Related Experiment Video
Updated: May 26, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Using network analysis to map the formal clinical reporting process in pediatric palliative care: a pilot study
Harold Siden1, Karen Urbanoski
1Department of Pediatrics, University of British Columbia, Child & Family Research Institute, 4480 Oak Street, Vancouver BC, V6H 3N1, Canada. hsiden@cw.bc.ca
BMC Health Services Research
|December 20, 2011
Summary
Continuity of care is crucial for complex conditions but often lacking. Network analysis revealed significant care discontinuity and fragmentation among providers in pediatric palliative care.
Area of Science:
- Healthcare Management
- Network Science
- Palliative Care
Background:
- Continuity of care is vital for managing complex and chronic conditions.
- Measuring care continuity presents a significant challenge in healthcare.
- Pediatric palliative care families often experience fragmented care.
Purpose of the Study:
- To identify care continuity within pediatric palliative care.
- To pilot network analysis as a tool for measuring care continuity.
Main Methods:
- Network analysis was applied to clinical records of 6 patients.
- Examined patterns of relationships and information flow among providers.
- Qualitative and quantitative descriptions of network structure were generated.
Main Results:
- A high degree of care discontinuity was identified.
- Care was fragmented across specialist and generalist providers.
- Information sharing was selective and often unidirectional.
Conclusions:
- Network analysis effectively describes care discontinuity in complex conditions.
- Findings highlight the fragmented care experienced by families.
- The tool has potential for application in electronic health records and other healthcare settings.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:25Types of Reports I: Hand-off Report
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
01:29Planning Nursing Care II
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
01:21Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
01:25Fundamentals of Nursing Process II
There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...