Geriatric assessment in daily oncology practice for nurses and allied health care professionals: Opinion paper of the Nursing and Allied Health Interest Group of the International Society of Geriatric Oncology (SIOG)

Abstract Background: Inter-professional collaboration is acknowledged as essential for quality patient-care. However, little is known about receptiveness to inter-professional feedback in the postgraduate training. This study explores, in light of social identity theory, the perceptions of residents, supervising physicians and allied health care professionals regarding inter-professional feedback in the context of workplace-based assessment. Methods: For six months, residents in diabetology at the University Hospital of Bern performed formative workplace-based assessments under direct observation of a supervising physician and an allied health care professional. Feedback from both observers was given to the resident after every assessment. Subsequently, focus group discussions were conducted to collect the participants’ perceptions of inter- and intra-professional feedback. Transcripts were analyzed qualitatively using a thematic analysis approach. Results: We identified four main themes: (1) Identity and hierarchy; (2) Interdependence of feedback source and feedback content; (3) Impact on collaboration and patient-care; (4) Logistical and organizational requirements. While different social identities are the source of inter-professional hierarchies, they did not impede the receptiveness to feedback. Perceived trustworthiness of the feedback was attributed with more importance than professional affiliations, whereas intra-professional hierarchies between physicians led to the perception of a more summative nature of the feedback and rather impeded receptiveness. According to the participants, inter-professional feedback raised awareness of the working reality of other team members and had a positive impact on communication between the different professional groups. Moreover, participants reported positive response from patients regarding the inter-professional collaboration they experienced. Considerable organizational effort is required to enable the parallel observation of a resident’s consultation by a supervising physician and an allied health care professional. Conclusions: Feedback from allied health care professionals can be a valuable learning resource for residents, given its role outside the sometimes conflicting area of intra-professional hierarchies. Inter-professional feedback in the context of workplace-based assessment carries the potential to strengthen collaboration between the different professional groups.

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Identity Matters - Perceptions of Inter- and Intra-Professional Feedback in the Context of Workplace-based Assessment in Diabetology Training: A Qualitative Study

10.21203/rs.2.15505/v1 ◽

2019 ◽

Author(s):

Katrin Feller ◽

Christoph Berendonk

Keyword(s):

Health Care ◽

Patient Care ◽

Health Care Professional ◽

Health Care Professionals ◽

Allied Health ◽

University Hospital ◽

Professional Collaboration ◽

Professional Groups ◽

Allied Health Care ◽

Workplace Based Assessment

Abstract Background: Inter-professional collaboration is acknowledged as essential for quality patient-care. However, little is known about receptiveness to inter-professional feedback in the postgraduate training. This study explores, in light of social identity theory, the perceptions of residents, supervising physicians and allied health care professionals regarding inter- and intra-professional feedback in the context of workplace-based assessment. Methods: For six months, residents in diabetology at the University Hospital of Bern performed formative workplace-based assessments under direct observation of a supervising physician and an allied health care professional. Feedback from both observers was given to the resident after every assessment. Subsequently, focus group discussions were conducted to collect the participants’ perceptions of inter- and intra-professional feedback. Transcripts were analyzed qualitatively using a thematic analysis approach. Results: We identified four main themes: (1) Identity and hierarchy; (2) Interdependence of feedback source and feedback content; (3) Impact on collaboration and patient-care; (4) Logistical and organizational requirements. While different social identities are the source of inter-professional hierarchies, they did not impede the receptiveness to feedback. Perceived trustworthiness of the feedback was attributed with more importance than professional affiliations, whereas intra-professional hierarchies between physicians led to the perception of a more summative nature of the feedback and rather impeded receptiveness. According to the participants, inter-professional feedback raised awareness of the working reality of other team members and had a positive impact on communication between the different professional groups. Moreover, participants reported positive response from patients regarding the inter-professional collaboration they experienced. Considerable organizational effort is required to enable the parallel observation of a resident’s consultation by a supervising physician and an allied health care professional. Conclusions: Feedback from allied health care professionals can be a powerful learning resource for residents, given its role outside the sometimes conflicting area of intra-professional hierarchies. Inter-professional feedback in the context of workplace based assessment carries the potential to strengthen collaboration between the different professional groups and to improve patient care.

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Perceptions of Physicians and Allied Health Care Workers of Pharmacists’ Role In Care Optimization for Schizophrenic Patients At Federal Neuro-Psychiatric Hospital Maiduguri, North-Eastern Nigeria

Bangladesh Journal of Medicine ◽

10.3329/bjmed.v30i1.39918 ◽

2019 ◽

Vol 30 (1) ◽

pp. 19-23

Author(s):

H Yusuf ◽

A Giwa ◽

S Mohammed ◽

SN Aguye Abdu ◽

FM Dungus ◽

...

Keyword(s):

Health Care ◽

Patient Care ◽

Psychiatric Hospital ◽

Health Care Workers ◽

Health Care Professionals ◽

Allied Health ◽

Allied Health Care ◽

Care Workers ◽

Significant Difference ◽

Schizophrenic Patients

Introduction: In clinical practice, it is required that a profession not only clearly describe their own roles and responsibilities to other professionals but should also be aware of other professions’ roles in relation to their own. The objective of this study was to assess the perceptions of physicians and allied health care workers (Other health care professionals) of the roles of pharmacists in optimizing care for schizophrenic patients. Methods: A self-administered 17-item validated questionnaire was distributed to 120 health care professionals working at Federal Neuro-Psychiatric Hospital Maiduguri from September to October 2016. Results obtained were analysed using Chi-square test. Results: Health care professionals mostly had positive perceptions with a statistically significant difference (P< 0.05) across all assessed items. However, competent and knowledge of the pharmacists accounting for 93 (83.8%), involvement of the pharmacist in patient care accounting for 91(82%) and reassuring patients to improve quality of life accounting for 98(88.3%) had the highest number of health care professionals with positive perceptions while documenting patient care, monitoring and reemphasizing physicians instructions had the lowest accounting for 69 (62.2%), 74(66.7%) and 74 (66.7%) respectively in the different sections. Conclusions: The health care professionals surveyed mostly had positive perceptions. Thus, pharmacists can leverage on this to meet their roles in optimizing care for schizophrenic patients. Bangladesh J Medicine Jan 2019; 30(1) : 19-23

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Integrating Nurses and Allied Health Professionals in the care of older adults with cancer: A report from the International Society of Geriatric Oncology Nursing and Allied Health Interest Group

Journal of Geriatric Oncology ◽

10.1016/j.jgo.2019.06.012 ◽

2020 ◽

Vol 11 (2) ◽

pp. 187-190 ◽

Cited By ~ 4

Author(s):

Ginah Nightingale ◽

Peggy S. Burhenn ◽

Martine Puts ◽

Petra Stolz-Baskett ◽

Kristen R. Haase ◽

...

Keyword(s):

Older Adults ◽

Interest Group ◽

International Society ◽

Health Professionals ◽

Allied Health ◽

Geriatric Oncology ◽

Oncology Nursing ◽

Allied Health Professionals

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International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2013.54.8347 ◽

2014 ◽

Vol 32 (24) ◽

pp. 2595-2603 ◽

Cited By ~ 711

Author(s):

Hans Wildiers ◽

Pieter Heeren ◽

Martine Puts ◽

Eva Topinkova ◽

Maryska L.G. Janssen-Heijnen ◽

...

Keyword(s):

Geriatric Assessment ◽

International Society ◽

Older Patients ◽

Clinical Care ◽

Geriatric Oncology ◽

Evidence Base ◽

Patients With Cancer ◽

Consensus Statements ◽

Oncology Treatment ◽

Oncology Practice

Purpose To update the International Society of Geriatric Oncology (SIOG) 2005 recommendations on geriatric assessment (GA) in older patients with cancer. Methods SIOG composed a panel with expertise in geriatric oncology to develop consensus statements after literature review of key evidence on the following topics: rationale for performing GA; findings from a GA performed in geriatric oncology patients; ability of GA to predict oncology treatment–related complications; association between GA findings and overall survival (OS); impact of GA findings on oncology treatment decisions; composition of a GA, including domains and tools; and methods for implementing GA in clinical care. Results GA can be valuable in oncology practice for following reasons: detection of impairment not identified in routine history or physical examination, ability to predict severe treatment-related toxicity, ability to predict OS in a variety of tumors and treatment settings, and ability to influence treatment choice and intensity. The panel recommended that the following domains be evaluated in a GA: functional status, comorbidity, cognition, mental health status, fatigue, social status and support, nutrition, and presence of geriatric syndromes. Although several combinations of tools and various models are available for implementation of GA in oncology practice, the expert panel could not endorse one over another. Conclusion There is mounting data regarding the utility of GA in oncology practice; however, additional research is needed to continue to strengthen the evidence base.

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