scholarly journals Preparing Pharmacy Students for Practice to Support Underserved Older Persons

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 762-762
Author(s):  
Daniel Mansour
Keyword(s):  
Affordable Housing ◽  
Older Persons ◽  
Interprofessional Collaboration ◽  
Quality Care ◽  
Aging In Place ◽  
Pharmacy Students ◽  
Team Collaboration ◽  
Practice Experience ◽  
Health Screenings ◽  
Before And After

Abstract Interprofessional collaboration is needed to ensure high quality care. Effective programs teaching necessary team-based care skills are under investigation. This study evaluated the Aging in Place program, an interprofessional practice experience (IPE), in preparing pharmacy students for practice with underserved older persons. The Assessment of Interprofessional Team Collaboration Scale (AITCS) and Team Decision Making Questionnaire (TCMQ) were administered to students before and after their experience. The number of disciplines represented, campuses involved, resident sessions, resident interactions, and health screenings performed were documented. Overall, AITCS and TDMQ scores improved after participation in the program. Since the program’s inception, there have been 7 disciplines represented, 2 campuses involved, 125 student participants, 2 housing buildings, 90 resident sessions, and 370 health screenings performed. The Aging in Place program has grown and shown that an IPE program is feasible to better prepare pharmacy students for collaborative care with older residents of affordable housing buildings.

scholarly journals An Interprofessional Curriculum on Antimicrobial Stewardship Improves Knowledge and Attitudes Toward Appropriate Antimicrobial Use and Collaboration

2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Conan MacDougall ◽  
Brian S. Schwartz ◽  
Lisa Kim ◽  
Mari Nanamori ◽  
Sharmin Shekarchian ◽  
...  
Keyword(s):  
Online Learning ◽  
Antimicrobial Stewardship ◽  
Interprofessional Collaboration ◽  
Pharmacy Students ◽  
Independent Learning ◽  
Antimicrobial Use ◽  
Knowledge And Attitudes ◽  
Learning Module ◽  
Before And After ◽  
Appropriate Antimicrobial Use

Abstract Background Inappropriate antimicrobial use can threaten patient safety and is the focus of collaborative physician and pharmacist antimicrobial stewardship teams. However, antimicrobial stewardship is not comprehensively taught in medical or pharmacy school curricula. Addressing this deficiency can teach an important concept as well as model interprofessional healthcare. Methods We created an antimicrobial stewardship curriculum consisting of an online learning module and workshop session that combined medical and pharmacy students, with faculty from both professions. Learners worked through interactive, branched-logic clinical cases relating to appropriate antimicrobial use. We surveyed participants before and after the curriculum using validated questions to assess knowledge and attitudes regarding antimicrobial stewardship and interprofessional collaboration. Results were analyzed using paired χ2 and t tests and mixed-effects logistic regression. Results Analysis was performed with the 745 students (425 medical students, 320 pharmacy students) who completed both pre- and postcurriculum surveys over 3 years. After completing the curriculum, significantly more students perceived that they were able to describe the role of each profession in appropriate antimicrobial use (34% vs 82%, P < .001), communicate in a manner that engaged the interprofessional team (75% vs 94%, P < .001), and describe collaborative approaches to appropriate antimicrobial use (49% vs 92%, P < .001). Student favorability ratings were high for the online learning module (85%) and small group workshop (93%). Conclusions A curriculum on antimicrobial stewardship consisting of independent learning and an interprofessional workshop significantly increased knowledge and attitudes towards collaborative antimicrobial stewardship among preclinical medical and pharmacy students.

scholarly journals Use of a Structured Method of Antimicrobial Stewardship at a City Hospital by Pharmacy Students

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 188
Author(s):  
Kimberly E. Ng ◽  
Nicole Bradley
Keyword(s):  
Student Perceptions ◽  
Antimicrobial Stewardship ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
City Hospital ◽  
Student Knowledge ◽  
Exact Test ◽  
Practice Experience ◽  
Before And After ◽  
Review Form

The objective of this study was to determine the utility of a structured method of antimicrobial stewardship by Advanced Pharmacy Practice Experience students and assess student perceptions of the tool. Pharmacy students on rotation were trained to utilize a structured team antibiotic review form (TARF) as a tool to participate in antimicrobial stewardship. Students completed anonymous evaluations regarding their confidence in performing stewardship after completing their rotation, and preceptors quantified total student interventions. Data analysis was conducted using descriptive statistics. The Fisher’s Exact Test was used to compare students’ confidence before and after using TARFs. Twenty-six students participated in antimicrobial stewardship using TARFs, resulting in 889 interventions. Nearly 96% of students reported that TARFs helped them evaluate patient antibiotics in a way that was easy to follow and that TARFs provided them with an organized and structured way to systematically evaluate antibiotics. All students felt that the TARFs increased their knowledge on how to evaluate antibiotics. Significantly more students were confident in participating in antimicrobial stewardship after using the TARF. TARF use allowed students to substantially contribute to stewardship, and provided them with a structured guide allowing for improved student knowledge and confidence.

A Systems Study on Interprofessional Collaboration in Healthcare

2021 ◽  
Vol 12 (3) ◽  
pp. 93-108
Author(s):  
Hironobu Matsushita ◽  
Carole Orchard ◽  
Katsumi Fujitani ◽  
Kaori Ichikawa
Keyword(s):  
Interprofessional Collaboration ◽  
Japanese Version ◽  
Face Validity ◽  
Validity And Reliability ◽  
Alpha Coefficient ◽  
Cross Sectional ◽  
Team Collaboration ◽  
Interprofessional Team ◽  
Excellent Internal Consistency ◽  
Acute Healthcare

This study aims to translate and adapt the Assessment of Interprofessional Team Collaboration Scale II (AITCS-II) cross-culturally for effective and systemic use in Japan, to describe floor and ceiling values, and to examine in terms of such criteria as reliability and face and content validity. The AITCS-II was translated from English into Japanese to develop the Japanese version of the Assessment of Interprofessional Team Collaboration Scale II (hereinafter referred to AITCS-II-J). Then, cross-sectional and cross-professional data analyses were carried out to seek evidence of construct validity. Analysis demonstrated good content and face validity. With a Cronbach's alpha coefficient greater than 0.9 (r varied from 0.912 to 0.940), the AITCS-II-J exhibited excellent internal consistency. The AITCS-II-J showed evidence of acceptable validity and reliability; therefore, this measurement system will be useful for informing the enhancement of interprofessional team collaboration within the Japanese acute healthcare context.

scholarly journals Towards enhanced emotional interactions with older persons. Findings from a nursing intervention in home health care.

2016 ◽  
Vol 6 (3) ◽  
pp. 191-199
Author(s):  
Charlotte Veenvliet ◽  
Hilde Eide ◽  
Martijn de Lange ◽  
Sandra van Dulmen
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Older Persons ◽  
Nursing Intervention ◽  
Home Health ◽  
Post Intervention ◽  
Audio Feedback ◽  
Feedback Intervention ◽  
Before And After ◽  
Post Test

Background. Living at home with a physical condition that requires assistance places high emotional burden on older persons that needs to be attended to by nurses. However, nurses in home health care have previously been found to communicate primarily in an instrumental way. This increases the risk that emotional concerns are being overlooked or not responded to in an appropriate way.Aims and Objectives. To enhance emotional interactions with older clients in home health care, an individual feedback intervention was developed for these nurses. The first experiences and results are presented in this paper.Design and Methods. Ten nurses/nurse assistants participated in this exploratory pre-post test study. They were asked to audiotape visits with older persons (65+) before and after an audio-feedback intervention. Older clients’ implicit and explicit expressions of emotional concerns as well as nurses’ responses to these expressions were rated with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The nurses were given feedback based on the audio-recordings and the observations and were asked to reflect on the audio-feedback intervention.Results. The nurses valued the audio-feedback. Overall, 201 cues and 35 concerns were expressed during 58 recorded visits. At post-intervention, 29% of identified cues and concerns were nurse-initiated, at pre-intervention 18.8% (NS). Nurses provided space in 73.7% of their responses. During shorter visits nurses tended to provide less space (p=.06). After the intervention, 20.9% of the cues and concerns were ignored, before the intervention this was 25% (NS).Conclusions. Receiving feedback was taken in very well by the nurses working in home health care and the feedback intervention seems to enhance emotional interactions in home health care with older persons. Although, due to the low power of the study, the differences between pre-and post-intervention measurements were not significant. Studies with larger samples are needed to replicate these findings.

scholarly journals Evaluation of pharmacy students´ clinical interventions on a general medicine practice experience

2011 ◽  
Vol 9 (1) ◽  
Author(s):  
Jocelyn D. Jones ◽  
Sylvia H. Jackson ◽  
Aisha Gomez ◽  
Christie Hollinger ◽  
Gayle Rivers
Keyword(s):  
General Medicine ◽  
Pharmacy Students ◽  
Clinical Interventions ◽  
Practice Experience

scholarly journals Interprofessional Pharmacokinetics Simulation: Pharmacy and Nursing Students’ Perceptions

Pharmacy ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 70 ◽  
Author(s):  
Cheryl Cropp ◽  
Jennifer Beall ◽  
Ellen Buckner ◽  
Frankie Wallis ◽  
Amanda Barron
Keyword(s):  
Nursing Students ◽  
Student Perceptions ◽  
Interprofessional Education ◽  
Online Survey ◽  
Interprofessional Collaboration ◽  
Core Competencies ◽  
Hospital Setting ◽  
Pharmacy Students ◽  
Patient Centered ◽  
Survey Responses

Interprofessional practice between pharmacists and nurses can involve pharmacokinetic dosing of medications in a hospital setting. This study describes student perceptions of an interprofessional collaboration pharmacokinetics simulation on the Interprofessional Education Collaborative (IPEC) 2016 Core Competencies. The investigators developed a simulation activity for senior undergraduate nursing and second-year pharmacy students. Nursing and pharmacy students (n = 54, 91 respectively) participated in the simulation using medium-fidelity manikins. Each case represented a pharmacokinetic dosing consult (vancomycin, tobramycin, phenytoin, theophylline, or lidocaine). Nursing students completed head-to-toe assessment and pharmacy students gathered necessary information and calculated empiric and adjusted doses. Students communicated using SBAR (Situation, Background, Assessment, and Recommendation). Students participated in debrief sessions and completed an IRB-approved online survey. Themes from survey responses revealed meaningful perceptions in all IPEC competencies as well as themes of safety, advocacy, appreciation, and areas for improvement. Students reported learning effectively from the simulation experience. Few studies relate to this type of interprofessional education experience and this study begins to explore student perceptions of interprofessional education (IPE) in a health sciences clinical context through simulation. This real-world application of nursing and pharmacy interprofessional collaboration can positively affect patient-centered outcomes and safety.

Factors Influencing Interprofessional Collaboration in Healthcare Environment

2021 ◽  
pp. 60-104
Author(s):  
Ramaraj Palanisamy ◽  
Nazim Taskin ◽  
Jacques Verville
Keyword(s):  
Significant Relationship ◽  
Interprofessional Collaboration ◽  
Healthcare Delivery ◽  
Team Collaboration ◽  
Factors Influencing ◽  
Managerial Implications ◽  
Communication And Coordination ◽  
Technology Orientation ◽  
The Impact

The increases in complexity of patient care, healthcare costs, and technological advancements shifted the healthcare delivery to interprofessional collaborative care. The study aims for identifying factors influencing the quality of team collaboration. The study examines the impact of trust and technology orientation on collaboration with the mediating effects of communication, coordination, and cooperation. The results of the study validate that (1) collaboration has positive and significant relationship with coordination, and cooperation; (2) trust has positive and significant relationship with communication, coordination, and cooperation; and (3) technology orientation has positive and significant relationship with cooperation but not with communication and coordination. The research and managerial implications of these factors are given in the discussion. The results can be used by healthcare professionals and managers to advance their understanding on the impact of trust and technology on collaboration mediating communication, coordination, and cooperation practices.

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