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https://www.readbyqxmd.com/read/29913685/quality-pain-management-in-the-hospital-setting-a-concept-evaluation
#1
S Zoëga, S Gunnarsdóttir, D B Gordon
Aims To gain an understanding of the concept of quality pain management (QPM) in the hospital setting, and to define the concept. Methods A concept evaluation based on the method by Morse and colleagues was done. The literature was searched according to selected key words in five databases. Over 5000 articles were found but data were limited to 37 articles directly related to both quality and pain management in adults in the hospital setting, and published in peer-reviewed journals or by an official organization...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913462/curriculum-development-and-implementation-of-a-national-interprofessional-fellowship-in-patient-safety
#2
Bradley V Watts, Linda Williams, Peter D Mills, Douglas E Paull, Jeffrey A Cully, Stuart C Gilman, Robin R Hemphill
OBJECTIVES: Developing a workforce skilled in improving the safety of medical care has often been cited as an important means to achieve safer care. Although some educational programs geared toward patient safety have been developed, few advanced training programs have been described in the literature. We describe the development of a patient safety fellowship program. METHODS: We describe the development and curriculum of an Interprofessional Fellowship in Patient Safety...
June 15, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29910422/health-care-as-a-team-sport-studying-athletics-to-improve-interprofessional-collaboration
#3
Anthony P Breitbach, Scott Reeves, Simon N Fletcher
Organizations value teamwork and collaboration as they strive to build culture and attain their goals and objectives. Sports provide a useful and easily accessible means to study teamwork. Interprofessional collaborative practice (IPCP) has been identified as a means of improving patient and population health outcomes. Principles of teamwork in sports can inform health professionals and organizations regarding possible improvement strategies and barriers in the optimization of IPCP. Twenty-eight delegates from the 2017 All Together Better Health Conference in Oxford, UK participated in a World Café to discuss the how teamwork in sports can inform IPCP in healthcare and sports medicine...
August 18, 2017: Sports
https://www.readbyqxmd.com/read/29909797/a-review-of-integrated-heart-failure-care
#4
Julie MacInnes, Liz Williams
AimThe aim of this integrative review is to determine the effectiveness of integrated heart failure (HF) care in terms of patient-, service- and resource-related outcomes, and to determine what model or characteristics of integrated care work best, for whom and in what contexts. BACKGROUND: Integration of health and social care services is a significant driver in the development of better and more cost-effective health and social care systems in Europe and developed countries. As high users of health and social care services, considerable attention has been paid to the care of people with long-term conditions...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29908764/development-of-the-ripe-model-reflective-interprofessional-education-model-to-enhance-interprofessional-collaboration
#5
C Lucas, T Power, C Hayes, C Ferguson
This paper describes a novel model to providing interprofessional education (IPE) and interprofessional collaboration (IPC) within a simulated healthcare environment, in the higher education setting. The RIPE Model (Reflective Interprofessional Education Model) was developed for the purpose of enhancing IPE and IPC, clinical judgement, and decision-making between health professional students (pharmacy and nursing students) at the patient's simulated hospital bedside. A foundation 'unfolding' case utilizing the RIPE model was piloted with first year Master of pharmacy students and postgraduate nursing students at an Australian university and included a pharmacy practitioner acting as a resident medical officer (RMO) for the purpose of the teaching module...
June 2, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29908050/australian-community-pharmacists-experience-of-implementing-a-chronic-kidney-disease-risk-assessment-service
#6
Pankti A Gheewala, Gregory M Peterson, Syed Tabish R Zaidi, Matthew D Jose, Ronald L Castelino
INTRODUCTION: Community pharmacists are well positioned to deliver chronic kidney disease (CKD) screening services. However, little is known about the challenges faced by pharmacists during service implementation. This study aimed to explore community pharmacists' experiences and perceived barriers of implementing a CKD risk assessment service. METHODS: Data collection was performed by using semistructured, open-ended interview questions. Pharmacists who had implemented a CKD screening service in Tasmania, Australia, were eligible to participate...
June 14, 2018: Preventing Chronic Disease
https://www.readbyqxmd.com/read/29906320/linking-interprofessional-work-to-outcomes-for-employees-a-meta-analysis
#7
Sabine Kaiser, Joshua Patras, Monica Martinussen
The aim of this meta-analysis of studies of workers in the health and social care sector was to examine the relationship between interprofessional work and employee outcomes of job stress, autonomy, burnout, engagement, job satisfaction, turnover intention, and perceived service quality, and to examine the influence of different moderators on those relationships. A systematic literature search of the PsycInfo, Embase, Medline, and the Cumulative Index to Nursing and Allied Health Literature databases was conducted to identify relevant articles...
June 2018: Research in Nursing & Health
https://www.readbyqxmd.com/read/29902040/integrated-care-models-for-adhd-in-children-and-adolescents-a-systematic-review
#8
Jeffrey D Shahidullah, John S Carlson, Danielle Haggerty, Blake M Lancaster
INTRODUCTION: Attention-deficit/hyperactivity disorder (ADHD) in children and adolescents is commonly managed in primary care. Changes in United States health care have led to the integration of behavioral health services within a patient's "medical home" to improve access to, engagement in, and continuity of quality health care. Despite proliferation of these integrated care models, no studies have specifically examined models for managing ADHD in children and adolescents within primary care...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29901661/interprofessional-care-in-teaching-practices-lessons-from-bright-spots
#9
Thomas Bodenheimer, Margae Knox, Sara Syer
In this issue, Brandt and colleagues and Uhlig and colleagues highlight barriers faced by health professional schools implementing interprofessional education and describe how clinical learning environments can overcome those obstacles. Primary care residency teaching clinics provide an excellent opportunity for interprofessional education and patient care, with teachers and learners from various professions caring for patients together. This Invited Commentary offers three interprofessional education strategies used by five "bright spot" family medicine teaching clinics: (1) separate clinics for patients with complex healthcare needs during which learners from various professions see patients together; (2) interprofessional interactions in day-to-day patient care; and (3) case conferences across professions to discuss patients...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29901656/untying-the-interprofessional-gordian-knot-the-national-collaborative-on-improving-the-clinical-learning-environment
#10
Barbara F Brandt, Simon Kitto, Ronald M Cervero
The National Collaborative for Improving the Clinical Learning Environment (NCICLE) is a growing group of over 40 organizations representing a variety of health professions. NCICLE is beginning a discussion of issues related to culture in health care, specifically how the current culture inhibits optimal outcomes, and the discordance between current early interprofessional education (IPE) curricula in health professions schools and traditional practice models in health care. In October 2017, the Accreditation Council for Graduate Medical Education and the Josiah Macy Jr...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29893136/opportunities-and-challenges-for-practical-training-in-public-health-insights-from-practicum-coordinators-in-ontario
#11
Jessica Wegener, Marilyne Petitclerc
Dietetic educators and practicum coordinators (PC) play critical roles in preparing students for practice. Dietitians have made significant progress in the development of educational curricula, competencies, and other resources to support knowledge and skill attainment in public health. There are identified gaps in the literature concerning practical training in sustainable food systems and public health, creating barriers in knowledge exchange and improvements in practicum programs in Canada. This paper discusses the potential opportunities and challenges associated with the number of placements for practical training in public health based on interviews with PCs in Ontario...
June 12, 2018: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/29891523/outcomes-from-a-patient-centered-interprofessional-palliative-consult-team-in-oncology
#12
Andrea Feldstain, Barry D Bultz, Janet de Groot, Amane Abdul-Razzak, Leonie Herx, Lyle Galloway, Srini Chary, Aynharan Sinnarajah
Background: Palliative care aims to improve suffering and quality of life for patients with life-limiting disease. This study evaluated an interdisciplinary palliative consultation team for outpatients with advanced cancer at the Tom Baker Cancer Centre. This team traditionally offered palliative medicine and recently integrated a specialized psychosocial clinician. Historic patient-reported clinical outcomes were reviewed. There were no a priori hypotheses. Methods: A total of 180 chart reviews were performed in 8 sample months in 2015 and 2016; 114 patients were included...
June 2018: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/29890182/context-sensitive-antibiotic-optimization-a-qualitative-interviews-study-of-a-remote-australian-hospital-setting
#13
J Broom, A Broom, E Kirby
BACKGROUND: Antibiotic optimization is an urgent international issue. Regulatory frameworks, including the requirement to have a functioning antimicrobial stewardship (AMS) programme, are now ubiquitous across the hospital sector nationally and internationally. However, healthcare is ultimately delivered in a diverse range of institutional settings and social contexts. There is emerging evidence that implementation of antibiotic optimization strategies may be inappropriate or even counterproductive to attempts to optimize in atypical healthcare settings...
June 8, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29888150/postpartum-magnesium-sulfate-overdose-a-multidisciplinary-and-interprofessional-simulation-scenario
#14
Adam Garber, Purnima M Rao, Chandrew Rajakumar, George A Dumitrascu, Genevieve Rousseau, Glenn D Posner
This case is one of an eight-case multidisciplinary curriculum designed and implemented at the University of Ottawa by simulation educators with specialty training in obstetrics and gynecology (OB/GYN) and anesthesiology. Consultation with a nurse educator maintained the quality and relevance of objectives for nursing participants. The curriculum was prepared to train OB/GYN and anesthesiology residents and labor and delivery nurses to hone crisis resource management skills and to recognize and manage rare/critical medical events in an obstetrical setting...
April 7, 2018: Curēus
https://www.readbyqxmd.com/read/29887891/malignant-bowel-obstruction-in-advanced-gynecologic-cancers-an-updated-review-from-a-multidisciplinary-perspective
#15
REVIEW
Yeh Chen Lee, Nazlin Jivraj, Catherine O'Brien, Tanya Chawla, Eran Shlomovitz, Sarah Buchanan, Jenny Lau, Jennifer Croke, Johane P Allard, Preeti Dhar, Stephane Laframboise, Sarah E Ferguson, Neesha Dhani, Marcus Butler, Pamela Ng, Terri Stuart-McEwan, Pamela Savage, Lisa Tinker, Amit M Oza, Stephanie Lheureux
Malignant bowel obstruction (MBO) is a major complication in women with advanced gynecologic cancers which imposes a significant burden on patients, caregivers, and healthcare systems. Symptoms of MBO are challenging to palliate and result in progressive decompensation of already vulnerable patients with limited therapeutic options and a short prognosis. However, there is a paucity of guidelines or innovative approaches to improve the care of women who develop MBO. MBO is a complex clinical situation that requires a multidisciplinary approach to ensure the appropriate treatment modality and interprofessional care to optimally manage these patients...
2018: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/29887283/an-interprofessional-learning-experience-for-trainee-general-practitioners-in-an-academic-urban-minor-injuries-unit-with-advanced-nurse-practitioners-emergency
#16
Laserina O'Connor, Bernadette Carpenter, Cora O'Connor, Julie O'Driscoll
BACKGROUND: There is a body of empirical literature indicating that interprofessional education (IPE) not only enriches students' understanding of their own discipline but of other disciplines. However, giving the on-going emphasis on the importance of IPE to healthcare processes and outcomes, on-going attention is needed to advancing the research evidence related to the emergency department setting. The aim of this qualitative descriptive study was to determine the clinical learning experiences of GPs who rotated through an academic urban minor injuries unit as part of their training, led by advanced nurse practitioners (emergency)...
June 7, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29886431/ssssh-for-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-a-regional-initiative
#17
Peter Mallett, Andrew Thompson, Thomas Bourke, Shilpa Shah
Medical handover is one of the most commonly performed actions in the healthcare system today. While it is performed regularly, it is often not done as effectively as it could or should be. 1 Many organisations have implemented systems and structures to improve the quality and impact of their handover process. These include advocating senior presence, introducing validated handover tools and an emphasis on multidisciplinary involvement. 2 A protected handover prioritises safety, enhances communication and encourages improvement in handover effectiveness...
June 9, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29885709/fostering-collegial-collaboration-between-labor-nurses-and-doulas
#18
Renece Waller-Wise
Nurses and doulas do not always have positive views of each other. When labor nurses face challenges in their ability to provide continuous labor support, one might believe that a doula would be welcomed, yet this is not always true. Conflicts can arise between nurses and doulas, often because of overlapping roles. However, an optimal health care system is one for which there is an integrated system that fosters collegial interprofessional collaboration. This commentary explores the role of doulas and the care they provide and describes strategies to promote collegial relationships between nurses and doulas...
June 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29884159/implementing-interprofessional-learning-curriculum-how-problems-might-also-be-answers
#19
Maree O'Keefe, Helena Ward
BACKGROUND: Despite interprofessional learning (IPL) being widely recognised as important for health care professions, embedding IPL within core curriculum remains a significant challenge. The aim of this study was to identify tensions associated with implementing IPL curriculum for educators and clinical supervisors, and to examine these findings from the perspective of activity theory and the expansive learning cycle (ELC). METHODS: We interviewed 12 faculty staff and ten health practitioners regarding IPL...
June 8, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29882731/-the-practice-of-special-observation-in-adults-in-the-german-speaking-part-of-switzerland-a-descriptive-cross-sectional-study
#20
Andrea Lienhardt, Franziska Rabenschlag, Eva-Maria Panfil
The practice of special observation in adults in the German-speaking part of Switzerland - a descriptive cross-sectional study Abstract. INTRODUCTION: Psychiatric Special Observation (PSO) is an intervention often used by nurses to prevent service users of harming themselves or to protect others. The intervention ranges between control and therapy and is resource intensive. Despite the widespread use of PSO, there is still no data on the practice of the intervention in Switzerland. AIM: What is the current practice of PSO in adults in psychiatric hospitals in the German-speaking part of Switzerland? METHOD: Descriptive cross-sectional study...
June 8, 2018: Pflege
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