A systems thinking framework to improve care of the terminally ill: An Australian case study

This paper argues the value of systems thinking to patients, family members and medical practitioners in end-of-life care, particularly as a mechanism for considering when palliative care should be introduced as preferred treatment. It applies a well-established set of tenets in systems thinking ret...

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Autor principal:	Elizabeth Summerfield
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2020
Materias:	palliative care systems thinking terminal illness medical education public education Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/41d4c70f13d04833b8bf641ace32d0d3
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spelling	oai:doaj.org-article:41d4c70f13d04833b8bf641ace32d0d32021-11-15T04:31:27ZA systems thinking framework to improve care of the terminally ill: An Australian case study2372-0247https://doaj.org/article/41d4c70f13d04833b8bf641ace32d0d32020-11-01T00:00:00Zhttps://pxjournal.org/journal/vol7/iss3/27https://doaj.org/toc/2372-0247This paper argues the value of systems thinking to patients, family members and medical practitioners in end-of-life care, particularly as a mechanism for considering when palliative care should be introduced as preferred treatment. It applies a well-established set of tenets in systems thinking retrospectively to a case study of patient care in Australia. This highlights how and where different decisions might have been made, based on a holistic consideration of the patient’s best interests. The case is written from the perspective of a family caregiver. It argues that early, deliberate conversation, framed by systems thinking tenets, can support the call for the more timely intervention of palliative care. As a precursor to effective conversation, the case supports recent calls for increased training in systems thinking in graduate and continuing medical education. A change in medical practice would both facilitate and be enabled by a broader cultural change in public attitudes toward dying, end-of-life care and death. Encouraging the documentation of single case studies, written or co-written by medical practitioners and family carers can contribute to the evidence base of both medical and public education. <strong>Experience Framework</strong> This article is associated with the Culture & Leadership lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Culture%20%26%20Leadership%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-CultureLeadership">Access other resources</a> related to this lens</li> </ul>Elizabeth SummerfieldThe Beryl Institutearticlepalliative caresystems thinkingterminal illnessmedical educationpublic educationMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	palliative care systems thinking terminal illness medical education public education Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	palliative care systems thinking terminal illness medical education public education Medicine (General) R5-920 Public aspects of medicine RA1-1270 Elizabeth Summerfield A systems thinking framework to improve care of the terminally ill: An Australian case study
description	This paper argues the value of systems thinking to patients, family members and medical practitioners in end-of-life care, particularly as a mechanism for considering when palliative care should be introduced as preferred treatment. It applies a well-established set of tenets in systems thinking retrospectively to a case study of patient care in Australia. This highlights how and where different decisions might have been made, based on a holistic consideration of the patient’s best interests. The case is written from the perspective of a family caregiver. It argues that early, deliberate conversation, framed by systems thinking tenets, can support the call for the more timely intervention of palliative care. As a precursor to effective conversation, the case supports recent calls for increased training in systems thinking in graduate and continuing medical education. A change in medical practice would both facilitate and be enabled by a broader cultural change in public attitudes toward dying, end-of-life care and death. Encouraging the documentation of single case studies, written or co-written by medical practitioners and family carers can contribute to the evidence base of both medical and public education. <strong>Experience Framework</strong> This article is associated with the Culture & Leadership lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Culture%20%26%20Leadership%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-CultureLeadership">Access other resources</a> related to this lens</li> </ul>
format	article
author	Elizabeth Summerfield
author_facet	Elizabeth Summerfield
author_sort	Elizabeth Summerfield
title	A systems thinking framework to improve care of the terminally ill: An Australian case study
title_short	A systems thinking framework to improve care of the terminally ill: An Australian case study
title_full	A systems thinking framework to improve care of the terminally ill: An Australian case study
title_fullStr	A systems thinking framework to improve care of the terminally ill: An Australian case study
title_full_unstemmed	A systems thinking framework to improve care of the terminally ill: An Australian case study
title_sort	systems thinking framework to improve care of the terminally ill: an australian case study
publisher	The Beryl Institute
publishDate	2020
url	https://doaj.org/article/41d4c70f13d04833b8bf641ace32d0d3
work_keys_str_mv	AT elizabethsummerfield asystemsthinkingframeworktoimprovecareoftheterminallyillanaustraliancasestudy AT elizabethsummerfield systemsthinkingframeworktoimprovecareoftheterminallyillanaustraliancasestudy
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A systems thinking framework to improve care of the terminally ill: An Australian case study

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