270: STOP-VIRUS COLLABORATIVE: INTERPROFESSIONAL LEARNING COMMUNITY TO IMPROVE COVID-19 PATIENT OUTCOMES

This review explores the literature with regards to interprofessional learning (IPL) for qualified nurses and other health care workers. Three research studies were found. These showed that IPL can promote interprofessional trust, knowledge and skills. There is as yet no evidence that patient outcomes are changed, and taken as a whole, the evidence is not strong. There is also evidence that the providers of IPL for post-registration health care workers also tend to be the researchers. This is not ideal; it raises the possibility of the inclusion of bias and, using the values of evidence based practice, weakens the evidence. It is suggested that workers who comment on their own IPL initiatives should make explicit the measures they have taken to minimise bias. Comparison of findings from the literature is made with pre-registration IPL and a tabulated summary of much of the published evidence is included, which may be a useful source for future authors in this field.

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Interprofessional Scenario-Based Learning for New Graduates in a Regional Setting: A Pilot Study

Internet Journal of Allied Health Sciences and Practice ◽

10.46743/1540-580x/2016.1572 ◽

2016 ◽

Author(s):

Priya Martin ◽

Matthew Newby ◽

Monica Moran ◽

Matthew Browne ◽

Saravana Kumar

Keyword(s):

Pilot Study ◽

Health Service ◽

Patient Outcomes ◽

Interprofessional Collaboration ◽

Learning Opportunities ◽

Interprofessional Practice ◽

Learning Program ◽

Interprofessional Learning ◽

Quality Healthcare ◽

New Graduate

Introduction: Globally there is an increased emphasis on the provision of high quality healthcare and improved productivity under mounting financial constraints. Interprofessional collaboration and practice are considered crucial in promoting teamwork and optimising patient outcomes. However, there is a lack of structured, evaluated interprofessional learning opportunities for graduates in regional and rural health services in Australia. This pilot study reports on a novel interprofessional new graduate learning program that was developed and implemented to address the lack of structured post-qualification interprofessional learning opportunities in the Central Queensland Hospital and Health Service. Methods: Twenty-one participants enrolled in the six-month program, which consisted of six ninety-minute sessions. A mixed method exploratory design was used to collect data using the Interprofessional Socialization and Valuing Scale before and after the program, and a reflective summary at program completion. Results: Results indicated that participation in the program had a positive effect on participants’ attitudes, beliefs and behaviours regarding interprofessional practice as measured on the Interprofessional Socialization and Valuing Scale. Various themes about the usefulness of the program to participants were elicited from the reflective summary data. These included enhanced understanding of interprofessional practice, increased confidence in own professional role, improved understanding of the roles of other professions, increased collaboration with others, improved patient outcomes and improved networking with colleagues. Conclusions: It was concluded that the new graduate interprofessional learning program was a feasible and effective way to facilitate interprofessional learning among health graduates in a regional health service.

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Interprofessional Learning in Immediate Life Support training improves simulated patient related outcomes

10.1101/2019.12.31.19016170 ◽

2020 ◽

Author(s):

Jeremy Charles Morse ◽

Craig William Brown

Keyword(s):

Cardiac Arrest ◽

Patient Outcomes ◽

Critical Points ◽

Life Support ◽

Team Training ◽

Interprofessional Learning ◽

Levels Of Evidence ◽

Resuscitation Training ◽

Parametric Testing ◽

Time Critical

AbstractAim of the studyTo assess team performance in implementing time critical key interventions during a simulated resuscitation after participating in either an interprofessional-learning (IPL) or uniprofessional-learning (UPL) Immediate Life Support training course (ILS).IntroductionMuch of the published work on team-based simulation training has measured the lower levels of Kirkpatrick’s hierarchy of evidence and effectiveness. This study aimed to ascertain if interprofessional team training could improve a higher level of outcome such as behaviour and patient outcomes.MethodsA retrospective quantitative analysis of time critical points in a simulated cardiac arrest resuscitation, from a previous randomised study on the effects of Interprofessional Learning in ILS. The video recordings from the original study consisting of medical (n=48) and nursing (n=48) students were analysed to mark when either the IPL or UPL team performed a time critical intervention.ResultsFive time-critical points for interventions were identified; confirmation of cardiac arrest, commencement of initial CPR, rhythm check, time to 1st shock and delay in restarting CPR. Parametric testing of each of these time-based criteria were subjected to an independent sample t-test with statistically significant findings in three of the five criteria in favour of those who had undertaken the interprofessional learning.ConclusionOur results demonstrate that through an IPL approach in ILS there was a statistically different improvement in mean times to performing time-critical interventions, which if transferred to the clinical environment could improve and impact on both change of behaviour and patient outcomes in Kirkpatrick’s higher levels of evidence and effectiveness.Though this study shows that team behaviour and performing time-critical interventions can improve in the short-term, we acknowledge that further longitudinal studies are required to ascertain the effect of such improvement over time. So that both as researchers and educators we can make healthcare teams work safer and more efficiently to improve patient outcomes.What this paper addsWhat is already knownLike simulation, intuitively we know that Interprofessional Learning and Team training should make a difference to clinical practice for those involved. The majority of research reported, is measured at the lower levels of Kirkpatrick’s hierarchy. This retrospective video analysis of a previous study aimed to look at the functioning between interprofessionally and uni-professionally trained teams in performing time-critical interventions in a simulated cardiac arrest.What this study addsOur study suggests that the use of Interprofessional Learning in resuscitation training does have an effect on performance during the management of a simulated cardiac arrest which could improve and impact on both change of behaviour and patient outcomes in Kirkpatrick’s higher levels of evidence and effectiveness.

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Laryngeal Manifestations of Autoimmune Diseases

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-19-00168 ◽

2020 ◽

Vol 5 (2) ◽

pp. 439-456

Author(s):

Jenny L. Pierce

Keyword(s):

Autoimmune Disease ◽

Autoimmune Diseases ◽

Patient Outcomes ◽

Correct Diagnosis ◽

Upper Airway ◽

Clinical Implications ◽

Laryngeal Function ◽

The Past ◽

Referral Practices ◽

Timely Referral

Purpose This review article provides an overview of autoimmune diseases and their effects on voice and laryngeal function. Method A literature review was conducted in PubMed. Combinations of the following keywords were used: “autoimmune disease and upper airway,” “larynx,” “cough,” “voice,” “dysphonia,” and “dyspnea.” Precedence was given to articles published in the past 10 years due to recent advances in this area and to review articles. Ultimately, 115 articles were included for review. Results Approximately 81 autoimmune diseases exist, with 18 of those highlighted in the literature as having laryngeal involvement. The general and laryngeal manifestations of these 18 are discussed in detail, in addition to the clinical implications for a laryngeal expert. Conclusions Voice, breathing, and cough symptoms may be an indication of underlying autoimmune disease. However, these symptoms are often similar to those in the general population. Appropriate differential diagnosis and timely referral practices maximize patient outcomes. Guidelines are provided to facilitate correct diagnosis when an autoimmune disease is suspected.

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Measuring patient outcomes

Journal of Advanced Nursing ◽

10.1046/j.1365-2648.2001.0420a.x ◽

2001 ◽

Vol 33 (1) ◽

pp. 138-138

Author(s):

Jane H. Barnsteiner

Keyword(s):

Patient Outcomes

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The Patient Outcomes of Surgery-Hand/Arm (POS-Hand/Arm): A New Patient-Based Outcome Measure

Yearbook of Hand and Upper Limb Surgery ◽

10.1016/s1551-7977(08)70197-3 ◽

2006 ◽

Vol 2006 ◽

pp. 278-279

Author(s):

K.C. Chung

Keyword(s):

Patient Outcomes ◽

Outcome Measure

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Intravascular ultrasound in the diagnosis and treatment of central venous diseases

VASA ◽

10.1024/0301-1526/a000914 ◽

2021 ◽

Vol 50 (1) ◽

pp. 2-10 ◽

Cited By ~ 1

Author(s):

Xin Li ◽

Giuseppe D’Amico ◽

Cristiano Quintini ◽

Teresa Diago Uso ◽

Sameer Gadani ◽

...

Keyword(s):

Intravascular Ultrasound ◽

Patient Outcomes ◽

Controlled Trials ◽

Ivc Filter ◽

Venous Anatomy ◽

Central Venous ◽

Detailed Measurement ◽

Filter Placement ◽

Randomized Controlled ◽

Venous Diseases

Summary: Intravascular ultrasound (IVUS) has been used extensively in coronary applications. Its use in venous applications has increased as endovascular therapy has increasingly become the mainstay therapy for central venous diseases. IVUS has been used for both diagnostic and therapeutic purposes in managing venous stenotic disease, venous occlusive disease, and IVC filter placement and removal. IVUS has been proven to be effective in providing detailed measurement of the venous anatomy, which aid in determining the appropriate size and the approach for venous stent placement. In IVC filter placement, IVUS can provide detailed measurement and guide IVC filter placement in emergent and critical care settings. It also has certain utility in filter removal. At any rate, to date there are only a few studies examining its impact on patient outcomes. Prospective randomized controlled trials are warranted in the future.

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