Table 3 Data reduction and CCC operational framework
From: Compassionate collaborative care: an integrative review of quality indicators in end-of-life care
CCC Indicators | Individual Patient / Family / Provider | Interprofessional (IP) Team | Organization |
|---|---|---|---|
Structures (attributes) | Overarching Structures: Patient and Family-Centered Care Overarching Values: Empathy, Sharing, Respect, and Partnership | ||
Patient-Family Values & Expectations | Values | Culture | |
• Commitment • Dignity • Supportive care | • Commitment • Authenticity • Holism | • Shared mission and vision • Leaders and champions • Inclusivity | |
- Continuous - Non-judgmental | Skills | Policies | |
• Relational • Leadership and advocacy • Reflection and self-awareness | • Support for IP patient-centered care | ||
Provider Needs & Expectations | Resources | ||
• Commitment • Support • Education | • Human (professional and non-professional) • Compassionate spaces • Time | ||
Resources | |||
• Shared IP space • Time | |||
Processes (tools / mechanisms) | Overarching Processes: Communication, Shared decision-making, and Goal setting | ||
Formal | Strategic planning | ||
• Symptom management • Spiritual care • Transitional care • Advance care planning • Bereavement care | • Care rounds and case conferences • Referrals and consultations • Transitional care • Advance care planning • Bereavement rounds • Schwartz Rounds | • To achieve priorities and goals | |
Policy and program development | |||
• To support formal processes and pilot projects | |||
Informal | |||
• Impromptu communication (hallway, telephone) | |||
Outcomes | Overarching Outcomes: Development and Satisfaction | ||
Patient- Family Development and Satisfaction | Knowledge | Organizational Development | |
• Self-care • Coping • Holistic care • Dignity and “being known” • Patient-provider relationships | • Complex end-of-life care • IP team roles and contributions | • Innovative programs and partnerships • Policies and processes | |
Behavior | Organizational Satisfaction | ||
• IP communication • Collective purpose • Coping • Reflective practice | • Reduced provider burnout and compassion fatigue | ||
Provider Development and Satisfaction | |||
• Patient-family goal achievement • Self-compassion • Self-care | |||
Satisfaction | |||
• Role fulfillment • Teamwork | |||