The Four Quadrant Clinical Integration Model For the Adult Population/ Heritage & CHIC Adaptation

2010 ◽  
Keyword(s):  
Adult Population ◽  
Clinical Integration ◽  
Integration Model ◽  
Four Quadrant

scholarly journals Shared care in surgery: Practical considerations for surgical leaders

2020 ◽  
pp. 084047042095248
Author(s):  
Morgann Reid ◽  
Alex Lee ◽  
David R. Urbach ◽  
Craig Kuziemsky ◽  
Morad Hameed ◽  
...  
Keyword(s):  
Clinical Care ◽  
Surgical Care ◽  
Shared Care ◽  
Clinical Integration ◽  
Integration Model ◽  
Surgical Access ◽  
Disease Site ◽  
Individual Surgeon ◽  
Professional Isolation ◽  
The Individual

The recent COVID-19 pandemic has highlighted limitations in current healthcare systems and needed strategies to increase surgical access. This article presents a team-based integration model that embraces intra-disciplinary collaboration in shared clinical care, professional development, and administrative processes to address this surge in demand for surgical care. Implementing this model will require communicating the rationale for and benefits of shared care, while shifting patient trust to a team of providers. For the individual surgeon, advantages of clinical integration through shared care include decreased burnout and professional isolation, and more efficient transitions into and out of practice. Advantages to the system include greater surgeon availability, streamlined disease site wait lists, and promotion of system efficiency through a centralized distribution of clinical resources. We present a framework to stimulate national dialogue around shared care that will ultimately help overcome system bottlenecks for surgical patients and provide support for health professionals.

scholarly journals Clinical Education in Athletic Training

2017 ◽  
Vol 12 (1) ◽  
pp. 46-50 ◽  
Author(s):  
Jessica R. Edler ◽  
Lindsey E. Eberman ◽  
Stacy Walker
Keyword(s):  
Patient Care ◽  
Athletic Training ◽  
Clinical Education ◽  
Best Practice ◽  
Full Time ◽  
Clinical Integration ◽  
Integration Model ◽  
Program Administrators ◽  
Course Work ◽  
Classroom Laboratory

Context: Clinical education is a foundational component of healthcare education by which students acquire, practice, and demonstrate competency in clinical proficiencies through classroom, laboratory, and clinical experiences. Currently, the most common practice of clinical education in athletic training is clinical integration. Objective: The purposes of this article are to describe how athletic training and similar health professions implement clinical education and to present clinical immersion as an alternative to clinical integration. Background: Clinical education is delivered differently across healthcare disciplines. Some disciplines use clinical immersion, while others use clinical integration. Some professions have specific requirements, while others are left to the discretion of the program administrators. However, few professions are measuring the effectiveness of each, leading to questions about best-practice models in clinical education. Description: Clinical integration occurs when students complete clinical and didactic course work concurrently, while in the clinical immersion model, students are immersed in patient care full time with little or no didactic course work. A hybrid model of clinical education includes both integration and immersion. Clinical Advantage(s): Preliminary research within nursing suggests that students engaged in clinical immersion perform better on certification examinations than do those from an integration model. The clinical immersion model is enhanced by the implementation of standardized patients and simulations to prepare students for immersive experiences. These encounters provide an opportunity for students to demonstrate competency before engaging in patient care, which promotes patient safety. Conclusion(s): Program administrators have the opportunity and professional responsibility to explore different curricular models and to ultimately develop better methods of preparing future athletic trainers. Moreover, educators have a responsibility to measure and report outcomes to help provide a body of knowledge regarding best practices in clinical education.

Parasympathetic Concomitants of Habitual, Spontaneous, and Instructed Emotional Suppression

2017 ◽  
Vol 31 (2) ◽  
pp. 78-89 ◽  
Author(s):  
Asmir Gračanin ◽  
Igor Kardum ◽  
Jasna Hudek-Knežević
Keyword(s):  
Negative Emotion ◽  
Self Regulation ◽  
Experimental Manipulation ◽  
Task Demands ◽  
Self Control ◽  
Integration Model ◽  
Sinus Arrhythmia ◽  
Emotional Suppression ◽  
Emotion Experience ◽  
Similar Relation

Abstract. The neurovisceral integration model proposes that different forms of self-regulation, including the emotional suppression, are characterized by the activation of neural network whose workings are also reflected in respiratory sinus arrhythmia (RSA). However, most of the previous studies failed to observe theoretically expected increases in RSA during emotional suppression. Even when such effects were observed, it was not clear whether they resulted from specific task demands, a decrease in muscle activity, or they were the consequence of more specific self-control processes. We investigated the relation between habitual or trait-like suppression, spontaneous, and instructed suppression with changes in RSA during negative emotion experience. A modest positive correlation between spontaneous situational and habitual suppression was observed across two experimental tasks. Furthermore, the results showed greater RSA increase among participants who experienced higher negative affect (NA) increase and reported higher spontaneous suppression than among those with higher NA increase and lower spontaneous suppression. Importantly, this effect was independent from the habitual suppression and observable facial expressions. The results of the additional task based on experimental manipulation, rather than spontaneous use of situational suppression, indicated a similar relation between suppression and RSA. Our results consistently demonstrate that emotional suppression, especially its self-regulation component, is followed by the increase in parasympathetic activity.

Spiritual Diversity Training and Clinical Integration in Clinical Psychology Interns

2009 ◽  
Author(s):  
Gloria M. Workman ◽  
Michelle M. Lee ◽  
Don E. Workman ◽  
Sheldon Cotler ◽  
Vanessa L. Christian
Keyword(s):  
Clinical Psychology ◽  
Diversity Training ◽  
Clinical Integration ◽  
Psychology Interns ◽  
Spiritual Diversity
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