Creating safe and healing environments: Innovative curriculum to support team members during patient and family escalations in a quaternary care pediatric hospital

2020 ◽  
Author(s):  
Christine Griffin ◽  
Katherine Nowacki ◽  
Anna Woodroof
Keyword(s):  
Pediatric Hospital ◽  
Team Members ◽  
Healing Environments ◽  
Support Team ◽  
Innovative Curriculum

Argus, a System for Varying Cognitive Workload

1998 ◽  
Vol 42 (16) ◽  
pp. 1147-1147 ◽  
Author(s):  
Michael J Schoelles ◽  
Wayne D. Gray
Keyword(s):  
Team Performance ◽  
Decision Aids ◽  
Single Subject ◽  
Decision Task ◽  
Cognitive Workload ◽  
Team Members ◽  
High Workload ◽  
Support Team ◽  
Multiple Display ◽  
Support Research

Argus is a system developed to support research to understand and measure cognitive workload. It consists of a single-subject and a team version. Research with the single-subject version is concerned with cognitive workload from a dynamic micro-strategy perspective; the team version seeks to identify communication protocols and decision aids that support team performance under high workload conditions. Workload is varied by the experimenter through a set of authoring tools. In the single-subject version, multiple tasks, a decision task and/or a tracking task, multiple display interfaces and input modes further enhance the variability of task workload. In the team version, communication between team members is accomplished through text and data messages sent between workstations.

scholarly journals They Lift My Spirit Up

2014 ◽  
Vol 41 (6) ◽  
pp. 599-604 ◽  
Author(s):  
LeRon C. Jackson ◽  
Laura C. Hanson ◽  
Michelle Hayes ◽  
Melissa Green ◽  
Stacie Peacock ◽  
...  
Keyword(s):  
Quality Of Life ◽  
African American ◽  
Qualitative Evaluation ◽  
Spiritual Needs ◽  
Spiritual Support ◽  
Team Members ◽  
Serious Illness ◽  
Support Teams ◽  
Support Team

Background. Active social and spiritual support for persons with cancer and other serious illnesses has been shown to improve psychological adjustment to illness and quality of life. Objective. To evaluate a community-based support team intervention within the African American community using stakeholder interviews. Methods. Support team members were recruited from African American churches, community organizations, and the social network of individuals with serious illness. Support teams provided practical, emotional, and spiritual care for persons with cancer and other serious illness. The intervention was evaluated using semistructured interviews with 47 stakeholders including those with serious illness, support team volunteers, clergy, and medical providers. Results. Stakeholders report multiple benefits to participation in the support team; themes included provision of emotional and spiritual support, extension of support to patients’ family, and support complementary to medical care. Reported barriers to participation were grouped thematically as desiring to maintain a sense of independence and normalcy; limitations of volunteers were also discussed as a barrier to this model of supportive care. Conclusions. This qualitative evaluation provides initial evidence that a support team intervention helped meet the emotional and spiritual needs of African American persons with cancer or other serious illness. Volunteer support teams merit further study as a way to improve quality of life for persons facing serious illness.

Team Interactions and Health IT Use during Hospital Multidisciplinary Rounds

2016 ◽  
Vol 60 (1) ◽  
pp. 513-517
Author(s):  
Yaqiong Li ◽  
Pascale Carayon ◽  
Ann Schoofs Hundt ◽  
Peter Hoonakker
Keyword(s):  
Health Care Team ◽  
Health It ◽  
It Use ◽  
Team Members ◽  
Care Plans ◽  
Multidisciplinary Rounds ◽  
Team Interactions ◽  
Support Team ◽  
Coordinate Patient Care ◽  
Important Form

Multidisciplinary rounds (MDRs) are an important form of team-based process in health care. Team members coordinate patient care and make decisions on care plans jointly. Health IT used during MDRs should be designed to facilitate the team interactions given the specific context or work system where MDRs occur. This study examines and compares team interactions and health IT use in three hospital services (contexts): hospitalist, cardiology and critical care. There were few differences in team interactions and health IT use across services. However, health IT use was different for different rounding tasks and team members. Therefore, health IT should be designed to support team interactions and users’ needs during MDRs in different contexts.

scholarly journals Team learning and service improvements in health care

2014 ◽  
Vol 20 (5/6) ◽  
pp. 242-261 ◽  
Author(s):  
George Boak
Keyword(s):  
Health Care ◽  
Team Learning ◽  
Work Teams ◽  
Empirical Studies ◽  
Learning Processes ◽  
Team Leaders ◽  
Content Type ◽  
Team Members ◽  
Support Team ◽  
Practical Implications

Purpose – This study aims to propose a typology of team learning processes, based on a study of teams of health care therapists across England who were engaged in improving their services. Design/methodology/approach – Information was gathered from 35 teams of health care therapists, through analysis of reports produced by the teams and by interviews with team leaders. The actions taken to achieve service improvements were analysed through a lens of team learning. Findings – Team learning is an appropriate frame of reference for analysing actions designed to bring about change and improvement. Seven distinct team learning activities are defined. Research limitations/implications – The implication of the study is that it is useful to apply a theoretical framework of organisational learning to service improvements undertaken by work teams. The study indicates learning processes that were important elements in these changes. The study limitation was that information was gathered mainly from the leaders of each team; other team members may have contributed different perceptions. Practical implications – Leaders of organisations and of teams should adopt team learning as a useful perspective for improving services and should consider how to encourage and support team learning. Originality/value – This is one of a small number of empirical studies of team learning processes in work organisations.

scholarly journals Views and experiences of community pharmacy team members on antimicrobial stewardship activities in Scotland: a qualitative study

2020 ◽  
Vol 42 (5) ◽  
pp. 1261-1269
Author(s):  
Antonella Pia Tonna ◽  
Anita Elaine Weidmann ◽  
Jacqueline Sneddon ◽  
Derek Stewart
Keyword(s):  
Community Pharmacy ◽  
Antimicrobial Stewardship ◽  
Urban Areas ◽  
Team Members ◽  
The Public ◽  
Telephone Interviews ◽  
Self Help ◽  
Framework Approach ◽  
Support Team ◽  
Views And Perceptions

Abstract Background It has been acknowledged and recognised internationally that the community pharmacy team has a major role to play in antimicrobial stewardship programmes, particularly regarding patient engagement. However, there is a paucity of published research on community pharmacy-based activities in antimicrobial stewardship, and views and perceptions of the community pharmacy team on their role in antimicrobial stewardship. Objective To explore views and experiences of community pharmacy teams across Scotland on antimicrobial stewardship, activities related to European Antibiotic Awareness Day, and a self-help guide to treating infection. Setting Community pharmacy, Scotland. Methods Qualitative, semi-structured in-depth telephone interviews were undertaken with a purposive sample of community pharmacy team members over a six week period between November and December in 2016. Interviews were audio-recorded, transcribed verbatim and data analysed thematically using the framework approach. Main outcome measure Views and perceptions of antimicrobial stewardship and European Antibiotic Awareness Day activities and role of the pharmacy team. Results Twenty-seven participants were interviewed—20 pharmacists, five pharmacy graduates completing their pre-registration year, and members of the pharmacy support team including two pharmacy technicians and one medicines counter assistant. They were working mainly in urban areas and across five regions of Scotland. Most were aware of antimicrobial stewardship but some were not familiar with the term. Participants identified roles for the community pharmacy team in antimicrobial stewardship including the importance of the pharmacy as a first port of call for self-care advice. Some participants, including pharmacists, showed lack of awareness of European Antibiotic Awareness Day; those who were aware thought it may not have the desired impact on educating the public. Most participants, irrespective of role within the team, were not familiar with the self-help guide but they perceived this as a useful resource for the pharmacy team. Conclusion The participants recognised and identified roles for the community pharmacist within antimicrobial stewardship. However, the lack of awareness of European Antibiotic Awareness Day shows a need for European Antibiotic Awareness Day tools and other materials to be more effectively disseminated and for more training to be provided.

scholarly journals A Mobile, Collaborative, Real Time Task List for Inpatient Environments

2015 ◽  
Vol 06 (04) ◽  
pp. 677-683 ◽  
Author(s):  
T. Ho ◽  
A. Pelletier ◽  
S. Al Ayubi ◽  
F. Bourgeois ◽  
K.A. Michelson
Keyword(s):  
Real Time ◽  
Pediatric Hospital ◽  
Team Members ◽  
Pediatric Ward ◽  
Time Task ◽  
Task List

Summary Background: Inpatient teams commonly track their tasks using paper checklists that are not shared between team members. Team members frequently communicate redundantly in order to prevent errors. Methods: We created a mobile, collaborative, real-time task list application on the iOS platform. The application listed tasks for each patient, allowed users to check them off as completed, and transmitted that information to all other team members. In this report, we qualitatively describe our experience designing and piloting the application with an inpatient pediatric ward team at an academic pediatric hospital. Results: We successfully created the tasklist application, however team members showed limited usage. Conclusion: Physicians described that they preferred the immediacy and familiarity of paper, and did not experience an efficiency benefit when using the electronic tasklist.

Parathyroid Imaging Practices for Primary Hyperparathyroidism Without Previous Operations Among Endocrine Surgery Program Directors

2021 ◽  
pp. 000313482110234
Author(s):  
Ruth Obiarinze ◽  
Herbert Chen ◽  
Brenessa Lindeman ◽  
Jessica Fazendin ◽  
Kimberly M. Ramonell
Keyword(s):  
Primary Hyperparathyroidism ◽  
Program Directors ◽  
Endocrine Surgery ◽  
Clinical Team ◽  
Team Members ◽  
Imaging Test ◽  
Clinical Support ◽  
Support Team ◽  
Endocrine Surgeon ◽  
Parathyroid Imaging

Background Attempts at preoperative localization of abnormal parathyroid gland(s) in primary hyperparathyroidism (pHPT) can be performed with a variety of modalities. Study utilization is surgeon-specific with highly variable opinions in parathyroid surgery. As more people are diagnosed with pHPT, the complexity of the disease has given rise to variation in management. This heterogeneity raises the question of the true clinical practice of imaging among individual endocrine surgeons. Methods To better understand the preoperative parathyroid imaging practices of endocrine surgeons, an email-based survey was disseminated to the program directors of 22 American Association of Endocrine Surgeons fellowship programs querying them on their initial diagnostic test of choice for pHPT. Clinical support team members from each respective program were subsequently contacted and answers were compared. Results Sixty-eight percent (15/22) of clinical team members recommended either an additional (12/15) or different imaging test (3/15) than what was recommended by their institution’s endocrine surgeon. The most common initial imaging test that was repeated by both the endocrine surgeon and clinical team member was neck ultrasound; 33% of clinical team members (7/22) responded concordantly to their surgeon with ultrasound as the initial recommendation. Discussion Significant variability exists in the preoperative approach to patients with hyperparathyroidism. Here, we demonstrate that inconsistency in preoperative imaging recommendations even extends to within an individual surgeon’s practice based on the impact of the clinical support team, highlighting the role for improved clinical protocols within an institution’s clinical team.

scholarly journals The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients

Nutrients ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 172 ◽  
Author(s):  
Lotte E. Vlug ◽  
Sjoerd C. J. Nagelkerke ◽  
Cora F. Jonkers-Schuitema ◽  
Edmond H. H. M. Rings ◽  
Merit M. Tabbers
Keyword(s):  
Intestinal Failure ◽  
Multidisciplinary Care ◽  
Nutrition Support ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Support Teams ◽  
Electrolyte Disturbances ◽  
Support Team ◽  
Specialized Form ◽  
Significant Cost Reduction

Parenteral nutrition (PN) is a complex and specialized form of nutrition support that has revolutionized the care for both pediatric and adult patients with acute and chronic intestinal failure (IF). This has led to the development of multidisciplinary teams focused on the management of patients receiving PN: nutrition support teams (NSTs). In this review we aim to discuss the historical aspects of IF management and NST development, and the practice, composition, and effectiveness of multidisciplinary care by NSTs in patients with IF. We also discuss the experience of two IF centers as an example of contemporary NSTs at work. An NST usually consists of at least a physician, nurse, dietitian, and pharmacist. Multidisciplinary care by an NST leads to fewer complications including infection and electrolyte disturbances, and better survival for patients receiving short- and long-term PN. Furthermore, it leads to a decrease in inappropriate prescriptions of short-term PN leading to significant cost reduction. Complex care for patients receiving PN necessitates close collaboration between team members and NSTs from other centers to optimize safety and effectiveness of PN use.

Peer Support in Public Safety Organizations

2017 ◽  
pp. 237-250 ◽  
Author(s):  
Nancy K. Bohl-Penrod ◽  
Daniel W. Clark
Keyword(s):  
Mental Health ◽  
Peer Support ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Public Safety ◽  
Cultural Norms ◽  
Team Members ◽  
Support Teams ◽  
The Public ◽  
Support Team

Peer supporters are a vital resource for members of the public safety community. Peers are often the first to notice when colleagues are exhibiting symptoms of psychological distress. Due to the cultural norms and the personality traits of those drawn to this career field, many public safety officers prefer to confide in peers rather than to obtain the assistance of mental health professionals. Further, peer supporters can give public safety officers the reassurance and support they need to enlist the services of mental health professionals. This chapter reviews the development and application of peer support teams, addresses issues in selecting peer support team members and developing a program, reviews team organization options and training needs, and addresses common challenges.

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