Extending Care Outside of the Hospital Walls

In healthcare settings knowledge exchange among important stakeholders such as doctors, family and patients, and other care providers is a critical imperative. However, such a community modelled approach is missing, limited in scope or its business value not well understood. In this study, the authors illustrate the value potential and subsequent development of a business model for knowledge exchange within the healthcare delivery model outside a hospital setting. Specifically, they illustrate how Synchronous Video Consultation with social media features, in a staged approach, can support knowledge exchange among a network of community health care professionals who address global health disparities and sustain this exchange through resource generation. The authors discuss the contributions and implications of the proposed framework towards value creation in a collaborative setting in general and suggest opportunities for future research.

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Interpreting in Sexual and Reproductive Health Consults With Burma Born Refugees Post Settlement: Insights From an Australian Qualitative Study

Frontiers in Communication ◽

10.3389/fcomm.2021.633855 ◽

2021 ◽

Vol 6 ◽

Author(s):

Amita Tuteja ◽

Elisha Riggs ◽

Lena Sanci ◽

Lester Mascarenhas ◽

Di VanVliet ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Best Practice ◽

Qualitative Methodology ◽

Future Research ◽

Care Providers ◽

Face To Face ◽

Consultation Room ◽

Privacy And Confidentiality

Interpreters work with health care professionals to overcome language challenges during sexual and reproductive (SRH) health discussions with people from refugee backgrounds. Disclosures of traumatic refugee journeys and sexual assault combined with refugees’ unfamiliarity with Western health concepts and service provision can increase the interpreting challenges. Published literature provides general guidance on working with interpreters in primary care but few studies focus on interpretation in refugee SRH consults. To address this, we explored the challenges faced by providers of refugee services (PRS) during interpreter mediated SRH consultations with Burma born refugees post settlement in Australia. We used qualitative methodology and interviewed 29 PRS involved with migrants from Burma including general practitioners, nurses, interpreters, bilingual social workers, and administrative staff. The interviews were audio-recorded, transcribed, and subjected to thematic analysis following independent coding by the members of the research team. Key themes were formulated after a consensus discussion. The theme of “interpretation related issues” was identified with six sub-themes including 1) privacy and confidentiality 2) influence of interpreter’s identity 3) gender matching of the interpreter 4) family member vs. professional interpreters 5) telephone vs. face-to-face interpreting 6) setting up the consultation room. When faced with these interpretation related challenges in providing SRH services to people from refugee backgrounds, health care providers combine best practice advice, experience-based knowledge and “mundane creativity” to adapt to the needs of the specific patients. The complexity of interpreted SRH consultations in refugee settings needs to be appreciated in making good judgments when choosing the best way to optimize communication. This paper identifies the critical elements which could be incorporated when making such a judgement. Future research should include the experiences of refugee patients to provide a more comprehensive perspective.

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“Stories Take Your Role Away From You”: Understanding the Impact on Health Care Professionals of Viewing Digital Stories of Pediatric and Adolescent/Young Adult Oncology Patients

Journal of Pediatric Oncology Nursing ◽

10.1177/1043454217697023 ◽

2017 ◽

Vol 34 (4) ◽

pp. 261-271 ◽

Cited By ~ 11

Author(s):

Catherine M. Laing ◽

Nancy J. Moules ◽

Andrew Estefan ◽

Mike Lang

Keyword(s):

Health Care ◽

Young Adult ◽

Health Care Providers ◽

Health Care Professionals ◽

Care Delivery ◽

Healthcare Delivery ◽

Care Providers ◽

Oncology Patients ◽

Digital Stories ◽

The Impact

The purpose of this philosophical hermeneutic study was to understand the effects on health care providers (HCPs) of watching digital stories made by (past and present) pediatric and adolescent/young adult (AYA) oncology patients. Twelve HCPs participated in a focus group where they watched digital stories made by pediatric/AYA oncology patients and participated in a discussion related to the impact the stories had on them personally and professionally. Findings from this research revealed that HCPs found digital stories to be powerful, therapeutic, and educational tools. Health care providers described uses for digital stories ranging from education of newly diagnosed families to training of new staff. Digital stories, we conclude, can be an efficient and effective way through which to understand the patient experience, implications from which can range from more efficient patient care delivery to decision making. Recommendations for incorporating digital storytelling into healthcare delivery are offered.

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Insights from health care providers in dealing with suicide attempters in Kashmir: A preliminary qualitative analysis

Indian Journal of Psychiatric Social Work ◽

10.29120/ijpsw.2019.v10.i2.144 ◽

2019 ◽

Vol 10 (2) ◽

pp. 24

Author(s):

Zahid Maqbool ◽

Aadil Bashir

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Hospital Setting ◽

Care Providers ◽

Suicide Attempters ◽

Prevention Intervention ◽

The Times ◽

Primary Health Care Physicians

Background: The Valley of Kashmir has witnessed a growing number of suicides. It is often witnessed that whenever a person attempts or commits suicide, most of the times he/she is bought to the hospital to save his/her life. Thus, the role of health care providers in a hospital setting is very important, as this is the first point of contact with the suicide attempters. In this study, an attempt was made to assess the intervention of health care providers toward suicide attempters in Kashmir. Methodology: In-depth expert interviews were conducted with the 12 healthcare professionals (Psychiatrists, Clinical Psychologists and Primary Health Care Physicians) who were involved in the identification; assessment, management, and prevention of suicidal behaviour at an urban general hospital in Srinagar, Kashmir. Purposive sampling method was used based on the availability and willingness of the participants from August to November 2018. Results: The results revealed that the health care providers follow a systematic procedure i.e., prevention, intervention and postvention in dealing with suicide attempters. However, their main focus remains on the intervention within the walls of the hospital setting. Conclusion: The results of the study provides some broad understanding about the role of doctors in the treatment and management of suicide attempters that will go a long way in the management of people attempting suicide in Kashmir. Keyword: Suicide, health care professionals, prevention, intervention, postvention

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ICT Use and Multidisciplinary Healthcare Teams in the Age of e-Health

International Journal of Reliable and Quality E-Healthcare ◽

10.4018/ijrqeh.2016010102 ◽

2016 ◽

Vol 5 (1) ◽

pp. 18-31 ◽

Cited By ~ 2

Author(s):

Bolanle A. Olaniran

Keyword(s):

Healthcare Delivery ◽

Future Research ◽

Multidisciplinary Teams ◽

Information Communication ◽

Ict Use ◽

Healthcare Settings ◽

Effective Manner ◽

Patient Health ◽

Guidelines And Recommendations ◽

The Impact

This paper explores ICTs in the medical field specifically in the Multidisciplinary teams (MDTMs) in healthcare settings. The discussion offers benefits and disadvantages of ICTs along with implications for teams' communication and interaction. The paper also provides a few formidable challenges facing MTDMs while offering suggestions on how to overcome them in an attempt to fully experience and utilize technologies in an effective manner. Finally the paper presents areas for future research given the fact that ICT use in MTDMs will only continue to grow as e-health becomes the norm in patients care and healthcare delivery. In an attempt to accomplish these goals, Retchin's (2008) conceptual framework for inter-professional and co-managed care will be used. Retchin's framework considers the impact of temporality, urgency of care, and structure of authority. Specifically, this framework focuses on how information communication technologies can impact overall patient health care and delivery. In conclusion, the author provides guidelines and recommendations for how physicians and other health practitioners can use technologies to work with each other are provided.

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A Focus Group Evaluation of Breathe Easier: A Mindfulness-Based mHealth App for Survivors of Lung Cancer and Their Family Members

American Journal of Health Promotion ◽

10.1177/0890117120924176 ◽

2020 ◽

Vol 34 (7) ◽

pp. 770-778

Author(s):

Jenay M. Beer ◽

Kasey N. Smith ◽

Taylor Kennedy ◽

George Mois ◽

Dane Acena ◽

...

Keyword(s):

Lung Cancer ◽

South Carolina ◽

African American ◽

Focus Groups ◽

Health Information ◽

Health Care Providers ◽

Family Members ◽

Hospital Setting ◽

Future Research ◽

Care Providers

Purpose: To explore attitudes and acceptance (i.e., intent for future adoption) of survivors of lung cancer and their family members toward a dyad-focused mHealth mindfulness-based intervention (MBI). Approach: Focus groups. Setting: Community hospital setting in South Carolina. Participants: Survivors n = 11 (M = 64.6 years; 73% female; 64% African American) of non-small cell lung cancer (stage I-IIIa) and their family members, n = 8 (M = 58.6 years; 38% female; 75% African American). Intervention: A fully functional prototype mHealth app to deliver a tailored MBI for survivors of lung cancer and their family members. Method: Semi-structured focus groups were conducted and assessed using thematic data analysis to identify the benefits, concerns, needs, and expectations of the app. Results: Convenience and health were the top benefits of using the app, while cost and difficulty of use were the top concerns. Survivors mentioned benefits more than their family members did. Participants felt positively about adding a community network to the app. Finally, participants expected to hear about Breathe Easier from their care provider. Conclusion: Participants perceived a benefit to having credible health information delivered through an mHealth app. Guidance and credible health information regarding lung cancer survivorship should be accessible and convenient for everyone impacted by the disease. Thus, future research should explore platforms for a virtual support system and understanding dissemination of mHealth apps through health care providers.

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ICT Use and Multidisciplinary Healthcare Teams in the Age of E-Health

Health Care Delivery and Clinical Science ◽

10.4018/978-1-5225-3926-1.ch032 ◽

2017 ◽

pp. 612-627

Author(s):

Bolanle A. Olaniran

Keyword(s):

Healthcare Delivery ◽

Communication Technologies ◽

Future Research ◽

Multidisciplinary Teams ◽

Information Communication Technologies ◽

Information Communication ◽

Ict Use ◽

Healthcare Settings ◽

Patient Health ◽

Guidelines And Recommendations

This paper explores ICTs in the medical field specifically in the Multidisciplinary teams (MDTMs) in healthcare settings. The discussion offers benefits and disadvantages of ICTs along with implications for teams' communication and interaction. The paper also provides a few formidable challenges facing MTDMs while offering suggestions on how to overcome them in an attempt to fully experience and utilize technologies in an effective manner. Finally the paper presents areas for future research given the fact that ICT use in MTDMs will only continue to grow as e-health becomes the norm in patients care and healthcare delivery. In an attempt to accomplish these goals, Retchin's (2008) conceptual framework for inter-professional and co-managed care will be used. Retchin's framework considers the impact of temporality, urgency of care, and structure of authority. Specifically, this framework focuses on how information communication technologies can impact overall patient health care and delivery. In conclusion, the author provides guidelines and recommendations for how physicians and other health practitioners can use technologies to work with each other are provided.

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How to improve healthcare? Identify, nurture and embed individuals and teams with “deep smarts”

Journal of Health Organization and Management ◽

10.1108/jhom-09-2017-0244 ◽

2018 ◽

Vol 32 (1) ◽

pp. 135-143

Author(s):

Kathy Eljiz ◽

David Greenfield ◽

John Molineux ◽

Terry Sloan

Keyword(s):

Design Methodology ◽

Service Providers ◽

Healthcare Delivery ◽

Future Research ◽

Organisational Development ◽

Integrative Care ◽

Content Type ◽

Healthcare Settings ◽

People Skills ◽

Practical Implications

Purpose Unlocking and transferring skills and capabilities in individuals to the teams they work within, and across, is the key to positive organisational development and improved patient care. Using the “deep smarts” model, the purpose of this paper is to examine these issues. Design/methodology/approach The “deep smarts” model is described, reviewed and proposed as a way of transferring knowledge and capabilities within healthcare organisations. Findings Effective healthcare delivery is achieved through, and continues to require, integrative care involving numerous, dispersed service providers. In the space of overlapping organisational boundaries, there is a need for “deep smarts” people who act as “boundary spanners”. These are critical integrative, networking roles employing clinical, organisational and people skills across multiple settings. Research limitations/implications Studies evaluating the barriers and enablers to the application of the deep smarts model and 13 knowledge development strategies proposed are required. Such future research will empirically and contemporary ground our understanding of organisational development in modern complex healthcare settings. Practical implications An organisation with “deep smarts” people – in managerial, auxiliary and clinical positions – has a greater capacity for integration and achieving improved patient-centred care. Originality/value In total, 13 developmental strategies, to transfer individual capabilities into organisational capability, are proposed. These strategies are applicable to different contexts and challenges faced by individuals and teams in complex healthcare organisations.

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The Impact of Professional Language Interpreting in Midwifery Care: A Review of the Evidence

International Journal of Childbirth ◽

10.1891/2156-5287.7.1.18 ◽

2017 ◽

Vol 7 (1) ◽

pp. 18-30

Author(s):

Eleanor Cramer

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Health Care Disparities ◽

Complex Interventions ◽

Future Research ◽

Care Providers ◽

Midwifery Care ◽

Wide Range ◽

The Impact

BACKGROUND: Patients’ limited proficiency in the language of health care providers is known to be associated with health care disparities. Reluctance to use professional interpreting is documented across a wide range of health care professionals. Most of the literature on the effect of interpreting practices has focused on non-midwifery contexts.OBJECTIVE: To review the evidence regarding how using professional interpreters impacts the midwifery care of women with limited dominant language proficiency (LDLP).METHODS: Eligible studies were identified using searches of MEDLINE, CINAHL, and Maternity and Infant Care, then analyzed and assessed for applicability to midwifery.RESULTS: 40 eligible papers, and two systematic reviews containing 48 additional papers, were included. The use of professional interpreters was found to support all aspects of the midwife’s direct role, with some complex findings on woman-centered communication during interpreted encounters. The use of ad hoc interpreters, or no interpreting, undermines all aspects of midwifery care for women with LDLP.IMPLICATIONS: Midwifery care should be enhanced by increasing midwives’ use of professional interpreters; future research should consider how best to achieve this or investigate the comparative efficacy of more complex interventions, such as interpreter-doulas.

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Pancreatic Laceration in a Female Collegiate Soccer Athlete: A Case Report

Journal of Athletic Training ◽

10.4085/1062-6050-48.1.15 ◽

2013 ◽

Vol 48 (2) ◽

pp. 271-276

Author(s):

Michael E. Powers ◽

Michelle Tropeano ◽

Diana Priestman

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Hospital Setting ◽

Pancreatic Injury ◽

Care Providers ◽

Rare Injury ◽

Delay In Diagnosis ◽

Upper Abdominal ◽

High Index Of Suspicion

Objective: To characterize the diagnosis of pancreatic trauma in an athletic population and to raise awareness among health care providers of the possibility of this life- and organ-threatening injury. Background: An 18-year-old, previously healthy female collegiate soccer athlete sustained a direct blow from an opponent's knee between the left and right upper abdominal quadrants while attempting to head the ball. She initially presented with only minimal nausea and discomfort, but this progressed to abdominal pain, tenderness, spasm, and vomiting. She was referred to the emergency department, where she was diagnosed with a pancreatic laceration. Differential Diagnosis: Duodenal, hepatic, or splenic contusion or laceration; hemorrhagic ovarian cyst. Treatment: The patient underwent a distal pancreatectomy and total splenectomy. Uniqueness: Pancreatic injuries, particularly those severe enough to warrant surgical intervention, are extremely rare in athletes. Conclusions: Recognition of a pancreatic injury can be very challenging outside the hospital setting. This is problematic, because a delay in diagnosis is a significant source of preventable morbidity and mortality after this rare injury. Thus, early identification depends on a high index of suspicion, a thorough examination, and close observation. It is imperative that athletic trainers and other health care professionals be able to identify this condition so that referral and management can occur without delay.

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