Identifying Barriers to Care in the Pediatric Acute Seizure Care Pathway
Objective: We aimed to describe the acute seizure care pathway for pediatric patients and identify barriers encountered by those involved in seizure care management. We also proposed interventions to bridge these care gaps within this pathway.Methods: We constructed a process map that illustrates the acute seizure care pathway for pediatric patients at Boston Children ’s Hospital (BCH). The map was designed from knowledge gathered from unstructured interviews with experts at BCH, direct observation of patient care management at BCH through a quality improvement implemented seizure diary and from findings through three st...
Source: International Journal of Integrated Care - March 31, 2022 Category: Nursing Source Type: research

Practical Recommendations for Youth Care Professionals to Improve Evaluation and Reflection During Multidisciplinary Team Discussions: An Action Research Project
Conclusion: The practical recommendations should be incorporated in daily practice to support professionals in Youth Care to increase satisfaction and improve effectiveness of evaluation and reflection during MTDs. Published on 2022-03-30 10:03:03 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 31, 2022 Category: Nursing Source Type: research

Implementing Optimal Care Pathways for Aboriginal and Torres Strait Islander People With Cancer: A Survey of Rural Health Professionals ’ Self-Rated Learning Needs
Conclusion: Strategies to address gaps included cultural safety training, person and family centred practice, and partnerships and connections with Aboriginal and Torres Strait Islander people and organisations across primary and tertiary sectors. Published on 2022-03-30 10:11:51 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 31, 2022 Category: Nursing Source Type: research

Improving In-Hospital Care For Older Adults: A Mixed Methods Study Protocol to Evaluate a System-Wide Sub-Acute Care Intervention in Canada
Discussion: This protocol helps to establish a blueprint for comprehensively evaluating interventions conducted in complex care settings using complementary research approaches and data sources. Published on 2022-03-28 09:46:28 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 28, 2022 Category: Nursing Source Type: research

A Large-Scale Screening Responding Sporadic Epidemic of COVID-19 in China by an Integrated Health-Care System
Conclusion:The large-scale screening contributed to preventing epidemic transmission. In the post-pandemic period, regular surveillance of asymptomatic cases and rapid response capability for emergent screening program are both crucial for the prevention and control of COVID-19 epidemic. The integrated healthcare system coordinating regional medical institutions and optimizing regional medical recourse has advantages to address public health emergencies. Published on 2022-03-23 10:07:39 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 23, 2022 Category: Nursing Source Type: research

Slowing Down to Accelerate: The Innovation of the Fundamentals of Integrated Care Governance
Published on 2022-03-23 10:32:34 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 23, 2022 Category: Nursing Source Type: research

Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review
Conclusion: In the IC programmes for patients with multimorbidity in Asia, service delivery, leadership, and workforce were most frequently mentioned, while the financing component was least mentioned. There appears to be considerable scope for development.HighlightsFirst scoping review to synthesise the key components and elements of integrated care programmes for multimorbidity in Asia.All programmes emphasized ‘distinctive service delivery’, ‘leadership’, and ‘workforce’ components.‘Financing’ component was least mentioned in identified integrated care programmes. Published on 2022-03-16 10:15:43 (Source...
Source: International Journal of Integrated Care - March 17, 2022 Category: Nursing Source Type: research

How to Scale Up Quality and Safety Program with the Home Care Accreditation
Conclusion: The existence of an integrated health and social care accreditation tool would help to improve the quality of home care, and make patients ’ quality of life better and safer. Published on 2022-03-04 09:13:03 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 4, 2022 Category: Nursing Source Type: research

Factors Impacting Primary Care Engagement in a New Approach to Integrating Care in Ontario, Canada
Conclusion: The 13 factors influencing primary care engagement were interconnected and operated at health system, integrated care initiative, and sector levels. Future research should focus on integrated care initiatives as they mature, to address potential gaps in the involvement of primary care physicians. Published on 2022-03-04 09:19:29 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 4, 2022 Category: Nursing Source Type: research

Integrated Nonpharmacological Intervention for Patients with MCI —A Preliminary Study in Shanghai, China
Conclusion: Through integrated intervention, the development of cognitive impairment can be significantly delayed, cognitive abilities can be improved (p< .05), and decline in daily living abilities can be significantly delayed (p< .05). At the same time, the mental health of participants can be improved to a certain extent. Published on 2022-03-04 09:25:47 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 4, 2022 Category: Nursing Source Type: research

Community Volunteers and Primary Care Providers Supporting Older Adults in System Navigation: A Mixed Methods Study
This study aimed to explore the experiences and impacts of system navigation in a complex intervention supporting older adults.Methods: We used a convergent mixed methods design. Participants included primary care team members (n = 67), community volunteers (n = 38), and programme clients (n = 128) across six communities in Ontario, Canada. Data sources included focus groups, interviews, system navigation function survey for volunteers, CBHSS use survey for clients, and implementation data on CBHSS recommended by providers and volunteers and used by clients.Results: Results showed the different patterns of how CBHSS catego...
Source: International Journal of Integrated Care - March 3, 2022 Category: Nursing Source Type: research

Improving Health Care for Patients with Multimorbidity: A Mixed-Methods Study to Explore the Feasibility and Process of Aligning Scheduled Outpatient Appointments through Collaboration between Medical Specialties
Conclusion: It seems feasible to set up an intervention for patients attending several hospital outpatient clinics. Future interventions should focus on selecting patients in greatest need for alignment of appointments. Published on 2022-03-01 11:50:42 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 1, 2022 Category: Nursing Source Type: research

Patient Pathways During Acute in-Hospital Stroke Treatment: A Qualitative Multi-Method Study
Discussion:Our results show that most direct staff-patient interactions are focussed within one phase, with a smaller number of interactions extending to other phases, and no professional (group) with direct patient interactions cover more than two phases of the acute stroke pathway. Future research should investigate how the pathways described here are experienced from the patient perspective, including how the organisation of visible care processes may influence patient satisfaction. Findings can be translated to accessible patient information resources as well as input for digitalisation efforts, provider orientation an...
Source: International Journal of Integrated Care - February 21, 2022 Category: Nursing Source Type: research

Developing an Integrated Model of Care for Veterans with Alcohol Problems
Discussion: By engaging stakeholders and service users, the model proposed a potential solution to reducing the number of veterans ‘falling through the gaps’ or disengaging from services. The collaborative approach highlighted the difficulties in navigating the current complex health and social care systems. The co-designed hub and spoke model aims to enable alcohol misuse services to adapt and evolve so that they better fi t the needs of veterans. Published on 2022-02-18 10:15:07 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 19, 2022 Category: Nursing Source Type: research

Impact of ‘Enhanced’ Intermediate Care Integrating Acute, Primary and Community Care and the Voluntary Sector in Torbay and South Devon, UK
Discussion and conclusion:Enhancing IC through greater acute, primary care and voluntary sector integration can lead to more complex, older patients being managed in the community, with modest impacts on service efficiency, system activity, and notional costs off-set by perceived benefits. Published on 2022-02-14 11:06:00 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 14, 2022 Category: Nursing Source Type: research