Lidande är en naturlig och oundviklig del av det mänskliga livet. En av de mest centrala uppgifterna inom vården innebär att lindra lidande. Därmed är det aktuellt att undersöka områdets kunskapsposition. Syftet var att beskriva lidande i omvårdnadStudien genomfördes som en litteraturstudie där 15 vetenskapliga artiklar utgjorde underlaget för resultatet. Resultatet i denna studie delades in i sex tema inom omvårdnad: ”Existentiellt lidande”, ”Livslidande”, ”Sjukdomslidande”, ”Vårdlidande”, ”Den vårdande personalens upplevelser av lidande” och ”Socioemotionellt lidande”. Studien visar att forskning i nutid på många sätt beskriver uttryck för patientens lidande i liknande former som det lidande som beskrivits i forskning tidigare. Utöver detta framkommer även beskrivningar av lindrande av lidande inom omvårdnad. Det framkommer att fokus i vården tenderar att ligga främst på att behandla fysiska symptom. En helhetssyn, där även existentiella, psykologiska, kulturella och sociala dimensioner uppmärksammas, är nödvändig för att förbättra patientens hälsa och minska patientens lidande.För att kunna möta patienten i lidandet krävs medvetenhet hos sjuksköterskan kring egna upplevelser av lidande. Fortsatt forskning samt belysning av området i sjuksköterskeprogrammet är betydelsefullt. / Suffering is a natural and inevitable part of human life. One of the central parts in health care is to alleviate suffering. Consequently, the present knowledge state is of importance to follow up. The aim of this study was to describe suffering in nursing. The study was conducted as a literature review were 15 scientific articles were the basis for the results. The result of this literaturereview was divided into six themes in nursing: "Existential suffering", "Suffering in life", “Suffering in illness", "Suffering in care", "Socioemotional suffering" and ”Perceptions of suffering in nursing staff." Expressions of suffering of the patient are found to be found similar in recent studies compared to the suffering described in research further back. Recent studies additionally indicate other expressions of suffering and approaches to alleviate suffering in nursing. It emerges that the focus in care tends to be primarily focused on treatment of physical symptoms. A holistic focus, with awareness of existential, psychological, cultural and social dimensions, is necessary to promote health and to alleviate suffering. To respond to the patient in its suffering, awareness of the nurse’s own experiences of suffering is required. Further research and illumination of the subject in the nursing program is of importance.

The purpose of this research is to explore the use of a faith-based holistic approach to community development. The concept of transformation development will be explored through a case study of the community development work of Canadian Baptist Ministries (CBM) in the Usulután region of El Salvador – specifically sustainable agricultural production, provision of clean water, provision of safe housing, leadership training and Christian education. Transformational development attempts to partner religious mission and development in a holistic framework for practical application. Within this framework, the following study attempts to address the gap between theory and practice surrounding holistic approaches to faith-based development. This research project explores the role of religion in development; the evolution of perspectives on evangelism and social action; the emergence of transformational development and integral mission; and finally, a study of the impact and effectiveness of a holistic and transformational approach shown through the work of CBM.

No description available.

Stress within healthcare environments can be the result of uncertainty, illness, or the environment itself. In order to promote better health outcomes for dialysis users, scientific literature advocates stress reduction within healthcare environments. Dialysis patients are subject to numerous stressors, including the threat of potential losses and lifestyle change. Studies have revealed that patients who suffer from chronic illness perceive different levels of quality of life than those who are considered healthy and because of these lifestyle changes they employ various coping mechanisms when dealing with stress. There is a rising movement to mitigate stress through the use of holistic healing, an approach that addresses a person’s mental, emotional, physical, and spiritual elements to create a total healing environment. In accordance with this growing movement, the intent of this practicum is to create an outpatient centre for Manitoba’s dialysis patients that increases their perceived quality of life. The inquiry process began by questioning dialysis patients and conducting observational research at the Winnipeg Health Sciences Centre. Literature and precedent reviews were conducted, and the design programme was developed. The result of this research-based design proposal is an outpatient hemodialysis centre located within the Winnipeg Health Sciences Centre that helps mitigate stress while patients attempt to cope with lifestyle changes. The resulting design is one that is warm, welcoming, home-like and comfortable, which is supported by the theories explained in the literature review. This environment provides a greater sense of control, creates positive distractions and allows spiritually evoking opportunities to take place for all users of this new facility.

Stress within healthcare environments can be the result of uncertainty, illness, or the environment itself. In order to promote better health outcomes for dialysis users, scientific literature advocates stress reduction within healthcare environments. Dialysis patients are subject to numerous stressors, including the threat of potential losses and lifestyle change. Studies have revealed that patients who suffer from chronic illness perceive different levels of quality of life than those who are considered healthy and because of these lifestyle changes they employ various coping mechanisms when dealing with stress. There is a rising movement to mitigate stress through the use of holistic healing, an approach that addresses a person’s mental, emotional, physical, and spiritual elements to create a total healing environment. In accordance with this growing movement, the intent of this practicum is to create an outpatient centre for Manitoba’s dialysis patients that increases their perceived quality of life. The inquiry process began by questioning dialysis patients and conducting observational research at the Winnipeg Health Sciences Centre. Literature and precedent reviews were conducted, and the design programme was developed. The result of this research-based design proposal is an outpatient hemodialysis centre located within the Winnipeg Health Sciences Centre that helps mitigate stress while patients attempt to cope with lifestyle changes. The resulting design is one that is warm, welcoming, home-like and comfortable, which is supported by the theories explained in the literature review. This environment provides a greater sense of control, creates positive distractions and allows spiritually evoking opportunities to take place for all users of this new facility.

No description available.

Background Sexual health is affected by disease, dysfunction and disability but can also be experienced in spite of illness. To get a deeper knowledge of what the nurse does for the patients the background is written with the support of the holistic care and Katie Eriksson theoretical perspectives health and suffering. Aim The aim of this study is to describe the factors to why nurses do not prioritize patients' sexual health in the nursing care. Method A literature review based on nine qualitative and quantitative studies focusing on the barriers perceived by the nurses to address sexual health. Result The result of this study showed that the barriers were many. Factors related to nurses unwillingness to talk to patients about sexuality and sexual health were difficulties in nurses' psychosocial work environment and lacking competence concerning sexual health. The fact that sexuality is a sensitive subject, factors related to the patient and that it was someone else's responsibility to raise the topic were other factors that made it difficult. Conclusion We conclude that a stressed workplace where there is a lack of time and stress along with a poor education and uncertainty leads to no grasp of the subject and the problem slides between health professionals. Patients' sexual health remains untreated. If sexual health is not involved in the nursing care increases the risk for larger problems and that the patients are exposed to unnecessary suffering.

As a conceptual study, this thesis aims to establish a holistic pedagogy of art integration that would address nurturing the whole child as the goal of education. Over the last few decades, art integration has become an important academic issue in curriculum studies, particularly at the early and primary levels of childhood education. Many have entertained various modes of art integration to promote their personal or institutional philosophies and goals of schooling. As a result, we see some popular arts-integrated programs which can be characterized as ‘interdisciplinary,’ ‘cognitive,’ ‘social,’ or ‘cultural.’ Those programs and approaches suggest, in one way or another, that there are good reasons why we need to be more active in including the arts into curriculum. Our schools would be better off with a well-thought-out arts-integrated curriculum. In this movement, however, there is a critical problem: many have come to believe that the arts are useful in so far as they are good for brain development and academic improvement. This mechanistic or cause-effect view of the relevance of the arts to education has gained solid support and is becoming the major focus when teachers and schools try to integrate the arts into their curricula. Facing this situation, this study proposes a holistic pedagogy of art integration through 1) refining the holistic curriculum with the help of process thought, 2) conceptualizing natural spirituality and its relevance to the whole child, 3) establishing the holistic ways of doing the arts in curriculum, 4) building holistic models of art integration, and 5) discussing some working programs and designing one that best exemplifies the holistic models. The holistic pedagogy of art integration to be established in this study is, then, intended to be one that would remedy some critical issues like reductionism and dualism engrained in the conventional view of art integration that currently dominates our school culture. The holistic ways of the arts developed in this thesis are suggested as one of the more promising ways of transforming our schools into learning and caring communities where our children will have a better chance to thrive as ‘whole persons.’

As a conceptual study, this thesis aims to establish a holistic pedagogy of art integration that would address nurturing the whole child as the goal of education. Over the last few decades, art integration has become an important academic issue in curriculum studies, particularly at the early and primary levels of childhood education. Many have entertained various modes of art integration to promote their personal or institutional philosophies and goals of schooling. As a result, we see some popular arts-integrated programs which can be characterized as ‘interdisciplinary,’ ‘cognitive,’ ‘social,’ or ‘cultural.’ Those programs and approaches suggest, in one way or another, that there are good reasons why we need to be more active in including the arts into curriculum. Our schools would be better off with a well-thought-out arts-integrated curriculum. In this movement, however, there is a critical problem: many have come to believe that the arts are useful in so far as they are good for brain development and academic improvement. This mechanistic or cause-effect view of the relevance of the arts to education has gained solid support and is becoming the major focus when teachers and schools try to integrate the arts into their curricula. Facing this situation, this study proposes a holistic pedagogy of art integration through 1) refining the holistic curriculum with the help of process thought, 2) conceptualizing natural spirituality and its relevance to the whole child, 3) establishing the holistic ways of doing the arts in curriculum, 4) building holistic models of art integration, and 5) discussing some working programs and designing one that best exemplifies the holistic models. The holistic pedagogy of art integration to be established in this study is, then, intended to be one that would remedy some critical issues like reductionism and dualism engrained in the conventional view of art integration that currently dominates our school culture. The holistic ways of the arts developed in this thesis are suggested as one of the more promising ways of transforming our schools into learning and caring communities where our children will have a better chance to thrive as ‘whole persons.’

Spirituality is an integral part of a persons wholeness and therefore has an effect on and plays an important role in health and illness. Nurses are required by national and international nursing bodies as well as hospital accreditation agencies, to identify patients spiritual needs and intervene by integrating spiritual care into their nursing care. However, to date, no nursing studies have described Tanzanian nurses experiences of spirituality and spiritual care. The qualitative method of interpretive description was used. A purposive sample of fifteen registered nurses who were engaged in direct clinical practice at one of the private not-for-profit hospitals in Dar es Salaam, Tanzania was drawn. In-depth interviews using open-ended questions were carried out, tape-recorded, and transcribed verbatim. The data collection and analysis occurred concurrently. The transcripts were coded using inductive analysis. Themes related to spirituality and spiritual care that emerged from data were: meaning of spirituality, meaning of spiritual care, recognition of spiritual needs, interventions to respond to spiritual needs, challenges addressing spiritual care, and factors positively influencing the provision of spiritual care. Several recommendations for enhancing spiritual caregiving practices were given by participants. The findings from this study offer a basis for assessment, planning, and intervention strategies that nurses can apply in integrating spiritual care in clinical practice.