scholarly journals Reasons for Inadequate Vaccination after Splenectomy

2015 ◽  
Vol 32 (4) ◽  
pp. 279-286
Author(s):  
Marko Tanasković ◽  
Bozidar Odalović ◽  
Slobodan Janković ◽  
Nedim Hamzagić
Keyword(s):  
Health Care ◽  
General Practitioner ◽  
Patient Education ◽  
Qualitative Study ◽  
Current Practice ◽  
Health Care Team ◽  
Care Team ◽  
Health Care Teams ◽  
Education And Health ◽  
Discharge Summaries

Summary The aim of this study was to analyze the reasons why the guidelines for post-splenectomy vaccination are not being followed. Considering that vaccination reduces the risk of overwhelming post-splenectomy infection, it is important to determine the reasons for inadequate vaccination after splenectomy. Our research was a qualitative study based on interviews with six surgeons, one general practitioner and three patients who underwent splenectomy, and on the review of patient’s medical charts and discharge summaries. This study has shown that health care team and patients lack sufficient knowledge about postsplenectomy vaccination. In addition, the study has shown that splenectomy registers, medical bracelets and up-to-date vaccination cards still have not become part of our current practice. Our study has shown that patient education and health care team education is crucial to follow the guidelines for post-splenectomy vaccination, which is similar to most other reports. In order to increase the level of post-splenectomy vaccination, we need to upgrade the education of health care teams and patients. Moreover, we need to start using splenectomy registers, medical bracelets and up-to-date vaccination cards.

Performance Measures for Health Care Teams: A Review

2018 ◽  
Vol 49 (3) ◽  
pp. 306-356 ◽  
Author(s):  
Shannon Marlow ◽  
Tiffany Bisbey ◽  
Christina Lacerenza ◽  
Eduardo Salas
Keyword(s):  
Health Care ◽  
Team Performance ◽  
Interobserver Reliability ◽  
Health Care Team ◽  
Care Team ◽  
Future Research ◽  
Validity Evidence ◽  
Health Care Teams ◽  
Instrument Type ◽  
Effective Health Care

Interest in effective health care teamwork has advanced in recent years. To ensure these teams are performing effectively, valid and reliable measurement is necessary. This review identifies and organizes information about measures of health care team performance by addressing the following objectives: (a) identify existing measures of health care team performance ( k = 70), (b) summarize validity evidence (i.e., construct and content validity), (c) summarize reliability information (i.e., interrater/interobserver reliability and internal consistency), (d) summarize information pertaining to the use and implementation of the measures (i.e., generalizability, instrument type, and clarity of language), and (e) identify the teamwork content included in the measures. These findings can aid researchers and practitioners in selecting a measure that is appropriate for a specific context. This review also illuminates areas where future research is needed by identifying types of reliability, validity, and teamwork content that have been largely unaddressed.

Health Care Teams as Agents for Change in Health and Risk Messaging

2017 ◽  
Author(s):  
Kevin Real ◽  
Andy Pilny
Keyword(s):  
Health Care ◽  
Field Research ◽  
Healthcare Systems ◽  
Health Care Team ◽  
Essential Elements ◽  
Care Team ◽  
Health Care Teams ◽  
Team Members ◽  
Communication Processes ◽  
Multiteam Systems

Effective communication in health care teams is central to the delivery of high-quality, safe, dependable, and efficient patient care. Understanding how health care team communication operates within healthcare systems is important. Viewing health care teams in hospital settings as creators and channels for diffusions of health and risk messages is an important contribution to health communication scholarship. Health care teams are essential elements of healthcare systems. In many instances, they are components of multiteam systems embedded within larger network ecosystems. These teams are not identical, thus, considering how team type (e.g., unidisciplinary, multidisciplinary, interdisciplinary) shapes distinct communication processes offers a better understanding of how these teams facilitate health and risk message diffusion. TeamSTEPPS is an important framework for essential teamwork behaviors that facilitate team processes in healthcare systems. Significantly, we develop specific communication competencies drawn from observation work that facilitate health care team effectiveness. Ideas developed by Kurt Lewin are utilized to consider how different types of multiteam systems can be effective as channels and facilitators of health and risk messages. We end the chapter with examples from field research. A set of hospital nursing unidisciplinary teams comprise a network of teams that form a heterarchical structure with important messages flowing between teams. An innovative form of hospital interdisciplinary rounds relies on specific communication practices to create and exchange health and risk messages to patients, families, health care team members, and other healthcare stakeholders.

Social networks in health care teams: evidence from the United States

2016 ◽  
Vol 30 (7) ◽  
pp. 1119-1139 ◽  
Author(s):  
Lusine Poghosyan ◽  
Robert J. Lucero ◽  
Ashley R. Knutson ◽  
Mark W. Friedberg ◽  
Hermine Poghosyan
Keyword(s):  
Health Care ◽  
Information Exchange ◽  
Team Member ◽  
The United States ◽  
Health Care Team ◽  
Care Team ◽  
Health Care Teams ◽  
Content Type ◽  
Team Members ◽  
Relational Structures

Purpose The purpose of this paper is to synthesize existing evidence regarding health care team networks, including their formation and association with outcomes in various health care settings. Design/methodology/approach Network theory informed this review. A literature search was conducted in major databases for studies that used social network analysis methods to study health care teams in the USA between 2000 and 2014. Retrieved studies were reviewed against inclusion and exclusion criteria. Findings Overall, 25 studies were included in this review. Results demonstrated that health care team members form professional (e.g. consultation) and personal (e.g. friendship) networks. Network formation can be influenced by team member characteristics (i.e. demographics and professional affiliations) as well as by contextual factors (i.e. providers sharing patient populations and physical proximity to colleagues). These networks can affect team member practice such as adoption of a new medication. Network structures can also impact patient and organizational outcomes, including occurrence of adverse events and deficiencies in health care delivery. Practical implications Administrators and policy makers can use knowledge of health care networks to leverage relational structures in teams and tailor interventions that facilitate information exchange, promote collaboration, increase diffusion of evidence-based practices, and potentially improve individual and team performance as well as patient care and outcomes. Originality/value Most health services research studies have investigated health care team composition and functioning using traditional social science methodologies, which fail to capture relational structures within teams. Thus, this review is original in terms of focusing on dynamic relationships among team members.

Transforming Health Care One Team at a Time: Ten Observations and the Trail Ahead

2018 ◽  
Vol 43 (3) ◽  
pp. 357-381 ◽  
Author(s):  
Eduardo Salas ◽  
Stephanie Zajac ◽  
Shannon L. Marlow
Keyword(s):  
Health Care ◽  
Team Training ◽  
Health Care Team ◽  
Care Team ◽  
Organizational Level ◽  
Future Research ◽  
Health Care Teams ◽  
Current State ◽  
State Of The Science ◽  
Insight Into

The present review synthesizes existing evidence and theory on the science of health care teams and health care team training. Ten observations are presented that capture the current state of the science, with applications to both researchers and practitioners. The observations are drawn from a variety of salient sources, including meta-analytic evidence, reviews of health care team training, primary investigations, and the authors’ collective expertise in developing and implementing medical team training. These observations provide insight into the team (e.g., psychological safety) and organizational-level (e.g., culture for teamwork) factors that drive effective health care teamwork, as well as advancements and best practices for designing and implementing team training initiatives (e.g., multilevel measurement). We highlight areas where new knowledge has emerged, and offer directions for future research that will continue to improve our understanding of health care teams in the future.

scholarly journals SARS-CoV-2 and Hemodialysis: diffusion and mortality in patients and health care team. Reflections from the Lombardy experience

2021 ◽  
Vol 34 (2) ◽  
pp. 277-279
Author(s):  
Giuseppe Rombolà ◽  
◽  
Marco Heidempergher ◽  
Marina Cornacchiari ◽  
Ivano Baragetti ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Team ◽  
Care Team

Empowering Nurses: Communicating Potential Medication Misuse

2021 ◽  
pp. 107839032110286
Author(s):  
Kelly A. Carlson ◽  
Corey E. Potter
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Interdisciplinary Communication ◽  
Health Care Team ◽  
Nursing Leadership ◽  
Care Team ◽  
Survey Study ◽  
Prescription Medications ◽  
Medication Misuse ◽  
Education Practice

BACKGROUND In nursing education and practice, we prepare nurses on topics such as patient care, pathophysiology, pharmacology, nursing leadership, and nursing competencies. Unfortunately, we may be missing the mark when it comes to integrating these topics and applying them to situations that arise in health care such as medication misuse. Nurses work intimately with patients and can recognize potential medication misuse by reviewing medication regimens and assessing necessity of PRN patient requests. In cases where nurses suspect misuse, they may or may not feel comfortable addressing these concerns with other members of the health care team. AIMS Study aims were to assess the baseline of whether nurses are comfortable with their level of skill to recognize potential patient medication misuse and to assess nurses’ comfortability with communicating these concerns with other nurses, providers, and patients. METHODS This survey study was designed to obtain practical information about nurses understanding of misused and diverted prescription medications and level of comfort with expressing concerns about the use of central nervous system depressants to inform education, practice, and research. Three-hundred and fifty nurses at one hospital were invited to participate in an anonymous REDCap survey. RESULTS Thirty-five percent of the surveyed nurses returned the survey. Responding nurses were more comfortable sharing their own knowledge and the need for more education on the topic than they were discussing interdisciplinary communication. CONCLUSIONS Empowering nurses to communicate this knowledge with others on the health care team has major public health implications to reduce the negative outcomes of misused medications.

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