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interprofessional practice

Aalok V Agarwala, L Kelsey McRichards, Vanessa Rao, Vanessa Kurzweil, Sara N Goldhaber-Fiebert
BACKGROUND: Emergency manuals (EMs) are context-relevant sets of crisis checklists or cognitive aids designed to enable professional teams to deliver optimal care during critical events. Evidence from simulation and other high-risk industries have proven that use of these types of checklists can significantly improve event management and decrease omissions of key steps. However, simply printing and placing tools in operating rooms (ORs) is unlikely to be effective. How interventions are implemented influences whether clinicians actually change practice and whether patient care is affected...
October 16, 2018: Joint Commission Journal on Quality and Patient Safety
Julia Lukewich, Samantha Taylor, Marie-Eve Poitras, Ruth Martin-Misener
Family practice nurses (also known as primary care nurses) are registered nurses who practice in primary healthcare and function as generalists who provide a broad range of health services, including preventative screening, health education, chronic disease management, care coordination, and system navigation. This paper reports on the current state of family practice nursing in Canada and findings from an environmental scan of literature focused on family practice nursing competency development internationally...
June 2018: Nursing Leadership
Kristin Cleverley, Christina Bartha, Gillian Strudwick, Rebecca Chakraborty, Rani Srivastava
This paper presents the development of a mental health and addictions settings-specific Client Care Needs Assessment (CCNA) tool. The process of tool development was completed using a modified Delphi approach. During Round One, indicators reflecting the unique needs of patients with mental illness and addictions issues were identified through meetings with interprofessional teams. During Round Two, an interprofessional mental health practice expert panel further refined the tool via online survey. Round Three consisted of refining and finalizing the tool...
June 2018: Nursing Leadership
Katherine Carroll, Jessica Mesman, Heidi McLeod, Judy Boughey, Gary Keeney, Elizabeth Habermann
Utilising frozen section technologies, Mayo Clinic has one of the lowest reoperation rates for breast lumpectomy in the United States. The research reported on sought to understand the successful teamwork between the Breast Surgery Team and the Frozen Section Laboratory at Mayo Clinic. Researchers worked collaboratively with healthcare staff from breast surgery and the frozen section pathology laboratory to identify communication styles and strategies that contribute to the timely and accurate intraoperative evaluation of breast cancer specimens...
October 18, 2018: Journal of Interprofessional Care
Susanne Lindqvist, Frøydis Vasset, Hans Petter Iversen, Synnøve Hofseth Almås, Elizabeth Willumsen, Atle Ødegård
Over the past decade, there has been a rapid increase in higher education institutions offering opportunities for interprofessional learning (IPL) to their students. The literature presents a number of factors that contribute to effective IPL, including having trained facilitators that help optimise the learning process. Many of these IPL facilitators are university teachers and the literature provides us with some insight into their views of IPL. However, little is known about university teachers' views about IPL and their role in supporting students in achieving outcomes linked to IPL during their own teaching; this paper explores these areas...
October 18, 2018: Journal of Interprofessional Care
Rhonda Schwindt, Angela M McNelis, Jon Agley, Kathy Lay, Karen S Hudmon, Bev Wilgenbusch
The high prevalence of smoking among persons with mental illness and co-occurring substance use disorders has not changed in the past decade despite a decline in smoking among the general population. Interprofessional collaborative care offers clinicians the opportunity to engage their patients in tobacco cessation treatment that is coordinated and comprehensive. Investigators applied a 1-group, pre/post-test design with qualitative and quantitative descriptive analyses to estimate the impact of an interprofessional tobacco education program on perceived self-efficacy and self-reported counseling abilities of graduate nursing, social work, and pharmacy (PharmD) students (N = 36; nursing, n = 13, n = 9 PharmD, n = 14 social work) to treat tobacco dependence among this subpopulation of smokers, and to assess their perceptions of interprofessional education...
October 18, 2018: Journal of Interprofessional Care
J Lyle Bootman, Cynthia J Boyle, Patricia Chase, Joseph T DiPiro, Peggy Piascik, Lucinda L Maine
The Argus Commission examined the National Academy of Medicine's publication "Vital Directions for Health and Health Care" and engaged with six guests from outside academic pharmacy to identify the salience of the key issues and recommendations for pharmacy education and practice. To be part of the changing health care system we must prepare graduates and faculty to be patient- and community-centered, to command electronic systems of communication with members of interprofessional teams and to create and apply real-world evidence...
September 2018: American Journal of Pharmaceutical Education
Juan Gómez-Salgado, Lia Jacobsohn, Fátima Frade, Macarena Romero-Martin, Carlos Ruiz-Frutos
Classification systems constitute an important contribution to nursing practice, as they provide standardized frameworks for communication between nurses and other healthcare professionals. International Classification of Functioning, Disability and Health (ICF) provides a unified and standardized language, as well as a working structure, for the description of health and health-related states. This paper aims to describe some of the available classifications used in nursing practice and to identify the potential value provided by the application of the World Health Organization (WHO) International Classification of Functioning, Disability and Health by all healthcare professionals...
October 13, 2018: International Journal of Environmental Research and Public Health
M Jeanne Wirpsa, Rebecca Emily Johnson, Joan Bieler, Lara Boyken, Karen Pugliese, Emily Rosencrans, Patricia Murphy
Shared decision making (SDM) is a central component of patient-centered care; however, a minimal amount is known about what health care chaplains contribute to this process. Data from 463 full-time chaplains practicing in the United States collected by an online survey was analyzed using SPSS 26 for bivariate and multivariate logistical regressions to identify variables impacting chaplain integration into SDM. Coding of free text responses yielded multiple domains for chaplain contributions and barriers. Thirty-eight percent of chaplains reported being often or frequently integrated into health care team discussions regarding medical decisions, with years of professional experience, time spent supporting the emotional processing of medical decisions, and being well-prepared as the strongest predictors for high integration...
October 15, 2018: Journal of Health Care Chaplaincy
David Taylor, Ruth McCaffrey, Humberto Reinoso, Mary W Mathis, Lisa Dickerson, Johnathan Hamrick, Suzie L Madden, Henry H Heard, Ellen Perlow, Christine M Klein
An aging population benefits from healthcare providers trained in the care of older adults. Interprofessional education (IPE) and service-learning activities focused on geriatric conditions like falls may address this need. A fall prevention IPE activity using the Centers for Disease Control and Prevention (Stopping Elderly Accidents, Deaths & Injuries (STEADI) initiative was implemented to prepare health sciences students to manage older adult falls. Students (N = 31) and faculty (N = 10) from five health sciences programs and local older adults (N = 27) participated...
October 15, 2018: Gerontology & Geriatrics Education
Sarah Burm, Lisa Faden, Sandy DeLuca, Kathy Hibbert, Noureen Huda, Mark Goldszmidt
Today's hospitals are burdened with patients who have complex health needs. This is readily apparent in an inpatient internal medicine setting. While important elements of effective interprofessional collaboration have been identified and trialled across clinical settings, their promise continues to be elusive. One reason may be that caring for patients requires understanding the size and complexity of healthcare networks. For example, the non-human 'things' that healthcare providers work with and take for granted in their professional practice-patient beds, diagnostic imaging, accreditation standards, work schedules, hospital policies, team rounds-also play a role in how care is shaped...
October 15, 2018: Journal of Interprofessional Care
Darrick Beckman, Jana Wardian, Tom J Sauerwein, Mark W True
RATIONALE: Since there are only 33 endocrinologists within the Department of Defence and over 150 000 beneficiaries with diabetes, most patients with diabetes will be treated by primary care providers (PCPs). Comprehensive diabetes care visits are extensive and the clinical practice guidelines (CPGs) routinely change; thus, providing current evidence-based care is difficult. Most professional development courses aim to update PCPs on CPGs but are often inadequate as they focus on only the PCPs (not the interdisciplinary team) without a plan to implement changes into practice...
October 10, 2018: Journal of Evaluation in Clinical Practice
Tamara Kear, Beth Ulrich
In January 2018, the American Nephrology Nurses Association and Nephrology News and Issues conducted a national study, The Health and Safety of Nephrology Nurses and the Environments in Which They Work. This article presents initial qualitative results from that study - in the words of nephrology nurses. Based on responses of participants, themes and subthemes were identified: staffing, nursing practice (time to provide nursing care, nursing work hours, level of practice, nurses responsibility for the practice of others), work environment conditions (physical environments, psychological environments, civility/ incivility, environmental health, and work spaces), respect, recognition, interprofessional collaboration and support, and career and job satisfaction...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Kari F Brisolara, Sonia Gasparini, Alison H Davis, Shane Sanne, Sandra Carlin Andrieu, Jerald James, Donald E Mercante, Raquel Baroni De Carvalho, Tina Patel Gunaldo
The purpose of the study was to determine the impact of an interprofessional education (IPE) experience on first year students across all schools of a health sciences center on the topic of pediatric immunizations. The authors conducted a pre-/post-test at Louisiana State University Health Sciences Center-New Orleans with 731 first year students from 25 academic programs encompassing all six schools (Allied Health, Dentistry, Graduate Studies, Medicine, Nursing and Public Health). In the four questions related to the Interprofessional Education Collaborative (IPEC) sub-competencies and the three questions related to professional role regarding immunizations, there was a statistically significant difference in the pre-/post-test survey results (P < 0...
October 10, 2018: Journal of Interprofessional Care
Catherine D Michelson, Kristina Dzara, Subha Ramani, Robert Vinci, Daniel Schumacher
PROBLEM: Residency training in many specialties has traditionally been divided into short, discrete, single-specialty rotations. Although providing the learner with in-depth exposure to a specific discipline, educators have challenged this rotational model, citing problems with patient and team continuity and maladaptive coping. Longitudinal integrated clerkships, adopted by many medical schools, offer an alternative model and have demonstrated improved outcomes for students related to patient-centeredness, advocacy, and integration with teams...
October 10, 2018: Teaching and Learning in Medicine
Margaret Puelle, Jocelyn Wiggins, Rafina Khateeb, Janice Firn, D'Anna Saul, Robert Chang, Lillian Min
OBJECTIVES: To determine whether an interprofessional intervention would improve the use and timing of a geriatric consultation on a hospitalist service. DESIGN: Difference-in-differences (DID), which measures the difference in improvement over time between intervention and control team patients attributable to the intervention. SETTING: 1,000-bed U.S. academic medical center. PARTICIPANTS: Individuals aged 60 and older admitted to a general medicine hospitalist service (N=7,038; n = 718 on intervention teams, n = 686 historical controls, n = 5,634 on control teams (concurrent and historic)...
October 9, 2018: Journal of the American Geriatrics Society
Jaimie Isabel Carrier, Maia Siedlikowski, Khadidja Chougui, Sylvie-Anne Plourde, Corinne Mercier, Gloria Thevasagayam, Marie-Élaine Lafrance, Trudy Wong, Claudette Bilodeau, Alisha Michalovic, Kelly Thorstad, Frank Rauch, Argerie Tsimicalis
PURPOSE: The aims of this study were (1) to review the current body of knowledge on the transition experiences of adolescents with osteogenesis imperfecta (OI) and appraise the evidence available on transfer summary tools, (2) to develop guidelines for the successful transition of adolescents with OI from child to adult healthcare services, and (3) to create a transfer tool tailored to adolescents with OI. DESIGN AND METHODS: This knowledge synthesis study was overseen by an interprofessional expert task force at Shriners Hospitals for Children-Canada and entailed (1) review of the literature, (2) development of guidelines, and (3) creation of a tool...
November 2018: Clinical Nurse Specialist CNS
Ana-Mari Gallo, Gabi Aliyev
OBJECTIVE: To adopt evidence-based recommendations to delay cord clamping in vigorous preterm neonates. DESIGN: Evidence-based practice change project with quantitative data. SETTING/LOCAL PROBLEM: Delayed cord clamping (DCC) was not a usual practice at the hospital where this project took place, despite research findings that show benefits of DCC for preterm neonates. PARTICIPANTS: Vigorous neonates born before 37 weeks completed gestation...
October 5, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Cynthia Stuhlmiller, Barry Tolchard
BACKGROUND: Global health education in tertiary institutions worldwide is at an all-time high. Until recently, most evaluations of student learning from a global exposure was in the form of a reflective paper with little information that would enable standardized assessment of the competencies gained. In 2015, the Consortium of Universities for Global Health (CUGH) published a set of interprofessional global health competencies that were drawn upon to create a Global Health Competency Self-Confidence Scale and workbook...
October 3, 2018: Global Health, Science and Practice
Thomas A Page, Melody Harrison, Mary Pat Moeller, Jacob Oleson, Richard M Arenas, Meredith Spratford
Purpose: To characterize preschool and school services for children who are hard of hearing (CHH), we described service setting, amount, and configuration and analyzed the relationship between service receipt and student hearing levels and language scores. Characteristics of professionals providing services were described and then used to predict level of comfort with skills supporting listening and spoken language. The amount of provider communication with children's audiologists was also investigated...
October 3, 2018: Language, Speech, and Hearing Services in Schools
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