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Michael J Battistone, Andrea M Barker, J Peter Beck, Robert Z Tashjian, Grant W Cannon
BACKGROUND: We developed two objective structured clinical examinations (OSCEs) to educate and evaluate trainees in the evaluation and management of shoulder and knee pain. Our objective was to examine the evidence for validity of these OSCEs. METHODS: A multidisciplinary team of content experts developed checklists of exam maneuvers and criteria to guide rater observations. Content was proposed by faculty, supplemented by literature review, and finalized using a Delphi process...
January 13, 2017: BMC Medical Education
R N da Silva, F D da S de Freitas, F P de Araújo, M de A Ferreira
AIM: To analyse the implications of the political devices of the Brazilian National Humanization Policy, Singular Therapeutic Project and Reference Team and Matrix Support, for nursing as a professional discipline. BACKGROUND: The Brazilian Unified Health System, SUS-Brazil, has as its principles regarding health care: universal access at all levels of care; equality and non-discrimination; integrality; community participation; and political and administrative decentralization, regionalization, and hierarchization...
December 2016: International Nursing Review
Arna Banerjee, Jason M Slagle, Nathaniel D Mercaldo, Ray Booker, Anne Miller, Daniel J France, Lisa Rawn, Matthew B Weinger
BACKGROUND: Failures of teamwork and interpersonal communication have been cited as a major patient safety issue. Although healthcare is increasingly being provided in interdisciplinary teams, medical school curricula have traditionally not explicitly included the specific knowledge, skills, attitudes, and behaviors required to function effectively as part of such teams. METHODS: As part of a new "Foundations" core course for beginning medical students that provided a two-week introduction to the most important themes in modern healthcare, a multidisciplinary team, in collaboration with the Center for Experiential Learning and Assessment, was asked to create an experiential introduction to teamwork and interpersonal communication...
November 16, 2016: BMC Medical Education
Alyson Myers, Madhukar H Trivedi
Suicide is the tenth leading cause of death for Americans of all ages. Presence of a chronic medical illness (e.g. Diabetes mellitus) increases the risk of suicide. The goal of this review is to examine the relationship between diabetes and depression, as well as diabetes and suicide. Earlier this year, the U.S. Preventive Task Force (USPTF) escalated their recommendation for depression to include not only routine screening for depression but additional focus on active follow up that requires measurement based care...
October 5, 2016: Current Diabetes Reviews
I C H Clare, E M Madden, A J Holland, C J T Farrington, S Whitson, S Broughton, A Lillywhite, E Jones, K A Wade, M Redley, A P Wagner
BACKGROUND: In the UK, the closure of 'long-stay' hospitals was accompanied by the development of community teams (CTs) to support people with intellectual disabilities (IDs) to live in community settings. The self-reported experiences of staff working in such teams have been neglected. METHODS: Focusing on a single county-wide service, comprising five multi-disciplinary and inter-agency CTs, we measured perceptions among the health care and care management Team members of (1) their personal well-being; (2) the functioning of their team; and (3) the organisation's commitment to quality, and culture...
September 1, 2016: Journal of Intellectual Disability Research: JIDR
Riki Lane, Grant Russell, Elizabeth A Bardoel, Jenny Advocat, Nicholas Zwar, P Gawaine Powell Davies, Mark F Harris
Developed nations are implementing initiatives to transform the delivery of primary care. New models have been built around multidisciplinary teams, information technology and systematic approaches for chronic disease management (CDM). In Australia, the General Practice Super Clinic (GPSC) model was introduced in 2010. A case study approach was used to illustrate the development of inter-disciplinary CDM over 12 months in two new, outer urban GPSCs. A social scientist visited each practice for two 3-4-day periods...
August 17, 2016: Australian Journal of Primary Health
Dianne Goeman, Emma Renehan, Susan Koch
BACKGROUND: Dementia is progressive in nature and the associated functional decline inevitably leads to increasing dependence on others in areas of daily living. Models of support have been developed and implemented to assist with adjusting to living with memory loss and functional decline; to navigate the health and aged care system; and to access services. We undertook a systematic review of international literature on key worker type support roles to identify essential components and ascertain how the role can be best utilised to assist community-dwelling people with dementia and their carers...
July 19, 2016: BMC Health Services Research
Simon L F Walsh, Athol U Wells, Sujal R Desai, Venerino Poletti, Sara Piciucchi, Alessandra Dubini, Hilario Nunes, Dominique Valeyre, Pierre Y Brillet, Marianne Kambouchner, António Morais, José M Pereira, Conceição Souto Moura, Jan C Grutters, Daniel A van den Heuvel, Hendrik W van Es, Matthijs F van Oosterhout, Cornelis A Seldenrijk, Elisabeth Bendstrup, Finn Rasmussen, Line B Madsen, Bibek Gooptu, Sabine Pomplun, Hiroyuki Taniguchi, Junya Fukuoka, Takeshi Johkoh, Andrew G Nicholson, Charlie Sayer, Lilian Edmunds, Joseph Jacob, Maria A Kokosi, Jeffrey L Myers, Kevin R Flaherty, David M Hansell
BACKGROUND: Diffuse parenchymal lung disease represents a diverse and challenging group of pulmonary disorders. A consistent diagnostic approach to diffuse parenchymal lung disease is crucial if clinical trial data are to be applied to individual patients. We aimed to evaluate inter-multidisciplinary team agreement for the diagnosis of diffuse parenchymal lung disease. METHODS: We did a multicentre evaluation of clinical data of patients who presented to the interstitial lung disease unit of the Royal Brompton and Harefield NHS Foundation Trust (London, UK; host institution) and required multidisciplinary team meeting (MDTM) characterisation between March 1, 2010, and Aug 31, 2010...
July 2016: Lancet Respiratory Medicine
Sinead McMahon, Grainne O'Donoghue, Catherine Doody, Geraldine O'Neill, Tara Cusack
INTRODUCTION: The scope of contemporary physiotherapy practice is a critical factor in determining the appropriate educational preparation for physiotherapists now and into the future. The world-wide shift from secondary to primary healthcare has, and is, continuing to result in new and different ways of working. It is crucial that curricular changes reflect these developments. In this study a qualitative approach using Biggs 3P's - Pressage, Process and Product model to discuss curriculum design...
May 2016: Education for Primary Care
Bonnie Lau, Elizabeth H Skinner, Kristin Lo, Margaret Bearman
BACKGROUND: Physical therapists working in acute care hospitals require unique skills to adapt to the challenging environment and short patient length of stay. Previous literature has reported burnout of clinicians and difficulty with staff retention; however, no systematic reviews have investigated qualitative literature in the area. PURPOSE: The purpose of this study was to investigate the experiences of physical therapists working in acute hospitals. DATA SOURCES: Six databases (MEDLINE, CINAHL Plus, EMBASE, AMED, PsycINFO, and Sociological Abstracts) were searched up to and including September 30, 2015, using relevant terms...
September 2016: Physical Therapy
Peter Kevin Spink, Julia C A Horta, Jacqueline M Brigagão, Vera M Menegon, Mary-Jane P Spink
Psychologists in hospital settings are part of a complex network of professional relationships in constant negotiation. In addition, psychologists have skills that enable them to work with social phenomena and to act strategically within them. This is especially important in inter-disciplinary team work where professional boundaries can generate barriers to change. This article shows how psychologists of a maternity hospital in a working-class district of a large Brazilian city adapted to an integral approach to health care in a way that helped other professionals to rethink practices...
March 2016: Journal of Health Psychology
Vikas Menon, Siddharth Sarkar, Shijo Thomas
BACKGROUND: Specialty psychosomatic clinics are a felt need in low- and middle-income countries, but its benefits and challenges have not been reported so far. AIMS: To describe the process, challenges, and opportunities that we encountered in setting up a specialty psychosomatic clinic at a government medical college in South India. METHODS: The biweekly psychosomatic clinic was located in the Department of Psychiatry and manned by a multimodal team...
January 2016: Journal of Neurosciences in Rural Practice
Elisa Giulia Liberati, Mara Gorli, Giuseppe Scaratti
Delivery of interdisciplinary integrated care is central to contemporary health policy. Hospitals worldwide are therefore attempting to move away from a functional organisation of care, built around discipline-based specialisation, towards an approach of delivering care through multidisciplinary teams. However, the mere existence of such teams may not guarantee integrated and collaborative work across medical disciplines, which can be hindered by boundaries between and within professions. This paper analyses the boundaries that affect collaboration and care integration in newly created multidisciplinary teams...
February 2016: Social Science & Medicine
Paul S Glazier
Sports performance is generally considered to be governed by a range of interacting physiological, biomechanical, and psychological variables, amongst others. Despite sports performance being multi-factorial, however, the majority of performance-oriented sports science research has predominantly been monodisciplinary in nature, presumably due, at least in part, to the lack of a unifying theoretical framework required to integrate the various subdisciplines of sports science. In this target article, I propose a Grand Unified Theory (GUT) of sports performance-and, by elaboration, sports science-based around the constraints framework introduced originally by Newell (1986)...
December 22, 2015: Human Movement Science
Amelia Ze Chua, Daryl Yk Lo, Wilbert Hh Ho, Yun Qing Koh, Daniel Sy Lim, John Kc Tam, Sok Ying Liaw, Gerald Ch Koh
BACKGROUND: In recent years, increasing emphasis has been placed on the importance of collaboration within multi-disciplinary healthcare teams, so as to facilitate holistic patient care and thus allow improved treatment outcomes. There is hence an urgent need to educate healthcare undergraduates early in their professional careers on the importance of and complexities involved in cooperating with counterparts from other allied healthcare professions. In conjunction with this, a milestone student-led conference for undergraduate students, the 9th Student Medical-Nursing Education Conference (SMEC), was organised in 2013 to provide a unique opportunity for shared learning among the entire cohort of undergraduate medical and nursing students in Singapore matriculating in that year...
2015: BMC Medical Education
Blanca Rodriguez, Annamaria Carusi, Najah Abi-Gerges, Rina Ariga, Oliver Britton, Gil Bub, Alfonso Bueno-Orovio, Rebecca A B Burton, Valentina Carapella, Louie Cardone-Noott, Matthew J Daniels, Mark R Davies, Sara Dutta, Andre Ghetti, Vicente Grau, Stephen Harmer, Ivan Kopljar, Pier Lambiase, Hua Rong Lu, Aurore Lyon, Ana Minchole, Anna Muszkiewicz, Julien Oster, Michelangelo Paci, Elisa Passini, Stefano Severi, Peter Taggart, Andy Tinker, Jean-Pierre Valentin, Andras Varro, Mikael Wallman, Xin Zhou
Both biomedical research and clinical practice rely on complex datasets for the physiological and genetic characterization of human hearts in health and disease. Given the complexity and variety of approaches and recordings, there is now growing recognition of the need to embed computational methods in cardiovascular medicine and science for analysis, integration and prediction. This paper describes a Workshop on Computational Cardiovascular Science that created an international, interdisciplinary and inter-sectorial forum to define the next steps for a human-based approach to disease supported by computational methodologies...
September 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Stéphanie Benyahia, Tristan Cudennec
Ageing is an individual process. Chronological age does not reflect life expectancy or functional capacity. That is why, in geriatric oncology, the estimation of this capacity is a determining factor. An inter-disciplinary approach is necessary in order to coordinate the different players in the care and optimise the hospitalisation of elderly patients with multiple pathologies, all the more so when they are suffering from cancer.
November 2015: Soins. Gérontologie
Laurie Stickler, Barbara J Hoogenboom, Lauren Smith
UNLABELLED: Females participating in sports have the potential of developing one or multiple parts of the Female Athlete Triad, defined as the inter-relationship among energy availability, menstrual function, and bone mineral density. Energy availability, defined as dietary energy intake minus exercise energy expended, is believed to be at the cornerstone of the triad, and complications from low energy availability span many of the bodily systems and can have psychological implications...
August 2015: International Journal of Sports Physical Therapy
Jasna Krmpotić Schwind, Suzanne Fredericks, Kateryna Metersky, Victoria Gaudite Porzuczek
BACKGROUND: Patients' illness stories are valuable information that supports person-centred care across the illness trajectory. AIMS: To learn how older South Asian immigrant women experience living with heart illness long after discharge from hospital. METHOD: We used narrative inquiry, a personal experience method that explores and interprets lived and told stories through the three dimensions of experience. DESIGN: Four participants, over the age of sixty, living with heart illness for over ten years, were invited to engage in narrative interview and Narrative Reflective Process...
April 2016: Contemporary Nurse
Adriana Ferreira da Silva, Helena Becker Issi, Maria da Graça Corso da Motta, Daisy Zanchi de Abreu Botene
OBJECTIVE: To reveal the perceptions, expertise and practices of multi-professional teams providing palliative care to children in a paediatric oncology unit. The research questions were based on everyday care, facilitations and difficulties, essential aspects of professional approaches, and the inter-disciplinary focus of care for children in palliative care and their families. METHOD: Qualitative, exploratory and descriptive research. Data were collected from June to October 2013 from nine professional multidisciplinary team members by means of a semi-structured interview submitted to thematic analysis...
June 2015: Revista Gaúcha de Enfermagem
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