Disruptive Nurses Lead to Better Outcomes
"There was appropriate space I could use, the obstetrician in charge thought this was a good idea, and the nurses were on board," Rising told me via email. "In addition, we had education materials that were used for prenatal classes!"
But not every health system would be onboard with upending the traditional models and adopting such a radically different way of providing care.
"I just sort of thought that 'you can go and do this,'" Rising later told me in a phone interview. "I realized that not everybody had a system that was as responsive as the one that I was in."
Providing prenatal care in groups rather than in a one-on-one setting completely "disrupts" the normal model of healthcare delivery in which the clinician is in charge of the encounter in many ways.
First of all, it puts the patient in charge in a big way. And there needs to be different kinds of scheduling, bigger rooms for the meetings, and two-hour chunks of time for clinicians to facilitate the discussions, among other things.
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