bluuebunny/crossref_metadata_2025_split huggingface dataset:
A COMPARATIVE CONTENT ANALYSIS OF SOUTH AFRICAN AND KENYAN DRUG POLICIES FROM A SOCIAL DEVELOPMENT PERSPECTIVE
Authors: Geyer Stephan , Lombard Antoinette , Wairire Gidraph 
Published: January 2018

Â South Africa and Kenya have both adopted a social development approach to shape their development agendas, as well as national policies in response to drug abuse. The goal of this study was to compare the content of South Africaâ€™s National Drug Master Plan 2006-2011 (NDMP) and Kenyaâ€™s National Drug Abuse Control Policy 2011 (NDACP) from a social development perspective. A quantitative comparative study was undertaken to compare the manifest content of these policies. A checklist of five dimensions of social development, with concomitant themes and indicators, was compiled for this purpose. Both policies emphasise the dimensions â€˜levels of service deliveryâ€™ and â€˜integrated service deliveryâ€™, while paying limited attention to the â€˜rights-based approachâ€™ and â€˜capital developmentâ€™ dimensions of social development. Lessons learnt from the study are presented in an effort to align drug policies, especially those of developing countries, with a social development approach.
LET NUCLEAR ENERGY BOIL THE KETTLE OF INDIGENT PEOPLE
Authors: Qasaymeh Khaled Ahmad , Pitsoe Victor , Nkabinde Happy 
Published: January 2018

In this article, the planning Â of electricity Â supply Â infrastructure Â is problematised from the ubuntu Â point of view. Among other things, Â IÂ examine Â the impact Â of nuclear energy on planning electricity supply infrastructure in order to meet the administrative obligation to facilitate universal access to affordable, reliable and clean, modern electricity to the populace. In addition, flowing from the synergies between the hypothesis of cheap and clean electricity from nuclear capacity and collective benefits from available resources while protecting the environment, this article explores the right to access to electricity, and the role of the Department of Energy in providing Â electricity to the populace Â by planning Â electricity Â supply infrastructure that is in harmony with communities and environments, Â guided by the values of ubuntu.
POLITICS-LAW CONVERGENCE OR DIVERGENCE? 'SMALL' POLITICAL PARTIES, REALPOLITIKAND SOUTH AFRICA'S 20 YEARS OF DEMOCRACY
Authors: Maphunye Kealeboga J 
Published: January 2018

This article examines South Africa's 20-year democracy by contextualising the roles of the 'small' political parties that contested South Africa's 2014 elections. Through the Â prism Â of South Â Africa's Â Constitution, Â electoral legislation Â and the African Charter on Democracy, Elections and Governance, it examines these parties' roles in South Africa's democratisation; their influence, Â if any, in parliament, and whether they play any role in South Africa's continental or international engagements. Based on a review of the extant literature, official documents, Â legislation, media, secondary research, reports and the results of South Africa's elections, the article relies on game theory, rational choice theory and theories of democracy and democratic consolidation to examine 'small' political parties' roles in the country's political and legal systems. It concludes that the roles of 'small' parties in governance and democracy deserve greater recognition than is currently the case, but acknowledges the extreme difficulty experienced by the 'small' Â parties in playing a significant role in democratic consolidation, given their formidable opponent in a one-party dominant system.
THE RIGHT TO REMAIN SILENT: A ONEÂ­ EYED APPROACH TO TRUTH-SEEKING?
Authors: Mokoena Mabona Thomas 
Published: January 2018

The right to remain silent is one of the most important symbols of a fair trial in the accusatorial legal systems, to which South Africa also belongs. In certain countries, such as the United States and South Africa, this right is constitutionally entrenched as a fundamental human right, which virtually guarantees that adverse inferences cannot be drawn against an accused who fails to disclose pre-trial information. The accused is thereby excluded as a critical source of information during this stage of the proceedings. In essence, this means that the criminal process is compelled to close one eye to a valuable and crucial source of information. other jurisdictions within the accusatorial family, notably England andÂ Scotland, Â have Â introduced legislation aimed Â at crime Â control which essentially compels the accused to break his or her silence during the pre-trial stage of the criminal process. The very essence of the right to remain silent as a fundamental human right is proving problematic to the South African Constitutional Court when considering it within the context of the Â limitation clause. It is argued, in this article, that the solution lies, first, in a substantive constitutional analysis of rights and, Â secondly, in interpreting the right as a functional evidentiary principle with the aim of securing procedural fairness.
Better Late than Never: Lessons from S v Jordan in Strengthening Women's Participation in Litigation
Authors: Spies Amanda 
Published: January 2018

In 2002 the South African Constitutional Court rejected the decriminalisation of sex work and for many years the judgment has constricted further debate on the topic. In 2013 organisations such as the Commission for Gender Equality have again publicly committed themselves toward lobbying for the decriminalisation of sex work. The renewed debate has necessitated a reconsideration of the Court's decision in S v Jordan and this article focuses on the organisations that participated as amicus curiae in the matter. The discussion highlights the importance of organisational participation in litigation and how this participation could provide the context in which to consider future debates on the topic.
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Whole person medical education - moving beyond learning objectives and curriculum dot points
Authors: Koppe Hilton 
Published: January 2018

In recent years, great progress has been made in teaching medical students, residents and physicians to be more patient focused in their clinical interactions. Patient-centred medical care initially, and now whole person care, have helped to improve patient experiences of the health system, and led to better patient outcomes.Unfortunately, during this time, teaching methods have not moved forward at the same pace. Medical education is often teacher focussed and syllabus driven. Emphasis is put on how to pass assessment tasks and exams. The learner as a person can be as invisible as the patient once was before the changes towards more person-centred medical care.It is time for a paradigm shift in medical education - for whole person care principles to be applied in education as they have been in clinical care.This experiential, interactive workshop will challenge participants to think about how they deliver educational material for students, residents and continued professional development. Whole person care principles will be applied to both the planning of an educational event, and to strategies and techniques for delivery of education. Participants will have an opportunity to practice and refine these techniques.Participants can expect to leave the workshop equipped, inspired and ready for the challenge of leading an education paradigm change within their home institution. Or maybe they might just have a bit of fun with like-minded colleagues, thinking about new ways of teaching.
Architecture’s creative contributions to healing: oncology patients in the Cedars Cancer Centre
Authors: Pang Steph A , Adams Annmarie , Lee Virginia 
Published: January 2018

BACKGROUND: The present state of Evidence-Based Design (EBD), the dominant paradigm in healthcare architecture, arguably limits architecture’s creative contributions to healing. EBD is founded upon the principle of designing built environments based on research to optimize outcomes. However, EBD’s current heavy focus on measurable results may not sufficiently address the multidimensionality of patienthood. Using EBD, designers of Montreal’s new Cedars Cancer Centre endeavoured to create a patient-centered space that holistically addresses oncology patients’ needs. PURPOSE: Using ethnographic and architectural approaches, this study evaluates whether oncology patients’ lived experiences of the Cancer Centre correspond to designers’ original qualitative intentions for a supportive, healing environment. METHODS AND RESULTS: This paper presents results from thematic analysis of annotated architectural floor plans and transcribed interviews with sixteen Cancer Centre outpatients between January and May 2017. Themes are content-analyzed and organized according to original design aims: 1) improving patient-staff relations, 2) reducing patient stress and anxiety and 3) empowering patients. SIGNIFICANCE: Our oncology design study is the first of its kind to delve into patient backstories, intertwining them with in-depth analysis of the design process and final architectural product.Our findings promote an analytical discussion about EBD and highlight new insights about oncology design and cancer patients’ spatial needs. More broadly, we propose implications for the relationship between architecture and Whole Person Care (WPC), namely: 1) drawing out architectural lessons that increase empathy towards space’s impact on illness, thus deepening health professionals’ relationships with patients, and 2) conceptualizing application of WPC principles in healthcare design.
Bringing wonder into medicine: a film-based curriculum
Authors: Gober-Park Carla Gayle , Lee Hobart , McMillan Kathy , Lozano Kris 
Published: January 2018

The proposed workshop presents a film-based curriculum in whole person care.This curriculum includes one 37-minute film (A Certain Kind of Light – screened in 18 film festivals around the world) and six smaller films that are each 5-10 minutes in length, and are accompanied by a journaling process (all of which explore whole person care in medicine). These are not the traditional “teaching” films, but films developed from a more artistic/creative standpoint, for the purposes of affecting attitudes, as much as teaching skills. The workshop will include the following: Introduction: Discussion of how the film-based curriculum impacts culture change as much as personal change of the healthcare practitioner. Content: If there is not enough time to show all 7 films, we would present at least four of them to help the participant understand both philosophy and content of the films, illustrating how whole person care concepts can be taught through an aesthetic avenue to more immediately affect thoughts, feelings, attitudes, and behaviors. In addition, we will discuss the journaling process, clinical rounds, and research that accompany the film curriculum. Finally, the panel will join together in discussing how this type of mechanism contributes to culture shift within an organization. Those presenting in this workshop are those who developed, teach and conduct research on this curriculum. This curriculum is newly developed (as of 2017) and is being used in a variety of healthcare disciplines within one healthcare educational and clinical entity and has been requested by several others.
It was Lauren - and she just wanted to help. Putting the human side back into the critical illness experience
Authors: Hornstein David 
Published: January 2018

There’s something diabolical about Critical Illness: the illness itself is so severe, that it strips its victim of all control. Regardless of the road to it - whether by slow illness with loss of function followed by sharp decline, or by sudden brutal Trauma, the inability to move, speak, think straight, and have dignity from clothing, has to be the most terrifying and dehumanizing of experiences.But the diabolical nature of critical illness is not found there. It is found in the fact that it mandates a rapidity and Intensity of Care that by its very definition compounds the dehumanization. Even when done “nicely”, insertion of a chest tube, central line or urinary catheter, endotracheal suctioning, or any of the litany of other things we need to do are painful at the least, and injurious to the soul at the worst. It is found in that fact that Critical Illness forces very caring people to do things that injure and leave scars- when that is the farthest thing from what they wish for their charges. Finally, it is found in the very nature of the Critical Care Environment which isolates patients’ families from them, at a time when exactly the opposite may be needed. So how do we put the human connection back into Critical Care? Impossible? A huge task? Actually, it’s a very small one; it’s the Little Things that Matter…
Mindfulness group for mentally ill patients in remission
Authors: Lamarre Suzanne , Gozlan Lily , Billon Eric 
Published: January 2018

For the last four years the Institut de Pleine Conscience Appliquée de Montréal (IPCAM) and the Department of Psychiatry of the St. Mary Hospital Center, an affiliated McGill Community Hospital, have been offering a weekly 140 minutes session to mentally ill patients in remission. The sessions are held outside the hospital in the institute.The objectives of the authors are:1. To empower the Health Care Professionals (HCP) and the Expert in Mindfulness (EIM) to start such a co-op group for patients who otherwise might feel unable to discuss their mental health problems while trying to integrate mindfulness practice.2. To describe the outlines of such a group, such as the referral forms, the expected goals for attendance, the meditation exercises and some particular aspects of the sharing periods.3. To propose to the HCP and the EIM some practical tips in order to orient the patients in healthy habits of acceptance of themselves rather than maintaining themselves in maladaptive thoughts, emotions and behaviours. As we all know people who have had a difficult childhood could use mindfulness inadvertently for avoidance rather than acceptance.4. Finally to share with the HCP and the EIM the enriching experience of such a co-op group for the leaders as much as for the participants.
When third spaces become therapeutic: The value of complementary therapies and the search for meaning in tertiary care cancer
Authors: Lee Virginia , Finestone Jennifer , Rossiter Helen , Reilly Rosemary 
Published: January 2018

There is a side to suffering that is surprisingly resilient during times of extreme adversity.Within the context of patient-centred care, “third spaces” are public spaces that exist in-between the home and work environments that allow people to gather informally to offer support, empathy and learn from each other.With the current movement towards whole person care, patients have become increasingly vocal about the need for and the value of physical ‘third spaces” within tertiary clinical settings that provide opportunity to just be, to share, to give or to receive support. Patients who participate in meaning making workshops, yoga, creative arts therapies, or mindfulness sessions have reported the benefits of experiencing a safe place to explore difficult emotions, discover connections, and confront existential questions. TThe MUHC Cedars CanSupport is a vital non-profit program at the McGill University Health Centre under the Cancer Care Mission’s Supportive and Palliative Care Division. A variety of complementary therapies are offered individually or in groups/workshops to cancer patients and their families as adjuvant therapies to conventional cancer treatments. These therapies aim to increase self-awareness and self-expression, and to reignite agency during times of suffering.This presentation will include testimonials to describe the unique and beneficial experiences patients have derived from complementary therapies. The perspectives of healthcare providers, who are simultaneously facilitators, participants, and witnesses to the search for meaning, will also be explored. Taken together, these narratives can lead to further insight and innovative practices to facilitate the transformational potential for growth during deep suffering.
What is preventing dentists from providing person-centred care?
Authors: Apelian Nareg , Vergnes Jean-Noel , Hovey Richard , Bedos Christophe 
Published: January 2018

Most healthcare professions have shifted the way they teach clinical approaches from a biomedical to a person-centred perspective. Yet, dentistry remains strongly anchored in a biomedical world.The objective of this project was to understand the barriers practicing dentists face to provide what we consider person-centred care. We conducted a qualitative descriptive study that comprised semi-structured interviews with dentists in private practice in the Greater Montreal area. After the analysis, we identified six barriers:• Fear of interpersonal conflict: participants thought that engaging in genuine conversations with patients would lead to situations of disagreement and even conflicts.• Fear of litigation: dentists considered that the legal and licensing infrastructure would judge the treatment they provide through a strict biomedical framework.• Fear of loss of money: participants thought that providing person-centred care was more time consuming and thus financially penalizing. • Pleasure to excel technically: some dentists did not consider offering interventions that provided less procedural pleasure than technical ones.• Narrow interpretation of health: participants considered the biomedical dimension as the only important dimension.• Lack of information: participants knew nothing or very little about person or patient-centred care. They seemed willing to integrate it into their practice had they had known more about it.These findings should help academic institutions to design their programs on person-centred care and respond to the fears expressed by professionals.Also, legal infrastructures must recognize the paradigm shift from the biomedical to the person-centred.
Using literature to promote reflection in medical school
Authors: Courteau Catherine , Laneuville Laurence 
Published: January 2018

Background:In the last half century, literature has been increasingly recognized as beneficial to medical trainees in terms of teaching empathy, cultural competence, listening and interpretation skills, and reflecting on moral issues (Jones, A. H., 2013). Following the success of a McGill medical students reading club, a reading module was tentatively added to the McGill Physician Apprenticeship (PA) Course curriculum in 2016. This was based on the idea that literature could be used a springboard towards discussion and reflection upon issues related to health, illness and medical care. Methodology:PA groups are composed of six medical students, two senior students and a physician mentor, whose regular meetings throughout medical school are structured around suggested modules. As part of the reading module, all PA groups were encouraged to choose a novel, essay, short story or poem by the end of their academic first year. A discussion on the reading was to be held in early second year, with specific questions to be addressed in order to reflect on course objectives (e.g., patient-centered clinical approach, reflective practice, healer role). The students anonymously completed pre and post-module questionnaires to assess the module's learning and reflective value. Students’ opinions on the pertinence of renewing this pilot project in the future were also accumulated. Results:The first student cohort has completed the pre-questionnaires in spring 2017 and will be completing the post-module questionnaires in fall 2017.Therefore, at the moment of the abstract submission, we do not have preliminary results.
A novel source of patients' and families' written words to identify what they value in the doctor-patient encounter
Authors: Yaffe Mark , Hovey Richard , Rodriguez Charo 
Published: January 2018

Context: The value and desirability of a positive doctor-patient relationship has traditionally been described using case histories and narratives, and less often with formal literature, art, movies, and theatre. To the detriment of this relationship some family physicians are facing pressure to engage in volume medicine, at the possible expense of personalized care. What patients appreciate in their care is at risk of being ignored. Objective: To understand what adult patients value in the clinical encounters with their family physicians. Design: In this research, still in progress, we have adopted an interpretive hermeneutics approach to examine a collection of over 140 cards and letters received by an academic family doctor in practice for 39 years. Participants: The patients or their family members who sent the aforementioned notes. Findings: Preliminary analysis suggests that correspondence is not spontaneous, but initiated at holidays (Christmas, New Years, Chanukah); life cycle events (birth, recovery from illness, death); and transitions (leaving the practice because of geographical re-location). Notes are commonly personalized through hand-written text written on behalf of oneself and/or ones family. Showing a wide variety of word selection they expresses appreciation for family physician care of oneself or a family member that was perceived as knowledgeable bio-medically, and experienced as available, authentic, supportive, professional, compassionate, offering hope, and sensitive to suffering. Conclusions: The writing of notes to ones doctors may serve many functions: catharsis, closure, and bearing witness to patients’ appreciation of care in which Hippocratic and Asclepian traditions overlap and complement each other.
Strength based nursing: caring for the whole person
Authors: MacDonald Christina , Benc Renata , Buono Anna T. , Champagne Louise , Chartier Gabrielle , Cooke Andrea , Drummond Nancy , Gartshore Kim , Ehrler Antoinette , Gottlieb Laurie 
Published: January 2018

Strengths-Based Nursing (SBN) is an integrated value-driven approach based on a philosophy of care to guide actions. It consists of eight values which guide nursing practice to promote care of the whole person and family. SBN promotes empowerment, collaborative partnership, innate health and healing, authentic relationships while focusing on enhancing and developing strengths to cope with challenges and minimize, contain or circumvent that which is not working.Our poster will illustrate the basics of SBN and how it can be utilized in the promotion of whole person care.Conclusion: SBN has enlarged our perspective, broadened our skilled-know how, and opened us to new ways of caring for persons and families dealing with cancer. It has also given us insights into our nursing practices and illustrates the importance these eight values have in supporting development of whole person care.