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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Ethical Dilemmas II01:30

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Methods of Documentation VI: Case Management Model01:15

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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...
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Interdisciplinary Care: The Health Care Team-II01:18

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
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Interdisciplinary Care: The Health Care Team-I01:21

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
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The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Collaborative deliberation: a model for patient care.

Glyn Elwyn1, Amy Lloyd2, Carl May3

  • 1The Dartmouth Center for Health Care Delivery Science, Dartmouth College, USA.

Patient Education and Counseling
|September 2, 2014
PubMed
Summary
This summary is machine-generated.

This study introduces "collaborative deliberation," a new model for shared decision-making in healthcare. It outlines five propositions to support patients and clinicians in exploring health options and making informed choices together.

Keywords:
Behavior changeMotivational interviewingPatient centered carePatient–clinician communicationShared decision making

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Area of Science:

  • Decision making and behavior change
  • Clinical communication
  • Health services research

Background:

  • Existing theories focus on individual decision-making, neglecting collaborative processes.
  • There's a need for theoretical models supporting joint decision-making in healthcare.
  • Understanding collaborative processes is crucial for effective patient-clinician interactions.

Purpose of the Study:

  • To develop a conceptual model for supporting patients in considering alternative healthcare options collaboratively with clinicians.
  • To lay the groundwork for a middle-range theory on collaborative decision-making in healthcare.
  • To enhance patient-clinician communication and shared decision-making.

Main Methods:

  • Theory building through iterative discussions among researchers.
  • Expertise drawn from clinician-patient communication and decision-making theories.
  • Development of a conceptual model based on established theoretical principles.

Main Results:

  • A model named 'collaborative deliberation' was developed.
  • The model consists of five inter-related propositions: constructive interpersonal engagement, recognition of alternative actions, comparative learning, preference construction and elicitation, and preference integration.
  • The model emphasizes respecting individual agency, autonomy, and an empathic approach.

Conclusions:

  • The 'collaborative deliberation' model supports patient-centered care, motivational interviewing, goal setting, action planning, and shared decision-making.
  • This model provides a foundation for enhancing clinical communication and patient engagement.
  • It offers a framework for ethical and effective healthcare decision-making processes.