Nurse Educators Teaching Medical Interns: Impact of Interprofessional Collaboration

2021 ◽  
Vol 27 (2) ◽  
pp. 125-130
Author(s):  
Maryanne Barra ◽  
Samantha Singh Hernandez ◽  
Janet Czermak
Keyword(s):  
Nurse Educators ◽  
Positive Impact ◽  
Clinical Performance ◽  
Interprofessional Collaboration ◽  
Clinical Skills ◽  
Chief Resident ◽  
Medical Knowledge ◽  
Convenience Sample ◽  
Knowledge And Skills ◽  
Medical Interns

BackgroundThis quantitative educational intervention was conducted to determine the effectiveness of a 1-day internal medicine orientation for new interns, led by nurse educators instead of medical doctors.MethodsScheduled within the orientation week curriculum, this project had a purposeful convenience sample of 14 students comprising the entire intern class. An afternoon of 1:1 clinical skills with nursing guidance followed a morning of didactic lecture on medical knowledge and skills transfer. Students completed a pre/postmedical education test (MET) to evaluate knowledge and skills acquired.ResultsInterns reported increased confidence with clinical competencies to both nurse educators and the chief resident. Outcome questionnaires revealed statistically significant increases in knowledge about clinical skills after the intervention. Interns witnessed interprofessional teamwork.ConclusionNurse educators teaching medical interns facilitates interprofessional team collaboration, communication, and mutual respect. This simulation pedagogy focusing on principles of deliberate practice can have a positive impact on academic and clinical performance.

scholarly journals Postdebriefing Supervised Practice Improves Clinical Performance During Simulation-Based Cardiopulmonary Resuscitation Encounter

2020 ◽  
Vol 15 (2) ◽  
pp. 85-92
Author(s):  
Kristin Ann Paloncy
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Athletic Training ◽  
Repeated Measures ◽  
Clinical Performance ◽  
Clinical Skills ◽  
The United States ◽  
Clinical Competency ◽  
Athletic Training Students ◽  
Convenience Sample ◽  
Simulation Based

Context Simulation is commonly incorporated into medical and health programs as a method of skill practice and evaluation and can be effective at improving athletic training student learning outcomes when purposefully designed. Objective The purpose of this study was to determine what level of impact participation in supervised practice after debriefing within a simulation-based cardiovascular emergency scenario using the Laerdal SimMan in a university simulation center in the United States had on athletic training students' clinical performance. Design Quantitative quasi-experimental cohort design with repeated measures study. Patients or Other Participants Convenience sample of undergraduate athletic training students (n = 46) enrolled in a professional program at a university in the Midwest. Intervention(s) Participation in supervised practice of cardiopulmonary resuscitation skills after debriefing in a simulation. Main Outcome Measure(s) Clinical competency with associated cardiopulmonary resuscitation skills using the Laerdal Learning Application software program that interfaces with the simulation hardware. Results There was a statistically significant interaction between groups (F1,10 = 18.70, P < .05, η = 652) indicating participants in the supervised practice after debriefing group were significantly higher (mean = 0.72, SD = 0.05) than those that did not have supervised practice after the debriefing (mean = 0.17, SD = 0.05). Conclusions The design and development of a simulation experience is optimized when there is deliberate consideration of what components and exposure to these learning components will lead to certain outcomes. Even though supervised practice after debriefing has been identified as optional for skill-based simulations, the current study demonstrates that the supervised practice of clinical skills component is vital within emergency cardiovascular simulation encounters for participants to increase clinical competency.

scholarly journals An Innovative Clinical Skills “Boot Camp” for Dental Medicine Residents

2017 ◽  
Vol 4 ◽  
pp. 238212051771001 ◽  
Author(s):  
Jenny Castillo ◽  
Jared Kutzin ◽  
Kathleen Agoglia ◽  
Patricia Janicke ◽  
Zachary Milligan ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Clinical Skills ◽  
Clinical Skill ◽  
Medical Knowledge ◽  
Boot Camp ◽  
School Curriculum ◽  
Dental School ◽  
Knowledge And Skills ◽  
Inpatient Hospital ◽  
Simulation Based

During a 1-year hospital-based residency, dental residents are required to rotate through many departments including surgery, medicine, and emergency medicine. It became apparent that there was a gap between clinical skills knowledge taught in dental school curriculum and skills required for hospital-based patient care. In response, a simulation-based intensive clinical skill “boot camp” was created. The boot camp provided an intensive, interactive 3-day session for the dental residents. During the 3 days, residents were introduced to medical knowledge and skills that were necessary for their inpatient hospital rotations but were lacking in traditional dental school curriculum. Effectiveness of the boot camp was assessed in terms of knowledge base and comfort through presession and postsession surveys. According to resident feedback, this intensive introduction for the dental residents improved their readiness for their inpatient hospital-based residency.

scholarly journals Difficult Delivery and Neonatal Resuscitation: A Novel Simulation for Emergency Medicine Residents

2019 ◽  
Vol 21 (1) ◽  
pp. 102-107
Author(s):  
Jillian Nickerson ◽  
Taryn Webb ◽  
Lorraine Boehm ◽  
Hayley Neher ◽  
Lillian Wong ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Clinical Performance ◽  
Clinical Skills ◽  
Neonatal Resuscitation ◽  
Shoulder Dystocia ◽  
Choice Test ◽  
Post Intervention ◽  
Convenience Sample ◽  
One Year

Introduction: Newborn delivery and resuscitation are rare, but essential, emergency medicine (EM) skills. We evaluated the effect of simulation on EM residents’ knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation. Methods: We developed a novel simulation that integrates a shoulder dystocia with neonatal resuscitation and studied a convenience sample of EM residents. Each 15-minute simulation was run with one learner, a simulated nurse, and a standardized patient in situ in the emergency department. The learner was required to reduce a shoulder dystocia and then perform neonatal resuscitation. We debriefed with plus/delta format, standardized teaching points, and individualized feedback. We assessed knowledge with a nine-question multiple choice test, confidence with five-point Likert scales, and clinical performance using a checklist of critical actions. Residents repeated all measures one year after the simulation. Results: A total of 23 residents completed all measures. At one-year post-intervention, residents scored 15% higher on the knowledge test. All residents increased confidence in managing shoulder dystocia on a five-point Likert scale (1.4 vs 2.8) and 80% increased confidence in performing neonatal resuscitation (1.8 vs 3.0). Mean scores on the checklist of critical actions improved by 19% for shoulder dystocia and by 27% for neonatal resuscitation. Conclusion: Implementing simulation may improve EM residents’ knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation.

scholarly journals Determining Resident Clinical Performance

2011 ◽  
Vol 115 (4) ◽  
pp. 862-878 ◽  
Author(s):  
Keith Baker
Keyword(s):  
Clinical Performance ◽  
Clinical Skills ◽  
Core Competencies ◽  
Medical Knowledge ◽  
Faculty Members ◽  
Assessment System ◽  
Clinical Competency ◽  
Clinical Performance Assessment ◽  
Z Scores ◽  
Clinical Competency Committee

Background Valid and reliable (dependable) assessment of resident clinical skills is essential for learning, promotion, and remediation. Competency is defined as what a physician can do, whereas performance is what a physician does in everyday practice. There is an ongoing need for valid and reliable measures of resident clinical performance. Methods Anesthesia residents were evaluated confidentially on a weekly basis by faculty members who supervised them. The electronic evaluation form had five sections, including a rating section for absolute and relative-to-peers performance under each of the six Accreditation Council for Graduate Medical Education core competencies, clinical competency committee questions, rater confidence in having the resident perform cases of increasing difficulty, and comment sections. Residents and their faculty mentors were provided with the resident's formative comments on a biweekly basis. Results From July 2008 to June 2010, 140 faculty members returned 14,469 evaluations on 108 residents. Faculty scores were pervasively positively biased and affected by idiosyncratic score range usage. These effects were eliminated by normalizing each performance score to the unique scoring characteristics of each faculty member (Z-scores). Individual Z-scores had low amounts of performance information, but signal averaging allowed determination of reliable performance scores. Average Z-scores were stable over time, related to external measures of medical knowledge, identified residents referred to the clinical competency committee, and increased when performance improved because of an intervention. Conclusions This study demonstrates a reliable and valid clinical performance assessment system for residents at all levels of training.

PENINGKATAN EKONOMI BAGI ANGGOTA KOPERASI WANITA PI TANAH ABANG JAKARTA

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Febri Rakhmawati Arsj
Keyword(s):  
Development Strategy ◽  
Significant Role ◽  
Positive Impact ◽  
Standard Of Living ◽  
Family Welfare ◽  
Knowledge And Skills ◽  
Family Economy ◽  
The Family ◽  
Real Forms ◽  
Productive Role

Wanita memiliki peran yang signifikan untuk ikut  berperan aktif dan produktif dalam perekonomian. Masyarakat menjadi produktif sehingga dapat meningkatkan derajat dan taraf hidup serta meningkatkan kesejahteraan keluarga.Berwirausaha menjadi pilihan perempuan untuk dapat bekerja membantu perekonomian keluarga dan koperasi merupakan salah satu perwujudannya.Koperasi merupakan salah satu bentuk nyata dari pengamalan pancasila.Untuk mendukung majunya koperasi perlu adanya sosialisasi kewirausahaan ke anggota koperasi khususnya wanita.Koperasi wanita mempunyai karakteristik khas yang berbeda dengan koperasi pada umumnya sehingga membutuhkan pendekatan strategi pengembangan yang berbeda pula. Hal ini tak bisa terlepas dari karakteristik anggotanya di dominasi oleh ibu rumah tangga yang menyebabkan keunggulan tersendiri dibandingkan koperasi lain.Adapun tujuannya untuk membuka dan  menumbuhkan jiwa usaha sehingga anggota dapat membantu mensejahterakan dirinya serta keluarga. Studi ini diawali dengan observasi kepada anggota koperasi yang bekerja hanya sebagai ibu rumah tangga.Sosialisasi diberikan dalam satu tahap mengenai motivasi usaha dan wirausaha.Pelatihan ini memberikan dampak positif bagi peningkatan motivasi, pengetahuan dan ketrampilan anggota koperasi wanita Tanah Abang. Women have a significant role to play an active and productive role in the economy. The community becomes productive so that it can improve the degree and standard of living and improve family welfare. Entrepreneurship is the choice of women to be able to work to help the family economy and cooperatives is one of its manifestations. Cooperatives are one of the real forms of Pancasila practice. To support the advancement of cooperatives, there needs to be entrepreneurial dissemination to cooperative members, especially women. Women's cooperatives have distinctive characteristics that are different from cooperatives in general so that they require a different development strategy approach. This cannot be separated from the characteristics of its members who are dominated by housewives which causes its own superiority compared to other cooperatives. The purpose is to open and grow the business spirit so that members can help the welfare of themselves and their families. This study begins with observations to cooperative members who work only as housewives. Socialization is given in one stage regarding business motivation and entrepreneurship. This training has a positive impact on increasing the motivation, knowledge and skills of members of the Tanah Abang women's cooperative.Keywords: Women; Cooperative; Entrepreneurship

scholarly journals How do we assess resilience and grit among internal medicine residents at the Mayo Clinic? A longitudinal validity study including correlations with medical knowledge, professionalism and clinical performance

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040699
Author(s):  
Fares Alahdab ◽  
Andrew J Halvorsen ◽  
Jayawant N Mandrekar ◽  
Brianna E Vaa ◽  
Victor M Montori ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Internal Consistency ◽  
Test Performance ◽  
Mayo Clinic ◽  
Clinical Performance ◽  
Medical Knowledge ◽  
Internal Consistency Reliability ◽  
Validity Study ◽  
Training Environment ◽  
Conference Attendance

BackgroundThere has been limited research on the positive aspects of physician wellness and to our knowledge there have been no validity studies on measures of resilience and grit among internal medicine (IM) residents.ObjectivesTo investigate the validity of resilience (10 items Connor-Davidson Resilience Scale (CD-RISC 10)) and grit (Short Grit Scale (GRIT-S)) scores among IM residents at a large academic centre, and assess potential associations with previously validated measures of medical knowledge, clinical performance and professionalism.MethodsWe evaluated CD-RISC 10 and GRIT-S instrument scores among IM residents at the Mayo Clinic Rochester, Minnesota between July 2017 and June 2019. We analysed dimensionality, internal consistency reliability and criterion validity in terms of relationships between resilience and grit, with standardised measures of residents’ medical knowledge (in-training examination (ITE)), clinical performance (faculty and peer evaluations and Mini-Clinical Evaluation Examination (mini-CEX)) and professionalism/dutifulness (conference attendance and evaluation completion).ResultsA total of 213 out of 253 (84.2%) survey-eligible IM residents provided both CD-RISC 10 and GRIT-S survey responses. Internal consistency reliability (Cronbach alpha) was excellent for CD-RISC 10 (0.93) and GRIT-S (0.82) overall, and for the GRIT subscales of consistency of interest (0.84) and perseverance of effort (0.71). CD-RISC 10 scores were negatively associated with ITE percentile (β=−3.4, 95% CI −6.2 to −0.5, p=0.02) and mini-CEX (β=−0.2, 95% CI −0.5 to −0.02, p=0.03). GRIT-S scores were positively associated with evaluation completion percentage (β=2.51, 95% CI 0.35 to 4.67, p=0.02) and conference attendance (β=2.70, 95% CI 0.11 to 5.29, p=0.04).ConclusionsThis study revealed favourable validity evidence for CD-RISC 10 and GRIT-S among IM residents. Residents demonstrated resilience within a competitive training environment despite less favourable test performance and grittiness that was manifested by completing tasks. This initial validity study provides a foundation for further research on resilience and grit among physicians in training.

scholarly journals Video-Based Intervention for Improving Maternal Retention and Adherence to HIV Treatment: Patient Perspectives and Experiences

2021 ◽  
Vol 18 (4) ◽  
pp. 1737
Author(s):  
Steven Masiano ◽  
Edwin Machine ◽  
Mtisunge Mphande ◽  
Christine Markham ◽  
Tapiwa Tembo ◽  
...  
Keyword(s):  
Positive Impact ◽  
Low Cost ◽  
Hiv Treatment ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Long Term Conditions ◽  
Art Initiation ◽  
Retention In Hiv Care

VITAL Start is a video-based intervention aimed to improve maternal retention in HIV care and adherence to antiretroviral therapy (ART) in Malawi. We explored the experiences of pregnant women living with HIV (PWLHIV) not yet on ART who received VITAL Start before ART initiation to assess the intervention’s acceptability, feasibility, fidelity of delivery, and perceived impact. Between February and September 2019, we conducted semi-structured interviews with a convenience sample of 34 PWLHIV within one month of receiving VITAL Start. The participants reported that VITAL Start was acceptable and feasible and had good fidelity of delivery. They also reported that the video had a positive impact on their lives, encouraging them to disclose their HIV status to their sexual partners who, in turn, supported them to adhere to ART. The participants suggested using a similar intervention to provide health-related education/counseling to people with long term conditions. Our findings suggest that video-based interventions may be an acceptable, feasible approach to optimizing ART retention and adherence amongst PWLHIV, and they can be delivered with high fidelity. Further exploration of the utility of low cost, scalable, video-based interventions to address health counseling gaps in sub-Saharan Africa is warranted.

The Effect of Community Empowerment on The Implementation of Diabetes Mellitus Management in Malangsuko, West Java

2020 ◽  
Author(s):  
Tavip Dwi Wahyuni ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Positive Impact ◽  
Intervention Group ◽  
Community Empowerment ◽  
Wilcoxon Test ◽  
Control Group ◽  
West Java ◽  
Control Group Design ◽  
Knowledge And Skills ◽  
Diabetes Mellitus Management

ABSTRACT Background: Efforts to deal with Diabetes Mellitus (DM) disease require support from various parties, especially the community and family apart from the sufferer himself. The community in an effort to reduce the risk of DM disease, among others, by providing knowledge and understanding to families and sufferers directly, including empowering the community. This study was carried out by empowering health cadres by training in knowledge and skills in medical examinations, starting from checking blood pressure, anthropometry, and blood sugar. This study aimed to analyze the effect of community empowerment on the implementation of DM management. Subjects and Method: This was an experimental study with a control group design. This study was carried out in Malangsuko Village, West Java. Total of 30 cadres were divided into 15 cadres in the control group and 15 cadres in the treatment group. The independent variable was community empowerment. The dependent variable was the implementation of DM management. Data were collected using questionnaire and observation sheet skills results. Data were analyzed using Wilcoxon test. Results: After a post test, a total of 73% cadres had moderate knowledge and 80% had low skill in control group, while in intervention group, 73.3% cadres had good knowledge and 100% had good skill. Conclusion: The empowerment of health cadres in Malangsuko Village is effective because it has a positive impact on knowledge and skills in early detection of DM disease. Keywords: community empowerment, diabetes mellitus management Correspondence: Tavip Dwi Wahyuni. School of Health Polytechnics, Malang, East Java. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.04.11

Enhancing clinical practice: reducing health inequalities – reflections on a clinical education and training partnership

2016 ◽  
Vol 10 (6) ◽  
pp. 342-348
Author(s):  
Karina Marshall-Tate
Keyword(s):  
Intellectual Disabilities ◽  
Health Inequalities ◽  
Positive Impact ◽  
Education And Training ◽  
Health Staff ◽  
Significant Group ◽  
Content Type ◽  
Knowledge And Skills ◽  
People With Intellectual Disabilities ◽  
And Training

Purpose The purpose of this paper is to outline a two-year project designed to reduce health inequalities and improve health outcomes of people with intellectual disabilities using health services in South London by raising awareness and increasing health staff confidence and capability. Design/methodology/approach The project was conducted in two stages. In stage 1, a mapping exercise was undertaken to establish existing intellectual disabilities education and training availability. In stage 2, a network of stakeholders was formed and education and training materials were developed and delivered. Findings A formal evaluation of the project is underway and this paper seeks to share information about the project. That said prima facie data appear to indicate that health staff who attended education and training events learned new knowledge and skills that they could implement in their practice, increasing confidence and capability. Research limitations/implications Health staff who attended the events appeared to have an interest in intellectual disabilities and wanted to increase their knowledge and skills base. This means that there is a significant group of health staff that the project was unable to reach or who may not know that they need to know about intellectual disabilities. The results of the project have not yet been formally analysed. Practical implications Work-based education and training events can have a positive impact on health staff capability and confidence, however, it would appear that only those who already have an interest in the field or recognise its value to their own practice attend such events. To truly capture all health staff intellectual disabilities needs to be visibly included in all health curricula. Originality/value This project has not focussed on one profession or one aspect of healthcare and has embraced the values of inter professional and inter agency learning; this has enabled health staff to learn from each other and think in a “joined up” way replicating the realities of providing healthcare to people with intellectual disabilities.

scholarly journals Validation of the Revised Physical Therapist Clinical Performance Instrument (PT CPI): Version 2006

2012 ◽  
Vol 92 (3) ◽  
pp. 416-428 ◽  
Author(s):  
Kathryn E. Roach ◽  
Jody S. Frost ◽  
Nora J. Francis ◽  
Scott Giles ◽  
Jon T. Nordrum ◽  
...  
Keyword(s):  
United States ◽  
Student Performance ◽  
Physical Therapist ◽  
Clinical Performance ◽  
The United States ◽  
Final Evaluation ◽  
Convenience Sample ◽  
Evaluation Data ◽  
Physical Therapist Students ◽  
Clinical Performance Instrument

Background Based on changes in core physical therapy documents and problems with the earlier version, the Physical Therapist Clinical Performance Instrument (PT CPI): Version 1997 was revised to create the PT CPI: Version 2006. Objective The purpose of this study was to validate the PT CPI: Version 2006 for use with physical therapist students as a measure of clinical performance. Design This was a combined cross-sectional and prospective study. Methods A convenience sample of physical therapist students from the United States and Canada participated in this study. The PT CPI: Version 2006 was used to collect CPI item–level data from the clinical instructor about student performance at midterm and final evaluation periods in the clinical internship. Midterm evaluation data were collected from 196 students, and final evaluation data were collected from 171 students. The students who participated in the study had a mean age of 24.8 years (SD=2.3, range=21–41). Sixty-seven percent of the participants were from programs in the United States, and 33% were from Canada. Results The PT CPI: Version 2006 demonstrated good internal consistency, and factor analysis with varimax rotation produced a 3-factor solution explaining 94% of the variance. Construct validity was supported by differences in CPI item scores between students on early compared with final clinical experiences. Validity also was supported by significant score changes from midterm to final evaluations for students on both early and final internships and by fair to moderate correlations between prior clinical experience and remaining course work. Limitations This study did not examine rater reliability. Conclusion The results support the PT CPI: Version 2006 as a valid measure of physical therapist student clinical performance.

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