Application of Principles in Health and Social Care Practice Analysis
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This report delves into the principles of health and social care practice, emphasizing patient-centered care, ethical considerations, and the application of relevant theories such as Maslow's hierarchy of needs and social cognitive theory. It examines the role of care workers in upholding patient dignity, independence, and well-being within organizations like Care Home Agency, using a case scenario involving Mr. and Mrs. T to illustrate practical applications. The report also addresses the importance of UK legislations and policies in ensuring health and safety, protecting individuals from harm, and promoting coordinated care. Furthermore, it provides recommendations for care providers to enhance patient care and satisfaction, focusing on empathy, empowerment, and addressing physical, social, spiritual, and emotional needs. The conclusion highlights the significance of local well-being care agencies being aware of risks and developing supportive structures, emphasizing how theories guide professional nursing practices and contribute to the knowledge base for care providers.

Principles of Health and Social Care
Practice.
Practice.
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Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
RECOMMENDATIONS.................................................................................................................6
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................8
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
RECOMMENDATIONS.................................................................................................................6
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................8

INTRODUCTION
The modern well-being care is often defined in terms of the very four precepts such as it
must be evidence based, the patient-centred as well as inclusive of the carers and the society such
as continuous as well as coordinated across the settings and ethically sound and regulated as
well. In this, the principle of support in the well-being care can aid the workers to understand the
treatment process individual patients, as well as how to keep the privacy and how the rights of
the service users are protected along with their informed decisions being made. The development
of suitable skills as well as the cognition, can meet the expectations of the service user. The
principles such as empowerment, confidentiality, safety as well as the social justice are all apply
to give the health and social care in practices (Aldiabat and Le Navenec, 2018). Here I choose an
organization such as Care Home Agency among the health and social care which particularly
provides Mr and Mrs T an effective care to overcome his ongoing conditions.
MAIN BODY
The well-being and social care are the treatment of the ill well-being as well as the
medical conditions in the care organizations, the well-being centres as well as in the many
communities. The social care is particularly the care as well as the support of the people who are
specifically at risk, usually among the society. In this, the implementation of the principles of
support in the well-being and social care as well as the care workers must value the uniqueness
of each of the individual, generally uphold the responsibility to shape the care as well as support
the services around every people, value communicating with the people in the particular ways in
which that are quite meaningful towards them as well as recognize and respect. As per the case
scenario, Mr T has a progressive dementia as well as the other chronic conditions. Mr and Mrs T
have always been very independent as well as able to care for each other until recently. In
addition to this, recently, Mrs T had a fall recently and she was admitted following a hip
procedure. As she needs a care provider who can provide effective care so that she can
effectively recover from her condition (Alrashed and Kang, 2017). She actually needs a care
provider so that with the help of them she can carry on her life living independently. As she was
interested in the data as well as the empowerment on how to good manage the lives. The care
provider can effectively aid with personal care, enhances her mobility, the domestic chores as
well as the social events which can effectively aid Mr and Mrs. T to live independently as long
as possible. In the care home agencies, there are some of the legislations, policies as well as
The modern well-being care is often defined in terms of the very four precepts such as it
must be evidence based, the patient-centred as well as inclusive of the carers and the society such
as continuous as well as coordinated across the settings and ethically sound and regulated as
well. In this, the principle of support in the well-being care can aid the workers to understand the
treatment process individual patients, as well as how to keep the privacy and how the rights of
the service users are protected along with their informed decisions being made. The development
of suitable skills as well as the cognition, can meet the expectations of the service user. The
principles such as empowerment, confidentiality, safety as well as the social justice are all apply
to give the health and social care in practices (Aldiabat and Le Navenec, 2018). Here I choose an
organization such as Care Home Agency among the health and social care which particularly
provides Mr and Mrs T an effective care to overcome his ongoing conditions.
MAIN BODY
The well-being and social care are the treatment of the ill well-being as well as the
medical conditions in the care organizations, the well-being centres as well as in the many
communities. The social care is particularly the care as well as the support of the people who are
specifically at risk, usually among the society. In this, the implementation of the principles of
support in the well-being and social care as well as the care workers must value the uniqueness
of each of the individual, generally uphold the responsibility to shape the care as well as support
the services around every people, value communicating with the people in the particular ways in
which that are quite meaningful towards them as well as recognize and respect. As per the case
scenario, Mr T has a progressive dementia as well as the other chronic conditions. Mr and Mrs T
have always been very independent as well as able to care for each other until recently. In
addition to this, recently, Mrs T had a fall recently and she was admitted following a hip
procedure. As she needs a care provider who can provide effective care so that she can
effectively recover from her condition (Alrashed and Kang, 2017). She actually needs a care
provider so that with the help of them she can carry on her life living independently. As she was
interested in the data as well as the empowerment on how to good manage the lives. The care
provider can effectively aid with personal care, enhances her mobility, the domestic chores as
well as the social events which can effectively aid Mr and Mrs. T to live independently as long
as possible. In the care home agencies, there are some of the legislations, policies as well as
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procedures which are established to provide the health and safety or to protect the people from
harm. The main reason of establishing the health and safety legislations can also provide to
protect the people at work as well as those people who are generally affected by the work
activities. The particular legislations are made so that every individual in the community can
effectively know which behaviours are more acceptable and which are not. In the care home
agency, the laws generally cover all the aspects of the lives consisting from protecting the well-
being and the safety of the patients at the work as well as those patients or peoples who are
particularly affected by the work practices, containing those patients who receives the care as
well as support. In this, the UK legislations pertaining to the care home agencies does not contain
an explicit criterion in relation to the quality of care, the use of restraints or it can be the
prescribing of psychoactive drugs (Astroth, and Chung, 2018). In terms of providing the care, the
regulations generally provide the guidance only on safe keeping, handling as well as providing
the effective care to the patients.
In this, the principles of care which are involved such as the choices, dignity,
independence, privacy, respect, safety, inclusions as well as the confidentiality as these all are
specifically required by Mrs T so that she can live her life independently. The care providers
must keep these basic principles in mind as they effectively perform all of their duties as well as
the actions for the patients in their care. As per the case scenario, the patient centred care allows
to maintain that dignity by respecting the wishes of Mrs T as well as treating them with
compassion and an empathy. In this, respecting the personal qualities of Mrs T can effectively
aid her to feel validated as well as care for much more wholly in the both emotionally as well as
physically. In this, the patients often lose their independence when they enter care, that puts the
dignity of the patients at risk. The care can allow the care provider to maintain that dignity by
respecting their wishes as well as treating them effectively with empathy and compassion as well
as in the case scenario of Mrs T. while treating Mrs T in the care home agency, the care provider
must respect the beliefs or wishes of her so that she cannot lose her independence. The care
provider in the care home agency must provide the coordinated care, support as well as the
treatment to Mrs T. As it can enhances the well-being outcomes by ensuring that the care from
the disparate providers is not being delivered in silos as well as to aid decrease the well-being
care costs by eliminating the reductant processes (Bahrs, Fritz and Semmann, 2020). In the care
home agency, the care providers allow Mrs T to recognize as well as can effectively develop the
harm. The main reason of establishing the health and safety legislations can also provide to
protect the people at work as well as those people who are generally affected by the work
activities. The particular legislations are made so that every individual in the community can
effectively know which behaviours are more acceptable and which are not. In the care home
agency, the laws generally cover all the aspects of the lives consisting from protecting the well-
being and the safety of the patients at the work as well as those patients or peoples who are
particularly affected by the work practices, containing those patients who receives the care as
well as support. In this, the UK legislations pertaining to the care home agencies does not contain
an explicit criterion in relation to the quality of care, the use of restraints or it can be the
prescribing of psychoactive drugs (Astroth, and Chung, 2018). In terms of providing the care, the
regulations generally provide the guidance only on safe keeping, handling as well as providing
the effective care to the patients.
In this, the principles of care which are involved such as the choices, dignity,
independence, privacy, respect, safety, inclusions as well as the confidentiality as these all are
specifically required by Mrs T so that she can live her life independently. The care providers
must keep these basic principles in mind as they effectively perform all of their duties as well as
the actions for the patients in their care. As per the case scenario, the patient centred care allows
to maintain that dignity by respecting the wishes of Mrs T as well as treating them with
compassion and an empathy. In this, respecting the personal qualities of Mrs T can effectively
aid her to feel validated as well as care for much more wholly in the both emotionally as well as
physically. In this, the patients often lose their independence when they enter care, that puts the
dignity of the patients at risk. The care can allow the care provider to maintain that dignity by
respecting their wishes as well as treating them effectively with empathy and compassion as well
as in the case scenario of Mrs T. while treating Mrs T in the care home agency, the care provider
must respect the beliefs or wishes of her so that she cannot lose her independence. The care
provider in the care home agency must provide the coordinated care, support as well as the
treatment to Mrs T. As it can enhances the well-being outcomes by ensuring that the care from
the disparate providers is not being delivered in silos as well as to aid decrease the well-being
care costs by eliminating the reductant processes (Bahrs, Fritz and Semmann, 2020). In the care
home agency, the care providers allow Mrs T to recognize as well as can effectively develop the
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strengths as well as capabilities so that Mr and Mrs T can live an independent as well as fulfilling
life. As providing the centred care generally requires including Mrs T in the decisions as well as
it can also aid them to take particular actions which can support themselves. By this, they both
will feel in the greater control of their life as well as less reliant on the well-being care services.
In this, the theories can aid the care providers can generally better understand the
complex human behaviours as well as the social environment, that specifically impacts the lives
and the issues of the patients. a great grasp of theories can aid guide the care providers by
providing them with a sense of direction, purpose as well as control by using the information in
the theory. In this, it involves the theories such as the Maslow’s theory, the cognitive theory and
many more. In context with Maslow’s theory, it generally posits that the humans are motivated
by the intrinsic requirements for the self-actualization. The care providers can significantly apply
the Maslow’s theory to their practice towards the patient care (Barry, 2019). In this, every
people’s requirement must be met individually in order for the patients to feel satisfied, cared for
as well as cooperative. This theory generally proposed that motivation is an outcome of the
attempt of a person at fulfilling the basic needs such as the psychological, the social, safety, self-
actualization as well as self-esteem. The theories as well as the models are specifically used in
the planning of the programs to understand as well as describe the health behaviour. The theories
are also used to guide the identification, improvement as well as the implementation of the
particular interventions in providing the care.
In context with the social cognitive theory, it specifically illustrates the influences of an
individual’s experiences, the actions of the others, as well as the environmental factors on the
health of an individual’s behaviour. The social cognitive theory can particularly provide the
opportunities for the social support through instilling the expectations, the self-efficacy, as well
as using the observational learning. In addition to this, the other reinforcements are to achieve
the behavioural modifications (Behera and Prasad, 2021). In this, there are the key components
of the social cognitive theory which are particularly related to the behaviour of an individual
change can involves such as:
Self-efficacy: It involves the belief that an individual has the control over as well as is
able to execute a particular behaviour.
Behavioural capability: In this, it involves the understanding as well as having the skill to
perform a particular behaviour.
life. As providing the centred care generally requires including Mrs T in the decisions as well as
it can also aid them to take particular actions which can support themselves. By this, they both
will feel in the greater control of their life as well as less reliant on the well-being care services.
In this, the theories can aid the care providers can generally better understand the
complex human behaviours as well as the social environment, that specifically impacts the lives
and the issues of the patients. a great grasp of theories can aid guide the care providers by
providing them with a sense of direction, purpose as well as control by using the information in
the theory. In this, it involves the theories such as the Maslow’s theory, the cognitive theory and
many more. In context with Maslow’s theory, it generally posits that the humans are motivated
by the intrinsic requirements for the self-actualization. The care providers can significantly apply
the Maslow’s theory to their practice towards the patient care (Barry, 2019). In this, every
people’s requirement must be met individually in order for the patients to feel satisfied, cared for
as well as cooperative. This theory generally proposed that motivation is an outcome of the
attempt of a person at fulfilling the basic needs such as the psychological, the social, safety, self-
actualization as well as self-esteem. The theories as well as the models are specifically used in
the planning of the programs to understand as well as describe the health behaviour. The theories
are also used to guide the identification, improvement as well as the implementation of the
particular interventions in providing the care.
In context with the social cognitive theory, it specifically illustrates the influences of an
individual’s experiences, the actions of the others, as well as the environmental factors on the
health of an individual’s behaviour. The social cognitive theory can particularly provide the
opportunities for the social support through instilling the expectations, the self-efficacy, as well
as using the observational learning. In addition to this, the other reinforcements are to achieve
the behavioural modifications (Behera and Prasad, 2021). In this, there are the key components
of the social cognitive theory which are particularly related to the behaviour of an individual
change can involves such as:
Self-efficacy: It involves the belief that an individual has the control over as well as is
able to execute a particular behaviour.
Behavioural capability: In this, it involves the understanding as well as having the skill to
perform a particular behaviour.

Expectations: In this, it involves determining the results of the behaviour modifications.
Self-control: In this, it involves regulating as well as monitoring the individual behaviour
(Deterding and Waters, 2021).
Reinforcements: In this, it involves promoting the incentives as well as rewards which
supports the behaviour modifications.
RECOMMENDATIONS
The care providers have the unique role in the patient care.
They specifically concentrate on aiding the patients to meet their physical, social,
spiritual as well as the emotional requirements.
The care provider must understand the impact of the caring of the patients as well as how
to attain the greatest level of the patient care and its satisfaction.
It is generally recommended to deliver an effective care to the patients so that they can
effectively overcome their illness (Doek, 2018).
The care providers are required to provide Mr T an effective care towards the dementia,
they must empower him towards the self-care.
The care providers must offer empathy towards Mr and Mrs T so that the care giver can
effectively fix their feelings.
CONCLUSION
From the above discussion, it is concluded that the local well-being care agencies are
particularly responsible for the public well-being requires to be aware of the particular risks
posed towards the service provisions in the primary care-based public well-being providers by
the new commissioning arrangements. In this, the attention requires to be given to the developing
appropriate encourage structures. It is also concluded from the above study that there are the
theories with the help of which the care providers can effectively support the patients in their
needs. The care providers can effectively able to understand the feelings as well as what they
need so that they can provide the privacy which the patients need such as independence, living
their freely and many other. With the aid of particular theories, the care providers can effectively
able to identify the appropriate questions as well as the target group on which they have to work
in order to provide an effective care to meet the patient’s requirements effectively. It is also
concluded from the above discussion that the use of theory in the above study can give the
particular directions as well as the guidance for structuring the professional nursing practices as
Self-control: In this, it involves regulating as well as monitoring the individual behaviour
(Deterding and Waters, 2021).
Reinforcements: In this, it involves promoting the incentives as well as rewards which
supports the behaviour modifications.
RECOMMENDATIONS
The care providers have the unique role in the patient care.
They specifically concentrate on aiding the patients to meet their physical, social,
spiritual as well as the emotional requirements.
The care provider must understand the impact of the caring of the patients as well as how
to attain the greatest level of the patient care and its satisfaction.
It is generally recommended to deliver an effective care to the patients so that they can
effectively overcome their illness (Doek, 2018).
The care providers are required to provide Mr T an effective care towards the dementia,
they must empower him towards the self-care.
The care providers must offer empathy towards Mr and Mrs T so that the care giver can
effectively fix their feelings.
CONCLUSION
From the above discussion, it is concluded that the local well-being care agencies are
particularly responsible for the public well-being requires to be aware of the particular risks
posed towards the service provisions in the primary care-based public well-being providers by
the new commissioning arrangements. In this, the attention requires to be given to the developing
appropriate encourage structures. It is also concluded from the above study that there are the
theories with the help of which the care providers can effectively support the patients in their
needs. The care providers can effectively able to understand the feelings as well as what they
need so that they can provide the privacy which the patients need such as independence, living
their freely and many other. With the aid of particular theories, the care providers can effectively
able to identify the appropriate questions as well as the target group on which they have to work
in order to provide an effective care to meet the patient’s requirements effectively. It is also
concluded from the above discussion that the use of theory in the above study can give the
particular directions as well as the guidance for structuring the professional nursing practices as
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well as the education. The theory can effectively enable the care home agency as well as
associating the information in the building body of knowledge for the care providers.
Furthermore, the care theories can effectively differentiate the concentration of the care
providing from the very other professions.
associating the information in the building body of knowledge for the care providers.
Furthermore, the care theories can effectively differentiate the concentration of the care
providing from the very other professions.
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REFERENCES
Books and Journals:
Aldiabat, K. M. and Le Navenec, C. L., 2018. Data saturation: The mysterious step in grounded
theory methodology. The Qualitative Report, 23(1), pp.245-261.
Alrashed, I. A. and Kang, P. S., 2017, December. Applying lean principles to health economics
transactional flow process to improve the healthcare delivery. In 2017 IEEE
International Conference on Industrial Engineering and Engineering Management
(IEEM) (pp. 879-883). IEEE.
Astroth, K.S. and Chung, S.Y., 2018. Focusing on the fundamentals: Reading qualitative
research with a critical eye. Nephrology Nursing Journal, 45(4), pp.381-348.
Bahrs, I., Fritz, R. and Semmann, M., 2020, July. Design Principles for Health Service
Innovations: Nudges from the IBM Health Records Service Platform. In International
Conference on Applied Human Factors and Ergonomics (pp. 100-105). Springer, Cham.
Barry, M.M., 2019. Concepts and principles of mental health promotion. In Implementing
Mental Health Promotion (pp. 3-34). Springer, Cham.
Behera, B. and Prasad, R., 2021. Primary health-care goal and principles. Healthcare Strategies
and Planning for Social Inclusion and Development, pp.221-239.
Branigan, P., 2020. Supporting health staff to recognise and respond to harmful sexual
behaviour: key principles and practical tools. Paediatrics and Child Health.
Bullock, R., Little, M. and Millham, S., 2017. The relationships between quantitative and
qualitative approaches in social policy research. In Mixing methods: qualitative and
quantitative research (pp. 81-99). Routledge.
Caird, J.K and et. al., 2018. Does talking on a cell phone, with a passenger, or dialing affect
driving performance? An updated systematic review and meta-analysis of experimental
studies. Human factors, 60(1), pp.101-133.
Cruess, S.R., Cruess, R.L. and Steinert, Y., 2019. Supporting the development of a professional
identity: general principles. Medical teacher, 41(6), pp.641-649.
de Camargo Fiorini, P and et. al., 2018. Management theory and big data literature: From a
review to a research agenda. International Journal of Information Management, 43,
pp.112-129.
Deterding, N.M. and Waters, M.C., 2021. Flexible coding of in-depth interviews: A twenty-first-
century approach. Sociological methods & research, 50(2), pp.708-739.
Doek, J., 2018. Children’s Rights in Health Care and the General Principles of the Crc.
In Children’s Rights in Health Care (pp. 48-70). Brill Nijhoff.
Duru Aşiret, G and et. al., 2020. Relationship between the nursing students’ attitudes towards
spiritual care and the principles of a good death. Perspectives in psychiatric care, 56(4),
pp.913-919.
Hall, C.M., 2019. Constructing sustainable tourism development: The 2030 agenda and the
managerial ecology of sustainable tourism. Journal of Sustainable Tourism, 27(7),
pp.1044-1060.
Hebert, C.A. and Scales, K., 2019. Dementia friendly initiatives: a state of the science
review. Dementia, 18(5), pp.1858-1895.
Hedges, H. and Cooper, M., 2018. Relational play-based pedagogy: Theorising a core practice in
early childhood education. Teachers and Teaching, 24(4), pp.369-383.
Books and Journals:
Aldiabat, K. M. and Le Navenec, C. L., 2018. Data saturation: The mysterious step in grounded
theory methodology. The Qualitative Report, 23(1), pp.245-261.
Alrashed, I. A. and Kang, P. S., 2017, December. Applying lean principles to health economics
transactional flow process to improve the healthcare delivery. In 2017 IEEE
International Conference on Industrial Engineering and Engineering Management
(IEEM) (pp. 879-883). IEEE.
Astroth, K.S. and Chung, S.Y., 2018. Focusing on the fundamentals: Reading qualitative
research with a critical eye. Nephrology Nursing Journal, 45(4), pp.381-348.
Bahrs, I., Fritz, R. and Semmann, M., 2020, July. Design Principles for Health Service
Innovations: Nudges from the IBM Health Records Service Platform. In International
Conference on Applied Human Factors and Ergonomics (pp. 100-105). Springer, Cham.
Barry, M.M., 2019. Concepts and principles of mental health promotion. In Implementing
Mental Health Promotion (pp. 3-34). Springer, Cham.
Behera, B. and Prasad, R., 2021. Primary health-care goal and principles. Healthcare Strategies
and Planning for Social Inclusion and Development, pp.221-239.
Branigan, P., 2020. Supporting health staff to recognise and respond to harmful sexual
behaviour: key principles and practical tools. Paediatrics and Child Health.
Bullock, R., Little, M. and Millham, S., 2017. The relationships between quantitative and
qualitative approaches in social policy research. In Mixing methods: qualitative and
quantitative research (pp. 81-99). Routledge.
Caird, J.K and et. al., 2018. Does talking on a cell phone, with a passenger, or dialing affect
driving performance? An updated systematic review and meta-analysis of experimental
studies. Human factors, 60(1), pp.101-133.
Cruess, S.R., Cruess, R.L. and Steinert, Y., 2019. Supporting the development of a professional
identity: general principles. Medical teacher, 41(6), pp.641-649.
de Camargo Fiorini, P and et. al., 2018. Management theory and big data literature: From a
review to a research agenda. International Journal of Information Management, 43,
pp.112-129.
Deterding, N.M. and Waters, M.C., 2021. Flexible coding of in-depth interviews: A twenty-first-
century approach. Sociological methods & research, 50(2), pp.708-739.
Doek, J., 2018. Children’s Rights in Health Care and the General Principles of the Crc.
In Children’s Rights in Health Care (pp. 48-70). Brill Nijhoff.
Duru Aşiret, G and et. al., 2020. Relationship between the nursing students’ attitudes towards
spiritual care and the principles of a good death. Perspectives in psychiatric care, 56(4),
pp.913-919.
Hall, C.M., 2019. Constructing sustainable tourism development: The 2030 agenda and the
managerial ecology of sustainable tourism. Journal of Sustainable Tourism, 27(7),
pp.1044-1060.
Hebert, C.A. and Scales, K., 2019. Dementia friendly initiatives: a state of the science
review. Dementia, 18(5), pp.1858-1895.
Hedges, H. and Cooper, M., 2018. Relational play-based pedagogy: Theorising a core practice in
early childhood education. Teachers and Teaching, 24(4), pp.369-383.

Hoffmann, W.A. and Nortjé, N., 2022. The Ethical Principles that Guide Artificial Intelligence
Utilization in Clinical Health Care. In Pediatric Ethics: Theory and Practice (pp. 403-
419). Springer, Cham.
Ruhlandt, R.W.S., 2018. The governance of smart cities: A systematic literature
review. Cities, 81, pp.1-23.
Suh, S.R. and Lee, M.K., 2017, July. Effects of Nurse-Led Telephone-Based Supportive
Interventions for Patients With Cancer: A Meta-Analysis. In Oncology nursing
forum (Vol. 44, No. 4).
Vallath, N. and Salins, N., 2017. Holistic supportive care in oral cancer: principles and practice.
In Contemporary Oral Oncology (pp. 121-231). Springer, Cham.
Van Melle, E and et. al., 2019. A core components framework for evaluating implementation of
competency-based medical education programs. Academic Medicine, 94(7), pp.1002-
1009.
Wittmann, D. and Bober, S.L., 2021. Incorporating the Principles of Sex Therapy into Urologic
Care. Urologic Clinics, 48(4), pp.425-436.
Utilization in Clinical Health Care. In Pediatric Ethics: Theory and Practice (pp. 403-
419). Springer, Cham.
Ruhlandt, R.W.S., 2018. The governance of smart cities: A systematic literature
review. Cities, 81, pp.1-23.
Suh, S.R. and Lee, M.K., 2017, July. Effects of Nurse-Led Telephone-Based Supportive
Interventions for Patients With Cancer: A Meta-Analysis. In Oncology nursing
forum (Vol. 44, No. 4).
Vallath, N. and Salins, N., 2017. Holistic supportive care in oral cancer: principles and practice.
In Contemporary Oral Oncology (pp. 121-231). Springer, Cham.
Van Melle, E and et. al., 2019. A core components framework for evaluating implementation of
competency-based medical education programs. Academic Medicine, 94(7), pp.1002-
1009.
Wittmann, D. and Bober, S.L., 2021. Incorporating the Principles of Sex Therapy into Urologic
Care. Urologic Clinics, 48(4), pp.425-436.
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