This paper propounds two main theses. First, it asserts that the boundaries of the doctor-patient relationship are not clearly delineated, but they are clarified by the clarified contexts in which they are formed. Second, there is a need to formulate a set of guidelines that are flexible enough to accommodate ambiguous situations and yet definitive enough to define the limits of the interaction between the doctor and the patient. In order to advance the aforementioned theses, this paper will clarify what boundary transgressions are, how they come about, and how they could avoided.
Human ; PROFESSIONAL-PATIENT RELATIONS ; PHYSICIAN-PATIENT RELATIONS

No abstract available.
Program Evaluation ; Public Relations

In the last three centuries, medicine has focused predominantly on the physical body as the source of disease, placing very little importance on the mind. However, the significance of mind-body interactions in medicine is now increasingly being recognised. True health must include both the physical body and the mind. This article traces our concepts of the relationship between mind and body since primitive times and explores its relevance to the maintenance of health.
Mind-Body Relations, Metaphysical

Background: The family life cycle describes the stages of family development starting from the formation of the emerging adults to marriage, birth of children, growth into adolescents, adulthood and families in later life. The cycle includes individual developmental changes of family members, evolution of marital relationship and cyclic development of the evolving family unit. Presently, there is no study that describes the developmental tasks, structures and functions of Filipino families with young children. Objective: The objective of the study was to describe the developmental tasks, family structure and functions among selected Filipino families with young children. Methods: A cross-sectional study was conducted from January to March 2016 on a total of 353 Filipino parents of families with young children ages 0-12 years old. Results: The extended type of family (65%) is more predominant than the nuclear type (35%) among the participants. A high Family APGAR score of 9.2 (SD ± 1.1) translated to highly functioning families with young children. Overall, the first order changes on financing, marital adjustments and extended family relationships were highly met except that on the unexpected costs of family life. For second order changes, there was a significant association of decline in intimacy over time among couples progress thru the life stages (X2 12.75, p-value 0.013). Partners were able to adjust the marital relationship mainly through communication and acceptance. The parenting roles were done most of the time except for the roles on inspiring children for nationalism and providing wholesome educational materials. Finally, almost all families with young children (99%) were able to align relationship with extended family members. Conclusion The selected Filipino families with young children mostly have an extended family structure and are highly functional. Overall, the first and second developmental tasks were accomplished in varying degrees.
Family ; Family Relations ; Parenting

Background: The doctor-patient relationship has been recognized throughout the history of medicine and its importance was emphasized in the delivery of healthcare services and health outcomes. One of the major roles of empathy is changing a pathologic mind’s configuration, and the establishment of a linkage between a doctor and patient is a crucial element of a strong therapeutic alliance and health outcome. This is an element to gain trust and comprehension to sustain a good communication and to eliminate burden for both the doctor and the patient. Objective: To determine the empathy scores of Physicians of Region 1 Medical Center (R1MC) Department of Family and Community Medicine (DFCM) towards patients. Methods: This was a purely descriptive study thru survey of DFCM physicians conducted among patients catered at the DFCM OPD of R1MC. Result: In this study, the authors had a total 614 respondent from the six different districts in Pangasinan. All of them were able to answer the questionnaire based on Consultation and Relational Empathy (CARE) model which was utilized in this study in assessing the empathy score of Family and Community Medicine Department Physicians in Region I Medical Center. The overall mean CARE Measure score was 48.77 (SD 3.38) and 77.2% achieved the maximum possible score of 50. Conclusion Based on the findings and analysis of the data gathered in this research study using CARE Measure, we therefore concluded that physicians from the Department of Family and Community Medicine of Region I Medical Center showed great empathy towards patients as based on the empathy score of excellent.
Physician-Patient Relations

PURPOSE: The purpose of the study was to describe the essential structure of the lived experience of clinical nurses' interpersonal relations among nurses, patients, and others in the ward setting of the hospital. METHOD: Six nurses who have experienced from 4 to 7 years on the same ward setting, were interviewed. The data were collected from September, 2000 to May, 2001 and analyzed using Colaizzi's (1978) method of phenomenology. RESULT: In this study, 7 themes were extracted: difficulty of interpersonal relations after being familiar with work, developing good relations with doctors, patients, and their significant others as experience increased, generation gap among individual nurses, evaluating other nursing colleagues on their past experience in ward settings, avoiding nurses with whom one was in conflict, sometimes, resolving conflict through getting together with colleagues informally, having a limited interpersonal network, experiencing becoming mature through struggling with the difficulty of interpersonal relations. CONCLUSION: Nurse managers need to provide resources, opportunities, and information to clinical nurses through fully understanding the characteristics of nurses' interpersonal relations. In addition, they should minimize the factors which intervene with good interpersonal relations among clinical nurses.
Humans ; Intergenerational Relations ; Interpersonal Relations* ; Nurse Administrators ; Nursing

PURPOSE: Nursing communication has become more important than ever before because quality of nursing services largely depends on the quality of communication in a very competitive health care environment. This article was to introduce ways to improve nursing communication using conversation analysis. METHODS: This was a review study on conversation analysis, critically examining previous studies in nursing communication and interpersonal relationships. RESULTS: This study provided theoretical backgrounds and basic assumptions of conversation analysis which was influenced by ethnomethodology, phenomenology, and sociolinguistic. In addition, the characteristics and analysis methods of conversation analysis were illustrated in detail. Lastly, how conversation analysis could help improve communication was shown, by examining researches using conversation analysis not only for ordinary conversations but also for extraordinary or difficult conversations such as conversations between patients with dementia and their professional nurses. CONCLUSION: Conversation analysis can help in improving nursing communication by providing various structures and patterns as well as prototypes of conversation, and by suggesting specific problems and problem-solving strategies in communication.
Adult ; *Communication ; Humans ; Interpersonal Relations ; Nurse-Patient Relations ; Nurses/*psychology

This study was undertaken to consider the impact of migration on the relationship between the OFW and the family. The general objectives was to determine the long-term effects of separation from the OFW parent on children in two selected barangays with specific objectives: (1) to determine the psychiatric morbidity among children; (2) to determine their behavioral patterns; (3) to describe the demographic data of the said population. The design of the study was a cross-sectional survey done in 2 barangays with a high density of OFWs. The Reporting Questionnaire for Children (RQC) which is an instrument designed to screen psychiatric disturbances in children and adolescents less than 18 years of age was used. A total 385 children took part in the study. Results showed that adaptive and maladaptive modes of coping were utilized by the children left behind by parents.
Human ; Adolescent ; Child ; FAMILY RELATIONS ; PARENT-CHILD RELATIONS ;

This Qualitative nursing research used a hermeneutic phenomenological approach to discover meaning in an aging experience. The ultimate aim of the inquiry was to discover the essence of aging experience and to promote understanding. The study used Van Manen's methodology of phenomenological research. Multiple strategies for data collecting were utilized : in depth face-to-face interview & analysis of elder's literature. The following themes of experience emerged : changing of physical shape, being expelled out in the field of life, reformationing of family relationship, rhythmical patterning of life & death, developing of reflective self-consciousness, awareness of self-expansion creatively. From this study essential themes for understanding aging experience, need for continuing inquiry were identified.
Aging* ; Family Relations ; Nursing Research

Humans ; Physicians ; Professional-Patient Relations