Interprofessional collaboration within integrative healthcare clinics through the lens of the relationship-centered care model

2010 ◽  
Vol 25 (2) ◽  
pp. 124-130 ◽  
Author(s):  
Isabelle Gaboury ◽  
Laurent M. Lapierre ◽  
Heather Boon ◽  
David Moher
Keyword(s):  
Interprofessional Collaboration ◽  
Care Model ◽  
Integrative Healthcare ◽  
Centered Care ◽  
The Relationship ◽  
Relationship Centered

Our Stories, Ourselves

2013 ◽  
Author(s):  
Richard M. Frankel
Keyword(s):  
Medical School ◽  
Appreciative Inquiry ◽  
Indiana University ◽  
Patient Centered ◽  
School Of Medicine ◽  
Centered Care ◽  
Traditional Approaches ◽  
Emergent Design ◽  
The Relationship ◽  
Relationship Centered

This chapter aims to combine traditional approaches to analyzing narratives with strategies for using them to change organizational culture; introduce the concepts of emergent design and appreciative inquiry as a framework for uncovering and disseminating an organization’s core narrative; and describe several innovative organization-level activities that used emergent design and appreciative inquiry narratives to change the culture of a large medical school. Indiana University School of Medicine (IUSM) is currently the largest medical school in North America. In January of 2003, the Relationship-Centered Care Initiative (RCCI) was launched, with an audacious goal: to change the culture of the school and reverse some of the negative trends it had been experiencing over the past decade. Relationship-Centered Care is an expanded form of patient-centered care, which focuses on including the values, attitudes, and preferences of patients as they seek and receive care.

Nursing Perspectives and Knowledge With an Acuity Adaptable Model

2020 ◽  
Vol 33 (2) ◽  
pp. 128-131
Author(s):  
Karen Carroll ◽  
Genevieve Frey-Moylan
Keyword(s):  
Cardiac Care ◽  
Roy Adaptation Model ◽  
Clinical Team ◽  
Care Model ◽  
Patient Centered ◽  
Centered Care ◽  
The Relationship ◽  
Care Nursing ◽  
Adaptation Model

An acuity adaptable pediatric cardiac care model provides healthcare centered on the practice of having the child remain in the same unit and receive care from the same clinical team from admission to discharge. This means the child is managed as they progress from an acute, intermediate, intensive care, and sometimes even long-term status within the same room. This article highlights the relationship-based care nursing model, a patient-centered care model, and the importance of nursing disciplinary knowledge from the Roy adaptation model and its impact on the healthcare this population receives within a unique environment.

Spotlight on the Clinician in the Life Participation Approach to Aphasia: Balancing Relationship-Centered Care and Professionalism

2020 ◽  
Vol 5 (2) ◽  
pp. 414-424
Author(s):  
Rochelle Cohen-Schneider ◽  
Melodie T. Chan ◽  
Denise M. McCall ◽  
Allison M. Tedesco ◽  
Ann P. Abramson
Keyword(s):  
Social Workers ◽  
Therapeutic Relationship ◽  
Interprofessional Collaboration ◽  
Opportunity To Learn ◽  
Subjective Experiences ◽  
Speech Language Pathologists ◽  
Self Disclosure ◽  
Centered Care ◽  
High Standards ◽  
Therapeutic Encounter

Background Speech-language pathologists make clinical decisions informed by evidence-based theory and “beliefs, values and emotional experiences” ( Hinckley, 2005 , p. 265). These subjective processes, while not extensively studied, underlie the workings of the therapeutic relationship and contribute to treatment outcomes. While speech-language pathologists do not routinely pay attention to subjective experiences of the therapeutic encounter, social workers do. Thus, the field of social work makes an invaluable contribution to the knowledge and skills of speech-language pathologists. Purpose This clinical focus article focuses on the clinician's contribution to the therapeutic relationship by surfacing elements of the underlying subjective processes. Method Vignettes were gathered from clinicians in two community aphasia programs informed by the principles of the Life Participation Approach to Aphasia. Results and Discussion By reflecting on and sharing aspects of clinical encounters, clinicians reveal subjective processing occurring beneath the surface. The vignettes shed light on the following clinical behaviors: listening to the client's “whole self,” having considerations around self-disclosure, dealing with biases, recognizing and surfacing clients' identities, and fostering hope. Speech-language pathologists are given little instruction on the importance of the therapeutic relationship, how to conceptualize this relationship, and how to balance this relationship with professionalism. Interprofessional collaboration with social workers provides a rich opportunity to learn ways to form and utilize the benefits of a strong therapeutic relationship while maintaining high standards of ethical behavior. Conclusion This clinical focus article provides speech-language pathologists with the “nuts and bolts” for considering elements of the therapeutic relationship. This is an area that is gaining traction in the field of speech-language pathology and warrants further investigation.

scholarly journals Last Place of Care and End-of-Life Quality of Life in the United States: Evidence From a National Representative Data Set

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 17-17
Author(s):  
Yifan Lou ◽  
Nan Jiang ◽  
Katherine Ornstein
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
The United States ◽  
Life Care ◽  
Person Centered Care ◽  
Centered Care ◽  
The Relationship

Abstract Background: Quality of life (QoL) during last stage of life has raised expanded interests as an important aspect of person-centered care. Last place of care (LPC), refer to the last place decedents received their formal end-of-life care (EOLC), has been identified as a key indicator of older adults’ end-of-life QoL, but the relationship was understudied. This study explores the association between LPC and end-of-life QoL among American older adults. Methods: Data used seven waves of Last Month of Life data with a total sample of 3068 Medicare decedents in NHATS. Outcome is end-of-life QoL assessed by eleven measures on four domains: pain and symptoms management (SP), quality of healthcare encounter (HE), person-centered care (PC), and overall quality of care (QC). LPC was categorized into home, hospital, nursing home, and residential hospice. Multivariate logistic regression analyses were used to examine the relationship with covariates. Results: LPC varied by most demographic characteristics, except immigration status and education. Older adults whose LPC is hospital, compared to those who had home-care, were less likely to have great experiences on HE, PC, and QC. People dying at nursing homes are more likely to receive care meeting their dyspnea and spiritual needs. Residential hospice is negatively related to respected care, clear coordination, and keeping family informed, but are more likely to provide PS and spiritual care. Discussion: Home-based end-of-life care has certain advantages but still has room to improve on SP and religious concerns. Hospitals should keep reforming their service delivery structure to improve patients’ QoL.

scholarly journals Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

2021 ◽  
Vol 14 ◽  
pp. 117863292110224
Author(s):  
Lisanne I van Lier ◽  
Henriëtte G van der Roest ◽  
Vjenka Garms-Homolová ◽  
Graziano Onder ◽  
Pálmi V Jónsson ◽  
...  
Keyword(s):  
Home Care ◽  
Patient Centered Care ◽  
Mean Difference ◽  
Care Model ◽  
Patient Centered ◽  
Societal Costs ◽  
Centered Care ◽  
Care Models ◽  
Prospective Longitudinal ◽  
Care Performance

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

Nonclinical Core Competencies and Effects of Interprofessional Teamwork in Disaster and Emergency Response Training and Practice: A Pilot Study

2013 ◽  
Vol 7 (4) ◽  
pp. 395-402 ◽  
Author(s):  
Jennifer Peller ◽  
Brian Schwartz ◽  
Simon Kitto
Keyword(s):  
Cognitive Skills ◽  
Disaster Response ◽  
Interprofessional Collaboration ◽  
Core Competencies ◽  
Evidence Base ◽  
Response Data ◽  
Competency Training ◽  
Interprofessional Teamwork ◽  
The Relationship ◽  
Depth Interviews

AbstractObjectiveTo define and delineate the nontechnical core competencies required for disaster response, Disaster Medical Assistance Team (DMAT) members were interviewed regarding their perspectives and experiences in disaster management. Also explored was the relationship between nontechnical competencies and interprofessional collaboration.MethodsIn-depth interviews were conducted with 10 Canadian DMAT members to explore how they viewed nontechnical core competencies and how their experiences influenced their perceptions toward interprofessonalism in disaster response. Data were examined using thematic analysis.ResultsNontechnical core competencies were categorized under austere skills, interpersonal skills, and cognitive skills. Research participants defined interprofessionalism and discussed the importance of specific nontechnical core competencies to interprofessional collaboration.ConclusionsThe findings of this study established a connection between nontechnical core competencies and interprofessional collaboration in DMAT activities. It also provided preliminary insights into the importance of context in developing an evidence base for competency training in disaster response and management. (Disaster Med Public Health Preparedness. 2013;0:1–8)

Interprofessional collaboration within Canadian integrative healthcare clinics: Key components

2009 ◽  
Vol 69 (5) ◽  
pp. 707-715 ◽  
Author(s):  
Isabelle Gaboury ◽  
Mathieu Bujold ◽  
Heather Boon ◽  
David Moher
Keyword(s):  
Interprofessional Collaboration ◽  
Integrative Healthcare

scholarly journals A Novel Approach to Supporting Relationship-Centered Care Through Electronic Health Record Ergonomic Training in Preclerkship Medical Education

2014 ◽  
Vol 89 (9) ◽  
pp. 1230-1234 ◽  
Author(s):  
Howard Silverman ◽  
Yun-Xian Ho ◽  
Susan Kaib ◽  
Wendy Danto Ellis ◽  
Marícela P. Moffitt ◽  
...  
Keyword(s):  
Medical Education ◽  
Electronic Health Record ◽  
Health Record ◽  
Novel Approach ◽  
Centered Care ◽  
Electronic Health ◽  
Relationship Centered

scholarly journals Physicians’ Knowledge and Beliefs Regarding Athletic Trainers

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Joseph Vogler ◽  
Lindsey Eberman ◽  
Zachary Winkelmann ◽  
M. Seth Smith ◽  
James Turner ◽  
...  
Keyword(s):  
Interprofessional Collaboration ◽  
Athletic Trainers ◽  
Academic Preparation ◽  
Scope Of Practice ◽  
Web Based ◽  
Educational Preparation ◽  
Knowledge And Beliefs ◽  
Legal Obligations ◽  
The Relationship ◽  
Improve Patient

Purpose: The relationship between athletic trainers (ATs) and physicians is a legal obligation and collaboration to improve patient outcomes. The objective of this study was to examine the knowledge of physicians regarding the educational preparation, legal obligations, and scope of practice for ATs and how it relates to previous experiences with ATs. Additionally physicians’ perceptions of Interprofessional Collaboration (IPC) were studied. Methods: 169 physicians medical doctors (MD)=133/169, 78.7%, doctor of osteopathy (DO)=36/169, 21%) completed a 36-question web-based survey, which included a validated IPC scale. Results: Respondents with experience working with an AT scored significantly higher (P < 0.01) on the knowledge assessment, where physicians currently working with an AT scored higher (5.4/8) than those who previously worked with an AT (4.2/8) and those who had never worked with an AT (3.3/8). Additionally, physicians with previous exposure to an AT as an athlete had significantly higher knowledge scores than those without exposure (P < 0.01). Two areas of weakness in IPC from the physician’s perspective included sharing of important information (2.48/4) and importance of work as compared to others on the team (2.38/4). Conclusions: Physicians who have a current working relationship with an AT and those that had access to an AT as an athlete demonstrated significantly higher knowledge about an AT’s academic preparation, legal obligations, and scope of practice. Moreover, physicians currently working with an AT report positive interprofessional collaborations.

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