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Balanced parenting: Proposing a differentiation-based parenting approach informed by Bowen family systems theory.
Fam Process
December 2024
Consultant, Caliente, Nevada, USA.
The purpose of this article is to introduce Balanced Parenting, a differentiation-based parenting approach informed by Bowen family systems theory. It is aimed at countering today's anxious, child-focused parenting culture and deconstructing attachment theory, which has been identified as contributing to this culture. The approach includes four main pillars: (a) deconstructing attachment theory, (b) the five principles of balanced parenting, (c) shifting the paradigm, and (d) steps toward change.
View Article and Find Full Text PDFTowards a Clinically Relevant Appreciation of the Cost of Caring: A Study of Palliative Care Physicians in Malaysia.
Am J Hosp Palliat Care
November 2024
Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore.
The cost of caring for patients and their families in the midst of interconnected resource, ethical, moral, legal and practical considerations compromises a physician's emotional and physical well-being and therefore patient care. Whilst the cost of caring is historically best associated with compassion fatigue, data has suggested that this may extend to other related concepts, such as vicarious trauma, secondary traumatic stress and burnout. In particular, palliative care physicians are especially vulnerable as they witness and encounter more cases of death and dying.
View Article and Find Full Text PDFExperiences of Midwestern obstetric clinicians during the Coronavirus disease 2019 pandemic.
AJOG Glob Rep
November 2024
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine and Ultrasound, Washington University School of Medicine, St. Louis, MO (Carter, Raghuraman, and Kelly).
Background: The Coronavirus disease 2019 (COVID-19) pandemic led to healthcare system changes aimed at minimizing disease transmission that impacted experiences with obstetric healthcare.
Objective: To explore experiences of clinicians providing obstetric care during the COVID-19 pandemic.
Study Design: Qualitative, in-depth, semi-structured interviews were conducted with five nurse practitioners and 16 obstetrical physicians providing a mix of outpatient and inpatient obstetric care during the COVID-19 pandemic in a mid-sized, Midwestern city in the United States.
'No one has ever told us it will be fun'. Achieving fulfilment in medical practice.
J R Coll Physicians Edinb
December 2024
Department of Medicine, Glangwili General Hospital, Carmarthen, Wales, UK.
Facilitating a tutorial with medical students who appeared unusually tentative and apathetic prompted me to reflect upon the intergenerational character of Medicine and consider how we might counter the pervasive pessimism that leads to demoralisation and disillusionment. Engaging in local Communities of Practice may allow clinicians, old and new, to maintain enjoyment and fulfilment in Medicine.
View Article and Find Full Text PDFImpact of EHRs on Nursing Burnout in a Hospital Setting in Saudi Arabia: Mixed-Methods Study.
Stud Health Technol Inform
July 2024
University of Edinburgh, Edinburgh, United Kingdom.
This study explores the association between nursing burnout and Electronic Health Record (EHR) use in a Saudi Arabian hospital adopting an advanced EHR system. Utilising a mixed-methods approach, the research combines quantitative analysis of 282 survey responses and qualitative interviews from 21 registered nurses. Despite high EHR acceptance, negative perceptions and stress related to EHR use were identified.
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