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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-antioch14043958332021-08-03T06:25:46Z Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care McCune, Susana Lauraine Psychology Psychotherapy Health Care Medical Ethics Medicine Oncology Philosophy of Science Public Health Education Therapy Aging Communication Clinical Psychology Counseling Psychology Health Education Gerontology Health Sciences Advance care planning advance directives end-of-life care psychology relational psychoanalysis compassion communication hermeneutics Interdisciplinary Relational Model of Care aging gerontology health care health education medical ethics Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) can help clinicians engage in more frequent and effective communication about ADs and ACP. This ontological hermeneutic study considered scholarly and professional, practice-based health services literature, along with juridical, legislative, policy, and philosophical texts that have informed previous models of care. Tacit and explicit phenomena, conditions, and practices of communication about ADs and ACP in the patient-clinician relationship were identified. In response to the phenomena, conditions, and practices identified in this study the IRMOC was formulated and applied to communication about Advance Directives and Advance Care Planning in the patient clinician relationship. The IRMOC was then expanded, made more nuanced, and contextualized within the overall philosophical, theoretical, and practical frameworks that informed the model. The electronic version of this dissertation is at OhioLink ETD Center, www.ohiolink.edu/etd 2015-10-15 English text Antioch University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=antioch1404395833 http://rave.ohiolink.edu/etdc/view?acc_num=antioch1404395833 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Psychology
Psychotherapy
Health Care
Medical Ethics
Medicine
Oncology
Philosophy of Science
Public Health Education
Therapy
Aging
Communication
Clinical Psychology
Counseling Psychology
Health Education
Gerontology
Health Sciences
Advance care planning
advance directives
end-of-life care
psychology
relational psychoanalysis
compassion
communication
hermeneutics
Interdisciplinary Relational Model of Care
aging
gerontology
health care
health education
medical ethics
spellingShingle Psychology
Psychotherapy
Health Care
Medical Ethics
Medicine
Oncology
Philosophy of Science
Public Health Education
Therapy
Aging
Communication
Clinical Psychology
Counseling Psychology
Health Education
Gerontology
Health Sciences
Advance care planning
advance directives
end-of-life care
psychology
relational psychoanalysis
compassion
communication
hermeneutics
Interdisciplinary Relational Model of Care
aging
gerontology
health care
health education
medical ethics
McCune, Susana Lauraine
Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care
author McCune, Susana Lauraine
author_facet McCune, Susana Lauraine
author_sort McCune, Susana Lauraine
title Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care
title_short Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care
title_full Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care
title_fullStr Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care
title_full_unstemmed Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care
title_sort worlds of connection: a hermeneutic formulation of the interdisciplinary relational model of care
publisher Antioch University / OhioLINK
publishDate 2015
url http://rave.ohiolink.edu/etdc/view?acc_num=antioch1404395833
work_keys_str_mv AT mccunesusanalauraine worldsofconnectionahermeneuticformulationoftheinterdisciplinaryrelationalmodelofcare
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