Patient experience in an interprofessional collaborative practice for underserved patients with heart failure

Heart failure is a complex chronic condition that results in multiple patient visits throughout the care continuum. Patient experience has associations with clinical outcomes. The purpose of this study was to examine patient experience among the underserved in a specialized interprofessional collaborative practice heart failure clinic. This prospective study utilized both qualitative and quantitative data to describe the patient experience within an interprofessional collaborative practice. Data were collected from patient experience surveys in 1128 patients seen in the Heart Failure Transitional Care Services for Adults (HRTSA) clinic between January 1, 2018, and December 31, 2021. Interprofessional collaborative practice surveys were completed by clinic staff members. When examining relationships associated with patient experience, we found three significant associations. Being single was negatively associated with patient experience. When examining IPCP and patient experience, overall interprofessional collaborative practice alignment [t(237)=2.00, p=.046 ] and the team’s alignment of mission, vision and purpose [t(254)=1.99, p=.047] were positively related to patients’ care satisfaction. Interprofessional collaborative practice team alignment can positively impact patient experience in underserved patients with heart failure. Experience Framework This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework). Access other PXJ articles related to this lens. Access other resources related to this lens

Observation and analysis of near-surface pore-pressure measurements in clay-shales slopes

Clay shales largely outcrop in the Northern Apennines of Italy, where they are associated to frequent and widespread landslide activity. The paper presents the results of monitoring activities carried out in two field-sites and focused on the hydrology of clay shales prone to landsliding. In the monitored slopes the water table is close to the ground surface throughout the year with seasonal fluctuations of tens of centimetres to a couple of meters. Shallow weathered soils, or clay cover, and unaltered material exhibit a much different behaviour. Whereas responses to single rainfalls are clearly identifiable as pressure pulses in the clay cover, they are never observed in the underlying parental clay shales where downward gradients indicate recharge and only long-term seasonal fluctuations are recorded. Short-term variations of pressure head in the clay cover are ruled by downward propagation of a pressure wave in saturated conditions. More than 400 pore pressure responses collected in the two sites are analyzed in terms of lag-time, rate and amount of pressure increase and timing of pressure peaking. It emerges that the linear diffusion theory can satisfactorily explain the observed behavior. In deeper unaltered material, the barometric effect influences the measures similarly to what is observed in confined aquifers. After its removal, the corrected data exhibit regular seasonal fluctuations which are used to estimate the diffusivity of the material based on phase-lag and attenuation of the downward propagating long-term periodic pulse