Measuring patient and family perceptions of team processes and outcomes in healthcare teams: questionnaire development and psychometric evaluation

Kilpatrick, Kelley; Tchouaket, Éric; Paquette, Lysane; Guillemette, Claudel; Jabbour, Mira; Desmeules, François; Landry, Véronique; Fernández, Nicolás

doi:10.1186/s12913-018-3808-0

Cited by 14 publications

(27 citation statements)

References 81 publications

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“…Taken together, all these elements call for considering SDM in mental health care as a continuous, multipersonal process, not completed within a limited time period or with a single decision. 18,19 Ozdemic and Finkelstein have suggested that the longtime nature of chronic conditions provides a knowledge ripeness of how the illness and its suffering is understood and that we should be aware of the changes in the patients' self when recovering and the complexity that develops regarding decisions made. 20 As many of the mental illnesses are long-term conditions, we suggest this is relevant for how practitioners in mental health care understand the patient views.…”

Section: The Complexity Of Sdm In Mental Health Carementioning

confidence: 99%

Practitioners' positive attitudes promote shared decision‐making in mental health care

Drivenes

Haaland

Mesel

et al. 2019

Evaluation Clinical Practice

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Rationale and aims There is a growing expectation of implementing shared decision making (SDM) in today's health care service, including mental health care. Traditional understanding of SDM may be too narrow to capture the complexity of treatments of mental health problems. Although the patients' contribution to SDM is well described, the contribution from the health care practitioners is less explored. Therefore, our aim was to explore the attitudes of practitioners in mental health care and the associations between practitioners' attitudes and SDM. Method We performed a cross‐sectional study where practitioners reported their sharing and caring attitudes on the Patient‐Practitioner Orientation Scale (PPOS) and age, gender, profession, and clinical working site. The patients reported SDM using the CollaboRate tool. We used a mixed effect model linking the data from each practitioner to one or more patients. We presented the findings and used them as background for a more philosophic reflection. Results We included 312 practitioners with mean age 46.1 years. Of the practitioners, 60 held a medical doctors degree, 97 were psychologists, and 127 held a college degree in nursing, social science, or pedagogy. Female practitioners reported higher sharing (4.79 vs 4.67 [range 1‐6], P = .04) and caring scores (4.77 vs 4.65 [range 1‐6], P = .02) than males. The regression model contained 206 practitioners and 772 patients. We found a higher probability for the patient to report high SDM score if the practitioner reported higher sharing scores, and lower probability if the practitioner worked in ambulatory care. Conclusions SDM in mental health care is complex and demands multifaceted preparations from practitioners as well as patients. The practitioners' attitudes are not sufficiently explored using one instrument. The positive association between practitioners' patient‐centred attitudes and SDM found in this study implies a relevance of the practitioners' attitudes for accomplishment of SDM processes in mental health care.

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Section: The Complexity Of Sdm In Mental Health Carementioning

confidence: 99%

Practitioners' positive attitudes promote shared decision‐making in mental health care

Drivenes

Haaland

Mesel

et al. 2019

Evaluation Clinical Practice

View full text Add to dashboard Cite

show abstract

“…Additionally, it is important to recognize that mental illnesses evolve through periods of recovery and relapse (Perestelo-Perez et al, 2011;Beitinger et al, 2014;Morant et al, 2016). All these elements call for considering SDM in mental health care a continuous process that involves multiple people, which cannot be restricted to a single decision or a particular consultation (Chong et al, 2013a;Kilpatrick et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Discrepancy in Ratings of Shared Decision Making Between Patients and Health Professionals: A Cross Sectional Study in Mental Health Care

Drivenes

Haaland

Hauge³

et al. 2020

Front. Psychol.

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Background: A defined goal in mental health care is to increase the opportunities for patients to more actively participate in their treatment. This goal includes integrating aspects of user empowerment and shared decision-making (SDM) into treatment courses. To achieve this goal, more knowledge is needed about how patients and therapists perceive this integration. Objective: To explore patient experiences of SDM, to describe differences between patient and therapist experiences, and to identify patient factors that might reduce SDM experiences for patients compared to the experiences of their therapists. Methods: This cross-sectional study included 992 patients that had appointments with 267 therapists at Sørlandet Hospital, Division of Mental Health during a 1-week period. Both patients and therapists completed the CollaboRATE questionnaire, which was used to rate SDM experiences. Patients reported demographic and treatment-related information. Therapists provided clinical information. Results: The analysis included 953 patient-therapist responder pairs that completed the CollaboRATE questionnaire. The mean SDM score was 80.7 (SD 20.8) among patients, and 86.6 (SD 12.1) among therapists. Females and patients that did not use medication for mental health disorders reported higher SDM scores than males and patients that used psychiatric medications (83.3 vs. 77.7; p < 0.001 and 82.6 vs. 79.8; p = 0.03, respectively). Patients with diagnoses involving psychotic symptoms reported lower SDM scores than all the other patients (66.8 vs. 82.3; p < 0.001). The probability that a patient would report lower SDM scores than their therapist was highest among patients that received involuntary treatment (OR 3.2, p = 0.02), patients with treatment durations longer than 2.2 years (OR 1.9, p = 0.001), and patients that required day care or in-patient care (OR 3.2, p = 0.01 and OR 3.2, p < 0.001, respectively).

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“…The Interprofessionality as a modifying mechanism of health care team practices involves effective communication actions, participation in decision making, cohesion, coordination of services and problem solving, and it is recognized that the lack of those factors diminishes the effectiveness of the results. In the United States, a review of 23.000 allegations of neglect highlighted poor communication as one of the main components responsible for the inadequate functioning of a health care team, resulting in a cost of US$ 1.7 billion and loss of about 2.000 lives (5) .…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, there is a worldwide increasing need for the development of complex practices that are based on interdisciplinarity and interprofessionalism in order to achieve quality results in health care, through collaboration among professionals and expansion of interdisciplinary health care models (4)(5)(6) . Furthermore, there is an increasing perception that unidisciplinarity achieves ineffective results in front of the complexity of the health process and the illness of communities and population (4) .…”

Section: Introductionmentioning

confidence: 99%

“…Based on that premise, the expansion of health systems requires the development of health practices based on an interdisciplinary vision to solve problems, with effective results directed to the dynamics of health work actions and management of illness situations (5)(6) . Nursing as a profession related to team and intrateam interaction and collaboration, as well as linked to the building of theoretical-practical models of health care, has been expanding actions through interdisciplinary and interprofessional actions with health teams contributing to modify community health realities (7) .…”

Section: Introductionmentioning

confidence: 99%

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Collaborative practices from health care teams to face the covid-19 pandemic

et al. 2020

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Objective: To report the experience of collaborative practices facing the COVID-19 pandemic. Methods: This is a report about the experience of collaborative practices conducted by health care teams in emergency service in the Emergency Care Units facing of COVID-19 pandemic in the city of Fortaleza, State of Ceará, in the first semester of 2020. Results: Collaborative actions, cooperation and effective communication among nursing and medical team contribute to the management of mild and complex cases of COVID-19, as well as qualify them in suitable and necessary care and confrontation measures. Final considerations: The report shows the need for collaborative practices to minimize negative effects on the population in the face of the new coronavirus pandemic.

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Measuring patient and family perceptions of team processes and outcomes in healthcare teams: questionnaire development and psychometric evaluation

Cited by 14 publications

References 81 publications

Practitioners' positive attitudes promote shared decision‐making in mental health care

Practitioners' positive attitudes promote shared decision‐making in mental health care

Discrepancy in Ratings of Shared Decision Making Between Patients and Health Professionals: A Cross Sectional Study in Mental Health Care

Collaborative practices from health care teams to face the covid-19 pandemic

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