scholarly journals COVID-19: the impetus for change—sustaining healthcare team communication in times of social distancing

2020 ◽  
Vol 43 (5) ◽  
pp. 523-526
Author(s):  
Priyatma P. Khincha ◽  
Varun Chauhan ◽  
Chidi C. Ekwobi
2009 ◽  
Vol 16 (5) ◽  
pp. 705-713 ◽  
Author(s):  
C. O'Connor ◽  
J. O. Friedrich ◽  
D. C. Scales ◽  
N. K. J. Adhikari

2019 ◽  
Vol 37 (4_suppl) ◽  
pp. 96-96
Author(s):  
Julie Olson ◽  
Shauna McManus ◽  
Melissa F. Miller ◽  
Eva Yuen ◽  
Crystal S. Denlinger ◽  
...  

96 Background: With improving survival, gastric cancer patients face long-term quality of life concerns, including management of persistent symptoms and maintenance of social activity. We examined psychosocial distress and areas of concern in a national sample of gastric patients. Methods: Using data from the Cancer Support Community’s Cancer Experience Registry, our sample included 72 patients with a primary diagnosis of stomach (54%), esophageal (36%), or GIST (11%) cancer. Participants reported cancer-related distress using CancerSupportSource®, a 25-item tool with a 2-item anxiety risk subscale, 2-item depression risk subscale, and four additional subscales measuring symptom burden, body/healthy lifestyle, healthcare team communication, and relationship concerns. We used logistic regression to estimate which of these subscales influence risk for clinically significant anxiety and depression controlling for demographic/clinical variables that were associated with anxiety and depression risk in bivariate analysis. Results: Our sample was 62% female, 80% White, and averaged 58 years of age ( SD = 13). 24% were diagnosed less than one year before participating. 33% were ever diagnosed as metastatic. 42% had received surgery. 60% were at risk for clinically significant anxiety and 50% for clinically significant depression. In regression models, relationship concerns were significantly associated with greater risk for anxiety ( OR = 1.5; p < .05) and depression ( OR = 1.7; p < .05). Greater concern with healthcare team communication was associated with anxiety risk in bivariate analysis ( r = .41, p < .01), but the association was only a trend in the multivariate model ( OR = 1.4; p = .06). Similarly symptom burden concern was associated with depression risk in bivariate analysis ( r = .57, p < .01) but only a trend in multivariate analysis ( OR = 1.2; p = .06). Conclusions: Relationship concerns predicted risk for clinically significant anxiety and depression among stomach, esophageal, and GIST patients. Healthcare team communication and symptom burden concerns were also associated with anxiety and depression risk. Results highlight the need for constructive patient-provider communication, particularly around relationships and symptoms. Clinical trial information: NCT02333604.


2021 ◽  
Vol 2 (2) ◽  
pp. 134-144
Author(s):  
Yusnaini Yusnaini

Abstrak: Desa Darul Amin merupakan desa yang berada di Kecamatan Lawe Alas Kabupaten Aceh Tenggara, Provinsi Aceh, Indonesia. Survey awal selama masa pandemi COVID-19 didapatkan beberapa permasalahan berupa masyarakat sering berkumpul bersama bila ada acara/kegiatan, masyarakat merasa khawatir ke tempat layanan kesehatan, prevalensi penyakit tertinggi seperti hipertensi, rematik, asam urat dan diabetes. Adapun hasil pertanian masyarakat berupa jagung, padi, jahe, kunyit, lengkuas dan minyak kelapa.  Oleh karena itu, pentingnya pengembangan inovasi teknologi Excellent Care sebagai sarana fasilitas pelayanan kesehatan dan bisnis online untuk mewujudkan masyarakat sehat, sejahtera dan bebas COVID-19. Kegiatan yang dilakukan terdiri dari pemberdayaan kader kesehatan, desiminasi ilmu tentang ramuan herbal, pengembangan inovasi teknologi Excellent Care dan kunjungan tim tenaga kesehatan untuk layanan homecare kepada masyarakat. Kegiatan tersebut bertujuan meningkatkan kesehatan melalui layanan konsultasi dan homecare, mendukung program pemerintah dalam penerapanan social distancing, memberikan peluang bisnis bagi masyarakat dalam mempromosikan ramuan herbal serta mengembangkan Desa Darul Amin sebagai desa percontohan yang memanfaatkan fasilitas pelayanan kesehatan online yang dapat memandirikan masyarakat untuk hidup sehat dan produktif. Kelompok sasaran dalam kegiatan ini adalah masyarakat dan kader di Desa Darul Amin. Adapun hasil capaian kegiatan yaitu masyarakat sudah memanfaatkan layanan kesehatan online, masyarakat sudah mempromosikan ramuan herbalnya melalui www.excellentcare.com, kader dan tenaga kesehatan sudah mendapatkan penghasilan dari layanan homecare.Abstract: Darul Amin Village is a village located in Lawe Alas District, Southeast Aceh Regency, Aceh Province, Indonesia. During the COVID-19 pandemic period, the initial survey found several community problems, often gathering together when there was an event/activity. The community was worried about health services, the highest prevalence of hypertension, rheumatism, gout, and diabetes. The community agricultural products are corn, rice, ginger, turmeric, galangal, and coconut oil. Therefore, the importance of developing Excellent Care technology innovation as a means of health service facilities and online businesses create a healthy, prosperous, and free of COVID-19 society. Activities carried out consisted of empowering health cadres, disseminating knowledge about herbal ingredients, developing Excellent Care technology innovations, and visiting a healthcare team for home care services to the community. This activity aims to improve health through consultation and home care services, support government programs in the application of social distancing, provide business opportunities for the community in promoting herbal concoctions and develop Darul Amin Village as a pilot village that utilizes online health service facilities that can empower people to live healthy and productive. The target groups in this activity are the community and cadres in Darul Amin Village. The results of the activity are that the community has made use of online health services, the community has promoted their herbal ingredients through www.excellentcare.com, cadres and health workers have earned income from homecare services.


2017 ◽  
Vol 49 (2) ◽  
pp. 75-93 ◽  
Author(s):  
Charlotte Tsz-Sum Lee ◽  
Diane Marie Doran

Patient safety is compromised by medical errors and adverse events related to miscommunications among healthcare providers. Communication among healthcare providers is affected by human factors, such as interpersonal relations. Yet, discussions of interpersonal relations and communication are lacking in healthcare team literature. This paper proposes a theoretical framework that explains how interpersonal relations among healthcare team members affect communication and team performance, such as patient safety. We synthesized studies from health and social science disciplines to construct a theoretical framework that explicates the links among these constructs. From our synthesis, we identified two relevant theories: framework on interpersonal processes based on social relation model and the theory of relational coordination. The former involves three steps: perception, evaluation, and feedback; and the latter captures relational communicative behavior. We propose that manifestations of provider relations are embedded in the third step of the framework on interpersonal processes: feedback. Thus, varying team-member relationships lead to varying collaborative behavior, which affects patient-safety outcomes via a change in team communication. The proposed framework offers new perspectives for understanding how workplace relations affect healthcare team performance. The framework can be used by nurses, administrators, and educators to improve patient safety, team communication, or to resolve conflicts.


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