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Interprofessional models of care

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https://www.readbyqxmd.com/read/29157568/providing-primary-care-using-an-interprofessional-collaborative-practice-model-what-clinicians-have-learned
#1
Cynthia S Selleck, Matthew Fifolt, Heidi Burkart, Jennifer Sandson Frank, William A Curry, Lisle S Hites
This article details a nurse-led, interprofessional collaborative practice (IPCP) model that was developed to provide primary care to a medically indigent population in Birmingham, Alabama. Funding to develop and implement this project came from a federal Nurse Education, Practice, Quality and Retention award to the University of Alabama at Birmingham (UAB) School of Nursing, with additional support coming from the UAB Hospital and Health System. The clinic is housed within a local community-based, non-profit organization and all services, including supplies and pharmaceuticals, are provided free of charge to this vulnerable population...
November 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29157567/expanding-collaborative-boundaries-in-nursing-education-and-practice-the-nurse-practitioner-dentist-model-for-primary-care
#2
Maria C Dolce, Jessica L Parker, Chantelle Marshall, Christine A Riedy, Lisa E Simon, Jane Barrow, Catherine R Ramos, John D DaSilva
The purpose of this paper is to describe the design and implementation of a novel interprofessional collaborative practice education program for nurse practitioner and dental students, the Nurse Practitioner-Dentist Model for Primary Care (NPD Program). The NPD Program expands collaborative boundaries in advanced practice nursing by integrating primary care within an academic dental practice. The dental practice is located in a large, urban city in the Northeast United States and provides comprehensive dental services to vulnerable and underserved patients across the age spectrum...
November 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29153454/beliefs-and-perceptions-of-mentorship-among-nursing-faculty-and-traditional-and-accelerated-undergraduate-nursing-students
#3
Ann-Margaret Navarra, Amy Witkoski Stimpfel, Karla Rodriguez, Fidelindo Lim, Noreen Nelson, Larry Z Slater
BACKGROUND: In order to meet the demands of a dynamic and complex health care landscape, nursing education must develop and implement programming to produce a highly educated nursing workforce. Interprofessional honors education in nursing with targeted mentorship is one such model. PURPOSE: To describe undergraduate nursing student and faculty perceptions and beliefs of mentorship in the context of interprofessional honors education, and compare and contrast the perceptions and beliefs about mentorship in interprofessional honors education between undergraduate nursing students and faculty...
November 6, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29133314/decisional-needs-assessment-of-patients-with-complex-care-needs-in-primary-care-a-participatory-systematic-mixed-studies-review-protocol
#4
Mathieu Bujold, Pierre Pluye, France Légaré, Jeannie Haggerty, Genevieve C Gore, Reem El Sherif, Marie-Eve Poitras, Marie-Claude Beaulieu, Marie-Dominique Beaulieu, Paula L Bush, Yves Couturier, Beatrice Débarges, Justin Gagnon, Anik Giguère, Roland Grad, Vera Granikov, Serge Goulet, Catherine Hudon, Bernardo Kremer, Edeltraut Kröger, Irina Kudrina, Bertrand Lebouché, Christine Loignon, Marie-Therese Lussier, Cristiano Martello, Quynh Nguyen, Rebekah Pratt, Benoit Rihoux, Ellen Rosenberg, Isabelle Samson, Nicolas Senn, David Li Tang, Masashi Tsujimoto, Isabelle Vedel, Bruno Ventelou, Michel Wensing
INTRODUCTION: Patients with complex care needs (PCCNs) often suffer from combinations of multiple chronic conditions, mental health problems, drug interactions and social vulnerability, which can lead to healthcare services overuse, underuse or misuse. Typically, PCCNs face interactional issues and unmet decisional needs regarding possible options in a cascade of interrelated decisions involving different stakeholders (themselves, their families, their caregivers, their healthcare practitioners)...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29123600/activities-performed-by-pharmacists-integrated-in-family-health-teams-results-from-a-web-based-survey
#5
Ulrika Gillespie, Lisa Dolovich, Simone Dahrouge
Objectives: Family health teams (FHTs), an interprofessional primary care practice model, were established in Ontario in 2005. As of October 2014, 191 FHT organizations were in operation, and 111 (58%) included one or several pharmacists. The objective of this study was to document the focus of pharmacist activities in FHTs. Approach: We invited all 155 known FHT pharmacists to a web-based survey. The survey was constructed using information obtained from previously done semi-structured telephone interviews with pharmacists working in FHTs...
November 2017: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/29118251/interprofessional-education-in-dental-hygiene-programs-and-coda-standards-dental-hygiene-program-directors-perspectives
#6
Danielle Furgeson, Marita Rohr Inglehart
Purpose: The Patient Protection and Affordable Care Act changed the paradigm of health care delivery by addressing interprofessional education (IPE) and care (IPC). These considerations, combined with evolving dental hygiene (DH) workforce models, challenge DH educators and clinicians alike to embrace IPE and IPC. The objectives of this study were to determine DH program directors' perceptions of the importance of IPE, to assess current and planned activities related to Commission on Dental Accreditation (CODA) standards that imply competency in IPE, and assessment of outcomes...
April 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29118078/exploring-interprofessional-relationships-between-dental-hygienists-and-health-professionals-in-rural-canadian-communities
#7
Janice C Grant, Zul Kanji
Purpose: For most Canadians living in rural communities, limited access to dental care can negatively impact oral and general health. This narrative, tertiary review of the literature explores the outcomes of interprofessional relationships between dental hygienists and other health professionals on individuals residing in rural communities in Canada. Themes addressed include: implementing interprofessional education experiences in entry-to-practice health programs, interprofessional dynamics in primary health care teams, health perceptions in rural communities, and barriers and enablers to interprofessional relationships...
August 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29111826/integration-of-systematic-clinical-interprofessional-training-in-a-student-faculty-collaborative-primary-care-practice
#8
Amy R Weinstein, Maria C Dolce, Megan Koster, Ravi Parikh, Emily Hamlyn, Elizabeth A McNamara, Alexa Carlson, Margarita V DiVall
The changing healthcare environment and movement toward team-based care are contemporary challenges confronting health professional education. The primary care workforce must be prepared with recent national interprofessional competencies to practice and lead in this changing environment. From 2012 to 2014, the weekly Beth Israel Deaconess Crimson Care Collaborative Student-Faculty Practice collaborated with Northeastern University to develop, implement and evaluate an innovative model that incorporated interprofessional education into primary care practice with the goal of improving student understanding of, and ability to deliver quality, team-based care...
November 7, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29097448/using-simulation-to-develop-care-models-for-rapid-response-and-code-teams-at-a-satellite-facility
#9
Amy R L Rule, Julie Snider, Cheryl Marshall, Kathleen Kramer, Gary L Geis, Ken Tegtmeyer, Craig H Gosdin
BACKGROUND: Our institution recently completed an expansion of an acute care inpatient unit within a satellite hospital that does not include an on-site ICU or PICU. Because of expected increases in volume and acuity, new care models for Rapid Response Teams (RRTs) and Code Blue Teams were necessary. OBJECTIVES: Using simulation-based training, our objectives were to define the optimal roles and responsibilities for team members (including ICU physicians via telemedicine), refine the staffing of RRTs and code Teams, and identify latent safety threats (LSTs) before opening the expanded inpatient unit...
November 2, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29094626/workplace-learning-through-collaboration-in-primary-healthcare-a-beme-realist-review-of-what-works-for-whom-and-in-what-circumstances-beme-guide-no-46
#10
Fien Mertens, Esther de Groot, Loes Meijer, Johan Wens, Mary Gemma Cherry, Myriam Deveugele, Roger Damoiseaux, Ann Stes, Peter Pype
BACKGROUND: Changes in healthcare practice toward more proactive clinical, organizational and interprofessional working require primary healthcare professionals to learn continuously from each other through collaboration. This systematic review uses realist methodology to consolidate knowledge on the characteristics of workplace learning (WPL) through collaboration by primary healthcare professionals. METHODS: Following several scoping searches, five electronic bibliographic databases were searched from January 1990 to December 2015 for relevant gray and published literature written in English, French, German and Dutch...
November 2, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29083293/driving-it-home-leading-with-an-interprofessional-collaborative-team-approach-in-home-care
#11
Cynthia J Bergeron, Gina Barton, Wendy Gamache-Holmes, Mary Ellen Barry, Barbara Butler, Lisa Dunnett, William Koval, Kristen Augustin, Natalie Russell, Monica Tominey
As a prime example of the value of an interprofessional approach to care advocated by Orchard and colleagues earlier in this issue (Orchard 2017a, 2017b), the following case study profiles one highly effective interprofessional New Brunswick-based team which cares for clients and families in their homes; a model which has been functional and extremely successful for more than three decades and remains unparalleled in Canada.
2017: Nursing Leadership
https://www.readbyqxmd.com/read/29083272/healthcare-provider-perceptions-of-the-role-of-interprofessional-care-in-access-to-and-outcomes-of-primary-care-in-an-underserved-area
#12
Shaowei Wan, Peter G Teichman, David Latif, Jennifer Boyd, Rahul Gupta
To meet the needs of an aging population who often have multiple chronic conditions, interprofessional care is increasingly adopted by patient-centred medical homes and Accountable Care Organisations to improve patient care coordination and decrease costs in the United States, especially in underserved areas with primary care workforce shortages. In this cross-sectional survey across multiple clinical settings in an underserved area, healthcare providers perceived overall outcomes associated with interprofessional care teams as positive...
October 30, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29059072/teaching-medical-students-to-communicate-with-empathy-and-clarity-using-improvisation
#13
Evonne Kaplan-Liss, Valeri Lantz-Gefroh, Elizabeth Bass, Deirdre Killebrew, Nicholas M Ponzio, Christine Savi, Christine O'Connell
PROBLEM: Medical educators widely accept that health care providers need strong communication skills. The authors sought to develop a course incorporating improvisation to teach health professions students communication skills and build empathy. APPROACH: Teaching health care professionals to communicate more effectively with patients, the public, and each other is a goal of the Alan Alda Center for Communicating Science at Stony Brook University. The authors designed an interprofessional elective for medical, nursing, and dental students that differed in several respects from traditional communication training...
October 20, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29056982/perception-of-interprofessional-collaboration-and-co-location-of-specialists-and-primary-care-teams-in-youth-mental-health
#14
Cécile Rousseau, Annie Pontbriand, Lucie Nadeau, Janique Johnson-Lafleur
OBJECTIVES: Interprofessional collaboration is a cornerstone of youth mental health collaborative care models. This article presents quantitative results from a mixed-methods study. It analyses the organizational predictors of the perception of interprofessional collaboration of professionals comparing two models of services within recently constituted youth mental health collaborative care teams. METHODS: Professionals (n=104) belonging to six health and social services institutions completed an online survey measuring their perceptions of interprofessional collaboration through a validated questionnaire, the PINCOM-Q...
2017: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29052664/a-qualitative-study-exploring-models-of-supportive-care-in-men-and-their-partners-caregivers-affected-by-metastatic-prostate-cancer
#15
Charlotte Primeau, Catherine Paterson, Ghulam Nabi
PURPOSE/OBJECTIVES: To explore the experiences of patients with metastatic prostate cancer and their partners/caregivers, as well as an interprofessional team, with a nurse-led multimodality supportive care intervention. 
. RESEARCH APPROACH: Qualitative study. 
. SETTING: National Health Service (NHS), Tayside, Scotland.
. PARTICIPANTS: 19 patients, 7 partners/caregivers, and 7 interprofessional members from four hospitals in NHS, Tayside, Scotland...
November 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29029606/patient-centered-professional-practice-models-for-managing-low-back-pain-in-older-adults-a-pilot-randomized-controlled-trial
#16
Christine M Goertz, Stacie A Salsbury, Cynthia R Long, Robert D Vining, Andrew A Andresen, Maria A Hondras, Kevin J Lyons, Lisa Z Killinger, Fredric D Wolinsky, Robert B Wallace
BACKGROUND: Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different healthcare delivery models on back pain outcomes in this population. The purpose of this study was to compare clinical outcomes of older adults receiving back pain treatment under 3 professional practice models that included primary medical care with or without chiropractic care. METHODS: We conducted a pilot randomized controlled trial with 131 community-dwelling, ambulatory older adults with subacute or chronic low back pain...
October 13, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29025818/mental-health-and-addictions-capacity-building-for-community-health-centres-in-ontario
#17
Akwatu Khenti, Fiona C Thomas, Sirad Mohamoud, Pablo Diaz, Oriana Vaccarino, Kate Dunbar, Jaime C Sapag
PROBLEM ADDRESSED: In recent years, there has been increased recognition in Canada of the need to strengthen mental health services in primary health care (PHC). Collaborative models, including partnerships between PHC and specialized mental health care providers, have emerged as effective ways for improving access to mental health care and strengthening clinical capacity. Primary health care physicians and other health professionals are well positioned to facilitate the early detection of mental disorders and provide appropriate treatment and follow-up care, helping to tackle stigma toward mental health problems in the process...
October 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28992759/a-qualitative-evaluation-of-an-online-expert-facilitated-course-on-tobacco-dependence-treatment
#18
Arezoo Ebn Ahmady, Megan Barker, Rosa Dragonetti, Myra Fahim, Peter Selby
Qualitative evaluations of courses prove difficult due to low response rates. Online courses may permit the analysis of qualitative feedback provided by health care providers (HCPs) during and after the course is completed. This study describes the use of qualitative methods for an online continuing medical education (CME) course through the analysis of HCP feedback for the purpose of quality improvement. We used formative and summative feedback from HCPs about their self-reported experiences of completing an online expert-facilitated course on tobacco dependence treatment (the Training Enhancement in Applied Cessation Counselling and Health [TEACH] Project)...
January 1, 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28991923/relations-between-mental-health-team-characteristics-and-work-role-performance
#19
Marie-Josée Fleury, Guy Grenier, Jean-Marie Bamvita, Lambert Farand
Effective mental health care requires a high performing, interprofessional team. Among 79 mental health teams in Quebec (Canada), this exploratory study aims to 1) determine the association between work role performance and a wide range of variables related to team effectiveness according to the literature, and to 2) using structural equation modelling, assess the covariance between each of these variables as well as the correlation with other exogenous variables. Work role performance was measured with an adapted version of a work role questionnaire...
2017: PloS One
https://www.readbyqxmd.com/read/28982205/-how-to-become-a-respiratory-therapist-in-germany-status-quo-and-development-prospects
#20
O Karg
The profession respiratory therapist is well established in Germany 10 years after the introduction. 600 participants have successfully graduated from the training facilities.Our goals are high quality interprofessional teamwork and medical assistance inclusive delegation of formerly physician activities. The duties are comparable to the work pattern of Technical Assistants in surgery. For this profession different ways of qualification are possible: primary training, advanced training and academic studies Physician Assistance...
October 5, 2017: Pneumologie
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