scholarly journals From a healthcare perspective: How to preserve person-centered care using video meetings to follow up with patients during the Covid-19 pandemic (Preprint)

2020 ◽  
Author(s):  
Line Silsand ◽  
Gro-Hilde Severinsen ◽  
Gro Berntsen
Keyword(s):  
Information Exchange ◽  
Healthcare Services ◽  
Cognitive Capacity ◽  
Healthcare Personnel ◽  
Healthcare Team ◽  
Main Mode ◽  
Face To Face ◽  
Rapid Transfer

BACKGROUND This study reports the experiences faced by a multi-disciplinary healthcare team (PACT), on shifting rapidly from face-to-face care to using video meetings(s) (VM) for clinical and collaborative services during the initial phase of the Covid-19 pandemic. PACT focuses on the transitional phase between hospital and primary care, for elderly patients in Northern Norway with complex and long-term needs (CLN). PACT emphasises the patient-centred care (PCC) approach whereby the sharing of power, and the patients ‘answer to “what matters to you?” drives care decisions. However, during the Covid-19 (novel coronavirus) pandemic VM was the only option for assessing, planning, coordinating, and performing treatment and care. This study explores how PACT managed to maintain PCC under these conditions. OBJECTIVE In this paper, we address the following research questions: How do we preserve a PCC focus for persons with CLN in care services, when VM becomes the main mode of clinical communication, due to social distancing measures during the Covid-19 pandemic? What are the challenges and possibilities for healthcare personnel in PACT when a rapid transfer from face-to-face care to video meetings is needed? METHODS This case study has a qualitative approach based on four semi-structured focus group interviews, from May and June 2020, with 18 PACT members and leaders. RESULTS From the case study, we learn that VMs are not a good solution for all persons with CLN. Healthcare personnel in PACT had divided opinions on the potential of using VM to preserve PCC for this heterogeneous patient group. Some found it difficult to digitally assess and communicate with patients with hearing disabilities and reduced cognitive capacity. Whereas others reported the opposite, namely that VM made it possible to include even the most fragile patients. The study outlines that using VM presented the opportunity for more efficient use of healthcare personnel, reduced travelling time for patients, and improved the information exchange between healthcare levels. This implied that integration of VM contributed to preservation of the PCC focus during the Covid-19 pandemic. There was an overall agreement in PACT that face-to-face care had to be the core foundation for a PCC approach, and VM was mainly useful to reinforce follow-up and coordination. CONCLUSIONS The rapid transfer from face-to-face care generated a need for time to practice and define guidelines for using the technology amongst the different healthcare actors. In addition, technical support to healthcare personnel and patients was important to highlight. Scaling up the use of VM made it important in defining overall agreements between the different healthcare organisations for rearranging healthcare services.

What Matters to South African Bank Customers? A Case Study of four Main South African Banks

2015 ◽  
Vol 6 (1and2) ◽  
Author(s):  
Kingstone Mutsonziwa
Keyword(s):  
Customer Satisfaction ◽  
South African ◽  
Language Usage ◽  
Face To Face ◽  
Bank Resolution ◽  
African Context ◽  
Key Drivers ◽  
Investment Advice

This paper is a follow-up article based on the first article titled Customers speak for themselves: A case of Customer Satisfaction in the four Main South African Banks. Customer satisfaction within the banking industry is very important in the South African context. Although banks are trying their best to give their customers the best service, it is important to continuously measure customer satisfaction and identify service attributes that contribute to overall customer satisfaction for the banks. The data used in the analysis is based on a quantitative survey of 500 randomly selected customers in Pretoria, Johannesburg, Durban and Cape Town were interviewed using a face to face methodology. The key drivers of overall customer satisfaction based on regression analysis for the different banks were helpfulness and innovativeness (ABSA), helpfulness, innovativeness of the bank, resolution of problems and investment advice (FNB), language usage and friendliness of service consultants (Nedbank), innovativeness of the bank, investment advice and use of language (Standard bank). These attributes were important to the overall customer satisfaction and need to be closely monitored by the management of these banks.

Evaluations for New Healthcare Environment Commissioning and Operational Decision Making Using Simulation and Human Factors: A Case Study of an Interventional Trauma Operating Room

2021 ◽  
pp. 193758672199966
Author(s):  
Mirette Dubé ◽  
Jason Laberge ◽  
Elaine Sigalet ◽  
Jonas Shultz ◽  
Christine Vis ◽  
...  
Keyword(s):  
Decision Making ◽  
Human Factors ◽  
Operating Room ◽  
Healthcare Services ◽  
Healthcare Team ◽  
Healthcare Environment ◽  
New Process ◽  
Timely Access ◽  
Operational Decision Making

Purpose: The aim of this article is to provide a case study example of the preopening phase of an interventional trauma operating room (ITOR) using systems-focused simulation and human factor evaluations for healthcare environment commissioning. Background: Systems-focused simulation, underpinned by human factors science, is increasingly being used as a quality improvement tool to test and evaluate healthcare spaces with the stakeholders that use them. Purposeful real-to-life simulated events are rehearsed to allow healthcare teams opportunity to identify what is working well and what needs improvement within the work system such as tasks, environments, and processes that support the delivery of healthcare services. This project highlights salient evaluation objectives and methods used within the clinical commissioning phase of one of the first ITORs in Canada. Methods: A multistaged evaluation project to support clinical commissioning was facilitated engaging 24 stakeholder groups. Key evaluation objectives highlighted include the evaluation of two transport routes, switching of operating room (OR) tabletops, the use of the C-arm, and timely access to lead in the OR. Multiple evaluation methods were used including observation, debriefing, time-based metrics, distance wheel metrics, equipment adjustment counts, and other transport route considerations. Results: The evaluation resulted in several types of data that allowed for informed decision making for the most effective, efficient, and safest transport route for an exsanguinating trauma patient and healthcare team; improved efficiencies in use of the C-arm, significantly reduced the time to access lead; and uncovered a new process for switching OR tabletop due to safety threats identified.

scholarly journals Design for learning – a case study of blended learning in a science unit

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 898
Author(s):  
Roslyn Gleadow ◽  
Barbara Macfarlan
Keyword(s):  
Blended Learning ◽  
Teaching And Learning ◽  
Scientific Practice ◽  
Learning Experience ◽  
Science Students ◽  
Face To Face ◽  
Design For Learning ◽  
Learning Management

Making material available through learning management systems is standard practice in most universities, but this is generally seen as an adjunct to the ‘real’ teaching, that takes place in face-to-face classes. Lecture attendance is poor, and it is becoming increasingly difficult to engage students, both in the material being taught and campus life. This paper describes the redevelopment of a large course in scientific practice and communication that is compulsory for all science students studying at our Melbourne and Malaysian campuses, or by distance education. Working with an educational designer, a blended learning methodology was developed, converting the environment provided by the learning management system into a teaching space, rather than a filing system. To ensure focus, topics are clustered into themes with a ‘question of the week’, a pre-class stimulus and follow up activities. The content of the course did not change, but by restructuring the delivery using educationally relevant design techniques, the content was contextualised resulting in an integrated learning experience. Students are more engaged intellectually, and lecture attendance has improved. The approach we describe here is a simple and effective approach to bringing this university’s teaching and learning into the 21st century.

The Effect of Telemedicine on Patients’ Compliance in Family Medicine Follow-ups in Qatar

Avicenna ◽  
2021 ◽  
Vol 2022 (1) ◽  
Author(s):  
Yaman M. AlAhmad ◽  
Duaa Mahmoud Haggeer ◽  
Abrar Yaser Alsayed ◽  
Mahmoud Y. Haik ◽  
Leen Maen AbuAfifeh ◽  
...  
Keyword(s):  
Health Care ◽  
Family Medicine ◽  
Health Care Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Telephone Consultation ◽  
Face To Face ◽  
Primary Health Care Centers

Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance. Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar. Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.

scholarly journals 0532 Cognitive Behavioral Therapy Delivered Via Telemedicine vs. Face-to-Face: Results from a Randomized Controlled Non-Inferiority Trial

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A203-A204
Author(s):  
J Arnedt ◽  
D Conroy ◽  
A Mooney ◽  
K DuBuc ◽  
S Balstad ◽  
...  
Keyword(s):  
Behavioral Therapy ◽  
Severity Index ◽  
Healthcare Services ◽  
Post Treatment ◽  
Self Report ◽  
Daytime Functioning ◽  
Face To Face ◽  
Randomized Controlled ◽  
Pre Treatment

Abstract Introduction Telemedicine is increasingly an option for delivery of healthcare services, but its efficacy and acceptability for delivering CBT for insomnia has not been adequately tested. In a randomized controlled non-inferiority trial, we compared face-to-face and telemedicine delivery (via the AASM SleepTM platform) of CBT for insomnia for improving sleep and daytime functioning at post-treatment and 12-week follow-up. Methods Sixty-five adults with chronic insomnia (46 women, mean age 47.2 ± 16.3 years) were recruited primarily from insomnia clinics and screened for disqualifying sleep, medical, and mental health disorders. Eligible participants were randomized to 6 sessions of CBT for insomnia delivered face-to-face (n=32) or via AASM SleepTM (n=33). Participants completed self-report measures of insomnia (Insomnia Severity Index, ISI) and daytime functioning (fatigue, depression, anxiety, and overall functioning) at pre-treatment, post-treatment, and 12-week follow-up. The ISI was the primary non-inferiority outcome. Results Telemedicine was non-inferior to face-to-face delivery of CBT for insomnia, based on a non-inferiority margin of 4 points on the ISI (β = -0.07, 95% CI -2.28 to 2.14). Compared to pre-treatment, ISI scores improved significantly at post-treatment (β = -9.02, 95% CI -10.56 to -7.47) and at 12-week follow-up (β = -9.34, 95% CI -10.89 to -7.79). Similarly, daytime functioning measures improved from pre- to post-treatment, with sustained improvements at 12-week follow-up. Scores on the fatigue scale were lower in the telemedicine group at both post-treatment (F=4.64, df=1,119, p<.03) and follow-up (F=5.79, df=1,119, p<.02). Conclusion Insomnia and daytime functioning improve similarly whether CBT for insomnia is delivered via telemedicine or face-to-face. Telemedicine delivery of CBT for insomnia should be implemented more systematically to improve access to this evidence-based treatment. Support American Sleep Medicine Foundation Grant # 168-SR-17 (JT Arnedt, PhD)

Writing to Meet Your Match

2013 ◽  
pp. 210-234
Author(s):  
Christyne Berzsenyi
Keyword(s):  
Impression Management ◽  
Management Strategies ◽  
Internet Dating ◽  
Written Text ◽  
Self Reflection ◽  
Face To Face ◽  
Positive Attitudes ◽  
Study Participants

After ten years, Internet dating has become mainstreamed with members producing and consuming a great deal of written text before meeting face-to-face. Through a twenty-one-prompt questionnaire and follow up interviews, four case study participants describe their efforts at self-reflection, self-representation, and interaction with other members. The following chapter analyzes email questionnaire responses and interview excerpts that discuss each participant’s perceptions of the rhetorical process of writing profiles, interpreting others’ profiles, and exchanging emails to facilitate courtship. In addition, this chapter analyzes the discourse of participants’ self-presentations in comparison with their reported self-perceptions and impression management strategies. Findings suggest that more effective members composed their e-texts after a methodical process of understanding the communication genre, the expectations and behaviors of their target audiences, and their own relationship objectives. Further, participants with greater experience with cyber dating have more positive experiences, which led to positive attitudes and greater satisfaction with e-dating.

Telenutrition in oncology: A novel model of care in a geographically diverse network.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 43-43 ◽  
Author(s):  
Michele Leigh Szafranski ◽  
Beth York ◽  
Tara Eaton ◽  
Wendy G. Brick ◽  
Chasse Margot Bailey-Dorton
Keyword(s):  
Telephone Counseling ◽  
Healthcare Team ◽  
Care Providers ◽  
Registered Dietitians ◽  
Model Of Care ◽  
Nutritional Interventions ◽  
Face To Face ◽  
Novel Model ◽  
Patient Barriers

43 Background: Telehealth is growing as a way for qualified providers to reach patients closer to home. Dietitians have been using telephone counseling to support cancer patients for years, but recently consults via videoconference have emerged to better duplicate in office, face-to-face service. Telenutritionallows Registered Dietitians (RDs)who are also Certified Oncology Specialists in Nutrition (CSOs) to provide patients consults at their regular medical oncologist’s office. As part of its goal to provide expert care to oncology patients in regional settings, genetics counselors, social workers, and Palliative Care providers at Levine Cancer Institute (LCI) are currently using a telehealth model to provide services traditionally available only in metro areas. Methods: RDs located within the LCI Network receive consults from regional sites in NC based on established criteria. LCI RDs use Vidyo to teleconference between LCI locations to meet with patients, caregivers, and the healthcare team to establish an appropriate plan of care. Appointments are scheduled directly on the virtual schedule by the referring office. Consents are signed and scanned into the chart. Assessment is completed using the same protocol and policy as face-to-face consults, and follow up can conducted via teleconference or phone, based on patient preference and the clinical judgement of the RD. Patient satisfaction surveys are completed at the end of each telenutritionsession and sent to the RD. Results: LCI initially started telenutritionwith one regional site in 2014, completing 3 consults with one RD housed at its main location. In 2015, three additional sites were added, as well as an additional RD housed regionally, and 22 consults were completed. 22 consults have been completed year to date in 2016. Conclusions: Early feedback from patients and providers suggest telenutrition may be an effective method to deliver quality nutritional interventions to patients in the comfort of their regular oncology office. Formal study is needed to explore patient barriers to care, reimbursement for services, expense of equipment, and feasibility of program expansion.

Hybridizing F2F and Virtual Collaboration between a Government Agency and Service-Learning Technical Writing Students

2011 ◽  
pp. 58-67
Author(s):  
Jim Henry
Keyword(s):  
Service Learning ◽  
Technical Writing ◽  
Workplace Culture ◽  
Virtual Collaboration ◽  
Face To Face ◽  
Writing Students ◽  
The Face ◽  
History Of

This case study reviews a hybrid face-to-face (F2F) and virtual collaboration between the State of Hawaii’s Division of Forestry and Wildlife and a team of university technical writing students to indicate specific features of the hybridity as it shaped the collaboration. In a course focused on organizational authorship, students were tasked with learning about the organization’s workplace culture to successfully represent its ethos in a report on the history of forestry in Hawai‘i. Moments and modes of collaboration are discussed chronologically as they enabled successful report writing, featuring key components: clearly stipulating terms of collaboration through service-learning, assessing fit between the course and the organization, emphasizing the need for onsite visits by students to ascertain the workplace culture, conducting swift follow-up on challenges in meshing the virtual with the face-to-face, and leveraging each mode of collaboration synergistically rather than discretely.

scholarly journals Hospital physicians’ views on discharge and readmission processes: a qualitative study from Norway

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e031297 ◽  
Author(s):  
Malin Knutsen Glette ◽  
Tone Kringeland ◽  
Olav Røise ◽  
Siri Wiig
Keyword(s):  
Primary Healthcare ◽  
Hospital Readmission ◽  
Healthcare Service ◽  
Hospital Readmissions ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Discharge Process ◽  
Hospital Discharges ◽  
Hospital Physicians

ObjectivesTo explore hospital physicians’ views on readmission and discharge processes in the interface between hospitals and municipalities.DesignQualitative case study.SettingThe Norwegian healthcare system.ParticipantsFifteen hospital physicians (residents and consultants) from one hospital, involved in the treatment and discharge of patients.ResultsThe results of this study showed that patients were being discharged earlier, with more complex medical conditions, than they had been previously, and that discharges sometimes were perceived as premature. Insufficient capacity at the hospital resulted in pressure to discharge patients, but the primary healthcare service of the area was not always able to assume care of these patients. Communication between levels of the healthcare service was limited. The hospital stay summary was the most important, and sometimes only, form of communication between levels. The discharge process was described as complicated and was affected by healthcare personnel, by patients themselves and by aspects of the primary healthcare service. Early hospital discharges, poor communication between healthcare services and inadequacies in the discharge process were perceived to affect hospital readmissions.ConclusionThe results of this study provide a better understanding of hospital physicians’ views on the discharge and hospital readmission processes in the interface between the hospital and the primary healthcare service. The study also identifies discrepancies in governmental requirements, reform regulations and current practices in municipalities and hospitals.

scholarly journals Design for learning – a case study of blended learning in a science unit

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 898 ◽  
Author(s):  
Roslyn Gleadow ◽  
Barbara Macfarlan ◽  
Melissa Honeydew
Keyword(s):  
Blended Learning ◽  
Teaching And Learning ◽  
Scientific Practice ◽  
Learning Experience ◽  
Science Students ◽  
Face To Face ◽  
Design For Learning ◽  
Learning Management

Making material available through learning management systems is standard practice in most universities, but this is generally seen as an adjunct to the ‘real’ teaching, that takes place in face-to-face classes. Lecture attendance is poor, and it is becoming increasingly difficult to engage students, both in the material being taught and campus life. This paper describes the redevelopment of a large course in scientific practice and communication that is compulsory for all science students studying at our Melbourne and Malaysian campuses, or by distance education. Working with an educational designer, a blended learning methodology was developed, converting the environment provided by the learning management system into a teaching space, rather than a filing system. To ensure focus, topics are clustered into themes with a ‘question of the week’, a pre-class stimulus and follow up activities. The content of the course did not change, but by restructuring the delivery using educationally relevant design techniques, the content was contextualised resulting in an integrated learning experience. Students are more engaged intellectually, and lecture attendance has improved. The approach we describe here is a simple and effective approach to bringing this university’s teaching and learning into the 21st century.

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