VA Leads Movement toward Interprofessional Care

2006 ◽  
Author(s):  
Elise Paradis ◽  
Warren Mark Liew ◽  
Myles Leslie

Drawing on an ethnographic study of teamwork in critical care units (CCUs), this chapter applies Henri Lefebvre’s ([1974] 1991) theoretical insights to an analysis of clinicians’ and patients’ embodied spatial practices. Lefebvre’s triadic framework of conceived, lived, and perceived spaces draws attention to the role of bodies in the production and negotiation of power relations among nurses, physicians, and patients within the CCU. Three ethnographic vignettes—“The Fight,” “The Parade,” and “The Plan”—explore how embodied spatial practices underlie the complexities of health care delivery, making visible the hidden narratives of conformity and resistance that characterize interprofessional care hierarchies. The social orderings of bodies in space are consequential: seeing them is the first step in redressing them.


Author(s):  
Daphna Grossman ◽  
Yona Grossman ◽  
Ezra Nadler ◽  
Mark Rootenberg ◽  
Jurgis Karuza ◽  
...  

Objectives: To determine whether education and integration of the Gold Standard Framework Proactive Identification Guidance (GSF-PIG) and the Palliative Performance Scale (PPS) into care rounds, in post-acute care settings, can facilitate communication between the interprofessional care team to enhance understanding of illness trajectories, identifying those who would benefit from a palliative approach to care. Methods: Interprofessional care teams received training on the GSF-PIG and PPS which were integrated into weekly care rounds and completed a post-evaluation survey. A chart review was conducted for the 40 patients and residents reviewed with the GSF-PIG and PPS. Data analysis included descriptive statistics and comparisons of characteristics between patients and residents who were grouped as positive or negative on the GFS-PIG surprise question using chi square analyzes and t-tests. Results: The GSF-PIG and PPS were found to enhance communication within care teams and enhance understanding of patient and resident’s illness burden. The chart review revealed that patients and residents whom the team would not be surprised if they died within 1 year were older (p = .002), had a lower PPS score (p = .002) and had more indicators of decline (p < .001) compared to patients and residents the team would be surprised if they died within the year. Conclusion: Training interprofessional care teams on the utilization and integration of the GSF-PIG and PPS during weekly care rounds helped increase the understanding of patient and resident illness burden and illness trajectory to identify those who may benefit from a palliative approach to care.


Author(s):  
Pamela L. Parsons ◽  
Patricia W. Slattum ◽  
Carla K. Thomas ◽  
Jennifer L. Cheng ◽  
Danah Alsane ◽  
...  

2008 ◽  
Vol 22 (2) ◽  
pp. 167-178 ◽  
Author(s):  
Roderick S. Hooker ◽  
Daisha J. Cipher ◽  
James F. Cawley ◽  
Debra Herrmann ◽  
Jasen Melson

2015 ◽  
Vol 46 (3) ◽  
pp. 38-45 ◽  
Author(s):  
Margaret Costello ◽  
Sarah Thompson

2015 ◽  
Vol 5 (2) ◽  
pp. 78-87
Author(s):  
Kateryna Metersky ◽  
Jasna K. Schwind

Interprofessional care (IPC) has been discussed in the literature as having the ability to lower health care expenditures, decrease wait times, enhance patient health outcomes and increase healthcare provider (HCP) satisfaction with care-delivery. To date, limited research has been conducted on patients’ experiences of receiving IPC. Using Connelly and Clandinin’s Narrative Inquiry qualitative research approach, three participants were invited to engage in a modified version of Schwind’s Narrative Reflective Process, a creative self-expression tool that utilizes storytelling, metaphor selection, drawing, creative writing and reflective dialogue. Participants shared their stories, and selected and drew metaphors that best represent for them their experiences of receiving IPC. They were also asked whether or not they believe person-centered care was delivered to them. Collected stories were analyzed as per the three common places of Narrative Inquiry: temporality, sociality and place, as well as the three levels of justification: personal, practical and social. Told stories were examined through the theoretical lens of the National Canadian Interprofessional Competency Framework. Three narrative threads emerged within this study: communication, interprofessional team composition, and patient within interprofessional team. The findings appear helpful to inform educators, HCP, policy makers, and researchers, as they strive to enhance person-centered interprofessional care practice. For patients, a clear opportunity for their voices to be heard has been outlined.


2021 ◽  
Vol Volume 14 ◽  
pp. 3253-3265
Author(s):  
Ghadir Fakhri Al-Jayyousi ◽  
Hanan Abdul Rahim ◽  
Diana Alsayed Hassan ◽  
Sawsan Mohammed Awada

Ethics ◽  
2018 ◽  
pp. 97-112
Author(s):  
Audrey Leathard

Sign in / Sign up

Export Citation Format

Share Document