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interprofessional practice

Dina Thompson, Kimberly Cox, James Loudon, Ivan Yeung, Woodrow Wells
PURPOSE: Peer review of a proposed treatment plan is increasingly recognized as an important quality activity in radiation medicine. Although peer review has been emphasized in the curative setting, applying peer review for treatment plans that have palliative intent is receiving increased attention. This study reports peer review outcomes for a regional cancer center that applied routine interprofessional peer review as a standard practice for palliative radiotherapy. METHODS AND MATERIALS: Peer review outcomes for palliative radiotherapy plans were recorded prospectively for patients who began radiotherapy between October 1, 2015, and September 30, 2017...
December 2018: Journal of Oncology Practice
Alice P McCloskey, Joanne Brown, Sharon Haughey, Roisin O'Hare
OBJECTIVES: To determine the impact of authentic clinical tasks on student confidence in interprofessional communication and assess the perceptions of pharmacists and pharmacy undergraduate students on how their degree prepares them to communicate and integrate with other healthcare professionals. METHODS: Pharmacists completed a questionnaire regarding how their degree prepared them to communicate with other healthcare professionals. Third- and fourth-year pharmacy undergraduate students completed a modified questionnaire with questions relating to interprofessional learning and their experiences of reflective interprofessional communication tasks whilst on hospital placement...
December 10, 2018: International Journal of Pharmacy Practice
Theresa M Kreif, Shayne Kukunaokala Yoshimoto, Noreen Mokuau
In order to successfully address social determinants of health and to achieve social justice for kanaka and all the people of Hawai'i, we must broaden our understanding of and approach to healing/health through interdisciplinary, culturally-informed education. Strengthening cultural competence within an Interprofessional Education framework, has potential in meeting important challenges in patient and population health, including meeting the increased demand for culturally trained professionals, increasing access to providers, and reducing health inequities in kanaka (Native Hawaiians)...
December 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
Mark Keboa, Anne Beaudin, Julie Cyr, Janick Decoste, Frances Power, Richard Hovey, Lorraine LaFrance, Denise Ouellet, Michael Wiseman, Mary Ellen Macdonald
Inadequate oral care in long-term care (LTC) facilities compromises the quality of life of residents. This study assessed oral care knowledge of, and challenges experienced by, nurses and allied nursing staff (ANS) in a LTC facility in Canada. Dentists and nursing staff used the findings to implement strategies for improved care. Using a sequential mixed method design, data on oral care knowledge and practices were collected using self-administered questionnaires (n = 114) and focused groups (n = 39)...
October 24, 2018: Geriatric Nursing
Belinda J Anderson, Sai Jurawanichkul, Benjamin E Kligler, Paul R Marantz, Roni Evans
OBJECTIVES: The combination of biomedicine and traditional and complementary medicine (T&CM) is often referred to as integrative medicine. However, the degree to which the medical disciplines are integrated varies between medical settings, and it is believed by some to be impossible due to epistemological and paradigmatic differences. Clinicians' perspectives are important determinants of how different medical disciplines are used together. This study explores the perspectives of experienced Chinese medicine practitioners when asked about the most ethical model (opposition, integration, or pluralism) for the relationship between biomedicine and T&CM...
December 5, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Lois M Dixon, Susan Mascioli, Jefferson H Mixell, Tom Gillin, Camille N Upchurch, Kevin M Bradley
An interprofessional team was established to prevent tracheostomy-related acquired pressure injuries. The team performed an in-depth analysis of practice from tracheostomy insertion through postinsertion care. A literature evaluation identified best practices, and a root cause analysis for all tracheostomy-related pressure injury cases identified common causes. Lessons learned from the practice and literature reviews drove care standardization and reduced variation. Preimplementation and postimplementation data were analyzed to determine the effectiveness of improvement interventions...
2018: AACN Advanced Critical Care
Amy R Weinstein, Patricia A Reidy, Lisa Simon, Antonia Makosky, Joshua Merson, Rachael Williams, Cali-Ryan Collin, Marya J Cohen
No abstract text is available yet for this article.
December 5, 2018: Clinical Teacher
Diane K Brown, Sue Fosnight, Maureen Whitford, Susan Hazelett, Colleen Mcquown, Jenifer C Drost, Denise J Kropp, Cynthia A Hovland, Joan E Niederriter, Rikki Patton, Abigail Morgan, Eileen Fleming, Richard P Steiner, Edward Demond Scott, Fabiana Ortiz-Figueroa
Background: One in three people over the age of 65 fall every year, with 1/3 sustaining at least moderate injury. Falls risk reduction requires an interprofessional health team approach. The literature is lacking in effective models to teach students how to work collaboratively in interprofessional teams for geriatric falls prevention. The purpose of this paper is to describe the development, administration and outcome measures of an education programme to teach principles of interprofessional care for older adults in the context of falls prevention...
2018: BMJ Open Quality
Amélie Richard, Mathieu Gagnon, Emmanuelle Careau
This article presents the results of a realist review of the use of reflective practice interventions aimed at improving interprofessional education and collaborative practice (IPECP). Reflective practice is recognized as one of the determining factors in health and social service professionals' skills development and maintenance, as well as in the establishment of good collaboration practices. In this respect, it is a key element of interprofessional education (IPE) and its relevance in this field is being asserted more and more strongly...
December 4, 2018: Journal of Interprofessional Care
Aida Wen, Lorrie Wong, Carolyn Ma, Robin Arndt, Alan R Katz, Karol Richardson, Melodee Deutsch, Kamal Masaki
Interprofessional collaboration is an essential skill to optimize the care of older adults with complex problems. We successfully developed and evaluated an interprofessional teamwork simulation exercise for medical, nursing, pharmacy, and social work students. Pharmacy students participated via video conferencing. Before the simulation, students watched a teamwork video and reviewed the patient case. Following an icebreaker exercise, interdisciplinary faculty facilitated a discussion highlighting effective teamwork strategies...
December 4, 2018: Gerontology & Geriatrics Education
Russet R Rogers, John A Owen, Donna M Lake, Carol Fowler Durham, Tina G Latham, Gwen Sherwood, Christopher S Golding
INTRODUCTION: North Carolina AHEC (NC AHEC) leadership recognized that continuing interprofessional education (CIPE) is vital for improving patient care and outcomes. Rather than train and educate in professional silos, interprofessional education presented an opportunity to reframe continuing education (CE) to improve the integration of care delivery and outcomes. METHODS: In April 2014, two regional AHECs collaborated to design a statewide initiative for AHEC CE leaders, CE professionals, and CE faculty to learn about integrating interprofessional education into CE planning and implementation...
October 2018: Journal of Continuing Education in the Health Professions
Mary Hellyar, Catherina Madani, Sarah Yeaman, Kelly OʼConnor, Kim M Kerr, Judy E Davidson
Prevention of burnout is a national imperative, and blame-free investigations of clinical events are advocated. Reflective inquiry techniques are helpful in processing adverse events while minimizing blame. The purpose of this project was to develop an interprofessional peer review program (Case Study Investigation) to process emotions, improve teamwork, and optimize patient outcomes. This evidence-based practice project was conducted in a 12-bed intensive care unit using reflective inquiry techniques to perform peer case review across disciplines...
January 2019: Critical Care Nursing Quarterly
Thomaz Bittencourt Couto, Joyce Kelly Silva Barreto, Francielly Cesco Marcon, Ana Carolina Cintra Nunes Mafra, Tarso Augusto Duenhas Accorsi
Background: During in situ simulation, interprofessional care teams practice in an area where clinical care occurs. This study aimed to detect latent safety threats (LST) in a training program, which combined in situ simulation scenarios with just-in-time and just-in-place self-directed task training in an emergency department. We hypothesized this simulation-based training in actual care areas allows the detection of at least one LST per simulation scenario. Methods: This prospective observational study (April 2015-March 2016) involved 135 physicians, nurses, and nurse technicians...
2018: Advances in Simulation
Naser Alotaibi, Fahad Manee, Lisa Murphy, Mehdi Rassafiani
OBJECTIVES: In Kuwait, knowledge and attitudes of the health care teams toward occupational therapy practice (OTP) have not been investigated. This current study, sought to explore the knowledge about, and attitudes of interdisciplinary team members toward OTP. SUBJECTS AND METHODS: This cross-sectional study involved developing and validating a tool to serve the purpose of the study. We used a modified Delphi method to develop a tool that assessed OT knowledge (OT areas of practice, domains and philosophy) as well as attitudes toward OTP...
December 2, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Cheryl Lynne McBeth, Rosa Solis Montes, Amy Powne, Sopon Elizabeth North, JoAnne E Natale
BACKGROUND: Ventilator-associated pneumonia (VAP) increases morbidity, mortality, and health care costs. OBJECTIVE: To reduce the VAP rate in the pediatric/cardiac intensive care unit to fewer than 2 events per 1000 ventilator days within 2 years and to sustain a rate near 0 for the next 5 years. METHODS: An evidence-based VAP prevention bundle was developed and implemented by an interprofessional team using the Six Sigma Define, Measure, Analyze, Improve, Control methodology...
December 2018: Critical Care Nurse
Christine M Rachwal, Thorsten Langer, Bethany P Trainor, Mary Anne Bell, David M Browning, Elaine C Meyer
BACKGROUND: Cultivating a healthy work environment and upholding patient safety are important priorities in health care. Challenges in workplace communication are common and affect staff well-being and patient outcomes. Previous interventions have focused on organizational issues and work-life balance. OBJECTIVE: To assess the feasibility of monthly interdisciplinary educational rounds that support clinicians' ability to navigate workplace clinical and communication challenges while promoting interprofessional teamwork and self-care...
December 2018: Critical Care Nurse
S McDevitt, V Passi
OBJECTIVE: To evaluate the effectiveness of an Interprofessional Education (IPE) programme in eating disorders for mental health practitioners using a case-based learning approach. METHODS: A total of 25 mental health clinicians were asked to evaluate their IPE programme as part of training for the National Clinical Programme in Eating Disorders. They completed a Readiness for Interprofessional Learning Scale (RIPLS), a learner reaction questionnaire after each session and a final open evaluation at 4 months...
December 2018: Irish Journal of Psychological Medicine
Jennifer L Bryan, Diana E Stewart, Jessica Uriarte, Alexandra Hernandez, Aanand D Naik, Kyler M Godwin
Health care professionals in the United States are expected to engage in quality improvement (QI) as part of their daily practice. This has created the need for QI training at all levels of health professional education. A reported barrier to increasing QI-trained health care professionals is the lack of QI-trained faculty at health care institutions and the limited availability of practitioners, given their daily clinical demands. E-learning is a potential solution. E-learning allows learning outside the traditional classroom setting, where instructors can flexibly deliver practical QI curricula to an interprofessional audience in multiple practice locations...
October 2018: Journal of Continuing Education in the Health Professions
Joseph Beiler, Kristi Opper, Marianne Weiss
PURPOSE/OBJECTIVES: The purpose of this article is to describe an innovative approach to the integration of quality improvement and research processes. A project with the objective of improving health team communication about hospital discharge provides an exemplar case. DESCRIPTION OF THE PROJECT/PROGRAM: The TeamSTEPPS 10-step action planning guide provided the structure for planning, developing, and evaluating a redesign of interprofessional health team communication to improve hospital discharge led by 2 clinical nurse specialists...
January 2019: Clinical Nurse Specialist CNS
Wesley Nuffer, Christy Harmon, Leigh Dye, Masayo Nishiyama
BACKGROUND AND PURPOSE: Pharmacist-delivered medication therapy management (MTM) services are an important part of practice, and students should be trained in MTM provision. Current MTM utilization falls short of the potential benefits that pharmacists could provide, and there are barriers to successful MTM completion. New MTM models need to be explored to demonstrate the pharmacist's role on the medical team and to provide models for cost saving to insurers. EDUCATIONAL ACTIVITY AND SETTING: This manuscript describes a novel grant-funded MTM model supported by fourth year pharmacy students in partnership with several medical clinics...
September 2018: Currents in Pharmacy Teaching & Learning
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