scholarly journals Simulation as a Multidisciplinary Team Approach in Healthcare Programs in an Urban University Setting

2018 ◽  
Vol 6 (12) ◽  
pp. 61
Author(s):  
Dawn I. Blue ◽  
Geraldine C. Fike ◽  
Guillermo Escalante ◽  
Yeon Kim ◽  
Jose A. Munoz

Background: In the hospital setting, patients are usually cared for by a nurse and multidisciplinary teams which may include physical therapists, social workers, and public health workers. However, students in health care programs usually will not experience interdisciplinary scenarios developing needed skills. Combining classes and replacing certain curriculum activities with patient simulation projects that include several departments may improve their educational experience and success. Simulation is technology used to enhance instruction resources for all students. Simulation not only captures the attention of the video-game generation but actively engages students in the learning process. Simulation can be a valuable experience to keep students actively involved in learning by offering the opportunity to apply knowledge learned to the clinical setting, thus making it real. It is compelling to consider the impact of simulation in increasing the competency of students when they are in the work force while decreasing error rate and impacting the quality of care.Methods: A mixed method approach involved simulation experience followed by data collection via survey.Results: Students across all disciplines reported increased ability for collaboration and communication.Conclusions: Demonstrated the value of introducing the students to teamwork and collaboration experiences via simulation.

Author(s):  
Michael B. A. Oldstone

This chapter highlights the story of autism, the widespread acceptance of its incorrect cause, and the impact on use of vaccines, all stemming directly from deliberate, false reporting. The basic conflict is twofold. First, involvement of a scientific method that must be reproducible, be reliable, and possess substantial proof is in conflict with common/personal beliefs. Second, doctors, scientists, and public health workers, despite their mandate to listen to parents and patients concerning their opinions, must base medical conclusions on evidence that validates the outcome of each patient’s health issue. It is in this milieu that autism and the anti-vaccine groups still do battle. In 1998, Lancet, a usually respectable and reputable English journal, published Dr. Andrew Wakefield’s opinion that the measles, mumps, rubella (German measles) vaccine injected into the arms of children caused inflammation, leading to harmful chemicals entering the bloodstream through the gut (intestine). These factors, he said, traveled to the brain, where the harmful chemicals/toxins caused autism. In the face of this “fake news” about the source of autism and measles, the vaccination rate for measles dropped in the United Kingdom and Ireland.


2019 ◽  
Vol 80 (12) ◽  
pp. 703-706
Author(s):  
Jonathan French ◽  
Lewis M Agius ◽  
Nemandra A Sandiford

Management of trauma has been tackled at a national level to improve patient care and mortality. Decision making through a multidisciplinary team approach has resulted in improved patient outcomes through a complex combination of changes. While the focus of trauma care delivery has been towards establishing an effective multidisciplinary trauma service, there are still improvements which can be made. This article reviews the history of trauma care in the UK, and the impact that multidisciplinary teams have had on the management of the multiply injured patient.


2012 ◽  
Vol 7 (3) ◽  
pp. 189-198 ◽  
Author(s):  
Murray R. Berkowitz, DO, MA, MS, MPH

This article examines the occupational health considerations that might impact the health and wellbeing of public health workers during responses to natural (eg, floods and hurricanes) and humancaused (eg, terrorism, war, and shootings) disasters. There are a number of articles in the medical literature that argue the impact of how working long hours by house staff physicians, nurses, and first-responders may pose health and safety concerns regarding the patients being treated. The question examined here is how working long hours may pose health and/or safety concerns for the public health workers themselves, as well as to those in the communities they serve. The health problems related to sleep deprivation are reviewed. Current policies and legislations regarding work-hour limitations are examined. Policy implications are discussed.


2009 ◽  
Vol 89 (8) ◽  
pp. 804-815 ◽  
Author(s):  
Suzanne Sack ◽  
Dianne Rigassio Radler ◽  
Kathleen K. Mairella ◽  
Riva Touger-Decker ◽  
Hafiz Khan

BackgroundLittle is known about physical therapists’ attitudes, knowledge, and practice approaches regarding people who are obese.ObjectiveThe objectives of this study were to determine physical therapists’ attitudes, knowledge, and practice approaches regarding obesity and to explore the relationships between attitudes and knowledge.DesignA prospective paper mail survey was designed to obtain demographic characteristics, attitudes, knowledge, and practice approaches regarding obesity. Participants were randomly selected members of the American Physical Therapy Association.MethodsDescriptive statistics were used to explore physical therapists’ attitudes, knowledge, and practice approaches regarding obesity. Pearson product moment and Spearman rank correlations were used to test the relationships between attitudes and knowledge. The a priori alpha value was set at .05.ResultsThe response rate was 34.5%. Physical therapists indicated that physical inactivity (92.8%, n=320) and overeating (78.5%, n=270) are the most important causes of obesity and that diet modifications and exercise are the most effective treatments. Respondents frequently recommended exercising more (87.4%, n=263) but rarely recommended changes in nutritional habits or referred clients to other health care disciplines. Attitude scores regarding obesity were neutral. The mean knowledge score was 6.7 (of 10). A significant correlation (r=.133, P=.043) was found between the respondents’ knowledge scores and attitudes regarding statements about obesity. Inverse correlations were seen between the respondents’ age and knowledge scores (r=−.195, P<.0005) and between years in practice and knowledge scores (r= −.216, P<.0005).LimitationsThe descriptive nature of this study did not allow for further investigation. The survey questionnaire was adapted from a nonvalidated tool.ConclusionsThe results suggested that physical therapists have neutral attitudes toward people who are obese. Physical therapists appropriately indicated that lack of physical activity and poor nutritional habits contribute to obesity. Younger respondents, who had recently entered the work force, had higher knowledge scores than respondents who were older and had worked longer. Improvements in physical therapists’ referral patterns may assist in the health care team approach to the treatment of obesity. Education to enhance physical therapists’ knowledge about obesity should be emphasized.


2011 ◽  
Vol 16 (7) ◽  
Author(s):  
L Vinck ◽  
L Isken ◽  
M Hooiveld ◽  
M C Trompenaars ◽  
J IJzermans ◽  
...  

A cross-sectional study was undertaken to analyse the impact of the 2009 influenza A(H1N1) pandemic on frontline public health workers in the Netherlands and to consider its implications for future pandemics. A structured, self-administered questionnaire was made available online (26 March to 26 May 2010) for frontline public health workers employed by the communicable disease departments of the public health services in the Netherlands (n=302). A total of 166 questionnaires (55%) were completed. The majority of respondents reported an increased workload, perceived as too busy (117 respondents, 70.5%) or extreme (13 respondents, 7.8%). Most respondents were not anxious about becoming infected (only seven were regularly concerned). The overall compliance with the control measures was good. The case definition was strictly applied by 110 of the 166 respondents (66%); 56 of 141 (39.7%) consistently consulted the Preparedness and Response Unit within a centralised assessment system, while 68 of 141 (48.2%) consulted the unit only at the beginning of the pandemic. Of 145 respondents with available data, 128 (88.3%) always used personal protective equipment. Reported adherence to the advice to discuss the various isolation measures with patients and their contacts was between 71% and 98.7%. Our study shows that the surveyed frontline public health workers considered the workload to be high during the first 3.5 months of the pandemic and their level of anxiety about becoming infected was reported to be low. During the pandemic, these workers were able to accommodate what they considered to be an excessive workload, even though initially their assignments were unfamiliar to them.


2010 ◽  
Author(s):  
Brett J. Holfeld ◽  
Rebecca Cicha ◽  
Ric Ferraro ◽  
Megan Kvasager ◽  
Kimberly Schweitzer ◽  
...  

Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


1987 ◽  
Vol 19 (3-4) ◽  
pp. 633-643
Author(s):  
William F. Garber

The history of human society is replete with examples of advances in technology overrunning the ability of societal organizations to efficiently handle the resulting massive societal dislocations. The social impacts of the “Industrial Revolution of the 18th and 19th Centuries” illustrate how profound such effects can be. The automation-computer-robotics revolution now underway also has the potential for serious societal changes. In this regard public works activities are subject to increasing amounts of automation with impacts upon current and net total employment and training needs. To evaluate the present status of automation in the USA, questionnaires were sent to public works authorities in 110 cities or agencies. The current degree of automation, the impact upon employment and the skills now needed by public works employers were queried. It was found that in most cases automation was just starting; but that as complete automation as was possible was inevitable given the increasing complexity of the tasks, the demands of the public and the long term prospects for public works funding. In many cases the candidates now in the work force were not properly trained for automation needs. Retraining and changes in the educational system appeared necessary if the employees now needed were to be continuously available. Public works management as well as several labor organizations appeared to be aware of this need and were organizing to handle the training problem and the changes in employment qualifications now necessary. It appeared to be a consensus that the larger societal effects of automation should be handled by society as a whole.


2018 ◽  
Vol 31 (1) ◽  
pp. 81-96 ◽  
Author(s):  
Erboon Ekasingh ◽  
Roger Simnett ◽  
Wendy J. Green

ABSTRACT Greenhouse gas (GHG) assurance is increasingly used by companies as a means to increase stakeholder confidence in the quality of externally reported carbon emissions. The multidisciplinary nature of these engagements means that assurance is performed primarily by multidisciplinary teams. Prior research suggests the effectiveness of such teams could be affected by team composition and team processes. We employ a retrospective field study to examine the impact of educational diversity and team member elaboration on multidisciplinary GHG assurance team effectiveness. Results show that team processes such as sufficiency of elaboration on different team member perspectives significantly increases the perceived effectiveness of the teams. While educational diversity is not found to directly improve perceived team effectiveness, it is found to have a positive effect through increasing perceived sufficiency of elaboration. These findings have important implications for standard setters and audit firms undertaking GHG assurance engagements.


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