Flexible and Responsive: Applying the Wisdom of “It Depends”

Soulé, Isabelle

doi:10.1891/9780826131034.0030

Cited by 3 publications

(5 citation statements)

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“…Postmodernism approaches this phenomenon as a wholeperson event, employing all ways of knowing-the empirical, aesthetic, personal, ethical, sociopolitical, and "not knowing" or "unknowing" (Carper, 1978;Dossey, 2016). Holding a space of unknowing brings a naïve curiosity to the encounter that empowers the provider to remain culturally humble and centered on the patient narrative (Soulé, 2016). The postmodern lens strives to understand the influence of personal-societal-political-historical context and mature toward a more evolutionary concept of HCDM, supported by Rosa and Estes's (2016) definition of evolving human-centered care:…”

Section: Decision-making Of African-americans: a Postmodern Approachmentioning

confidence: 99%

“…Postmodernism approaches this phenomenon as a whole-person event, employing all ways of knowing—the empirical, aesthetic, personal, ethical, sociopolitical, and “not knowing” or “unknowing” (Carper, 1978; Dossey, 2016). Holding a space of unknowing brings a naïve curiosity to the encounter that empowers the provider to remain culturally humble and centered on the patient narrative (Soulé, 2016). The postmodern lens strives to understand the influence of personal-societal-political-historical context and mature toward a more evolutionary concept of HCDM, supported by Rosa and Estes’s (2016) definition of evolving human-centered care :[C]ompassionate and empathic care that responds, attends, and conforms to the human as a living, breathing, evolving experience; human as fluctuating phenomenological being of engagement; human as history, as story, and as narrative; human as presence, emergence, and possibility; human as fellow sojourner; human as caring-healing; and human as LOVE.…”

Section: Postmodernism: Toward Untruth As a Truismmentioning

confidence: 99%

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Healthcare Decision-Making of African-American Patients: Comparing Positivist and Postmodern Approaches to Care

Rosa

2019

Nurs Sci Q

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Healthcare decision-making (HCDM) may be a potentially challenging time for any person. When considered against the backdrop of being a minority, experiencing disparate care based on racial bias, and confronting the implications of advanced serious illness, the practices and processes of HCDM become increasingly complex. The purpose of this paper is to consider the HCDM of African-American patients with advanced serious illness through the lens of positivism and postmodernism and to make the argument that postmodern nursing is the ideal ethical and equitable approach to HCDM. Postmodernism reengages nurses to consider HCDM of African-American patients with advanced serious illness as an individualized, contextualized, whole-person process, requiring all ways of knowing. A postmodern nursing approach may promote sustainable and human-centered health interventions that will reposition an often marginalized group to the center of practice, policy, and research progress.

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Section: Decision-making Of African-americans: a Postmodern Approachmentioning

confidence: 99%

Section: Postmodernism: Toward Untruth As a Truismmentioning

confidence: 99%

Healthcare Decision-Making of African-American Patients: Comparing Positivist and Postmodern Approaches to Care

Rosa

2019

Nurs Sci Q

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“…The lessons learned in the development and implementation of the educational programs are inherent aspects of transcultural nursing, including the myriad aspects of cultural sensitivity and exploring the relevance of interventions to the Rwandan context. The predominantly U.S.-based faculty, along with their Rwandan twins, engaged in introspective dialogue that explored the complexities of cross-cultural partnerships (Upvall & Leffers, 2014), the challenges and barriers to embracing cultural humility (Soulé, 2016), and increased awareness and consciousness regarding both the similarities and contrasts between cultures (Yan & Wong 2005). Ultimately, cultural bridging between USI faculty and RF involved the use of effective communication, shared decision making, and mutual respect (Upvall & Leffers, 2015).…”

Section: Building Nursing and Midwifery Capacity In Rwanda Through Thmentioning

confidence: 99%

Building Nursing and Midwifery Capacity Through Rwanda’s Human Resources for Health Program

et al. 2017

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Global disparities in the quantity, distribution, and skills of health workers worldwide pose a threat to attainment of the Sustainable Development Goals by 2030 and deepens already existing global health inequities. Rwanda and other low-resource countries face a critical shortage of health professionals, particularly nurses and midwives. This article describes the Human Resources for Health (HRH) Program in Rwanda, a collaboration between the Ministry of Health of Rwanda and a U.S. consortium of academic institutions. The ultimate goal of the HRH Program is to strengthen health service delivery and to achieve health equity for the poor. The aim of this article is to highlight the HRH nursing and midwifery contributions to capacity building in academic and clinical educational programs throughout Rwanda. International academic partnerships need to align with the priorities of the host country, integrate the strengths of available resources, and encourage a collaborative environment of cultural humility and self-awareness for all participants.

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“…Cultural humility, first identified by Tervalon and Murray-García, is a concept normally applied to transcultural patient-provider settings, but its core tenets are also capable of informing and expanding collegial engagement [9]. The key attributes of cultural humility promote the practices of openness; self-awareness; surrendering ego; supportive interactions; and selfreflection and critique [10]. Nursing's willingness to be more humble and curious about the worldviews of physician counterparts will, ultimately, allow for healing of the past and present misunderstandings that prevent a collaborative future.…”

mentioning

confidence: 99%

“…Nursing's willingness to be more humble and curious about the worldviews of physician counterparts will, ultimately, allow for healing of the past and present misunderstandings that prevent a collaborative future. The alternative is to become set in a mode of cultural arrogance: the rejection of another's alternative context that ultimately limits understanding, creates barriers for creative solution finding, and generates interprofessional distancemaking collaboration impossible [10].…”

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confidence: 99%

Interprofessional development in palliative care: cultural humility and a collaborative future for nursing and medicine

Nascimento¹

2017

Nurs Palliat Care

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The World Health Organization (WHO) defines palliative care as "an approach that improves the quality of life of patients and their families facing… life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual" [1]. This explanation of palliative care implies that it: (a) is an art and science dependent on advanced clinical knowledge and a human-centered approach to engagement; (b) requires a wide range of scientific and interpersonal expertise, including the abilities to integrate both evidence-based practice and reliable communication skills, and (c) calls for the collaboration of practitioners across professions in order to effectively deliver a wholeperson/whole-family model of care. Though the structure and role of a given palliative care team may differ across settings and contexts, the common factors are consistently noted as the involved presence, advocacy, and leadership of nursing and medicine representatives [2].While much is written about the professional development of nurses and physicians as individual disciplines [3,4], little has been explored regarding the interprofessional development possible through shared learning and practice environments in palliative care that celebrate the unique contributions of each, and provide opportunities for growth through invitations for transdisciplinary reflection and team building. As a general statement, the idealistic practice of palliative care role models for the healthcare system how to effectively engage in multiprofessional practice in order to deliver whole-person care for patients struggling with advanced serious illness or at end of life. There are potentially influential future implications for palliative care research, practice, education and policy if the specialty were to become firmly rooted in a stance of ongoing interprofessional development. How do palliative care specialists revisit requisite profession-specific competencies, skill building, and disciplinary advancement in true collaboration with their colleagues across the sometimes stagnant and paternalistic aisle? For the purpose of this editorial, collaboration suggests a synergistic experience beyond cooperation, participation and compromise toward a model of caring and respect, where despite differences in background, the unique and valuable contributions of each party are recognized and celebrated as essential [5].Traditionally, nursing has been viewed as separate from medicine [6]. While this is definitively true in terms of scopes of practice and delineation of clinical privileges, there are deeper distinctions that often prevent the two from co-creating optimal partnerships. For example, the study of medicine has been focused on objectivity, the quantitative aspects of research, external relations inferred by statistical evidence, a fact/data-centered emphasis, the technical validation of knowledge, and paradigm adherence; whereas, p...

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Flexible and Responsive: Applying the Wisdom of “It Depends”

Cited by 3 publications

References 0 publications

Healthcare Decision-Making of African-American Patients: Comparing Positivist and Postmodern Approaches to Care

Healthcare Decision-Making of African-American Patients: Comparing Positivist and Postmodern Approaches to Care

Building Nursing and Midwifery Capacity Through Rwanda’s Human Resources for Health Program

Interprofessional development in palliative care: cultural humility and a collaborative future for nursing and medicine

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