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Clinical skills coach

Mikael L Soucisse, Kerianne Boulva, Lucas Sideris, Pierre Drolet, Michel Morin, Pierre Dubé
BACKGROUND: As surgical training is evolving and operative exposure is decreasing, new, effective, and experiential learning methods are needed to ensure surgical competency and patient safety. Video coaching is an emerging concept in surgery that needs further investigation. DESIGN: In this randomized controlled trial conducted at a single teaching hospital, participating residents were filmed performing a side-to-side intestinal anastomosis on cadaveric dog bowel for baseline assessment...
October 5, 2016: Journal of Surgical Education
Catharina A Nordin, Peter Michaelson, Gunvor Gard, Margareta K Eriksson
BACKGROUND: Web-based interventions with a focus on behavior change have been used for pain management, but studies of Web-based interventions integrated in clinical practice are lacking. To emphasize the development of cognitive skills and behavior, and to increase activity and self-care in rehabilitation, the Web Behavior Change Program for Activity (Web-BCPA) was developed and added to multimodal pain rehabilitation (MMR). OBJECTIVE: The objective of our study was to evaluate the effects of MMR in combination with the Web-BCPA compared with MMR among persons with persistent musculoskeletal pain in primary health care on pain intensity, self-efficacy, and copying, as part of a larger collection of data...
October 5, 2016: Journal of Medical Internet Research
Marghuretta D Bland, Rebecca L Birkenmeier, Peggy Barco, Emily Lenard, Catherine E Lang, Eric J Lenze
BACKGROUND: Patient engagement in medical rehabilitation can be greatly influenced by their provider during therapy sessions. We developed Enhanced Medical Rehabilitation (EMR), a set of provider skills grounded in theories of behavior change. EMR utilizes 18 motivational techniques focused on providing frequent feedback to patients on their effort and progress and linking these to patient goals. OBJECTIVE: To examine the effectiveness of a clinical training protocol for clinicians to do EMR, as measured by clinician adherence...
September 27, 2016: NeuroRehabilitation
Laura J Damschroder, Caitlin M Reardon, Nina Sperber, Claire H Robinson, Jacqueline J Fickel, Eugene Z Oddone
The Telephone Lifestyle Coaching (TLC) program provided telephone-based coaching for six lifestyle behaviors to 5321 Veterans at 24 Veterans Health Administration (VHA) medical facilities. The purpose of the study was to conduct an evaluation of the TLC program to identify factors associated with successful implementation. A mixed-methods study design was used. Quantitative measures of organizational readiness for implementation and facility complexity were used to purposively select a subset of facilities for in-depth evaluation...
September 29, 2016: Translational Behavioral Medicine
Karen L Jacob
Borderline Personality Disorder (BPD) has a reputation for being a challenging disorder to treat due to the nature of the illness. With the development of evidence-based treatments, therapists are becoming more skilled at successfully helping this cohort of patients. A common factor associated with all validated treatments for BPD is the active involvement of therapists. For example, DBT is one treatment where therapists are expected to be available to patients for coaching outside of sessions. However, understanding the benefits and pitfalls associated with therapists' accessibility in between sessions is relevant to any treatment with intersession contact...
September 2016: Harvard Review of Psychiatry
Mary Ann Jessee, Christine A Tanner
BACKGROUND: Clinical coaching has been identified as a signature pedagogy in nursing education. Recent findings indicate that clinical coaching interactions in the clinical learning environment fail to engage students in the higher order thinking skills believed to promote clinical reasoning. METHOD: The Clinical Coaching Interactions Inventory (CCII) was based on evidence of supervisor questioning techniques, the Tanner clinical judgment model, Bloom's Taxonomy, and simulation evaluation tools...
September 1, 2016: Journal of Nursing Education
Sofie Germonpré, Paul Gemmel, Dimitri Beeckman, Jeroen Trybou
This study examines the determinants of using (non-)fluoroscopy-guided positioning (FGP) for radiographs, in order to improve the use of non-FGP imaging techniques. We focused on knowledge and attitudes of radiographers and radiologists with respect to applying non-FGP in radiography and organizational factors. We analyzed data from an in-depth multiple case study that includes observations and field notes, interviews, documents and images collected from the radiology departments of four hospitals. The unified theory of acceptance and use of technology (UTAUT) was used to frame the findings...
August 24, 2016: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
Babacar Gueye, Jennifer Wesson, Djimadoum Koumtingue, Sara Stratton, Claire Viadro, Hawa Talla, Etienne Dioh, Carol Cissé, Boniface Sebikali, Bocar Mamadou Daff
BACKGROUND: To broaden access to family planning in rural areas and improve contraceptive prevalence, Senegal, in the context of wide method choice, is promoting implants and the intrauterine device, currently used throughout the country by only 5.6% of women of reproductive age who are in union, primarily urban women. METHODS: The TutoratPlus performance improvement approach strengthens family planning clinical skills, particularly for long-acting reversible contraceptives (LARCs), through mentoring, task sharing, and community outreach...
August 11, 2016: Global Health, Science and Practice
Meaghan C McHugh, Lewis H Margolis, Angela Rosenberg, Elizabeth Humphreys
Purpose The Interdisciplinary Leadership Learning Collaborative (ILLC), under the sponsorship of AUCD and the Maternal and Child Health Bureau, brought together six teams, composed of 14 MCHB and UCEDD training programs to enhance their leadership training. Description Using adult learning principles, interactive training methods, and skill-focused learning, the ILLC built upon the evidence-based Interdisciplinary Leadership Development Program of the University of North Carolina at Chapel Hill. The program began with a 4-day on-site intensive and then continued through monthly conference calls, a mid-term on-site workshop, and a summary virtual workshop to present programmatic accomplishments and share plans for sustainability...
August 9, 2016: Maternal and Child Health Journal
Donna P Phillips, Joseph D Zuckerman, Adina Kalet, Kenneth A Egol
The Accreditation Council of Graduate Medical Education requires that residency programs teach and assess trainees in six core competencies. Assessments are imperative to determine trainee competence and to ensure that excellent care is provided to all patients. A structured, direct observation program is feasible for assessing nontechnical core competencies and providing trainees with immediate constructive feedback. Direct observation of residents in the outpatient setting by trained faculty allows assessment of each core competency...
September 2016: Journal of the American Academy of Orthopaedic Surgeons
Jane R Shaw, Gwyn E Barley, Kirsti Broadfoot, Ashley E Hill, Debra L Roter
OBJECTIVE To evaluate veterinarian-client communication and veterinarian and client satisfaction with veterinary visits before and after veterinarians underwent a 6-month communication skills training program in a practice setting. DESIGN Case-based pretest-posttest intervention study. SAMPLE 1 purposely selected companion-animal practice. PROCEDURES The practice team (3 veterinarians, 5 veterinary technicians, 1 receptionist, and 1 office manager) participated in a 6-month educational program (intervention) that included interactive communication modules, individual coaching, and a communication laboratory...
August 15, 2016: Journal of the American Veterinary Medical Association
Tatiana Sadak, Jacob Wright, Soo Borson
The National Alzheimer's Plan calls for improving health care for people living with dementia and supporting their caregivers as capable health care partners. Clinically useful measurement tools are needed to monitor caregivers' knowledge and skills for managing patients' often complex health care needs as well as their own self-care. We created and validated a comprehensive, caregiver-centered measure, Managing Your Loved One's Health (MYLOH), based on a core set of health care management domains endorsed by both providers and caregivers...
July 5, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Nadine Tacchini-Jacquier, Diane Morin
the Swiss demographics indicate an increase by 2020 in the proportion of people aged 65 and over. Impact is expected on the health system, including an increasing flow in the emergency services. Elderly patients often showing atypical symptoms, this can make more difficult the prioritization of the clinical problems.PPURPOSE measuring knowledge and skill perception regarding the geriatric approach among emergency nurses of a Swiss cantonal hospital. MMETHODS descriptive and correlational study using an electronic questionnaire previously translated into Swiss French and Swiss German using recommendations...
March 2016: Recherche en Soins Infirmiers
Marilyn H Oermann, Virginia C Muckler, Brett Morgan
The development of psychomotor and procedural skills requires opportunities for repetitive practice combined with specific, informational feedback from the teacher, another expert, or simulator to correct performance errors. Practice enables learners to refine skills and progress through the phases of motor learning: cognitive, associative, and autonomous. Practice should be spaced over time, can occur in dyads, and can rapidly cycle between practicing and receiving feedback and coaching until skills are mastered...
June 1, 2016: Journal of Continuing Education in Nursing
Gulzar Malik, Lisa McKenna, Virginia Plummer
Background Implementation of evidence-based practice (EBP) is a major initiative within health care settings to ensure clinical and policy decisions incorporate best available evidence. Nurse educators, clinical coaches (clinical support nurses) and clinical nurse specialists are the key people to bring change by facilitating EBP within clinical settings. Aims In this paper the findings are reported from a descriptive study exploring nurse educators', clinical coaches' and nurse specialists' perceptions of factors associated with using EBP...
May 10, 2016: Contemporary Nurse
Todd H Wagner, Rachel Willard-Grace, Ellen Chen, Thomas Bodenheimer, David H Thom
OBJECTIVES: Health coaches can help patients gain knowledge, skills, and confidence to manage their chronic conditions. Coaches may be particularly valuable in resource-poor settings, but they are not typically reimbursed by insurance, raising questions about their budgetary impact. STUDY DESIGN: The Health Coaching in Primary Care (HCPC) study was a randomized controlled trial that showed health coaches were effective at helping low-income patients improve control of their type 2 diabetes, hypertension, and/or hyperlipidemia at 12 months compared with usual care...
2016: American Journal of Managed Care
Agnes N Anarado, Grace U Agu, Eunice I Nwonu
BACKGROUND/AIM: Clinical training is an integral part of professional nursing education as it equips students with the required knowledge, skills, attitudes, and values needed for optimal practice in real-life situations. Inappropriate professional attributes have been observed among nursing graduates, while challenges to acquisition of clinical skills have been understudied in Nigeria. PURPOSE: This study investigated system factors related to the provision of infrastructure/equipment, training/supervisory activities, and students' factors that may hinder clinical training of nursing students in two selected institutions in Southeastern Nigeria...
May 2016: Nurse Education Today
Alison S Clay, David Y Ming, Nancy W Knudsen, Deborah L Engle, Colleen O'Connor Grochowski, Kathryn M Andolsek, Saumil M Chudgar
PROBLEM: Despite the importance of self-directed learning (SDL) in the field of medicine, individuals are rarely taught how to perform SDL or receive feedback on it. Trainee skill in SDL is limited by difficulties with self-assessment and goal setting. APPROACH: Ninety-two graduating fourth-year medical students from Duke University School of Medicine completed an individualized learning plan (ILP) for a transition-to-residency Capstone course in spring 2015 to help foster their skills in SDL...
April 26, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Briony Hill, Helen Skouteris, Matthew Fuller-Tyszkiewicz, Skye McPhie
This study evaluated: (1) the efficacy of a health coaching (HC) intervention designed to prevent excessive gestational weight gain (GWG); and (2) whether there were improved psychological, motivational, and behavioural outcomes for women in the HC intervention compared to a "usual care" control group. In this quasi-experimental study, 267 pregnant women ≤18 weeks gestation were recruited between August 2011 and June 2013 from two hospital antenatal clinics in Melbourne, Australia. Intervention women received four individual HC and two group HC/educational sessions informed by theories of behaviour change...
October 2016: Journal of Behavioral Medicine
Erica Salomone, Giuseppe Maurizio Arduino
INTRODUCTION: This study examined the potential feasibility of tele-delivered parent coaching in a rural area of Italy through a survey of parents' attitudes towards this type of intervention. METHODS: Parents of all children up to six years of age registered with a diagnosis of autism spectrum disorder at the clinic catering for the area were invited to take part in the study. The final sample consisted of 43 parents. RESULTS: Parents with worse Internet skills and those who reported lower levels of satisfaction with currently received services were less likely to be willing to enrol...
April 6, 2016: Journal of Telemedicine and Telecare
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