scholarly journals Healthcare professionals’ experiences with highly qualified nurses working in acute care teams in primary healthcare settings

2021 ◽  
pp. 1-10
Author(s):  
Stine Emilie Junker Udesen ◽  
Annmarie Touborg Lassen ◽  
Nina Andersen ◽  
Christina Østervang ◽  
Dorthe Suanne Nielsen
Keyword(s):  
Acute Care ◽  
Primary Healthcare ◽  
Healthcare Professionals ◽  
Highly Qualified ◽  
Healthcare Settings

Collaborating with Healthcare Professionals

2017 ◽  
pp. 369-383
Author(s):  
Steven M. Tovian
Keyword(s):  
Best Practices ◽  
Primary Healthcare ◽  
Collaborative Care ◽  
Healthcare Professionals ◽  
Professional Services ◽  
Independent Practice ◽  
Professional Advancement ◽  
Healthcare Settings ◽  
Practice Parameters ◽  
Tertiary Healthcare

This chapter highlights and summarizes several specific aspects of collaboration with healthcare professionals in healthcare settings that have and will continue to support professional advancement in independent practice. Several best practices in integration or in collaboration with primary healthcare and tertiary healthcare are described. Successful strategies to use in the marketing of professional services as well as suggestions for developing a professional image in collaborative care are provided. The necessary skills for successful practice in collaborative care are delineated. Ethical parameters for practice in collaborative care are also discussed. Suggested readings are provided to further educate the reader on independent practice parameters and collaborative healthcare.

scholarly journals Understanding what matters most to patients in acute care in seven countries, using the flash mob study design

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eva S. van den Ende ◽  
◽  
Bo Schouten ◽  
Marjolein N. T. Kremers ◽  
Tim Cooksley ◽  
...  
Keyword(s):  
Acute Care ◽  
Patient Perspective ◽  
Large Scale ◽  
Healthcare Professionals ◽  
Well Being ◽  
Good Health ◽  
Care Needs ◽  
Patient Centred Care ◽  
Trial Register ◽  
What Matters

Abstract Background Truly patient-centred care needs to be aligned with what patients consider important, and is highly desirable in the first 24 h of an acute admission, as many decisions are made during this period. However, there is limited knowledge on what matters most to patients in this phase of their hospital stay. The objective of this study was to identify what mattered most to patients in acute care and to assess the patient perspective as to whether their treating doctors were aware of this. Methods This was a large-scale, qualitative, flash mob study, conducted simultaneously in sixty-six hospitals in seven countries, starting November 14th 2018, ending 50 h later. One thousand eight hundred fifty adults in the first 24 h of an acute medical admission were interviewed on what mattered most to them, why this mattered and whether they felt the treating doctor was aware of this. Results The most reported answers to “what matters most (and why)?” were ‘getting better or being in good health’ (why: to be with family/friends or pick-up life again), ‘getting home’ (why: more comfortable at home or to take care of someone) and ‘having a diagnosis’ (why: to feel less anxious or insecure). Of all patients, 51.9% felt the treating doctor did not know what mattered most to them. Conclusions The priorities for acutely admitted patients were ostensibly disease- and care-oriented and thus in line with the hospitals’ own priorities. However, answers to why these were important were diverse, more personal, and often related to psychological well-being and relations. A large group of patients felt their treating doctor did not know what mattered most to them. Explicitly asking patients what is important and why, could help healthcare professionals to get to know the person behind the patient, which is essential in delivering patient-centred care. Trial registration NTR (Netherlands Trial Register) NTR7538.

scholarly journals What are the risk factors for avoidable transitions in the last year of life? A qualitative exploration of professionals’ perspectives for improving care in Germany

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alina Kasdorf ◽  
◽  
Gloria Dust ◽  
Vera Vennedey ◽  
Christian Rietz ◽  
...  
Keyword(s):  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Qualitative Content Analysis ◽  
Individual Interviews ◽  
Information Power ◽  
Care Services ◽  
Healthcare Settings ◽  
Nursing Services ◽  
Value Based Care ◽  
Qualitative Exploration

Abstract Background Little is known about the nature of patients’ transitions between healthcare settings in the last year of life (LYOL) in Germany. Patients often experience transitions between different healthcare settings, such as hospitals and long-term facilities including nursing homes and hospices. The perspective of healthcare professionals can therefore provide information on transitions in the LYOL that are avoidable from a medical perspective. This study aims to explore factors influencing avoidable transitions across healthcare settings in the LYOL and to disclose how these could be prevented. Methods Two focus groups (n = 11) and five individual interviews were conducted with healthcare professionals working in hospitals, hospices and nursing services from Cologne, Germany. They were asked to share their observations about avoidable transitions in the LYOL. The data collection continued until the point of information power was reached and were audio recorded and analysed using qualitative content analysis. Results Four factors for potentially avoidable transitions between care settings in the LYOL were identified: healthcare system, organization, healthcare professional, patient and relatives. According to the participants, the most relevant aspects that can aid in reducing unnecessary transitions include timely identification and communication of the LYOL; consideration of palliative care options; availability and accessibility of care services; and having a healthcare professional taking main responsibility for care planning. Conclusions Preventing avoidable transitions by considering the multicomponent factors related to them not only immediately before death but also in the LYOL could help to provide more value-based care for patients and improving their quality of life.

In the Moment: Fostering Mindfulness and Reducing Stressors in the Healthcare Workplace

2021 ◽  
pp. 193758672098824
Author(s):  
Shabboo Valipoor ◽  
Sheila J. Bosch
Keyword(s):  
Design Research ◽  
Healthcare Professionals ◽  
Well Being ◽  
Job Dissatisfaction ◽  
Future Research ◽  
Design Strategies ◽  
Environmental Interventions ◽  
Work Related ◽  
Healthcare Settings ◽  
The Moment

While healthcare design research has primarily focused on patient outcomes, there is a growing recognition that environmental interventions could do more by promoting the overall quality of care, and this requires expanding the focus to the health and well-being of those who deliver care to patients. Healthcare professionals are under high levels of stress, leading to burnout, job dissatisfaction, and poor patient care. Among other tools, mindfulness is recommended as a way of decreasing stress and helping workers function at higher levels. This article aims to identify potential environmental strategies for reducing work-related stressors and facilitating mindfulness in healthcare settings. By examining existing evidence on workplace mindfulness and stress-reducing design strategies, we highlight the power of the physical environment in not only alleviating stressful conditions but intentionally encouraging a mindful perspective. Strategies like minimizing distractions or avoiding overstimulation in the healthcare environment can be more effective if implemented along with the provision of designated spaces for mindfulness-based programs. Future research may explore optimal methods and hospital workers’ preferences for environments that support mindfulness and stress management. The long-term goal of all these efforts is to enhance healthcare professionals’ well-being, reignite their professional enthusiasm, and help them be resilient in times of stress.

Ethical and culturally competent care of transgender patients: A scoping review

2021 ◽  
pp. 096973302098830
Author(s):  
Amara Sundus ◽  
Sharoon Shahzad ◽  
Ahtisham Younas
Keyword(s):  
Scoping Review ◽  
Healthcare Professionals ◽  
Culturally Sensitive ◽  
Culturally Competent ◽  
Culturally Competent Care ◽  
Individual Level ◽  
Culturally Sensitive Care ◽  
Healthcare Settings ◽  
Ethical Approval ◽  
Sensitive Issues

Background: Transgender individuals experience discrimination, stigmatization, and unethical and insensitive attitudes in healthcare settings. Therefore, healthcare professionals must be knowledgeable about the ways to deliver ethical and culturally competent care. Ethical considerations: No formal ethical approval was required. Aim: To synthesize the literature and identify gaps about approaches to the provision of ethical and culturally competent care to transgender populations. Design: A Scoping Review Literature Search: Literature was searched within CINAHL, Science Direct, PubMed, Google Scholar, EMBASE, and Scopus databases using indexed keywords such as “transgender,” “gender non-conforming,” “ethically sensitive care,” and “culturally sensitive care.” In total, 30 articles, which included transgender patients and their families and nurses, doctors, and health professionals who provided care to transgender patients, were selected for review. Data were extracted and synthesized using tabular and narrative summaries and thematic synthesis. Findings: Of 30 articles, 23 were discussion papers, 5 research articles, and 1 each case study and an integrative review. This indicates an apparent dearth of literature about ethical and culturally sensitive care of transgender individuals. The review identified that healthcare professionals should educate themselves about sensitive issues, become more self-aware, put transgender individual in charge during care interactions, and adhere to the principles of advocacy, confidentiality, autonomy, respect, and disclosure. Conclusions: The review identified broad approaches for the provision of ethical and culturally competent care. The identified approaches could be used as the baseline, and further research is warranted to develop and assess organizational and individual-level approaches.

scholarly journals Assessment of Learning in Health Sciences Education: MLT Case Study

2017 ◽  
Vol 6 (1) ◽  
pp. 21 ◽  
Author(s):  
Christopher Byalusaago Mugimu ◽  
Wilson Rwandembo Mugisha
Keyword(s):  
Curriculum Design ◽  
Administrative Support ◽  
Healthcare Professionals ◽  
Clinical Laboratory ◽  
Critical Issue ◽  
Health Sciences ◽  
Assessment Tools ◽  
Highly Qualified ◽  
Health Sciences Education ◽  
Quantitative And Qualitative Research

Assessment in health sciences education has become an extremely critical issue in recent years, given the rapidlychanging disease patterns and behavioral changes in communities among diverse cultural and economic contexts ofpatients. Globally, there is increasing demand for highly qualified contemporary healthcare professionals.Subsequently, learner assessment regimes need to have the capacity to accurately evaluate the competences (i.e.attitudes, skills and knowhow) acquired during the training of healthcare professionals. This paper provides ananalysis of assessment of and for learning in health sciences education with a focus on clinical laboratory training atMLT in Uganda. This study utilized both quantitative and qualitative research designs. The program evaluationdesign principles were also utilized to measure the levels of compliance towards attainment of curriculum outcomes.The instruments used during data collection included checklists, questionnaires, indepth interviews, and focus groupdiscussions (FDGs). The findings of this study showed that learners were achieving the intended curriculumobjectives progressively. The assessment tools used were prepared through a rigorous process to ensure that the basicprinciples of assessment are identified and integrated during curriculum design and implementation. Results of thestudy also showed that adequate institutional administrative support available enhanced the teaching and learningprocesses and ensured that appropriate curriculum assessment schedules and strategies were strictly followed asstated in the elements of the curriculum structures.This contributed meaningfully in preparing competentcontemporary healthcare professionals (clinical laboratory technicians). It was recommended that all healthcareprofessional training institutions should take the use of aunthetic assessment of and for learning very seriously.

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