5/7/2018 RESPONDING TO RESEARCH Matching expressed learning needs - - PDF document

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5/7/2018 RESPONDING TO RESEARCH Matching expressed learning needs - - PDF document

5/7/2018 RESPONDING TO RESEARCH Matching expressed learning needs with what chaplains do best Robert Mundle May 17, 2018 OBJECTIVES Read research articles for actionable next steps Apply chaplaincy skills beyond direct clinical


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RESPONDING TO RESEARCH

Matching expressed learning needs with what chaplains do best

Robert Mundle

May 17, 2018

OBJECTIVES

■ Read research articles for actionable next steps ■ Apply chaplaincy skills beyond direct clinical practice ■ Expand inter/professional relationships and networks

OUTLINE

■ 6 examples – – – –

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EXAMPLE / 1

■ "If pastors would feel free and disposed to bless more

  • ften, in whatever way, they might discover also its

diagnostic value. ■ Who will accept such blessings heartily and gratefully? Who will submit to them with compunctions, who will resist them, who will place himself cockily above them? Who will be moved to tears, who will be gladdened, who will receive, as it were, new energies for tackling his problems? ■ We are now much in the dark about these questions,

  • ut of misplaced timidity on both sides."

EXAMPLE / 1

■ NEED NEED NEED NEED –

PRACTICE PRACTICE PRACTICE PRACTICE –

THEORY THEORY THEORY THEORY –

NEW NEW NEW NEW –

EXAMPLE / 2

Krause, N., and Pargament, K. (2018) Reading the Bible, stressful life events, and hope: Assessing an overlooked coping resource. ! (epub ahead of print)

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Case study – Bible reading

■ 83F patient admitted to senior’s rehab for mobility ■ Struggling with changes in her life – "#$ – $% ■ Generalized anxiety disorder and symptoms of panic – &'() ■ Christian ■ Currently reading Bible cover/to/cover – *"+'(," –

  • ./ 0

– 1 2

Case study – Bible reading

■ NEED NEED NEED NEED – . ■ PRACTICE PRACTICE PRACTICE PRACTICE – %3%44 ■ THEORY THEORY THEORY THEORY – 5 ■ Family tradition ■ Relationships – .6 ■ Transitional space ■ Order / meaning / purpose ■ Self/soothing ■ NEW NEW NEW NEW – $ ■ Self psychology ■ Object relations theory – 7 ■ What else do pts read as a spiritual resource? ■ What other objects do pts use?

Poetry

Clary, P. (2010) Poetry and healing at the end of life. 8+ '(, 5, 796–800.

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Poetry

  • !

"#$%&'(

Objects

■ Kellehear, A., Pugh, E., and Atter, L. (2009) A home away from home? A case study

  • f bedside objects in a hospice. *9, 3,

148–152. ■ Rubinstein, R.L. (1987) The significance of personal objects to older people. #*, 3, 225–238.

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Objects

■ “Olga’s rosary” ■ Leonardo Boff

EXAMPLE / 3

Gramling, R., Stanek, S., Ladwig, S., et al. (2016) ‘Feeling heard and understood: A patient/reported quality measure for the inpatient palliative care setting.’ 89*, 2, 150–154.

EXAMPLE / 3

■ Hunt, L., Bell, H., Baker, A., et al (2017) Electronic Health Records and the Disappearing Patient. 8#7 :*(3), 403/421.

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EXAMPLE / 3

Charon, R. (2017) ‘Close Reading: The Signature Method of Narrative Medicine.’ Namratha Kandula, MD

“The power of listening to our patients” https://www.youtube.com/watch?v=ISU qR7q0dk8

EXAMPLE / 3 EXAMPLE / 3

■ NEED NEED NEED NEED –

PRACTICE PRACTICE PRACTICE PRACTICE –

Slow medicine (Sweet) ■ Narrative medicine (Charon) – % ■ Living Human Document (Boisen) ■ THEORY THEORY THEORY THEORY – ;$<

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Narrative structure / Labov

■ Abstract ■ Orientation ■ Complicating Action ■ Result ■ Evaluation (crucial point; “soul” of narrative) ■ Coda

Patterson, W. (2013). Narratives of events: Labovian narrative analysis and its limitations. In Andrews, M., Squire, C., and Tamboukou (Eds.), . 2nd edition. (pp. 27/46). London: Sage

Case study / Iris

■ 83F patient with osteomyelitis, potential foot amputation; palliative care –

$ –

Recall of significant childhood memory in light of current illness / prognosis ■ ABSTRACT – 1&=2 ■ ORIENTATION – . ■ COMPLICATION – &"'(;&< ■ RESULT – && ■ EVALUATION EVALUATION EVALUATION EVALUATION – 1 1 1 1>2 >2 >2 >2;< ■ CODA – ! Mundle, R. (2015). A narrative analysis of spiritual distress in geriatric physical rehabilitation. [Special issue on narrative], ?((3), 273/285.

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EXAMPLE – 3 (recap)

■ NEED NEED NEED NEED –

PRACTICE PRACTICE PRACTICE PRACTICE –

Slow medicine (Sweet) ■ Narrative medicine (Charon) – % ■ Living Human Document (Boisen) ■ Case study / Iris ■ THEORY THEORY THEORY THEORY – ;$< ■ External evaluation – @ ■ NEW NEW NEW NEW –

  • ■ “Narratives are not a passive recording of the past,

but constitute an active process of continual construction, reconstruction, and review.”

– Dallos, R., and Vetere, A. (2009) #3 #!%=London & New York: Routledge=

EXAMPLE / 4

■ “Listening is something we can all learn to do better.” ■ “The ability to listen well is by no means the sole preserve of professional therapists.”

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Hospice palliative care volunteers

■ Brighton, L., et al. (2017) ‘“End of life could be on any ward really”: A qualitative study

  • f hospital volunteers’ end/of/

life care training needs and learning preferences.’ 8:*, 9, 842–852. ■ Worthington, D.L. (2008) ‘Communication skills training in a hospice volunteer training program.’ &A44$ B%+'+1, 17–37. ■ NEED NEED NEED NEED – %@

■ request more training in communication skills ■ appreciate training from chaplains

■ PRACTICE PRACTICE PRACTICE PRACTICE – %A – $ – A ■ THEORY THEORY THEORY THEORY –

NEW NEW NEW NEW –

  • ■ What does it feel like to listen

to another person? ■ What does it feel like when someone really listens to you?

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■ Mundle, R. (2018) $"3#C =+%+$ ■ Mundle, R. (2019) 03# . London: Jessica Kingsley Publishers

EXAMPLE / 5

■ “We listen to the stories that people believe have shaped their lives.” ■ “We listen to the stories people choose to tell, and the meaning they make of those stories.”

What does it feel like to listen to another person?

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EXAMPLE / 6

What [ it ] feels like, What [ it ] feels like, What [ it ] feels like, What [ it ] feels like, > > > >

Exploring real experiences in a virtual world robertmundle.com

Podcast

■ Opportunity to

– " – C& – !B – 5 – !;< – C3

■ What is spirituality? ■ What difference does it make in people’s lives?

Contact

■ robertmundle.com robertmundle.com robertmundle.com robertmundle.com ■ robert.mundle@utoronto.ca robert.mundle@utoronto.ca robert.mundle@utoronto.ca robert.mundle@utoronto.ca