Table 3.
Data reduction and CCC operational framework
| 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 | |||