Lessons Learned from Designing and Leading Multidisciplinary Diabetes Educational Groups

2014 ◽  
Vol 36 (2) ◽  
pp. 160-172 ◽  
Author(s):  
Bethany Glueck ◽  
Brett Foreman
Keyword(s):  
Diabetes Care ◽  
Well Being ◽  
Primary Care Providers ◽  
Health Condition ◽  
Lessons Learned ◽  
Care Providers ◽  
Care Models ◽  
Educational Groups ◽  
Education Support ◽  
Licensed Professional Counselor

Diabetes is a serious health condition that significantly impacts physical and emotional well-being. Working with primary care providers, clinical mental health counselors have an opportunity to contribute to its efficacious treatments. Researchers and clinicians have suggested a multidisciplinary approach to diabetes care may be useful. To increase knowledge and awareness about the use of collaborative care models for diabetes care, the authors—a licensed professional counselor and a family physician—share lessons learned from their experiences designing and cofacilitating a series of multidisciplinary-led diabetes groups in 2007, 2008, and 2009. The series covered education, support, and self-management techniques related to diabetes care. All 57 participants were asked to complete a program evaluation survey. All 29 participants who did so (100%) reported having a better understanding of diabetes, and 21 (71%) reported applying what they had learned (e.g., increasing exercise and making better nutritional choices). Implications for counselors in practice and research are discussed.

Crohn's Disease — More Than a Chronic Illness

1985 ◽  
Vol 33 (12) ◽  
pp. 604-609
Author(s):  
Roberta Messner ◽  
Sylvia Gardner ◽  
Susan Lewis
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Interpersonal Relationships ◽  
Well Being ◽  
Primary Care Providers ◽  
Chronic Inflammatory Bowel Disease ◽  
Care Providers ◽  
Care Needs ◽  
Positive Effects ◽  
Optimal Health

Crohn's disease is a chronic, inflammatory bowel disease which may occur in single or multiple areas of the entire GI tract from the mouth to the anus. This multifaceted disorder is manifested by various unpredictable health disturbances, affecting its victims' physical and psychosocial well-being. Individuals with Crohn's disease present a multitude of nursing challenges as they often lack the positive effects of proper nutrition, physical activity, emotional expression, interpersonal relationships, and family life. Nurses are the primary care providers who can comprehensively address the varied and complex health care needs of individuals with Crohn's disease. The core theme is the belief that it is essential for these individuals to maintain a sense of control in the midst of an altered lifestyle. Occupational health nurses can assist employees with Crohn's disease to develop a variety of physical and psychosocial strategies to cope with the unpleasant, even repugnant, aspects of a disease for which there is no known cure. The promotion of optimal health, based on the nursing process, is the objective toward which the unique efforts of nursing are directed.

scholarly journals Efficacy of Peer-Assisted Learning Across Residencies for Procedural Training in Dermatology

2011 ◽  
Vol 3 (3) ◽  
pp. 391-394 ◽  
Author(s):  
Alisa Duran-Nelson ◽  
Karyn D Baum ◽  
Anne Marie Weber-Main ◽  
Jeremiah Menk
Keyword(s):  
Internal Medicine ◽  
Primary Care Providers ◽  
Care Providers ◽  
Peer Assisted Learning ◽  
Skill Levels ◽  
Educational Value ◽  
Sum Score ◽  
Care Models ◽  
Assessment Techniques ◽  
Peer Teachers

Abstract Background With new care models such as the medical home, there is an expanding need for primary care providers to be trained in dermatologic procedures. Yet, many internal medicine residency program graduates feel unprepared to perform these procedures. The aim of this study was to evaluate the effect of a structured peer-assisted learning approach to improve residents' knowledge and skills related to common dermatologic assessment techniques. Methods Eight medicine-dermatology resident educators, with a faculty member, facilitated dermatologic procedure workshops for 28 internal medicine and medicine-pediatrics resident learners. Learners completed preworkshop and postworkshop surveys, assessing their knowledge and skill levels as well as the efficacy of the resident educators and the educational value of the workshop as a whole. Results All learners were able to properly demonstrate the techniques at the workshop's conclusion. The median sum score of self-reported knowledge increased from 3 to 9.5 (scale, 0–10; P < .001). The median sum score of self-reported skills increased from 10 to 16 (scale, 4–20; P < .001). Resident educators were favorably evaluated by their peers, and 96% of participants rated the experience as being of high educational value. Conclusion Peer-assisted learning is effective in teaching dermatologic procedures in graduate medical education. Resident learners found peer-assisted learning to be beneficial and rated their peer teachers highly. Further studies should focus on outcomes in practice, looking at the number of dermatologic procedures performed by learners, as well as the effects on resident educators.

Satisfaction and Well-Being of Primary Care Providers in Managed Care

2002 ◽  
Vol 25 (2) ◽  
pp. 239-254 ◽  
Author(s):  
Donald K. Freeborn ◽  
Roderick S. Hooker ◽  
Clyde R. Pope
Keyword(s):  
Primary Care ◽  
Managed Care ◽  
Well Being ◽  
Primary Care Providers ◽  
Care Providers

scholarly journals Diabetes in Appalachia: providers’ perspectives

2020 ◽  
Vol 21 ◽  
Author(s):  
Elizabeth A. Beverly ◽  
Marilyn D. Ritholz ◽  
Karie Cook ◽  
Lesli K. Johnson ◽  
Anirudh Ruhil ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Healthcare Providers ◽  
Primary Care Providers ◽  
Cultural Humility ◽  
Care Providers ◽  
Post Traumatic Stress ◽  
Appalachian Culture ◽  
Patients With Diabetes ◽  
Appalachian Ohio

Abstract Background: Southeastern Appalachian Ohio has more than double the national average of diabetes and a critical shortage of healthcare providers. Paradoxically, there is limited research focused on primary care providers’ experiences treating people with diabetes in this region. This study explored providers’ perceived barriers to and facilitators for treating patients with diabetes in southeastern Appalachian Ohio. Methods: We conducted in-depth interviews with healthcare providers who treat people with diabetes in rural southeastern Ohio. Interviews were transcribed, coded, and analyzed via content and thematic analyses using NVivo 12 software (QSR International, Chadstone, VIC, Australia). Results: Qualitative analysis revealed four themes: (1) patients’ diabetes fatalism and helplessness: providers recounted story after story of patients believing that their diabetes was inevitable and that they were helpless to prevent or delay diabetes complications. (2) Comorbid psychosocial issues: providers described high rates of depression, anxiety, incest, abuse, and post-traumatic stress disorder among people with diabetes in this region. (3) Inter-connected social determinants interfering with diabetes care: providers identified major barriers including lack of access to providers, lack of access to transportation, food insecurity, housing insecurity, and financial insecurity. (4) Providers’ cultural understanding and recommendations: providers emphasized the importance of understanding of the values central to Appalachian culture and gave culturally attuned clinical suggestions for how to use these values when working with this population. Conclusions: Evidence-based interventions tailored to Appalachian culture and training designed to increase the cultural competency and cultural humility of primary care providers may be effective approaches to reduce barriers to diabetes care in Appalachian Ohio.

scholarly journals Virtual Consultations and the Role of Technology During the COVID-19 Pandemic for People With Type 2 Diabetes: The UK Perspective

10.2196/21609 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e21609 ◽  
Author(s):  
Lauren M Quinn ◽  
Melanie J Davies ◽  
Michelle Hadjiconstantinou
Keyword(s):  
Diabetes Care ◽  
Health Care Professionals ◽  
Diabetes Management ◽  
Severe Infection ◽  
Well Being ◽  
Lessons Learned ◽  
Rapid Review ◽  
Psychological Benefits ◽  
Diabetes Clinic ◽  
The Uk

The coronavirus disease (COVID-19) pandemic has presented unique challenges for people with diabetes, in addition to their high-risk stratification for infection. Supporting people with diabetes to self-care has been critical to reduce their risk of severe infection. This global pandemic has presented an opportunity to digitalize diabetes care and rapidly implement virtual diabetes clinics, with the aim of optimizing diabetes management and well-being, while keeping patients safe. We performed a rapid review of the literature to evaluate the feasibility and effectiveness of virtual clinics in diabetes care before and during the COVID-19 pandemic and have combined these findings with our own reflections in practice. We identified examples demonstrating safety and feasibility of virtual diabetes clinics, which aligns with our own clinical experience during the pandemic. The advantages of virtual clinics include reduced treatment burden, improved therapeutic alliances, societal and psychological benefits, and in our experience, innovative solutions to overcome the challenges presented by the transition from in-person to virtual care. We have provided three infographics to illustrate lessons learned and key recommendations, including steps to establish a virtual diabetes clinic, a checklist guide for health care professionals conducting virtual clinics, and a patient guide for making the most out of the virtual clinic. It is important to continue adapting to this pandemic and to make technology a sustainable option for the future of diabetes care.

scholarly journals The effects of Enhanced Primary Healthcare interventions on primary care providers job satisfaction

2019 ◽  
Author(s):  
Wen Jun Wong ◽  
Aisyah Mohd Norzi ◽  
Swee Hung Ang ◽  
Chee Lee Chan ◽  
Faeiz Syezri Adzmin Jaafar ◽  
...  
Keyword(s):  
Primary Care ◽  
Job Satisfaction ◽  
Primary Healthcare ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Intervention Group ◽  
Well Being ◽  
Primary Care Providers ◽  
Care Providers ◽  
Post Intervention

Abstract Background In response to address the rising burden of cardiovascular risk factors, Malaysian government has implemented Enhanced Primary Healthcare (EnPHC) interventions in July 2017 at public clinics level. Healthcare providers (HCPs) play crucial roles in healthcare service delivery and health system reform can influence HCPs’ job satisfaction. However, studies evaluating HCPs’ job satisfaction following primary care transformation remain scarce in low- and middle-income countries. This study aims to evaluate the effects of EnPHC interventions on HCPs. Methods This is a quasi-experimental study conducted in 20 intervention and 20 matched control clinics. We surveyed all healthcare providers who were directly involved in patient management. A self-administered questionnaire which included six questions on job satisfaction were distributed at baseline (April and May 2017) and post-intervention (March and April 2019). Difference-in-differences analysis was used in the multivariable linear regression model in which we adjusted for providers and clinics characteristics to detect the changes in job satisfaction following EnPHC interventions. Results A total of 1042 and 1215 HCPs responded at baseline and post-intervention respectively. At post-intervention, the intervention group reported higher level of stress and change in score between two groups was -0.14 (β= -0.139; 95% CI -0.266,-0.012; p =0.032). In subgroup analysis, nurses from intervention group experienced increase in work stress following EnPHC interventions (β= -0.223; 95% CI -0.419,-0.026; p =0.026). Additionally, the same group also responded that they were less likely to perceive their profession as well-respected at post-intervention (β= -0.175; 95% CI -0.331,-0.019; p =0.027). Conversely, allied health professionals from intervention group were more likely to report a good balance between work and effort (β= 0.386; 95% CI 0.033,0.738; p =0.032) after implementing EnPHC interventions. Conclusions Our findings suggest that EnPHC interventions had resulted in some untoward effect on HCPs’ job satisfaction. Job dissatisfaction can have detrimental effects on the organisation and healthcare system. Therefore, provider experience and well-being should be considered before introducing healthcare delivery reforms to avoid overburdening of HCPs.

Abstract WP450: Stroke Support Group Partnership With Community Wellness Program Provides Education and Interventions Improving Self-Care Outcomes

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Nancy M Stoll ◽  
Keyword(s):  
Blood Pressure ◽  
Social Services ◽  
Support Group ◽  
Social Worker ◽  
Well Being ◽  
Blood Chemistry ◽  
Primary Care Providers ◽  
Lifestyle Behaviors ◽  
Care Providers ◽  
Wellness Program

Background and Purpose: The purpose of this program is to offer education and support with attention to post acute transitions. The multidisciplinary team: social worker, dietician, and registered nurse encourage the development of attainable behaviors and activities. Methods: The participants, (311), enrolled in the free three month program of 12 sessions. Upon enrollment blood chemistry, weight, Body Mass Index, and blood pressure are measured and recorded. Subsequent visits include weight and blood pressure measurements. The program is designed to promote a one to one relationship to foster lifestyle behaviors. These consults assist with goal identification and promote self-management. Nutritional education includes healthy eating guidelines. The social worker leads sessions on navigation of social services, financial wellness, accepting change, awareness of emotions, and stress triggers. Stroke prevention, personal risk factors, living with disabilities, importance of care coordination and transition of care are discussed with emphasis on following up with primary care providers and specialists. Results: Participants share results such as increase in physical activity, and feelings of well-being. In 2017 and 2018, outcomes include: 266 of the participants (86% of 311 totals) began the program with a BMI > 25. 145 participants lost a total of 792 pounds with small changes in diet and exercise. 134 participants began the program with a BP > 140/90 mmHg or a diagnosis of hypertension. Of these, 118 or 88% achieved a BP reading of ≤ 140/90 mmHg by their post program evaluation. In the first year of the program, 73 participants (46% of 158) began exercising regularly for the first time. In addition, class evaluations and narratives reveal positive lifestyle and behavioral changes for participants and their families Conclusions: In conclusion, partnering a stroke support group with a wellness program provides an effective collaboration pooling resources and knowledge supporting the patient and caregiver.

Shaping the Next Generation of Providers

2019 ◽  
pp. 457-464
Author(s):  
Gerri Mattson ◽  
Karen Remley
Keyword(s):  
Primary Care ◽  
Health Care Providers ◽  
Clinical Medicine ◽  
Collaborative Work ◽  
Well Being ◽  
Primary Care Providers ◽  
Care Providers ◽  
Health Community ◽  
Changing Role

This chapter is about the changing role of the primary carer in the health setting with a particular focus on the training of primary carers. Primary care providers are already increasingly called on to expand their practice beyond their traditional knowledge and skills in clinical medicine. The chapter looks at the population health competency of primary health carers. Primary care providers, once trained, in the community can serve as mentors for trainees, which can provide additional perspective and experience outside of the academic setting. The chapter goes on to argue that the health and well-being of the entire community are dependent on the collaborative work of health care providers, public health, community organizations, faith-based organizations, and the community itself. Understanding the myriad connections, competencies, and impacts of these partnerships allows clinicians to engage with the community early in their careers; to deepen their engagement, understanding, and ability over time; and to be effective advocates with and on behalf of the communities they serve.

Integrative Nursing of Older Adults Across the Continuum

2014 ◽  
pp. 367-380
Author(s):  
Linda L. Halcón ◽  
Constance Schein ◽  
Corjena Cheung
Keyword(s):  
Assisted Living ◽  
Long Term Care ◽  
Primary Care Providers ◽  
Developmental Tasks ◽  
Care Providers ◽  
Term Care ◽  
Older Adulthood ◽  
Care Models ◽  
Integrative Therapies

The use of integrative therapies continues to grow and a large percent (69%) of seniors do not discuss their use of integrative approaches with their primary care providers. Understanding the developmental tasks of older adulthood is necessary to provide holistic and integrative care. This includes understanding their journey, their understanding of health and their desired trajectory and relationships. Innovative care models are emerging that incorporate integrative approaches into the full continuum of care from home, to assisted living to long-term care.

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