
Type | Journal Article |
---|---|
Author | Richard P. Sloan |
Author | Rajasekhar. Ramakrishnan |
Abstract | Among the many recent attempts to demonstrate the medical benefits of religious activity, the methodologically strongest seem to be studies of the effects of distant intercessory prayer (IP). In these studies, patients are randomly assigned to receive standard care or standard care plus the prayers or "healing intentions" of distant intercessors. Most of the scientific community has dismissed such research, but cavalier rejection of studies of IP is unwise, because IP studies appear to conform to the standards of randomized controlled trials (RCTs) and, as such, would have a significant advantage over observational investigations of associations between religious variables and health outcomes. As we demonstrate, however, studies of IP fail to meet the standards of RCTs in several critical respects. They fail to adequately measure and control exposure to prayer from others, which is likely to exceed IP and to vary widely from subject to subject, and whose magnitude is unknown. This supplemental prayer so greatly attenuates the differences between the treatment and control groups that sample sizes are too large to justify studies of IP. Further, IP studies generally do not specify the outcome variables, raising problems of multiple comparisons and Type 1 errors. Finally, these studies claim findings incompatible with current views of the physical universe and consciousness. Unless these problems are solved, studies of IP should not be conducted. |
Publication | Perspectives in Biology and Medicine |
Volume | 49 |
Issue | 4 |
Pages | 504-514 |
Date | 2006 |
ISSN | 1529-8795 |
URL | http://muse.jhu.edu.ezproxy.bu.edu/journals/perspectives_in_biology_and_medicine/v049/49.4sloan.html |
Accessed | Friday, October 09, 2009 2:59:00 PM |
Library Catalog | Project MUSE |
Extra | Volume 49, Number 4, Autumn 2006 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Among the many recent attempts to demonstrate the medical benefits of religious activity, the methodologically strongest seem to be studies of the effects of distant intercessory prayer (IP). In these studies, patients are randomly assigned to receive standard care or standard care plus the prayers or “healing intentions” of distant intercessors. Most of the scientific community has dismissed such research, but cavalier rejection of studies of IP is unwise, because IP studies appear to conform to the standards of randomized controlled trials (RCTs) and, as such, would have a significant advantage over observational investigations of associations between religious variables and health outcomes. As we demonstrate, however, studies of IP fail to meet the standards of RCTs in several critical respects. They fail to adequately measure and control exposure to prayer from others, which is likely to exceed IP and to vary widely from subject to subject, and whose magnitude is unknown. This supplemental prayer so greatly attenuates the differences between the treatment and control groups that sample sizes are too large to justify studies of IP. Further, IP studies generally do not specify the outcome variables, raising problems of multiple comparisons and Type 1 errors. Finally, these studies claim findings incompatible with current views of the physical universe and consciousness. Unless these problems are solved, studies of IP should not be conducted.
Type | Journal Article |
---|---|
Author | R.P. Sloan |
Author | E. Bagiella |
Author | T. Powell |
Abstract | Religion and science share a complex history as well as a complex present. At various times worldwide, medical and spiritual care was dispensed by the same person. At other times, passionate (even violent) conflicts characterised the association between religion and medicine and science. As interest in alternative and complementary medicine has grown, the notion of linking religious and medical interventions has become widely popular, especially in the USA. For many people, religious and spiritual activities provide comfort in the face of illness. However, as US medical schools increasingly offer courses in religion and spirituality1 and as reports continue to indicate interest in this subject among both physicians and the general public, it is essential to examine how, if at all, medicine should address these issues. Here, in a comprehensive, though not systematic, review of the empirical evidence and ethical issues we make an initial attempt at such an examination. |
Publication | The Lancet |
Volume | 353 |
Issue | 9153 |
Pages | 664-667 |
Date | February 1999 |
DOI | 10.1016/S0140-6736(98)07376-0 |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science? _ob=ArticleURL&_udi=B6T1B-476DJM0-Y&… |
Accessed | Friday, October 09, 2009 1:31:39 PM |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Religion and science share a complex history as well as a complex present. At various times worldwide, medical and spiritual care was dispensed by the same person. At other times, passionate (even violent) conflicts characterised the association between religion and medicine and science. As interest in alternative and complementary medicine has grown, the notion of linking religious and medical interventions has become widely popular, especially in the USA. For many people, religious and spiritual activities provide comfort in the face of illness. However, as US medical schools increasingly offer courses in religion and spirituality1 and as reports continue to indicate interest in this subject among both physicians and the general public, it is essential to examine how, if at all, medicine should address these issues. Here, in a comprehensive, though not systematic, review of the empirical evidence and ethical issues we make an initial attempt at such an examination.
Type | Journal Article |
---|---|
Author | R P Sloan |
Author | E Bagiella |
Author | L VandeCreek |
Author | M Hover |
Author | C Casalone |
Author | T Jinpu Hirsch |
Author | Y Hasan |
Author | R Kreger |
Author | P Poulos |
Publication | The New England Journal of Medicine |
Volume | 342 |
Issue | 25 |
Pages | 1913-1916 |
Date | Jun 22, 2000 |
Journal Abbr | N. Engl. J. Med |
ISSN | 0028-4793 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10861331 |
Accessed | Thursday, November 12, 2009 8:40:23 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10861331 |
Date Added | Saturday, October 01, 2011 3:01:40 PM |
Modified | Saturday, October 01, 2011 3:01:40 PM |
Type | Journal Article |
---|---|
Author | Amy Rex Smith |
Abstract | No abstract available anywhere. |
Publication | Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship |
Volume | 26 |
Issue | 4 |
Pages | 216-222 |
Date | 2009 Oct-Dec |
Journal Abbr | J Christ Nurs |
ISSN | 0743-2550 |
Short Title | Nursing and spirituality |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19824578 |
Accessed | Tuesday, October 27, 2009 9:49:23 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19824578 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | David H Smith |
Abstract | Health is an intrinsic value that Christians should respect, but it is not the highest value. Christians should be willing to jeopardize their own health for the health of others, and should repudiate any idea that genetic problems are the result of sin. Rather, sin leads us to make genetic problems harder to live with than they should be. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 77-80 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30199 |
ISSN | 1552-4876 |
Accessed | Tuesday, February 22, 2011 7:57:40 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170084 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Amy Rex Smith |
Publication | Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship |
Volume | 26 |
Issue | 4 |
Pages | 216-222 |
Date | 2009 Oct-Dec |
Journal Abbr | J Christ Nurs |
ISSN | 0743-2550 |
Short Title | Nursing and spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19824578 |
Accessed | Friday, November 13, 2009 8:12:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19824578 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Type | Book |
---|---|
Author | Sybil D. Smith |
Abstract | Make parish nursing an alternative to shrinking healthcare resources! Because of shrinking healthcare resources, both human and monetary, parish nurses in the future will be called upon to deal with rising numbers of elderly and the end-of-life issues that accompany aging. Parish Nursing: A Handbook for the New Millennium is a guide to designing programs that can complement a congregation's ministry priorities for senior adults, identifying strengths to reinforce and weaknesses to avoid. Stories from the fields of service capture the sweat equity and history of the re-emergence of nursing in churches. Parish Nursing: A Handbook for the New Millennium is a practical planning guide for parish nurses and congregational committee members with limited experience in program development. Suitable for use with multiple faith traditions, the book demonstrates how to take responsibility for health ministries without leaning on direction from local hospitals. Parish Nursing presents multiple practice models, intervention strategies, and methods of program evaluation responsive to boundaries and traditions of various communities of faith. Parish Nursing includes: conceptual frameworks program design options outlines from field-tested training modules program evaluation options and challenges and much more! In 2001, there were 35 million people over the age of 65 living in the United States--a number that's expected to double in the next 10 years. The American Academy of Family Physicians estimates that nearly 20 percent of family doctors are no longer accepting new Medicare patients. Parish Nursing: A Handbook for the New Millennium is an essential resource for nurses, pastors, and church leaders starting a parish nurse ministry to deal with the growing number of "forgotten" elderly persons. |
Publisher | Haworth Pastoral Press |
Date | 2003-09-22 |
# of Pages | 258 |
Language | en |
ISBN | 9780789018175 |
Short Title | Parish nursing |
Library Catalog | Google Books |
Date Added | Tuesday, December 13, 2011 7:42:51 PM |
Modified | Tuesday, December 13, 2011 7:42:51 PM |
Type | Journal Article |
---|---|
Author | Tracy Smith |
Author | Tom Gordon |
Abstract | The Marie Curie Cancer Care (2003) Spiritual and Religious Care Competencies for Specialist Palliative Care provide a common language for healthcare practitioners in the nebulous area of spiritual care. The development of a pilot blended learning event, as described in this paper, sought to integrate the competencies into practice by providing opportunities both online and in the classroom to explore this aspect of holistic care in depth. In the planning stages, multiprofessional focus groups determined the level of delivery, and emerging themes shaped the content. Self-awareness and reflection were key features and part of the overall process to improve competency. The features of the virtual learning environment (VLE) used were video, facilitated asynchronous discussion and direct links to key articles and documents, while interactive classroom activities built on prior learning. Evaluation covered all aspects of the course design from participant and facilitator perspectives. Participant comments were overwhelmingly positive in relation to the content and chosen delivery methods with concerns about online learning proving unfounded. |
Publication | International Journal of Palliative Nursing |
Volume | 15 |
Issue | 2 |
Pages | 86-92 |
Date | Feb 2009 |
Journal Abbr | Int J Palliat Nurs |
ISSN | 1357-6321 |
Short Title | Developing spiritual and religious care competencies in practice |
Accessed | Tuesday, February 22, 2011 7:43:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19247225 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Nana Smith |
Author | Alex Weymann |
Author | Francisco A. Tausk |
Author | Joel M. Gelfand |
Abstract | Background Patients with psoriasis often inquire about complementary and alternative medicine in an effort to do everything possible to control the disease.Objective We sought to review the clinical trial literature regarding complementary and alternative medicine for the treatment of psoriasis.Methods We conducted qualitative systematic review of randomized, clinical trials.Results Although many randomized controlled trials were found, both the results and the quality of the studies varied.Limitations The main limitations were the relatively low quality of studies (as assessed by Jadad scores), lack of inclusion of unpublished studies, and the fact that only one author determined inclusion of studies and assignment of Jadad scores.Conclusion There is a large body of literature in regard to complementary and alternative medicine for the treatment of psoriasis. More work is necessary before these modalities should be recommended to our patients. |
Publication | Journal of the American Academy of Dermatology |
Volume | 61 |
Issue | 5 |
Pages | 841-856 |
Date | November 2009 |
DOI | 10.1016/j.jaad.2009.04.029 |
ISSN | 0190-9622 |
Short Title | Complementary and alternative medicine for psoriasis |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6WM8-4WXXV37-3/2/86fd5b1a427cc1eb59b823c687578c2f |
Accessed | Monday, November 23, 2009 8:56:35 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:04:55 AM |
Modified | Thursday, September 29, 2011 9:04:55 AM |
Type | Journal Article |
---|---|
Author | Jill Snodgrass |
Abstract | This article presents a theoretical approach to a spiritually integrated cognitive behavioral therapy for older adults, by formulating a modified style of assessment, formulation, beginning therapy, cognitive restructuring, behavior modification, and termination. |
Publication | Journal of Religion, Spirituality & Aging |
Volume | 21 |
Issue | 3 |
Pages | 219 |
Date | July 2009 |
DOI | 10.1080/15528030902803913 |
ISSN | 1552-8030 |
Short Title | Toward Holistic Care |
URL | http://www.informaworld.com/10.1080/15528030902803913 |
Accessed | Saturday, September 26, 2009 5:15:16 PM |
Library Catalog | Informaworld |
Date Added | Thursday, September 29, 2011 9:06:02 AM |
Modified | Thursday, September 29, 2011 9:06:02 AM |
Type | Journal Article |
---|---|
Author | Mariah Snyder |
Author | Joanne Wieland |
Abstract | Nurses have used complementary therapies for many years to relieve anxiety, promote comfort, and reduce or alleviate pain. The therapies described in this article are examples of the many therapies available for nurses to consider when planning care for patients with chronic pain. The increasing body of scientific knowledge is providing more guidance about the efficacy of specific therapies. As with all interventions, ongoing evaluation about the effectiveness of a therapy for each patient is an important component of quality nursing care. Complementary therapies provide an avenue for nurses to be autonomous in furthering the relief of chronic pain, as many of these therapies fall within the domain of nursing. Incorporating selected therapies into the plan of care provides multiple opportunities for nurses to demonstrate caring, a premier characteristic of nursing. A number of the complementary therapies, such as journaling, hand massage, and imagery, can be taught to patients and their families, thus promoting self-care. Anecdotal evidence and findings from numerous smaller studies provide some support for the use of many complementary therapies to manage chronic pain or their use as adjuncts in the treatment regimen. Still, the nurse must weigh the risks and benefits before suggesting a therapy to a patient. Evaluating the effectiveness of the complementary therapy to promote comfort in patients with chronic pain is essential. Obtaining this information is not only critical to the care of a particular patient, but these data will assist nurses in learning more about specific therapies. Most importantly, nurses need to pursue research to further the scientific basis for many of the complementary therapies. |
Publication | The Nursing Clinics of North America |
Volume | 38 |
Issue | 3 |
Pages | 495-508 |
Date | Sep 2003 |
Journal Abbr | Nurs. Clin. North Am |
ISSN | 0029-6465 |
Short Title | Complementary and alternative therapies |
URL | http://www.ncbi.nlm.nih.gov/pubmed/14567205 |
Accessed | Thursday, November 12, 2009 11:37:02 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 14567205 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
Nurses have used complementary therapies for many years to relieve anxiety, promote comfort, and reduce or alleviate pain. The therapies described in this article are examples of the many therapies available for nurses to consider when planning care for patients with chronic pain.
Type | Journal Article |
---|---|
Author | K L Soeken |
Author | V J Carson |
Abstract | The steps of the nursing process apply to needs of the spirit as well as body and mind. Several nurses have provided guidelines for assessing spiritual needs. Stoll, for example, considers four areas of concern: the person's concept of God; source of strength and hope; significance of religious practices and rituals; and perceived relationship between spiritual beliefs and state of health. In approaching the patient about these four areas, it is important for the nurse to clearly articulate the purpose in seeking such information. For instance, a nurse might explain to a patient that research has demonstrated the positive relationship of spiritual concerns to a patient's ability to cope with chronic illness. Because the nurse is interested in assisting the patient to identify, strengthen, and develop a variety of coping strategies, spiritually related data are relevant to the patient's care. Having collected data from the patients, a nursing diagnosis can be made. Spiritual concerns, spiritual distress, and spiritual despair have been included in the accepted classification system. Meeting the spiritual needs of patients can be uncomfortable for the nurse. Several reasons for such discomfort include embarrassment, the belief that it is not the nurse's role, lack of training, and the lack of own spiritual resources. Experience with an elective course in spirituality for undergraduate nursing students would support the value of offering training. Discussing God-related issues can assist a health care professional to clarify a personal spiritual position.(ABSTRACT TRUNCATED AT 250 WORDS) |
Publication | The Nursing Clinics of North America |
Volume | 22 |
Issue | 3 |
Pages | 603-611 |
Date | Sep 1987 |
Journal Abbr | Nurs. Clin. North Am |
ISSN | 0029-6465 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/3649794 |
Accessed | Thursday, November 12, 2009 5:10:33 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 3649794 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Type | Book |
---|---|
Author | Phyllis Ann Solari-Twadell |
Author | Mary Ann McDermott |
Abstract | Published in its first edition by the International Parish Nurse Resource Centre, Parish Nursing provides a variety of perspectives of faith community nursing roles and practice. Parish Nursing should find interested readers among scholars, students, and advanced practitioners in community and public health nursing. While the book had its initial roots in the Lutheran General Care System, it is a useful reference for nurses of all faiths. |
Publisher | SAGE |
Date | 1999-01-11 |
# of Pages | 348 |
Language | en |
ISBN | 9780761911838 |
Short Title | Parish nursing |
Library Catalog | Google Books |
Date Added | Tuesday, December 13, 2011 7:42:28 PM |
Modified | Tuesday, December 13, 2011 7:42:28 PM |
Type | Book |
---|---|
Author | John W Spencer |
Author | Joseph J Jacobs |
Place | St. Louis |
Publisher | Mosby |
Date | 1999 |
ISBN | 0815129890 |
Short Title | Complementary/Alternative Medicine |
Library Catalog | library.bu.edu Library Catalog |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This comprehensive, evidence-based resource examines current clinical research on complementary and alternative medicine. It includes updated material and new chapters on legal and ethical issues; integration of clinical practice; and medical training with complementary, alternative and evidence-based medicine. A useful reference for physicians, healthcare providers and scientists.
Type | Journal Article |
---|---|
Author | Len Sperry |
Abstract | Like many psychological topics, psychotherapy that is sensitive to spiritual issues can be viewed from both materialist and postmaterialist perspectives. After a brief discussion of some scientific and philosophical considerations distinguishing materialist and postmaterialist views, a 4-level model of consciousness and its theoretical and practice implications for spirituality sensitive psychotherapy is described. Well-being therapy, which reflects a postmaterialist perspective, is described and illustrated with case material. (PsycINFO Database Record (c) 2010 APA, all rights reserved). (from the journal abstract) |
Publication | Psychology of Religion and Spirituality |
Volume | 2 |
Issue | 1 |
Pages | 46-56 |
Date | February 2010 |
DOI | 10.1037/a0018549 |
ISSN | 1941-1022 |
Short Title | Psychotherapy sensitive to spiritual issues |
Accessed | Saturday, March 06, 2010 10:24:39 AM |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | David Spiegel |
Abstract | The implications and effects of the French commission that passed judgment on Mesmer's work is examined in light of the pioneering role of hypnosis as the first Western conception of a psychotherapy, the ancient philosophical debate between idealism and empiricism, and the conflict in modern medicine between biotechnological emphasis on cure and the need for care as many previously terminal illnesses are converted to chronic diseases. The panel's report is interpreted as negative about the literal theory of animal magnetism but actually supportive of the potential therapeutic power of suggestion and "positive thinking." This aspect of hypnosis is described as a forerunner of modern cognitive therapies of depression and other illnesses. The panel exerted a constructive effect in applying scientific method and rigorous evaluation to hypnotic treatment, an application of Enlightenment philosophy that presaged the Flexner era in modern medicine. Both hypnosis and medicine ultimately benefited. |
Publication | The International Journal of Clinical and Experimental Hypnosis |
Volume | 50 |
Issue | 4 |
Pages | 397-406 |
Date | Oct 2002 |
Journal Abbr | Int J Clin Exp Hypn |
ISSN | 0020-7144 |
Short Title | Mesmer minus magic |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12362955 |
Accessed | Tuesday, November 10, 2009 1:42:52 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12362955 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
The implications and effects of the French commission that passed judgment on Mesmer’s work is examined in light of the pioneering role of hypnosis as the first Western conception of a psychotherapy, the ancient philosophical debate between idealism and empiricism, and the conflict in modern medicine between biotechnological emphasis on cure and the need for care as many previously terminal illnesses are converted to chronic diseases. The panel’s report is interpreted as negative about the literal theory of animal magnetism but actually supportive of the potential therapeutic power of suggestion and “positive thinking.” This aspect of hypnosis is described as a forerunner of modern cognitive therapies of depression and other illnesses. The panel exerted a constructive effect in applying scientific method and rigorous evaluation to hypnotic treatment, an application of Enlightenment philosophy that presaged the Flexner era in modern medicine. Both hypnosis and medicine ultimately benefited.
Type | Book |
---|---|
Author | Bob Stahl |
Place | Oakland, Calif. |
Publisher | New Harbinger Publications |
Date | 2010 |
ISBN | 9781572247086 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | Cecily Wellelr Stang |
Abstract | Is the use of intercessory prayer (IP) in modern nursing a valid practice? As discussed in current healthcare literature, IP is controversial, with authors offering support for and against the efficacy of the practice. This article reviews IP literature and research, concluding IP is a valid intervention for Christian nurses. |
Publication | Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship |
Volume | 28 |
Issue | 2 |
Pages | 92-95 |
Date | 2011 Apr-Jun |
Journal Abbr | J Christ Nurs |
ISSN | 0743-2550 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21473193 |
Accessed | Monday, May 09, 2011 7:04:27 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21473193 |
Date Added | Thursday, September 29, 2011 8:55:49 AM |
Modified | Thursday, September 29, 2011 8:55:49 AM |
Type | Journal Article |
---|---|
Author | Rainer Stange |
Author | Robert Amhof |
Author | Susanne Moebus |
Abstract | OBJECTIVE: To generate valid data on attitudes about complementary and alternative medicine (CAM) as well as patterns of use in a large stochastic sample of general practitioner physicians and specialists. DESIGN: Cross-sectional survey in a large random sample of 516 German outpatient care physicians with qualifications in 13 medical fields representative of a basic population of 118,085 statutory health insurance physicians. MATERIALS AND METHODS: Telephone interviews with 36 wide-ranging questions about CAM attitudes and preferred techniques were conducted in November and December 2005 as part of a national healthcare survey. RESULTS: In our sample, 51% were in favor of CAM use (26% were very much in favor, 25% were in favor). The methods most frequently prescribed (combining answers for "very often" and "at times") were physical therapy (71%), phytomedicine (67%), exercise (63%), nutrition and dieting (62%), massage (61%), relaxation techniques (55%), followed by more typical CAM interventions such as homeopathy (38%), acupuncture (37%), and traditional Chinese medicine (18%). Primary care physicians were significantly more inclined to use CAM than were specialists. No striking differences were observed with respect to gender or age. CONCLUSIONS: This survey demonstrates a broader acceptance and practice of CAM by physicians than hitherto believed. Methods traditionally known as "natural medicine" were more frequently used than more typical CAM procedures. Further research should focus on physicians' differing motivations and observed results. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 14 |
Issue | 10 |
Pages | 1255-1261 |
Date | Dec 2008 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0306 |
ISSN | 1557-7708 |
Short Title | Complementary and alternative medicine |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19123879 |
Accessed | Monday, November 09, 2009 12:55:31 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19123879 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objective: To generate valid data on attitudes about complementary and alternative medicine (CAM) as well as patterns of use in a large stochastic sample of general practitioner physicians and specialists. Design: Cross-sectional survey in a large random sample of 516 German outpatient care physicians with qualifications in 13 medical fields representative of a basic population of 118,085 statutory health insurance physicians. Materials and Methods: Telephone interviews with 36 wide-ranging questions about CAM attitudes and preferred techniques were conducted in November and December 2005 as part of a national healthcare survey. Results: In our sample, 51% were in favor of CAM use (26% were very much in favor, 25% were in favor). The methods most frequently prescribed (combining answers for “very often” and “at times”) were physical therapy (71%), phytomedicine (67%), exercise (63%), nutrition and dieting (62%), massage (61%), relaxation techniques (55%), followed by more typical CAM interventions such as homeopathy (38%), acupuncture (37%), and traditional Chinese medicine (18%). Primary care physicians were significantly more inclined to use CAM than were specialists. No striking differences were observed with respect to gender or age. Conclusions: This survey demonstrates a broader acceptance and practice of CAM by physicians than hitherto believed. Methods traditionally known as “natural medicine” were more frequently used than more typical CAM procedures. Further research should focus on physicians’ differing motivations and observed results.
Type | Journal Article |
---|---|
Author | Susan Stranahan |
Abstract | This paper explores the use of dreams in the context of pastoral care. Although many people dream and consider their dreams to hold some significant spiritual meaning, spiritual care providers have been reluctant to incorporate patients' dreams into the therapeutic conversation. Not every dream can be considered insightful, but probing the meaning of some dreams can enhance spiritual care practice. Hill's Cognitive-Experimental Dream Interpretation Model is applied in the current article as a useful framework for exploring dreams, gaining insight about spiritual problems, and developing a therapeutic plan of action. Bulkeley's criteria for dream interpretation were used to furnish safeguards against inappropriate application of dream interpretation to spiritual assessment and interventions. |
Publication | Journal of Health Care Chaplaincy |
Volume | 17 |
Issue | 1 |
Pages | 87-94 |
Date | Jan 2011 |
Journal Abbr | J Health Care Chaplain |
DOI | 10.1080/08854726.2011.559862 |
ISSN | 1528-6916 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21534069 |
Accessed | Wednesday, June 08, 2011 6:54:59 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21534069 |
Date Added | Thursday, September 29, 2011 8:55:16 AM |
Modified | Thursday, September 29, 2011 8:55:16 AM |
This article encourages discussion of dreams as a part of therapeutic care of patients by pastoral care providers. Specifically, it suggests that Hill's Cognitive-Experimental Dream Interpretation Model is useful for practitioners to explore dreams with patients, gaining insight about spiritual problems, and developing a course of action.
Type | Journal Article |
---|---|
Author | S Stranahan |
Abstract | The purpose of the nonexperimental study was to examine the relationships among spiritual perception, attitudes about spiritual care, and spiritual care practices in nurse practitioners. Attitudes about providing spiritual care and spiritual care practices have been studied among nurse generalists, but little research has been conducted on nurses in advanced practice. All nurse practitioners registered by the state of Indiana were sent Reed's Spiritual Perspective Scale (SPS) and a modified version of the Nurses' Spiritual Care Perspectives Scale developed by Taylor, Highfield, and Amenta. Pearson correlation techniques were used to test for significant relationships. Statistically positive relationships were between perception of personal spirituality and 9 of the 12 spiritual care practices. Eight of the 13 items describing attitude toward providing spiritual care were statistically significant with the SPS. Implications of the findings are discussed. |
Publication | Western Journal of Nursing Research |
Volume | 23 |
Issue | 1 |
Pages | 90-104 |
Date | Feb 2001 |
Journal Abbr | West J Nurs Res |
ISSN | 0193-9459 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11216028 |
Accessed | Thursday, November 12, 2009 8:47:12 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11216028 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
The purpose of the nonexperimental study was to examine the relationships among spiritual perception, attitudes about spiritual care, and spiritual care practices in nurse practitioners. Attitudes about providing spiritual care and spiritual care practices have been studied among nurse generalists, but little research has been conducted on nurses in advanced practice.
Type | Journal Article |
---|---|
Author | Daniel P Sulmasy |
Abstract | Interest in the relationship between spirituality, religion, and clinical care has increased in the last 15 years, but clinicians need more concrete guidance about this topic. This article defines spirituality and religion, identifies the fundamental spiritual issues that serious illness raises for patients, and argues that physicians have a moral obligation to address patients' spiritual concerns. Religions often provide patients with specific moral guidance about a variety of medical issues and prescribe rituals that are important to patients. Religious coping can be both positive and negative, and it can impact patient care. This article provides concrete advice about taking a spiritual history, ethical boundaries, whether to pray with patients, and when to refer patients to chaplains or to their own personal clergy. |
Publication | Chest |
Volume | 135 |
Issue | 6 |
Pages | 1634-1642 |
Date | Jun 2009 |
Journal Abbr | Chest |
DOI | 10.1378/chest.08-2241 |
ISSN | 1931-3543 |
Accessed | Tuesday, February 22, 2011 6:58:26 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19497898 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | R E Svoboda |
Abstract | Modern medical science is currently in the throes of a revolution which is likely to have a dramatic impact on both the theory of medicine and the way it is practised. The mechanistic model which served biomedicine well for many years is gradually collapsing, thanks to the efforts of dedicated researchers who have looked beyond that model's flaws. Thus we now know that networks of chemical communication exist between the nervous and immune systems, and that prayer at a distance can positively affect the conditions of those who are seriously ill, even when the prayer and the patient are not known to one another. Another participant in this exciting climate of change and ferment is Ayurveda, India's ancient medical system. While Ayurveda has already contributed much to modern medicine (reserpine, gugulipid, plastic surgery), its real contributions are yet to be made. While some of these are likely to come in matters of materia medica and technique, most will likely be derived from Ayurveda's way of seeing the world, its "darshana." This paper outlines a few of the ways in which Ayurveda's "vision" is likely to facilitate medicine's ability to teach people not just how to avoid disease but how to proactively develop and maintain a healthy "state." |
Publication | Indian Journal of Medical Sciences |
Volume | 52 |
Issue | 2 |
Pages | 70-77 |
Date | Feb 1998 |
Journal Abbr | Indian J Med Sci |
ISSN | 0019-5359 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/9770867 |
Accessed | Monday, November 02, 2009 2:43:31 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9770867 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Modern medical science is currently in the throes of a revolution which is likely to have a dramatic impact on both the theory of medicine and the way it is practised. The mechanistic model which served biomedicine well for many years is gradually collapsing, thanks to the efforts of dedicated researchers who have looked beyond that model’s flaws. Thus we now know that networks of chemical communication exist between the nervous and immune systems, and that prayer at a distance can positively affect the conditions of those who are seriously ill, even when the prayer and the patient are not known to one another. Another participant in this exciting climate of change and ferment is Ayurveda, India’s ancient medical system. While Ayurveda has already contributed much to modern medicine (reserpine, gugulipid, plastic surgery), its real contributions are yet to be made. While some of these are likely to come in matters of materia medica and technique, most will likely be derived from Ayurveda’s way of seeing the world, its “darshana.” This paper outlines a few of the ways in which Ayurveda’s “vision” is likely to facilitate medicine’s ability to teach people not just how to avoid disease but how to proactively develop and maintain a healthy “state.”
Type | Journal Article |
---|---|
Author | Jean Swinney |
Author | Cecilia Anson‐Wonkka |
Author | Elizabeth Maki |
Author | Jeannette Corneau |
Abstract | In central Massachusetts a large urban parish asked the University of Massachusetts, Amherst School of Nursing to conduct a community assessment for the church and newly employed parish nurse. The aims of the assessment were: to determine the health status of parishioners, identify their perceived health needs and perceived barriers in meeting those needs, and to assist the church and parish nurse in developing a health program for their faith community. |
Publication | Public Health Nursing |
Volume | 18 |
Issue | 1 |
Pages | 40-44 |
Date | 2001/01/01 |
Language | en |
DOI | 10.1111/j.1525-1446.2001.00040.x |
ISSN | 1525-1446 |
Short Title | Community Assessment |
URL | http://onlinelibrary.wiley.com.ezproxy.bu.edu/doi/10.1111/j.1525-1446.2001.00040.x/abstract |
Accessed | Tuesday, December 13, 2011 7:49:39 PM |
Library Catalog | Wiley Online Library |
Date Added | Tuesday, December 13, 2011 7:49:39 PM |
Modified | Tuesday, December 13, 2011 7:49:39 PM |
Type | Journal Article |
---|---|
Author | John Swinton |
Abstract | AIMS: This paper explores certain key critiques of spirituality-in-nursing as they have been offered by people outside of the discipline. It argues that nurses have not taken seriously enough the recent criticism of the nature and role of spirituality in nursing. Not to listen to the 'enemies' of spirituality-in-nursing is to risk stagnation and a drift into obscurity. BACKGROUND: The area of spirituality has become a growing field of interest for nurses and has produced a burgeoning body of research literature. Yet, whilst much has been written about the positive aspects of spirituality, nurses have offered almost no critique of the ways in which spirituality and spiritual care are understood, despite the fact that there are clearly certain key issues that require robust critique and thoughtful reflection. Almost all of the major criticisms of spirituality-in-nursing have come from people outside of the discipline of nursing. The paper argues that nurses need to listen carefully to the criticisms of spirituality and spiritual care offered by the 'enemies' of spiritual care in nursing. When listened to constructively, they highlight issues that are vital for the development and forward movement of this important area of nursing practice. METHODS: Literature review and critical reflection on current critiques of spirituality in nursing practice. CONCLUSIONS: The paper concludes that nurses need to begin to develop spirituality as a specific field of enquiry with its own bodies of knowledge, methodologies, assumptions and core disciplines. RELEVANCE TO CLINICAL PRACTICE: In listening to and taking seriously its 'enemies', nursing has the opportunity to establish spirituality as an important, creative and vibrant aspect of nursing practice that has the capacity to grow and respond constructively to its 'enemies', in ways that make whole-person-care a real possibility. |
Publication | Journal of Clinical Nursing |
Volume | 15 |
Issue | 7 |
Pages | 918-928 |
Date | Jul 2006 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2006.01651.x |
ISSN | 0962-1067 |
Short Title | Identity and resistance |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16879384 |
Accessed | Friday, November 13, 2009 4:46:49 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16879384 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
This paper explores certain key critiques of spirituality-in-nursing as they have been offered by people outside of the discipline. It argues that nurses have not taken seriously enough the recent criticism of the nature and role of spirituality in nursing. Not to listen to the ‘enemies’ of spirituality-in-nursing is to risk stagnation and a drift into obscurity.
Type | Journal Article |
---|---|
Author | John Swinton |
Author | Stephen Pattison |
Abstract | Spirituality is a highly contested concept. Within the nursing literature, there are a huge range and diversity of definitions, some of which appear coherent whereas others seem quite disparate and unconnected. This vagueness within the nursing literature has led some to suggest that spirituality is so diverse as to be meaningless. Are the critics correct in asserting that the vagueness that surrounds spirituality invalidates it as a significant aspect of care? We think not. It is in fact the vagueness of the concept that is its strength and value. In this paper, we offer a critique of the general apologetic that surrounds the use of the language of spirituality in nursing. With the critics, we agree that the term 'spirituality' is used in endlessly different and loose ways. Similarly, we agree that these varied definitions may not refer to constant essences or objects within people or in the world. However, we fundamentally disagree that this makes spirituality irrelevant or of little practical utility. Quite the opposite; properly understood, the vagueness and lack of clarity around the term spirituality is actually a strength that has powerful political, social, and clinical implications. We develop an understanding of spirituality as a way of naming absences and recognizing gaps in healthcare provision as well as a prophetic challenge to some of the ways in which we practise health care within a secular and sometimes secularizing context such as the National Health Service. |
Publication | Nursing Philosophy: An International Journal for Healthcare Professionals |
Volume | 11 |
Issue | 4 |
Pages | 226-237 |
Date | Oct 2010 |
Journal Abbr | Nurs Philos |
DOI | 10.1111/j.1466-769X.2010.00450.x |
ISSN | 1466-769X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20840134 |
Accessed | Monday, November 15, 2010 3:02:08 PM |
Date Added | Thursday, September 29, 2011 8:59:59 AM |
Modified | Thursday, September 29, 2011 8:59:59 AM |
Type | Journal Article |
---|---|
Author | Ruth A Tanyi |
Abstract | BACKGROUND: Rhetoric about spirituality and nursing has greatly increased, as scientific-based approaches are not fully able to address many human problems, such as persistent pain. Despite the renewed interest and growing literature on spirituality, there is no consensus on a definition of this concept. There is also ambiguity on how this concept is incorporated into nursing practice, research, and education. AIM: This paper aims to contribute toward clarification of the meaning of spirituality in relevance to health and nursing today through a conceptual analysis process. METHODS: Information was obtained through dictionary definitions and electronic database searches of literature on spirituality spanning the past 30 years. The criteria for selection included scholarly articles and books with a definition of spirituality, and research studies that investigated the meaning of spirituality to individuals' health. A total of 76 articles and 19 books were retrieved for this analysis. FINDINGS: Spirituality is an inherent component of being human, and is subjective, intangible, and multidimensional. Spirituality and religion are often used interchangeably, but the two concepts are different. Spirituality involves humans' search for meaning in life, while religion involves an organized entity with rituals and practices about a higher power or God. Spirituality may be related to religion for certain individuals, but for others, such as an atheist, it may not be. CONCLUSION: In order to provide clarity and enhance understanding of this concept, this analysis delineates antecedents, attributes, constructed case examples, empirical referents, and consequences of spirituality. A proposed definition of spirituality emerged from this process, which may be applied broadly. Implications for nursing practice, education, and research are discussed. |
Publication | Journal of Advanced Nursing |
Volume | 39 |
Issue | 5 |
Pages | 500-509 |
Date | Sep 2002 |
Journal Abbr | J Adv Nurs |
ISSN | 0309-2402 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12175360 |
Accessed | Thursday, November 12, 2009 9:46:54 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12175360 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
This paper aims to contribute toward clarification of the meaning of spirituality in relevance to health and nursing today through a conceptual analysis process.
Type | Journal Article |
---|---|
Author | Ruth A Tanyi |
Author | Monica McKenzie |
Author | Cynthia Chapek |
Abstract | PURPOSE: To investigate how primary care family practice providers incorporate spirituality into their practices in spite of documented barriers. DATA SOURCES: A phenomenological qualitative design was used. Semi-structured interviews were conducted with three physicians, five nurse practitioners, and two physician assistants. CONCLUSIONS: Five major theme clusters emerged: (1) discerning instances for overt spiritual assessment; (2) displaying a genuine and caring attitude; (3) encouraging the use of existing spiritual practices; (4) documenting spiritual care for continuity of care; (5) managing perceived barriers to spiritual care. IMPLICATIONS FOR PRACTICE: Findings support that patients' spiritual needs can be addressed in spite of documented barriers. Techniques to assist providers in providing spiritual care are discussed and directions for future research are suggested. |
Publication | Journal of the American Academy of Nurse Practitioners |
Volume | 21 |
Issue | 12 |
Pages | 690-697 |
Date | Dec 2009 |
Journal Abbr | J Am Acad Nurse Pract |
DOI | 10.1111/j.1745-7599.2009.00459.x |
ISSN | 1745-7599 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19958420 |
Accessed | Monday, December 28, 2009 2:53:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19958420 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Margaret J Tarpley |
Author | John L Tarpley |
Abstract | The spiritual dimensions of surgical palliative care encompass recognition of mortality (physician and patient); knowledge of moral and ethical dilemmas of medical decision making; respect for each individual and for all belief systems; responsibility to remain physically and psychologically present for the patient and family; and knowledge of when chaplains, palliative care professionals, or social workers should be consulted. Certain aspects of surgical palliative care distinguish it from palliative care in other medical disciplines such as the 2 definitions (palliative procedure and palliative care), treating a disproportionate share of patients who suffer unforeseen tragic events, and the surgical system. |
Publication | The Surgical Clinics of North America |
Volume | 91 |
Issue | 2 |
Pages | 305-315 |
Date | Apr 2011 |
Journal Abbr | Surg. Clin. North Am |
DOI | 10.1016/j.suc.2010.12.007 |
ISSN | 1558-3171 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21419253 |
Accessed | Monday, May 09, 2011 7:05:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21419253 |
Date Added | Thursday, September 29, 2011 8:55:49 AM |
Modified | Thursday, September 29, 2011 8:55:49 AM |
Type | Journal Article |
---|---|
Author | E J Taylor |
Abstract | OBJECTIVES: To briefly discuss the nature and function of stories that patients tell, and offer practical tips on how to listen and make sense of these stories. DATA SOURCES: Books and articles from disciplines in the humanities and health care professions. CONCLUSION: Stories are a medium for assessment and intervention in areas that essentially reflect an individual's spirituality. IMPLICATIONS FOR NURSING PRACTICE: Encouraging storytelling is an intervention nurses can use to promote spiritual health. Suggestions for eliciting and analyzing stories are offered. |
Publication | Seminars in Oncology Nursing |
Volume | 13 |
Issue | 4 |
Pages | 252-254 |
Date | Nov 1997 |
Journal Abbr | Semin Oncol Nurs |
ISSN | 0749-2081 |
Short Title | The story behind the story |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9392032 |
Accessed | Thursday, November 12, 2009 5:39:26 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9392032 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Objectives To briefly discuss the nature and function of stories that patients tell, and offer practical tips on how to listen and make sense of these stories. Conclusion: Stories are a medium for assessment and intervention in areas that essentially reflect an individual’s spirituality.
Type | Journal Article |
---|---|
Author | Bev Taylor |
Abstract | Complementary therapies augment nursing and midwidfery practice, but they do not necessarily make it holistic, nor is that practice guaranteed of being based on systematic reflection. This article argues the need for holistic nursing and midwifery to be based on reflective processes, enabling continual development and renewal of the person and practitioner. Practical hints are suggested to assist nurses and midwives in becoming reflective, thereby increasing the likelihood of incorporating complementary therapies while practising holistically. |
Publication | Complementary Therapies in Nursing & Midwifery |
Volume | 8 |
Issue | 2 |
Pages | 62-68 |
Date | May 2002 |
Journal Abbr | Complement Ther Nurs Midwifery |
DOI | 10.1054/ctnm.2001.0595 |
ISSN | 1353-6117 |
Short Title | Becoming a reflective nurse or midwife |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12188159 |
Accessed | Thursday, November 12, 2009 9:45:57 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12188159 |
Date Added | Saturday, October 01, 2011 3:42:51 PM |
Modified | Saturday, October 01, 2011 3:42:51 PM |
Complementary therapies augment nursing and midwidfery practice, but they do not necessarily make it holistic, nor is that practice guaranteed of being based on systematic reflection. Practical hints are suggested to assist nurses and midwives in becoming reflective, thereby increasing the likelihood of incorporating complementary therapies while practising holistically.
Type | Journal Article |
---|---|
Author | E J Taylor |
Author | M Amenta |
Abstract | Because attitudes and beliefs about spiritual care have been linked with spiritual caregiving practices in previous research among non-hospice nurses, and because little is known about hospice nurses' attitudes and beliefs about spiritual care, this study explored such attitudes and beliefs among hospice nurses. Data were obtained from 641 Hospice Nurses Association members who completed the Spiritual Care Perspectives Survey and a demographic form. While respondents rather uniformly agreed that patients had spiritual needs and that it was appropriate for nurses to attend to such needs, attitudes about how a nurse should relate to patients' spirituality were variable. Education and indicators reflecting personal religiosity were associated with these hospice nurses' attitudes and beliefs about spiritual care. |
Publication | The American Journal of Hospice & Palliative Care |
Volume | 11 |
Issue | 6 |
Pages | 28-35 |
Date | 1994 Nov-Dec |
Journal Abbr | Am J Hosp Palliat Care |
ISSN | 1049-9091 |
Short Title | Midwifery to the soul while the body dies |
URL | http://www.ncbi.nlm.nih.gov/pubmed/7893565 |
Accessed | Thursday, November 12, 2009 5:27:07 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 7893565 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
Because attitudes and beliefs about spiritual care have been linked with spiritual caregiving practices in previous research among non-hospice nurses, and because little is known about hospice nurses’ attitudes and beliefs about spiritual care, this study explored such attitudes and beliefs among hospice nurses. While respondents rather uniformly agreed that patients had spiritual needs and that it was appropriate for nurses to attend to such needs, attitudes about how a nurse should relate to patients’ spirituality were variable.
Type | Journal Article |
---|---|
Author | Elizabeth Johnston Taylor |
Author | Mark F Carr |
Abstract | Nurses' religious beliefs influence their motivations and perspectives, including their practice of ethics in nursing care. When the impact of these beliefs is not recognized, great potential for unethical nursing care exists. Thus, this article examines how the theology of one religious tradition, Seventh-day Adventism (SDA), could affect nurses. An overview of SDA history and beliefs is presented, which explains why 'medical missionary' work is central to SDAs. Theological foundations that would permeate an SDA nurse's view of the nursing metaparadigm concepts of person, health, environment (i.e. community), and nursing (i.e. service) are presented. The ethical principles guiding SDA nurses (i.e. principled, case-based, and care ethics) and the implications of these theological foundations for nurses are noted in a case study. |
Publication | Nursing Ethics |
Volume | 16 |
Issue | 6 |
Pages | 707-718 |
Date | Nov 2009 |
Journal Abbr | Nurs Ethics |
DOI | 10.1177/0969733009343135 |
ISSN | 1477-0989 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19889912 |
Accessed | Monday, November 23, 2009 8:16:44 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19889912 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Dan Taylor |
Author | Madhuri S. Mulekar |
Author | Arnold Luterman |
Author | Frederick N. Meyer |
Author | William O. Richards |
Author | Charles B. Rodning |
Abstract | Objective To assess the attitudes of general and orthopaedic surgical outpatients regarding inquiry into their religious beliefs, spiritual practices, and personal faith.Design Prospective, voluntary, self-administered, and anonymously-completed questionnaire, regarding religious beliefs, spiritual practices, and personal faith, March-August, 2009.Setting General and orthopaedic surgical outpatient settings, Health Services Foundation, College of Medicine, University of South Alabama, a tertiary care academic medical center in Mobile, Alabama.Participants All patients referred for evaluation and management of general and orthopaedic surgical conditions, pre- and postoperatively, were approached.Methodology The questionnaire solicited data regarding patient: (1) demographics; (2) religious beliefs, spiritual practices, and personal faith; and (3) opinions regarding inquiry into those subjects by their surgeon. The latter opinions were stratified on a 5-point Likert scale ranging from "strongly disagree" to "strongly agree." Statistical analysis was conducted using software JMP® 8 Statistical Discovery Software (S.A.S. Institute Inc., Cary, North Carolina) and a 5% probability level was used to determine significance of results.Results Eighty-three percent (83%) of respondents agreed or strongly agreed that surgeons should be aware of their patients' religiosity and spirituality; 63% concurred that surgeons should take a spiritual history; and 64% indicated that their trust in their surgeon would increase if they did so. Nevertheless, 17%, 37%, and 36% disagreed or strongly disagreed with those perspectives, respectively.Conclusions By inference to the best explanation of the results, we would argue that religiosity and spirituality are inherent perspectives of patient-surgeon relationships. Consequently, those perspectives are germane to the therapeutic milieu. Therefore, discerning each patient's perspective in those regards is warranted in the context of an integrative and holistic patient-surgeon relationship, the intent of which is to restore a patient to health and well-being. |
Publication | Journal of Surgical Education |
Volume | 68 |
Issue | 1 |
Pages | 36-43 |
Date | January |
DOI | 10.1016/j.jsurg.2010.08.007 |
ISSN | 1931-7204 |
Accessed | Tuesday, February 15, 2011 7:02:10 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
Type | Journal Article |
---|---|
Author | Justin Thomas |
Author | Saquab Ashraf |
Abstract | Many of the defining principles and techniques used within contemporary cognitive therapy are congruent with basic Islamic values, and in some cases they are highly resonant with specific Islamic directives aimed at shaping human cognition and behaviour. Several previous authors concur on this point, suggesting a particularly good fit between cognitive therapy and the Islamic tradition relative to other forms of psychotherapeutic intervention. This paper explores the process of cognitive therapy and the models of depression upon which it is based, highlighting areas of resonance and dissonance with Islamic thought. The paper advocates the development of cognitive behavioural psychotherapeutic content and technique informed by Islamic tradition. We argue that such spiritually and culturally attuned interventions, in many cases, will be more appropriate and clinically effective for clients with world views shaped by Islam. [ABSTRACT FROM AUTHOR] |
Publication | Mental Health, Religion & Culture |
Volume | 14 |
Issue | 2 |
Pages | 183-190 |
Date | February 2011 |
DOI | 10.1080/13674676.2010.517190 |
ISSN | 13674676 |
Library Catalog | EBSCOhost |
Date Added | Thursday, September 29, 2011 8:57:14 AM |
Modified | Thursday, September 29, 2011 8:57:14 AM |
Type | Journal Article |
---|---|
Author | Ian Thompson |
Abstract | BACKGROUND: Achieving holistic care is an important goal for nurses. While much is made of the bio-psychosocial model of holistic care, reflecting the allopathic bias inherent in the Western medical model, the issue of spirituality is mostly neglected. Where acknowledged, spirituality is often limited to recording the client's religion. This article asserts that religion and spirituality are not synonymous, although spirituality might sometimes be reflected through religious practices. CONCLUSION: With the move towards provision of modern mental health services in the community, the community mental health nurse will increasingly care for individuals for whom the spiritual is part of their daily lives and not a symptom of their illness. This is set against the backdrop of a multicultural society and as such will call for holistic nursing skills. |
Publication | Nursing Standard (Royal College of Nursing (Great Britain): 1987) |
Volume | 17 |
Issue | 9 |
Pages | 33-38 |
Date | 2002 Nov 13-19 |
Journal Abbr | Nurs Stand |
ISSN | 0029-6570 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12478921 |
Accessed | Thursday, November 12, 2009 10:21:20 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12478921 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
With the move towards provision of modern mental health services in the community, the community mental health nurse will increasingly care for individuals for whom the spiritual is part of their daily lives and not a symptom of their illness.
Type | Journal Article |
---|---|
Author | J E Thomson |
Abstract | There is an increasing awareness of, and interest in the relationship between spirituality and health. This research examines spiritual well-being as one of six components of hospice patients' overall quality of life. Patients admitted over a four-month period were surveyed, using the Functional Assessment of Cancer Therapy scale (FACT-G), at admission, one month later, three months later, and six months later. Data showed spiritual well-being to be an important contributor to overall quality of life. The article concludes by advocating that providing spiritual care to hospice patients makes good business sense. |
Publication | The Hospice Journal |
Volume | 15 |
Issue | 2 |
Pages | 13-27 |
Date | 2000 |
Journal Abbr | Hosp J |
ISSN | 0742-969X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11271157 |
Accessed | Thursday, November 12, 2009 8:55:21 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11271157 |
Date Added | Saturday, October 01, 2011 3:44:04 PM |
Modified | Saturday, October 01, 2011 3:44:04 PM |
This research examines spiritual well-being as one of six components of hospice patients’ overall quality of life. Patients admitted over a four-month period were surveyed, using the Functional Assessment of Cancer Therapy scale (FACT-G), at admission, one month later, three months later, and six months later. Data showed spiritual well-being to be an important contributor to overall quality of life.
Type | Journal Article |
---|---|
Author | Carl Thoresen |
Author | Alex Harris |
Abstract | Abstract In this article, we familiarize readers with some recent empirical evidence about possible associations between religious and/or spiritual (RS) factors and health outcomes. In considering this evidence, we believe a healthy skepticism is in order. One needs to remain open to the possibility that RS-related beliefs and behaviors may influence health, yet one needs empirical evidence based on well-controlled studies that support these claims and conclusions. We hope to introduce the dismissing critic to suggestive data that may create tempered doubt and to introduce the uncritical advocate to issues and concerns that will encourage greater modesty in the making of claims and drawing of conclusions. We comment on the following questions: Do specific RS factors influence health outcomes? What possible mechanisms might explain a relation, if one exists? Are there any implications for health professionals at this point in time ? Recommendations concern the need to improve research designs and measurement strategies and to clarify conceptualizations of RS factors. RS factors appear to be associated with physical and overall health, but the relation appears far more complex and modest than some contend. Which specific RS factors enhance or endanger health and well-being remains unclear. |
Publication | Annals of Behavioral Medicine |
Volume | 24 |
Issue | 1 |
Pages | 3-13 |
Date | February 01, 2002 |
DOI | 10.1207/S15324796ABM2401_02 |
Short Title | Spirituality and health |
URL | http://dx.doi.org.ezproxy.bu.edu/10.1207/S15324796ABM2401_02 |
Accessed | Monday, October 12, 2009 6:03:00 PM |
Library Catalog | SpringerLink |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
In this article, we familiarize readers with some recent empirical evidence about possible associations between religious and/or spiritual (RS) factors and health outcomes. In considering this evidence, we believe a healthy skepticism is in order. One needs to remain open to the possibility that RS-related beliefs and behaviors may influence health, yet one needs empirical evidence based on well-controlled studies that support these claims and conclusions. We hope to introduce the dismissing critic to suggestive data that may create tempered doubt and to introduce the uncritical advocate to issues and concerns that will encourage greater modesty in the making of claims and drawing of conclusions. We comment on the following questions: Do specific RS factors influence health outcomes? What possible mechanisms might explain a relation, if one exists? Are there any implications for health professionals at this point in time ? Recommendations concern the need to improve research designs and measurement strategies and to clarify conceptualizations of RS factors. RS factors appear to be associated with physical and overall health, but the relation appears far more complex and modest than some contend. Which specific RS factors enhance or endanger health and well-being remains unclear.
Type | Journal Article |
---|---|
Author | Jon C. Tilburt |
Author | Farr A. Curlin |
Author | Ted J. Kaptchuk |
Author | Brian Clarridge |
Author | Dragana Bolcic-Jankovic |
Author | Ezekiel J. Emanuel |
Author | Franklin G. Miller |
Abstract | Background Little is known about whether federally funded complementary and alternative medicine (CAM) research is translating into clinical practice. We sought to describe the awareness of CAM clinical trials, the ability to interpret research results, the acceptance of research evidence, and the predictors of trial awareness among US clinicians. Methods We conducted a cross-sectional mailed survey of 2400 practicing US acupuncturists, naturopaths, internists, and rheumatologists. Results A total of 1561 clinicians (65%) responded. Of the respondents, 59% were aware of at least 1 major CAM clinical trial; only 23% were aware of both trials. A minority of acupuncturists (20%), naturopaths (25%), internists (17%), and rheumatologists (33%) were "very confident" in interpreting research results (P < .001). Fewer acupuncturists (17%) and naturopaths (24%) than internists (58%) and rheumatologists (74%) rated the results of randomized controlled trials as "very useful" (P < .001). Twice as many internists (53%) and rheumatologists (64%) rated patient preferences as "least important" compared with acupuncturists (27%) and naturopaths (31%) (P < .001). In multivariate analyses, for clinicians aware of at least 1 trial, male sex (odds ratio [OR], 1.30 [95% confidence interval {CI}, 1.05-1.62]), prior research experience (OR, 1.45 [95% CI, 1.13-1.86]), institutional or academic practice setting (ORs, 1.98 [95% CI, 1.01-3.91], and 1.23 [95% CI, 0.73-2.09], respectively), and rating randomized trials as "very useful" (OR, 1.46 [95% CI, 1.12-1.91]) (P < .001) for clinical decision making were positively associated with CAM trial awareness. Acupuncturists, naturopaths, and internists (ORs, 0.15 [95% CI, 0.10-0.23], 0.15 [95% CI, 0.09-0.24], and 0.18 [95% CI, 0.12-0.28], respectively) were all similarly less aware of CAM trial results compared with rheumatologists. Conclusion For clinical research in CAM to achieve its social value, concerted efforts must be undertaken to train clinicians and improve the dissemination of research results. |
Publication | Archives of Internal Medicine |
Volume | 169 |
Issue | 7 |
Pages | 670-677 |
Date | April 13, 2009 |
DOI | 10.1001/archinternmed.2009.49 |
Short Title | Alternative Medicine Research in Clinical Practice |
URL | http://archinte.ama-assn.org/cgi/content/abstract/169/7/670 |
Accessed | Monday, September 21, 2009 3:42:25 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background Little is known about whether federally funded complementary and alternative medicine (CAM) research is translating into clinical practice. We sought to describe the awareness of CAM clinical trials, the ability to interpret research results, the acceptance of research evidence, and the predictors of trial awareness among US clinicians. Methods We conducted a cross-sectional mailed survey of 2400 practicing US acupuncturists, naturopaths, internists, and rheumatologists. Results A total of 1561 clinicians (65%) responded. Of the respondents, 59% were aware of at least 1 major CAM clinical trial; only 23% were aware of both trials. A minority of acupuncturists (20%), naturopaths (25%), internists (17%), and rheumatologists (33%) were “very confident” in interpreting research results (P < .001). Fewer acupuncturists (17%) and naturopaths (24%) than internists (58%) and rheumatologists (74%) rated the results of randomized controlled trials as “very useful” (P < .001). Twice as many internists (53%) and rheumatologists (64%) rated patient preferences as “least important” compared with acupuncturists (27%) and naturopaths (31%) (P < .001). In multivariate analyses, for clinicians aware of at least 1 trial, male sex (odds ratio [OR], 1.30 [95% confidence interval {CI}, 1.05-1.62]), prior research experience (OR, 1.45 [95% CI, 1.13-1.86]), institutional or academic practice setting (ORs, 1.98 [95% CI, 1.01-3.91], and 1.23 [95% CI, 0.73-2.09], respectively), and rating randomized trials as “very useful” (OR, 1.46 [95% CI, 1.12-1.91]) (P < .001) for clinical decision making were positively associated with CAM trial awareness. Acupuncturists, naturopaths, and internists (ORs, 0.15 [95% CI, 0.10-0.23], 0.15 [95% CI, 0.09-0.24], and 0.18 [95% CI, 0.12-0.28], respectively) were all similarly less aware of CAM trial results compared with rheumatologists. Conclusion For clinical research in CAM to achieve its social value, concerted efforts must be undertaken to train clinicians and improve the dissemination of research results.
Type | Journal Article |
---|---|
Author | Susan T Tinley |
Author | Anita Y Kinney |
Abstract | Since the turn of the century, there has been an expanded interest in the place that spirituality has in nursing practice, education, and research. The purpose of this article is to examine the study of spirituality from the perspective of 3 philosophical paradigms: empiricism, interpretivism, and poststructuralism. The strengths and weaknesses of the paradigms are identified through a review of an exemplar article for each. Each paradigm provides a unique approach to the development of knowledge, and thus makes its own contribution to the understanding of spirituality. It is the researcher's responsibility to identify the appropriate paradigm for the question. |
Publication | ANS. Advances in Nursing Science |
Volume | 30 |
Issue | 1 |
Pages | 71-80 |
Date | 2007 Jan-Mar |
Journal Abbr | ANS Adv Nurs Sci |
ISSN | 1550-5014 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17299286 |
Accessed | Friday, November 13, 2009 5:14:12 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17299286 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
The purpose of this article is to examine the study of spirituality from the perspective of 3 philosophical paradigms: empiricism, interpretivism, and poststructuralism. The strengths and weaknesses of the paradigms are identified through a review of an exemplar article for each. Each paradigm provides a unique approach to the development of knowledge, and thus makes its own contribution to the understanding of spirituality. It is the researcher’s responsibility to identify the appropriate paradigm for the question.
Type | Journal Article |
---|---|
Author | G W Titus |
Abstract | Ayurveda, the oldest health care system in the world, has unique potential waiting to be exploited by the advanced practice nurse (APN) practicing in family health and primary care settings. The background, paradigm, interventions, scientific research, and strategies to implement Ayurveda in APN practice are explored. Although little is known about Ayurveda in Western cultures, it offers many health promotive interventions that can help the APN fulfill the needs of families who seek a level of wellness not offered by conventional medicine. |
Publication | Advanced Practice Nursing Quarterly |
Volume | 1 |
Issue | 3 |
Pages | 19-28 |
Date | 1995 |
Journal Abbr | Adv Pract Nurs Q |
ISSN | 1080-4293 |
Short Title | Providing alternative health care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/9447026 |
Accessed | Monday, November 02, 2009 2:46:26 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9447026 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Ayurveda, the oldest health care system in the world, has unique potential waiting to be exploited by the advanced practice nurse (APN) practicing in family health and primary care settings. The background, paradigm, interventions, scientific research, and strategies to implement Ayurveda in APN practice are explored. Although little is known about Ayurveda in Western cultures, it offers many health promotive interventions that can help the APN fulfill the needs of families who seek a level of wellness not offered by conventional medicine.
Type | Journal Article |
---|---|
Author | Thelma K Toni-Uebari |
Author | Baba Pd Inusa |
Abstract | ABSTRACT: BACKGROUND: Sickle cell disease (SCD) is now the most common genetic condition in the world including the UK with an estimate of over 12,500 affected people and over 300 new births per year. Blood transfusion therapy plays a very important role as a disease-modifying strategy in severe SCD e.g. primary and secondary stroke prevention and other acute life-threatening complications such as acute chest infections and acute multi-organ failure. Blood transfusion, however, carries a number of risks including alloimmunisation. There is the need to increase the level of awareness and education about SCD and also to increase blood donation drive among affected communities. These communities are mostly ethnic minority populations who are recognised to have poor access to health care services. Due to the strong impact of religion on these populations, faith organisations may provide potential access for health promotion and interventions. METHODS: A literature search was conducted to find studies published between 1990-2008 aimed at examining the influence of religious leaders and faith organisations in health, with particular reference to haemoglobinopathies. RESULTS: Eleven studies were reviewed covering a variety of health interventions. The findings suggest that involvement of religious leaders and faith organisations in health related interventions improved the level of acceptance, participation and positive health outcomes within the faith communities. CONCLUSION: Religious leaders and faith organisations have the potential to influence health education, health promotion and positive health outcomes amongst members of their faith community. They also provide potential access to at-risk populations for increasing awareness about SCD, encouraging health service utilization and ethnic blood donor drives. |
Publication | BMC Blood Disorders |
Volume | 9 |
Pages | 6 |
Date | 2009 |
Journal Abbr | BMC Blood Disord |
DOI | 10.1186/1471-2326-9-6 |
ISSN | 1471-2326 |
Short Title | The role of religious leaders and faith organisations in haemoglobinopathies |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19682389 |
Accessed | Tuesday, October 27, 2009 9:59:09 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19682389 |
Date Added | Thursday, September 29, 2011 9:04:55 AM |
Modified | Thursday, September 29, 2011 9:04:55 AM |
Type | Book |
---|---|
Author | Alexis Trader |
Publisher | Peter Lang Publishing |
Date | 2011-02-01 |
ISBN | 1433113627 |
Short Title | Ancient Christian Wisdom and Aaron Becks Cognitive Therapy |
Library Catalog | Amazon.com |
Date Added | Thursday, September 29, 2011 8:57:14 AM |
Modified | Thursday, September 29, 2011 8:57:14 AM |
Type | Journal Article |
---|---|
Author | L L Treloar |
Abstract | Although conceptualizations of mind, body, and spirit are ancient, spiritual aspects have not been readily integrated into health care. Western medicine's mechanistic model, with its "fix-broken-parts" paradigm, focuses on the physical body, with occasional consideration given to emotional and mental aspects. One's view of self in relation to a Supreme Being, and one's existence and purpose for life is central to health at all levels, e.g., spiritual, physical, emotional, and cognitive. The purpose of this article is to describe the role that nurse practitioners can and should take with patients and their families in integrating spirituality into health care practice. |
Publication | Journal of the American Academy of Nurse Practitioners |
Volume | 12 |
Issue | 7 |
Pages | 280-285 |
Date | Jul 2000 |
Journal Abbr | J Am Acad Nurse Pract |
ISSN | 1041-2972 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11930467 |
Accessed | Thursday, November 12, 2009 9:22:54 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11930467 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Western medicine’s mechanistic model, with its “fix-broken-parts” paradigm, focuses on the physical body, with occasional consideration given to emotional and mental aspects. One’s view of self in relation to a Supreme Being, and one’s existence and purpose for life is central to health at all levels, e.g., spiritual, physical, emotional, and cognitive. The purpose of this article is to describe the role that nurse practitioners can and should take with patients and their families in integrating spirituality into health care practice.
Type | Journal Article |
---|---|
Author | Kathleen Tusaie |
Author | Kelly Edds |
Abstract | The practice of mindfulness is increasingly being integrated into Western clinical practice within the context of psychotherapy and stress management. Although it is based in ancient Buddhist philosophy, there remains confusion about the definition, antecedents, processes, and outcomes of mindfulness practice. This article reviews the literature on mindfulness, with a focus upon a clearer definition and understanding of the processes and integration into psychiatric mental health nursing practice. |
Publication | Archives of Psychiatric Nursing |
Volume | 23 |
Issue | 5 |
Pages | 359-365 |
Date | October 2009 |
DOI | 10.1016/j.apnu.2008.10.006 |
ISSN | 0883-9417 |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6WB7-4VCNDYP-8/2/4605aae4547949cd0c1c7f21dc0919da |
Accessed | Wednesday, October 28, 2009 10:46:23 PM |
Library Catalog | ScienceDirect |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Anita M Unruh |
Abstract | Understanding the relationships between spirituality and health has become increasingly important in health research, including nursing research. Very little of the research thus far has focused on spirituality, religion, and pain even though spiritual views have been intertwined with beliefs about pain and suffering throughout history. Spiritual views can have a substantial impact on patients' understanding of pain and decisions about pain management. The author reviews the research literature on spirituality and pain from a historical perspective. The analysis is concerned with how spirituality and religion have been used to construct a meaning of pain that shapes appraisal, coping, and pain management. The clinical implications include respectful communication with patients about spirituality and pain, inclusion of spirituality in education and support programs, integration of spiritual preferences in pain management where feasible and appropriate, consultation with pastoral care teams, and reflection by nurses about spirituality in their own lives. A discussion of research implications is included. |
Publication | The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières |
Volume | 39 |
Issue | 2 |
Pages | 66-86 |
Date | Jun 2007 |
Journal Abbr | Can J Nurs Res |
ISSN | 0844-5621 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17679586 |
Accessed | Friday, November 13, 2009 5:52:03 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17679586 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
The author reviews the research literature on spirituality and pain from a historical perspective. The analysis is concerned with how spirituality and religion have been used to construct a meaning of pain that shapes appraisal, coping, and pain management.
Type | Journal Article |
---|---|
Author | Sione Vaka |
Author | Malcolm W Stewart |
Author | Siale Foliaki |
Author | Metuisela Tu'itahi |
Abstract | This study explored the mental health-related beliefs and practices of Tongan Traditional Healers and Tongan workers in the Western-style mental health services in Tonga. The groups showed very different explanatory models and treatment methods for mental health difficulties. A variety of methods, similar to those reported in other Pacific communities, were used by the Tongan Traditional Healers. The Traditional Healers had a negative view of the Western-style system, feeling it did not address the real issues in mental health that they considered more culturally and spiritually-based. Western-trained staff were generally more accepting of traditional healing, and incorporated aspects of Tongan culture into their practice, but did not typically include traditional healing practices. This study aimed to inform efforts to foster more synergy and collaboration between traditional and western healing approaches in Tonga and with Tongans elsewhere. The results may be relevant to other Pacific peoples. |
Publication | Pacific Health Dialog |
Volume | 15 |
Issue | 1 |
Pages | 89-95 |
Date | Feb 2009 |
Journal Abbr | Pac Health Dialog |
ISSN | 1015-7867 |
Short Title | Walking apart but towards the same goal? |
Accessed | Tuesday, February 22, 2011 6:45:09 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19585738 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | M S Valiathan |
Publication | Indian Journal of Medical Ethics |
Volume | 5 |
Issue | 1 |
Pages | 29-30 |
Date | 2008 Jan-Mar |
Journal Abbr | Indian J Med Ethics |
ISSN | 0974-8466 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18630252 |
Accessed | Monday, November 02, 2009 2:20:30 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18630252 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Type | Journal Article |
---|---|
Author | Stef Van den Branden |
Author | Bert Broeckaert |
Abstract | Ever since the start of the twentieth century, a growing interest and importance of studying fatwas can be noted, with a focus on Arabic printed fatwas (Wokoeck 2009). The scholarly study of end-of-life ethics in these fatwas is a very recent feature, taking a first start in the 1980s (Anees 1984; Rispler-Chaim 1993). Since the past two decades, we have witnessed the emergence of a multitude of English fatwas that can easily be consulted through the Internet ('e-fatwas'), providing Muslims worldwide with a form of Islamic normative guidance on a huge variety of topics. Although English online fatwas do provide guidance for Muslims and Muslim minorities worldwide on a myriad of topics including end-of-life issues, they have hardly been studied. This study analyses Islamic views on (non-)voluntary euthanasia and assisted suicide as expressed in English Sunni fatwas published on independent--i.e. not created by established organisations--Islamic websites. We use Tyan's definition of a fatwa to distinguish between fatwas and other types of texts offering Islamic guidance through the Internet. The study of e-fatwas is framed in the context of Bunt's typology of Cyber Islamic Environments (Bunt 2009) and in the framework of Roy's view on the virtual umma (Roy 2002). '(Non-)voluntary euthanasia and assisted suicide' are defined using Broeckaert's conceptual framework on treatment decisions at the end of life (Broeckaert 2008). We analysed 32 English Sunni e-fatwas. All of the e-fatwas discussed here firmly speak out against every form of active termination of life. They often bear the same structure, basing themselves solely on Quranic verses and prophetic traditions, leaving aside classical jurisprudential discussions on the subject. In this respect they share the characteristics central in Roy's typology of the fatwa in the virtual umma. On the level of content, they are in line with the international literature on Islamic end-of-life ethics. English Sunni e-fatwas make up an influential and therefore important developing body of Islamic orthodox normative authority on end-of-life ethics that is still open for further research. |
Publication | Medicine, Health Care, and Philosophy |
Volume | 14 |
Issue | 1 |
Pages | 29-41 |
Date | Feb 2011 |
Journal Abbr | Med Health Care Philos |
DOI | 10.1007/s11019-010-9280-1 |
ISSN | 1572-8633 |
Accessed | Tuesday, March 15, 2011 2:26:55 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20809196 |
Date Added | Thursday, September 29, 2011 8:57:14 AM |
Modified | Thursday, September 29, 2011 8:57:14 AM |
Type | Journal Article |
---|---|
Author | René van Leeuwen |
Author | Lucas J Tiesinga |
Author | Berrie Middel |
Author | Doeke Post |
Author | Henk Jochemsen |
Abstract | AIM: This study contributes to the development of a valid and reliable instrument, the spiritual care competence scale, as an instrument to assess nurses' competencies in providing spiritual care. BACKGROUND: Measuring these competencies and their development is important and the construction of a reliable and valid instrument is recommended in the literature. DESIGN: Survey. METHOD: The participants were students from Bachelor-level nursing schools in the Netherlands (n = 197) participating in a cross-sectional study. The items in the instrument were hypothesised from a competency profile regarding spiritual care. Construct validity was evaluated by factor analysis and internal consistency was estimated with Cronbach's alpha and the average inter-item correlation. In addition, the test-retest reliability of the instrument was determined at a two-week interval between baseline and follow-up (n = 109). RESULTS: The spiritual care competence scale comprises six spiritual-care-related nursing competencies. These domains were labelled: 1 assessment and implementation of spiritual care (Cronbach's alpha 0.82) 2 professionalisation and improving the quality of spiritual care (Cronbach's alpha 0.82) 3 personal support and patient counseling (Cronbach's alpha 0.81) 4 referral to professionals (Cronbach's alpha 0.79) 5 attitude towards the patient's spirituality (Cronbach's alpha 0.56) 6 communication (Cronbach's alpha 0.71). These subscales showed good homogeneity with average inter-item correlations >0.25 and a good test-retest reliability. CONCLUSION: This study conducted in a nursing-student population demonstrated valid and reliable scales for measuring spiritual care competencies. The psychometric quality of the instrument proved satisfactory. This study does have some methodological limitations that should be taken into account in any further development of the spiritual care competence scale. RELEVANCE TO CLINICAL PRACTICE: The spiritual care competence scale can be used to assess the areas in which nurses need to receive training in spiritual care and can be used to assess whether nurses have developed competencies in providing spiritual care. |
Publication | Journal of Clinical Nursing |
Volume | 18 |
Issue | 20 |
Pages | 2857-2869 |
Date | Oct 2009 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2008.02594.x |
ISSN | 1365-2702 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19220618 |
Accessed | Monday, October 19, 2009 8:09:32 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19220618 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | René van Leeuwen |
Author | Lucas J Tiesinga |
Author | Henk Jochemsen |
Author | Doeke Post |
Abstract | This study describes the learning effects of thematic peer-review discussion groups (Hendriksen, 2000. Begeleid intervisie model, Collegiale advisering en probleemoplossing, Nelissen, Baarn.) on developing nursing students' competence in providing spiritual care. It also discusses the factors that might influence the learning process. The method of peer-review is a form of reflective learning based on the theory of experiential learning (Kolb, 1984. Experiential learning, Experience as the source of learning development. Englewoods Cliffs, New Jersey, Prentice Hill). It was part of an educational programme on spiritual care in nursing for third-year undergraduate nursing students from two nursing schools in the Netherlands. Reflective journals (n=203) kept by students throughout the peer-review process were analysed qualitatively The analysis shows that students reflect on spirituality in the context of personal experiences in nursing practice. In addition, they discuss the nursing process and organizational aspects of spiritual care. The results show that the first two phases in the experiential learning cycle appear prominently; these are 'inclusion of actual experience' and 'reflecting on this experience'. The phases of 'abstraction of experience' and 'experimenting with new behaviour' are less evident. We will discuss possible explanations for these findings according to factors related to education, the students and the tutors and make recommendations for follow-up research. |
Publication | Nurse Education Today |
Volume | 29 |
Issue | 4 |
Pages | 413-422 |
Date | May 2009 |
Journal Abbr | Nurse Educ Today |
DOI | 10.1016/j.nedt.2008.10.003 |
ISSN | 1532-2793 |
Short Title | Learning effects of thematic peer-review |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19027200 |
Accessed | Monday, March 28, 2011 6:23:36 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19027200 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Book |
---|---|
Author | Larry VandeCreek |
Author | Sue F. Dromgoole Mooney |
Abstract | Understand the roles of these three unique professions and how collaboration can make each more effective! This is the first book to clarify the roles and interprofessional dynamics of these three professions and describe how they can best work together. Here you'll find theological perspectives on each profession, practice models of collaborative programs, and new resources to aid your professional growth. In addition, this book gives you a thorough historical overview of parish nursing and an introduction to health care chaplaincy as well as insightful analyses of the relationships of clergy and congregation to health care institutions. Parish Nurses, Health Care Chaplains, and Community Clergy: Navigating the Maze of Professional Relationships is a vital addition to your reference shelf. This unique book, written by experts in all three fields, provides: the necessary background to be an effective parish nurse, including information on spiritual formation, clinical pastoral education, and more instruction on starting a parish health ministry effective ways that the disciplines can work together in congregational health ministries to provide the best possible spiritual care successful practice models that your ministry can emulate an examination of the health care institution'¬"s role in forming the spiritual care team resources to use to increase your ministry'¬"s effectiveness Parish Nurses, Health Care Chaplains, and Community Clergy is a must for practitioners, educators, and students who will be entering these vital professions! |
Publisher | Psychology Press |
Date | 2002-10-31 |
# of Pages | 296 |
Language | en |
ISBN | 9780789016188 |
Short Title | Parish nurses, health care chaplains, and community clergy |
Library Catalog | Google Books |
Date Added | Tuesday, December 13, 2011 7:43:20 PM |
Modified | Tuesday, December 13, 2011 7:43:20 PM |
Type | Book |
---|---|
Author | Kenneth L Vaux |
Series | Challenges in ethics series |
Place | Nashville |
Publisher | Abingdon Press |
Date | 1997 |
ISBN | 0687109434 |
Library Catalog | library.bu.edu.ezproxy.bu.edu Library Catalog |
Call Number | BT732 .V38 1997 |
Date Added | Saturday, October 01, 2011 3:04:06 PM |
Modified | Saturday, October 01, 2011 3:04:06 PM |
Ken Vaux examines the characteristics of the human quest for life and health. Being Well offers case studies around issues such as procreation and genetic medicine, making it ideal for informed conversation among adults gathered for reading and discussion.
Type | Journal Article |
---|---|
Author | Francisca M Vera |
Author | Juan M Manzaneque |
Author | Enrique F Maldonado |
Author | Gabriel A Carranque |
Author | Francisco M Rodriguez |
Author | Maria J Blanca |
Author | Miguel Morell |
Abstract | Yoga represents a fascinating mind-body approach, wherein body movements (asana), breathing exercises (pranayama) and meditation are integrated into a single multidimensional practice. Numerous beneficial mental and physical effects have been classically ascribed to this holistic ancient method. The purpose of the present study has been to examine the effects of long-term yoga practice on Subjective Sleep Quality (SSQ) and on several hormonal parameters of the hypothalamus-pituitary-adrenal (HPA) axis. Twenty-six subjects (16 experimental and 10 controls) were recruited to be part of the study. Experimental subjects were regular yoga practitioners with a minimum of 3 years of practice. Blood samples for the quantification of adrenocorticotropic hormone (ACTH), cortisol and dehydroepiandrosterone sulphate (DHEA-S) were drawn from all subjects. Likewise, the Pittsburgh Sleep Quality Index (PSQI) was employed to assess SSQ. As statistical analysis, Mann-Whitney U-test was performed. The yoga group displayed lower PSQI scores and higher blood cortisol levels than control subjects. Therefore, it can be concluded that long-term yoga practice is associated with significant psycho-biological differences, including better sleep quality as well as a modulatory action on the levels of cortisol. These preliminary results suggest interesting clinical implications which should be further researched. |
Publication | Biological Psychology |
Volume | 81 |
Issue | 3 |
Pages | 164-168 |
Date | Jul 2009 |
Journal Abbr | Biol Psychol |
DOI | 10.1016/j.biopsycho.2009.03.008 |
ISSN | 1873-6246 |
Accessed | Tuesday, February 22, 2011 7:02:15 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19482233 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Helane Wahbeh |
Author | Siegward-M Elsas |
Author | Barry S. Oken |
Abstract | Objective: Half of the adults in the United States use complementary and alternative medicine with mind-body therapy being the most commonly used form. Neurology patients often turn to their physicians for insight into the effectiveness of the therapies and resources to integrate them into their care. The objective of this article is to give a clinical overview of mind-body interventions and their applications in neurology. Methods: Medline and PsychInfo were searched on mind-body therapies and neurologic disease search terms for clinical trials and reviews and published evidence was graded. Results: Meditation, relaxation, and breathing techniques, yoga, tai chi, and qigong, hypnosis, and biofeedback are described. Mind-body therapy application to general pain, back and neck pain, carpal tunnel syndrome, headaches, fibromyalgia, multiple sclerosis, epilepsy, muscular dysfunction, stroke, aging, Parkinson disease, stroke, and attention deficit-hyperactivity disorder are reviewed. Conclusions: There are several conditions where the evidence for mind-body therapies is quite strong such as migraine headache. Mind-body therapies for other neurology applications have limited evidence due mostly to small clinical trials and inadequate control groups. |
Publication | Neurology |
Volume | 70 |
Issue | 24 |
Pages | 2321-2328 |
Date | June 10, 2008 |
DOI | 10.1212/01.wnl.0000314667.16386.5e |
Short Title | Mind-body interventions |
URL | http://www.neurology.org/cgi/content/abstract/70/24/2321 |
Accessed | Saturday, September 26, 2009 2:45:52 PM |
Library Catalog | HighWire |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objective: Half of the adults in the United States use complementary and alternative medicine with mind-body therapy being the most commonly used form. Neurology patients often turn to their physicians for insight into the effectiveness of the therapies and resources to integrate them into their care. The objective of this article is to give a clinical overview of mind-body interventions and their applications in neurology. Methods: Medline and PsychInfo were searched on mind-body therapies and neurologic disease search terms for clinical trials and reviews and published evidence was graded. Results: Meditation, relaxation, and breathing techniques, yoga, tai chi, and qigong, hypnosis, and biofeedback are described. Mind-body therapy application to general pain, back and neck pain, carpal tunnel syndrome, headaches, fibromyalgia, multiple sclerosis, epilepsy, muscular dysfunction, stroke, aging, Parkinson disease, stroke, and attention deficit-hyperactivity disorder are reviewed. Conclusions: There are several conditions where the evidence for mind-body therapies is quite strong such as migraine headache. Mind-body therapies for other neurology applications have limited evidence due mostly to small clinical trials and inadequate control groups.
Type | Journal Article |
---|---|
Author | Linda J. Waite |
Author | Evelyn L. Lehrer |
Abstract | In the United States, married people have better outcomes on a variety of measures of well-being than do single persons. People who participate in religious activities show similar advantages relative to those who have no religious involvement. This article presents a comparative analysis of these two social institutions: marriage and religion. A critical review of the literature on how religious involvement and being married affect a range of child and adult outcomes provides evidence of generally positive effects. Religion and marriage have an impact on many of the same domains of life, and there are remarkable similarities in the mechanisms through which they exert an influence. |
Publication | Population and Development Review |
Volume | 29 |
Issue | 2 |
Pages | 255-275 |
Date | Jun., 2003 |
ISSN | 00987921 |
Short Title | The Benefits from Marriage and Religion in the United States |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3115227 |
Accessed | Friday, September 25, 2009 12:08:53 PM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jun., 2003 / Copyright © 2003 Population Council |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
In the United States, married people have better outcomes on a variety of measures of well-being than do single persons. People who participate in religious activities show similar advantages relative to those who have no religious involvement. This article presents a comparative analysis of these two social institutions: marriage and religion. A critical review of the literature on how religious involvement and being married affect a range of child and adult outcomes provides evidence of generally positive effects. Religion and marriage have an impact on many of the same domains of life, and there are remarkable similarities in the mechanisms through which they exert an influence.
Type | Journal Article |
---|---|
Author | Harald Walach |
Abstract | Since quite some time, at least in the United Kingdom, a campaign against complementary and alternative medicine (CAM) treatments and training courses has been happening. Given some prominence in the media, this campaign seems to aim at having CAM courses scrutinized, CAM treatments taken off reimbursement schemes, and brandishing doctors and academics dealing with CAM as quacks. The buzzword used is "evidence-based," with the presupposition that, while conventional medicine is "evidence-based," CAM is not. It is worthwhile to examine the notion of "evidence" used in this discussion. I argue that it is a rather unwholesome type of evidence that is referred to here, namely only the difference between an active treatment and a sham treatment. For several reasons this is too restricted and not sound, as it creates several paradoxes, for instance the efficacy paradox. This consists in what is now empirically documented, whereas a CAM placebo can be actually more effective than a conventional, supposedly evidence-based, treatment. This shows that the discussion is really about something completely different: CAM has become a real player in the health services field, threatening revenues of the pharmaceutical industry. Taken together with a series of events this suggests that this campaign is carefully staged. It requires that we take the question of what "evidence" means to the heart of the methodological discussion, also for the sake of a broader, more wholesome notion of what counts as evidence. It also requires that we keep producing good data with a broad enough outlook comparing CAM treatments with conventional ones, and not just with placebo. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 15 |
Issue | 10 |
Pages | 1139-1142 |
Date | Oct 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2009.0423 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19848550 |
Accessed | Tuesday, October 27, 2009 7:49:22 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19848550 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | J Walton |
Abstract | The purposes of this study were to discover what spirituality means to patients recovering from an acute myocardial infarction and to identify patients' perceptions of how spirituality influences recovery. Using the Glaserian method, spiritual concepts were used for theory building. Spirituality was described as a life-giving force nurtured by receiving presence of the divine, family, friends, health care providers, and creation (core category). Supporting categories were: developing faith, discovering meaning and purpose, and giving the gift of self. Five phases to discovering meaning and purpose were: (a) facing mortality, (b) releasing fear and turmoil, (c) identifying and making lifestyle changes, (d) seeking divine purpose, and (e) making meaning in daily life. Spirituality influenced recovery by providing the participants with inner strength, comfort, peace, wellness, wholeness, and enhanced coping. This substantive theory can be used by holistic nurses to facilitate spirituality in patients recovering from an acute myocardial infarction. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 17 |
Issue | 1 |
Pages | 34-53 |
Date | Mar 1999 |
Journal Abbr | J Holist Nurs |
ISSN | 0898-0101 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10373841 |
Accessed | Thursday, November 12, 2009 8:26:40 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 10373841 |
Date Added | Saturday, October 01, 2011 3:42:31 PM |
Modified | Saturday, October 01, 2011 3:42:31 PM |
The purposes of this study were to discover what spirituality means to patients recovering from an acute myocardial infarction and to identify patients’ perceptions of how spirituality influences recovery. Spirituality influenced recovery by providing the participants with inner strength, comfort, peace, wellness, wholeness, and enhanced coping. This substantive theory can be used by holistic nurses to facilitate spirituality in patients recovering from an acute myocardial infarction.
Type | Journal Article |
---|---|
Author | Maya Warrier |
Abstract | This paper examines the backgrounds and motivations of persons trained or training as Ayurvedic practitioners at two London-based institutions offering Ayurveda programmes at undergraduate and postgraduate levels. It draws upon in-depth interviews with individuals at various stages of their training and practice in order to examine the paths that bring them to Ayurveda, their motivations for undergoing training, and the ways in which they apply their knowledge of Ayurveda during and after their training period. The findings here corroborate what other scholars have demonstrated in the case of Asian traditions like Yoga and Ayurveda in the West; these traditions have inevitably undergone shifts in meaning by virtue of their assimilation into the Western, in this case British, holistic health milieu. Most significant in Ayurveda's case is the shift away from a preoccupation with remedial medicine (the bedrock of mainstream Ayurveda in modern South Asia), to a focus on self-knowledge and self-empowerment as a path to 'holistic healing' (understood to address mental and spiritual, not just physical, wellbeing). Even though the Ayurvedic curriculum transmitted at the educational institutions in London is based largely on that taught at Ayurveda colleges in India, the completely different orientations and dispositions of students in Britain (as compared to their South Asian counterparts) ensures that the Ayurveda they go on to apply and practise is radically different - this is 'spiritualised' Ayurveda, in radical contrast to the 'biomedicalised' version obtaining in modern mainstream South Asian contexts. |
Publication | Asian Medicine (Leiden, Netherlands) |
Volume | 4 |
Issue | 2 |
Pages | 423-451 |
Date | Jan 2009 |
Journal Abbr | Asian Med (Lieden) |
DOI | 10.1163/157342009X12526658783691 |
ISSN | 1573-4218 |
Short Title | Seekership, Spirituality and Self-Discovery |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20617123 |
Accessed | Monday, March 28, 2011 6:13:46 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20617123 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Stephen Weatherhead |
Author | Anna Daiches |
Abstract | OBJECTIVES: The aim of this research was to explore with a heterogeneous Muslim population their understanding of the concept of mental health and how any mental distress experienced by an individual can best be addressed. DESIGN: A qualitative approach was taken. Participants were interviewed, and data analysed thematically. METHODS: A sample of 14 Muslims was interviewed according to a semi-structured interview schedule. Participants were recruited via electronic mailing lists, and communications with local Muslim organizations. Interviews were transcribed verbatim, and data were analysed using thematic analysis. RESULTS: Thematic analysis identified seven operationalizing themes that were given the labels 'causes', 'problem management', 'relevance of services', 'barriers', 'service delivery', 'therapy content', and 'therapist characteristics'. CONCLUSIONS: The results highlight the interweaving of religious and secular perspectives on mental distress and responses to it. Potential barriers are discussed, as are the important characteristics of therapy, therapists, and service provision. Clinical implications are presented along with the limitations of this study and suggestions for future research. |
Publication | Psychology and Psychotherapy |
Volume | 83 |
Issue | Pt 1 |
Pages | 75-89 |
Date | Mar 2010 |
Journal Abbr | Psychol Psychother |
DOI | 10.1348/147608309X467807 |
ISSN | 1476-0835 |
Accessed | Monday, March 22, 2010 8:41:23 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19735608 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | A J Weaver |
Author | L T Flannelly |
Author | K J Flannelly |
Author | H G Koenig |
Author | D B Larson |
Abstract | A review of quantitative research studies published between 1991 and 1995 in 3 major mental health nursing journals revealed that approximately 10% (31 of 311) included a measure of religion or spirituality. This percentage (10%) is 3 to 8 times higher than that found in previous reviews of empirical research in psychological and psychiatric journals, suggesting that mental health nursing research is more sensitive to the role of religious-spiritual factors on mental health than research in related disciplines. The results are discussed in the context of the history and philosophy of nursing and in comparison to related disciplines. Methodological aspects of the research, especially the importance of multiple measures, are discussed, as are other salient findings. |
Publication | Issues in Mental Health Nursing |
Volume | 19 |
Issue | 3 |
Pages | 263-276 |
Date | 1998 May-Jun |
Journal Abbr | Issues Ment Health Nurs |
ISSN | 0161-2840 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9661377 |
Accessed | Thursday, November 12, 2009 5:42:57 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 9661377 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
A review of quantitative research studies published between 1991 and 1995 in 3 major mental health nursing journals revealed that approximately 10% (31 of 311) included a measure of religion or spirituality. This percentage (10%) is 3 to 8 times higher than that found in previous reviews of empirical research in psychological and psychiatric journals, suggesting that mental health nursing research is more sensitive to the role of religious-spiritual factors on mental health than research in related disciplines.
Type | Book |
---|---|
Author | Karen Wegela |
Place | Boston Mass. ;Enfield |
Publisher | Shambhala ;;Publishers Group UK [distributor] |
Date | 2011 |
ISBN | 9781590308301 |
Date Added | Thursday, September 29, 2011 8:58:46 AM |
Modified | Thursday, September 29, 2011 8:58:46 AM |
Type | Journal Article |
---|---|
Author | Mary A Wehmer |
Author | Mary T Quinn Griffin |
Author | Ann H White |
Author | Joyce J Fitzpatrick |
Abstract | This exploratory descriptive study of spiritual experiences, well-being, and practices was conducted among 126 nursing students. Participants reported a higher level of spiritual well-being and life scheme than self-efficacy for well-being and life-scheme. Thus, students appeared to view the world and their role in it slightly more positively than their ability to affect their lives and make decisions. The students reported the most frequent spiritual experiences as being thankful for blessings; the next most frequent spiritual experiences having a desire to be close to God, feeling a selfless caring for others, and finding comfort in one's religion and spirituality. Students used both conventional and unconventional spiritual practices. Further study is necessary to study the relationship among spiritual practices, daily spiritual experiences, and spiritual well-being among nursing students and to evaluate these before and after implementation of specific educational offerings focused on spirituality and spiritual care in nursing. |
Publication | International Journal of Nursing Education Scholarship |
Volume | 7 |
Issue | 1 |
Pages | Article40 |
Date | 2010 |
Journal Abbr | Int J Nurs Educ Scholarsh |
DOI | 10.2202/1548-923X.1915 |
ISSN | 1548-923X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21044040 |
Accessed | Monday, November 15, 2010 2:52:09 PM |
Date Added | Thursday, September 29, 2011 8:59:59 AM |
Modified | Thursday, September 29, 2011 8:59:59 AM |
Type | Journal Article |
---|---|
Author | Sandra A Weiland |
Abstract | Integration of the spiritual domain into the nursing plan of care positively influences health and wellness. Applying nursing theory to practice reinforces the advanced practice nurse's (APN's) responsibility to integrate spiritual care into the critical care environment. Indeed, all nurses have an obligation to integrate spiritual care because the focus of nursing care is beneficence. Moreover, the focus of APN care is not curing, but healing. Healing can be assisted by entering into the patient's suffering to help reconstruct life plans and facilitate realizing meaning from the despair of illness even while facing extreme adversity and death. This article describes spiritual care of the critically ill adult patient and the role that the APN must, can, and should take to assimilate spiritual care into care of these patients and their families. |
Publication | Critical Care Nursing Quarterly |
Volume | 33 |
Issue | 3 |
Pages | 282-291 |
Date | 2010 Jul-Sep |
Journal Abbr | Crit Care Nurs Q |
DOI | 10.1097/CNQ.0b013e3181ecd56d |
ISSN | 1550-5111 |
Short Title | Integrating spirituality into critical care |
Accessed | Wednesday, July 07, 2010 9:55:04 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20551743 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
Type | Journal Article |
---|---|
Author | Sarah L Weinberger-Litman |
Author | Margaret A Muncie |
Author | Laura T Flannelly |
Author | Kevin J Flannelly |
Abstract | Nursing has historically realized the importance of spirituality in patient care, and more than other healthcare staff, they also have recognized the integral role of chaplains in meeting the spiritual needs of patients. The present study examines specific patient and family issues for which nurses make referrals to chaplains. A previously piloted questionnaire asking how often nurses and allied staff refer patients to chaplains was distributed to 133 staff members at a New York area hospital, the majority of whom were registered nurses (RNs). ANOVA revealed significant differences with respect to the kinds of issues that nurses are likely to refer to chaplains, with referrals being most likely for family issues and least likely for treatment-related issues. A significant interaction between staff type (nurses vs allied staff) and issues was also found. The results are discussed in relation to the nurses' desire to meet patients' spiritual needs and how this can be achieved. |
Publication | Holistic Nursing Practice |
Volume | 24 |
Issue | 1 |
Pages | 44-48 |
Date | 2010 Jan-Feb |
Journal Abbr | Holist Nurs Pract |
DOI | 10.1097/HNP.0b013e3181c8e491 |
ISSN | 1550-5138 |
Accessed | Sunday, January 24, 2010 5:16:45 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20023523 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | Darlene Weis |
Author | Rosemarie Matheus |
Author | Mary Jane Schank |
Abstract | Abstract Religious institutions and nurses have a common bond—both are committed to empowering individuals to achieve their full potential and believe in the self-care capacity of individuals. The purpose of this study was to examine parish nursing as an evolving model of care within faith communities. Annualization of monthly reports and parish nurse interviews revealed that parish nurse activities contributed to the empowerment process and to the attainment of Healthy People 2000 objectives. |
Publication | Public Health Nursing |
Volume | 14 |
Issue | 6 |
Pages | 368-372 |
Date | 1997/12/01 |
Language | en |
DOI | 10.1111/j.1525-1446.1997.tb00306.x |
ISSN | 1525-1446 |
Short Title | Health Care Delivery in Faith Communities |
URL | http://onlinelibrary.wiley.com.ezproxy.bu.edu/doi/10.1111/j.1525-1446.1997.tb00306.x/abstract |
Accessed | Tuesday, December 13, 2011 7:46:20 PM |
Library Catalog | Wiley Online Library |
Date Added | Tuesday, December 13, 2011 7:46:20 PM |
Modified | Tuesday, December 13, 2011 7:46:20 PM |
Type | Book |
---|---|
Author | Anna van Wersch |
Author | Mark Forshaw |
Author | Tina Cartwright |
Publisher | Open University Press |
Date | 2009-10-01 |
ISBN | 0335220118 |
Library Catalog | Amazon.com |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Book |
---|---|
Author | Granger E. Westberg |
Author | Jill Westberg McNamara |
Abstract | Here, Granger Westberg presents a creative, new way for congregations to provide a wholistic ministry to their members. His parish nurse program brings nurses onto congregations' staffs to work as ministers of health on a part-time or full-time basis. In this way congregations can play an increasingly important role in keeping people spiritually and physically healthy and giving leadership in the field of preventive medicine. Parish nurses serve as health educators, health counselors, volunteer trainers, and support group organizers. In hundreds of congregations, this program has been well received by clergy and church members. |
Publisher | Augsburg Books |
Date | 1990-11-01 |
# of Pages | 144 |
Language | en |
ISBN | 9780806624587 |
Short Title | The parish nurse |
Library Catalog | Google Books |
Date Added | Tuesday, December 13, 2011 7:41:47 PM |
Modified | Tuesday, December 13, 2011 7:41:47 PM |
Type | Journal Article |
---|---|
Author | Anna E Westra |
Author | Dick L Willems |
Author | Bert J Smit |
Abstract | The "four principles approach" has been popularly accepted as a set of universal guidelines for biomedical ethics. Based on four allegedly trans-cultural principles (respect for autonomy, nonmaleficence, beneficence and justice), it is supposed to fulfil the need of a 'culturally neutral approach to thinking about ethical issues in health care'. On the basis of a case-history, this paper challenges the appropriateness of communicating in terms of these four principles with patients with a different background. The case describes the situation in which Muslim parents bring forward that their religion keeps them from consenting to end-of-life decisions by non-religious paediatricians. In a literature analysis, the different meanings and roles of the relevant principles in non-religious and Islamic ethics are compared. In non-religious ethics, the principle of nonmaleficence may be used to justify withholding or withdrawing futile or damaging treatments, whereas Islamic ethics applies this principle to forbid all actions that may harm life. And while the non-religious version of the principle of respect for autonomy emphasises the need for informed consent, the Islamic version focuses on "respect for the patient". We conclude that the parties involved in the described disagreement may feel committed to seemingly similar, but actually quite different principles. In such cases, communication in terms of these principles may create a conflict within an apparently common conceptual framework. The four principles approach may be very helpful in analysing ethical dilemmas, but when communicating with patients with different backgrounds, an alternative approach is needed that pays genuine attention to the different backgrounds. |
Publication | European Journal of Pediatrics |
Volume | 168 |
Issue | 11 |
Pages | 1383-1387 |
Date | Nov 2009 |
Journal Abbr | Eur. J. Pediatr |
DOI | 10.1007/s00431-009-0970-8 |
ISSN | 1432-1076 |
Short Title | Communicating with Muslim parents |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19306021 |
Accessed | Tuesday, October 27, 2009 9:46:30 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19306021 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Mary T White |
Abstract | This article argues that to the extent that religious and spiritual beliefs can help people cope with genetic uncertainty, a limited spiritual assessment may be appropriate in genetic counseling. The article opens by establishing why genetic information is inherently uncertain and why this uncertainty can be medically, morally, and spiritually problematic. This is followed by a review of the range of factors that can contribute to risk assessments, including a few heuristics commonly used in responses to uncertainty. The next two sections summarize recent research on the diverse roles of religious and spiritual beliefs in genetic decisions and challenges to conducting spiritual assessments in genetic counseling. Based on these findings, religious and spiritual beliefs are posited as serving essentially as a heuristic that some people will utilize in responding to their genetic risks. In the interests of helping such clients make informed decisions, a limited spiritual assessment is recommended and described. Some of the challenges and risks associated with this limited assessment are discussed. Since some religious and spiritual beliefs can conflict with the values of medicine, some decisions will remain problematic. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 68-76 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30196 |
ISSN | 1552-4876 |
Short Title | Making sense of genetic uncertainty |
Accessed | Tuesday, February 22, 2011 7:57:56 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170081 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | G White |
Abstract | The requirement of healthcare professionals to consider the whole person, including spirituality, is hampered by a lack of clarity about the nature of spirituality and spiritual care. A multidisciplinary cooperative inquiry group met during 1997 and 1998 to explore this issue. The aim of the group was to 'explore spirituality with a view to how that informs our work'. Group members understood spirituality to be a unique potential that forms an integral part of every human being. Key themes through which spirituality may be expressed are the search for meaning or purpose and a sense of connection. Outcomes of the inquiry included personal and professional development, increased recognition of spirituality and further training opportunities for other staff. |
Publication | International Journal of Palliative Nursing |
Volume | 6 |
Issue | 10 |
Pages | 479-484 |
Date | 2000 Nov-Dec |
Journal Abbr | Int J Palliat Nurs |
ISSN | 1357-6321 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12271246 |
Accessed | Thursday, November 12, 2009 9:50:52 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 12271246 |
Date Added | Saturday, October 01, 2011 3:43:38 PM |
Modified | Saturday, October 01, 2011 3:43:38 PM |
The requirement of healthcare professionals to consider the whole person, including spirituality, is hampered by a lack of clarity about the nature of spirituality and spiritual care. A multidisciplinary cooperative inquiry group met during 1997 and 1998 to explore this issue. The aim of the group was to ‘explore spirituality with a view to how that informs our work’.
Type | Journal Article |
---|---|
Author | Margaret White |
Author | Marja Verhoef |
Abstract | BACKGROUND: The role of spirituality in patients' use of complementary and alternative medicine (CAM) approaches to cancer management has hardly been explored. Objective: To explore the role of spirituality in cancer management by men with prostate cancer who have declined conventional treatment and are using CAM. METHODS: This qualitative analysis is part of a longitudinal study to assess decision making by men with prostate cancer who decline conventional treatment and use CAM. In-depth interviews were conducted at study entry (n = 29). Themes were presented to participants in focus groups to further explore and validate the interview results. For a subset of participants (n = 10), spirituality emerged as an important theme; therefore, we conducted a secondary analysis of the interview data of these men to explore the role of spirituality in cancer management and decision making. RESULTS: Spirituality appeared to influence all aspects of the cancer experience. Most participants intensified their use of spiritual practice after a diagnosis of prostate cancer. These practices included spiritual ceremonies, indigenous healing, prayer, meditation, and use of spiritual imagery. Themes related to the role of spirituality in cancer management include beliefs about Western medicine, the role of spiritual beliefs in treatment decision making, the use of spiritual imager y and metaphor in healing, and the impact of cancer on spirituality. The discussion of these themes draws on quotes and case examples, illustrating how spirituality influenced study participants' response to diagnosis, treatment decision making, and cancer care. Two case examples provide a more in-depth understanding of how some participants incorporated spiritual imagery and metaphor into treatment decision making and cancer care. Ways in which cancer influenced spirituality are also discussed. Having prostate cancer appeared to influence their spirituality by strengthening their links with a spiritual community, increasing feelings of gratitude toward life, and improving personal relationships. Relevance: These findings indicate that spiritual beliefs and practices may play an important role in the formation of treatment choices for some patients. Health care providers need to be aware of and address patient concerns about how conventional treatment may conflict with their spiritual beliefs and practices. Further research and medical education is needed on spirituality and prostate cancer. |
Publication | Integrative Cancer Therapies |
Volume | 5 |
Issue | 2 |
Pages | 117-122 |
Date | Jun 2006 |
Journal Abbr | Integr Cancer Ther |
DOI | 10.1177/1534735406288084 |
ISSN | 1534-7354 |
Short Title | Cancer as part of the journey |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16685076 |
Accessed | Friday, November 13, 2009 3:49:26 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 16685076 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Background: The role of spirituality in patients’ use of complementary and alternative medicine (CAM) approaches to cancer management has hardly been explored. Objective: To explore the role of spirituality in cancer management by men with prostate cancer who have declined conventional treatment and are using CAM. Methods: This qualitative analysis is part of a longitudinal study to assess decision making by men with prostate cancer who decline conventional treatment and use CAM. In-depth interviews were conducted at study entry (n = 29). Themes were presented to participants in focus groups to further explore and validate the interview results. For a subset of participants (n = 10), spirituality emerged as an important theme; therefore, we conducted a secondary analysis of the interview data of these men to explore the role of spirituality in cancer management and decision making. Results: Spirituality appeared to influence all aspects of the cancer experience. Most participants intensified their use of spiritual practice after a diagnosis of prostate cancer. These practices included spiritual ceremonies, indigenous healing, prayer, meditation, and use of spiritual imagery. Themes related to the role of spirituality in cancer management include beliefs about Western medicine, the role of spiritual beliefs in treatment decision making, the use of spiritual imager y and metaphor in healing, and the impact of cancer on spirituality. The discussion of these themes draws on quotes and case examples, illustrating how spirituality influenced study participants’ response to diagnosis, treatment decision making, and cancer care. Two case examples provide a more in-depth understanding of how some participants incorporated spiritual imagery and metaphor into treatment decision making and cancer care. Ways in which cancer influenced spirituality are also discussed. Having prostate cancer appeared to influence their spirituality by strengthening their links with a spiritual community, increasing feelings of gratitude toward life, and improving personal relationships. Relevance: These findings indicate that spiritual beliefs and practices may play an important role in the formation of treatment choices for some patients. Health care providers need to be aware of and address patient concerns about how conventional treatment may conflict with their spiritual beliefs and practices. Further research and medical education is needed on spirituality and prostate cancer.
Type | Journal Article |
---|---|
Author | Mary L White |
Author | Rosalind Peters |
Author | Stephanie Myers Schim |
Abstract | The authors propose an integration of the concepts of spirituality and spiritual self-care within Orem's self-care deficit nursing theory as a critical step in theory development. Theoretical clarity is needed to understand the contributions of spirituality to health and well-being. Spirituality is the beliefs persons hold related to their subjective sense of existential connectedness including beliefs that reflect relationships with others, acknowledge a higher power, recognize an individual's place in the world, and lead to spiritual practices. Spiritual self-care is the set of spiritually-based practices in which people engage to promote continued personal development and well-being in health and illness. |
Publication | Nursing Science Quarterly |
Volume | 24 |
Issue | 1 |
Pages | 48-56 |
Date | Jan 2011 |
Journal Abbr | Nurs Sci Q |
DOI | 10.1177/0894318410389059 |
ISSN | 1552-7409 |
Short Title | Spirituality and spiritual self-care |
Accessed | Sunday, February 13, 2011 10:35:27 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21220576 |
Date Added | Thursday, September 29, 2011 8:57:52 AM |
Modified | Thursday, September 29, 2011 8:57:52 AM |
Type | Journal Article |
---|---|
Author | Sarah M Whitman |
Abstract | Religion and spiritual practices are among the resources used by patients to cope with chronic pain. The major concepts of Hinduism that are related to pain and suffering are presented. Ways that Hindu traditions deal with pain and suffering are reviewed, including the concept of acceptance, which has been studied in the pain medicine literature. By becoming more familiar with Hindu views of pain and suffering, pain medicine practitioners can offer potentially helpful concepts to all patients and support Hindus' spirituality as it relates to pain and suffering. PERSPECTIVE: Religion or spirituality is often important to patients. This article will inform the pain medicine practitioner how pain and suffering are viewed in Hinduism, the third largest religion in the world. It is hoped that these concepts will prove helpful when treating not only followers of Hinduism but all patients. |
Publication | The Journal of Pain: Official Journal of the American Pain Society |
Volume | 8 |
Issue | 8 |
Pages | 607-613 |
Date | Aug 2007 |
Journal Abbr | J Pain |
DOI | 10.1016/j.jpain.2007.02.430 |
ISSN | 1526-5900 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17462959 |
Accessed | Monday, November 09, 2009 1:02:05 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 17462959 |
Date Added | Saturday, October 01, 2011 3:03:35 PM |
Modified | Saturday, October 01, 2011 3:03:35 PM |
Religion and spiritual practices are among the resources used by patients to cope with chronic pain. The major concepts of Hinduism that are related to pain and suffering are presented. Ways that Hindu traditions deal with pain and suffering are reviewed, including the concept of acceptance, which has been studied in the pain medicine literature. By becoming more familiar with Hindu views of pain and suffering, pain medicine practitioners can offer potentially helpful concepts to all patients and support Hindus’ spirituality as it relates to pain and suffering. PERSPECTIVE: Religion or spirituality is often important to patients. This article will inform the pain medicine practitioner how pain and suffering are viewed in Hinduism, the third largest religion in the world. It is hoped that these concepts will prove helpful when treating not only followers of Hinduism but all patients.
Type | Journal Article |
---|---|
Author | W. H. Wiist |
Author | B. M. Sullivan |
Author | H. A. Wayment |
Author | M. Warren |
Abstract | A Web-based survey was conducted to study the religious and health practices, medical history and psychological characteristics among Buddhist practitioners. This report describes the development, advertisement, administration and preliminary results of the survey. Over 1200 Buddhist practitioners responded. Electronic advertisements were the most effective means of recruiting participants. Survey participants were mostly well educated with high incomes and white. Participants engaged in Buddhist practices such as meditation, attending meetings and obtaining instruction from a monk or nun, and practiced healthful behaviors such as regular physical activity and not smoking. Buddhist meditative practice was related to psychological mindfulness and general health. |
Publication | Journal of Religion and Health |
Volume | 49 |
Issue | 1 |
Pages | 18-31 |
Date | Mar 2010 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9228-4 |
ISSN | 1573-6571 |
Short Title | A web-based survey of the relationship between buddhist religious practices, health, and psychological characteristics |
Accessed | Monday, March 22, 2010 8:39:21 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19107601 |
Date Added | Thursday, September 29, 2011 9:04:35 AM |
Modified | Thursday, September 29, 2011 9:04:35 AM |
Type | Journal Article |
---|---|
Author | K Wilson |
Author | L D Lipscomb |
Author | K Ward |
Author | W H Replogle |
Author | K Hill |
Abstract | Prayer and spirituality have been shown to have a significant impact on several health variables. Additionally, studies have shown that patients think prayer is important to their health. Very little research, however, has been done to determine primary care physicians' opinions regarding prayer and spirituality as it pertains to healthcare. We surveyed primary care physicians in Mississippi to assess their use of prayer in medical practice. Ninety-one percent of respondents considered prayer an important treatment modality, but 50.6% rarely or never discussed prayer with patients. Most who excluded prayer from clinical practice did so to avoid imposing their beliefs upon patients. A majority of primary care physicians in Mississippi recognize prayer as an important psychosocial variable in assessing and treating patients, but many are hesitant to incorporate this variable into the doctor-patient encounter. |
Publication | Journal of the Mississippi State Medical Association |
Volume | 41 |
Issue | 12 |
Pages | 817-822 |
Date | Dec 2000 |
Journal Abbr | J Miss State Med Assoc |
ISSN | 0026-6396 |
Short Title | Prayer in medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11125643 |
Accessed | Thursday, November 12, 2009 8:42:15 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 11125643 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Prayer and spirituality have been shown to have a significant impact on several health variables. Additionally, studies have shown that patients think prayer is important to their health. Very little research, however, has been done to determine primary care physicians’ opinions regarding prayer and spirituality as it pertains to healthcare. We surveyed primary care physicians in Mississippi to assess their use of prayer in medical practice. Ninety-one percent of respondents considered prayer an important treatment modality, but 50.6% rarely or never discussed prayer with patients. Most who excluded prayer from clinical practice did so to avoid imposing their beliefs upon patients. A majority of primary care physicians in Mississippi recognize prayer as an important psychosocial variable in assessing and treating patients, but many are hesitant to incorporate this variable into the doctor-patient encounter.
Type | Journal Article |
---|---|
Author | Terri A. Winnick |
Abstract | This research examines trends in coverage of complementary and alternative medicine (CAM) in five prestigious medical journals during a period of intense reorganization within medicine (1965-1999). Content analysis of a sample of documents (N=102) shows the medical profession responded to the growth of CAM in three distinct phases. During each phase, changes in the medical marketplace-such as relaxed medical licensing, the development of managed care, rising consumerism, and the establishment of the Office of Alternative Medicine-influenced the type of response in the journals. From the late 1960s to the early 1970s, during the condemnation phase, authors ridiculed, exaggerated the risks, and petitioned the state to contain CAM. In the reassessment phase (mid-1970s through early 1990s), increased consumer utilization of CAM prompted concern, and authors pondered whether patient dissatisfaction and shortcomings in conventional care contributed to this trend. Throughout the 1990s, in the integration phase, struggles to outlaw CAM were abandoned, physicians began learning to work around or administer CAM, and the subjugation of CAM to scientific scrutiny became the primary means of control. This analysis demonstrates the evolutionary process of professionalization, a process in which dominance is sustained through adaptation to structural change. |
Publication | Social Problems |
Volume | 52 |
Issue | 1 |
Pages | 38-61 |
Date | Feb., 2005 |
ISSN | 00377791 |
Short Title | From Quackery to "Complementary" Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/4488108 |
Accessed | Tuesday, November 10, 2009 1:16:01 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Feb., 2005 / Copyright © 2005 University of California Press |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This research examines trends in coverage of complementary and alternative medicine (CAM) in five prestigious medical journals during a period of intense reorganization within medicine (1965-1999). Content analysis of a sample of documents (N=102) shows the medical profession responded to the growth of CAM in three distinct phases. During each phase, changes in the medical marketplace-such as relaxed medical licensing, the development of managed care, rising consumerism, and the establishment of the Office of Alternative Medicine-influenced the type of response in the journals. From the late 1960s to the early 1970s, during the condemnation phase, authors ridiculed, exaggerated the risks, and petitioned the state to contain CAM. In the reassessment phase (mid-1970s through early 1990s), increased consumer utilization of CAM prompted concern, and authors pondered whether patient dissatisfaction and shortcomings in conventional care contributed to this trend. Throughout the 1990s, in the integration phase, struggles to outlaw CAM were abandoned, physicians began learning to work around or administer CAM, and the subjugation of CAM to scientific scrutiny became the primary means of control. This analysis demonstrates the evolutionary process of professionalization, a process in which dominance is sustained through adaptation to structural change.
Type | Journal Article |
---|---|
Author | Urs Winter-Pfändler |
Author | Christoph Morgenthaler |
Abstract | In recent years, much research work has been done in the field of religion/spirituality and healthcare. Many chaplains are wary of doing research because they assume it is cumbersome or potentially deleterious to ill patients. The aim of the present pilot study is, therefore, to find out if research on quality improvement of healthcare chaplaincy is emotionally distressing for patients. In connection with a questionnaire about quality improvement proceeding of healthcare chaplaincy, patients were asked subsequently to assess whether the completion of the questionnaire was emotionally distressing for them. A total of 91.89% of the 37 respondents said that the completion of the questionnaire was not or only slightly emotionally distressing for them. Furthermore, analyses for significant differences showed no effect, except for a significant association with the anxiety scale. Findings from this study suggest that participants found no objective reasons not to do research in healthcare chaplaincy. |
Publication | Journal of Health Care Chaplaincy |
Volume | 16 |
Issue | 3 |
Pages | 140-148 |
Date | Jul 2010 |
Journal Abbr | J Health Care Chaplain |
DOI | 10.1080/08854726.2010.480829 |
ISSN | 1528-6916 |
Short Title | Are surveys on quality improvement of healthcare chaplaincy emotionally distressing for patients? |
Accessed | Tuesday, July 27, 2010 12:22:38 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 20658427 |
Date Added | Thursday, September 29, 2011 9:03:48 AM |
Modified | Thursday, September 29, 2011 9:03:48 AM |
This study aims to encourage research by healthcare chaplains into improving healthcare chaplaincy by demonstrating the fallacy of the common assumption that participating in such research with prove distressing to patients.
Type | Book |
---|---|
Author | Leonard A. Wisneski |
Author | Lucy Anderson |
Edition | 2 |
Publisher | CRC |
Date | 2009-06-25 |
ISBN | 1420082906 |
Library Catalog | Amazon.com |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Interactions between the body and the mind/emotions are now a well-established fact of medical research in the field of psychoneuroimmunology. The Scientific Basis of Integrative Medicine lays out the scientific underpinnings for the mind-body connection, documenting the numerous interactions of the endocrine, immune, nervous, and stress systems that so profoundly impact human functioning. The authors propose a unified theory of human functioning, called integral physiology, which combines important Western biological knowledge with Eastern medical traditions of healing. Unique aspects of the text include the elucidation of the pineal as the master gland-the transducer of environmental information into neuronal and hormonal communication within the body. In addition, the authors assert that there must be a hormonal cascade for the relaxation response, paralleling the well-known hormonal elaboration of the stress response, and then provide a review of some of the hormones involved in this response. The Scientific Basis of Integrative Medicine is the first book to elaborate on the cutting-edge field of subtle energy medicine. The authors propose a theory of the physiology of spirituality-or in medical terms, a theory of how subtle energy impacts physical and mental/emotional functioning. Subtle energy medicine recognizes energy modalities that can beneficially affect the body, while acknowledging the importance of experiences traditionally called “intuitive” or “spiritual.” It broadens awareness of how our bodies are both hard wired and hormonally designed to permit interactions with subtle energy. This medical textbook has been written in a unique, conversational style that incorporates both technical and scientific information, and anecdotal stories.
Type | Journal Article |
---|---|
Author | Alison S Witte |
Author | Dirk M van der Wal |
Author | H Chrissie Steyn |
Abstract | Eighteen participants in a rural Appalachian community were interviewed to learn about their mystical experiences in the context of health care. Semistructured interviews addressed factors initiating mystical experience and essential qualities of mystical experience. Nursing process and the nurse's response were examined. Data were analyzed using the immersion/crystallization method and concept mapping. Mystical experience was conceptualized as a process incorporating initiation, occurrence, maturation, and integration of mystical experience. Essential qualities included sensory-motor perception, interaction with the supernatural, interaction with family members, conviction of reality, cognition, dynamic tension and emotional intensity. Nursing interventions included listening and support. Subjective nursing responses included tension, intimacy and empathy, sense of awe, autonomic responses, and appreciation of the mystical in everyday life. Various stressors are associated with mystical experience. Patients having mystical experiences may benefit from nursing support. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 26 |
Issue | 2 |
Pages | 84-92 |
Date | Jun 2008 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010107310617 |
ISSN | 0898-0101 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18539874 |
Accessed | Friday, November 13, 2009 6:59:57 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18539874 |
Date Added | Saturday, October 01, 2011 3:42:17 PM |
Modified | Saturday, October 01, 2011 3:42:17 PM |
Eighteen participants in a rural Appalachian community were interviewed to learn about their mystical experiences in the context of health care. Semistructured interviews addressed factors initiating mystical experience and essential qualities of mystical experience. Nursing process and the nurse’s response were examined.
Type | Journal Article |
---|---|
Author | Monica L Woll |
Author | Daniel B Hinshaw |
Author | Timothy M Pawlik |
Abstract | Spiritual and religious concerns often become of central importance in the care of surgical oncology patients confronted with their mortality. Unfortunately, surgeons are often ill prepared or reluctant to address the spiritual and religious needs of their patients. In this article, working definitions of spirituality versus religiosity will be developed in the context of the three largest monotheistic religions in America: Christianity, Islam, and Judaism. Disease, dying, and death will be explored with respect to these faiths and examples of how to address religious beliefs in practical clinical settings will be given. Finally, specific suggestions will be made for surgeons to better understand, empathize with, and address the needs of their seriously ill patients in a holistic manner. |
Publication | Annals of Surgical Oncology |
Volume | 15 |
Issue | 11 |
Pages | 3048-3057 |
Date | Nov 2008 |
Journal Abbr | Ann. Surg. Oncol |
DOI | 10.1245/s10434-008-0130-9 |
ISSN | 1534-4681 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18773242 |
Accessed | Monday, November 02, 2009 1:23:32 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18773242 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Spiritual and religious concerns often become of central importance in the care of surgical oncology patients confronted with their mortality. Unfortunately, surgeons are often ill prepared or reluctant to address the spiritual and religious needs of their patients. In this article, working definitions of spirituality versus religiosity will be developed in the context of the three largest monotheistic religions in America: Christianity, Islam, and Judaism. Disease, dying, and death will be explored with respect to these faiths and examples of how to address religious beliefs in practical clinical settings will be given. Finally, specific suggestions will be made for surgeons to better understand, empathize with, and address the needs of their seriously ill patients in a holistic manner.
Type | Journal Article |
---|---|
Author | V C N Wong |
Abstract | A cross-sectional survey of the use of CAM by children was undertaken in the Duchess of Kent Children's Hospital in Hong Kong (March-December 2006). A questionnaire survey concerning the use of CAM was administered to chief caretakers (only the mothers) who accompanied children with neurodevelopmental disabilities followed up in our Neurodevelopmental paediatrics clinics. Four hundred and thirty agreed for interview of which 98 (22.8%) had Autism Spectrum Disorder (ASD). CAM was used in 40.8% for ASD and 21.4% of non-ASD (p < 0.001). We describe the profile of use of CAM in ASD in this part A paper. The three most common type of CAM use was Acupuncture (47.5%), Sensory Integration (42.5%), and Chinese Medicine (30%). About 76.9% of interviewees expected CAM to augment conventional treatment. Although 47.5% used both conventional western medicine and CAM, only 22.4% disclosed the use of CAM to Doctors. The following factors were significantly related to CAM use: father's job and mother's religion. Our frequency of CAM used in children with ASD was lower in Canada (52%) and USA (74%, 92%). The main CAM use in western culture was biological-based therapy whereas acupuncture was the most common CAM used in our locality. |
Publication | Journal of Autism and Developmental Disorders |
Volume | 39 |
Issue | 3 |
Pages | 454-463 |
Date | Mar 2009 |
Journal Abbr | J Autism Dev Disord |
DOI | 10.1007/s10803-008-0644-9 |
ISSN | 1573-3432 |
Short Title | Use of complementary and alternative medicine (CAM) in autism spectrum disorder (ASD) |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18784992 |
Accessed | Monday, March 28, 2011 6:29:00 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 18784992 |
Date Added | Thursday, September 29, 2011 9:06:18 AM |
Modified | Thursday, September 29, 2011 9:06:18 AM |
Type | Journal Article |
---|---|
Author | Ka Fai Wong |
Author | Sui Yu Yau |
Abstract | Nurses emphasize spiritual care in maintaining patients' holistic health; however, the provision for spiritual care is found to be inadequate. The limited study in exploring the nurses' perception on applying spiritual care in Hong Kong has been noted. This descriptive phenomenological study investigated the experiences of spirituality and spiritual care in Hong Kong from the nurses' perspective. Ten nurses were purposively invited for an unstructured interview. Thematic analysis was used for data analysis, and three themes emerged: the meaning of spirituality, benefits of applying spiritual care, and difficulties in applying spiritual care. This study provided preliminary insights into the development of spiritual care in Hong Kong. |
Publication | Applied Nursing Research: ANR |
Volume | 23 |
Issue | 4 |
Pages | 242-244 |
Date | Nov 2010 |
Journal Abbr | Appl Nurs Res |
DOI | 10.1016/j.apnr.2008.10.002 |
ISSN | 1532-8201 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21035036 |
Accessed | Monday, December 13, 2010 8:20:03 PM |
Date Added | Thursday, September 29, 2011 8:59:19 AM |
Modified | Thursday, September 29, 2011 8:59:19 AM |
Type | Book |
---|---|
Author | Stephen G Wright |
Place | London |
Publisher | Wiley |
Date | 2005 |
ISBN | 1861564686 |
Library Catalog | library.bu.edu Library Catalog |
Call Number | RT85.2 .W75 2005 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
This is a scholarly exploration of the subject of spirituality and health and is relevant to all health care practitioners and those who support them. Drawing on the author’ s rich personal experience in the field, his previously published material on the subject in professional journals and a wide range of research and other relevant literature, the book explores a diverse range of themes relevant to the everyday work of the health care practitioner. Is spirituality of any relevance to the work of carers? How is it best integrated? How do we address the spiritual needs of health care staff? What are the implications for leadership, professional boundaries, education, health care knowledge and practices?
Type | Journal Article |
---|---|
Author | Cecilia Wu |
Author | Wendy Weber |
Author | Leila Kozak |
Author | Leanna J Standish |
Author | Jeff G Ojemann |
Author | Richard G Ellenbogen |
Author | Anthony M Avellino |
Abstract | OBJECTIVES: Use of complementary and alternative medicine (CAM) by the U.S. population increased significantly in the past 2 decades. To maximize a patient's recovery from a neurosurgical procedure, it is critical that neurosurgeons be aware of the benefits and potential adverse complications of CAM therapies. The survey's purpose was to assess the current patterns of CAM utilization by neurosurgery patients and neurosurgeon knowledge of CAM therapies among Washington State Association of Neurological Surgeons (WSANS) members. METHODS: Members of the WSANS were surveyed in 2005. The survey was sent via e-mail and the data were anonymously collected using an online survey tool, Catalyst WebQ. RESULTS: The majority of responses (79%) stated that their neurosurgery practice was > or =75% adults. Acupuncture, herbs, massage therapy, prayer, and yoga were the most common CAM treatments patients used or discussed with their neurosurgeon. Fifty percent (50%) of neurosurgeons discussed the use of acupuncture among their colleagues. Concerning prayer and spirituality, 38% of the surveyed neurosurgeons stated that > or =25% of their patients have disclosed that they pray for their health; 42% stated that spirituality and prayer may affect neurosurgery outcome; and 38% stated that they pray for their patients. Overall, 63% of surveyed neurosurgeons stated that CAM treatments have a role in neurosurgery. CONCLUSIONS: The use of CAM may influence neurosurgical care; and the role of spirituality and prayer should be further explored. Because CAM utilization is ubiquitous, open discussion and familiarity with CAM treatments are becoming increasingly important in the field of neurosurgery. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 15 |
Issue | 5 |
Pages | 551-555 |
Date | May 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0427 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19450166 |
Accessed | Friday, November 13, 2009 8:03:45 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19450166 |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Objectives Use of complementary and alternative medicine (CAM) by the U.S. population increased significantly in the past 2 decades. To maximize a patient’s recovery from a neurosurgical procedure, it is critical that neurosurgeons be aware of the benefits and potential adverse complications of CAM therapies. The survey’s purpose was to assess the current patterns of CAM utilization by neurosurgery patients and neurosurgeon knowledge of CAM therapies among Washington State Association of Neurological Surgeons (WSANS) members. Methods: Members of the WSANS were surveyed in 2005. The survey was sent via e-mail and the data were anonymously collected using an online survey tool, Catalyst WebQ. Results: The majority of responses (79%) stated that their neurosurgery practice was > or =75% adults. Acupuncture, herbs, massage therapy, prayer, and yoga were the most common CAM treatments patients used or discussed with their neurosurgeon. Fifty percent (50%) of neurosurgeons discussed the use of acupuncture among their colleagues. Concerning prayer and spirituality, 38% of the surveyed neurosurgeons stated that > or =25% of their patients have disclosed that they pray for their health; 42% stated that spirituality and prayer may affect neurosurgery outcome; and 38% stated that they pray for their patients. Overall, 63% of surveyed neurosurgeons stated that CAM treatments have a role in neurosurgery. Conclusions: The use of CAM may influence neurosurgical care; and the role of spirituality and prayer should be further explored. Because CAM utilization is ubiquitous, open discussion and familiarity with CAM treatments are becoming increasingly important in the field of neurosurgery.
Type | Journal Article |
---|---|
Author | Arkadi Yakirevitch |
Author | Lev Bedrin |
Author | Lela Migirov |
Author | Michael Wolf |
Author | Yoav P Talmi |
Abstract | <AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The worldwide interest in the use of complementary and alternative medicine (CAM) has been established in multiple surveys. Chronic rhinosinusitis (CRS) is often an unremitting disease with frequent troubling relapses, and despite wide use of endoscopic sinus surgery, conventional medicine may have a smaller contribution than expected. Because of prevalent use of CAM among patients, it is important that physicians acquire basic knowledge of this subject. We studied the prevalence of CAM use among CRS patients in Israel.</AbstractText> <AbstractText Label="DESIGN" NlmCategory="METHODS">Use of CAM was evaluated in a cohort of consecutive adult patients with CRS.</AbstractText> <AbstractText Label="SETTING" NlmCategory="METHODS">An outpatient clinic in a tertiary medical centre.</AbstractText> <AbstractText Label="METHODS" NlmCategory="METHODS">Patients were asked to fill out an anonymous questionnaire containing demographic data and data pertaining to allergy, traditional medical and surgical treatment use of CAM, and modalities used.</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">Ninety patients were included. Nineteen of them (21%) reported CAM use. This included herbal medicine, vitamins, homeopathy, acupuncture, massage, reflexology, yoga, and chiropractics. There was a tendency, although not statistically significant, for patients with allergy and a history of sinus surgery to use CAM.</AbstractText> <AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The prevalence of CAM use among patients with CRS in Israel is high and may correlate with the presence of allergies and a history of sinus surgery.</AbstractText> |
Publication | Journal of Otolaryngology - Head & Neck Surgery |
Volume | 38 |
Issue | 4 |
Pages | 517-520 |
Date | Aug 2009 |
Journal Abbr | J Otolaryngol Head Neck Surg |
ISSN | 1916-0216 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19755095 |
Accessed | Friday, February 04, 2011 10:47:05 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19755095 |
Date Added | Thursday, September 29, 2011 9:05:38 AM |
Modified | Thursday, September 29, 2011 9:05:38 AM |
Type | Journal Article |
---|---|
Author | S J Yardley |
Author | C E Walshe |
Author | A Parr |
Abstract | Healthcare professionals express difficulties in delivering spiritual care, despite it being a core component of palliative care national policies. The patient perspective on professional training to address difficulties has not previously been sought. The aim of this study is to describe patient suggestions for development of training to deliver spiritual care. Qualitative semi-structured in-depth 'palliative patient' interviews (n = 20) were analysed thematically. Training suggestions encompassed practical care delivery. Patients supported staff who introduced questions about spiritual needs, and they expected opportunities to engage in spiritual care discussions. The 'right' attitude for spiritual care delivery was defined as being non-judgemental, providing integrated care and showing interest in individuals. Training issues included patient perspectives of boundaries between personal and professional roles. This study provides 'palliative patient' perspectives to strengthen recommended models of spiritual care delivery. It shows that user opinions on training can be helpful not only in deciding objectives but also how to achieve them. |
Publication | Palliative Medicine |
Volume | 23 |
Issue | 7 |
Pages | 601-607 |
Date | Oct 2009 |
Journal Abbr | Palliat Med |
DOI | 10.1177/0269216309105726 |
ISSN | 1477-030X |
Short Title | Improving training in spiritual care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19443521 |
Accessed | Wednesday, November 04, 2009 10:04:33 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19443521 |
Date Added | Thursday, September 29, 2011 9:05:21 AM |
Modified | Thursday, September 29, 2011 9:05:21 AM |
Type | Journal Article |
---|---|
Author | Aziz Yasan |
Author | Faruk Gürgen |
Abstract | We plan to investigate the level of marital satisfaction, the prevalence of sexual problems, and related issues in couples who were referred to an outpatient clinic of psychiatry for their sexual problems. All were living according to traditional Islamic culture. Twenty-five (80.64%) of the couples attended the clinic for not being able to have any sexual intercourse. Overall, 25.8% of the women, and 3.2% of the men had been married without their consent; those marriages were arranged and mediated by matchmakers. Vaginismus (58.06%) was the most common diagnosis among women and premature ejaculation (38.70%) among men. We found that marital satisfaction was affected by the mode of marriage. |
Publication | Journal of Sex & Marital Therapy |
Volume | 35 |
Issue | 1 |
Pages | 68-75 |
Date | 2009 |
Journal Abbr | J Sex Marital Ther |
DOI | 10.1080/00926230802525687 |
ISSN | 1521-0715 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19105081 |
Accessed | Monday, March 28, 2011 6:18:24 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 19105081 |
Date Added | Thursday, September 29, 2011 9:07:00 AM |
Modified | Thursday, September 29, 2011 9:07:00 AM |
Type | Journal Article |
---|---|
Author | Erdem Yesilada |
Abstract | Unani medicine or Islamic medicine is one of the main healing systems in the world, which was set up by the Islamic physicians in the Middle East about a thousand years ago based on the teachings of Hippocrates and Galen. This medical system had been practiced widespread in the world including Europe until the 16th century and contributed greatly to the development of modern medicine. Despite the remarkable advancements in orthodox medicine, the traditional medicine has always been practiced in the Middle East communities. Due to cultural beliefs and practices, the Middle East communities have a very rich tradition in the utilization of herbal remedies as well as diverse spiritual techniques for treating various disorders. Traditional practitioners have become the main component of disease management in the Middle East and they have used herbal remedies along with spiritual techniques for the treatment of ailments mainly based on the Unani medicine. |
Publication | Chinese Journal of Integrative Medicine |
Volume | 17 |
Issue | 2 |
Pages | 95-98 |
Date | Feb 2011 |
Journal Abbr | Chin J Integr Med |
DOI | 10.1007/s11655-011-0651-0 |
ISSN | 1672-0415 |
Accessed | Tuesday, March 15, 2011 2:21:51 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21390574 |
Date Added | Thursday, September 29, 2011 8:57:14 AM |
Modified | Thursday, September 29, 2011 8:57:14 AM |
Type | Journal Article |
---|---|
Author | Laura A Young |
Abstract | Over the past decade, there has been an increasing interest in meditation as a mind-body approach, given its potential to alleviate emotional distress and promote improved well being in a variety of populations. The overall purpose of this review is to provide the practicing rheumatologist with an overview of mindfulness and how it can be applied to Western medical treatment plans to enhance both the medical and psychological care of patients. |
Publication | Rheumatic Diseases Clinics of North America |
Volume | 37 |
Issue | 1 |
Pages | 63-75 |
Date | Feb 2011 |
Journal Abbr | Rheum. Dis. Clin. North Am |
DOI | 10.1016/j.rdc.2010.11.010 |
ISSN | 1558-3163 |
Short Title | Mindfulness meditation |
Accessed | Sunday, February 13, 2011 10:35:33 AM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21220086 |
Date Added | Thursday, September 29, 2011 8:57:35 AM |
Modified | Thursday, September 29, 2011 8:57:35 AM |
Type | Journal Article |
---|---|
Author | Laura A Young |
Abstract | Over the past decade, there has been an increasing interest in meditation as a mind-body approach, given its potential to alleviate emotional distress and promote improved well being in a variety of populations. The overall purpose of this review is to provide the practicing rheumatologist with an overview of mindfulness and how it can be applied to Western medical treatment plans to enhance both the medical and psychological care of patients. |
Publication | Rheumatic Diseases Clinics of North America |
Volume | 37 |
Issue | 1 |
Pages | 63-75 |
Date | Feb 2011 |
Journal Abbr | Rheum. Dis. Clin. North Am |
DOI | 10.1016/j.rdc.2010.11.010 |
ISSN | 1558-3163 |
Short Title | Mindfulness meditation |
Accessed | Tuesday, March 15, 2011 2:29:26 PM |
Library Catalog | NCBI PubMed |
Extra | PMID: 21220086 |
Date Added | Thursday, September 29, 2011 8:57:14 AM |
Modified | Thursday, September 29, 2011 8:57:14 AM |
Type | Journal Article |
---|---|
Author | Catherine Zollman |
Author | Andrew Vickers |
Publication | British Medical Journal |
Volume | 319 |
Issue | 7223 |
Pages | 1486-1489 |
Date | Dec. 4, 1999 |
ISSN | 09598138 |
Short Title | ABC of Complementary Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/25186547 |
Accessed | Monday, November 09, 2009 12:29:37 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Dec. 4, 1999 / Copyright © 1999 BMJ Publishing Group |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |
Type | Journal Article |
---|---|
Author | Catherine Zollman |
Author | Andrew Vickers |
Publication | British Medical Journal |
Volume | 319 |
Issue | 7214 |
Pages | 901-904 |
Date | Oct. 2, 1999 |
ISSN | 09598138 |
Short Title | ABC of Complementary Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/25185967 |
Accessed | Monday, November 09, 2009 12:29:21 AM |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Oct. 2, 1999 / Copyright © 1999 BMJ Publishing Group |
Date Added | Saturday, October 01, 2011 3:01:20 PM |
Modified | Saturday, October 01, 2011 3:01:20 PM |