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Ground Specialty Team

Julie Easley, Baukje Miedema, June C Carroll, Donna P Manca, Mary Ann O'Brien, Fiona Webster, Eva Grunfeld
OBJECTIVE: To explore health care provider (HCP) perspectives on the coordination of cancer care between FPs and cancer specialists. DESIGN: Qualitative study using semistructured telephone interviews. SETTING: Canada. PARTICIPANTS: A total of 58 HCPs, comprising 21 FPs, 15 surgeons, 12 medical oncologists, 6 radiation oncologists, and 4 GPs in oncology. METHODS: This qualitative study is nested within a larger mixed-methods program of research, CanIMPACT (Canadian Team to Improve Community-Based Cancer Care along the Continuum), focused on improving the coordination of cancer care between FPs and cancer specialists...
October 2016: Canadian Family Physician Médecin de Famille Canadien
Jennifer L Rosenthal, Megumi J Okumura, Lenore Hernandez, Su-Ting T Li, Roberta S Rehm
BACKGROUND: Children with special health care needs often require health services that are only provided at subspecialty centers. Such children who present to nonspecialty hospitals might require a hospital-to-hospital transfer. When transitioning between medical settings, communication is an integral aspect that can affect the quality of patient care. The objectives of the study were to identify barriers and facilitators to effective interfacility pediatric transfer communication to general pediatric floors from the perspectives of referring and accepting physicians, and then develop a conceptual model for effective interfacility transfer communication...
September 2016: Academic Pediatrics
Arja Lehti, Anncristine Fjellman-Wiklund, Britt-Marie Stålnacke, Anne Hammarström, Maria Wiklund
OBJECTIVE: To analyse patient and professional perceptions about (in)equity of care and rehabilitation of chronic pain patients from primary health care to assessment at a specialty rehabilitation clinic. SETTING AND METHODS: This qualitative study consists one focus group interview with eight general practitioners who refer patients to pain rehabilitation clinics, 10 individual interviews with patients who were assessed at a pain rehabilitation clinic and seven interviews with professionals participating in multimodal assessment teams at a pain rehabilitation clinic...
February 25, 2016: Scandinavian Journal of Caring Sciences
Hazim Sadideen, Sharon-Marie Weldon, Munir Saadeddin, Mark Loon, Roger Kneebone
OBJECTIVE: Leadership is particularly important in complex highly interprofessional health care contexts involving a number of staff, some from the same specialty (intraprofessional), and others from different specialties (interprofessional). The authors recently published the concept of "The Burns Suite" (TBS) as a novel simulation tool to deliver interprofessional and teamwork training. It is unclear which leadership behaviors are the most important in an interprofessional burns resuscitation scenario, and whether they can be modeled on to current leadership theory...
January 2016: Journal of Surgical Education
Gregory Hansen, Jeff K Vallance
BACKGROUND: Ventilation monitoring practice for intubated pediatric patients with severe traumatic brain injury (TBI) during interfacility transport (IFT) has not been well documented. We describe the difference of practices in ventilation monitoring during IFT from the perspective of a level I pediatric trauma center with an enormous catchment area. METHODS: Patients admitted between July 2008 and September 2013 at Winnipeg Health Science Center, Canada, were examined in this retrospective chart review...
December 2015: International Journal of Emergency Medicine
Sophie Price, Susie Schofield
BACKGROUND: The fundamental importance of good end of life care has been well documented however recent national publications have high-lighted inadequacies in training in this area. For many patients dying in the UK today care is provided in hospital and the number of inpatient deaths is forecast to climb significantly in future. The demands of providing medical care for these patients by junior doctors will continue to rise. However, there is currently only limited research on training for doctors in this setting...
2015: BMC Palliative Care
Deborah J Cohen, Bijal A Balasubramanian, Melinda Davis, Jennifer Hall, Rose Gunn, Kurt C Stange, Larry A Green, William L Miller, Benjamin F Crabtree, Mary Jane England, Khaya Clark, Benjamin F Miller
PURPOSE: To provide empirical evidence on key organizing constructs shaping practical, real-world integration of behavior health and primary care to comprehensively address patients' medical, emotional, and behavioral health needs. METHODS: In a comparative case study using an immersion-crystallization approach, a multidisciplinary team analyzed data from observations of practice operations, interviews, and surveys of practice members, and implementation diaries...
September 2015: Journal of the American Board of Family Medicine: JABFM
Nico F Leenstra, Oliver C Jung, Addie Johnson, Klaus W Wendt, Jaap E Tulleken
PURPOSE: Good leadership is essential for optimal trauma team performance, and targeted training of leadership skills is necessary to achieve such leadership proficiency. To address the need for a taxonomy of leadership skills that specifies the skill components to be learned and the behaviors by which they can be assessed across the five phases of trauma care, the authors developed the Taxonomy of Trauma Leadership Skills (TTLS). METHOD: Critical incident interviews were conducted with trauma team leaders and members from different specialties-emergency physicians, trauma surgeons, anesthesiologists, and emergency ward nurses-at three teaching hospitals in the Netherlands during January-June 2013...
February 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Gloria McInnis-Perry, Ann Greene, Elaine Santa Mina
Standards of practice (SOPs) comprise competency statements, which are grounded in current knowledge and research, and provide foundations for performance that support professional accountability. The nursing profession, and specifically the psychiatric-mental health specialty of nursing practice in Canada, develops and revises practice standards regularly. The current article describes the collaborative, evidence-informed journey of the Canadian Federation of Mental Health Nurses during its fourth revision of the Canadian Psychiatric-Mental Health Nursing SOPs...
September 2015: Journal of Psychosocial Nursing and Mental Health Services
Alexandra C Cope, Stella Mavroveli, Jeff Bezemer, George B Hanna, Roger Kneebone
PURPOSE: The authors aimed to map and explicate what surgeons perceive they learn in the operating room. METHOD: The researchers used a grounded theory method in which data were iteratively collected through semistructured one-to-one interviews in 2010 and 2011 at four participating hospital sites. A four-person data analysis team from differing academic backgrounds qualitatively analyzed the content of the transcripts employing an immersion/crystallization approach...
August 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Jori F Bogetz, Alyssa L Bogetz, Julia M Gabhart, David A Bergman, Rebecca L Blankenburg, Caroline E Rassbach
OBJECTIVE: Care for children with medical complexity (CMC) relies on pediatricians who often are ill equipped, but striving to provide high quality care. We performed a needs assessment of pediatricians across diverse subspecialties at a tertiary academic US children's hospital about their continuing education needs regarding the care of CMC. METHODS: Eighteen pediatricians from diverse subspecialties were asked to complete an online anonymous open-ended survey...
March 2015: Clinical Pediatrics
Crystal N Joyce, Rachel Libertin, Michael T Bigham
OBJECTIVE: Family-centered care (FCC) in medicine highlights mutually beneficial partnerships among providers, patients, and families. In the field of specialty pediatric critical care transport (SPCCT), FCC includes family presence during transport. We sought to describe family presence and family/staff perspectives of FCC in transport. METHODS: This institutional review board-approved study established family presence rates among 5 SPCCT teams. At the top-performing family presence team, parents of transported children were interviewed...
January 2015: Air Medical Journal
Richard J Novick, Lorelei Lingard, Sayra M Cristancho
OBJECTIVE: Asking for help in the operating room occurs within a surgical culture that has traditionally valued independence, decisiveness, and confidence. A tension exists between these deeply ingrained character traits and the new culture of team-based practice that emphasizes maximizing patient safety. The objective of this study is to explore surgeon-to-surgeon help-seeking behaviors during complex and unanticipated operative scenarios. STUDY DESIGN: Semistructured interviews were conducted with a purposeful sample of 14 consultant surgeons from multiple specialties...
March 2015: Journal of Surgical Education
Jeff Bezemer, Ged Murtagh, Alexandra Cope, Roger Kneebone
BACKGROUND: The aim of the study was to gain insight in the involvement of non-operating surgeons in intraoperative surgical decision making at a teaching hospital. The decision to proceed to clip and cut the cystic duct during laparoscopic cholecystectomy was investigated through direct observation of team work. METHOD: Eleven laparoscopic cholecystectomies performed by consultant surgeons and specialty trainees at a London teaching hospital were audio and video recorded...
September 2, 2014: ANZ Journal of Surgery
Joseph M Cerimele, Abigail C Halperin, Clarence Spigner, Anna Ratzliff, Wayne J Katon
OBJECTIVE: To understand collaborative care psychiatric consultants' views and practices on making the diagnosis of and recommending treatment for bipolar disorder in primary care using collaborative care. METHOD: We conducted a focus group at the University of Washington in December 2013 with nine psychiatric consultants working in primary-care-based collaborative care in Washington State. A grounded theory approach with open coding and the constant comparative method revealed categories where emergent themes were saturated and validated through member checking, and a conceptual model was developed...
November 2014: General Hospital Psychiatry
Richard K Shields, Marc A Pizzimenti, Shauna Dudley-Javoroski, Debra A Schwinn
The purpose of this report is to describe student satisfaction with a near-peer interprofessional education (IPE) session for physical therapy and medical students. Ten senior physical therapy students worked in peer-groups to develop a musculoskeletal anatomy demonstration for first-semester medical students. Together with their classmates, they demonstrated observation, palpation, and musculoskeletal assessment of the shoulder and scapular-thoracic articulation to medical student dissection groups in the Gross Anatomy laboratory...
July 2015: Anatomical Sciences Education
Marcel P Dijkers
This article introduces the Archives supplement presenting a conceptual framework for the creation of a rehabilitation treatment taxonomy (RTT). It describes the key theoretical and empirical articles and their role, and the commentaries that were solicited. More importantly, based on feedback received to date, it sketches what the RTT is proposed to address, and what it explicitly excludes; therefore, the readers will have appropriate expectations and criteria for what is offered.
January 2014: Archives of Physical Medicine and Rehabilitation
Christina Hurlock-Chorostecki, Cheryl Forchuk, Carole Orchard, Mary van Soeren, Scott Reeves
Nurse practitioners (NP) are employed within hospital interprofessional (IP) teams in several countries worldwide. There have been some efforts to describe the nature of the NP role within IP teams largely focussing on how the role may augment care processes. Here, using a constructivist grounded theory approach, the perceptions of NPs about their role were compared and integrated into a previously published team perspective as the second phase of a larger study. Seventeen hospital-based (HB) NPs across Ontario, Canada, participated in group and individual interviews...
May 2014: Journal of Interprofessional Care
Jennifer P Stevens, Anna C Johansson, Mara A Schonberg, Michael D Howell
RATIONALE: Inpatient consultation by specialists is one of the most common medical interventions in the modern intensive care unit (ICU), but few data exist on components of high-quality consultation. OBJECTIVES: Our objective was to use qualitative methods to develop a conceptual framework of consultative quality in critically ill patients. METHODS: We conducted a qualitative study of medical ICU physicians at a single institution using a novel, semistructured interview guide...
June 2013: Annals of the American Thoracic Society
Paul N Pfeiffer, Adrian J Blow, Erin Miller, Jane Forman, Gregory W Dalack, Marcia Valenstein
National Guard soldiers experience high levels of mental health symptoms following deployment to Iraq and Afghanistan, yet many do not seek treatment. We interviewed 30 National Guard soldiers with prior deployments to Iraq or Afghanistan to assess mental health treatment barriers and the role of peers in treatment engagement. Interview transcripts were analyzed by a multidisciplinary research team using techniques drawn from grounded theory. The following themes were identified: (1) personal acceptance of having a mental health problem rather than treatment access is the major barrier to treatment entry; (2) tightly connected, supportive peer networks can decrease stigma related to mental health problems and encourage treatment; however, soldiers in impoverished or conflicted peer networks are less likely to receive these benefits; and (3) soldiers are generally positive about the idea of peer-based programs to improve treatment engagement, although they note the importance of leadership support, peer assignment, and unit specialty in implementing these programs...
December 2012: Military Medicine
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