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1. The Context of Care: Abstraction Hierarchy Modeling of Therapeutic Foster Care Programs

   https://doi.org/10.1177/15553434231211060  

   Wurst, Connor; Chen, Huei-Yen Winnie; Bisantz, Ann M.; Hall, Seventy F.; Maggiulli, Laura; Joseph, Kenneth; Sage, Melanie (March 2024, Journal of Cognitive Engineering and Decision Making)

   Therapeutic foster care agencies provide temporary placements and a range of services to at-risk youth to help ensure their safety, permanency, and wellbeing. The practitioners that plan such care operate under heavy caseloads, limited resources, and high stakes. There is significant interest in supporting these practitioners with various technological interventions, but their work and the context around it is still poorly understood. This study aims to better understand the current assessment and treatment planning work in therapeutic foster care. We used the abstraction hierarchy modeling approach to outline the purposes, values, constraints, processes, and tools that define the workplace ecology encountered by care coordinators and clinicians from therapeutic foster care programs at Hillside, a collaborating human service organization. The resulting abstraction hierarchy was closely examined to identify areas for interventions and design implications. 

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2. Distress and self-care among chaplains working in palliative care

   https://doi.org/10.1017/S1478951518001062  

   White, Kelsey B.; Murphy, Patricia E.; Jeuland, Jane; Fitchett, George (October 2019, Palliative and Supportive Care)

   Abstract Background The prevalence of burnout and distress among palliative care professionals has received much attention since research suggests it negatively impacts the quality of care. Although limited, research suggests low levels of burnout or distress among healthcare chaplains; however, there has been no research among chaplains working in specific clinical contexts, including palliative care. Objective This study explored the distress, self-care, and debriefing practices of chaplains working in palliative care. Method Exploratory, cross-sectional survey of professional chaplains. Electronic surveys were sent to members of four professional chaplaincy organizations between February and April 2015. Primary measures of interest included Professional Distress, Distress from Theodicy, Informal Self-care, Formal Self-care, and debriefing practices. Result More than 60% of chaplains working in palliative care reported feeling worn out in the past 3 months because of their work as a helper; at least 33% practice Informal Self-care weekly. Bivariate analysis suggested significant associations between Informal Self-care and both Professional Distress and Distress from Theodicy. Multivariate analysis also identified that distress decreased as Informal and Formal Self-care increased. Significance of results Chaplains working in palliative care appear moderately distressed, possibly more so than chaplains working in other clinical areas. These chaplains also use debriefing, with non-chaplain palliative colleagues, to process clinical experiences. Further research is needed about the role of religious or spiritual beliefs and practices in protecting against stress associated with care for people at the end of life. 

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3. The flow of care: Integrating an ethic of care and ethical reflection into a community-engaged hydrology course

   https://doi.org/10.1130/abs/2022am-379384  

   Fore, Grant; Wang, Lixin (January 2022, The Geological Society of America)
4. Criminalization of Care: Drug Testing Pregnant Patients

   https://doi.org/10.1177/00221465211058152  

   McCabe, Katharine (November 2021, Journal of Health and Social Behavior)

   This article reveals how law and legal interests transform medicine. Drawing on qualitative interviews with medical professionals, this study shows how providers mobilize law and engage in investigatory work as they deliver care. Using the case of drug testing pregnant patients, I examine three mechanisms by which medico-legal hybridity occurs in clinical settings. The first mechanism, clinicalization, describes how forensic tools and methods are cast in clinical terminology, effectively cloaking their forensic intent. In the second, medical professionals informally rank the riskiness of illicit substances using both medical and criminal-legal assessments. The third mechanism describes how gender, race, and class inform forensic decision-making and criminal suspicion in maternal health. The findings show that by straddling both medical and legal domains, medicine conforms to the standards and norms of neither institution while also suspending meaningful rights for patients seeking care. 

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5. Data Work of Frontline Care Workers: Practices, Problems, and Opportunities in the Context of Data-Driven Long-term Care.

   Sun, Y; Ma, X; Lindtner, S; He, L (April 2023, Vol. 7, Issue CSCW2 (Computer Supported Cooperative Work & Social Computing))