Holistic Model Of Health Care Research Articles

A Study of New Zealand’s Indigenous Healthcare Model and Its Impact on Curtailing Obesity

The Māori holistic model of healthcare was established by Sir Mason Durie in 1984 to stipulate a Māori perspective on health. This model deals with taking care of all elements of life to maintain sustainable welfare. The four elements and their significance are represented by the wharenui (meeting house). The wharenui's link to the whenua (land) serves as the foundation for other elements, thereby pioneering health and wellbeing of yourself and whanau (family). The Māori holistic model of healthcare draws on strong bonding between the foundation and other walls in case any issues crop up (Health Navigator NZ, 2022). #). The purpose of this research paper is to identify the significance of Māori holistic healthcare framework and analyze how obesity affects the healthcare systems of New Zealand by shedding light on its impact on confronting individuals, families, and primary health-care professionals. Keywords: Māori holistic model, Healthcare, Obesity

Health Services to Meet Physical, Mental, and Social Needs of 126 Females Who Survived Boko Haram Abduction and Captivity: Providers' Perspective.

We explore the challenges faced by survivors of Boko Haram abduction and human trafficking after their release by interviewing survivors' care providers and analyzing electronic medical records at the American University of Nigeria Health Center. Our report details the physical, mental, and social challenges the survivors faced in captivity and how providers managed those challenges using a holistic health care model.

Person-centred care in dementia: Philosophy and challenges in implementation

Health care concept is increasingly moving away from medical, task oriented and professional driven model towards a holistic model of health care which values the needs of the persons and centred on the needs of the patients. This shift is described as person centred care. Despite the wide availability of literature, philosophy and evidence on the outcomes of the person centred care, barely it is an ideal in reality. This present article throws light on the philosophy and challenges of person centred care and tries to raise the awareness and understanding about person centred care for people with dementia and explores on the challenges underpinning person-centred care in dementia.Person centred care means, being “respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions”. Each individual has unique history, personality, values, right to dignity, respect and right to participation. PCC framework emphasises on the assumptions made about the people with dementia, care givers attitude, models and care practices, factors at organisational level, cultural factors as well as structural elements such as lighting and flooring. It is a holistic philosophy across the continuum of services which takes into account the specific needs of each person. The philosophy of person centred care focuses on “the abilities and strength of the person than the losses” and on “the person than on the condition”.Lack of clarity in understanding person centred care in dementia, lack of research evidence, not valuing the views and needs of people with dementia, organisational culture, task centred care culture, lack of resources. : To improve quality of life of people with dementia and for the better functioning of the people with dementia there is a need for greater implementation of person centred care. However the challenges in the implementation of person centred care are masking the achievements and positive aspects of the person centred care approach. The challenge ahead for dementia experts is to advocate and raise the awareness and understanding and to provide evidence based solutions in practically implementing person centred care and making it more real in practice than keeping it ideal in literature.

A preliminary study on applying holistic health care model on medical education behavioral intention: a theoretical perspective of planned behavior

BackgroundThis study aimed to apply the theory of planned behavior to identify the medical education behavioral intention of holistic healthcare on teachers and students who influence the medical and healthcare profession, as a revised future direction for hospitals to continue to implement holistic healthcare.MethodsThis cross-sectional study was performed from April to May 2020. A questionnaire survey was conducted with the clinical teachers and students of the medical and healthcare profession in an individual Taiwan hospital as study subjects, based on judgmental sampling, and the study tool was a structured questionnaire.ResultsA total of 360 valid samples were collected, 105 clinical teachers (29.2%) and 255 students (70.8%). Demographic variables were significantly different between clinical teachers (mean = 3.91) and students (mean = 3.73) (p = 0.023). Post hoc analysis regarding work experience found that those with work experience < 2 years (mean = 3.94) had higher results than those with 6–10 years (mean = 3.61) (p = 0.019). The results of multiple regression analysis indicate that the factors affecting medical education behavioral intention are subjective norm (t = 3.571, p < 0.001) and perceived behavioral control (t = 11.870, p < 0.001).ConclusionsWith respect to medical education behavioral intention, clinical teachers and students are affected by the subjective norm and perceived behavioral control. It is recommended that, in the curriculum of holistic medical education, designing holistic medical education teaching templates and check forms can encourage clinical teachers to re-examine their beliefs in teaching, learning, and knowledge. The results of this study allow the advocator to consider from a broader view making policies of and promoting the platform of holistic healthcare on medical education. It is recommended that future researchers conduct research, investigation, and analysis on other stakeholders.

Ecological Competence of Health Care

The ecological competence of health care is formed and developed in the process of transformative teaching and learning through developing systemic thinking, critical thinking, reflection and complementing health care knowledge with ecological knowledge. It expands the essence of the professional competence into a systemic view and from a holistic perspective. Skills and abilities developed as a result of acquiring ecological knowledge and adopting the ecological approach in health care practice provide the most complete and profound way to conceptualize and implement the holistic health care model and make it a common practice.

Trends in mental health related contacts among mothers of Aboriginal children in Western Australia (1990–2013): a linked data population-based cohort study of over 40 000 children

ObjectiveThis study examines the scale of maternal mental health related contacts among Australian Aboriginal children over time, and associations with socio-economic characteristics, geographical remoteness and maternal age.DesignA retrospective cohort study...

Spiritual and Religious Healing Practices: Some Reflections from Saudi National Center for Complementary and Alternative Medicine, Riyadh.

Traditional practices constituting spiritual and religious (S/R) healing are an important component of the holistic healthcare model and are used in health, well-being, and treating a variety of diseases around the world. The main focus of this review is to summarize the Complementary and Alternative Medicine (CAM) studies that especially target S/R healing practices in Saudi Arabia (SA) and discuss the results in light of relevant international literature. From year 2013-2017, electronic searches of PubMed, OvidSP, Google Scholar, and two publishing housing Web sites (Sciencedomain.com and Dove Medical Press.com) were made using key words and Boolean operators and retrieved thousands of published papers from peer-reviewed journals. Two independent reviewers decided to include a total of 108 articles: 48 from SA and 60 from other international literature. The sociodemographic variables of the participants varied in local studies and were comparable with international data. The frequency and types of religious and spiritual practices reported in local and international zones varied in accordance with religious belief, gender, age, education, and prevalent chronic diseases. Most of professionals and practitioners showed fairly good knowledge and positive attitude toward spiritual and religious practices used in diverse clinical and non-clinical situations across the world. Furthermore, it was observed that in the international scenario, S/R researches using specific religious screening tools have been conducted on different aspects of clinical application including self-care, social cohesion, negative impact, and child development, whereas regional studies targeting varied participants mainly focused on the epidemiological trends of S/R therapies in Saudi Arabia. CAM practitioners and public tend to show great interest in prescribed and self-use of religious and spiritual therapies across the world because of multiple dynamic forces, including positive effects on health, sense of well-being and disease control, cost-effectiveness, easy access to services, and improvement in quality of life. Further studies are needed to assess the effectiveness of different types of religious and spiritual therapies and practices used in specific diseases, their role in promotion of health and well-being, and prevention of diseases nationwide and across the world. Besides integration of S/R into mainstream treatment modalities, medical education curriculum, continuous medical education, and training programs are needed for bridging the knowledge, attitude, and practice gaps concerning CAM in targeted population groups such as medical professionals, CAM practitioners, medical students, public and traditional healers, not only in SA but also around the world.

Causes and Means of Healing: An Islamic Ontological Perspective.

Healthcare practitioners are increasingly aware that patients may utilize faith-based healing practices in place of conventional medicine based on their spiritual and/or religious understandings of health and illness. Therefore, elucidating the ontological understandings of patients utilizing such religion-based treatments may clarify why patients and clinicians have differing understandings of 'who' heals and 'what' are means for healing. This paper describes an Islamic ontological schema that includes the following realms: Divine existence; spirits/celestial beings; non-physical forms/similitudes; and physical bodies. Ontological schema-based means of healing include conventional medicine, religion-based means (e.g., supplication, charity, prescribed incantations/amulets), and active adoption of Islamic virtues (e.g., reliance on God [tawakkul] and patience [sabr]). An ontological schema-based description of causes and means of healing can service a more holistic model of healthcare by integrating the overlapping worlds of religion and medicine and can support clinicians seeking to further understand and assess patient responses and attitudes toward illness and healing.

Holistic Healthcare for the Aged: Concepts and Strategies

Advancing medical technology continues to extend the average human life span, resulting in population aging globally as well as in Taiwan. The challenges posed by aging society increase not only medical and care costs but also the burden on pension funds and the social welfare system. In addition, there is currently a desperate need for many well-trained health providers as well as a friendly and comprehensive long-term care system. However, attention should not simply focus on medical payments and long-term care, as this may prolong the length of unhealthy living years for the aged and further strain national finances. Holistic healthcare for the aged should be introduced as early as possible in order to respond effectively to global aging by assisting the aged to maintain their health, to live independently, and to extend their social functions. The purposes of this report are to: 1. analyze the demographic characteristics of Taiwanese older adults; 2. introduce the concept of holistic healthcare as advocated by the World Health Organization (WHO); 3. discuss the promotion of physical-psychological health and the development of age-friendly environments; 4. strengthen the framework of long-term care policies; and 5. recommend the development of a holistic healthcare model for the aged based on the WHO Global Strategy and Action Plan on Aging and Health, announced in 2016. We hope to facilitate active aging, successful aging, self-esteem, and a high quality of life for the elderly in Taiwan.

Ageing and health in the Arab region: Challenges, opportunities and the way forward

AbstractIn many countries of the Arab region, the demographic transition is already underway with a decrease in fertility and mortality and a rise in the proportion of older adults. Longer life expectancies and higher burden of non-communicable disease co-morbidities bring new health and social concerns to families, societies and governments. In a number of countries in the Arab region, this is compounded with political turmoil, forced displacement, dynamic migration flows and economic and social instability that deplete family cohesion and exhaust societal resources. Such challenges require systematic changes to healthcare and social services delivery. Amidst a number of strategies for interventions that aim at maximizing health and well-being in old age, we focus in this paper on three fundamental approaches that are largely lacking in the Arab region: an integrated and holistic model of healthcare, policies and programmes that incentivize ageing in place and homecare, and knowledge production addressing local concerns and priorities.

The concept of spiritual health from the viewpoint of nurses working in intensive care units

Background and Purpose: Based on a holistic model of health care, human beings have biological, psychological, social and spiritual dimensions, which should be considered in the provision of comprehensive care. Given the fact that spiritual health coordinates different aspects of human life, we aimed to explore the viewpoints of nurses working in intensive care units about the concept of spiritual well-being. Methods: This cross-sectional study was conducted on a random sample of nurses (n=62), working in the intensive care unit during 2014-2015. Data were collected, using a questionnaire consisting of demographic characteristics and statements evaluating nurses’ attitudes towards spiritual health. Face and content validity of the questionnaire were confirmed, and its reliability was assessed by Cronbach’s alpha. Descriptive and inferential statistics were calculated, using tests such as Chi-square, t-test and ANOVA. For data analysis, SPSS version 17 was used. P-value less than 0.05 was considered statistically significant. Results: The mean age and work experience of nurses were 32.5±9.21 and 12.1±1.9 years, respectively. The obtained results showed that 33 (53.2%), 17 (27.4%) and 12 (19.3%) nurses had good, moderate and poor attitudes towards spiritual well-being, respectively. According to ANOVA test results, spiritual care was significantly correlated with nurses’ age and work experience (P<0.05). Conclusion: Considering the positive attitude of our participants towards spiritual well-being and the importance of spiritual dimension in nursing care, besides physical and mental aspects, continuous educational workshops on spiritual care are recommended for promoting nursing skills.

Implementation of an Integrative Holistic Healthcare Model for People Living with Parkinson's Disease.

Research demonstrates that people with Parkinson's disease (PD) benefit greatly from multidisciplinary medical care. Delaware does not have a Movement Disorder Center or a movement disorder specialist. To address this issue, the University of Delaware Nurse Managed Health Center (NMHC) developed a novel PD Telehealth Clinic serving individuals with PD and their caregivers throughout Delaware. The PD clinic is based on a collaborative framework that uses synchronous videoconferencing telehealth technology to bring together out-of-state clinicians and scientists with expertise in PD to help deliver specialized care to PD patients and their caregivers. The team includes a movement disorder specialist, psychologists, nurse practitioners, researchers, physical and speech therapists, exercise physiologists, nutritionists, and graduate students. The PD Clinic delivery model seamlessly blends telehealth provider and onsite provider interactions, enabling the diagnosis, treatment, and ongoing management of PD. In the first 6 months of the Parkinson's clinic opening, the nurse practitioners along with the movement disorder specialist evaluated 36 PD patients. Several patients have received recommendations to change their medication regimen by the movement disorder specialist. About 20 patients were referred to physical therapy, 7 to speech therapy, 9 to mental health services, 1 to occupational therapy, and 12 to local support groups. The location of the NMHC-PD clinic has reduced travel time and distance by as much as 1.5 hr or 80 miles, each way, and wait time for a new patient appointment is less than 3 months. The NMHC - PD Telehealth Clinic provides access to specialized multidisciplinary and advanced care and was successfully implemented. This model can be replicated in other nurse managed health centers across the United States.

Monks' Health: Holistic Health Care Model by Community Participation

Problem statement: Monks’ health tended to be a continuous increased problem. They were groups who had limitations to access health services due to their monastic disciplines and their most importance for Buddhist institution. Without urgent solution, their normal way of life would have been affected. Approach: This research aimed to study current conditions and to develop monks’ holistic health care models by community participation in central region of Thailand. The study was a qualitative research conducted in 9 temples; 3 temples in urban area, 3 in semi-urban area and 3 in rural area. Samples were 224 persons; consisted of monks, public health officers from Department of Religious Affairs, local administrative organizations and people; selected by purposive sampling method. Observation form, survey form, interview form, focus group discussion and workshop were used as research tools while data was analyzed by descriptive research. Results: The result founded that in former time culture of monks’ health care was leaned on community, social, culture and tradition. People spoke in style of central Thai language and were in agricultural sector as well as had their belief in merit, sin and elder respect. Relation in communities was in form of generosity and living as similar as relatives. When some monk got sick, they would visit, take care and give foods and medicines. Most of medicines were household remedy and Thai herbal medicine that bought from drug stores in local market or grocery stores in village and monks were sent to hospital in case of severe illness. Temple was a part of community, so they had close relation. Nowadays people increasingly worked in manufactories that caused conflicts and alienations among them. Monks leaned on local markets for receiving foods offering and most of foods were cooked from flour, sugar, coconut milk and fat. These caused three-fourth of monks having chronic disease as diabetes, hypertension, high cholesterol and gout. They had behaviors on addicting to cigarette, coffee and energy drink. They had less exercise without annual health checkup. Their cells were non-hygienic with plenty of garbage, foods scrap and joss stick dust. They preferred to have medical care at private clinics than hospitals or public health centers due to long time waiting. There were some protections by local administrative organizations as pets’ vaccination and using Tempos sand granule for eliminating mosquito larva. Severe mental health problems were not found. Conclusion/Recommendations: Related agencies with monks’ holistic health care models by community participation in central region of Thailand were local administrative organizations, communities, government agencies, temples/clergies, provincial office of Buddhism and monks. Important activities were participative operations of all related sectors, monks’ annual health checkup 1-2 times a year, temples medicine cupboard, monk health care fund, pets’ vaccination, temple public health volunteer, monk exercise promotion, temple improvement with the 5-S activity and usage of temple as center for health care development.

Profile of attendee for voluntary counseling and testing in the ICTC, Ahmedabad

Human immunodeficiency virus (HIV) testing with pre and postcounseling aiming behavior change communication (BCC) for core/bridge population is the main element of holistic model of health care. Voluntary counseling and testing center (VCTC) remodeled as integrated counseling and testing center (ICTC)—general is the ‘gateways to care’. It was hospital-based cross sectional study of 811 clients registered at VCTC of Kesar SAL Hospital from January to December 2007. These patients either came voluntarily or by referral. Anonymous and unlinked information was collected on predesigned schedule and data was analyzed to find out the seropositivity, demographic characteristics (among attendees and HIV positives), and epidemiological vulnerability of different segments of population. Among the attendees, 64% were males, 75% in the age group of 20–49 years, 80% were currently married, and 70% were literate (< 10th standard). Also, 66% clients were gainfully employed, while one-fourth were housewives; 98% lived with families, 75% were referred by doctors, and only 19% walked in directly. Dominant reason for visiting ICTC was the history/presence of high risk behavior (HRB) (34%). 35% indulged in heterosexual route; other HRB (men having sex with men or MSM and injecting drug users or IDU) were rare. There were more positive among males, 20–49 years of age group, those living singly, unmarried, divorcee, widow(er) and separated. Similarly positives were more amongst illiterates, less educated and those engaged in unskilled and semi skilled jobs. Adolescent students (>14 years) accounted for one-fifth of the total positives. Direct walk in clients were more positive compared to those referred by doctors. Those who confessed of history/presence of HRB accounted for all except 3 (85%) positives. 51% indulged in heterosexual sex followed by MSM (8%). Overall sero positivity was 4.8%; high in males, 30–49 years age, unmarried and divorcee etc. Sero prevalence decreased with improvement in education and also with improvement in job nature. It was also high in those living alone compared to those staying with their family.Such study shall in evaluating the performance of ICTC and designing the information, education, and communication (IEC) to increase the client uptake in terms of quality and quantity.

Profile of attendee for voluntary counseling and testing in the ICTC, Ahmedabad

Human immunodeficiency virus (HIV) testing with pre and postcounseling aiming behavior change communication (BCC) for core/bridge population is the main element of holistic model of health care. Voluntary counseling and testing center (VCTC) remodeled as integrated counseling and testing center (ICTC)-general is the 'gateways to care'. It was hospital-based cross sectional study of 811 clients registered at VCTC of Kesar SAL Hospital from January to December 2007. These patients either came voluntarily or by referral. Anonymous and unlinked information was collected on predesigned schedule and data was analyzed to find out the seropositivity, demographic characteristics (among attendees and HIV positives), and epidemiological vulnerability of different segments of population. Among the attendees, 64% were males, 75% in the age group of 20-49 years, 80% were currently married, and 70% were literate (< 10(th) standard). Also, 66% clients were gainfully employed, while one-fourth were housewives; 98% lived with families, 75% were referred by doctors, and only 19% walked in directly. Dominant reason for visiting ICTC was the history/presence of high risk behavior (HRB) (34%). 35% indulged in heterosexual route; other HRB (men having sex with men or MSM and injecting drug users or IDU) were rare. There were more positive among males, 20-49 years of age group, those living singly, unmarried, divorcee, widow(er) and separated. Similarly positives were more amongst illiterates, less educated and those engaged in unskilled and semi skilled jobs. Adolescent students (>14 years) accounted for one-fifth of the total positives. Direct walk in clients were more positive compared to those referred by doctors. Those who confessed of history/presence of HRB accounted for all except 3 (85%) positives. 51% indulged in heterosexual sex followed by MSM (8%). Overall sero positivity was 4.8%; high in males, 30-49 years age, unmarried and divorcee etc. Sero prevalence decreased with improvement in education and also with improvement in job nature. It was also high in those living alone compared to those staying with their family.Such study shall in evaluating the performance of ICTC and designing the information, education, and communication (IEC) to increase the client uptake in terms of quality and quantity.

In challenging times of nutrition paradigms: Exploring predictors of norwegian dieticians' wish for a holistic nutrition education

The aim of the study was to explore predictors of Norwegian dieticians' wish for a more holistic nutrition education. In Norway, university level nutrition education has a history of being closely associated with the medical sciences, from which it has extensively adopted the dominating educational ideology, epistemology, and research methodology. At present, therefore, the reductionism ideology of Norwegian nutrition education and research probably “rules“, while there is a trend in health care, including dietician practice, of subscribing to the ideology of holism. The use of complementary-alternative-medicine (CAM) treatments and remedies often features a holistic model of health care. The epistemologies of CAM and school medicine are largely different. Norwegian dieticians were invited to respond to a web site attached questionnaire. The research questions were: To what extent do dieticians want nutrition education to be more holistic (the dependent variable), and what are the predictors of such an attitude (the independent variables)? 117 dieticians responded upon the invitation, which corresponded to a response rate of 60%. To answer the research questions, the participants should respond to demographic questions and several five-point Likert-scaled statements in eight constructs reflecting dieticians' attitudes towards CAM and science epistemology. The constructs were applied in correlation and multiple regression analysis. The results showed that about one third of the explored dieticians strongly wanted nutrition education to be more holistic. The multiple regression analysis demonstrated that 36% of the total variance in dieticians' wish for a more holistic nutrition education could be explained by their subscription to CAM and a less-scientific epistemology. Willingness to include CAM in nutrition education, suggesting CAM to patients in dietary counselling, and subscription to the use of CAM treatments and a less-scientific epistemology were most important and significant predictors. The results suggest more emphasis on teaching about epistemologies in nutrition education

Integrating Behavioral Health Services within a Primary Care Center in a Rural Setting

The Rural Care Program is a pilot program that has been developed to integrate generalist social work practice into a primary care center. The premise of the program is to provide a holistic model of health care, with licensed masters-level social workers providing behavioral health therapeutic interventions in addition to case management, community development, and information and referral. This article describes the development and implementation process of the program, emphasizing the effectiveness of rural generalist practice in enhancing service delivery in the rural environment. This program is the result of a successful collaborative effort among the masters in social work program at California University of Pennsylvania, the Primary Care Center of Mt. Morris, the Pennsylvania State University School of Nursing, and the Staunton Farm Foundation, a family foundation providing support for nonprofits addressing the behavioral health needs within a 10 county region of southwestern Pennsylvania.

ABC of AIDS: HIV counselling and the psychosocial management of patients with HIV or AIDS

Counselling in HIV and AIDS has become a core element in a holistic model of health care, in which psychological issues are recognised as integral to patient management. HIV and AIDS counselling has two general aims: (1) the prevention of HIV transmission and (2) the support of those affected direcdy and indirecdy by HIV It is vital that HIV counselling should have these dual aims because the spread of HIV can be prevented by changes in behaviour. One to one prevention counselling has a particular contribution in that it enables frank discussion of sensitive aspects of a patient's life?such discussion may be hampered in other settings by the patient's concern for confidentiality or anxiety about a judgmental response. Also, when patients know that they have HIV infection or disease, they may suffer great psychosocial and psychological stresses through a fear of rejection, social stigma, disease progression, and the uncertainties associated with future management of HIV Good clinical management requires that such issues be managed with consistency and professionalism, and counselling can both minimise morbidity and reduce its occurrence. All counsellors in this field should have formal counselling training and receive regular clinical supervision as part of adherence to good standards of clinical practice.

Chinese medicine users in the United States. Part II: Preferred aspects of care.

While a limited amount of data describe who seeks Chinese medicine care and for what conditions, there have been few attempts to explain what users think the care does for them, or why they value and "like" the care. This article presents such data via an analysis of a sample of 460 handwritten stories collected as part of a mixed quantitative qualitative survey of 6 acupuncture clinics in 5 states. Quantitative data collected in this survey (Part I) showed that respondents were highly satisfied with their Chinese medicine care. The qualitative analysis found that respondents valued relief of presenting complaints as well as expanded effects of care including improvements in physiological and psychosocial adaptivity. In addition, respondents reported enjoying a close relationship with their Chinese medicine practitioner, learning new things, and feeling more able to guide their own lives and care for themselves. While these factors mesh well with Chinese medicine theory, respondents did not reveal familiarity with that theory. Instead, their language and experiences indicate familiarity with an holistic model of healthcare--and they seem to have experienced Chinese medicine care as holistic care. This finding matters because it shows that respondents are not seeking an 'exotic' kind of healthcare, but are utilizing a homegrown, if nonmainstream, model of healthcare. The finding also matters because it shows that an holistic health delivery model is not only feasible, but currently exists in the United States: how Chinese medicine practitioners are trained, and how they subsequently deliver their care, could serve as a model for American healthcare reform.

Spirituality, health care, and bioethics.

This article explores the relationship of spirituality to health care and bioethics in terms of the need and efforts of people to make sense of their lives in the face of illness, injury, or impending death. Moving beyond earlier associations with specific religious traditions, spirituality has come to designate the way in which people can integrate their experiences with their sense of ultimate meaning and related values. The holistic model of health care also affirms that one should not simply treat a body in pain, but respond to the suffering of the whole person within his or her full life. A narrative emphasis in ethics also maintains that ethical decisions occur within the framework of interacting life-stories, each of which embodies a certain core vision and set of values. In each instance it is the life stories of people, their lived narratives, that provide a common thread. The telling of these stories and the discernment of the lived spirituality they contain may assist persons in the process of achieving understanding, making decisions, and finding purpose in the experience of illness, injury, or disability.