Assessment of the Holistic Model of Neurosurgical Patient Care at the University College Hospital (UCH), Ibadan.


Journal

West African journal of medicine
ISSN: 0189-160X
Titre abrégé: West Afr J Med
Pays: Nigeria
ID NLM: 8301891

Informations de publication

Date de publication:
Historique:
entrez: 7 8 2019
pubmed: 7 8 2019
medline: 23 8 2019
Statut: ppublish

Résumé

Holistic ward round (HWR) is a polyadic, multiphasic, holistic model of neurosurgical patient care. It is a multidisciplinary ward round where all healthcare providers involved in patients care, the patients, the relations, as well as clergymen (depending on the patients' faith and need) collectively work to review patient's condition and make decisions in the patient's best interest. The study assessed the effectiveness of the holistic model of care and identified the challenges facing this model of healthcare delivery. The study was qualitative in design and In-depth Interviews (IDIs) were conducted with eighteen (18) participants who were purposively selected. They include neurosurgeons, nurses, medical social workers and physiotherapists. The data were thematically content analysed with the help of ATLAS.ti (v.7) software. The study found that patients and relations have immensely benefitted from the model of care through psychosocial support. The major challenges facing HWR were logistic, timing and common problems found in the Nigerian healthcare system. It was concluded that for HWR to effectively help spinal cord injured patients further, the healthcare providers, patients and their families require support in different forms from outside the hospital.

Sections du résumé

BACKGROUND BACKGROUND
Holistic ward round (HWR) is a polyadic, multiphasic, holistic model of neurosurgical patient care. It is a multidisciplinary ward round where all healthcare providers involved in patients care, the patients, the relations, as well as clergymen (depending on the patients' faith and need) collectively work to review patient's condition and make decisions in the patient's best interest.
OBJECTIVES OBJECTIVE
The study assessed the effectiveness of the holistic model of care and identified the challenges facing this model of healthcare delivery.
METHODS METHODS
The study was qualitative in design and In-depth Interviews (IDIs) were conducted with eighteen (18) participants who were purposively selected. They include neurosurgeons, nurses, medical social workers and physiotherapists. The data were thematically content analysed with the help of ATLAS.ti (v.7) software.
RESULTS RESULTS
The study found that patients and relations have immensely benefitted from the model of care through psychosocial support. The major challenges facing HWR were logistic, timing and common problems found in the Nigerian healthcare system.
CONCLUSION CONCLUSIONS
It was concluded that for HWR to effectively help spinal cord injured patients further, the healthcare providers, patients and their families require support in different forms from outside the hospital.

Identifiants

pubmed: 31385600

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

138-143

Auteurs

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Classifications MeSH