Interventions to Improve Quality of Care

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Table of Contents

Introduction
Findings from the Case Study
Implications for Practice
Questions to Ponder
Conclusion
References

Introduction

It is evident from many studies that the application of cultural competencies to medical treatment is of critical importance (Healey et al., 2017). A professional practitioner should be aware of his patients’ cultural background to understand better possible implications of his or her decisions in providing care. This paper aims to study the case of Lanesha Johnson to observe the influence of cultural, social, and emotional factors on her medication non-adherence and to develop questions and interventions which might help to improve the quality of care (Lanesha Johnson case, 2009).

Findings from the Case Study

The first aspect of the case which offered a deeper context is the identification of social factors’ impact. Lanesha’s grandmother, Marietta, is in the situation where she has to combine work with taking care of her mother, Lanesha, and Lanesha’s younger brother, Marcus. Lanesha’s mother does not participate in the life of the family. Secondly, emotional factors are also important. Lanesha, as she is entering adolescence, feels frustrated about “not being normal” due to her illness (Lanesha Johnson case, 2009). Also, Marietta feels suspicious of newly prescribed medications since she does not trust clinical staff. Thirdly, the cultural factor also has a considerable impact. Marietta thinks it is her responsibility to take care of her mother because elderly members of the family should be treated first, and she considers Lanesha to be grown up enough to follow the treatment schedule.

Implications for Practice

The first aspect of the case which can be applied in practice is the establishment of trusting relationships between the practitioner and the family members (Michalopoulou et al., 2016). Developing a private, caring environment with less waiting times and more extended clinical sessions along with the identification of a patient’s beliefs about medication treatment can have a significantly positive effect on health outcomes (George et al., 2016). The second aspect is the identified need for helping Marietta in getting long-term medications refilled (Lanesha Johnson case, 2009). One of the better strategies that could be implemented is the intervention of telephone calls to parents when a medication refill is due or overdue (Bender et al., 2015). This strategy significantly helps in improving adherence to asthma medication and treatment.

Questions to Ponder

It is possible to propose several questions that can help in the further development of the case under consideration and other similar situations. First of all, it is essential to obtain a more in-depth context of Lanesha’s school environments. There might be some difficulties in her social adaptation with her peers which causes the development of her conflicting behavior. For example, she might not want to take medications in front of her classmates because she might fear to seem “different” from her peers (Lanesha Johnson case, 2009). Secondly, the conversation with the school teachers is of high necessity since they might not understand the complications of Lanesha’s home environment and thus not treat her adequately. Also, the girl misses a significant amount of classes due to her illness, which should also be considered by the school staff.

Conclusion

In conclusion, it is possible to observe that this case study retrieved social, emotional, and cultural factors that have a significant impact on the situation. Based on the findings, two strategies, which could be applied to professional practice, were identified. Finally, several questions that would offer a broader context for further research were proposed.

References

Bender, B. G., Cvietusa, P. J., Goodrich, G. K., Lowe, R., Nuanes, H. A., Rand, C., … Wamboldt, F. S. (2015). Pragmatic trial of health care technologies to improve adherence to pediatric asthma treatment: A randomized clinical trial. JAMA pediatrics, 169(4), 317-323.

George, M., Abboud, S., Pantalon, M. V., Sommers, M. L. S., Mao, J., & Rand, C. (2016). Changes in clinical conversations when providers are informed of asthma patients’ beliefs about medication use and integrative medical therapies. Heart & Lung: The Journal of Acute and Critical Care, 45(1), 70-78.

Healey, P., Stager, M. L., Woodmass, K., Dettlaff, A. J., Vergara, A., Janke, R., & Wells, S. J. (2017). Cultural adaptations to augment health and mental health services: A systematic review. BMC Health Services Research, 17(8), 1-26.

Lanesha Johnson case. (2009). Cross Cultural Health Care—Case Studies. Web.

Michalopoulou, G., Briller, S., Myers-Schim, S., Muklewicz, K. C., Katzer, K. C., Secord, E.,… Wasiluk, J. (2016). Teaching about better family–clinician partnerships in high-risk pediatric asthma care. Journal of patient experience, 3(3), 96-99.

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Interventions to Improve Quality of Care

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