Related Experiment Video
Updated: Feb 25, 2026
06:05
The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.8K
Learning Together From Uncertainty: An Evaluation of Practice Inquiry Groups in a Nationwide Primary Care Practice
Gurpreet Dhaliwal1,2,3,4, John Penner1,2,3,4, Meg Scott1,2,3,4
1Dr. Dhaliwal: Medical Service, San Francisco VA Medical Center and Professor of Medicine, University of California, San Francisco, CA, USA.
Summary
Practice inquiry (PI) enhances primary care clinicians' knowledge, management skills, and comfort with uncertainty. Clinicians value PI for peer support, system insights, and improved patient relationships, suggesting areas for program enhancement.
Area of Science:
- Primary Care Medicine
- Medical Education
- Healthcare Management
Background:
- Practice inquiry (PI) is a structured discussion method for primary care clinicians.
- It aims to help clinicians explore uncertainty and learn from challenging cases.
- Understanding clinician value of PI can guide implementation of collaborative discussion formats.
Purpose of the Study:
- To evaluate clinician perceptions of Practice Inquiry (PI) in a large, nationwide primary care setting.
- To identify valued aspects of PI among primary care clinicians and facilitators.
- To gather recommendations for improving PI sessions and organizational support.
Main Methods:
- A survey was administered to primary care clinicians and facilitators.
- Data collected from 296 participants and 69 facilitators.
- Response rates were 61% for participants and 75% for facilitators.
Main Results:
- Over 70% of respondents reported enhanced knowledge and management skills.
- Respondents felt more comfortable managing uncertainty.
- Valued aspects included peer validation, reassurance, health system information, and insights into reasoning and patient-clinician relationships.
Conclusions:
- PI is perceived positively by primary care clinicians, enhancing skills and comfort with uncertainty.
- Peer support and practical insights are key benefits.
- Improvements suggested include case follow-up and enhanced facilitator training, informing future program development.
More Related Videos
Related Concept Videos
01:30Primary Healthcare Services
2.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.4K
01:15Nursing Evaluation
4.5K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.5K
01:13Patient-centered Care
3.2K
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...
3.2K
01:26Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
01:21Methods of Documentation III: PIE
2.1K
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:
2.1K
01:27Nursing Clinical Information System
1.3K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.3K