Original Interprofessional Simulations to Train Students in CSD and Related Health Professions in Team-Based Health Care

2020 ◽  
pp. 152574012094212
Author(s):  
Naomi Eichorn ◽  
Melissa Zarn ◽  
Deborah Moncrieff ◽  
Caroline Sposto ◽  
Shirleatha Lee ◽  
...  
Keyword(s):  
Health Care ◽  
Standardized Patients ◽  
Health Professions ◽  
Health Care Team ◽  
Scope Of Practice ◽  
Clinical Knowledge ◽  
Empathic Communication ◽  
Quasi Experimental ◽  
Clinical Interactions

Students in health professions receive extensive training across the scope of practice within their profession; however, most lack experience in performing clinical functions as a member of a coordinated health care team. We describe outcomes of a quasi-experimental study that used simulations to target interprofessional practice competencies. Simulations incorporated clinical knowledge from five professions, and used standardized patients to provide students with a low-stakes opportunity to apply knowledge and skills. Students observed one simulation and participated in another. Post-simulation quantitative and qualitative data were collected by having students, faculty, and standardized patients rate collaboration and decision-making skills for each interprofessional team. Results indicate differences in ratings based on simulation round and rater group. Findings highlight the need for focused training in the use of clear and empathic communication by interprofessional teams. Results also demonstrate the value of feedback from standardized patients who can provide important perspectives regarding the quality of clinical interactions.

scholarly journals The management of infant developmental needs by community nurses - Part 2: The development of guidelines for the support of community nurses in the management of infant developmental needs

Curationis ◽  
2007 ◽  
Vol 30 (2) ◽  
Author(s):  
R. Leech ◽  
N.C. Van Wyk ◽  
C.J.E. Uys
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Best Practice ◽  
Scientific Information ◽  
Scope Of Practice ◽  
Developmental Needs ◽  
Developmental Care ◽  
Health Care Clinics ◽  
Research Findings

In the previous article, the author described, according to the scope of practice of registered nurses, the responsibilities oi community nurses with regard to the management of infant developmental needs in primary health care clinics in South Africa. In this article, the focus is on the development of guidelines for the support of community nurses in fulfilling these responsibilities. Before the development of the guidelines is addressed, a brief overview of the background of the study, assumptions of the researcher and the methodology of the study is given. The development of the set of guidelines (DEFINE HOPE) is set against the background of the drive to improve the quality of developmental care for infants and their families. As guidelines help to translate scientific information into statements, it could be valuable to community nurses to improve their delivery of developmental care. To gather evidence for the formulation of the guidelines, the researcher utilised the themes identified during the analysis process in phase one of the research; investigated research articles; and compared findings and recommendations of the articles with the research findings obtained in phase one. In addition to the research findings and literature review, a focus group (health care professionals represented in the case study), was utilised to assist with the final development and validation of the guidelines. The researcher adapted a number of desirable attributes for guidelines, which are indicated in the literature, to compile the criteria for validation of the guidelines. In conclusion, guidelines are necessary to support community nurses in finding “best practice” within their scope of practice to ensure higher quality of developmental care to families with infants 0-2 years.

scholarly journals The Art of Surgery: Balancing Compassionate With Virtual Care (Preprint)

2020 ◽  
Author(s):  
Elisheva Tamar Anne Nemetz ◽  
David Robert Urbach ◽  
Karen Michelle Devon
Keyword(s):  
Health Care ◽  
Physical Examination ◽  
Health Care Team ◽  
Body Language ◽  
Surgical Practice ◽  
Good Communication ◽  
Academic Literature ◽  
Virtual Care ◽  
Patient Groups

UNSTRUCTURED The recent drive to include virtual care in surgical practice has been accelerated due to the COVID-19 pandemic. Many physicians feel that communicating via telehealth is unlike traditional methods of providing health care, and thus guidance on maintaining excellence in communication is necessary, especially as academic literature on virtual care in surgery is nonexistent. Challenges faced in transitioning to virtual care include the inability to utilize body language, barriers to traditional physical examination, exacerbation of existing vulnerabilities and inequities in patient groups, the declining quality of medical education, and the fragmentation of the multidisciplinary health care team. This paper seeks to resolve these challenges by focusing on the pillars of good communication, including preparation, professionalism, empathy, respect, and the virtual physical examination.

Population and primary health-care team characteristics explain the quality of the service

Health Policy ◽  
2008 ◽  
Vol 86 (2-3) ◽  
pp. 335-344 ◽  
Author(s):  
Joan Gené-Badia ◽  
Carlos Ascaso ◽  
Georgia Escaramis-Babiano ◽  
Arantxa Catalán-Ramos ◽  
Enriqueta Pujol-Ribera ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Team ◽  
Care Team ◽  
Primary Health Care Team ◽  
Primary Health ◽  
Team Characteristics

scholarly journals Effects of clown activities on patients eligible for palliative care in primary health care

2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Fernando Ribeiro dos Santos ◽  
Sandra Pinto ◽  
Juliana Dias Reis Pessalacia ◽  
Bruna Moretti Luchesi ◽  
Lucimeire Aparecida da Silva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Health Care ◽  
Palliative Care ◽  
Primary Health Care ◽  
Post Intervention ◽  
Primary Health ◽  
Home Based ◽  
Quasi Experimental

ABSTRACT Objective: Evaluate the effects of clown activities on quality of life, depression, stress, anxiety, aid, and social support in patients eligible for palliative care (PC) attended in Primary Health Care (PHC). Method: A quasi-experimental study, with pre-intervention and post-intervention evaluation, carried out with 16 patients eligible for early PC in PHC in a Midwestern city. Patients received 24 visits with home-based clown activities. Results: The interventions evidenced improved quality of life and social support, with significant results for the Social Activities dimension (p = 0.023). Increased scores for Anxiety (p = 0.007) and Depression (p = 0.023) were also observed. Conclusion: Clown activities can bring positive results for the quality of life and social support of patients eligible for PC at home. They should be encouraged to interact with family knowledge and enhance humanized care, integral and centered on human relationships in PHC.

scholarly journals Impact evaluation of the Steno REACH Certificate Course in Clinical Diabetes Care for health care providers in Malaysia: protocol for a quasi-experimental, mixed-methods research study

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 98 ◽  
Author(s):  
Feisul Mustapha ◽  
Michael Calopietro ◽  
Karoline Kragelund Nielsen ◽  
Jens Aagaard-Hansen ◽  
Shiang Cheng Lim ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Diabetes Care ◽  
Clinical Diabetes ◽  
Care Providers ◽  
Health Clinics ◽  
Quasi Experimental ◽  
E Learning

The burden of diabetes continues to increase in Malaysia, and the public primary health sector has an insufficient number of health care providers well-trained in diabetes care. The Ministry of Health Malaysia collaborated with Steno Diabetes Center to educate primary care doctors and nurses on the fundamentals of clinical diabetes care using a competency-based approach that blends e-learning, classroom-based learning, and clinic-based group work. This programme is called Steno REACH Certificate Course in Clinical Diabetes Care (SRCC). The aim of this study was to assess the effectiveness of the SRCC intervention in improving diabetes-related knowledge, attitudes, skills and clinical practices among non-specialised doctors and general nurses working in public health clinics in Malaysia. This paper presents the study protocol. A quasi-experimental, mixed-methods study based on Solomon’s Four Group Design was applied. Non-specialist doctors and general nurses from ten health clinics were randomly selected to receive the educational intervention. Comparison clinics were purposive selected matching on proxy indicators for quality of diabetes care. The intervention consisted of 50 hours of e-learning, 48 hours of classroom-based learning and approximately 25 hours of work-based learning that covered all main aspects of clinical diabetes care and delivered over a six-month period. Primary outcomes were changes in diabetes-related knowledge, attitudes, skills, and clinical practice. Patients’ perceptions regarding the quality of care provided were classified as a secondary outcome. Other outcome measures included patients' assessment of their chronic disease care and providers' perceptions, attitudes and perceived barriers in care delivery. Results from this study will inform future educational approaches within the Malaysian health system. The study is unique because it evaluated a pertinent public health topic using a very robust methodology.

scholarly journals Perceived Effects of a Somatic Psychopedagogy (SPP) Program in Nurse Training: An Exploratory Study

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Josée Lachance ◽  
Pierre Paillé ◽  
Jean-François Desbiens ◽  
Marianne Xhignesse
Keyword(s):  
Health Care ◽  
Sense Of Self ◽  
Health Care Team ◽  
The Body ◽  
Healthcare Team ◽  
Second Phase ◽  
Nurse Training ◽  
Structured Interviews ◽  
Care Giving

Background: Developed in Europe in the 1980’s, somatic psychopedagogy (SPP) is a formative practice geared toward care giving and support. Characterized as a type of mind-body medicine, it examines how the use of the body and its movement allows for the development of one’s conscience, one’s sense of self and of others, which are all desirable qualities for professionals within the health care sector.Purpose: To explore if and how SPP training followed by nurses modifies their perception of the quality of their self awareness, their presence in regard to others, as well as their relationship with respect to health and their professional practice.Methods: Qualitative research based on two types of semi-structured interviews: comprehensive and elicitation. Exploratory interviews with three nurses trained (or in training) in SPP. The content of the interviews was first analyzed thematically then grouped by categories.Findings: The three participants perceived a change in the quality of their presence with respect to themselves and to others as well as changes within the nature of their relationships with their patients, colleagues and healthcare team members. Content analysis of the interviews has allowed us to conclude that relationships with the health care team evolved into a better ability to give recognition and a better quality of interaction between members. Participants also reported an increased ability to express their opinions in both their personal and professional lives. A second level of analysis has allowed for the identification of differences between nurses just finishing their first year of training and those having completed the full four-year course.Conclusion: Interesting transformations are reported at different levels confirming the relevance of a second phase of the project. The latter will permit to identify whether physicians trained in SPP experience changes similar to those of the nurses, and if so, whether they perceive these as having an impact on their practice.

Randomized Trial of Coordinated Psychosocial Interventions Based on Patient Self-Assessments Versus Standard Care to Improve the Psychosocial Functioning of Patients With Cancer

2001 ◽  
Vol 19 (21) ◽  
pp. 4117-4125 ◽  
Author(s):  
Sue-Anne McLachlan ◽  
Ann Allenby ◽  
Jane Matthews ◽  
Andrew Wirth ◽  
David Kissane ◽  
...  
Keyword(s):  
Health Care ◽  
Psychosocial Functioning ◽  
Psychosocial Interventions ◽  
Health Care Team ◽  
Care Team ◽  
Satisfaction With Care ◽  
Patients With Cancer ◽  
Patient Reported ◽  
Self Assessments

PURPOSE: To determine whether making patient-reported cancer needs, quality-of-life (QOL), and psychosocial information available to the health care team, allowing coordinated specifically targeted psychosocial interventions, resulted in reduced cancer needs, improved QOL, and increased satisfaction with care received. METHODS: Self-reported cancer needs, QOL, and psychosocial information was collected from 450 people with cancer, using standardized questionnaires via a touch-screen computer. For a randomly chosen two thirds, this information was made available to the health care team who coordinated targeted psychosocial interventions. Information from the remaining one third was not seen. Patients were assessed 2 and 6 months after randomization for changes in their cancer needs, QOL, and psychosocial functioning and satisfaction with overall care received. RESULTS: There were no significant differences between the two arms with respect to changes in cancer needs, QOL, or psychosocial functioning between the baseline and follow-up assessments, nor with respect to satisfaction with care. However, for the subgroup of patients who were moderately or severely depressed at baseline, there was a significant reduction in depression for the intervention arm relative to the control arm at the 6-month assessment (P = .001). CONCLUSION: Making patient-reported cancer needs, QOL, and psychosocial data available to the health care team at a single consultation together with coordinated psychosocial interventions does not seem to reduce cancer needs nor improve QOL, psychosocial functioning, or satisfaction with the care received. However, identification of patients with moderate or severe levels of depression may be valuable in reducing subsequent levels of depression.

scholarly journals Reflections and Future Directions on Extending Physical Therapist Scope of Practice to Improve Quality of Care and Preserve Health Care Resources

2018 ◽  
Vol 98 (10) ◽  
pp. 827-829 ◽  
Author(s):  
Jean-Michel Brismée ◽  
John L Pape ◽  
Linda J Woodhouse ◽  
Duncan Reid ◽  
Nicolas Bellot ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Physical Therapist ◽  
Scope Of Practice ◽  
Improve Quality ◽  
Future Directions ◽  
Health Care Resources

A Concept of Preventive Medicine

1976 ◽  
Vol 6 (4) ◽  
pp. 327-329
Author(s):  
Ernest B. Luongo
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Preventive Medicine ◽  
Allied Health ◽  
Health Professions ◽  
Medical Costs ◽  
Self Control ◽  
Allied Health Professions ◽  
Positive Quality

Preventive Medicine as it relates to a positive “quality of life” must be given top priority. With soaring medical costs of health care, allied health professions must place much more concern on innovative and creative ways to reduce or eliminate situations that may endanger an individual's health. If individuals, through self control, can begin to master their own destiny then the concept of Preventive Medicine may begin to be internalized by humankind.

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