bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengukuran Tingkat Pengenalan Pengguna Games Terhadap Muatan Budaya Indonesia Pada Mobile Game Berbasis Android (Studi Kasus: Dakon, Karapan Sapi Dan Temple Rush Prambanan)
Authors: Hidayat Dicky , Komariah Siti Hajar
Published: September 2017

Era informasi global menjadikan budaya asing dengan mudahnya masuk dan mempengaruhi kebiasaan dan kehidupan masyarakat Indonesia khususnya generasi muda. Salah satu media yang banyak datang dan mempengaruhi budaya anak muda adalah media game berbasis android. Untuk mencegah dan mengimbangi gencarnya penetrasi budaya asing melalui mobile game ini, para developer game lokal membuat dan mengembangkan mobile games berbasis android yang di dalamnya sarat muatan budaya asli Indonesia, diantaranya game Dakon, Temple Rush: Prambanan, dan Karapan Sapi. Identitas budaya Indonesia sudah dihadirkan dalam elemen tekstual berupa narasi atau gameplay dan elemen non-tekxtual berupa karakter, background, suara, dan animasi. Para pembuat dan pengembang game bermuatan budaya Indonesia ini berharap pengguna games dapat mengenal dan mengetahui budaya lokal Indonesia yang terkandung di dalam game tersebut. Untuk mengetahui tingkat pengenalan para pengguna game tersebut terhadap budaya Indonesia yang ada dalam games, perlu dilakukan pengukuran. Tingkat pengenalan atau pengetahuan seseorang terhadap suatu objek dapat diukur dengan menggunakan metode kuantitatif. Pengukuran dilakukan dengan memberikan sejumlah pertanyaan dalam bentuk angket tentang objek pengetahuan yang akan diukur. Penilaian dilakukan dengan cara membandingkan jumlah skor jawaban dengan skor yang diharapkan (tertinggi). Pengukuran dalam penelitian ini dilakukan dengan menyebarkan angket kepada 30 responden penggunan game Dakon, Temple Rush Prambanan, dan Karapan Sapi untuk mengetahui tingkat pengetahuan mereka terhadap muatan budaya asli Indonesia yang ada di dalamnya. Hasil dari pengukuran menunjukkan tingkat pengenalan atau pengetahuan para pengguna game terhadap muatan budaya Indonesia pada ketiga mobile games berbasis android tersebut (Dakon, Temple Rush: Prambanan, dan Karapan Sapi) adalah sebesar 75,17% atau berada dalam kategori cukup.
Investigation on Releasing of a Stuck Drill String by Means of a Mechanical Jar
Authors: Moisyshyn V. , Levchuk K.
Published: September 2017

Purpose. In this article the most important part is dedicated to the research of elimination of accident that is caused by drill string sticking during the process. That is why it is necessary to develop a mathematical model of the mechanic system: travelling system + drill string + mechanical jar + rock, to develop a computer model for numerical calculation of dynamic characteristics of firing gear. The aim is to use the results of the research and to work out recommendations for expediency of jar application. Methods. For description of the drill string we are using synthesis of the wave theory and theory of the local distortions. For mathematical modeling of firing device we are offering the use of the combined method that combines static solutions of the theory of elasticity for contact zone of drill string and method of a plain wave of Saint-Venant. We solved systems of differential equations using the methods of mathematical physics. An algorithm of the numerical decision which mounted in the computing environment were used at simulation of the longitudinal impact to the stuck drill pipe. In this article we designed a wave chart of the equation system of the drill pipe and conducted step-by-step calculation of a collision momentum. We also designed a computer program for numerical modeling of the drill pipe mechanism with firing gear. We also designed a method of calculation of main dynamic characteristics of firing device that will help analyze and prove the performance of the mechanical jar. A wave diagram was built that shows the impact forces and speeds on the boundary surfaces of the sections of the drill string. There were calculated main dynamic characteristic of mechanical the jar. Originality. Authors also developed a dynamic mathematical model that combined elastic vibrations of continual system of loose part drill pipe, impact mechanisms and discrete movements of a given drill pipe. The process of a mechanical jar work that considers elastic deformations of contact areas was not published by researchers. Practical implications. Received results could be used for further research and perfection of existing engineering methods of modeling and calculations of drill pipes at the stage of their designing and their construction.
Fast and Accurate Prediction of the Regioselectivity of Electrophilic Aromatic Substitution Reactions
Authors: Kromann Jimmy , Jensen Jan H. , Kruszyk Monika , Jessing Mikkel , Jørgensen Morten
Published: September 2017

While computational prediction of chemical reactivity is possible it usually requires expert knowledge and there are relatively few computational tools that can be used by a bench chemist to help guide synthesis. The RegioSQM method for predicting the regioselectivity of electrophilic aromatic substitution reactions of heteroaromatic systems is presented in this paper. RegioSQM protonates all aromatic C-H carbon atoms and identifies those with the lowest free energies in chloroform using the PM3 semiempirical method as the most nucleophilic center. These positions are found to correlate qualitatively with the regiochemical outcome in a retrospective analysis of 96% of more than 525 literature examples of electrophilic aromatic halogenation reactions. The method is automated and requires only a SMILES string of the molecule of interest, which can easily be generated using chemical drawing programs such as ChemDraw. The computational cost is 1-10 minutes per molecule depending on size, using relatively modest computational resources and the method is freely available via a web server at regiosqm.org. RegioSQM should therefore be of practical use in the planning of organic synthesis.
First-Principles Evaluation of the Potential of Borophene as a Monolayer Transparent Conductor
Authors: Adamska Lyudmyla , Sadasivam Sridhar , Foley Jonathan J. , Darancet Pierre , Sharifzadeh Sahar
Published: September 2017

Two-dimensional boron is promising as a tunable monolayer metal for nano-optoelectronics. We study the optoelectronic properties of two likely allotropes of two-dimensional boron using first-principles density functional theory and many-body perturbation theory. We find that both systems are anisotropic metals, with strong energy- and thickness-dependent optical transparency and a weak (<1%) absorbance in the visible range. Additionally, using state-of-the-art methods for the description of the electron-phonon and electron-electron interactions, we show that the electrical conductivity is limited by electron-phonon interactions. Our results indicate that both structures are suitable as a transparent electrode.
Transforming the Intensive Care Culture Using the Palliative Approach
Authors: Guay Diane , Michaud Cécile , Mathieu Luc , Pepin Jacinthe
Published: September 2017

Introduction: Although the ultimate goal of the intensive care unit (ICU) is to save and prolong human life, the integration of palliative care approach in this fast-paced highly technologic environment is increasingly recognized as a means of restoring the global nature of care and enhances the integrity of the person. In this perspective, a recent study showed that three conditions promote the integration of palliative care in the ICU: sharing a common vision, a collaborative decision-making process and a proper environment.Objective: In light of these findings, this study proposes to develop, implement and evaluate an intervention to integrate these previously identified conditions. The purpose of this communication is to present our approach and its main results.Method: Based on the premise that research and action can coexist to improve practice, a qualitative inquiry of action research was chosen for this study. Valuing the consensual decision-making process, this research method provides an organizational structure allowing success and sustainability of this intervention.Results: The intervention aims to improve the quality of interdisciplinary communication and consisted of two main components. The first propose to enhance the skills and leadership of nurses through interactive training and the second focused on the improvement of intra and inter disciplinary intervention plan.Conclusions: The integration of the palliative care approach in the ICU is definitely an innovative strategy to transform the mission of the ICU caregivers and improve the care of the whole person.
Caring for the Lived Experience: An Exercise in Teaching Whole Person Care
Authors: Ingram Cory
Published: September 2017

Common medical professions’ education for whole person care of seriously ill people and their family is often lacking. The balance of educational attention to the biology of disease often far outweighs similar attention to the lived experience of the illness and personal caring. In an attempt to test and teach the lived experience a written essay survey instrument has been created and administered to new palliative care staff and family medicine residents.A summary of the participant’s responses to questions concerning ethical principles, dignity, health care desires, compassion, existential suffering, hope, grief, mindfulness, attunement, and end of life care will be shared in narrative fashion accompanied with teaching points used with participants. Third year family medicine residents’ reflections will be shared to reflect the impact of the teaching of whole person care.
Bringing Our Whole Person to Whole Person Care: Fostering Reflective Capacity with Interactive Reflective Writing in Health Professions Education
Authors: Armstrong Grayson A , Kofman Aaron , Sharpless Joanna J , Anthony David , Wald Hedy S
Published: September 2017

Reflective learning and practice foster personal, professional, and interprofessional identity development within health professions education to encourage humanistic, competent patient care. Reflection on experience nurtures mindful presence and adaptive expertise/”practical wisdom,” enabling the health care professional to recognize and address patients’ and families’ emotional, psychosocial, cultural, and spiritual needs for optimizing whole person care (WPC). By heightening awareness of strengths, values, biases, and/or limitations, reflection also helps the provider bring more of his/her “whole person” to WPC, strengthening the provider-patient therapeutic relationship (reciprocity for healing). The use of reflective writing (RW) to augment reflective practice is well documented. RW in the small group setting fosters narrative competence (hearing/responding to a patient’s story, awareness of one’s own stories), self-assessment, moral sensitivity, empathy, emotional processing, and provider well-being. At Alpert Med, we have implemented an “interactive reflective writing” (IRW) paradigm of guided individualized feedback from interdisciplinary faculty to students’ RW in a Doctoring course and Family Medicine clerkship (with small group peer-based narrative sharing and collaborative feedback). Frameworks for enhancing educational value of feedback (BEGAN and REFLECT-reflective level evaluation rubric) were developed, incorporated into student and faculty guides, and applied in faculty development.INTERACTIVE WORKSHOP OBJECTIVES: 1) Participants will be familiarized with constructs of reflective learning/practice and IRW, 2) Participants will apply BEGAN and REFLECT to a student’s reflective essay as exemplar, 3) Participants will engage in interactive dialogue with medical student presenters on positive learning outcomes of IRW for WPC 4) Participants will consider and share merits, limitations, and possible utility of presented curricula/evaluative tools for their settings. FORMAT/ACTIVITIES:1. Didactic - Reflective Learning/Practice for WPC2. Participants provide feedback to student’s RW3. Discussion4. Introduce BEGAN/REFLECT frameworks5. Participants re-craft feedback with frameworks/Discuss6. Student/faculty presenters share experiences of IRW pedagogy for fostering reflection and WPC7. Wrap-up/Q and A.
Group Art Therapy Program for Women Living with Breast Cancer
Authors: Laux Katherine , Lee Virginia , Meterissian Sarkis , Gorman Gwynneth , Wexler Sharon
Published: September 2017

Background/Objective: A 9-week group art therapy program for women living with breast cancer is a new initiative to bring comprehensive cancer care to oncology patients and caregivers at our host institution, a major university health center. The development of this program was supported by a mixed-methods research study which explored the impact of art therapy on the psychosocial needs of women in treatment for breast cancer. Over 60 women were recruited for this study (control and intervention groups). The art therapy program offers tangible meaning-making opportunities through art-making in a therapeutic frame. Participants incorporated their artworks in group discussions and individual reflections of how they benefited from art-making.Methods: Sources of data include the artwork and group discussions, an upcoming exhibit, narrative-based interviews, and quantitative questionnaires. The data will be analyzed qualitatively to elicit the major themes that the participants addressed in their art-making and group experiences, and in their narratives about their journey with cancer as a whole.Results: The program’s 9 weekly topics will be presented and the qualitative results will be discussed. The topics include addressing a changing mind/body, processing challenging emotions / thoughts / relationships, highlighting one’s strengths and capabilities, building talismans and amulets (protection), and increasing one’s self-awareness of the realities of living with cancer. Some of the major themes from a preliminary data analysis include the development of one’s personal artistic language/symbolism; a place just for me; discovering and building connections; at a crossroads; and transformations.Conclusion: This study highlights the importance and benefit of complementary therapies such as art therapy. We propose that creative arts therapies should be considered as an important contributor to the provision of whole person care in oncology clinics and wellness centres. The implications of group art therapy will be discussed in light of its feasibility in routine cancer care.
Patients’ Stories of Interprofessional Whole-Person Care
Authors: Aksenchuk Kateryna , Schwind Jasna K , Espin Sherry , McCay Beth , Gingras Jacqui
Published: September 2017

Objectives: Interprofessional whole-person care has been depicted as being able to enhance patient health outcomes, increase health care provider satisfaction with care delivery, lower health care spending and decrease wait times for receiving care. Limited research has been conducted into exploring patients’ experiences of being recipients of this type of care. The objective of this oral presentation is to disseminate findings of a Master of Nursing study through patients’ stories of experience receiving care on aunit where inter professional care is practiced.Methods: Three participants underwent a two step data collection process: a one hour semi-structured interview and a 30 minute symbolic image artistic exercise, as adapted from Schwind’s Narrative Reflective Process. Participants were invited to describe how they experienced receivingcare from an interprofessional team and whether or not they believed whole-person care was delivered to them. Collected data are being analyzed using Clandinin and Connelly’s Narrative Inquiry approach of three dimensionalspace, temporality, sociality and place.Results: The emerging results suggest that participants express satisfaction with the care they received from the interprofessional team on their unit. Their stories indicate that strong interprofessional team-work can contribute to patient satisfaction in care received. For these teams to be successful, from the patients’ point of view, there needs to be: better communication between care providers, greater involvement of the patient in decision making, proper identification of who comprises the teams, andconsistency in team composition.Conclusion: By acknowledging experiences and feelings ofpatients who have received care from an interprofessional team, there is potential to increase sustainability of these teams. The data generated through this study can potentially help health care providers, who are members of interprofessional teams, to deliver more effective, comprehensive whole-personcare within health care institutions.
Compassion Training: The Missing Link in Healthcare Education?
Authors: Deleo Kirsten , Anderson Angela , Cullerton-Sen Crystal
Published: September 2017

Compassion is an essential skill in whole person care. But, can it be cultivated through training?Current research in neuroscience elucidates the mechanisms of empathy and compassion and provides a new framework for professional education. It suggests that clinical detachment is neither effective for ensuring good care, nor a realistic strategy to prevent burnout. Cultivating compassion on the other hand, increases non-judgmental awareness, builds resilience, and enables us to respond more effectively to others’ needs with greater empathy (Frickson, 2008, Klimecki, 2102, Lutz, 2004). Moreover, it is a skill we can learn (Wasner et al, 2005, Lutz 2009). Despite these findings, however, training in compassion is largely absent in current professional curricula.Presenters will review current findings on compassion and its benefits, and demonstrate how we can train in it using examples from two unique compassion skills-training curricula: (1) a training for pediatric residents working in an inner-city hospital and (2) a certificate program in contemplative end-of-life care for hospice/palliative care workers. These models are inspired by the contemplative tradition of Tibetan Buddhism, with its long-standing and effective methodologies for deepening the human capacity for compassion. This approach has formed the basis of many scientific studies on compassion and the emerging field of contemplative-based, secular training models (Lutz, 2009). Participants engage in contemplations on compassion as well as mindfulness and meditation. The aim is to support clinicians to generate self-compassion - the foundation for building resilience and extending compassionate care – thereby improving communication and the overall quality of care.The workshop will introduce key principles, feature hands-on experience of selected methods, and include a discussion of the potential impact on the greater healthcare system.A wider implementation of compassion training promises to be the missing link for building a fulfilling clinical practice and strengthening our capacity to provide effective whole-person care.
Exploring the Relational Aspects of Patient and Doctor Communication
Authors: Hovey Richard , Massfeller Helen
Published: September 2017

The alliance concept is an essential component of therapeutic relationships. Contrary to empirical evidence, its relevance is often not acknowledged in medical encounters. This circumstance invites the question, ‘‘How can the doctor and patient connect relationally with each other to improve the communication process and promote healing?’’ We propose that healing can be accomplished through dialog that emphasizes the collaborative nature of the partnership between the doctor and patient. The typical conversation in a medical encounter may be reduced to an information exchange and a medium for prescribing directives. This being-with approach can override patients’ involvement in the process. A positive doctor–patient relationship may be one of the most important, and most frequently overlooked, factors for predicting patient response to negative medical information. Receiving such news is potentially upsetting for the patient and may require the doctor to let go of the conversational medical agenda and adopt a being-for mode of relationship. We propose that this approach invites the doctor and patient to work together and negotiate how to manage the chronic illness eliciting patient-preferred treatment options. The authors propose the adoption of the being-for relationship as a way of enhancing the therapeutic potential of the doctor–patient relationship.
Healing the Feelings and Feeling the Healing: Hypnotic Approaches in Cancer and Palliative Care
Authors: Néron Sylvain , Handel Daniel
Published: September 2017

This workshop will focus on clinical demonstrations of hypnotic suggestion through metaphors for self-regulation improvements, pain relief, palliation of symptoms, and amelioration of hope in the face of advanced or progressive illness. These materials were designed (Néron and Handel, In Press) for health care professionals who use – or may decide to use – clinical hypnosis in their professional work with patients. The role of adjunctive hypnotic therapy in cancer care is to help manage distressing symptoms and to give the sufferer a sense of control via mind-body regulation. Physicians and health care professionals can integrate personalized hypnotic approaches in order to help patients regulate physiological functions, alleviate pain, enhance the release of tension, reframe hope, facilitate new levels of personal adjustments, and promote or restore healing spiritual experiences.The workshop will include case-based, video clip demonstrations to cover the following topic areas: a) addressing patients’ misconceptions about hypnosis, b) establishing appropriate clinical goals, c) using hypnotic techniques in different medical settings, d) developing quick ways of reaching a hypnotic state, e) teaching self-hypnosis, f) preparing for medical procedures, g) reframing hope, and h) promoting healing spiritual experiences.Objectives: Participants will be introduced to ways of: a) Integrating guided clinical hypnosis procedures at bedside and in several medical contexts. b) Empowering the sufferer by teaching him or her how to use self-hypnosis for symptom relief and for addressing their existential issues.ReferenceNéron, S., and Handel, D. Hypnotic Approaches in Cancer and Palliative Care. Quebec: Presses de l’Université du Québec, In Press.
Self-Care and Self-Discipline through Qi Gong
Authors: Aung Steven
Published: September 2017

Objectives: One of the most important aspects of Qi Gong practice is to understand self-care and self-discipline as a practitioner’s service both to themself and to others. Self-care and self-discipline is physical, mental, and spiritual. By understanding one’s responsibility in this way, practitioners are free to practice medicine as a relationship between themselves and patients, helping them to become a healer.Methods: Traditional Chinese Medicine as a philosophy and practice will be introduced in the context of developing a successful Qi Gong practice. Basic Qi Gong techniques in posture, movement, breathing, phonation, and visualization will be demonstrated interactively. Increasing self-awareness will be emphasized, so that practitioners can use Qi Gong techniques to develop healing skills in their medical practice.Results: Although it requires long-term commitment to receive many of the deeper rewards of a dedicated Qi Gong practice, many of the early benefits are possible with only a modest investment in performing proper Qi Gong techniques. Practitioners will learn to increase their mindfulness and concentration, and understand the value of self-care and self-discipline. Through short practice sessions, the utility of Qi Gong in improving healing will become evident to the novice and initiated alike.Conclusions: Qi Gong is a series of ancient techniques from Traditional Chinese Medicine that promote self-care and self-discipline as a service to oneself and others. Qi Gong is a valuable method for taking care of oneself, and also allows practitioners to transfer its benefits to patients during the compassionate practice of medicine. It forms a foundation for whole person care by strengthening practitioners to provide healing to patients on the physical, mental, and spiritual levels.
No Talent Required: Using Drama Therapy in Support Groups for Cancer Patients
Authors: Finestone Jennifer
Published: September 2017

Objectives:  It is well known that a cancer diagnosis impacts a person’s mental, emotional and spiritual well-being as well as their body.  Many patients and caregivers seek out support groups to bolster themselves in this challenging time.  While talk and peer-based groups can provide validation and understanding, drama therapy can provide a beneficial approach for support groups.Methods: Drama therapy is a gentle form of creative therapy between a trained therapist and one or more clients with a specific therapeutic intention.  It uses action methods (such as role play, storytelling, improvisation, writing, and projective tools) to facilitate creativity, imagination, learning, insight and growth.  Drama therapy provides a creative-expressive basis for support groups within a humanistic framework.Results: Drama therapy-based support groups encompass the patient’s holistic experience and address all aspects of their cancer experience in order to provide meaning.  In addition to validating participants’ perspectives, they help participants to come to terms with their experiences and emotions, to gain insight into their responses and to learn new ways of dealing with them.  Drama therapy utilizes the concepts of distance, projection and witnessing to allow clients to explore challenging issues in a safe – and potentially playful – way.  It is a flexible approach that can be adapted to the specific needs of participants and therefore is well equipped to serve a broad spectrum of issues and concerns in varying and supportive ways.Conclusions: This poster will highlight some of the theory behind drama therapy-based support groups to show the advantages these groups entail.  It will also showcase various creative interventions that have been used with cancer patients.
Fostering Resilience over Multiple-losses for Nursing Staff in the Palliative Care Unit: Whole Person Approach – Part 1
Authors: Munesada Minako , Kurihara Yukie , Takahashi Satoe , Tanaka Keiko
Published: September 2017

Objectives: “Bereavement overload” due to multiple losses is one of the stressors for the nursing staff working at Palliative Care Unit (PCU), which may be especially tough to those with less exposure to such situation. A support program was developed for the nursing staff of newly-opened PCU (April 2011) in order to foster resilience and wellness despite multiple losses. We conducted a study to evaluate the effectiveness of the support program with “whole person approach” – consisting of 3 modules; 1) lecture on grief and bereavement (mind), 2) experiential workshop on body awareness and relaxation (body/spirit), and 3) group discussion (mind/spirit), for the increased sense of self-efficacy, awareness of their inner healing power, and fostering mutual understanding and support.Methods: 20 nurses were randomly assigned to two groups for the action research project. Data included participant observation, individual and focus group interviews with one of the investigators. The support program package was offered from October to December 2012 (A) and from January to March 2013 (B) respectively, using wait-list control method. Self-efficacy scale was used at the base line, at the completion of package A, and at the completion of package B. Participants also answered brief survey after each module, followed by semi-structured interview.Results: The self-efficacy score initially showed decline of both groups (intervention/control) , reflecting the “tough two months” with the highest number of the total deaths as well as deaths within 5 days post admission. However, intervention group showed more gradual decline comparing to the control group, plus higher elevation 3 months later, which may indicate some effect of the program.Conclusions: The support program was positively received and contributed to the nursing staff’s increased sense of self-efficacy and resilience over “bereavement overload.” Continued program development is in progress based on the feedback.
Healing at the End of Life: The Voice of the Patient
Authors: Ingram Cory
Published: September 2017

In palliative care we have the privilege to care for seriously ill people and their families. Some people value capturing their life story or illness journey on film. I have been fortunate to have been invited into the lives of many people close the end of life for a heartfelt conversation.On an interactive iPad incorporated in the poster, the recorded narrative of patients and one bereft spouse the poster audience will experience the lived experience of people close to the end of life as they reflect on their lives. The narratives will demonstrate how each lived with a new found improved quality of life in the face of increasing symptoms, declining functioning and the approaching end of life; otherwise known as healing. Topics of healing and quality of life, patient-centered care, dignity, human development, spirituality and love will be the focus of their stories. The stories lay bare the very practical, emotional, existential, and personal experience central to our provision of whole person care through palliative care. The poster audience will experience a renewed sense of the impact of a dedicated approach to whole person care as experienced through those on the receiving end.
'Flowers Will Bloom': Assessing Support for Survivors of Japan's 3/11 Disaster through the Charity Song
Authors: Ota Ikuko
Published: September 2017

Objective: NHK, Japan’s public broadcast network, produced a theme song in March 2012 to promote public support for survivors of the 3/11 disaster of 2011. The objective of this study is to evaluate how and to what extent this charity song Hana wa Saku (“Flowers Will Bloom”) has contributed to assisting survivors of the disaster.Methods: First, the song’s characteristics are considered in two categories, (1) the way the original Japanese recording was conducted, and (2) the song itself. Then, the effects on the survivors are assessed through analyzing the actual ways the song was performed and their repercussions covered by the media.Results: (1) Along with the composer and the lyricist, all singers (thirty-six celebrities) of the original Japanese recording had strong personal links to the region affected by the disaster. In the video-clip performance, each singer relays a phrase of the song, holding a gerbera daisy instead of a baton. This performance has left a lasting impression of connectedness specifically between the survivors and the victims.(2) According to lyricist IWAI Shunji, the song’s words represent “a message from those who lost their lives to the people they left behind.” Repeatedly listening to the fictional messages of their loved ones in heaven, through the voices of the living people trying to provide comfort, have particularly helped young survivors bounce back from their sufferings.Conclusion: Responding to NHK’s call, more than 10,000 people have posted their amateur performances of the song on the official website by May 2013. All royalties and other proceeds of the song are being donated for recovery efforts for the affected region (28,907,109 yen as of March 2013). Findings demonstrate that, despite differences in its impact among survivors, this charity song can be an effective and accessible means to foster public support for the survivors.
Clinical and Personal Value of Narrative Medicine Writing Workshops for Physicians and Practitioners
Authors: Janisse Tom
Published: September 2017

Objectives: We write to tell our stories of patient encounters and come to understand them. A story discovers meaning in medicine. The objective is to write and tell stories of clinical encounters to develop self-awareness, patient perspectives and to demonstrate caring behaviors.Methods: One session takes 60 minutes (full exercise in poster). Longer sessions have multiple writing opportunities, longer small-table conversations, and a primer on developing character and setting in writing.Results: Over 8 years, in two conferences and 24 workshops (in 13 cities), 951 participants rated the sessions overall as 4.75 of 5, and 75% would use narrative in their practice. Also, 144 participants attended 20 writing groups. Selected Participant Comments:“Reminds me why we became doctors.”“Taking time to remember that each patient has an unfolding story is life affirming, however I found it startling to consider the doctor as part of the story.”“The training/sharing I had today will change how I view each patient interaction.”“Opened my eyes to how important my stories can be, and a new creative outlet.”“I know the people around my table better in two hours than I know the colleagues I work with everyday.”“I see this as a wellness mechanism! I am unlikely to meditate or go out for lunch during my busy day, but see myself able to close my office door and take 10 minutes to reflect upon a patient interaction in an attempt to find comfort or meaning there.”Conclusions: Offering a forum for physicians and practitioners to recall, write and share meaningful clinical moments has professional and personal value, as evidenced by the ratings and comments. Publishing the copyedited writings (with permission) in a medical journal, booklets, or a medical lit-art e-journal heightens the value, and allows others to share the experiences.
Reasons for Returning to the Emergency Department: Perspectives of Patients and the Liaison Nurse Clinician
Authors: Vat Molywan , Common Carol , Laizner Andrea , Maheu Christine
Published: September 2017

Objectives: The authors wanted to understand the reasons why patients discharged from internal medicine units return to the emergency department within a short term period. The purpose of the study was to explore patients’ perspective of their reasons for returning to the emergency department within fourteen days post-discharge from an internal medicine unit, and to examine how these reasons relate to those determined by the liaison nurse clinician prior to discharge.Methods: A qualitative descriptive design was selected to develop the study and individual face-to-face semi-structured interviews were conducted with participants. A convenience sample of eight participants was recruited from a major teaching hospital in Montreal, Canada. The study triangulated three different data sources, which were the patient’s perspective through the interview and the liaison nurse clinician’s perspective through the use of two evaluation tools, which were the Bounceback Probability Legend and the LACE Index Scoring Tool.Results: The participants attributed their return to the emergency department due to 1) being discharged too soon, 2) feeling weak at discharge, 3) having limited discharge instructions prior to discharge, and 4) having limited resources available to rely on for help once home. It was also noticed that participants went through a decision-making process for choosing to return to the emergency department. Additionally, the liaison nurse clinician’s evaluation tools identified different reasons from those the participants had attributed to their return to the emergency department.Conclusions: The findings suggest that health care professionals must evaluate and assess patients on several components upon their discharge, such as the understanding of their illness, primary concerns, and readiness prior to discharge. The study provides further data in supporting the need of patient’s involvement in the process of discharge planning.
CLEAR: Whole Person Care Model for the Health Sciences Professions
Authors: Gober Carla , McMillan Kathy
Published: September 2017

Whole-person care has been important throughout the 150-year history of Loma Linda University and Hospital system (now Loma Linda University Health - LLUH). Since the 1950s, the motto is, “To make man whole.” However, up to 2011 there was no corporate-wide understanding of whole-person care, or a model to guide teaching and practice. Connected to this has been the question of whether spiritual care and whole person care were similar categories of understanding.Objective / Methods: In 2011 a group of nine researchers and clinicians designed a research/development project for the purpose of developing a whole-person care model to guide all teaching and practice at LLUH. A consultation group of approximately 300 researchers, clinicians, students and staff of LLUH were invited to give feedback during the course of the project through online avenues and group forums. This larger group was open to all interested people throughout LLUH. The research / development group considered all comments, critiques and suggestions made by the larger consultation group, with all work public to both groups.Results / Conclusions: From the process emerged the first draft of a whole-person care model in March of 2012, with the following qualities: measureable, memorable, practical, flexible, and teachable. After several pilot tests, the model was adopted by LLUH as the model to guide all teaching and practice at LLUH. Since that time, the model has been integrated into the orientation of new employees (clinical and university), the teaching practices of three schools (medicine, nursing, and religion) and is being integrated into the remaining four schools by 2014. It is also guiding the development of the online wellness website for the corporation. Finally, it is used to guide two new developments for the School of Medicine: 1) a Narrative Project designed for the first year School of Medicine students, and 2) the Integrative Whole-Person Care Simulation Labs developed for second year School of Medicine students.The poster presentation will describe the whole-person care model itself, the research/development process behind it, and give examples of how it has transformed teaching and practice in the university and clinical/hospital arenas.
Watch Over Me©: Therapeutic Conversations in Advanced Dementia
Authors: Ingram Cory
Published: September 2017

“Watch over me” is a framework and strategies that clinicians can use in providing practical support and counseling to patients with dementia and their families. This framework is intended to address the needs and experiences of simultaneous trajectories of illness experienced by people with dementia and their family caregivers. These experiences can be described through the stages of dementia for the person with the disease and corresponding stages in the family’s journey. Each individual’s and family’s experiences are unique, yet these intentionally simplified schemas provide a context through which to address predictable problems and decisions regarding matters of physical health, living situation and caregiver needs and well being.Watch Over Me builds on trust between each patient and his or her caregivers, including the person’s chosen proxy decision-makers. It also builds on and fosters trust between a patient and family and the patient’s doctor. Watch Over Me brings the trusting, covenantal values within loving relationships into the processes of planning and caring. This approach complements and balances the contractual values that are protective or defensive and are embedded in medical ethics and advance directives.Communication with patients and families living with dementia is sometimes difficult and may be uncomfortable for physicians and other professional health care providers, yet it is always valued by patients and families and very often helpful in clarifying people’s perspective and priorities, thereby informing current plans of care. This presentation will offer practical therapeutic communication strategies to facilitate advance care planning conversations with patients and families as a person with dementia progresses to advanced
Proposed Consensus-Based Canadian Integrative Oncology Research Priorities
Authors: Weeks Laura , Seely Dugald , Balneaves Lynda , Boon Heather , Leis Anne , Oneschuk Doreen , Sagar Stephen , Verhoef Marja
Published: September 2017

Objectives: An increasing number of integrative oncology programs are being established across Canada that offer a combination of complementary and conventional medical treatments in a shift towards whole-person cancer care. It was our objective to identify consensus-based research priorities within a coherent research agenda to guide Canadian integrative oncology practice and policy moving forward.Methods: Members of the Integrative Canadian Oncology Research Initiative and the Ottawa Integrative Cancer Centre organized a 2-day consensus workshop, which was preceded by a Delphi survey and stakeholder interviews.Results: Eighty-one participants took part in Round 1 of the Delphi survey, 52 in Round 2 (66.2%) and 45 (86.5%) in Round 3. Nineteen invited stakeholders participated in the 2-day workshop held in Ottawa, Canada. Five inter-related priority research areas emerged as a foundation for a Canadian research agenda: Effectiveness; Safety; Resource and Health Services Utilization; Knowledge Translation; and Developing Integrative Oncology Models. Research is needed within each priority area from a range of different perspectives (e.g., patient, practitioner, health system) and that reflects a continuum of integration from the addition of a single complementary intervention within conventional cancer care to systemic change. Participants brainstormed strategic directions to implement the developing research agenda and identified related opportunities within Canada. A voting process helped to identify working groups to pursue strategic directions within the interest and expertise of meeting participants.Conclusion: The identified research priorities reflect the needs and perspectives of a spectrum of integrative oncology stakeholders. Ongoing stakeholder consultation, including engagement from new stakeholders, is needed to ensure appropriate uptake and implementation of the Canadian research agenda.
Dying with Dignity in Québec: Palliative Care, Moral Expertise, and the Debate on Euthanasia
Authors: Hutchinson Nora
Published: September 2017

On March 22, 2012, the Select Committee on Dying with Dignity of the National Assembly of Québec released its final report recommending the adoption of “medical aid in dying” in the province of Québec, Canada.  The majority of palliative care physicians, professed experts in end of life care, rejected the committee’s conclusion.  And yet, the recommendation of the committee, in framing euthanasia as “medical aid in dying,” placed the practice squarely within the realm of their putative expertise.The objective of this project is to examine the role of palliative care physicians in the Dying with Dignity debate in Québec and to answer the following question: why were palliative care practitioners unable to influence the outcome of the debate?My methods include a detailed analysis of the committee proceedings of the Select Committee on Dying with Dignity and a review of the sociological literature on committees and on expertise, the philosophical literature on euthanasia, and the historical literature on palliative care.I draw broad conclusion about: (i) committees, and the way in which committee formation and format prioritize certain societal values; (ii) medical expertise, and the devaluation of certain forms of knowledge in the evidence-based medicine framework; (iii) moral expertise, and its presumed absence in Western democratic society.
Imagine the poss-ABILITIES! Therapeutic Recreation: An Integral Aspect of Whole-Person Health Care
Authors: Botner Erica
Published: September 2017

The word recreation is really a very beautiful word. It is defined in the dictionary as “the process of giving new life to something, of refreshing something, of restoring something.” This something, of course, is the whole person. (Bruno Hans Geba)Background: The purpose of Therapeutic Recreation is to enable all individuals to improve quality of life, and achieve optimal health through meaningful experiences in recreation and leisure. We believe in the inherent capacities of individuals for wellness, personal growth, happiness and freedom, with or without absence of disease.  Therapeutic Recreation is a profession which provides service to, and advocates for individuals with disabilities, illnesses, and other conditions in clinical, community and educational settings. We recognize that everyone has the right to have access to and experience the healing benefits from recreation and leisure opportunities. Therapeutic Recreation follows a systematic process of developing a therapeutic relationship, assessment, goal setting, program development, implementation through individual and group facilitation, documentation and evaluation. Programs are designed based on the strengths, interests and needs of the participants and promote improving wellness within the physical, emotional, spiritual, behavioural and social domains (according to the participant and their context) and to educate individuals about the skills and resources required to participate in recreation and leisure. We use evidence-based practice to create outcome-based interventions suitable to the participant’s abilities.Content: Presentation will be descriptive, drawing attention to the profession of Therapeutic Recreation and how it fits well with the whole person approach.Evidence: Current research indicates a significant number of positive health outcomes resulting from participation in Therapeutic Recreation programs such as: improved physical, cognitive, social and emotional functioning; leisure and life skill development to enhance functional independence; self worth, and quality of life of individuals and their families; adjustment to disability and/or illness and post-traumatic growth; reduced boredom, stress, anxiety, and agitation; reduced decline in physical, cognitive, and psychosocial functioning and as a result reduce the need for health care services; reduced secondary disability and associated higher health care costs.Conclusion: There is strong evidence that Therapeutic Recreation interventions are healing, support wholeness, and can have a major positive impact in the outcomes of people served. Thus, Therapeutic Recreation should be an integral part of any multi-disciplinary health care team that uses a whole-person care approach.
Humanizing clinical dentistry through a person-centred model
Authors: Apelian Nareg , Vergnes Jean-Noel , Bedos Christophe
Published: September 2017

The clinical approach in dentistry stems from a biomedical model of health that is anchored in positivism. This biomedical model was never explicitly developed or reflected on, but rather implicitly acquired as a product of historical circumstance. A reductionist understanding of health served dentistry well in the past, when health afflictions were mostly acute. Today, however, in the age of chronic illnesses, the current clinical approach is no longer adequate: patients and dentists are both dissatisfied, and there are problems with dental education and dental public health. After a thorough review of the literature, highlighting the current state of the profession, we propose an alternative clinical model upon which updated approaches can be based. We call this model "Person-Centred Dentistry". Our proposed model is rooted on the notion of sharing of power between the dentist and the patient: a sharing of power in the relationship and epistemology. This leads to an expanded understanding of the person and the illness; a co-authoring of treatment plans; and interventions that focus not only on eliminating disease but also on patient needs.
Galen and Wellbeing: Whole Person Care
Authors: Marsden Debbie , Wilkins John , Gill Christopher , Dieppe Paul
Published: September 2017

n/a - commentary
Are You a Human Being or a Human Doing? The Role for Mindfulness in Our Lives
Authors: Gonsalves Carol
Published: September 2017

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