scholarly journals Evaluating a Multidisciplinary Team Approach to Elder Abuse

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 273-273
Author(s):  
Carmen Morano ◽  
Erin Berical
Keyword(s):  
Multidisciplinary Team ◽  
Elder Abuse ◽  
Positive Impact ◽  
Practical Knowledge ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Preliminary Evaluation ◽  
Team Members ◽  
Face To Face ◽  
Ongoing Functioning

Abstract This paper presents findings from a University and Community-based Agency collaboration to design and implement a preliminary evaluation of the Elder Abuse Multidisciplinary Team (E-MDT) Intervention. This intervention brings professionals from a variety of fields to investigate and respond to elder abuse. Data from 22 Interviews with staff along with anonymous survey data from E-MDT team members/staff (n=312) sought to establish team successes, challenges in implementation, and ongoing functioning. Themes that emerged in creating successful teams include: Establishing Buy-In and Trust of the team members, The Benefit of sharing experience and practical knowledge with other program sites; and Recognizing the Differences related to Onboarding and Sustaining New programs versus Sustaining Existing Programs. Themes related to responding during COVID revealed challenges such as Adapting to Technology and Inconsistent Access to the Internet. It was noted that remote meetings were easier to attend than face-to-face meetings. Data from the survey found the vast majority of respondents view the E-MDTs as having a positive impact on Clients (93%); while 93% of respondents indicated a positive impact on their Approach to Practice and the service area of their agency. Approximately 80% of the respondents indicated their multidisciplinary teams were Effective. Responses to 3-Open Ended questions included in the survey echoed similar themes from the interviews, as well as comments about their Professional Development and the complexity of responding to elder abuse. The paper will close with a discussion of the strategies used to facilitate the collaboration and complete the evaluation during the COVID-19 pandemic.

scholarly journals Enhancing the performance of gastrointestinal tumour board by improving documentation

2018 ◽  
Vol 7 (1) ◽  
pp. e000168 ◽  
Author(s):  
Roaa Saleh Alsuhaibani ◽  
Hajer Alzahrani ◽  
Ghada Algwaiz ◽  
Haneen Alfarhan ◽  
Ashwaq Alolayan ◽  
...  
Keyword(s):  
Performance Measures ◽  
Multidisciplinary Team ◽  
Positive Impact ◽  
Team Approach ◽  
Rapid Improvement ◽  
Past Performance ◽  
Pdsa Cycle ◽  
Tumour Board ◽  
Medical Records System ◽  
Documentation Tool

Tumour board contributes to providing better patient care by using a multidisciplinary team approach. In the efforts of evaluating the performance of the gastrointestinal tumour board at our institution, it was difficult to assess past performance due to lack of proper use of standardised documentation tool. This project aimed at improving adherence to the documentation tool and its recommendations in order to obtain performance measures for the tumour board. A multidisciplinary team and a plan were developed to improve documentation. Four rapid improvement cycles, Plan–Do–Study–Act (PDSA) cycles, were conducted. The first cycle focused on updating the case discussion summary form (CDSF) based on experts’ input and previous identified deficiencies to enhance documentation and improve performance. The second PDSA cycle aimed at incorporating the CDSF into the electronic medical records system and assessing its functionality. The third cycle was to orient and train staff on using the form and launching it. The fourth PDSA cycle aimed at assessing the ability to obtain tumour board performance measures. Adherence to completion of the CDSF improved from 82% (baseline) to 94% after the fourth PDSA cycle. Over 104 consecutive cases discussed in the tumour board between January and July 2016 and 76 cases discussed in 2015, results were as follows: adherence to National Comprehensive Cancer Network guidelines in 2016 was observed in 141 (95%) recommendations, while it was observed in 90 (92%) recommendations in 2015. Changes in the management plans were observed in 37 (36%) cases in 2016 and in 6 (8%) cases in 2015. Regarding tumour board recommendations, 87% were done within 3 months of tumour board discussion in 2016, while 69% were done in 2015. Implementing electronic standardised documentation tool improved communication among the team and enabled getting accurate data about performance measures of the tumour board with positive impact on healthcare process and outcomes.

scholarly journals Physicians’ Perceptions of the Type 2 Diabetes Multi-disciplinary Treatment Team

2011 ◽  
Vol 37 (6) ◽  
pp. 794-800 ◽  
Author(s):  
Marilyn D. Ritholz ◽  
Elizabeth A. Beverly ◽  
Martin J. Abrahamson ◽  
Kelly M. Brooks ◽  
Brittney A. Hultgren ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Multidisciplinary Team ◽  
Team Approach ◽  
Diabetes Treatment ◽  
Treatment Team ◽  
Team Members ◽  
Assessment And Treatment ◽  
Type 2 Diabetes Treatment ◽  
Consistent Information

Purpose The purpose of this study was to explore physicians’ perceptions of the multidisciplinary type 2 diabetes treatment team. Methods Nineteen physicians (74% endocrinologists; 26% primary care) participated in semistructured interviews. Audiorecorded data were transcribed, coded, and analyzed using thematic analysis and NVivo 8 software. Results Physicians considered the multidisciplinary team, including a physician and diabetes educator, as very important to diabetes treatment. Participants described how diabetes, with its many comorbidities and challenging lifestyle recommendations, is difficult for any single physician to treat. They further described how the team’s diverse staff offers complementary skills and more contact time for assessment and treatment of patients, developing treatment relationships, and supporting patients in learning diabetes self-care. Physicians stressed the necessity of regular and ongoing communication among team members to ensure patients receive consistent information, and some reported that institutional factors interfere with intra-team communication. They also expressed concerns about the team approach in relation to individualized treatment and patients’ reluctance to see multiple providers. Conclusions This study highlights physicians’ positive perceptions of and concerns about the type 2 diabetes multidisciplinary team. Further study of diabetes educators’ and patients’ perceptions of the team approach is needed.

scholarly journals Psychiatric Care For A Person With MELAS Syndrome: A Case Report

2021 ◽  
Author(s):  
Douglas Yeung Leong ◽  
Rei Yen Chee ◽  
Yit Shiang Lui
Keyword(s):  
Case Report ◽  
Lactic Acidosis ◽  
Multidisciplinary Team ◽  
Psychiatric Care ◽  
Mitochondrial Encephalomyopathy ◽  
Team Approach ◽  
Melas Syndrome ◽  
Team Members ◽  
Multidisciplinary Team Approach

A patient with diagnosed MELAS (mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes) syndrome had developed psychological and behavioural disturbances at a later stage of his illness. Psychiatric care for this patient would not be possible without a multidisciplinary team approach involving multi-prong interventions from the different team members.

scholarly journals Identification Decisions: Who is the Most Consistent?

1979 ◽  
Vol 2 (4) ◽  
pp. 99-103 ◽  
Author(s):  
Gordon R. Alley ◽  
Donald D. Deshler ◽  
Daryl Mellard
Keyword(s):  
Multidisciplinary Team ◽  
Multidisciplinary Approach ◽  
Children And Youth ◽  
Team Approach ◽  
Team Members ◽  
Professional Groups ◽  
Multidisciplinary Team Approach ◽  
Subjective Judgments

In an attempt to analyze the assumption that a multidisciplinary team approach is necessary for identification and evaluation of LD students, this study was designed to a) examine the type of judgments on LD characteristics rendered by different team members, and b) explore which of the groups typically represented on a staffing team was most homogeneous in making decisions on LD students. A sample of 420 professionals and 30 parents were asked to complete a component disability instrument developed for the purpose of obtaining subjective judgments from each of the professional groups and the parents. The consistency of judgment among groups found in this study indicated that the judgments of the groups were comparable when making judgments on LD and non-LD characteristics. Thus, the findings were supportive of the multidisciplinary approach to identification and evaluation of LD children and youth.

scholarly journals Barriers to Comprehensive Multidisciplinary Head and Neck Care in a Community Oncology Practice

2021 ◽  
pp. 1-10
Author(s):  
Muralidhar Beeram ◽  
Andrew Kennedy ◽  
Nathan Hales
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Multidisciplinary Team ◽  
Unmet Need ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Health Care Environment ◽  
Patient Centered ◽  
Community Based

Complex, coordinated, and collaborative care of patients with head and neck cancer can be challenging yet amazingly rewarding and successful. The high symptom burden across multiple functional domains in patients with head and neck cancer, even in early stages of disease, mandates a multidisciplinary team approach that harnesses the combined contributions of physicians and ancillary providers to drive greater patient-centered care, addressing factors that heavily influence morbidity, mortality, and quality of life. Well-organized community-based multidisciplinary teams fulfill this unmet need and benefit patients with conveniently located comprehensive services that are typically found in large academic centers. Equivalent, if not superior, outcomes can be achieved in a unified community-based multidisciplinary team with shared patient-centered and outcomes-based goals. However, implementing true multidisciplinary team care in today’s complex health care environment is fraught with challenges and pitfalls. So how have some community-based practices managed to create safe and efficient programs with successful outcomes? The purpose of this review is to discuss barriers to reaching this success and emphasize practical solutions to such challenges.

A Study of Burnout and Multidisciplinary Team-Working amongst Professional Music Therapists

2000 ◽  
Vol 14 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Barbara Hills ◽  
Ian Norman ◽  
Lucy Forster
Keyword(s):  
Emotional Exhaustion ◽  
Multidisciplinary Team ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Multidisciplinary Teams ◽  
Role Clarity ◽  
Music Therapists ◽  
Team Members ◽  
Professional Identification ◽  
Health And Social Care

This paper reports the findings of a survey of 151 members of the British Association of Professional Music Therapists, conducted in January 1998, to investigate burnout and job satisfaction in relation to multidisciplinary team membership. Information on personal profile and employment characteristics was also sought, as music therapists are such a widely diverse group. Three aspects of burnout (emotional exhaustion, depersonalisation and personal accomplishment) were measured with the Maslach Burnout Inventory (Maslach & Jackson 1981). Factors influencing reward and dissatisfaction in the job were also assessed in relation to multidisciplinary team membership. Personal and team role clarity and team and professional identification were assessed in therapists who were members of multidisciplinary teams. Therapists who were members of multidisciplinary teams were found to have higher levels of personal accomplishment and similar levels of emotional exhaustion and depersonalisation in comparison to those working independently. These results are discussed in relation to previous surveys of other health and social care professionals. Sources of pressure and reward differed between multidisciplinary team members and non-members. Music therapists who were members of multidisciplinary teams were found to have a moderate level of personal role clarity within their team and identified with their profession more than with their multidisciplinary team.

scholarly journals Clinical presentation of neurofibromatosis in indigenous black Africans: Evidence for multidisciplinary team approach to diagnosis and management with emphasis on Ophthalmological perspective.

2021 ◽  
Author(s):  
Olufunmilola OGUN ◽  
Olusegun A Adediran ◽  
Gabriel Ogun
Keyword(s):  
Multidisciplinary Team ◽  
Clinical Presentation ◽  
Positive Family History ◽  
Plexiform Neurofibroma ◽  
Clinical Information ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Female Ratio ◽  
Department Of Ophthalmology ◽  
Significant Difference

Aim- To describe the pattern of clinical presentation of patients with neurofibromatosis in a homogeneous black African population with emphasis on ophthalmological presentation in a multidisciplinary management setting. Methods- Ophthalmology clinic records from the Department of Ophthalmology and database of the Department of Pathology, both of University College Hopsital, Ibadan, Nigeria were reviewed for cases of neurofibromatosis over a 10-year period (Jan 2010 and Dec 2019). Relevant demographic, clinical information, management, complications and patient follow up were extracted from the records and entered into a spreadsheet and analysed. Results - The 34 cases included in this study comprised 19 males (55.9%) and age ranged from 18 months – 60 years, with a median age of 15 years. The male to female ratio was 1.3:1 with approximately 35.3% (12 patients) in the paediatric age group. The most frequent reason for consultation was unilateral progressive painless lid swelling (plexiform neurofibroma) often associated with ptosis. There was a positive family history of neurofibromatosis in 9 out of 32 cases (28.1%). Café au laît macules were observed in 22 out of 25 (88%) of cases. Typical neurofibromas were present in 84.8% of the patients. There was no significant difference in prevalence of plexiform neurofibromas with age (p= 0.05) or sex (p= 0.79). Bone and joint abnormalities was present in 17.6% of the patients. Ophthalmic examination showed conjunctiva changes in 3 cases, prominent cornea nerves in 2 cases. Iris lisch nodules was present in 75.9% of cases that had documentation, cataract in 2 cases and optic atrophy in 6cases.Three patients had ophthalmic pathway gliomas. Patients were managed by multidisciplinary teams depending on their needs. Conclusion- Multidisciplinary team management is advocated because of the multi-system disorders these patient have and the need for holistic, patient centred care that is of good quality, and sustainable.

EFFECTIVENESS OF MULTIDISCIPLINARY TEAM MEMBERS IN A COMPLEX, HIGH-RISK, AND STRESSFUL CRITICAL CARE UNIT (CCU)

2020 ◽  
Vol 4 (2) ◽  
pp. 99
Author(s):  
Fatchima L. Moussa
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Multidisciplinary Team ◽  
Critical Care Unit ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Performance Effectiveness ◽  
Stressful Environment ◽  
Conflict Handling ◽  
Team Structuring

Background: Critical Care Unit (CCU) serves as the most complex unit of the health care sector. The performance of multi-disciplinary team members working in CCU is affected through various factors such as; ineffective leadership, lack of communication, inappropriate team structuring etc. This study aims to evaluate the performance effectiveness of multidisciplinary team members working in the complex, risky and stressful environment of the critical care unit of Alansar General Hospital (AGH). Methods: A descriptive correlational study design is used. Data were collected through a structured questionnaire provided to a sample of 56 nurses working in CCU. Results: Findings indicated that the team working in CCU face problems due to ineffective conflict handling. Competent leadership is effective in providing appropriate team structure. Also, communication between team members helps in making useful decisions by using the knowledge gained through team communication. Conclusion: Multidisciplinary teams must be provided effective training to promote quality communication, knowledge sharing, and proper team structuring to improve quality of health care.

scholarly journals The shifting conceptualization of elder abuse in the United States: from social services, to criminal justice, and beyond

2015 ◽  
Vol 28 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Shelly L. Jackson
Keyword(s):  
United States ◽  
Criminal Justice ◽  
Social Services ◽  
Multidisciplinary Team ◽  
Social Problem ◽  
Elder Abuse ◽  
The United States ◽  
Team Approach ◽  
Multidisciplinary Team Approach ◽  
Over Time

A variety of forces have shifted the conceptualization of elder abuse over time to where it is almost unrecognizable when compared to its original conceptualization. The field has adopted or embraced whatever social problem is in vogue in an attempt to elevate elder abuse to a recognizable social problem that to date has eluded the field. This paper traces the various influences on the shifting conceptualizations of elder abuse and how those conceptualizations have shaped society's response. The paper concludes by suggesting that multiple conceptualizations can and must co-exist, a framework which is consistent with the multidisciplinary team approach becoming prevalent in the field.

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