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Conceptual Confusion: A Barrier to Multi-Professional Involvement in Advance Care Planning in Nursing Homes - An Ethnographic Study.
J Palliat Care
December 2024
School of Health Sciences, University of Southampton, Southampton, UK.
Objectives: How health and social care professionals need to work together to deliver advance care planning (ACP) in nursing homes is not fully understood, with a reliance on professionals external to the nursing home to support ACP in the United Kingdom. The objectives of this study were to (a) examine the factors that influence multi-professional involvement in the ACP process within nursing homes and (b) explore how multi-professional working impacts the ACP process in nursing homes.
Methods: Using ethnography, data was collected through observation, interviews and document review from 36 participants including residents ( = 6), relatives ( = 4), nursing home staff ( = 19) and visiting professionals ( = 7).
Attitudes of health and social care professionals towards the use of blended diets for enteral tube feeding for children and young people.
J Child Health Care
November 2024
School of Health Sciences, University of Nottingham, Nottingham, UK.
Using a blended diet as an alternative to commercial formula is becoming more popular amongst parents and carers of children and young people (CYP) requiring long-term enteral tube feeding (ETF). Emerging evidence has demonstrated physiological and social benefits; however, families report feeling unsupported to use a blended diet in settings outside the home. This study aimed to explore the attitudes of health and social care staff towards the use of blended diets for CYP.
View Article and Find Full Text PDFTools and Strategies to Integrate Multi-Domain Information for Personalized Decision-Making in Oncological Care Pathways: A Scoping Review.
J Multidiscip Healthc
August 2024
Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences (FHML) Maastricht University, Maastricht, the Netherlands.
Introduction: There is a growing interest in personalized decision-making in oncology. According to the Integrated Oncological Decision-Making Model (IODM), decisions should be based on information from three domains: (1) medical technical information, (2) patients' general health status and (3) patients' preferences and goals. Little is known about what kind of tool/strategy is used to collect the information, by whom this is collected (nurse, clinician) when this is collected (moment in the care pathway), and how this information should be collected and integrated within decision-making in oncological care pathways, and what its impact is.
View Article and Find Full Text PDFImplementation of a New Integrated Healthcare Model; Quality Aspects to Support the Complex Home Care of Older Adults with Multiple Needs.
J Multidiscip Healthc
June 2024
Division of Health and Welfare Technology, School of Health, Care and Social Welfare, Mälardalens University, Eskilstuna, Sweden.
Aim: This study aims to describe experiences of the implementation of a new integrated healthcare model for older adults with complex care needs due to multimorbidity, living at home, from a health and welfare personnel perspective. The goal was to diminish hospitalization and still carry out high quality care at home for older adults living with multimorbidity. The model was implemented by two organizations working in cooperation, the municipality, and the region that handles interprofessional social care and healthcare in people's homes.
View Article and Find Full Text PDFUnderstanding patients' perspectives of clinical communication within a Major Trauma Centre.
Injury
September 2024
University of Liverpool, Liverpool, UK.
Article Synopsis
- Clinical communication for major trauma patients (MTP) is complex, requiring effective interaction between patients and healthcare teams due to the physical and emotional challenges faced during recovery.
- Through qualitative interviews with 20 MTPs, three key themes emerged: barriers to effective communication, emotional responses to interactions with staff, and the necessity for tailored communication strategies.
- Patients expressed difficulty in voicing concerns due to feelings of vulnerability and confusion, and emphasized the need for improved training for healthcare professionals to enhance their communication skills and address psychological needs effectively.
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