Transforming with partner patients a program of preparation for bariatric surgery

Introduction: Therapeutic patient education (TPE) is a patient-centered approach that requires proper training of healthcare professionals. This study aims to explore representative situations encountered by physicians in their practice where TPE training was useful, which can provide insights for the conception of TPE training programs. Methods: A qualitative approach with both focus groups (FG) and individual interviews with physicians trained in TPE in activity at the Geneva University Hospitals (GUH) was carried out. The data was analyzed using inductive thematic analysis. Results: Two FG of 9 doctors were conducted. Six representative situations emerged from our analysis: non-compliance, maintaining a comprehensive vision for overall care of the patient, the partner patient, matching the patient request to the underlying need, co-constructing the therapeutic action plan, and confronting powerlessness. Discussion: Training in TPE allowed physicians to develop skills to better identify and address these situations. It also favored a change in the posture of the physician, from a posture of teaching and expertise to one of co-construction and learning. Conclusion: These situations show how much the care of complex patients is present in the medical practice and TPE training a valuable skill to deal with this complexity. TPE training targeted at these activities could have a positive impact on the practice of physicians and patient care.

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“…1, upper-left quadrant). It needs to be thought of as true coordination and skills sharing and not as a layering of actors and actions [30,31].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Patient Education in the practice of physicians at the Geneva University Hospitals: a qualitative analysis of representative situations and skills

Correia

Moutet

Fristalon

et al. 2020

Educ Ther Patient/Ther Patient Educ

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“…En 2018, le Service d'éducation thérapeutique du patient a transformé son programme éducatif de préparation à la chirurgie bariatrique en s'appuyant sur les besoins de 50 patients et sur l'expertise des soignants 11. De ce partenariat consultatif est né un nouveau programme centré sur l'intervention d'un patient témoin.…”

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Entrer en collaboration avec des patients partenaires : une évidence ?

Somers¹,

Mouttet²,

Joly³

et al. 2020

Revue Médicale Suisse

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Le contexte sociétal, politique et institutionnel est aujourd'hui favorable à la mise en place d'un partenariat entre patients et soignants. Malgré des bénéfices tangibles, la perception d'une ambivalence des partenaires renforce l'importance de la cons truction de cette collaboration. Cet article décrit cette démarche collaborative, née dans le contexte de la transformation d'un programme éducatif de préparation à la chirurgie bariatrique. Dans la stratégie d'implémentation, l'exploration contextuelle des besoins des partenaires constitue l'étape fondatrice. Elle met en lumière un besoin de sécurisation des soignants quant à des enjeux de pouvoir, et questionne sur les compétences requises des patients partenaires. La définition du modèle de partenariat par les partenaires apporte des réponses. Start to collaborate with partner patients :an evidence?The societal, political and institutional context is today favorable for the establishment of a partnership between patient and healthgivers. Despite the tangible benefits, the perception of partners ambivalent attitudes reinforces the importance of the construction for this collaboration. This article describes this collaborative approach born out of the transformation of a bariatric surgery preparation educational program. In this context, the implementation strategy is the founding stage to explore the needs of partners. This highlights the need to secure the healthgivers regarding power issues, as well as to question the skills required for patient partners. The definition of the partnership model by the partners provides answers.

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Transforming with partner patients a program of preparation for bariatric surgery

Cited by 2 publications

References 13 publications

Therapeutic Patient Education in the practice of physicians at the Geneva University Hospitals: a qualitative analysis of representative situations and skills

Therapeutic Patient Education in the practice of physicians at the Geneva University Hospitals: a qualitative analysis of representative situations and skills

Entrer en collaboration avec des patients partenaires : une évidence ?

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