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Critical literature review: Healing in primary care Introduction The field of medicine is insufficient without the use of evidence based practices. Due to its ever increasing complexities and ever increasing new and complex diseases, time requires the need to carefully and sufficiently understand the medical problems and suggest more effective cures…
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Download file to see previous pages This insufficiency of theory based knowledge undoubtedly brings the importance of evidence based learning and understanding. In the field of medicine, healing is vastly defined. Many authors have not been able to limitise its definition and concept within a few representative sentences. This brings the presence of vast dimensions within the process of healing. It is not only linked with the physical parts of human body, but also finds its application in psychology and spirituality as well. And many researchers have tried to define healing in patients with chronic illness, disability, pain and at the end of life (Kigler, 2004; Marshall et al. 2004; Geller et al., 2004; Cherkin & Sherman, 2004; Waters, 2006; Farber, 2002; Silver, 2004). Additionally, various other fields such as nursing and anthropology have also identified it to be a useful part of their practices. As we are critically analysing two articles-Healing in Primary Care: A vision shared by patients, physicians, nurses and clinical staff and Understanding healing relationship in primary care, it is more appropriate to define healing, which is defined as a multidimensional process with emotional, physical and spiritual dimensions (Hsu et al., 2008). This definition of healing is sufficiently consistent with the healing definition in other literatures (Hsu et al. 2008,Egnew, 2005, Dossey, 2003; Wendler, 1996) Each article has a different summary. In the article Healing in primary care: a vision shared by patients, physicians, nurses and clinical staff, the fundamental focus of the focused groups was to obtain understanding of the fundamental concept of healing among patients, physicians, nurses and clinical staff; also, what they consider as facilitators and barriers to promoting healing in primary care were discussed. In this article, for the purpose of learning via evidence based, the instrument of focused group is used; in which nine focused groups were arranged with 84 participants, 28 patients, 23 primary care physicians (19 family physicians), 11 licensed practical nurses, 20 registered nurses, and 2 medical assistants. On the other hand, in the article understanding healing relationship in primary care, much emphasis is given to highlight and understand the development and maintenance of healing relationships between patients and clinicians. Here, the method of interview was used to serve the objectives of healing relationships with three processes resulted as fostering healing relationships-valuing non-judgmental emotional bond, working in a way to serve the maximum facilitation for patients and displaying a caring attitude towards patients. Critical evaluation of these articles serves the objectives of this literature review. The methods, data, outcomes and theories enlisted in both articles are going to be made part of this process of assessment with a critical look. Have these two articles really served the way for which they were planned? Have these objectives provided something useful towards the process and practice of healing? These are the fundamental questions are discussed further below. Critical evaluation: Healing in primary care: A vision shared by patients, physicians, nurses and clinical staff Healing is a fundamental part of medical science, yet its role is insufficiently understood in the modern health care system (Brody, 1992; Lown, 1996; Cassell, 1991). In this article, many ...Download file to see next pagesRead More
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