Role Network Analysis of Team Interactions and Individual Activities: Application to VTE Prophylaxis

2017 ◽  
Vol 61 (1) ◽  
pp. 896-900 ◽  
Author(s):  
Ann Schoofs Hundt ◽  
Pascale Carayon ◽  
Yushi Yang ◽  
Jason Stamm ◽  
Vaibhav Agrawal ◽  
...  
Keyword(s):  
Network Analysis ◽  
Flow Model ◽  
Visual Representations ◽  
Hospitalized Patients ◽  
Healthcare Team ◽  
Analysis Method ◽  
Team Members ◽  
Vte Prophylaxis ◽  
Team Interactions ◽  
Clinical Interactions

In this paper, we describe the role network analysis method to capture and visually convey healthcare team members’ clinical interactions as well as individual activities performed in light of VTE prophylaxis management for hospitalized patients. Our visual representations expand on the role network analysis work of Pasmore (1988) and flow model of Beyer and Holtzblatt (1998) and offer a deeper sociotechnical representation of the work of healthcare team members.

The Role and Activities of Board-Certified Chaplains in Advance Care Planning

2021 ◽  
pp. 104990912198999
Author(s):  
Jung Kwak ◽  
Soyeon Cho ◽  
George Handzo ◽  
Brian P. Hughes ◽  
Sami S. Hasan ◽  
...  
Keyword(s):  
Advance Care Planning ◽  
Self Report ◽  
Healthcare Team ◽  
Care Planning ◽  
Cross Sectional ◽  
Team Members ◽  
Roles And Responsibilities ◽  
Healthcare Settings ◽  
Academic Medical ◽  
Advance Care

Background: Healthcare chaplains have key roles in providing palliative support to patients and families, and they are well-suited to facilitate advance care planning (ACP). However, empirical data on the roles and responsibilities of chaplains in facilitating ACP are limited. Objectives: To examine the roles of board-certified healthcare chaplains in ACP in various healthcare settings. Methods: A cross-sectional, web-based self-report survey was conducted with 585 board-certified chaplains recruited from 3 major professional chaplains’ organizations in the U.S. The survey data included chaplains’ demographic and professional characteristics, their roles and responsibilities, and responses regarding communication and participation with other healthcare team members in facilitating ACP, including experienced barriers. Results: More participants worked in community hospital settings (42%) and academic medical centers (19.6%) than in any other setting. Over 90% viewed ACP as an important part of their work, 70% helped patients complete advance directives, and 90% helped patients discuss their preferences about end-of-life treatments. Many chaplains were not consistently included in team discussions regarding decision-making, although most chaplains reported that they could always find ways to communicate with their teams. Conclusion: Professional board-certified chaplains regularly engage in facilitating ACP discussions with patients and families in various healthcare settings. There is a need to recognize and provide systematic support for the role of chaplains in facilitating ACP conversations and to integrate chaplains into routine interdisciplinary team and family meetings.

scholarly journals The Process and Impact of Stakeholder Engagement in Developing a Pediatric Intensive Care Unit Communication and Decision-Making Intervention

2016 ◽  
Vol 3 (4) ◽  
pp. 108-118 ◽  
Author(s):  
Kelly N Michelson ◽  
Joel Frader ◽  
Lauren Sorce ◽  
Marla L Clayman ◽  
Stephen D Persell ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Stakeholder Engagement ◽  
Pediatric Intensive Care ◽  
Healthcare Team ◽  
Team Members ◽  
Core Elements ◽  
Stakeholder Input

Stakeholder-developed interventions are needed to support pediatric intensive care unit (PICU) communication and decision-making. Few publications delineate methods and outcomes of stakeholder engagement in research. We describe the process and impact of stakeholder engagement on developing a PICU communication and decision-making support intervention. We also describe the resultant intervention. Stakeholders included parents of PICU patients, healthcare team members (HTMs), and research experts. Through a year-long iterative process, we involved 96 stakeholders in 25 meetings and 26 focus groups or interviews. Stakeholders adapted an adult navigator model by identifying core intervention elements and then determining how to operationalize those core elements in pediatrics. The stakeholder input led to PICU-specific refinements, such as supporting transitions after PICU discharge and including ancillary tools. The resultant intervention includes navigator involvement with parents and HTMs and navigator-guided use of ancillary tools. Subsequent research will test the feasibility and efficacy of our intervention.

scholarly journals Spatial Pattern and Evolution of Urban System Based on Gravity Model and Whole Network Analysis in the Huaihe River Basin of China

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Yong Fan ◽  
Shengdi Zhang ◽  
Zongyi He ◽  
Biao He ◽  
Haicong Yu ◽  
...  
Keyword(s):  
Network Analysis ◽  
Spatial Pattern ◽  
Gravity Model ◽  
River Basin ◽  
Urban System ◽  
Huaihe River Basin ◽  
Analysis Method ◽  
Huaihe River ◽  
Research Issues ◽  
The Huaihe River

The spatial pattern and evolution of urban system have been hot research issues in the field of urban research. In this paper, the network analysis method based on the gravity model and the related measurements were used to reveal the properties of the spatial pattern and evolution of the urban system in the HRB (Huaihe River Basin) of China. The findings of this study are as follows: During the period from 2006 to 2014, the economic contact between the HRB cities has been strengthened, but the differences between cities have been expanding. In general, the HRB cities have not yet formed a close network structure, and a trend of economic integration has not been found. This paper expresses the spatial pattern and evolution of urban system in an intuitive way and helps to explain the evolution mechanism of urban system. The method was confirmed by empirical research. Because of the operational and visual expression, this method has broad application prospects in the urban system research.

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