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A Calvinist account of nursing ethics
A relatively small but intellectually robust strand in the Christian religion is the Reformed tradition. Especially, its Calvinist sensibilities inform this Protestant stance towards human culture in general and vocations in particular. Correspondingly, there are some small but robust contributions to academic discourse in nursing ethics. So far there has been no attempt to bring those together as a distinct approach. This article suggests such a Reformed Christian, especially Calvinist, account of nursing ethics. Central to the Reformed perspective is the notion that God is sovereign over all of creation and culture and hence that there can be no religiously or morally neutral area in human life. Consequently, nursing is not seen as professional to the extent it is based on research evidence or theoretical models, but to the extent it serves the ultimate purpose of the practice of care. In the Reformed view, this purpose is fostering the well-being of human beings in need as intrinsically valuable. Nurses are professionals who accept this responsibility, that is, the whole of expectations holding for personal qualities, conduct and outcomes, required to serve the purpose of care. As this is a moral purpose, succeeding or failing to live up to these expectations is the source of moral issues in nursing.
Verpleegkundige beroepsethiek, Reflectie op goede zorg | 11-06-2014A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study
Aims and Objectives:To analyse oral care delivery in one hospital through exploring experiences from both nurses’ and patients’ perspectives and examining patients’ oral health.Background:Oral health problems are associated with undernutrition and other general health outcomes. Although oral care belongs to the essentials of nursing, it is often neglected. Improving oral health may require behaviour change of both nurses and patients. Defining tailored strategies need a clear view on the context.Design:A context analysis in one hospital using a convergent parallel mixed‐methods design was reported following the EQUATOR guidelines using two checklists: COnsolidated criteria for REporting Qualitative research (qualitative research) and STROBE (observational research).Methods:Semi‐structured interviews were conducted with 19 nurses and 11 patients. The topic list was based on the Integrated Change Model. Prospective oral examination was performed among 91 surgical patients using the Oral Health Assessment Tool (OHAT).Results:Nurses acknowledged that they did not prioritise oral care in daily practice. Furthermore, they lacked knowledge and skills to identify and provide care for oral problems. Nurses mentioned helpful resources to perform oral care, like standardised language and instruments. However, they had no access to or were unaware of them. Patients admitted that they did not prioritise oral care due to their sickness during hospitalisation, were unaware of the importance of oral care, but felt responsible for their oral care. The most prominent oral problems identified with the OHAT were unclean mouths (n = 75, 82%), unhealthy gum and tissues (n = 55, 60%) and dry mouth (n = 42, 46%).Conclusions:This context analysis identified inadequate oral care due to lack of positive attitude and knowledge in both nurses and patients, skills for nurses, and resources.Relevance to Clinical Practice:The behavioural factors indicate strategies for development of a multicomponent intervention to improve oral care in this hospital, nutritional status and general health outcomes.
03-12-2019A quantitative study on factors influencing enrolment of dairy farmers in a community health insurance scheme
Background: Access to affordable and effective health care is a challenge in low- and middle- income countries. Out-of-pocket expenditure for health care is a major cause of impoverishment. One way to facilitate access and overcome catastrophic expenditure is through a health insurance mechanism, whereby risks are shared and financial inputs pooled by way of contributions. This study examined factors that influenced the enrolment status of dairy farmers in Western Kenya to a community health insurance (CHI) scheme
10-03-2017A rich palette of Bible use
The aim of this study is to gain empirical knowledge about how the Bible functions in the context of Protestant Christian primary schools in the Netherlands. It presents the results of an empirical explorative and qualitative study on the perceptions of teachers and school administrators (directors and internal supervisors) on the goals of Bible use in Protestant primary education, as well as the roles of teachers and pupils, and how these can be understood in terms of religious pedagogical models and theories. Five small focus group interviews with teachers and six interviews with school administrators revealed a variety of goals teachers hold regarding Bible use in education and a variety of divisions of teacher–learner roles in this regard. The findings also show some particular characteristics when compared with secondary schools.
01-03-2023A Twist to Apologetics
In their missionary endeavors, many Christians today may well experience a gap between articulating traditional beliefs (handed down ‘cognitive truths’) and a desire to live as a Christian in their ordinary, daily life, focusing on embodiment, practical action, or doing. This leads to resistance or insecurity with respect to engaging in apologetic dialogue or conversations about being a missionary church. Based on explorative systematic research and field work I propose six lessons for enhancing missional resilience, fitting for the times of transition in which churches in the secular West currently find themselves. This proposal is based on four background perspectives on changing epistemic paradigms and the emerging interest in ‘embodied knowing’ (by Bonnie Miller-McLemore, Stephen Toulmin, Alister McGrath and David Bosch), an epistemological perspective on ‘embodied knowing’ based on the Biblical covenant (by Esther Lightcap Meek), a liturgical perspective (by Nicholas Wolterstorff) and two pioneer perspectives (field research).
Zingeving in nieuwe geloofsgemeenschappen | 07-12-2022Aan de slag met sociale cohesie in het klaslokaal
Sterke ik-gerichtheid en toenemende diversiteit leiden niet alleen tot spanningen in de maatschappij, maar ook in het klaslokaal. Leerlingen met verschillende achtergronden hebben soms amper contact met elkaar of voelen zich zelfs buiten de groep vallen. Leerkrachten vragen zich af hoe ze de sociale cohesie in hun klas kunnen versterken. Deze eerste bijdrage gaat daarop in. De tweede behandelt de vraag: in welke mate mag het streven naar groepssaamhorigheid ten koste gaan van de opvattingen van individuele leerlingen?
Samen Divers | 02-05-2022Aan de slag met zorg voor voeding en gezondheid
Dit is de lectorale rede uitgesproken bij de installatie van het lectoraat Zorg voor Voeding en Gezondheid. Op 1 januari 2018 is dit lectoraat gestart aan de Christelijke Hogeschool Ede (CHE) met Willemieke Kroeze als lector. Dit lectoraat is verbonden aan de opleiding Verpleegkunde. Via praktijkgericht onderzoek wil dit lectoraat een bijdrage leveren aan de zoektocht naar hoe verpleegkundigen en praktijkondersteuners preventie in de zorg vorm kunnen geven, specifiek gericht op het bevorderen van gezond eten en drinken van thuiswonende zorgvragers. De resultaten van dit onderzoek bieden aanknopingspunten voor het opleiden van verpleegkundigen en praktijkondersteuners en voor hun professioneel handelen op het gebied van het bevorderen van een gezonde leefstijl. Het lectoraat wil zo bijdragen aan de deskundigheid van de zorgprofessionals van de toekomst, die een steeds belangrijker rol zullen krijgen als gezondheidsbevorderaar.
Leefstijl en Gezondheidsbevordering | 06-06-2019Aandacht voor eten en drinken in de wijkzorg
De wijkverpleegkundige is een belangrijke speler in het bevorderen van gezond eet- en drinkgedrag. Hoe krijgt dit vorm in de dagelijkse zorgpraktijk? Met interviews is in kaart gebracht hoe hbo-wijkverpleegkundigen deze taak invullen.
Leefstijl en Gezondheidsbevordering | 16-06-2020
