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Psychology

Antioch University

Health care

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Full-Text Articles in Medicine and Health Sciences

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry Jan 2022

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry

Antioch University Dissertations & Theses

Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …


Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune Jan 2015

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

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) …


Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster Jan 2012

Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster

Antioch University Dissertations & Theses

The holding environment concept, developed by Donald Winnicott, has been used to represent the type of support that encourages adaptive change during psychosocial transitions. The leadership and change literature posited that the holding environment had the ability to shape the trajectory of the transition, yet did not test this empirically. The psychosocial breast cancer literature empirically researched support during and after treatments ended, but did not incorporate the holding environment concept. This presented the opportunity to inform both the leadership and breast cancer fields by studying holding environments in the breast cancer setting. This study had a twofold purpose: 1) …


Educating Clinical Pastoral Education Supervisors: A Grounded Theory Study Of Supervisory Wisdom, Judith R. Ragsdale Jan 2009

Educating Clinical Pastoral Education Supervisors: A Grounded Theory Study Of Supervisory Wisdom, Judith R. Ragsdale

Antioch University Dissertations & Theses

Clinical Pastoral Education (CPE) is an 80 year old education modality that provides professional education for students of pastoral care. Supervision is central to the CPE process. Pastoral supervisors in the Association for Clinical Pastoral Education (ACPE) have done little writing about their work educating Students in Supervisory Education (SSEs). The purpose of this dissertation is to identify and interview those practitioners in ACPE who have been identified by their peers as excellent in practice, and to cull their wisdom by listening to and categorizing their experience of supervising SSEs. The research question to the supervisors was: What is your …