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Related Concept Videos

Methods of Documentation III: PIE01:21

Methods 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:
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Methods of Documentation VI: Case Management Model01:15

Methods 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...
Methods of Documentation IV: Focus Charting01:26

Methods of Documentation IV: Focus Charting

Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
Introduction to Documentation and Reporting01:20

Introduction to Documentation and Reporting

Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

"Confronted with paperwork": information and documentation in peer support.

Anne Scott1, Carolyn Doughty

  • 1School of Social and Political Sciences, University of Canterbury, Private Bag 4800, Christchurch 8140, New Zealand. A.Scott@canterbury.ac.nz

Journal of Mental Health (Abingdon, England)
|January 19, 2012
PubMed
Summary
This summary is machine-generated.

Peer supporters manage documentation uniquely, balancing minimal records or collaborative notes. This approach creates tensions with the broader mental health system, especially regarding data sharing.

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Area of Science:

  • Mental Health Services Research
  • Qualitative Health Research
  • Sociology of Health

Background:

  • Peer support operates with a distinct practice philosophy influencing information management.
  • Understanding how peer supporters handle documentation is crucial for integrating their services within broader systems.

Purpose of the Study:

  • To investigate the documentation practices of peer supporters.
  • To explore the inherent tensions arising from these practices within the mental health sector.

Main Methods:

  • A qualitative study was conducted in Aotearoa New Zealand.
  • Data collection involved two interviews each with 37 peer supporters and peer-support managers.

Main Results:

  • Peer supporters employed strategies to challenge traditional documentation, including maintaining minimal records or using collaborative, transparent methods.
  • These practices generated friction with the wider mental health system, particularly concerning national data collection initiatives.

Conclusions:

  • Awareness among funders and planners is needed regarding peer support services' hesitations with mental health information strategies.
  • Adopting peer support's documentation approaches could benefit the wider mental health sector.