scholarly journals MP44-19 THE CURRENT LANDSCAPE OF TRANSGENDER PATIENT CARE IN UROLOGY: AN EVALUATION OF ATTITUDES, KNOWLEDGE, AND PRACTICE PATTERNS AMONG UROLOGISTS

2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Jared S. Winoker ◽  
Marissa A. Kent ◽  
Aaron B. Grotas
Keyword(s):  
Patient Care ◽  
Practice Patterns ◽  
Knowledge And Practice ◽  
Transgender Patient

A Preliminary Study of Nursing Practice Patterns Concerning Dysphagia Diet Modification: Implications for Interprofessional Education With SLPs

2021 ◽  
pp. 1-15
Author(s):  
Naomi Gurevich ◽  
Danielle R. Osmelak ◽  
Sydney Osentoski
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Interprofessional Education ◽  
Practice Patterns ◽  
Improve Patient Care ◽  
Treatment Method ◽  
The United States ◽  
Diet Modification ◽  
Work Settings ◽  
Swallowing Dysfunction

Purpose Speech-language pathologists (SLPs) are trained to evaluate and treat dysphagia. One treatment method is to modify diet consistency or viscosity to compensate for swallowing dysfunction and promote a safer intake; this typically involves softening solids and thickening liquids. Thickening liquids is not safer for all patients, and modification of dysphagia diets without adequate training may reduce the quality of dysphagia patient care. Over 90% of SLPs working in health care report exposure to nurses who regularly downgrade dysphagia diets without an SLP consult. This study explores dysphagia diet modification practices of nursing staff with and without dysphagia training. Method Practicing nurses and student nurses ( N = 298) in the United States were surveyed regarding their dysphagia diet modification training and practice patterns. Additionally, a pre-/posttest design was used to determine the efficacy of a short general tutorial on willingness to modify diets without an SLP consult. Results Downgrading diets without an SLP consult is a common practice. Fewer than one third of nurses (31.41%) would avoid it, whereas 73.65% would avoid upgrading without SLP consult. Formal dysphagia training made little difference to this practice. The short general tutorial also had no beneficial effect, in fact slightly reducing the willingness to consult SLPs. Conclusions Dysphagia diet modification practice by nurses is pervasive in U.S. health care. This is a previously unexplored but common issue SLPs face in work settings. This study identifies a need to clarify guidelines and increase interprofessional education between both professions to improve patient care.

Biosafety of Sonography: Survey of Current Knowledge and Practice Patterns in Obstetrics Providers

2020 ◽  
Vol 39 (9) ◽  
pp. 1743-1751
Author(s):  
Morgan Wasickanin ◽  
Jessica Lentscher ◽  
Lisa Foglia ◽  
Zachary Colburn ◽  
Sarah Estrada
Keyword(s):  
Practice Patterns ◽  
Current Knowledge ◽  
Knowledge And Practice

scholarly journals Perceptions of Interprofessional and Collaborative Practice in Collegiate Athletic Trainers

2018 ◽  
Vol 53 (7) ◽  
pp. 703-708 ◽  
Author(s):  
Dorice Hankemeier ◽  
Sarah A. Manspeaker
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Current Practice ◽  
Practice Patterns ◽  
Core Competencies ◽  
Athletic Trainers ◽  
Medical Model ◽  
Collaborative Practice ◽  
Cross Sectional

Context:  The ability to engage in interprofessional and collaborative practice (IPCP) has been identified as one of the Institute of Medicine's core competencies required of all health care professionals. Objective:  To determine the perceptions of athletic trainers (ATs) in the collegiate setting regarding IPCP and current practice patterns. Design:  Cross-sectional study. Patients or Other Participants:  Of 6313 ATs in the collegiate setting, 739 (340 men, 397 women, 2 preferred not to answer; clinical experience = 10.97 ± 9.62 years) responded (11.7%). Main Outcome Measure(s):  The Online Clinician Perspectives of Interprofessional Collaborative Practice survey section 1 assessed ATs' perceptions of working with other professionals (construct 1), ATs engaged in collaborative practice (construct 2), influences of collaborative practice (construct 3), and influences on roles, responsibilities, and autonomy in collaborative practice (construct 4). Section 2 assessed current practice patterns of ATs providing patient care and included the effect of communication on collaborative practice (construct 5) and patient involvement in collaborative practice (construct 6). Between-groups differences were assessed using a Kruskal-Wallis H test and Mann-Whitney U tests (P < .05). Results:  Athletic trainers in the collegiate setting agreed with IPCP constructs 1 through 4 (construct 1 = 3.56 ± 0.30, construct 2 = 3.36 ± 0.467, construct 3 = 3.48 ± 0.39, construct 4 = 3.20 ± 0.35) and indicated that the concepts of constructs 5 and 6 (1.99 ± 0.46, 1.80 ± 0.50, respectively) were sometimes true in their setting. Athletic trainers functioning in a medical model reported lower scores for construct 5 (1.88 ± 0.44) than did those in an athletic model (2.03 ± 0.45, U = 19 522.0, P = .001). A total of 42.09% of the ATs' patient care was performed in collaborative practice. Conclusions:  Athletic trainers in the collegiate setting agreed that IPCP concepts were beneficial to patient care but were not consistently practicing in this manner. Consideration of a medical model structure, wherein more regular interaction with other health care professionals occurs, may be beneficial to increase the frequency of IPCP.

scholarly journals Improving Obstetric Provider Congenital Cytomegalovirus Knowledge and Practices

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Megan H. Pesch ◽  
Carter Anderson ◽  
Erika Mowers
Keyword(s):  
Practice Patterns ◽  
Congenital Infection ◽  
Academic Community ◽  
Post Intervention ◽  
Congenital Cytomegalovirus ◽  
Antenatal Education ◽  
Antenatal Counseling ◽  
Provider Knowledge ◽  
Univariate Statistics ◽  
Knowledge And Practice

Background. Congenital cytomegalovirus infection (cCMV) is the most common congenital infection. Antenatal education is proven to reduce cCMV risk. Little is known about obstetric provider knowledge and practice patterns around cCMV. Objectives. To evaluate obstetric provider knowledge and practice patterns regarding cCMV at baseline and again after a brief educational intervention. Methods. Obstetric providers ( N = 53 ) at a US academic community hospital were invited to complete a survey regarding their knowledge and practice patterns around cCMV. Providers attended a brief presentation about cCMV and later were invited to repeat the same survey. Univariate statistics were calculated for baseline data, and prepost intervention comparison analyses were conducted. Results. Baseline cCMV knowledge was low at 49% ( M = 17.54 out of a possible 36, SD 6.4), with most providers (51%) reporting never counseling pregnant patients about cCMV. Post intervention, overall cCMV knowledge increased to 80% ( M = 29.33 , SD 4.1, p < .001 ); provider intention to counsel about cCMV prevention increased to 100%. Conclusions. Obstetric provider knowledge about cCMV is low, which likely impacts their antenatal counseling. Educational initiatives to increase awareness about cCMV may increase antenatal education and thereby decrease the risk of cCMV.

Multiple Pregnancy: Knowledge and Practice Patterns of Obstetricians and Gynecologists

2005 ◽  
Vol 105 (1) ◽  
pp. 215-216 ◽  
Author(s):  
Jane Cleary-Goldman ◽  
Maria A. Morgan ◽  
Julian N. Robinson ◽  
Mary E. Dʼalton ◽  
Jay Schulkin
Keyword(s):  
Practice Patterns ◽  
Multiple Pregnancy ◽  
Knowledge And Practice

Lesbian, Gay, Bisexual, and Transgender Patient Care: Medical Students' Preparedness and Comfort

2015 ◽  
Vol 27 (3) ◽  
pp. 254-263 ◽  
Author(s):  
William White ◽  
Stephanie Brenman ◽  
Elise Paradis ◽  
Elizabeth S. Goldsmith ◽  
Mitchell R. Lunn ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Care ◽  
Bisexual And Transgender ◽  
Transgender Patient

Influence of breast cancer CME on provider knowledge and competence.

2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 214-214
Author(s):  
T. B. Stacy ◽  
A. A. Heintz ◽  
K. Dopson ◽  
K. McLane ◽  
M. E. Haas
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Patient Care ◽  
Practice Patterns ◽  
Management Strategies ◽  
Safety Data ◽  
Treatment Strategies ◽  
Breast Cancer Patients ◽  
Provider Knowledge ◽  
Clinical Trial Results

214 Background: Due to the volume and pace of scientific advances within oncology, the timely dissemination of clinical trial results and discussion regarding the appropriate incorporation into therapeutic decision making is necessary to provide the highest quality patient care. Increasing awareness in the breast cancer community on similarities and differences amongst practice management strategies helps to identify practice patterns and benchmark individual knowledge and competence against one’s professional peers. Methods: During 2010 and 2011, educational outcomes assessments were gathered during 83 independent continuing medical education (CME) activities held within community and academic institutions across the USA. Participants were asked a series of case-based questions via an audience response system to assess baseline knowledge, competence, and identify practice patterns. Assessments were repeated post a 1-hour CME certified activity, with an additional 6-week electronic follow-up. Barriers to implementing the information learned were also captured. Educational gaps were identified through documentation and comparison of current best practices versus actual participant responses. Results: To date, a total of 1,515 healthcare providers have participated in the initiative. Number of years in practice ranged from <10 to >30. The number of breast cancer patients seen per month ranged from ≤10 to >40. Provider competency in applying recent literature to the patient care setting was both assessed and measured. Results of neoadjuvant data knowledge, adjuvant therapy selection, relapsed HER2+ disease treatment strategies, and competence in discussing efficacy and safety data from recent clinical trials will be presented. Participants reported a number of barriers to applying data learned at the activities into clinical practice. Responses included lack of reimbursement, treatment side effects, newness of treatment data, and perceived efficacy. Conclusions: The results suggest the education of providers on the most currently available clinical trial results and expert discussion of how to optimize translation of this information into patient care increases breast cancer provider knowledge and competence.

Maximizing metastatic breast cancer therapy selection: Physician practice patterns and competence assessment.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 127-127
Author(s):  
Tina Boyd Stacy ◽  
Maureen E. Haas ◽  
Alison A. Heintz
Keyword(s):  
Breast Cancer ◽  
Metastatic Breast Cancer ◽  
Advanced Breast Cancer ◽  
Patient Care ◽  
Practice Patterns ◽  
Scientific Information ◽  
Single Agent ◽  
Metastatic Breast ◽  
Advanced Breast ◽  
Peer Discussion

127 Background: Due to the volume and pace of scientific advances within oncology, peer discussion and professional reflection regarding appropriate therapeutic decision making is necessary to provide the highest quality patient care. Increasing awareness in the breast cancer community of similarities and differences amongst practice management strategies helps to identify and benchmark individual practice patterns against one’s professional peers, ultimately leading to increased competence in therapy selection. Methods: During 2011 and 2012, educational outcomes assessments were gathered during 85 independent continuing medical education (CME) activities held within community practices and institutions across the USA. Participants were asked a series of case-based questions via an audience response system to assess baseline knowledge, competence, and identify practice patterns. Assessments were repeated post a 1-hour CME certified activity, with an additional 6-week electronic follow-up. Results: To date, over 330 physicians have participated in the program. Number of years in practice ranged from < 10 to > 30. The number of breast cancer patients seen per month ranged from ≤ 10 to > 40. Provider competency and preferences in applying guideline based therapy was assessed. Results of participant preferences including single-agent, combination, first-line, and second-line therapy preferences as well as toxicity management for select patient case scenarios in advanced breast cancer will be presented. Self-rated competence for the physician audience improved by approximately 50% as a result of participation. Conclusions: The results highlight the diversity of clinical opinion in selecting therapy for advanced breast cancer and need for continued dialogue and scientific advancement. Education and peer discussion of how to optimize translation of new scientific information into patient care contributes to maximizing physician competence in therapy selection for metastatic breast cancer.

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