Multiprofessional assessment of patients with chronic pain in primary healthcare

2020 ◽  
Vol 20 (2) ◽  
pp. 319-327
Author(s):  
Anneli Lövsund ◽  
Britt-Marie Stålnacke ◽  
Gunilla Stenberg
Keyword(s):  
Chronic Pain ◽  
Primary Healthcare ◽  
Positive Impact ◽  
Qualitative Content Analysis ◽  
Structured Interview ◽  
Team Members ◽  
Seek Health Care ◽  
Team Assessment ◽  
Primary Healthcare Centre ◽  
Fitting In

AbstractBackground and aimsChronic pain is a common reason to seek health care. Multimodal rehabilitation is frequently used to rehabilitate patients with complex pain conditions. The multiprofessional assessment that patients go through before entering multimodal rehabilitation may, in itself, have a positive impact on patient outcome but little is known regarding patients own view. Therefore, the purpose of this study was to discover how patients experienced this multiprofessional assessment project.MethodsTen patients participating in a multiprofessional assessment at a primary healthcare centre in Western Finland were interviewed using a semi-structured interview. Qualitative content analysis was used to analyse the interviews.ResultsThe analysis resulted in six categories of participant description of their multiprofessional assessment experiences and the rehabilitation plan they received. Feeling chosen or not quite fitting in was a category describing participant feelings upon starting the assessment. They expressed their thoughts on the examinations in the category more than just an examination. Being affirmed described participant desire to be taken seriously and treated well. Receiving support described the perceived roles of the team members. Participant negative experiences of the assessment were described in confusion and disappointment. Finally, in taking and receiving responsibilities, participants described their own role in the team.ConclusionsExperiences of patients in a multiprofessional assessment were mostly positive. This highlights the value of a team assessment that takes several aspects of chronic pain into account when assessing complex patients.

scholarly journals How clinical teaching teams deal with educational change: ‘we just do it’

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
L. Bank ◽  
M. Jippes ◽  
T. R. van Rossum ◽  
C. den Rooyen ◽  
A. J. J. A. Scherpbier ◽  
...  
Keyword(s):  
Educational Change ◽  
Curriculum Change ◽  
Clinical Teaching ◽  
Postgraduate Medical Education ◽  
Structured Interview ◽  
Program Director ◽  
Local Context ◽  
Team Members ◽  
Teaching Teams ◽  
Medical Education Program

Abstract Background In postgraduate medical education, program directors are in the lead of educational change within clinical teaching teams. As change is part of a social process, it is important to not only focus on the program director but take their other team members into account. The purpose of this study is to provide an in-depth insight into how clinical teaching teams manage and organize curriculum change processes, and implement curriculum change in daily practice. Methods An explorative qualitative semi-structured interview study was conducted between October 2016 and March 2017. A total of six clinical teaching teams (n = 6) participated in this study, i.e. one program director, one clinical staff member, and one trainee from each clinical teaching team (n = 18). Data were analysed and structured by means of thematic analysis. Results The analysis yielded to five factors that positively impact change: shared commitment, reinvention, ownership, supportive structure and open culture. Factors that negatively impact change were: resistance, behaviour change, balance between different tasks, lack of involvement, lack of consensus, and unsafe culture and hierarchy. Overall, no clear change strategy could be recognized. Conclusions Insight was gathered in factors facilitating and hindering the implementation of change. It seems particularly important for clinical teaching teams to be able to create a sense of ownership among all team members by making a proposed change valuable for their local context as well as to be capable of working together as a team. Cultural factors seem to be particularly relevant in a team’s ability to accomplish this.

scholarly journals Exploring the Relationship between Communication and Success of Construction Projects: The Mediating Role of Conflict

2021 ◽  
Vol 13 (8) ◽  
pp. 4513
Author(s):  
Summaira Malik ◽  
Muhammad Taqi ◽  
José Moleiro Martins ◽  
Mário Nuno Mata ◽  
João Manuel Pereira ◽  
...  
Keyword(s):  
Project Success ◽  
Negative Impact ◽  
Positive Impact ◽  
Construction Project ◽  
Project Team ◽  
Relationship Conflict ◽  
Team Members ◽  
Mediating Role ◽  
The Impact

The success of a construction project is a widely discussed topic, even today, and there exists a difference of opinion. The impact of communication and conflict on project success is an important, but least addressed, issue in literature, especially in the case of underdeveloped countries. Miscommunication and conflict not only hinder the success of a project but also may lead to conflicts. The focus of this paper was to examine the impact of communication on project success with the mediating role of conflict. By using SPSS, demographics, descriptive statistics and correlation were determined. Smart PLS version 3.0 was used for confirmatory factor analysis (CFA), internal accuracy and validity estimates, hypothesis checking and mediation testing. The results showed that formal communication has a negative impact on the success of a construction project, resulting in conflicts among project team members, whereas informal communication and communication willingness have a positive impact on project success because people tend to know each other, and trust is developed. Task, process and relationship conflicts were used as mediating variables. It was found that task conflict effects the relations positively because project team members suggest different ways to do a certain task, and, hence, project success is achieved. On the contrary, process conflict and relationship conflict have a negative impact on communication and project success. Both of these conflicts lead to miscommunication, and project success is compromised. Hence, it is the responsibility of the project manager to enhance communication among project team members and to reduce the detrimental effects of process and relationship conflict on project success.

scholarly journals PARE0002 IMPACT OF SERVICE DOGS ON THE BURDEN OF ARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1287.1-1287
Author(s):  
P. Wegscheider
Keyword(s):  
Positive Impact ◽  
Case Reports ◽  
Service Dogs ◽  
Mobility Impairments ◽  
Assistance Dogs ◽  
Self Confidence ◽  
Team Assessment ◽  
Personal Assistants ◽  
Austrian Population ◽  
Short Time

Background:Assistance dogs support humans with different physical disabilities: 1. Service dogs for people with diverse mobility impairments 2. signaling dogs for humans diagnosed with diabetes, hearing impairments, seizure, or posttraumatic stress disorder 3. guide dogs for people with visual impairments. Definitions and terms are not consistent over Europe; Austrian terminology is used in the following. These specially trained dogs support people in their everyday lives and make it possible that less help is required from personal assistants or caregivers. Diverse studies show this positive impact of assistance dogs on the quality of life of disabled people. There are just a few case reports from United States about service dogs for people diagnosed with any inflammatory rheumatic disorder. Dogs are trained individually for about 1.5 years before team training and the concluding team assessment through Austrian authorities take place. Since 2015, there has been an adapted legislation for service dogs in Austria which brings significant improvements in many areas. In comparison to the model set by Austria, there is no corresponding legal basis at EU level or in other European countries.Objectives:Case-report about my own situation diagnosed with juvenile idiopathic arthritis (JIA) in 2001 and my service dog May. May supports my every day live in private and business affairs since 2019Methods:May was trained for less than two years before team assessment. May is able to pick up things I dropped. These include coins, my key, my mobile phone, clothes, towels and lots of other things I want her to pick it up for me. May opens and closes doors, empties the washing machine, pulls the laundry basket and even helps me put on and take off clothes. In general, she carries many things which I instruct her to carry. I am able to learn her more new things in a short time. Furthermore May acts safe on public transport and even airplanes. Due to special training May is allowed to move without dog leash or muzzle. A muzzle or leash would handicap the dog’s work. As a result of May’s help I need less personal assistance.Results:May’s physical and psychological support gives me greater independence and increases my self-confidence. She was trained to specifically meet the needs of my disability. Beside her skills, May helps to reduce pain and burden of arthritis.Conclusion:My aim is to spotlight the great support of service dogs to severely affected arthritis patients. Austria had realized legislation for assistance dogs to guarantee certain permissions the owner’s needs (e.g. access to working place, hospital). I would love to raise awareness about assistance dogs to improve the knowledge about those animals to implement European legislation.References:[1]Arbeitskreis für Hygiene in Gesundheitseinrichtungen des Magistrats der Stadt Wien, MA 15, Richtlinie für den Umgang mit Assistenzhunden und Therapiehunden in Gesundheitseinrichtungen, 29.3.2017; access 1.10.2019[2]AK Krankenhaushygiene OÖ, Umgang mit Assistenzhunden in Gesundheitseinrichtungen, Version 1; access 1.2019[3]Bremhorst, A et al, Spotlight on Assistance Dogs- Legislation, Welfare and Research, Animals 2018, 8, 129; doi:10.3390/ani8080129[4]Deutsche Gesellschaft für Krankenhaushygiene (DGKH), Empfehlungen zum hygienegerechten Umgang mit Therapiehunden in Krankenhäusern und vergleichbaren Einrichtungen, Hyg Med 2017; 42-10[5]Glenk, LM et al, Perceptions on Helath Benefits of Guide Dog Ownership in an Austrian Population of Blind People with and without a Guide Dog, Animals 2019, 9, 428; doi:10.3390/ani9070428[6]Lundqvist, M et al, Certified service dogs- A cost- effectiveness analysis appraisal, Plos ones 12.9.2019, doi:10.1371/journal.pone.0219911[7]Sozialministeriumservice, Richtlinie Therapiehunde des Bundesministers für Arbeit, Soziales und Konsumentenschutz, 01.01.2015; access 1.10.2019Acknowledgments:I am very grateful to Kati Kohoutek, May’s trainer and the efforts of Austrian’s long lasting dog trainers and Karl Weissenbacher, the leader of Messerli Institute/ department of Veterinary University Vienna.Disclosure of Interests:None declared

scholarly journals Encountering suicide in primary healthcare rehabilitation: the experiences of physiotherapists

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Åse Lundin ◽  
Anna Bergenheim
Keyword(s):  
At Risk ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Qualitative Content Analysis ◽  
Western Hemisphere ◽  
Mental Wellbeing ◽  
Healthcare Personnel ◽  
Public Health Issue ◽  
Structured Interviews ◽  
Patients At Risk

Abstract Background Suicide is a serious public health issue and one of the most common causes of death globally. Suicide has long-lasting impact on personal, relational, community and societal levels. Research has shown that patients often seek help in the primary healthcare system preceding a suicide. Studies exploring the experiences of encountering patients at risk for suicide have been performed among various categories of healthcare personnel, such as nurses and psychiatry residents as well as emergency room staff. There is a lack of research regarding primary healthcare rehabilitation staff, despite the fact that physiotherapists are the third largest health profession in the Western hemisphere and often work with patients experiencing mental health symptoms. The aim of this study was to explore the experiences of encountering patients at risk for suicide among physiotherapists working in a primary healthcare rehabilitation setting. Methods Semi-structured interviews were conducted with 13 physiotherapists working in primary healthcare rehabilitation clinics in the Gothenburg area, Sweden. The interviews were recorded on audio and transcribed into written text. A qualitative content analysis was performed on the material collected. Results The analysis of the material revealed an overarching theme, Through barriers and taboos – the physiotherapist finds a way, with five main categories: possibilities for identification, obstacles in meeting suicide, workplace environment matters, where does the patient belong? and education and experience are keys. Conclusions The present study indicates that physiotherapists in the primary healthcare system encounter patients experiencing suicidality, and they expressed a strong desire to care for both the physical and mental wellbeing of the patients. Despite reporting many barriers, the physiotherapists often found a way to form a meaningful therapeutic alliance with the patient and to ask about possible suicidality in their clinical practice. The result suggests that physiotherapists could play a larger role in working with patients experiencing suicidality in a primary healthcare setting and that they could be viewed as possible gatekeepers in identification as well as referral of these patients into other parts of the healthcare system.

scholarly journals Palliative care in paediatric oncology: perceptions, expertise and practices from the perspective of the multidisciplinary team

2015 ◽  
Vol 36 (2) ◽  
pp. 56-62 ◽  
Author(s):  
Adriana Ferreira da Silva ◽  
Helena Becker Issi ◽  
Maria da Graça Corso da Motta ◽  
Daisy Zanchi de Abreu Botene
Keyword(s):  
Palliative Care ◽  
Multidisciplinary Team ◽  
Structured Interview ◽  
Paediatric Oncology ◽  
Lessons Learned ◽  
Team Members ◽  
Descriptive Research ◽  
The Family ◽  
Research Questions ◽  
Oncology Unit

OBJECTIVE: To reveal the perceptions, expertise and practices of multi-professional teams providing palliative care to children in a paediatric oncology unit. The research questions were based on everyday care, facilitations and difficulties, essential aspects of professional approaches, and the inter-disciplinary focus of care for children in palliative care and their families. METHOD: Qualitative, exploratory and descriptive research. Data were collected from June to October 2013 from nine professional multidisciplinary team members by means of a semi-structured interview submitted to thematic analysis. RESULTS: The following four themes emerged from analysis: palliative care: conceptions of the multi-professional team; the construction of singular care; the facilitations and difficulties experienced by the team and significant lessons learned. CONCLUSIONS: The subjects revealed that the team also suffers with the death of a child and, like the family, moves toward the construction of coping mechanisms for the elaboration of mourning. Paradoxically, the team shares knowledge to determine the foundations of a singular therapeutic project and inserts the family in this process so that it can be the protagonist of the child's care.

How preferences for types of appreciation differ across employee age groups

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Paul White ◽  
Gene George
Keyword(s):  
Design Methodology ◽  
Positive Impact ◽  
Age Groups ◽  
Organizational Leaders ◽  
Human Resource Professionals ◽  
Content Type ◽  
Team Members ◽  
Older Employees ◽  
Post Hoc ◽  
Employee Age

Purpose Organizational leaders and human resource professionals affirm that to have (and keep) an effective workforce, understanding one’s employees is critical. Thus, understanding the differences between employees of different age groups is important. Simultaneously, studies have demonstrated the significant positive impact appreciation has on the functioning of organizations. When team members feel truly valued, numerous positive benefits result, including lower staff turnover, less absenteeism, higher customer ratings and greater profitability. Design/methodology/approach Because individuals prefer to be shown appreciation in different ways and prior research has shown some age differences, this study examined how appreciation preferences differ across seven employee age groups. Over 190,000 individuals completed an online assessment based on the five languages of appreciation, which identifies employees’ preferred ways of receiving appreciation. The respondents were separated into seven age groups, from 19 years old and younger to 70 years old and above. Findings The results of an analysis of variance found that there were significant differences across groups. Although the patterns of preferences were largely the same across many groups, post hoc analyses found both the youngest and oldest age groups differed from employees in their 30s with regards to their desire for quality time. Additionally, older employees were extremely low in their desire for tangible gifts. Originality/value As the proportion of employees shifts from older to younger groups of employees, these results raise important implications for organizations’ approaches regarding how appreciation and other motivators should be adjusted for different groups of employees.

scholarly journals Effect of economic vulnerability on entrepreneurial competencies among Malaysian micro-entrepreneurs

2018 ◽  
Vol 12 (2) ◽  
pp. 222-237 ◽  
Author(s):  
Abdullah Al Mamun ◽  
Rajennd A/L Muniady ◽  
Mohd Asrul Hery Bin Ibrahim ◽  
Noorshella Binti Che Nawi
Keyword(s):  
Positive Impact ◽  
Data Bank ◽  
Structured Interview ◽  
Peninsular Malaysia ◽  
Opportunity Recognition ◽  
Content Type ◽  
Economic Vulnerability ◽  
Development Organizations ◽  
Entrepreneurial Competencies ◽  
The Impact

Purpose This study aims to investigate the impact of economic vulnerability upon entrepreneurial competencies (i.e. commitment competency, conceptual competency, opportunity recognition competency, organizing competency, relationship competency and strategic competency) among respondents from varied development initiatives established by the eKasih program (National Poverty Data Bank) in Peninsular Malaysia. Design/methodology/approach Upon adopting the cross-sectional design, data were randomly gathered from selected 300 micro-entrepreneurs from the list of development organizations available in the eKasih (National Poverty Data Bank), located at four states in Peninsular Malaysia. The quantitative data were gathered by performing structured interview sessions from September until November 2017. Findings The outcomes of the study displayed that economic vulnerability has a significantly negative effect upon commitment, opportunity recognition, organizing and strategic competency. On the other hand, the results showcased that economi c vulnerability has a significantly positive effect on competency, but insignificantly positive impact upon conceptual competency. Originality/value These study outcomes appear to extend the scope of the resource-based view, apart from enriching the existing entrepreneurial competency literature, particularly within the Malaysian context. Hence, it is recommended that the government of Malaysia and development organizations should focus on maximizing the level of competency among micro-entrepreneurs as a viable approach to decrease the effect of economic vulnerability.

scholarly journals Perspectives on the Measles, Mumps and Rubella Vaccination among Somali Mothers in Stockholm

2018 ◽  
Vol 15 (11) ◽  
pp. 2428 ◽  
Author(s):  
Asha Jama ◽  
Mona Ali ◽  
Ann Lindstrand ◽  
Robb Butler ◽  
Asli Kulane
Keyword(s):  
Vaccination Coverage ◽  
Perceived Risk ◽  
Positive Impact ◽  
Vaccine Coverage ◽  
Qualitative Content Analysis ◽  
Vaccine Safety ◽  
Snowball Sampling ◽  
Mmr Vaccine ◽  
Rubella Vaccination ◽  
Depth Interviews

Background: Vaccination hesitancy and skepticism among parents hinders progress in achieving full vaccination coverage. Swedish measles, mumps and rubella (MMR) vaccine coverage is high however some areas with low vaccination coverage risk outbreaks. This study aimed to explore factors influencing the decision of Somali parents living in the Rinkeby and Tensta districts of Stockholm, Sweden, on whether or not to vaccinate their children with the measles, mumps and rubella (MMR) vaccine. Method: Participants were 13 mothers of at least one child aged 18 months to 5 years, who were recruited using snowball sampling. In-depth interviews were conducted in Somali and Swedish languages and the data generated was analysed using qualitative content analysis. Both written and verbal informed consent were obtained from participants. Results: Seven of the mothers had not vaccinated their youngest child at the time of the study and decided to postpone the vaccination until their child became older (delayers). The other six mothers had vaccinated their child for MMR at the appointed time (timely vaccinators). The analysis of the data revealed two main themes: (1) barriers to vaccinate on time, included issues surrounding fear of the child not speaking and unpleasant encounters with nurses and (2) facilitating factors to vaccinate on time, included heeding vaccinating parents’ advice, trust in nurses and trust in God. The mothers who had vaccinated their children had a positive impact in influencing other mothers to also vaccinate. Conclusions: Fear, based on the perceived risk that vaccination will lead to autism, among Somali mothers in Tensta and Rinkeby is evident and influenced by the opinions of friends and relatives. Child Healthcare Center nurses are important in the decision-making process regarding acceptance of MMR vaccination. There is a need to address mothers’ concerns regarding vaccine safety while improving the approach of nurses as they address these concerns.

scholarly journals Managing everyday life with chronic pain and interaction with healthcare: a qualitative study

2021 ◽  
Author(s):  
Ebba Ranås ◽  
Amanda Dahlrot ◽  
Anna Grimby-Ekman ◽  
Linda Ahlstrom
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Everyday Life ◽  
Qualitative Content Analysis ◽  
Group Discussion ◽  
Healthcare Personnel ◽  
Written Narratives ◽  
Care Plans ◽  
Everyday Lives ◽  
The People

Abstract Background: Chronic pain is a costly, widespread condition that often reduces the quality of life of individuals who suffer from it, for whom healthcare interaction is seldom efficient or free of problems. Outcomes of coping with chronic pain can depend upon patients’ approaches towards their pain, their defensive or offensive behaviours and their choices based upon their self-efficacy. Thus, even when their symptoms and diseases seem homogeneous, patients should be regarded as multidimensional individuals and their care plans should be individually tailored. The aim of our study was to examine how individuals with chronic pain manage their everyday lives and, from their perspectives, how primary care organisations should support them. Method: We conducted qualitative content analysis on the written narratives of 21 patients with chronic pain and held a focus group discussion with 15 of them. Results: The overarching theme in the patients’ narratives was that individuals with chronic pain develop adaptability in managing their everyday lives. Therein, the first sub-theme captures how such individuals use their bodies and souls to condition themselves and adapt to the people around them, take control of their everyday lives and find empowerment, whereas the second sub-theme captures how they interact with primary care organisations, their experiences with such interaction and the need to be treated with respect. Conclusions: For patients living with chronic pain, managing everyday life, the accompanying challenges and ongoing interactions with healthcare organisations requires developing adaptability. Although the individuals indeed bear great responsibility for their own health and wellbeing, healthcare personnel can ease that burden by adopting person-centred approaches in their care. However, to that end, healthcare personnel need more knowledge about supporting individuals living with chronic pain in order to ease their suffering.

scholarly journals Effectivenes Education For Diabetic Melitus Management In Elderly With Diabetic Melitus

2020 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Maria Theresia Arie Lilyana ◽  
Kristina Pae
Keyword(s):  
Diabetes Mellitus ◽  
Qualitative Content Analysis ◽  
The Elderly ◽  
Structured Interview ◽  
Depth Information ◽  
Recording Device ◽  
Sources Of Information ◽  
High Blood Glucose ◽  
Glucose Levels ◽  
Chronic Hyperglycemia

Diabetes mellitus (DM) is a metabolic syndrome due to impaired amount and function of insulin which causes high blood glucose levels (hyperglycemia). Chronic hyperglycemia that occurs in DM can cause both microvascular and macrovascular complications, so the ability to manage DM is needed to prevent it. The focus of this research is the ability to manage DM for the elderly after getting education about DM management from various sources of information. A qualitative phenomenological design was chosen to obtain individual and in-depth information. Four participants were determined by purposive sampling. In-depth interviews were conducted using a recording device, a semi-structured interview guide, and field notes. Colaizzi's approach Qualitative content analysis produces themes: The information sources of DM management; The DM management that has been done; and The DM education form that they expected. This study concludes that based on information that the participant gives, management of DM are obtained by consumption hypoglycemic therapy and diet routinely to stay in a healthy condition, physical activities such as exercise carried out according to participant conditions, and another method of therapies is based on the participant experience and habits as a result of complications that occur for example hypoglycemia. Recommendation for the next research is an effective education for the elderly is needed to improve their ability to manage chronic illness such as DM. Keywords: Diabetes mellitus, education, DM management, elderly

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