scholarly journals Patients’ and health professionals’ perceptions of teamwork in primary care

2011 ◽  
Vol 3 (2) ◽  
pp. 128 ◽  
Author(s):  
Susan Pullon ◽  
Eileen McKinlay ◽  
Maria Stubbe ◽  
Lindsay Todd ◽  
Christopher Badenhorst
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Professional ◽  
Health Professionals ◽  
Chronic Conditions ◽  
Qualitative Methodology ◽  
Team Leadership ◽  
Health Care Team ◽  
Care Team ◽  
Primary Care Settings

INTRODUCTION: Effective teamwork in primary care settings is integral to the ongoing health of those with chronic conditions. This study compares patient and health professional perceptions about teams, team membership, and team members’ roles. This study aimed to test both the feasibility of undertaking a collaborative method of enquiry as a means of investigating patient perceptions about teamwork in the context of their current health care, and also to compare and contrast these views with those of their usual health professionals in New Zealand suburban general practice settings. METHODS: Using a qualitative methodology, 10 in-depth interviews with eight informants at two practices were conducted and data analysed using inductive thematic analysis. FINDINGS: The methodology successfully elicited confidential interviews with both patients and the health professionals providing their care. Perceptions of the perceived value of team care and qualities facilitating good teamwork were largely concordant. Patient and health professionals differed in their knowledge and understanding about team roles and current chronic care programmes, and had differing perceptions about health care team leadership. CONCLUSION: This study supports the consensus that team-based care is essential for those with chronic conditions, but suggests important differences between patient and health professional views as to who should be in a health care team and what their respective roles might be in primary care settings. These differences are worthy of further exploration, as a lack of common understanding has the potential to consistently undermine otherwise well-intentioned efforts to achieve best possible health for patients with chronic conditions. KEYWORDS: Primary health care; chronic disease; physicians; nurses; patients; patient care team

Disaster Preparedness among Health Professionals and Support Staff: What is Effective? An Integrative Literature Review

2017 ◽  
Vol 32 (3) ◽  
pp. 321-328 ◽  
Author(s):  
Jeremy R. Gowing ◽  
Kim N. Walker ◽  
Shandell L. Elmer ◽  
Elizabeth A. Cummings
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Health Professionals ◽  
Disaster Preparedness ◽  
Keyword Search ◽  
Current Knowledge ◽  
Health Care Team ◽  
Support Staff ◽  
Care Team ◽  
High Quality Research

AbstractIntroductionIt is important that health professionals and support staff are prepared for disasters to safeguard themselves and the community during disasters. There has been a significantly heightened focus on disasters since the terrorist attacks of September 11, 2001 in New York (USA); however, despite this, it is evident that health professionals and support staff may not be adequately prepared for disasters.ReportAn integrative literature review was performed based on a keyword search of the major health databases for primary research evaluating preparedness of health professionals and support staff. The literature was quality appraised using a mixed-methods appraisal tool (MMAT), and a thematic analysis was completed to identify current knowledge and gaps.DiscussionThe main themes identified were: health professionals and support staff may not be fully prepared for disasters; the most effective content and methods for disaster preparedness is unknown; and the willingness of health professionals and support staff to attend work and perform during disasters needs further evaluation. Gaps were identified to guide further research and the creation of new knowledge to best prepare for disasters. These included the need for: high-quality research to evaluate the best content and methods of disaster preparedness; inclusion of the multi-disciplinary health care team as participants; preparation for internal disasters; the development of validated competencies for preparedness; validated tools for measurement; and the importance of performance in actual disasters to evaluate preparation.ConclusionThe literature identified that all types of disaster preparedness activities lead to improvements in knowledge, skills, or attitude preparedness for disasters. Most studies focused on external disasters and the preparedness of medical, nursing, public health, or paramedic professionals. There needs to be a greater focus on the whole health care team, including allied health professionals and support staff, for both internal and external disasters. Evaluation during real disasters and the use of validated competencies and tools to deliver and evaluate disaster preparedness will enhance knowledge of best practice preparedness. However, of the 36 research articles included in this review, only five were rated at 100% using the MMAT. Due to methodological weakness of the research reviewed, the findings cannot be generalized, nor can the most effective method be determined.GowingJR, WalkerKN, ElmerSL, CummingsEA. Disaster preparedness among health professionals and support staff: what is effective? An integrative literature review. Prehosp Disaster Med. 2017;32(3):321–328.

Transition for Youth With Chronic Conditions: Primary Care Physicians’ Approaches

PEDIATRICS ◽  
2002 ◽  
Vol 110 (Supplement_3) ◽  
pp. 1315-1321 ◽  
Author(s):  
Peter Scal
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Chronic Conditions ◽  
Primary Care Physicians ◽  
Care Transitions ◽  
Transition Services ◽  
Professional Organizations ◽  
Care Practice ◽  
Primary Care Settings ◽  
Health Care Transitions

Since the US Surgeon General’s conference on health care transitions in 1989, transition from pediatric to adult-oriented health care for youth with chronic conditions continues to develop as an important issue among youth, parents, and health professionals. Key professional organizations, public agencies, and disease-specific organizations have promoted research on transition and the development of transition services. Although there is evidence of the advancement of the science and practice of transition in the context of subspecialty medical care, the same may not be true for transition in the context of primary care practice. Little has been written about the role of the primary care provider in facilitating transition, and little is published in the medical literature about how transition occurs in primary care settings.

scholarly journals Providing Primary Care for HIV in the Context of Trauma: Experiences of the Health Care Team

2019 ◽  
Vol 29 (5) ◽  
pp. 385-391 ◽  
Author(s):  
Carol Dawson-Rose ◽  
Yvette P. Cuca ◽  
Martha Shumway ◽  
Katy Davis ◽  
Edward L. Machtinger
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Team ◽  
Care Team

scholarly journals Medical-Legal Partnership in Primary Care: Moving Upstream in the Clinic

2017 ◽  
Vol 13 (3) ◽  
pp. 282-291 ◽  
Author(s):  
Elizabeth Tobin Tyler
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Affordable Care Act ◽  
Care Delivery ◽  
Health Care Team ◽  
Food Assistance ◽  
Care Team ◽  
Vulnerable Patients ◽  
Populations At Risk ◽  
The Social

Medical-legal partnership (MLP) is a health care delivery innovation that embeds civil legal aid expertise into the health care team to address health-harming legal needs for vulnerable populations at risk for poor health. The MLP approach focuses on prevention by addressing upstream structural and systemic social and legal problems that affect patient and population health. Because many unmet legal needs affect health (such as residing in substandard housing; wrongful denial of government income supports, health insurance, or food assistance; family violence; and barriers to care based on immigration status), lawyers are important members of the health care team. This review describes the MLP approach to addressing the social determinants of health, examines its benefits for improving the delivery of primary care for vulnerable patients and populations, and explores new opportunities for MLP in primary care with the advent of systems reforms driven by the Affordable Care Act.

scholarly journals Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond

2016 ◽  
Vol 8 (3) ◽  
pp. 332-340 ◽  
Author(s):  
Elizabeth D. Rosenman ◽  
Jeremy B. Branzetti ◽  
Rosemarie Fernandez
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Patient Care ◽  
Leadership Behaviors ◽  
Team Leadership ◽  
Health Care Team ◽  
Care Team ◽  
Evidence Based ◽  
Team Science ◽  
Leadership Assessment

ABSTRACT  Team leadership is a critical skill for emergency medicine physicians that directly affects team performance and the quality of patient care. There exists a robust body of team science research supporting team leadership conceptual models and behavioral skill sets. However, to date, this work has not been widely incorporated into health care team leadership education.Background  This narrative review has 3 aims: (1) to synthesize the team science literature and to translate important concepts and models to health care team leadership; (2) to describe how team leadership is currently represented in the health care literature and in the Accreditation Council for Graduate Medical Education Milestones for emergency medicine; and (3) to propose a novel, evidence-based framework for the assessment of team leadership in emergency medicine.Objective  We conducted a narrative review of the team science and health care literature. We summarized our findings and identified a list of team leadership behaviors that were then used to create a framework for team leadership assessment.Methods  Current health care team leadership measurement tools do not incorporate evidence-based models of leadership concepts from other established domains. The emergency medicine milestones include several team leadership behaviors as part of a larger resident evaluation program. However, they do not offer a comprehensive or cohesive representation of the team leadership construct.Results  Despite the importance of team leadership to patient care, there is no standardized approach to team leadership assessment in emergency medicine. Based on the results of our review, we propose a novel team leadership assessment framework that is supported by the team science literature.Conclusions

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