jbwt77
OH - Ohio Centering Network
Posts: 37 
I work at a: Healthcare Facility
I am interested in Centering because: I feel it is the best way to get pregnancy care! Especially seeing how teens are with the model!
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Post by jbwt77 on Feb 8, 2016 14:32:24 GMT -5
Does anyone run an unconventional group that has a rolling admission, where groups are not created based solely on gestational age?
Maybe for a smaller clinic?
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Post by John Craine on Feb 8, 2016 14:58:43 GMT -5
Well, we had a site that was doing rolling groups, one each in English, Spanish, and Somali but they weren't able to sustain their Centering program.
Historically, CHI has never viewed rolling groups as consistent with the CenteringPregnancy model, which recommends grouping women by gestational age. We are maturing in our views and recognize that sometimes, for purely practical reasons, there are circumstances that dictate other grouping methodologies. The case of low patient census coupled with community diversity and multiple languages may be such a circumstance.
Our greater concern is always that good Centering practices are being followed and that groups are used to build communities. Stability of group membership is an Essential Element and we continue to regard gestational age as the gold standard for grouping patients. However we also recognize that other grouping methodologies may also support community-building and be more practicable for practices to implement.
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Post by ColleenSenterfitt on Feb 24, 2016 12:04:06 GMT -5
Gestational age (or age in general for CenteringParenting) is not the only way to organize a group. Just remember that one of the Essential Elements is Group members are consistent. That means that you have to think about how you will achieve that and not have groups that have different participants from session to session.
CHI will be developing some guidelines to help sites with small patient populations soon. We welcome any thoughts and ideas.
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Post by Andrea CCFT on Feb 27, 2016 15:15:07 GMT -5
We started in October with smaller groups of six to eight and now some have one 3 or four. How do you recommend we handle this? Would you combine groups or would you just combine sessions so we can get all the information to the patients and finish the sessions sooner?
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Post by ColleenSenterfitt on Feb 28, 2016 7:10:13 GMT -5
We started in October with smaller groups of six to eight and now some have one 3 or four. How do you recommend we handle this? Would you combine groups or would you just combine sessions so we can get all the information to the patients and finish the sessions sooner? There are two parts to consider here: First: If you have the patient volume to have groups of 6 to 8 but you are only enrolling 3 to 4, you need to re-evaluate your enrollment process. If you are enrolling 6 to 8 and there is attrition, then you want to give that some attention. Things to consider - Are you starting and ending on time? How facilitative are your groups? How comfortable is the group space? Are there other things going on that affect this? Second: When you have only 3 or 4 patients in a group but with support people that extend the number of participants overall, you may want to shorten the time from 2 hrs to 60 to 90 min. If support people do not attend but your group is really bonded, you may feel that a smaller number works with a shortened time. But you can also combine two groups to get back to 6 - 8. Ultimately the goal is 8 - 12. Remember, Centering is their prenatal care, so combining content in sessions to finish groups early makes it more like childbirth education than a facilitated group experience over their pregnancy. |
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