Editorial: Consumer Engagement in Health and Well-being: Theoretical and Empirical Perspectives in Patient Centered Medicine

The Veterans Health Administration (VHA) is implementing a Whole Health System (WHS) of care that empowers and equips Veterans to take charge of their health and well-being and live their lives to the fullest, and increasingly leaders recognize the need and value in implementing a similar approach to support the health and well-being of employees. The purpose of this paper is to do the following: 1) provide an overview of the WHS of care in VHA and applicability in addressing employee resiliency; 2) provide a brief history of employee well-being efforts in VHA to date; 3) share new priorities from VHA leadership as they relate to Employee Whole Health strategy and implementation; and 4) provide a summary of the impacts of WHS of care delivery on employees. The WHS of care utilizes all therapeutic, evidence-based approaches to support self-care goals and personal health planning. Extending these approaches to employees builds upon 10 years of foundational work supporting employee health and well-being in VHA. In 2017, one facility in each of the 18 Veterans Integrated Service Networks (VISNs) in VHA was selected to participate in piloting the WHS of care with subsequent evaluation by VA’s Center for Evaluating Patient-Centered Care (EPCC). Early outcomes, from an employee perspective, suggest involvement in the delivery of the WHS of care and personal use of the whole health approach have a meaningful impact on the well-being of employees and how they experience the workplace. During the COVID-19 pandemic, VHA has continued to support employees through virtual resources to support well-being and resiliency. VHA's shift to this patient-centered model is supporting not only Veteran care but also employee health and well-being at a time when increased support is needed.

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Evaluating Climate between Working Excellence and Organizational Innovation: What Comes First?

Sustainability ◽

10.3390/su12083340 ◽

2020 ◽

Vol 12 (8) ◽

pp. 3340

Author(s):

Isabella Bonacci ◽

Andrea Mazzitelli ◽

Donato Morea

Keyword(s):

Organizational Climate ◽

Organizational Innovation ◽

Human Resources Management ◽

Well Being ◽

Work Processes ◽

Patient Centered ◽

Large Hospital ◽

3 Dimensional ◽

Positive Effects ◽

Health And Well Being

This research introduces a new concept of organizational climate, seen as a "mediator", namely a factor liable to produce positive effects on both individual performances and on work processes and relations, thereby creating a favorable relationship between work excellence and organizational innovation. Health systems have been called to promote sustainability, as actors who work for the health and well-being of their patients. Starting from these considerations, this work shows the main results of a longitudinal study conducted in the pediatric department of a large hospital in southern Italy, for a period of three years (May 2014–May 2017). The reference survey was very broad because in the first step of the research a general questionnaire was adopted which included various aspects. Subsequently, the analysis of the influence of the “climate” factor was carried out according to a 3-dimensional scheme: structural, interpersonal/relational and individual. The focus was therefore set—especially in the second survey—on those indicators responding to the objective of the research and that were consistent with the epistemological choice made. The main scope was to verify the conditions according to which the organizational climate can emerge as a novel factor capable of siding with and orienting innovative patient-centered policies of human resources management.

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Assessing a Patient-Centered E-Health Approach to Chronic Disease Self-Management

Patient-Centered E-Health ◽

10.4018/978-1-60566-016-5.ch013 ◽

2009 ◽

pp. 168-185 ◽

Cited By ~ 6

Author(s):

Elizabeth Cummings ◽

Stephen Chau ◽

Paul Turner

Keyword(s):

Decision Making ◽

Chronic Disease ◽

Well Being ◽

End Users ◽

Patient Centered ◽

Perceived Need ◽

Sociotechnical Design ◽

Care Health ◽

Health And Well Being

This chapter explores how in developing patient-centred e-health systems it is possible to accommodate heterogeneous characteristics of end-users and their diverse health and care contexts. It concurs with conventional sociotechnical design paradigms that argue systems must be easy to use, fulfill a perceived need, and present a clear value proposition to ensure successful adoption and utilisation by patients. The chapter also highlights the need for awareness of a number of key challenges relating to emerging discourses on ‘empowering patients’ and ‘e-health’. The implications of these challenges for the development of a truly patient-centred e-health approach are explored in a detailed case study. This chapter contributes to research focused on supporting patients to become genuine co-participants in their own care, health and well-being. However, it also acknowledges that part of the challenge of achieving this goal requires a focus on assisting clinicians to learn to respond to this shift in the autonomy of decision- making

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Trauma-informed care: recognizing and resisting re-traumatization in health care

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2021-000815 ◽

2021 ◽

Vol 6 (1) ◽

pp. e000815

Author(s):

Samara Grossman ◽

Zara Cooper ◽

Heather Buxton ◽

Sarah Hendrickson ◽

Annie Lewis-O'Connor ◽

...

Keyword(s):

Health Care ◽

Well Being ◽

Structural Elements ◽

Patient Centered ◽

Healthcare Settings ◽

Trauma Informed Care ◽

Trauma Informed ◽

Definition Of ◽

The Impact ◽

Health And Well Being

Trauma is often viewed as an individual or interpersonal issue. This paper expands the definition of trauma to include the impact collective and structural elements on health and well-being. The need for a trauma-informed response is demonstrated, with instruction as to how to implement this type of care in order to resist re-traumatization. Three examples from healthcare settings across the nation are provided, to demonstrate the ways in which organizations are bringing forward this patient-centered, trauma-informed approach to care.

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Key concepts in providing patient-centered care

10.32920/ryerson.14636718 ◽

2021 ◽

Author(s):

Aaron Bechtold ◽

Suzanne Fredericks

Keyword(s):

Clinical Practice ◽

Well Being ◽

Patient Centered Care ◽

Patient Centered ◽

Know How ◽

Key Concepts ◽

Centered Care ◽

Health And Well Being

In patient-centered care, the patient’s values, beliefs, and preferences regarding overall health and well-being are incorporated into the plan of care and implementation of all care-related activities. Most nurses are familiar with the concept of patient-centered care but may not know how to integrate this concept effectively into practice. This article presents an overview of patient-centered care and explains how to integrate it clinically, focusing on specific strategies. To apply patient-centered care to your clinical practice, you need to consider the five essential concepts below.

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Qualitative Research in Rheumatology: An Overview of Methods and Contributions to Practice and Policy

The Journal of Rheumatology ◽

10.3899/jrheum.191368 ◽

2020 ◽

Vol 48 (1) ◽

pp. 6-15

Author(s):

Ayano Kelly ◽

Kathleen Tymms ◽

Kieran Fallon ◽

Daniel Sumpton ◽

Peter Tugwell ◽

...

Keyword(s):

Qualitative Research ◽

Well Being ◽

Healthcare Services ◽

Clinical Settings ◽

Patient Centered ◽

Centered Care ◽

Rheumatic Conditions ◽

The Common ◽

Health And Well Being ◽

Beliefs And Attitudes

Patient-centered care is widely advocated in rheumatology. This involves collaboration among patients, caregivers, and health professionals and is particularly important in chronic rheumatic conditions because the disease and treatment can impair patients’ health and well-being. Qualitative research can systematically generate insights about people’s experiences, beliefs, and attitudes, which patients may not always express in clinical settings. These insights can address complex and challenging areas in rheumatology, such as treatment adherence and transition to adult healthcare services. Despite this, qualitative research comprises 1% of studies published in top-tier rheumatology journals. A better understanding about the effect and role, methods, and rigor of qualitative research is needed. This overview highlights the recent contributions of qualitative research in rheumatology, summarizes the common approaches and methods used, and outlines the key principles to guide appraisal of qualitative studies.

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Key concepts in providing patient-centered care

10.32920/ryerson.14636718.v1 ◽

2021 ◽

Author(s):

Aaron Bechtold ◽

Suzanne Fredericks

Keyword(s):

Clinical Practice ◽

Well Being ◽

Patient Centered Care ◽

Patient Centered ◽

Know How ◽

Key Concepts ◽

Centered Care ◽

Health And Well Being

In patient-centered care, the patient’s values, beliefs, and preferences regarding overall health and well-being are incorporated into the plan of care and implementation of all care-related activities. Most nurses are familiar with the concept of patient-centered care but may not know how to integrate this concept effectively into practice. This article presents an overview of patient-centered care and explains how to integrate it clinically, focusing on specific strategies. To apply patient-centered care to your clinical practice, you need to consider the five essential concepts below.

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Health Coaching

Integrative Nursing ◽

10.1093/med/9780199860739.003.0014 ◽

2014 ◽

pp. 171-184

Author(s):

Jane Anderson

Keyword(s):

Well Being ◽

Health Coaching ◽

Active Listening ◽

Health Seeking ◽

Patient Centered ◽

Self Reflection ◽

Nonviolent Communication ◽

Health Coaches ◽

Self Discovery ◽

Health And Well Being

Health coaching, an emerging health care specialty, is a way of being-knowing-doing that facilitates lifestyle change and well-being. Coaching is client-centered and based on values of partnership, empowerment, authenticity, trust, self-reflection and openness. Using strategies that include motivational interviewing, nonviolent communication, reflective practice and appreciative inquiry, health coaches accompany clients along their health-seeking journey. Developing professional competencies, including presencing, active listening, education, self-discovery and change processes, form the basis for new credentialing/certification processes and educational programs. These competencies align with the principles of integrative nursing and nursing’s historical focus on patient-centered, relationship-based care that facilitates body-mind-spirit health and well-being.

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Documenting the Need for Patient-Centered Relevant Outcomes in Adult Day Services

Innovation in Aging ◽

10.1093/geroni/igab046.322 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 85-85

Author(s):

Jonelle Boafo ◽

Keith Anderson ◽

Abraham Brody ◽

Tina Sadarangani

Keyword(s):

Clinical Judgment ◽

Large Scale ◽

State Level ◽

Well Being ◽

Patient Centered ◽

Adult Day Services ◽

Large Scale Data ◽

Standardized Reporting ◽

Day Services ◽

Health And Well Being

Abstract ADCs are not uniformly regulated at the federal or state level, resulting in the absence of uniform data collection. The lack of large-scale data has resulted in a dearth of evidence on the role ADC services play in the health and well-being of their clients, particularly persons living with dementia (PLWD). The purpose of this study was to compare data being collected across states and evaluate the degree to which patient centered relevant outcomes (PCROs) are being collected. A review of ADC regulations in 50 states found that <10 states, required standardized reporting on ADC participants. Regulatory forms relied on clinical judgment as opposed to validated tools, and focused on eligibility for services as opposed to independence, engagement, or clinical interventions in the ADC. Emphasizing collection of PCROs in ADCs, beginning at the state level, is an essential step in documenting the value and effectiveness of ADCs, particularly for PLWD.

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