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Interprofessional models of care

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https://www.readbyqxmd.com/read/29781780/physical-therapists-know-function-an-opinion-on-mobility-and-level-of-activity-during-hospitalization-for-adult-inpatients
#1
Audrey M Johnson, Janice Kuperstein, Dana Howell, Esther E Dupont-Versteegden
Negative consequences of immobility during hospitalization are widely known and remain undisputed. Evidence of low mobility for general medicine adult inpatients persists. Patients who experience hospital acquired functional decline due to low mobility require costly post-acute care services. The impact of immobility on post-acute care physical function and quality of life is directly at odds with value-based care. New Medicare payment models emphasize value-based care to promote care improvement and better patient outcomes...
May 21, 2018: Hospital Topics
https://www.readbyqxmd.com/read/29779794/understanding-pain-and-pain-management-in-elderly-nursing-home-patients-applying-an-interprofessional-learning-activity-in-health-care-students-a-norwegian-pilot-study
#2
Elin Damsgård, Hege Solgård, Karin Johannessen, Katrine Wennevold, Gunnvald Kvarstein, Gunn Pettersen, Beate Garcia
Pain is common among elderly patients in nursing homes. However, pain assessment and treatment are inadequate. Interprofessional treatment is recommended, and consequently interprofessional education in pain management is necessary. This pilot project aimed to describe how two interprofessional groups of students approached pain management in two nursing home patients. We formed two teams comprising one student from the nursing, physical therapy, pharmacy, and medical educations. Each team spent one day examining a patient with chronic pain at a nursing home and they developed pain management plans...
May 17, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29746179/collaborative-task-sharing-to-enhance-the-point-of-care-ultrasound-pocus-access-among-expectant-women-in-kenya-the-role-of-midwife-sonographers
#3
Sudhir Vinayak, Sharon Brownie
Unrealized maternal and child health goals continue to challenge Kenya where adverse outcomes remain high and diagnostic services are limited. The acute shortage of doctors and radiographers requires alternate human resources for health (HRH) with the ability to identify risk factors in pregnancy through Point-Of-Care Ultrasound (POCUS). A specialist radiologist and ultrasonography team partnered with midwives to adopt interprofessional task sharing and capacity building. Faculty from the Radiology Department of our hospital designed and implemented the project which was carried out at three outreach health service centres...
May 10, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29731375/healthcare-professionals-perceptions-related-to-the-provision-of-clinical-pharmacy-services-in-the-public-health-sector-of-mexico-a-case-study
#4
Christian Díaz de León-Castañeda, Jéssica Gutiérrez-Godínez, Juventino Iii Colado-Velázquez, Cairo Toledano-Jaimes
BACKGROUND: In Mexico, the Modelo Nacional de Farmacia Hospitalaria (MNFH, or National Hospital Pharmacy Model), published in 2009, mainly aims to promote the provision of clinical pharmacy services in private and public hospitals. However, there is little scientific documentation about the quality of these services. OBJECTIVES: To explore healthcare professionals' perceptions related to the quality of clinical pharmacy services provision. METHODS: A case-study based on a qualitative approach was performed at the pharmaceutical services unit at a public hospital located in Mexico City, which operates under the administrative control of the Ministry of Health...
April 22, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29718079/the-integrated-care-team-approach-of-the-department-of-veterans-affairs-va-geriatric-primary-care
#5
Donna Rasin-Waters, Valerie Abel, Lisa K Kearney, Antonette Zeiss
Historically, integrated mental and behavioral healthcare in the Department of Veterans Affairs (VA) commenced with initiatives in geriatrics. Innovation and system-wide expansion has occurred over decades and culminated in a unified vision for training and practice in the VA medical home model: Patient Aligned Care Team or PACT approach. In one VA hospital, the integration of neuropsychological services in geriatric primary care is pivotal and increases access for patients, as well as contributing to timely and effective care on an interprofessional team...
May 1, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29717066/interprofessional-collaborative-practice-how-could-dentistry-participate
#6
James R Cole, William W Dodge, John S Findley, Bruce D Horn, Kenneth L Kalkwarf, Max M Martin, Richard W Valachovic, Ronald L Winder, Stephen K Young
There is a remarkable phenomenon occurring among health professionals: the development of ongoing, routine collaboration, both in educating the next generation of providers and in delivering care. These new approaches, commonly referred to as interprofessional education and interprofessional collaborative practice, have been introduced into academic health settings and delivery systems throughout the U.S. and the rest of the world; however, the full integration of dentistry in health care teams remains unrealized...
May 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29716904/identifying-barriers-to-nurse-facilitated-patient-mobility-in-the-intensive-care-unit
#7
Daniel L Young, Jason Seltzer, Mary Glover, Caroline Outten, Annette Lavezza, Earl Mantheiy, Ann M Parker, Dale M Needham
BACKGROUND: Nurse-facilitated mobility of patients in the intensive care unit can improve outcomes. However, a gap exists between research findings and their implementation as part of routine clinical practice. Such a gap is often attributed, in part, to the barrier of lack of time. The Translating Evidence Into Practice model provides a framework for research implementation, including recommendations for identifying barriers to implementation via direct observation of clinical care. OBJECTIVES: To report on design, implementation, and outcomes of an approach to identify and understand lack of time as a barrier to nurse-facilitated mobility in the intensive care unit...
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29659009/state-of-the-science-interprofessional-approaches-to-aging-dementia-and-mental-health
#8
Timothy W Farrell, Marilyn K Luptak, Katherine P Supiano, James T Pacala, Rosalind De Lisser
Interprofessional education (IPE) is essential to develop the healthcare workforce of the future. Geriatrics healthcare professionals have long championed innovations in IPE and patient care, but there is increased urgency to address challenges in aging, dementia, and geriatric mental health in America. In 2010, the Partnership for Health in Aging multidisciplinary competencies and a related position statement in the Journal of the American Geriatrics Society addressed interdisciplinary team (IDT) training in geriatrics...
April 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29659006/health-and-aging-policy-fellows-dementia-and-mental-health-policy-to-improve-lives-of-older-adults
#9
Pamela Z Cacchione, Kathleen M Pike, Brigitta Spaeth-Rublee, Harrold A Pincus
The Health and Aging Policy Fellows (HAPF) Program has, since its inception in 2008, provided health policy training and mentorship for 113 gerontological professionals across a wide range of disciplines and stages of careers. The fellows' shared passion is the effective engagement of policy levers to improve the lives of older adults. This article briefly describes the HAPF Program and provides a sample of policies with which fellows have been engaged related to dementia and late-life mental health. Approximately 20% of the fellows have specifically addressed one of these areas during their fellowship year...
April 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29658798/mock-echo-a-simulation-based-medical-education-method
#10
Rebecca C Fowler, Joanna G Katzman, George D Comerci, Brian M Shelley, Daniel Duhigg, Cynthia Olivas, Thomas Arnold, Summers Kalishman, Rebecca Monnette, Sanjeev Arora
PROBLEM: This study was designed to develop a deeper understanding of the learning and social processes that take place during the simulation-based medical education for practicing providers as part of the Project ECHO® model, known as Mock ECHO training. The ECHO model is utilized to expand access to care of common and complex diseases by supporting the education of primary care providers with an interprofessional team of specialists via videoconferencing networks. INTERVENTION: Mock ECHO trainings are conducted through a train the trainer model targeted at leaders replicating the ECHO model at their organizations...
April 16, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29626591/impact-of-the-canadian-diabetes-association-guidelines-dissemination-strategy-on-clinician-knowledge-and-behaviour-change-outcomes
#11
Catherine H Yu, Erin Lillie, Alekhya Mascarenhas-Johnson, Carolyn Gall Casey, Sharon E Straus
AIM: Implementation of clinical practice guideline(CPG) into clinical practice remains limited. Using the Knowledge-To-Action framework, a guideline dissemination and implementation strategy for the Canadian Diabetes Association's 2013 CPG was developed and launched to clinicians and people with diabetes. METHODS: The RE-AIM framework guided evaluation of this strategy clinician; we report here one aspect of the effectiveness dimension using mixed methods. We measured impact of the strategy on clinican knowledge and behaviour change constructs using evaluation forms, national online survey and individual interviews...
April 4, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29620672/beyond-the-lamppost-a-proposal-for-a-fourth-wave-of-education-for-collaboration
#12
Elise Paradis, Cynthia R Whitehead
Interprofessional education (IPE) is an increasingly popular educational model that aims to educate health care students to be better collaborators by enabling them to learn with, from, and about each other. IPE's rising popularity is evident in the increase in scholarship on this topic over the last few decades. In this Perspective, the authors briefly describe three historical "waves" of IPE: managing the health workforce through shared curriculum, maximizing population health through health workforce planning, and fixing individuals to fix health care...
April 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29617795/team-dynamics-within-quality-improvement-teams-a-scoping-review
#13
Paula Rowland, Dean Lising, Lynne Sinclair, G Ross Baker
Purpose: This scoping review examines what is known about the processes of quality improvement (QI) teams, particularly related to how teams impact outcomes. The aim is to provide research-informed guidance for QI leaders and to inform future research questions. Data sources: Databases searched included: MedLINE, EMBASE, CINAHL, Web of Science and SCOPUS. Study selection: Eligible publications were written in English, published between 1999 and 2016...
March 31, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29601678/interprofessional-education-in-dental-education-an-international-perspective
#14
J M Davis, J Janczukowicz, J Stewart, B Quinn, C A Feldman
Interprofessional collaborative care (IPC) is defined as working within and across healthcare disciplines and is considered essential to achieve a more inclusive, patient-centred care, provide a means to support patient safety and address global healthcare provider shortages. Interprofessional education (IPE) provides the knowledge and experience students need to achieve these goals. ADEE/ADEA held a joint international meeting 8-9 May 2017, with IPE being one of four topic areas discussed. The highly interactive workshop format, where "everyone was an expert," supported discussion, sharing and creative problem-solving of over seventy-one participants from twenty-nine countries...
March 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29598224/integrating-spiritual-care-during-interprofessional-simulation-for-baccalaureate-nursing-students
#15
Susan L Huehn, Mary Beth Kuehn, Katherine E Fick
Interprofessional educational experiences for baccalaureate nursing students are essential to prepare them for interprofessional communication and collaborative interprofessional teamwork. The aim of this descriptive qualitative study was to understand the experience of baccalaureate nursing students utilizing the hospital chaplain while caring for a suicidal patient in the emergency department during simulation. The need for interprofessional education is documented in the literature, but there are very few comprehensive, successful projects integrating spiritual care for nurse educators to use as models...
March 1, 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/29595429/towards-a-responsive-sustainable-and-collaborative-model-of-care-at-toronto-s-michael-garron-hospital
#16
Irene Andress, Sharon Navarro, Stephanie Collier, Sarah Coppinger, Priya Herne
In 2008, Michael Garron Hospital, transformed its approach to care delivery. The rationale: to improve quality, increase safety and boost patient and staff engagement and satisfaction. The Coordinated Care Team (CCT) model has enabled nurses to not only work to their full scopes of practice within a team of interprofessional providers and unlicensed staff, but also helped create a culture of safety and patient-centredness in a value-driven context. Critics suggest a need for more evaluation and evidence of efficacy...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29588636/enhancing-care-transitions-for-older-people-through-interprofessional-simulation-a-mixed-method-evaluation
#17
Susie Sykes, Lesley Baillie, Beth Thomas, Judy Scotter, Fiona Martin
Introduction: The educational needs of the health and social care workforce for delivering effective integrated care are important. This paper reports on the development, pilot and evaluation of an interprofessional simulation course, which aimed to support integrated care models for care transitions for older people from hospital to home. Theory and methods: The course development was informed by a literature review and a scoping exercise with the health and social care workforce...
November 13, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29577735/evaluation-of-a-distance-learning-curriculum-for-interprofessional-quality-improvement-leaders
#18
Megan E Gregory, Jennifer L Bryan, Sylvia J Hysong, Isabelle S Kusters, Rebecca S Miltner, Diana E Stewart, Natalie Polacek, LeChauncy D Woodard, Jane Anderson, Aanand D Naik, Kyler M Godwin
As health care systems move toward value-based care, training future leaders in quality improvement (QI) is essential. Web-based training allows for broad dissemination of QI knowledge to geographically distributed learners. The authors conducted a longitudinal evaluation of a structured, synchronous web-based, advanced QI curriculum that facilitated engagement and real-time feedback. Learners (n = 54) were satisfied (overall satisfaction; M = 3.31/4.00), and there were improvements in cognitive (immediate QI knowledge tests; P = ...
March 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29562905/a-qualitative-exploration-of-the-client-experience-of-inter-professional-practice-in-the-delivery-of-activeplus-a-combined-smoking-cessation-and-physical-activity-intervention
#19
G A O'Sullivan, Clare Hanlon, T Dentry, T Morris, L Banting
BACKGROUND: Research investigating interprofessional practice (IPP) frameworks has predominately focused on the service delivery of IPP or educating practitioners through interprofessional education. Minimal research has addressed client outcomes or the experience of clients with IPP in real world contexts. In this paper, we explore the experience of seven participants in the ActivePlus program, an IPP-based smoking cessation intervention combined with physical activity promotion. METHODS: Participants informed on their program experiences through post-program in-depth interviews...
March 21, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29548304/coordinating-resources-for-prospective-medication-risk-management-of-older-home-care-clients-in-primary-care-procedure-development-and-rct-study-design-for-demonstrating-its-effectiveness
#20
Terhi Toivo, Maarit Dimitrow, Juha Puustinen, Eeva Savela, Katariina Pelkonen, Valtteri Kiuru, Tuula Suominen, Sirkka Kinnunen, Mira Uunimäki, Sirkka-Liisa Kivelä, Saija Leikola, Marja Airaksinen
BACKGROUND: The magnitude of safety risks related to medications of the older adults has been evidenced by numerous studies, but less is known of how to manage and prevent these risks in different health care settings. The aim of this study was to coordinate resources for prospective medication risk management of home care clients ≥ 65 years in primary care and to develop a study design for demonstrating effectiveness of the procedure. METHODS: Health care units involved in the study are from primary care in Lohja, Southern Finland: home care (191 consented clients), the public healthcare center, and a private community pharmacy...
March 16, 2018: BMC Geriatrics
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