3 results on '"Nolan‐Thomas, Emma"'
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2. Shared Decision‐Making During Virtual Care Regarding Rheumatologic and Chronic Conditions: Qualitative Study of Benefits, Pitfalls, and Optimization.
- Author
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Zickuhr, Lisa, McCarthy, Catherine, Nolan‐Thomas, Emma, Westrich‐Robertson, Tiffany, Baker, Elizabeth A., and Hanson, Janice L.
- Subjects
FOCUS groups ,HEALTH services accessibility ,CHRONIC diseases ,MEDICAL care ,INTERVIEWING ,QUALITATIVE research ,CONCEPTUAL structures ,EXPERIENCE ,COMPARATIVE studies ,SURVEYS ,DECISION making ,COMMUNICATION ,DESCRIPTIVE statistics ,RHEUMATISM ,CONTENT analysis ,PATIENT-professional relations ,POLICY sciences ,NEEDS assessment ,THEMATIC analysis ,TECHNOLOGY ,TELEMEDICINE - Abstract
Objective: Virtual care (VC) is an accepted modality of care delivery, and shared decision‐making (SDM) benefits patients with rheumatologic and chronic conditions (RCCs). Unfortunately, research suggests reduced quality of SDM during VC. This study explores the benefits and shortcomings of SDM regarding RCCs during VC with suggestions for optimally using VC during SDM. Methods: Following Stiggelbout's framework for SDM, we conducted focus groups of patients with RCCs and providers to understand their experiences with SDM during VC, probing for facilitating and challenging factors. We conducted content analysis of the transcripts, defining themes, and inductively reasoned to identify relationships among themes. We summarized the facilitators, barriers, and opportunities for improving SDM during VC that participants proposed. Results: Virtual SDM shares several similarities with in‐person practice, as both draw upon trusting patient‐provider relationships, following the same general steps, and relying on effective communication. VC presents solutions for known barriers to in‐person SDM, expanding time for making decisions and access to care. Technology and virtual health systems introduce new barriers to SDM, and participants list opportunities for overcoming these concerns. Conclusion: VC is a tool that can enhance and even support superior SDM compared with in‐person visits when implemented successfully, a condition requiring the development of nuanced skills to correctly identify when and how to best use VC for SDM as well as technology and health care structures that integrate SDM into VC. Therefore, patients, providers, insurance carriers, and policy makers all contribute to the success of SDM among RCCs during VC. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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3. Practicing the Prophet's Medicine: Health, Illness, and Islamic Therapeutics in Indonesia
- Author
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Nolan-Thomas, Emma
- Subjects
- Islamic therapeutics, Islamic healing, Qur'anic healing (ruqya), Prophetic medicine, cupping (hijama, bekam), religious experimentation
- Abstract
This dissertation examines emergent practices of “Islamic therapeutics” (pengobatan Islam) in Yogyakarta, Indonesia. As everyday and embodied manifestations of Islamic revival movements, “Prophetic” and “Islamic” approaches to health, healing, and medicine have in recent decades been on the rise amongst Muslims around the world, with particular interest in cupping (Arabic: hijama, Indonesian: bekam), Qur’anic healing or therapeutic Qur’an recitation (Arabic: ruqya, Indonesian: ruqyah), and the use of herbal medicines. For Muslim Indonesians battling an epidemic of chronic diseases and skyrocketing healthcare costs, traditions of Islamic ethical self-formation in which Muslims strive to emulate the Prophet Muhammad’s model of humoral “balance” and moderation have become especially salient, and the field of Islamic therapeutics has become a key site of experimentation with religious and ethical approaches to cultivating healthy, virtuous selves. By bringing these practices into conjunction with biomedical treatments as well as Chinese and Javanese forms of traditional medicine, patients and practitioners go beyond reviving Islamic traditions to invent new synthetic approaches. In Indonesia, this revival has also taken place against a backdrop of deeper histories of interconnections between health and Islam, especially among “traditionalist” networks of Muslims. These networks, institutionalized in Islamic boarding schools (pesantren) have long included texts on health, medicine, and prayer, and many kyai, the leaders of pesantren, have been renowned for their healing abilities and practices. Drawing on 12 months of ethnographic and archival research in Indonesia and the Netherlands, this dissertation traces diverse Indonesian Islamic approaches to the cultivation of health and the treatment of disease. In particular, it draws on extended fieldwork in four “healthy houses” (rumah sehat) in and around the city of Yogyakarta, Indonesia, in which practitioners of Islamic therapeutics work with patients and teach workshops. Key interlocutors include both revivalist or Salafi and traditionalist Muslim practitioners of Islamic therapeutics, as well as both male and female practitioners and patients. In bringing together these diverse approaches to Islamic therapeutics, this dissertation contributes to broader understandings of Islamic traditions as heteroglossic, explorative, and dynamically engaged with ongoing forms of experience – embodied, empirical, and even experimental. I suggest that Islamic therapeutics are variously constituted through articulations of “tradition” (Prophetic, Islamic, ancestral) and “experience” (embodied, experimental, and empirical) directed toward a telos of human flourishing in the form of healthy Muslim personhood.
- Published
- 2023
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