What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review

Background Improving the patient experience is one of the quadruple aims of healthcare. Therefore, understanding patient experiences and perceptions of healthcare interactions is paramount to quality improvement. This integrative review aimed to explore how patients with chronic conditions experience Interprofessional Collaborative Practice in primary care. Methods An integrative review was conducted to comprehensively synthesize primary studies that used qualitative, quantitative, and mixed methods. Databases searched were Medline, Embase, CINAHL and Web of Science on June 1st, 2021. Eligible studies were empirical full-text studies in primary care that reported experiences or perceptions of Interprofessional Collaborative Practice by adult patients with a chronic condition, in any language published in any year. Quality appraisal was conducted on included studies using the Mixed Method Appraisal Tool. Data on patients’ experiences and perceptions of Interprofessional Collaborative Practice in primary care were extracted, and findings were thematically analyzed through a meta-synthesis. Results Forty-eight (n = 48) studies met the inclusion criteria with a total of n = 3803 participants. Study quality of individual studies was limited by study design, incomplete reporting, and the potential for positive publication bias. Three themes and their sub-themes were developed inductively: (1) Interacting with Healthcare Teams, subthemes: widening the network, connecting with professionals, looking beyond the condition, and overcoming chronic condition collectively; (2) Valuing Convenient Healthcare, subthemes: sharing space and time, care planning creates structure, coordinating care, valuing the general practitioner role, and affording healthcare; (3) Engaging Self-care, subthemes: engaging passively is circumstantial, and, engaging actively and leading care. Conclusions Patients overwhelmingly had positive experiences of Interprofessional Collaborative Practice, signaling it is appropriate for chronic condition management in primary care. The patient role in managing their chronic condition was closely linked to their experience. Future studies should investigate how the patient role impacts the experience of patients, carers, and health professionals in this context. Systematic review registration PROSPERO: CRD42020156536.

Another Person’s Peril: Peanut Allergy, Risk Perceptions, and Responsible Sociality

This article examines perceptions of health risk when some individuals within a shared space are in heightened danger but anyone, including unaffected others, can be a vector of risk. Using the case of peanut allergy and drawing on qualitative content analysis of the public comments submitted in response to an unsuccessful 2010 U.S. Department of Transportation proposal to prohibit peanuts on airplanes, we analyze contention over the boundaries of responsibility for mitigating exposure to risk. We find three key dimensions of proximity to risk (material, social, and situational) characterizing ardent claims both for and against policy enactment. These proximity concerns underlay commenters’ sensemaking about fear, trust, rights, moral obligations, and liberty in the act of sharing space with others, while allowing them to stake positions on what we call “responsible sociality”—an ethic of discernible empathy for proximate others and of consideration for public benefit in social and communal settings. We conclude by discussing the insights our case affords several other areas of scholarship attentive to the intractable yet timely question of “for whom do we care?”

RUANG BERBAGI ANTARA MANUSIA DAN HEWAN TERNAK YANG ADA DI PINGGIRAN KOTA

There are still many people living on the suburbs who have unique and diverse activities and habits. As in Jetis Trawas Village, Cepoko Village, Gunungpati District, Semarang City, some of these unique activities and habits actually trigger the formation of a space that is used for various activities. One of them that is unique is that there are still many houses that are in the same environment as livestock. The purpose of this study is to determine the pattern of sharing space on the suburbs and the factors that influence the formation of sharing space on the suburbs. Through qualitative research methods can provide a clear picture of sharing space based on the culture of the local community. In addition, this method is motivated by the author in conducting research in order to provide knowledge about things that are not widely known. So in this study, it will be explored and discussed further how this sharing space can be formed in the object of this research. The results of this study in Jetis Trawas Village show that the Sharing Room was formed due to economic factors as well as social interaction factors of the villagers.Abstrak: Masyarakat yang ada di pinggiran Kota masih banyak ditemui memiliki aktivitas dan kebiasaan yang unik dan beragam. Seperti yang ada di Desa Jetis Trawas, Kelurahan Cepoko, Kecamatan Gunungpati, Kota Semarang. Aktivitas dan kebiasaan unik ini ternyata memicu terbentuknya ruang yang digunakan untuk berbagai aktivitas. Salah satunya yang unik yaitu masih banyak terdapat rumah tinggal yang berada satu lingkungan dengan hewan ternak. Tujuan penelitian ini adalah untuk mengetahui pola sharing space yang ada di pinggiran kota dan faktor – faktor yang berpengaruh dalam terbentuknya sharing space di pinggiran kota. Metode penelitian yang digunakan adalah penelitian kualitatif rasionalistik, kualitatif analisis dengan deskriptif untuk menganalisa suatu objek dengan kondisi di lokasi penelitian. Analisis data menggunakan hasil wawancara dari beberapa warga dengan berbagai golongan umur yang objek penelitiannya sesuai dengan tema penelitian, kemudian hasilnya dianalisis secara deskriptif. Hasil penelitian menunjukkan melalui wawancara tersebut, diketahui bahwa Sharing Spaceterbentuk karena ketersediaan lahan, faktor ekonomi dan juga faktor sosial.

Space-time mapping of co-working spaces in Cairo: shifting paradigms from openness to technologically controlled spaces

The paper demonstrates how co-working spaces, with their openness ideologies that are not only manifested in sharing space, but also sharing knowledge and generating access to nonhierarchical productive opportunities, are being subsumed into reinforcing neoliberal exclusiveness. The paper questions the openness of co-working spaces that reconciled with the dominant ideologies of 2011 Cairo, setting the stage to the mushrooming of co-working spaces inside Cairo’s apartment buildings as zones of relative freedom. Through space-time mapping of the emergence of co-working spaces in Cairo, in addition to interviews with co-workers, co-founders, and managers of co-working spaces, the spatial appropriation and accessibility of co-working spaces are demonstrated. Using content analysis and space syntax analysis, the study differentiates between two paradigmatic shifts in the spatial appropriation of co-working spaces—from democratizing digital infrastructure in the aftermath of 2011, to being subsumed by technological capitalist ventures by the end of 2015 into a closed paradigm, they originally emerged to defy—and compares between the spatial accessibility, visual accessibility, and social diversity of the two waves of co-working spaces. Using Cairo’s co-working spaces as a case study, this paper shows how ideologies of openness “neutral” as they may seem, can serve to legitimize exclusiveness, emphasizing how ideas—as men—can be socially located, and serve to legitimize a particular social situation.

Identifikasi Karakteristik Ruang Bersama pada Permukiman Nelayan Untuk Optimalisasi Peremajaan Permukiman dengan Konsep Co-Living (Studi Kasus Kelurahan Kangkung, Kota Bandar Lampung)

Housing and settlements are basic needs of every human being as a place to grow and develop. In developing countries, rapid population growth results in scarcity of land and housing, especially for low-income people. Thus, slums grow on the top, edges, plains, hills and disaster-prone areas. Various initiatives to rejuvenate slums have been carried out, but have not completely succeeded in eliminating slums. Limited institutional and funding resources require an innovative approach in rejuvenating slum settlements to be more efficient, which has a significant impact on the community. The characteristics of slum settlements that are dense and have a limited residential area also require innovation to meet decent housing standards. In addition, the value of togetherness and the high level of social interaction between residents of urban villages is a potential that can be integrated in the rejuvenation of slums. In line with these challenges and potentials, co-living, the concept of living together, by sharing space for common use, is an approach that can be applied in efforts to rejuvenate settlements. As a maritime and archipelagic country, one of the characteristics of settlements that often develop in Indonesia is fishermen's settlements in coastal areas. In this study, a study was conducted on the common spaces in the fishermen's settlement of Kangkung Village, Bandar Lampung. This common room is usually used by the community to interact or carry out their activities either in the morning, afternoon, evening or night. The purpose of this study is to identify the characteristics of the common space in fishing settlements, as well as the characteristics of its users. The handling of this common space can be prioritized to improve the social and economic conditions of the community, while at the same time providing a significant impact not only for individuals, but also for wider community groups. The research method used in this study is a qualitative inductive approach, with data sourced from field observations and interviews with stakeholders in fishing settlements, both community and government representatives. The results of this study have identified at least five shared spaces in the fishing settlements of Kangkung Village, namely markets, ports and fish auction sites (TPI), waterfront areas, road corridors and public toilets.

Sharing Spaces and Entanglements With Big Cats: The Warli and Their Waghoba in Maharashtra, India

Long histories of sharing space and resources have built complex, robust, and enduring relationships between humans and wildlife in many communities across the world. In order to understand what makes it possible for humans and wildlife to share space, we have to look beyond the ecological and socio-economic study of damages caused by human-wildlife conflict and explore the cultural and societal context within which co-existence is embedded. We conducted an exploratory study on the institution of Waghoba, a big cat deity worshiped by the Indigenous Warli community in Maharashtra, India. Through our research, we found that the worship of Waghoba is highly prevalent, with 150 shrines dedicated to this deity across our study site. We also learnt that the Warlis believe in a reciprocal relationship, where Waghoba will protect them from the negative impacts of sharing spaces with big cats if the people worship the deity and conduct the required rituals, especially the annual festival of Waghbaras. We propose that such relationships facilitate the sharing spaces between humans and leopards that live in the landscape. The study also revealed the ways in which the range of institutions and stakeholders in the landscape shape the institution of Waghoba and thereby contribute to the human-leopard relationship in the landscape. This is relevant for present-day wildlife conservation because such traditional institutions are likely to act as tolerance-building mechanisms embedded within the local cosmology. Further, it is vital that the dominant stakeholders outside of the Warli community (such as the Forest Department, conservation biologists, and other non-Warli residents who interact with leopards) are informed about and sensitive to these cultural representations because it is not just the biological animal that the Warlis predominantly deal with.