scholarly journals Doing remote systemic psychotherapy during a pandemic

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Sarah L Helps
Keyword(s):  
Quality Improvement ◽  
Thematic Analysis ◽  
Careful Attention ◽  
Early Adopter ◽  
Improvement Project ◽  
Written Responses ◽  
Practice Recommendations ◽  
Boundary Issues ◽  
Video Link ◽  
Systemic Psychotherapy

This paper describes some findings from a rapid quality improvement project exploring clinician views about the delivery of remote systemic psychotherapy since the Covid-19 induced UK lockdown. Remote systemic psychotherapy is a practice response based on the need to remain physically distant from people and involves "meeting" via video link rather than in person. Written responses were gathered from early-adopter clinicians in one UK NHS trust, reflecting on their experiences of convening remote systemic psychotherapy sessions during March and April 2020. Overall, findings suggest that that remote systemic psychotherapy has been acceptable, effective and indeed welcomed by clinicians, within the pandemic context. Using a diffractive thematic analysis, four themes were constructed from clinician responses: practical and boundary issues need careful attention; the conversational flow of remote systemic psychotherapy sessions is different to that during in-person sessions; it is necessary to do things differently with words and bodies; the practice of creating meaningful dialogical communication when separated by screens is hard. Tentative practice recommendations are provided.

Lipid Management in a Diabetes Specialty Clinic: The Process of Increasing Lipid Collection

2016 ◽  
Vol 9 (1) ◽  
pp. 108-114
Author(s):  
Angela D. Saathoff ◽  
Brenda Holloway ◽  
Sharon Marti
Keyword(s):  
Quality Improvement ◽  
Medical Management ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Low Density ◽  
Intervention Implementation ◽  
Improvement Project ◽  
Lipid Management ◽  
Practice Recommendations ◽  
Lipid Panel

The purpose of this quality improvement project was to decrease the study population’s overall low-density lipoprotein by implementing multiple interventions targeted to increase the collection rate of yearly lipid profiles at a specific clinic. These interventions were performed in accordance with the American Diabetes Association’s practice recommendations for dyslipidemia, which include providing patients with lipid education, yearly screening, and medical management. The barriers to obtaining a fasting lipid panel at least every 12 months include patients’ missing appointments, patients’ rescheduling appointments, patients not fasting, or outside providers not responding to requests for lab results. Using interventions such as reviewing a patient’s chart, ordering or requesting a lipid panel, and calling a patient prior to the scheduled appointment, the number of days past 12 months decreased from 176.9 days to 68.37 days. This article describes the development of the quality improvement protocol, the intervention implementation, the project results, and finally, a discussion of findings.

Quality Improvement Project in American Samoa to Increase Adherence to Secondary RHD Prophylaxis

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 379A-379A
Author(s):  
Elizabeth A. Parker ◽  
Amber Michelle Rogers Bock ◽  
Tangra L. Broge
Keyword(s):  
Quality Improvement ◽  
American Samoa ◽  
Quality Improvement Project ◽  
Improvement Project
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