A diverse range of topics are covered in this issue of Health and Social Care Chaplaincy, namely:... more A diverse range of topics are covered in this issue of Health and Social Care Chaplaincy, namely: (i) end of life care, (ii) chaplaincy boundaries, (iii) moral injury, (iv) suicide, and (v) the increasingly important issue of electronic patient records. This issue also includes, once again, a number of book reviews. Finally, we welcome two new Co-Editors to the HSCC team, and note an upcoming European conference planned for 2024 focusing on spiritual care interventions.
The JBI Database of Systematic Reviews and Implementation Reports, 2015
Background According to population projections, one quarter of all people living in the developed... more Background According to population projections, one quarter of all people living in the developed world will be 65 years or over within the next few decades. Currently in the UK, 17% of the population is over 65, with this set to rise to 25% by 2051. 1 In the year 2000, 12.9%, or one in every eight Americans, were in this age group. 2 Forecasts indicate this will increase to 19% by 2030. 2 Likewise, in Canada, the 65 and older age group is set to increase from 13.2% in 2005 to 24.5% by 2036. 3 In Australia, this age group is set to nearly double, from 13% in 2007 to 24% by 2056. 4 A number of factors have been attributed to these changes. Some of these include: medical advances, increased fertility rates, better health care and education, and the coming of age of "baby boomers". 5,6 The aging population poses a number of challenges for the provision of high quality and targeted services to older people. Declining health, functioning and independence is a natural consequence of aging. As people age they are more likely to suffer from chronic diseases which affect their daily living, such as heart disease, arthritis, diabetes and dementia. 6,7 Additional non-physical challenges such as social isolation, financial constraints, transportation issues, lack of education and access to health care services are also at play. 8,9,10 Each of the aforementioned issues affecting older people do not occur in isolation but are
This issue of Health and Social Care Chaplaincy presents a wide range of topics relating to: (i) ... more This issue of Health and Social Care Chaplaincy presents a wide range of topics relating to: (i) spirituality and spiritual care education, (ii) mental health care, (iii) hearing impairment, and (iv) COVID-19 in residential aged care. A number of book reviews are presented, as well as the annual overview of HSCC. Finally, we welcome a new HSCC Editor-in-Chief and remind readers of the upcoming European Conference on Religion, Spirituality and Health planned for 2024. Further, we provide advance notice of a forthcoming conference currently in planning – namely the inaugural International Moral Injury and Wellbeing Conference (IMIWC, 2024).
This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmer... more This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
If it is not charted: it did not happen." The charting of healthcare chaplaincy contacts in patie... more If it is not charted: it did not happen." The charting of healthcare chaplaincy contacts in patient files has been controversially discussed in the literature in recent years. In particular, entries in digital medical records raise questions among
This Article explores the largely overlooked relationship between claim construction and patent a... more This Article explores the largely overlooked relationship between claim construction and patent assertion entities (patent "trolls"), finding that claim construction problems and trends benefit patent assertion entities. First, the Federal Circuit's deep divide over the proper approach to claim construction creates uncertain patent scope, which is widely recognized as a core reason for the success of patent assertion entities. Second, case law and commentary increasingly endorse an approach to claim construction that relies on the "general meaning" in the technical field with limited reliance on the patent itself, which benefits patent assertion entities by increasing the breadth and uncertainty of patent scope. Third, the Supreme Court's recent adoption of a more deferential standard of review for claim construction in Teva Pharmaceuticals USA, Inc. v. Sandoz, Inc. increases the benefits patent assertion entities receive from filing in favorable district courts, like the Eastern District of Texas, as well as their incentives to do so. If patent assertion entities are as problematic as widely thought, these claim construction problems and trends warrant reconsideration. Current claim construction rules and trends may be warranted despite their positive impact on patent assertion entities. And other means may exist for combatting patent assertion entities without altering claim construction rules or trends. But the positive effects for patent assertion entities must at least be factored into any cost-benefit analysis of claim construction rules. Moreover, the fact that current claim construction rules and trends produce the conditions under which patent assertion entities thrive suggests that patent assertion entities may be a symptom of larger problems with claim construction doctrine.
ABSTRACT In recent years, preparing nurses and midwives to feel competent and confident in provid... more ABSTRACT In recent years, preparing nurses and midwives to feel competent and confident in providing spiritual care has become the subject of international research. There is an emerging body of evidence affirming the importance of spirituality in promoting the health and wellbeing of individuals. Despite this growing recognition, there are still inconsistencies in the way that undergraduate students in nursing and midwifery are taught and prepared to assess and address this dimension of the person, and fundamentally how these concepts are integrated within programmes of education. This article charts the evolution of a European programme of research, spanning a decade, exploring undergraduate nurses’ and midwives’ perception of spirituality and perceived competence in providing spiritual care. The research culminated in an educational research study that led to the co-production and development of best practice standards for spiritual care education and the launch of a network to sustain and advance this neglected area of nursing and midwifery practice.
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Nursing standard (Royal College of Nursing (Great Britain) : 1987), Jan 12, 2017
We welcome the new National Institute for Health and Care Excellence (NICE) quality standard, whi... more We welcome the new National Institute for Health and Care Excellence (NICE) quality standard, which calls for individualised care plans that address the 'cultural, religious or social preferences' of people in the last two to three days of life, as well as those of people important to them.
and formal use of peer teaching and learning, and one included study Cortazzi et al. (2001) repor... more and formal use of peer teaching and learning, and one included study Cortazzi et al. (2001) reported on the use of both incidental, anecdotal and formal peer teaching and learning strategies, as reported in the outcomes 'Narratives mediate learning by re-telling experience, students learn by reflection' (Secomb 2008). In health science education literature many learning outcomes are self reported, peer evaluated, client reported or clinician evaluated, therefore level of evidence is considered but not central to the investigation (Secomb 2008). The inclusion of this type of information can highlight significant factors and further research responsibilities and possibilities (Secomb 2008), but the research design needs to clear (Altman 2002), and the meaning contextualised within existing literature, and evaluation and inclusion strategies outlined. As with this review, not all the outcomes discussed in the main text as relevant to the research question made the final reporting, in Table 2 'The significant findings for clinical practice from this systematic review of literature' (Secomb 2008). When it became evident that statistical meta-analysis was unachievable, a meta-synthesis which provided consistency and comparability between studies their designs and results was used.
Iranian journal of nursing and midwifery research, 2013
Although nursing faculties may believe that they possess a core of knowledge about ethical intera... more Although nursing faculties may believe that they possess a core of knowledge about ethical interactions with students, they may unwittingly risk crossing an ethical boundary in the learning environment. The ethical dimension in education exists because the instructor has authority to contribute to or impede the students' acquisition of knowledge. Therefore, this study aimed to determine the views of Iranian baccalaureate nursing and midwifery students regarding the occurrence rate of their faculties' unethical behaviors. In this study, 115 subjects, including 61 nursing and 54 midwifery students, completed a questionnaire (response rate = 67.6%). The questionnaire consisted of demographic data and 27 short statements which described the faculties' unethical behaviors. Reliability of instrument was confirmed (0.92) using Cronbach-Alpha. Delaying in announcing the exam results (40%), lack of a positive learning environment (35.7%), failure to keep regularly scheduled offic...
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
A new book offers nurses insights into spirituality and tools enabling them to assess this aspect... more A new book offers nurses insights into spirituality and tools enabling them to assess this aspect of patient care.
A follow-up study was carried out on the 5-year status of the surviving patients (n=179 at 6 mont... more A follow-up study was carried out on the 5-year status of the surviving patients (n=179 at 6 months) of a 24-week randomized controlled trial comparing cardiac rehabilitation (CR) with heart failure outpatient clinic care (standard care). In the original randomized controlled trial, 200 patients (60-89 years, 132 men) with New York Heart Association II/III heart failure confirmed by echocardiography had been randomized (2000-2001). At the 5-year follow-up, the initial trial measures (6-min walk test, Minnesota living with heart failure, EuroQol health-related quality of life, and routine biochemistry) were repeated if the patient was in a satisfactory condition. Data on deaths and admissions were obtained from the medical records department. Over half of the original participants (n=119, 59.5%) were alive at 5 years (mean age 75.2 years), and most (94%) attended the clinic for assessment. A sustained improvement from baseline for both groups in Minnesota living with heart failure, but not in EuroQol was observed, and the majority of the other measures had deteriorated. In contrast to the CR group, the standard care group showed a significant deterioration in walking distance (5 versus 11%; P<0.05). More patients in the CR group were taking regular exercise (71 versus 51%; P<0.05). No significant differences between the groups in health care utilization or survival were observed. A 24-week CR programme for patients with stable heart failure showed some long-term benefit at 5 years. Differences in the mean values of most of the functional and quality of life measures were evidently to the advantage of the CR group, which also showed a better exercise profile.
In this paper a number of issues related to the teaching of spiritual care to nurses are consider... more In this paper a number of issues related to the teaching of spiritual care to nurses are considered. The spiritual dimension influences health and well-being. Research shows that patients considered their spiritual needs of importance. Nurses held a similar view but felt the need for further education to help them give spiritual care. The nursing literature suggests that spiritual care is part of the nurse's role and guidelines for nurse education state that it should be taught to nurses. It is not clear, however, if or how the subject is taught or how effective such teaching is in helping nurses to give spiritual care. The ways in which spiritual care could be taught are explored.
A diverse range of topics are covered in this issue of Health and Social Care Chaplaincy, namely:... more A diverse range of topics are covered in this issue of Health and Social Care Chaplaincy, namely: (i) end of life care, (ii) chaplaincy boundaries, (iii) moral injury, (iv) suicide, and (v) the increasingly important issue of electronic patient records. This issue also includes, once again, a number of book reviews. Finally, we welcome two new Co-Editors to the HSCC team, and note an upcoming European conference planned for 2024 focusing on spiritual care interventions.
The JBI Database of Systematic Reviews and Implementation Reports, 2015
Background According to population projections, one quarter of all people living in the developed... more Background According to population projections, one quarter of all people living in the developed world will be 65 years or over within the next few decades. Currently in the UK, 17% of the population is over 65, with this set to rise to 25% by 2051. 1 In the year 2000, 12.9%, or one in every eight Americans, were in this age group. 2 Forecasts indicate this will increase to 19% by 2030. 2 Likewise, in Canada, the 65 and older age group is set to increase from 13.2% in 2005 to 24.5% by 2036. 3 In Australia, this age group is set to nearly double, from 13% in 2007 to 24% by 2056. 4 A number of factors have been attributed to these changes. Some of these include: medical advances, increased fertility rates, better health care and education, and the coming of age of "baby boomers". 5,6 The aging population poses a number of challenges for the provision of high quality and targeted services to older people. Declining health, functioning and independence is a natural consequence of aging. As people age they are more likely to suffer from chronic diseases which affect their daily living, such as heart disease, arthritis, diabetes and dementia. 6,7 Additional non-physical challenges such as social isolation, financial constraints, transportation issues, lack of education and access to health care services are also at play. 8,9,10 Each of the aforementioned issues affecting older people do not occur in isolation but are
This issue of Health and Social Care Chaplaincy presents a wide range of topics relating to: (i) ... more This issue of Health and Social Care Chaplaincy presents a wide range of topics relating to: (i) spirituality and spiritual care education, (ii) mental health care, (iii) hearing impairment, and (iv) COVID-19 in residential aged care. A number of book reviews are presented, as well as the annual overview of HSCC. Finally, we welcome a new HSCC Editor-in-Chief and remind readers of the upcoming European Conference on Religion, Spirituality and Health planned for 2024. Further, we provide advance notice of a forthcoming conference currently in planning – namely the inaugural International Moral Injury and Wellbeing Conference (IMIWC, 2024).
This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmer... more This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
If it is not charted: it did not happen." The charting of healthcare chaplaincy contacts in patie... more If it is not charted: it did not happen." The charting of healthcare chaplaincy contacts in patient files has been controversially discussed in the literature in recent years. In particular, entries in digital medical records raise questions among
This Article explores the largely overlooked relationship between claim construction and patent a... more This Article explores the largely overlooked relationship between claim construction and patent assertion entities (patent "trolls"), finding that claim construction problems and trends benefit patent assertion entities. First, the Federal Circuit's deep divide over the proper approach to claim construction creates uncertain patent scope, which is widely recognized as a core reason for the success of patent assertion entities. Second, case law and commentary increasingly endorse an approach to claim construction that relies on the "general meaning" in the technical field with limited reliance on the patent itself, which benefits patent assertion entities by increasing the breadth and uncertainty of patent scope. Third, the Supreme Court's recent adoption of a more deferential standard of review for claim construction in Teva Pharmaceuticals USA, Inc. v. Sandoz, Inc. increases the benefits patent assertion entities receive from filing in favorable district courts, like the Eastern District of Texas, as well as their incentives to do so. If patent assertion entities are as problematic as widely thought, these claim construction problems and trends warrant reconsideration. Current claim construction rules and trends may be warranted despite their positive impact on patent assertion entities. And other means may exist for combatting patent assertion entities without altering claim construction rules or trends. But the positive effects for patent assertion entities must at least be factored into any cost-benefit analysis of claim construction rules. Moreover, the fact that current claim construction rules and trends produce the conditions under which patent assertion entities thrive suggests that patent assertion entities may be a symptom of larger problems with claim construction doctrine.
ABSTRACT In recent years, preparing nurses and midwives to feel competent and confident in provid... more ABSTRACT In recent years, preparing nurses and midwives to feel competent and confident in providing spiritual care has become the subject of international research. There is an emerging body of evidence affirming the importance of spirituality in promoting the health and wellbeing of individuals. Despite this growing recognition, there are still inconsistencies in the way that undergraduate students in nursing and midwifery are taught and prepared to assess and address this dimension of the person, and fundamentally how these concepts are integrated within programmes of education. This article charts the evolution of a European programme of research, spanning a decade, exploring undergraduate nurses’ and midwives’ perception of spirituality and perceived competence in providing spiritual care. The research culminated in an educational research study that led to the co-production and development of best practice standards for spiritual care education and the launch of a network to sustain and advance this neglected area of nursing and midwifery practice.
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Nursing standard (Royal College of Nursing (Great Britain) : 1987), Jan 12, 2017
We welcome the new National Institute for Health and Care Excellence (NICE) quality standard, whi... more We welcome the new National Institute for Health and Care Excellence (NICE) quality standard, which calls for individualised care plans that address the 'cultural, religious or social preferences' of people in the last two to three days of life, as well as those of people important to them.
and formal use of peer teaching and learning, and one included study Cortazzi et al. (2001) repor... more and formal use of peer teaching and learning, and one included study Cortazzi et al. (2001) reported on the use of both incidental, anecdotal and formal peer teaching and learning strategies, as reported in the outcomes 'Narratives mediate learning by re-telling experience, students learn by reflection' (Secomb 2008). In health science education literature many learning outcomes are self reported, peer evaluated, client reported or clinician evaluated, therefore level of evidence is considered but not central to the investigation (Secomb 2008). The inclusion of this type of information can highlight significant factors and further research responsibilities and possibilities (Secomb 2008), but the research design needs to clear (Altman 2002), and the meaning contextualised within existing literature, and evaluation and inclusion strategies outlined. As with this review, not all the outcomes discussed in the main text as relevant to the research question made the final reporting, in Table 2 'The significant findings for clinical practice from this systematic review of literature' (Secomb 2008). When it became evident that statistical meta-analysis was unachievable, a meta-synthesis which provided consistency and comparability between studies their designs and results was used.
Iranian journal of nursing and midwifery research, 2013
Although nursing faculties may believe that they possess a core of knowledge about ethical intera... more Although nursing faculties may believe that they possess a core of knowledge about ethical interactions with students, they may unwittingly risk crossing an ethical boundary in the learning environment. The ethical dimension in education exists because the instructor has authority to contribute to or impede the students' acquisition of knowledge. Therefore, this study aimed to determine the views of Iranian baccalaureate nursing and midwifery students regarding the occurrence rate of their faculties' unethical behaviors. In this study, 115 subjects, including 61 nursing and 54 midwifery students, completed a questionnaire (response rate = 67.6%). The questionnaire consisted of demographic data and 27 short statements which described the faculties' unethical behaviors. Reliability of instrument was confirmed (0.92) using Cronbach-Alpha. Delaying in announcing the exam results (40%), lack of a positive learning environment (35.7%), failure to keep regularly scheduled offic...
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
A new book offers nurses insights into spirituality and tools enabling them to assess this aspect... more A new book offers nurses insights into spirituality and tools enabling them to assess this aspect of patient care.
A follow-up study was carried out on the 5-year status of the surviving patients (n=179 at 6 mont... more A follow-up study was carried out on the 5-year status of the surviving patients (n=179 at 6 months) of a 24-week randomized controlled trial comparing cardiac rehabilitation (CR) with heart failure outpatient clinic care (standard care). In the original randomized controlled trial, 200 patients (60-89 years, 132 men) with New York Heart Association II/III heart failure confirmed by echocardiography had been randomized (2000-2001). At the 5-year follow-up, the initial trial measures (6-min walk test, Minnesota living with heart failure, EuroQol health-related quality of life, and routine biochemistry) were repeated if the patient was in a satisfactory condition. Data on deaths and admissions were obtained from the medical records department. Over half of the original participants (n=119, 59.5%) were alive at 5 years (mean age 75.2 years), and most (94%) attended the clinic for assessment. A sustained improvement from baseline for both groups in Minnesota living with heart failure, but not in EuroQol was observed, and the majority of the other measures had deteriorated. In contrast to the CR group, the standard care group showed a significant deterioration in walking distance (5 versus 11%; P<0.05). More patients in the CR group were taking regular exercise (71 versus 51%; P<0.05). No significant differences between the groups in health care utilization or survival were observed. A 24-week CR programme for patients with stable heart failure showed some long-term benefit at 5 years. Differences in the mean values of most of the functional and quality of life measures were evidently to the advantage of the CR group, which also showed a better exercise profile.
In this paper a number of issues related to the teaching of spiritual care to nurses are consider... more In this paper a number of issues related to the teaching of spiritual care to nurses are considered. The spiritual dimension influences health and well-being. Research shows that patients considered their spiritual needs of importance. Nurses held a similar view but felt the need for further education to help them give spiritual care. The nursing literature suggests that spiritual care is part of the nurse's role and guidelines for nurse education state that it should be taught to nurses. It is not clear, however, if or how the subject is taught or how effective such teaching is in helping nurses to give spiritual care. The ways in which spiritual care could be taught are explored.
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