Teaching and Learning Pharmacy Services: A Teaching Method for Developing Competencies for Patient-Centered Care Through Experiential Learning in a Real Workplace

2019 ◽  
pp. 089719001985457
Author(s):  
Aline Aparecida Foppa ◽  
Lenyta Oliveira Gomes ◽  
Marina Raijche Mattozo Rover ◽  
Rosana Isabel dos Santos ◽  
Mareni Rocha Farias ◽  
...  
Keyword(s):  
Experiential Learning ◽  
Clinical Reasoning ◽  
Teaching And Learning ◽  
Patient Centered Care ◽  
Assessment Process ◽  
Educational Activity ◽  
Care Process ◽  
Pharmacy Services ◽  
Patient Centered ◽  
Centered Care

Introduction: Considering the transformation process that has been occurring in pharmacy education and the urgent need to address social health needs, proposals of teaching methods for the development of competences and skills in patient-centered care have become an issue worth discussing. The study describes and discusses the method that has been used for developing of these competencies through experiential learning in a university pharmacy in Brazil. Educational Activity: The Teaching and Learning of Pharmacy Services (TLPS) method encompasses 2 components: theoretical-reflexive one (developing protocols covering the patient care process) and practical-reflexive one (using the protocols with real patients). TLPS connects the 2 components in a way to enable students to acquire and apply theoretical knowledge for a comprehensive assessment of the patients’ needs and understand how clinical reasoning and decision-making take place. The assessment process is performed, by the supervisor, which evaluates the behaviors necessary for good professional performance. Discussion: The active learning methodologies have been effectively used in the classroom as a way to stimulate critical thinking, problem-solving, and clinical reasoning. However, experiential learning is considered a central point in the learning process and essential for knowledge building. Thus, the method herein described is shown as an innovative tool to promote self-learning, consolidation and interrelation of the acquired knowledge, easier identification of patients’ needs, normalization of behaviors, and improvement in the quality of care.

In-hospital delays for stroke care: losing sight of patient-centered care

2013 ◽  
Vol 1 (2) ◽  
pp. 381
Author(s):  
Charles Ellis
Keyword(s):  
Stroke Care ◽  
Patient Centered Care ◽  
Comprehensive Care ◽  
Care Process ◽  
Acute Stroke Care ◽  
Patient Centered ◽  
Group Data ◽  
Focus Group Data ◽  
Centered Care ◽  
Negative Perceptions

The emergence of patient-centered care has offered a challenge for health professionals in some settings to fully engage patients in all stages of the care process. For example, stroke is a condition that requires urgent and comprehensive care. This comprehensive care may be provided to patients who are experiencing compromised cognitive and communication skills. In addition, “in-hospital delays” in care can occur during the process of evaluation and treatment. In-hospital delays in receipt of acute stroke care and the challenges of post-stroke cognitive and communication functioning can result in some patients having negative perceptions of the care process. This brief communication is an exploration of focus group data that suggest achieving the key elements of patient-centered care is challenging in acute care settings that provide care for complex conditions such as stroke.

scholarly journals Mapping the Patient Journey Across the Continuum: Lessons Learned From One Patient’s Experience

2018 ◽  
Vol 6 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Melanie A Meyer
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Patient Centered Care ◽  
Communication Process ◽  
Care Process ◽  
Multiple Chronic Conditions ◽  
Patient Centered ◽  
Patient Journey ◽  
Centered Care ◽  
The Continuum

Patient-centered care is essential for achieving high-quality and cost-effective health care. This is particularly important for patients with chronic or complex conditions who utilize more health-care services and require comprehensive care coordination. This case report draws on a longitudinal journey map—a valuable tool to capture patient experience and inform the care process—for a patient with multiple chronic conditions who needed a hip replacement. An analysis of the patient journey revealed 3 critical needs for a more patient-centered process: (1) making the patient health goal visible; (2) instigating transparent, shared decision-making; and (3) using a closed-loop communication process. Although key challenges exist, systems can facilitate more patient-centered care enabling health-care organizations to improve the patient experience across the continuum and provide higher quality care.

scholarly journals Patient-Centered Care for People with Depression and Anxiety: An Integrative Review Protocol

2021 ◽  
Vol 11 (5) ◽  
pp. 411
Author(s):  
Lara Guedes de Pinho ◽  
Tânia Correia ◽  
Manuel José Lopes ◽  
César Fonseca ◽  
Maria do Céu Marques ◽  
...  
Keyword(s):  
Synthesis Method ◽  
Patient Centered Care ◽  
Research Strategy ◽  
Diagnostic Assessment ◽  
Quality Analysis ◽  
Care Process ◽  
Care Planning ◽  
Depression And Anxiety ◽  
Patient Centered ◽  
Centered Care

Depression and anxiety are mental diseases found worldwide, with the tendency to worsen in the current pandemic period. These illnesses contribute the most to the world’s rate of years lived with disability. We aim to identify and synthesize indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment, care planning, and intervention. Methods and analysis: An integrative literature review will be conducted, and the research carried out on the following databases: MEDLINE, PsycINFO, Scopus, and Psychology and Behavioral Sciences Collection, CINAHL, Web of Science, TrialRegistry, and MedicLatina. The research strategy contains the following terms MesH or similar: “patient-centered care,” “depression,” and “anxiety.” Two independent revisers will perform the inclusion and exclusion criteria analysis, the quality analysis of the data, and its extraction for synthesis. Disagreements will be resolved by a third revisor. All studies related to diagnostic assessment, care planning, or intervention strategies will be included as long as they focus on care focused on people with depression and anxiety, regardless of the context. Given the plurality of the eligible studies, we used the narrative synthesis method for the analysis of the diagnostic assessment, the care and intervention planning, and the facilitators and barriers. PROSPERO registration number: CRD42021235405.

scholarly journals Patient-Centered Care for Patients with Depression or Anxiety Disorder: An Integrative Review

2021 ◽  
Vol 11 (8) ◽  
pp. 776
Author(s):  
Lara Guedes de Pinho ◽  
Manuel José Lopes ◽  
Tânia Correia ◽  
Francisco Sampaio ◽  
Helena Reis do Arco ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Narrative Analysis ◽  
Patient Centered Care ◽  
Care Process ◽  
Care Planning ◽  
Patient Centered ◽  
Scientific Databases ◽  
Individualized Care ◽  
Centered Care ◽  
Care Models

People have specific and unique individual and contextual characteristics, so healthcare should increasingly opt for person-centered care models. Thus, this review aimed to identify and synthesize the indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment and care planning, including intervention. An integrative literature review with research in seven scientific databases and a narrative analysis were carried out. Twenty articles were included, with indicators for diagnostic evaluation and care/intervention planning being extracted. Care planning focused on people with depression and/or anxiety disorder must be individualized, dynamic, flexible, andparticipatory. It must respond to the specific needs of the person, contemplating the identification of problems, the establishment of individual objectives, shared decision making, information and education, systematic feedback, and case management, and it should meet the patient’s preferences and satisfaction with care and involve the family and therapeutic management in care. The existence of comorbidities reinforces the importance of flexible and individualized care planning in order to respond to the specific health conditions of each person.

scholarly journals Complex skin cancer treatment requiring reconstructive plastic surgery: an interview study on the experiences and needs of patients

2021 ◽  
Author(s):  
Sven van Egmond ◽  
Marlies Wakkee ◽  
Marit Hoogenraad ◽  
Ida J. Korfage ◽  
Marc A. M. Mureau ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Skin Cancer ◽  
Cell Carcinoma ◽  
Continuity Of Care ◽  
Patient Centered Care ◽  
Interview Study ◽  
Plastic Surgeon ◽  
Care Process ◽  
Patient Centered ◽  
Centered Care

AbstractTo provide patient-centered care, it is essential to explore what patients consider important and to adjust care accordingly. This may specifically be relevant for patients with complex skin cancer, for whom the care process is often more complicated and psychological and social problems may play a larger role. The objective was to explore the experiences and needs of patients who had undergone surgical treatment by a dermatologist for a complex skin cancer with a subsequent reconstruction by a plastic surgeon. An interview study was conducted among 16 patients who had undergone surgical treatment by a dermatologist and reconstruction by a plastic surgeon for basal cell carcinoma, cutaneous squamous cell carcinoma, or lentigo maligna. The interviews focused on patients’ experiences and needs regarding care using a predefined topic list. All interviews were audio-taped, transcribed verbatim and inductively analyzed using Atlas.ti. Patients reported a need for a skilled and friendly physician who tailors information and communication to their individual situation. A need for continuity of care and improved collaboration between healthcare providers was also emphasized. Furthermore, patients experienced complications and unmet expectations and expressed a need for shared decision-making at various steps throughout the treatment process (depending on age). Patients also considered completeness of tumor removal, follow-up visits with multiple specialists to be planned the same day and recognition of the psychological impact of the disease on the partner important. To improve patient-centered care for complex skin cancer patients, more efforts should be directed towards improving continuity of care and collaboration. Furthermore, it is advocated for physicians to be sensitive to the individual needs of patients and their partner and adjust information, communication and (supportive) care accordingly.

Seeking Humanizing Care in Patient-Centered Care Process

2017 ◽  
Vol 31 (6) ◽  
pp. 359-368 ◽  
Author(s):  
Mohammad Ali Cheraghi ◽  
Maryam Esmaeili ◽  
Mahvash Salsali
Keyword(s):  
Patient Centered Care ◽  
Care Process ◽  
Patient Centered ◽  
Centered Care

scholarly journals Geriatric Oncology in the Instagram Era: PhotoVoice to Enable Patient-Centered Care and Shared Decision Making

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 26-26
Author(s):  
Irene Blackberry ◽  
Christopher Steer ◽  
Tshepo Rasekaba ◽  
Kim Young ◽  
Nicole Webb ◽  
...  
Keyword(s):  
Decision Making ◽  
Supportive Care ◽  
Shared Decision Making ◽  
Geriatric Assessment ◽  
Patient Centered Care ◽  
Assessment Process ◽  
Shared Decision ◽  
Patient Centered ◽  
Age Related ◽  
Centered Care

Abstract Evidence shows that multidimensional assessment of older adults with cancer yields more holistic care and results in better communication about age-related concerns; as well as enables personalised, patient-centered supportive care. Geriatric assessment (GA) captures clinical, physical and psychological factors, with limited opportunity to gather information about the patient’s environment, personal contexts and priorities. We trialed the feasibility and acceptability of geriatric assessment (GA)-guided enhanced supportive care (ESC) among 20 adults aged over 70 years in a regional cancer center. We then studied the impact of the integration of four patient-derived photographs (with PhotoVoice analysis) to this ESC on patient satisfaction with communication with the oncologist regarding age-related concerns and on facilitating empowerment, patient-centered care and shared decision making. The use of PhotoVoice analysis of patient-derived photographs is a novel strategy that can facilitate gathering patient-centered information during the assessment process.

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