scholarly journals Emotional Dimensions in Integrated Care for People with Multiple Complex Problems

2018 ◽  
Vol 8 (4) ◽  
pp. 59 ◽  
Author(s):  
Anneli Hujala ◽  
Erja Oksman
Keyword(s):  
Integrated Care ◽  
Emotional Labor ◽  
Human Beings ◽  
Care Providers ◽  
Relational Dynamics ◽  
Complex Problems ◽  
Functional Aspects ◽  
Emotional Dimensions ◽  
Everyday Interaction ◽  
Finnish Study

Cross-boundary collaboration, both multiprofessional and interorganizational, is needed when providing integrated care for people with multiple problems, who need services at the same time from diverse care providers. Multiple problems of clients also pose extra challenges for interaction between care professionals and clients. Emotional dynamics are always present in everyday interaction between human beings, but seldom explicitly addressed in research on integrated care. The aim of this reflective paper is to illustrate the emotional dimensions of integrated care in light of the experiences of care professionals in the context of care for people with multiple complex problems. The paper draws on a Finnish study on integrated care reflecting its findings from the perspective of emotional labor. The difficult life situations of people with multiple complex problems form an emotional burden, which is mirrored in the interaction between clients and professionals and affects relational dynamics among professionals. Professionals’ fear of emotions and the different ‘feeling rules’ of care professions and sectors pose extra challenges to professionals’ collaboration in this emotionally loaded context. Alongside the structural and functional aspects of integrated care, it is important that emotions embedded in everyday cross-boundary collaboration are recognized and taken into account in order to ensure the success of integrated care.

scholarly journals “What Is Right for Me, Is Not Necessarily Right for You”: The Endogenous Factors Influencing Nonparticipation in Medical Assistance in Dying

2021 ◽  
pp. 104973232110088
Author(s):  
Janine Brown ◽  
Donna Goodridge ◽  
Lilian Thorpe ◽  
Alexander Crizzle
Keyword(s):  
Health Care Providers ◽  
Nurse Practitioners ◽  
Emotional Labor ◽  
Emotional Impact ◽  
Care Providers ◽  
Medical Assistance ◽  
Endogenous Factors ◽  
Medical Assistance In Dying ◽  
Professional Experiences ◽  
The Social

Access to medical assistance in dying (MAID) is influenced by legislation, health care providers (HCPs), the number of patient requests, and the patients’ locations. This research explored the factors that influenced HCPs’ nonparticipation in formal MAID processes and their needs to support this emerging practice area. Using an interpretive description methodology, we interviewed 17 physicians and 18 nurse practitioners who identified as non-participators in formal MAID processes. Nonparticipation was influenced by their (a) previous personal and professional experiences, (b) comfort with death, (c) conceptualization of duty, (d) preferred end-of-life care approaches, (e) faith or spirituality beliefs, (f) self-accountability, (g) consideration of emotional labor, and (h) future emotional impact. They identified a need for clear care pathways and safe passage. Two separate yet overlapping concepts were identified, conscientious objection to and nonparticipation in MAID, and we discussed options to support the social contract of care between HCPs and patients.

Patients’ Perceptions of Integrated Care Among Medicare Beneficiaries by Level of Need for Health Services

2022 ◽  
pp. 107755872110678
Author(s):  
Nancy Song ◽  
Molly Frean ◽  
Christian T. Covington ◽  
Maike Tietschert ◽  
Emilia Ling ◽  
...  
Keyword(s):  
Integrated Care ◽  
Health Care Providers ◽  
Chronic Conditions ◽  
Health Management ◽  
Least Square ◽  
Sensitivity Analyses ◽  
Medicare Beneficiaries ◽  
Care Providers ◽  
Factors Affecting ◽  
Ordinary Least Square Regression

Requirements for integrating care across providers, settings, and over time increase with patients’ needs. Health care providers’ ability to offer care that patients experience as integrated may vary among patients with different levels of need. We explore the variation in patients’ perceptions of integrated care among Medicare beneficiaries based on the beneficiary’s level of need using ordinary least square regression for each of four high-need groups: beneficiaries (a) with complex chronic conditions, (b) with frailties, (c) below 65 with disability, and (d) with any (of the first three) high needs. We control for beneficiary demographics and other factors affecting integrated care, and we conduct sensitivity analyses controlling for multiple individual chronic conditions. We find significant positive associations with level of need for provider support for self-directed care and medication and home health management. Controlling for multiple individual chronic conditions reduces effect sizes and number of significant relationships.

scholarly journals Existential Experiences of Human & Nature Symbiosis: Experiential Architecture for Motivation of Environmentally Responsible Behaviour

2021 ◽  
Author(s):  
◽  
Harrison Rainger
Keyword(s):  
Industrial Revolution ◽  
Behavioural Change ◽  
Interdisciplinary Approach ◽  
Natural Environments ◽  
Architectural Theory ◽  
Human Beings ◽  
Environmentally Responsible ◽  
Global Demand ◽  
Emotional Dimensions ◽  
Higher Purpose

<p><b>The deterioration of natural environments since the industrial revolution is a consequence of humanity’s ignorance of their symbiosis with broader biological ecosystems and the behaviours that have arisen from this lack of awareness. Today, there is urgent global demand for societies to address this issue by shifting toward pro-environmental systems and behaviours to ensure natural resources are secured for future generations.</b></p> <p>This research proposes that there is a potential for architecture to contribute to this shift by providing an experience that raises awareness of the symbiosis that human beings exist within and motivates people to behave with greater responsibility toward the environment. Taking an interdisciplinary approach by exploring principles of psychology and architectural theory, this work engages with architectural concepts of transcendence, phenomenology, atmosphere, memory and emotion, sense of place and biophilia in ways that positively affect intellectual and emotional dimensions of the human psyche.</p> <p>A design framework is developed from this, and a subsequent range of methods are developed and tested at various levels of resolution. Ultimately, this research arrives at a design methodology that can shape an architectural experience that serves a higher purpose of motivating behavioural change in society toward greater environmental responsibility. It speculates on a potentially new form of public architecture that unifies the human spirit with nature and interrelated systems.</p>

scholarly journals NILAI-NILAI PSIKOLOGI PENDIDIKAN DALAM AL-QUR’AN

2020 ◽  
Vol 2 (2) ◽  
pp. 112
Author(s):  
Moh. Irmawan Jauhari ◽  
M. Luqman Hakim
Keyword(s):  
Information Technology ◽  
Human Beings ◽  
Modern Humans ◽  
Psychological Burden ◽  
Complex Problems ◽  
Psychological Balance ◽  
The Universe

Humans in the era of globalization have a level of mental vulnerability that is easily cracked and destroyed. Too much competition and the influence of information technology presents more complex problems. It is not uncommon for modern humans to flee to actions that are detrimental to themselves and society. Because they feel that their psychological burden is so heavy and cannot be borne by themselves. The Qur'an provides an understanding of human beings complete with their potential. In this case, also includes the psychological potential given by God so that humans are able to manage the universe. Understanding of the psychic potential of humans is important so that humans do not always hunt for what appears, but also provide inner satisfaction so that physical and psychological balance occurs. AbstrakManusia dalam era globalisasi memiliki tingkat kerentanan jiwa yang mudah retak dan hancur. Persaingan yang sedemikian hebat serta pengaruh teknologi informatika menghadirkan persoalan yang lebih kompleks. Tidak jarang kemudian manusia modern melarikan diri kepada perbuatan-perbuatan yang justru merugikan dirinya sendiri serta masyarakat. Sebab mereka merasa bahwa apa yang menjadi beban psikisnya sedemikian berat dan tidak bisa ditanggung sendiri. Al-Qur’an memberikan pemahaman mengenai manusia lengkap dengan potensi yang dimiliki. Dalam hal ini juga termasuk potensi psikis yang diberikan Allah agar manusia mampu mengelola alam semesta. Pemahaman potensi psikis manusia ini penting agar manusia tidak selalu memburu apa yang nampak, akan tetapi juga memberikan kepuasan batin agar terjadi keseimbangan jasmani dan psikisnya.

Health care providers' experiences with delivering person centred care in an Integrated Care Program for thoracic surgery patients in Ontario, Canada

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kathy Kornas ◽  
Meghan O'Neill ◽  
Catherine Y. Liang ◽  
Lori Diemert ◽  
Tsoleen Ayanian ◽  
...  
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Health Care Providers ◽  
Work Life ◽  
Quality Of Work Life ◽  
Care Providers ◽  
Content Type ◽  
Quality Of Work ◽  
Provider Experiences

PurposeThe purpose of this study is to understand health care providers' experiences with delivering a novel Integrated Care (IC) Program that co-ordinates hospital-based clinical services and home care for thoracic surgery patients, including perceptions on the provision of person-centred care and quality of work life.Design/methodology/approachThe authors conducted a process evaluation using qualitative methods to understand provider experiences in the Integrated Care (IC) Program and to identify areas for programme improvement. Study data were collected using a focus group with thoracic surgeons, open-ended survey with home care providers, and semi-structured interviews with lead thoracic surgeons and IC leads, who are nurses serving as the primary point of contact for one consistent care team. Data were analysed using thematic analysis.FindingsThe IC Program was successful in supporting a partnership between health care providers and patients and caregivers to deliver a comprehensive and person-centred care experience. Informational continuity between providers was facilitated by IC leads and improved over time with greater professional integration and adaptation to the new care delivery processes. Differential impacts were found on quality of work life for providers in the IC Program.Originality/valueThis study describes provider experiences with delivering integrated and person-centred care across the hospital to home continuum, which can inform future integrated care initiatives.

scholarly journals Validation of the Rainbow Model of Integrated Care Measurement Tools (RMIC-MTs) in renal care for patient and care providers

PLoS ONE ◽  
2019 ◽  
Vol 14 (9) ◽  
pp. e0222593 ◽  
Author(s):  
Pim P. Valentijn ◽  
Fernando Pereira ◽  
Christina W. Sterner ◽  
Hubertus J. M. Vrijhoef ◽  
Dirk Ruwaard ◽  
...  
Keyword(s):  
Integrated Care ◽  
Care Providers ◽  
Measurement Tools

scholarly journals Sharing a vision. Do participants in integrated care programmes have the same goals and objectives?

2019 ◽  
Vol 33 (3) ◽  
pp. 122-129
Author(s):  
Axel Kaehne
Keyword(s):  
Integrated Care ◽  
Social Care ◽  
Care Delivery ◽  
Shared Vision ◽  
Window Of Opportunity ◽  
Care Providers ◽  
Care Services ◽  
The North ◽  
Health And Social Care ◽  
Goals And Objectives

Integrating health and social care services remains one of the most difficult undertakings in the field of care delivery. One of the key requirements for success in integration programmes is a shared vision amongst care providers. Shared visions may contain views as to what the new services should look like, how it should operate and what it should be able to achieve. The paper reports findings of an evaluation of a service integration programme in the North of England. It confirms that a programme consensus on issues such as aims and objectives and programme logics is seen by participants as a key to success. Yet, the study also found that there is a specific window of opportunity in integration programmes when participating organisations start on relatively high levels of commitment and enthusiasm which tend to tail off relatively quickly. The paper closes with a discussion about the implications of the findings for programme designers and service planners.

scholarly journals Emotieregulatie en burnout bij ziekenverzorgenden

2008 ◽  
Vol 21 (2) ◽  
Author(s):  
Lilian Lechner ◽  
Thea Steinvoorte ◽  
Gérard Näring
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Care Providers ◽  
Emotional Labor ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Work Demands ◽  
Care Providers ◽  
Demand Control ◽  
Support Model

Summary This study analysed whether, amongst health care providers in a nursing homes setting, there is a relationship between, on the hand, work demands, autonomy, lack of social support and emotional labor; and on the other hand, symptoms of burnout. It also analysed whether the concept of emotional labor was an additional factor that helped explain variance in burnout over and above the concepts found in the Demand-Control-Support model. The study was based on 130 health care providers (response rate of 75%). Participants filled in a questionnaire that measured the Demand-Control-Support concepts of autonomy, lack of social support and work demands, as well as four dimensions of emotional labor. It assessed burnout in three dimensions, namely emotional exhaustion, depersonalisation and personal accomplishment. The results showed a relationship between work demands, social support, several aspects of emotional labor and burnout, whereas no relationship was found between autonomy and burnout. The various concepts, taken together, explained 28 to 30% of the variance in burnout. Emotional labor appeared to be a distinct additional factor in relation to burnout, supplementing the elements found in the Demand-Control-Support model. These results confirm the findings from previous studies in other professions. They demonstrate that, in professions involving a lot of contact with patients, emotional labor may represent a potentially important factor related to health.

scholarly journals Feasibility of delivering integrated COPD-asthma care at primary and secondary level public healthcare facilities in Pakistan: a process evaluation

BJGP Open ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. bjgpopen18X101632 ◽  
Author(s):  
Muhammad Amir Khan ◽  
Muhammad Ahmar Khan ◽  
John D Walley ◽  
Nida Khan ◽  
Faisal Imtiaz Sheikh ◽  
...  
Keyword(s):  
Public Health ◽  
Integrated Care ◽  
Low Income ◽  
Service Providers ◽  
Health Facilities ◽  
Public Healthcare ◽  
Care Providers ◽  
Asthma Care ◽  
Public Health Facilities ◽  
Clinical Records

BackgroundIn Pakistan,the estimated prevalence of chronic obstructive pulmonary disease (COPD) and asthma are 2.1% and 4.3% respectively, and existing care is grossly lacking both in coverage and quality. An integrated approach is recommended for delivering COPD and asthma care at public health facilities.AimTo understand how an integrated care package was experienced by care providers and patients, and to inform modifications prior to scaling up.Design & settingThe mixed-methods study was conducted as part of cluster randomised trials on integrated COPD and asthma care at 30 public health facilities.MethodThe care practices were assessed by analysing the clinical records of n = 451 asthma and n = 313 COPD patients. Semi-structured interviews with service providers and patients were used to understand their care experiences. A framework approach was applied to analyse and interpret qualitative data.ResultsUtilisation of public health facilities for chronic lung conditions was low, mainly because of the non-availability of inhalers. When diagnosed, around two-thirds (69%) of male and more than half (55%) of female patients had severe airway obstruction. The practice of prescribing inhalers differed between intervention and control arms. Patient non-adherence to follow-up visits remained a major treatment challenge (though attrition was lower and slower in the intervention arm). Around half of the male responders who smoked at baseline reported having quit smoking.ConclusionThe integrated care of chronic lung conditions at public health facilities is feasible and leads to improved diagnosis and treatment in a low-income country setting. The authors recommend scaling of the intervention with continued implementation research, especially on improving patient adherence to treatment.

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