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PaCER Program
COMET Conference
May 20th, 2015
University of Calgary
www.pacerinnovates.ca
Chris Hylton, Cyrene Banerjee
Patient & Community Engagement Researchers
• people with various health conditions
• trained to design & conduct health research
• use adapted methods of qualitative inquiry
• peer-to-peer research
3
PaCER
Training
One-year
Classroom = 120 hours – theory and method
Internship = 120 hours conducting research
Skills: focus groups, structured interviews &
questionnaires, narrative interview, participant
observation, data analysis
PACER class 2013
PACER graduate in
Ottawa, 2014
PaCER Methodology
Sample PaCER Project
1. Safe Surgery Checklist
2. ICU Study
Safe Surgery Checklist
– Clinicians noticed that Patients were made
nervous by the checklist
– Here is the checklist does it make you
nervous?
• [Image source: http://www.anxietysymptomsdr.com/physical-symptoms-of-anxiety/]
Checklist Study
Surgeons did their own Study to confirm anxiety
– Did not know what to do next
– PaCER to the rescue
Sample PaCER Methodology
Looked at 34 surgeries
32 patients interviewed by four patient
interviewers
Obtained 1272 data bites
Audience Participation
• What do you think the patient researchers
discovered?
• Free mentoring in PaCER to the winner!
• Did we mention that you will be published
in the BMJ as well!
Outcomes
When asked, patients would prefer to
know that the SSC is being used.
Patients valued the SSC.
Patients need to understand the
content of the SSC in plain language.
Patients are knowing human beings
not passive subjects.
ICU Study
• Photo source: http://blogs.jwatch.org/hiv-id-observations/index.php/infectious-disease-in-
the-icu-help-please-part-i/2008/12/19/
Reasons for ICU Study
• Gain patient & family perspective
on ICU experience
• Done in parallel with care provider
study around what could improve
medical care, routine ICU
practices, service, and the overall
patient and family experience
ICU Study “Evidence Care Gaps”
• qualitative study with 32 patients and family
members with ICU experience
• identified 18 measurable goals for change in
all 14 ICUs across Alberta
• all were produced from themed data gained
from patients and family
• no intervening professional perspective
• all are being considered for further study.
ICU Study “Evidence Care Gaps”
• Improve transition from ICU to a ward
• Improve timing, place and manner of
prognoses discussions with families
• Improve recognition that family is the
patient’s voice
• Improve integration of family as part of the
care team
• Decrease rotation of staff through ICU
Conclusion
• PaCER approach improves the results of
patient experiences and outcome analysis
• Adds active peer to peer voice
• Enriches traditional research models in
surprising ways
• May be applied to any research area
• We welcome collaboration opportunities!
Thank you!
• We welcome collaboration opportunities,
please give us a call
• chris@hylton.ca
• cyrenebanerjee@gmail.com

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PaCER Program Presentation Comet Conference

  • 1. PaCER Program COMET Conference May 20th, 2015 University of Calgary www.pacerinnovates.ca Chris Hylton, Cyrene Banerjee
  • 2. Patient & Community Engagement Researchers • people with various health conditions • trained to design & conduct health research • use adapted methods of qualitative inquiry • peer-to-peer research
  • 3. 3 PaCER Training One-year Classroom = 120 hours – theory and method Internship = 120 hours conducting research Skills: focus groups, structured interviews & questionnaires, narrative interview, participant observation, data analysis
  • 4. PACER class 2013 PACER graduate in Ottawa, 2014
  • 6. Sample PaCER Project 1. Safe Surgery Checklist 2. ICU Study
  • 7. Safe Surgery Checklist – Clinicians noticed that Patients were made nervous by the checklist – Here is the checklist does it make you nervous?
  • 8. • [Image source: http://www.anxietysymptomsdr.com/physical-symptoms-of-anxiety/]
  • 9. Checklist Study Surgeons did their own Study to confirm anxiety – Did not know what to do next – PaCER to the rescue
  • 10. Sample PaCER Methodology Looked at 34 surgeries 32 patients interviewed by four patient interviewers Obtained 1272 data bites
  • 11. Audience Participation • What do you think the patient researchers discovered? • Free mentoring in PaCER to the winner! • Did we mention that you will be published in the BMJ as well!
  • 12. Outcomes When asked, patients would prefer to know that the SSC is being used. Patients valued the SSC. Patients need to understand the content of the SSC in plain language. Patients are knowing human beings not passive subjects.
  • 13. ICU Study • Photo source: http://blogs.jwatch.org/hiv-id-observations/index.php/infectious-disease-in- the-icu-help-please-part-i/2008/12/19/
  • 14. Reasons for ICU Study • Gain patient & family perspective on ICU experience • Done in parallel with care provider study around what could improve medical care, routine ICU practices, service, and the overall patient and family experience
  • 15. ICU Study “Evidence Care Gaps” • qualitative study with 32 patients and family members with ICU experience • identified 18 measurable goals for change in all 14 ICUs across Alberta • all were produced from themed data gained from patients and family • no intervening professional perspective • all are being considered for further study.
  • 16. ICU Study “Evidence Care Gaps” • Improve transition from ICU to a ward • Improve timing, place and manner of prognoses discussions with families • Improve recognition that family is the patient’s voice • Improve integration of family as part of the care team • Decrease rotation of staff through ICU
  • 17. Conclusion • PaCER approach improves the results of patient experiences and outcome analysis • Adds active peer to peer voice • Enriches traditional research models in surprising ways • May be applied to any research area • We welcome collaboration opportunities!
  • 18. Thank you! • We welcome collaboration opportunities, please give us a call • chris@hylton.ca • cyrenebanerjee@gmail.com