Interprofessional Training and Practice: The Need for More Engagement, Training, and Research in Geropsychology

2019 ◽  
Author(s):  
Nancy A. Pachana ◽  
Gwen Yeo
Keyword(s):  
Health Professionals ◽  
Evidence Base ◽  
Interdisciplinary Teams ◽  
Training Models ◽  
Interprofessional Care ◽  
Interdisciplinary Practice ◽  
Patient Goals ◽  
Interprofessional Training ◽  
Training And Research ◽  
Geriatric Settings

Interdisciplinary teams consisting of a variety of health professionals working toward common patient goals have become an important innovation in clinical practice. In many parts of the world interdisciplinary teams have become part of practice, including in geriatrics. However, many gaps and the need for further empirical research and translation into practice remain. This is particularly true for the discipline of psychology, as much of the extant literature in engagement, training and practice in geriatric settings or educational settings does not include psychologists. Many advances in interprofessional teams, in acute settings in particular, do not include psychologists as part of the team. With respect to training, educating trainee health professionals, including psychologists, in interdisciplinary practice has still not become a standard part of training curricula internationally. Several excellent models of interprofessional and interdisciplinary training, including international models of interdisciplinary team competencies, have been developed. However, both the empirical testing of these models and their implementation in educational and practice settings is lacking. Within the geriatric healthcare context, the evidence base for both interprofessional care and the need for enhanced training models incorporating interprofessional skills is evolving, and further research on efficacy in evolving clinical contexts and translation into educational contexts worldwide is required. Ultimately, psychology must increase its presence within both interprofessional research and applied contexts.

scholarly journals Older and Wiser? The Need to Reexamine the Impact of Health Professionals Age and Experience on Competency-Based Practices

2021 ◽  
Vol 7 ◽  
pp. 237796082110290
Author(s):  
Jing Xu ◽  
Kristen Hicks-Roof ◽  
Chloe E. Bailey ◽  
Hanadi Y. Hamadi
Keyword(s):  
Health Professionals ◽  
Online Survey ◽  
Evidence Based Practice ◽  
Core Competencies ◽  
Healthcare Services ◽  
Interdisciplinary Teams ◽  
Evidence Based ◽  
Health Providers ◽  
Cross Sectional ◽  
The Impact

Introduction Delivery of healthcare services makes up a complex system and it requires providers to be competent and to be able to integrate each of the institute of medicine’s (IOM) 5 core competencies into practice. However, healthcare providers are challenged with the task to be able to understand and apply the IOM core competencies into practice. Objective The purpose of the study was to examine the factors that influence health professional’s likelihood of accomplishing the IOM core competencies. Methods A cross-sectional study design was used to administer a validated online survey to health providers. This survey was distributed to physicians, nursing professionals, specialists, and allied healthcare professionals. The final sample included 3,940 participants who completed the survey. Results The study findings show that younger health professionals more consistently practice daily competencies than their older counterparts, especially in the use of evidence-based practice, informatics, and working in interdisciplinary teams. Less experienced health professionals more consistently applied quality improvement methods but less consistently used evidence-based practice compared to their more experienced counterparts. Conclusion There is a need to understand how health professionals’ age and experience impact their engagement with IOM’s core competencies. This study highlights the need for educational resources on the competencies to be tailored to health providers’ age and experience.

Expanding Support Services for Adults Born With Cleft Lip and/or Palate in the United Kingdom: An Exploratory Evaluation of the Cleft Lip and Palate Association Adult Services Programme

2021 ◽  
pp. 105566562110254
Author(s):  
Kenny Ardouin ◽  
Nicky Davis ◽  
Nicola Marie Stock
Keyword(s):  
Health Professionals ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Evidence Base ◽  
Psychosocial Needs ◽  
For Profit ◽  
Adult Services ◽  
The United Kingdom ◽  
Not For Profit ◽  
Valuable Adjunct

Background: The largest group of people living with repaired cleft lip and/or palate (CL/P) are adults. Previous research has identified unmet treatment and psychosocial needs, yet few interventions exist. This article outlines 3 interventions developed by the Cleft Lip and Palate Association as part of its 3-year community-based Adult Services Programme; an Adults Conference, a series of panel discussions (“Cleft Talk”) streamed in podcast/video format, and a Leaver’s Pack of resources for adults wishing to return to cleft care. Methods: Feedback from attendees of the Adults Conferences (2018-2019) was collected using specifically developed evaluation forms. Streaming metrics and social media interactions were extracted for Cleft Talk panel discussions (2019-2020). The Leaver’s Pack was piloted in 2020, using an online evaluation form. Specialist health professionals were invited to provide feedback or participate in a one-to-one interview regarding their perceived impact of the program. Results: All 3 interventions across the different modalities received support from participating adults, demonstrating potential to meet adults’ needs across the life span. Health professionals also offered support for the program, viewing the interventions as a valuable adjunct to formal medical CL/P services. Conclusions: This exploratory evaluation indicates that peer- and community-led interventions, in combination with ongoing access to specialist medical care, can have a range of positive impacts for adults with CL/P. There is scope for similar initiatives to be developed internationally and for individuals with other craniofacial conditions. Not-for-profit organizations are encouraged to routinely evaluate their interventions to create a stronger evidence base for their valuable work.

Fitness for work after surgery or critical illness

2019 ◽  
pp. 229-261
Author(s):  
Tony Williams ◽  
Neil Pearce
Keyword(s):  
Critical Illness ◽  
Occupational Health ◽  
Adverse Effects ◽  
Return To Work ◽  
Health Professionals ◽  
Evidence Base ◽  
Medical Issues ◽  
Tissue Healing ◽  
Co Morbidity ◽  
Returning To Work

Occupational health professionals frequently advise about return to work after surgery. Providing advice can be challenging, and considerable misunderstanding exists among patients and clinicians. One patient may return to work 1 week after a hysterectomy while another is absent for 5 months. Advice on returning to work after surgery should be based on knowledge of tissue healing processes, along with adverse effects of smoking and obesity, perioperative infection, and co-morbidity. Medical issues are often confounded by inconsistent advice, inappropriate beliefs, and unhelpful motivators. There is a recognized limitation in the evidence base. However, consensus is available from a number of guidelines drawn up by various expert bodies, which are covered in this chapter.

International Themes in Psychotherapy Integration

2019 ◽  
pp. 448-473
Author(s):  
Beatriz Gómez ◽  
Shigeru Iwakabe ◽  
Alexandre Vaz
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychotherapy Integration ◽  
Historical Background ◽  
The Past ◽  
Current Climate ◽  
The World ◽  
Training And Research ◽  
Sociopolitical Issues

Interest in psychotherapy integration has steadily expanded over the past decades, reaching most continents of the world and more mental health professionals than ever. Nevertheless, a country’s cultural and historical background significantly influences the nurturance or hindrance of integrative endeavors. This chapter seeks to explicate the current climate of psychotherapy integration in different continents and specific countries. With the aid of local integrative scholars, brief descriptions are presented on integrative practice, training, and research, as well as on cultural and sociopolitical issues that have shaped this movement’s impact around the world.

scholarly journals The case for extended brief interventions

2011 ◽  
Vol 50 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Nick Heather
Keyword(s):  
Brief Intervention ◽  
Health Professionals ◽  
Evidence Base ◽  
Alcohol Problems ◽  
Brief Interventions ◽  
Treatment Services ◽  
Primary Health ◽  
Alcohol Brief Intervention ◽  
Single Well ◽  
Over Time

The case for extended brief interventions Brief interventions directed against hazardous and harmful drinking have become popular in recent years, both among researchers and, to some extent, among general practitioners and other health professionals. There is a strong evidence-base, at least in primary health care, to justify this popularity. But there is often confusion about what exactly alcohol brief intervention consists of. In fact, the term ‘brief intervention’ does not describe a single, well-defined activity but rather a family of interventions that differ in a range of ways. Although they all share the characteristics of being briefer than most formal treatment programmes for alcohol problems and of being aimed at drinkers with less severe problems and levels of dependence than those typically attending specialized treatment services, brief interventions differ among themselves in duration over time, number of scheduled sessions, procedures and accompanying materials, styles of interaction, delivery personnel and settings, and the underlying theoretical approach on which they are based.

scholarly journals Telepsychiatry and Telepsychology: Possibilities and Limitations of Remote Work

Psychiatry ◽  
2021 ◽  
Vol 19 (3) ◽  
pp. 68-79
Author(s):  
T. A. Solokhina ◽  
M. V. Kuzminova ◽  
V. G. Mitikhin
Keyword(s):  
Conventional Medicine ◽  
Large Body ◽  
Evidence Base ◽  
Psychological Services ◽  
Remote Work ◽  
Equitable Access ◽  
Traditional Treatment ◽  
Training And Research ◽  
Patient Groups ◽  
Methodological Problems

Purpose: analysis of domestic and foreign literature on the possibilities, features, benefi ts and limitations of telepsychiatry/ telepsychology. Material and method: the keywords “telepsychiatry, telepsychology, remote psychiatric care, impact of pandemic on mental health, information technology in psychiatry” were used to select publications available in MEDLINE/PubMed, Scopus, Web of science, eLibrary, Google. Results: literature research has shown that telepsychiatry is a service-enhancing modality that promotes equitable access and high levels of patient satisfaction. The coronavirus pandemic has led to an inevitable increase in the use of this method in the provision of psychiatric as well as psychological services. Telepsychiatry has both clinical and non-clinical applications, e.g. in administration, training and research. A large body of evidence shows that telepsychiatric diagnostic assessments are reliable and that the clinical outcomes of telepsychiatric interventions are comparable to those of traditional treatment among various patient groups, irrespective of age, diagnosis and other variables. However, the evidence base for telepsychiatry/telepsychology is still relatively limited in many aspects of effectiveness, and is often complicated by methodological problems, including technological diffi culties, negative opinions and pessimistic perceptions among psychiatrists, and several legal, ethical and administrative barriers. These impede wide implementation of telepsychiatry and its integration into everyday medicine. Conclusion: further advances in remote technology and research will solve many of the problems of telepsychiatry, and its development is likely to consist in the application of telepsychiatry as an adjunct to conventional medicine, and in the development of hybrid models, incorporating both conventional and telepsychiatric forms of psychiatric and psychological care.

Informatics and Literature Search

2015 ◽  
Author(s):  
Jennifer J. Tieman ◽  
David C. Currow
Keyword(s):  
Palliative Care ◽  
Health Professionals ◽  
Domain Knowledge ◽  
Literature Search ◽  
Evidence Base ◽  
Practice Research ◽  
Clinical Knowledge ◽  
Research And Education ◽  
The Individual

Health information technology is changing how health professionals engage with and use knowledge and how health systems organize care. Tools and resources can facilitate access to evidence and enable its application in practice improving outcomes for the individual patient and for the health-care system. However, the quality of these applications relies on the quality and currency of the domain knowledge that is embedded within them and distributed through them. Therefore being able to identify and retrieve palliative care’s evidence base is more critical than ever. Given the complexity of timely, efficient, and effective retrieval of needed knowledge, new approaches are needed to manage the expanding and diffuse knowledge base for palliative care. Such strategies include developing online repositories of clinical knowledge to ensure immediate access and creating search solutions that shortcut access to literature and evidence to support practice, research, and education.

Narrative medicine: Re-engaging and re-energizing ourselves through story

2020 ◽  
Vol 55 (5) ◽  
pp. 321-330
Author(s):  
Andre F Lijoi ◽  
Ana D Tovar
Keyword(s):  
Family Medicine ◽  
Health Professionals ◽  
Professional Growth ◽  
Behavioral Science ◽  
Narrative Medicine ◽  
Interdisciplinary Teams ◽  
Allied Health Professionals ◽  
Arts And Humanities ◽  
The Arts ◽  
Original Motivation

Physicians and other allied health professionals have many distractions from their work and from original motivations to become health caring professionals. Activities that detract from making meaningful connection with patients result in high levels of work dissatisfaction and burnout even at early stages of career or training. Narrative Medicine provides an antidote to these influences. It is an experiential discipline that draws on the Arts and Humanities, connects health professionals to their original motivation to care, cultivates the ability to engage patients and stimulates professional growth. When practiced with interdisciplinary teams, commonalities and mutual purpose are highlighted, promoting group cohesion and appreciation. The practice of this discipline and development of narrative competence relates closely to the advancement along numerous milestones, particularly Patient Care, Interpersonal and Communication Skills, and Professionalism. This article describes an experiential and didactic workshop presented at the 2019 Forum for Behavioral Science in Family Medicine which outlined a Narrative Medicine curriculum as taught at a community hospital Family Medicine residency. The curriculum is aimed at promoting residents’ professional development, personal wellbeing, and capacity to engage patients.

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