A5039792210- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Family and Patient Care in Intensive Care Units
- Childhood Cancer Survivors' Quality of Life
- Patient Satisfaction in Healthcare
- Grief, Bereavement, and Mental Health
- Emergency and Acute Care Studies
- Dysphagia Assessment and Management
- Healthcare Decision-Making and Restraints
- Behavioral Health and Interventions
- Posttraumatic Stress Disorder Research
- Health Policy Implementation Science
- Telemedicine and Telehealth Implementation
- Service and Product Innovation
- Cancer survivorship and care
- Disaster Response and Management
- Interprofessional Education and Collaboration
- Trauma and Emergency Care Studies
- Disaster Management and Resilience
- Heart Failure Treatment and Management
- Digital Mental Health Interventions
Dartmouth Institute for Health Policy and Clinical Practice
2021-2024
Dartmouth–Hitchcock Medical Center
2017-2024
Dartmouth College
2013-2023
Background consideRATE is a patient- and care-partner-reported measure of care experience during serious illness. We used with patients partners at the Dartmouth Cancer Center to assess patient experience, evaluate psychometric properties, explore scoring approaches. Methods Patients aged 18+ English proficient participated in cross-sectional survey. Participants completed (8 items), CANHELP-Lite (21 demographic questions. Reliability was assessed using Cronbachs alpha, validity evaluated...
Improving communication training for primary palliative care using a required rotation internal medicine (IM) residents has not been assessed.To assess skills acquisition and acceptability IM selecting an elective.A consecutive, single-arm cohort underwent preobjective structured clinical examination (OSCE) with learner-centric feedback, two weeks of experience, finally post-OSCE to crystallize take home points.IM second year from Dartmouth-Hitchcock were exposed experiential rotation.Pre-...
Abstract Background Specialty palliative care interdisciplinary teams (IDT) can play an important role in supporting patients and family members during acute decision-making. Despite guidelines evidence emphasizing decision-making support as a key domain of specialty care, little is known about how actually implemented by IDTs. This study aims to (1) describe the structure processes inpatient delivered IDT, (2) examine perspectives IDT on their this decision-support. Methods A team clinician...
The COVID-19 pandemic prompted planning for clinical surges and associated resource shortages, particularly of equipment such as ventilators. We sought to examine the experience healthcare professionals who created policies crisis standards care, allocation ventilators in event shortage. To that end, we conducted semistructured interviews with USA involved institutional shortages setting pandemic. USA. 25 between May July 2021. Half respondents were female (48%), many from Northeastern...
Introduction Fewer than half of all people in the USA have a documented advance care plan (ACP). Hospitalisation offers an opportunity for physicians to initiate ACP conversations. Despite expert recommendations, hospital-based (hospitalists) do not routinely engage these conversations, reserving them critically ill. The objective this study is test effect novel behavioural intervention on incidence conversations by hospitalists practicing at stratified random sample hospitals drawn from 220...
Hospitalization offers an opportunity for healthcare providers to initiate advance care planning (ACP) conversations, yet such conversations occur infrequently. Barriers these include attitudes, skill, and time. Our objective was develop a theory-based, provider-level intervention increase the frequency of ACP in hospitals. We followed systematic process between their hospitalized patients. Using principles established Intervention Mapping Behavior Change Wheel, we identified behavioral...
Background: Palliative care units (PCUs) are devoted to intensive management of symptoms and other palliative needs. We examined the association between opening a PCU acute processes at single U.S. academic medical center. Methods: retrospectively compared for seriously ill patients admitted before after Outcomes included rates change in code status do-not-resuscitate (DNR) comfort measures only (CMO) status, time DNR CMO. calculated unadjusted adjusted used logistic regression assess...
261 Background: Patients' perceived care experience is an important aspect of quality, particularly during treatment for serious illnesses like cancer. Yet, the effect specialty palliative involvement on individuals with cancer underexplored. There a need such patient reported quality measures, patients who may benefit from care. We sought to examine how presence support influenced experience. Methods: surveyed and partners at National Comprehensive Cancer Network center, The Dartmouth...
Abstract Background : Specialty palliative care interdisciplinary teams (IDT) can play an important role in supporting patients and family members during acute decision-making. Despite guidelines evidence emphasizing decision-making support as a key domain of specialty care, little is known about how decision making actually implemented by IDTs. This study aims to 1) describe the structure processes inpatient delivered IDT, 2) examine perspectives IDT on their this decision-support. Methods...