Empowering Health Care Professionals: An Interprofessional Education Model Implementation and Evaluation

Mapping Intimacies ◽

10.31219/osf.io/emz4c ◽

2019 ◽

Author(s):

Jessica Shank Coviello

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Interprofessional Education ◽

Healthcare Professionals ◽

The United States ◽

Healthcare Systems ◽

World Health ◽

Institute Of Medicine ◽

Care Needs ◽

Ensure Patient Safety

In 2016, the Institute of Medicine (IOM) reported medical error as the 3rd leading cause of death in healthcare systems in the United States. Effective communication of patient care needs across healthcare disciplines is critical to ensure patient safety, quality of care, and to improve operational efficiencies in healthcare systems. Ineffective collaboration and communication among healthcare professionals within the procedural areas increases the potential of harm as a patient moves from one healthcare professional to another. Health care systems are thus encouraged to train employees with a focus on interprofessional education (IPE) and collaborative practice. IOM and World Health Organization (WHO) recommend the use of IPE to help improve communication and collaboration. However the current educational structure in many institutions does not include IPE. As such, healthcare professionals work in silos, with little or no collaboration with one another, which may result in service duplication, increased service cost, and poor health outcomes for patients.

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Emerging Pharmacotherapy and Health Care Needs of Patients in the Age of Artificial Intelligence and Digitalization

Annals of Pharmacotherapy ◽

10.1177/1060028020919383 ◽

2020 ◽

Vol 54 (10) ◽

pp. 1038-1046

Author(s):

Barbara J. Zarowitz

Keyword(s):

Artificial Intelligence ◽

Health Care ◽

Ethnic Diversity ◽

Health Care Professionals ◽

Large Data ◽

The United States ◽

Wearable Devices ◽

Data Sets ◽

Care Needs ◽

Clinician Training

Advances in the application of artificial intelligence, digitization, technology, iCloud computing, and wearable devices in health care predict an exciting future for health care professionals and our patients. Projections suggest an older, generally healthier, better-informed but financially less secure patient population of wider cultural and ethnic diversity that live throughout the United States. A pragmatic yet structured approach is recommended to prepare health care professionals and patients for emerging pharmacotherapy needs. Clinician training should include genomics, cloud computing, use of large data sets, implementation science, and cultural competence. Patients will need support for wearable devices and reassurance regarding digital medicine.

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The Development of an Evacuation Protocol for Patients with Ventricular Assist Devices During a Disaster

Prehospital and Disaster Medicine ◽

10.1017/s1049023x17000176 ◽

2017 ◽

Vol 32 (3) ◽

pp. 333-338 ◽

Cited By ~ 1

Author(s):

Katherine J Davis ◽

Joseph Suyama ◽

Jennifer Lingler ◽

Michael Beach

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Ventricular Assist Devices ◽

Standards Of Care ◽

Institute Of Medicine ◽

Care Providers ◽

Care Needs ◽

Ventricular Assist ◽

Assist Devices

AbstractIntroductionHealth care providers are on the forefront of delivering care and allocating resources during a disaster; however, very few are adequately trained to respond in these situations. Furthermore, there is a void in the literature regarding the specific care needs of patients with ventricular assist devices (VADs) in a disaster setting. This project aimed to develop an evidenced-based protocol to aid health care providers during the evacuation of patients with VADs during a disaster.MethodsThis is a qualitative study that used expert review, tabletop discussion, and a survey of health care professionals to develop and evaluate an evacuation protocol. The protocol was revised after each stage of review in order to reach a consensus document.ResultsThe project concluded with the finalization of a protocol which addresses evacuation and patient triage, and also includes an algorithm to determine which staff members should be evacuated with patients, transportation resources, evacuation documentation, and items patients need during evacuation. The protocol also addressed steps to be taken in the event that evacuation efforts fail and how to manage outpatient VAD patients seeking assistance.ConclusionsThis protocol provides guidance for the care of VAD patients in the event of a disaster and evacuation. Protocols such as this address difficult scenarios and should be created prior to a disaster to assist staff in making difficult decisions. These documents should be created using multi-disciplinary feedback via the consensus model as well as the Institute of Medicine (IOM; National Academy of Medicine; Washington, DC USA) “Crisis Standards of Care.”DavisKJ, SuyamaJ, LinglerJ, BeachM. The development of an evacuation protocol for patients with ventricular assist devices during a disaster. Prehosp Disaster Med. 2017;32(3):333–338.

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Improving Behavioral Health Equity through Cultural Competence Training of Health Care Providers

Ethnicity & Disease ◽

10.18865/ed.29.s2.359 ◽

2019 ◽

Vol 29 (Supp2) ◽

pp. 359-364 ◽

Cited By ~ 3

Author(s):

Brian McGregor ◽

Allyson Belton ◽

Tracey L. Henry ◽

Glenda Wrenn ◽

Kisha B. Holden

Keyword(s):

Health Care ◽

Cultural Competence ◽

Integrated Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Care Delivery ◽

Ethnic Disparities ◽

The United States ◽

Care Providers ◽

Care Needs

Racial/ethnic disparities have long persisted in the United States despite concerted health system efforts to improve access and quality of care among African Americans and Latinos. Cultural competence in the health care setting has been recognized as an important feature of high-quality health care delivery for decades and will continue to be paramount as the society in which we live becomes increasingly culturally diverse. Unfortunately, there is limited empirical evidence of patient health benefits of a culturally competent health care workforce in integrated care, its feasibility of implementation, and sustainability strategies. This article reviews the status of cultural competence education in health care, the merits of continued commitment to training health care providers in integrated care settings, and policy and practice strategies to ensure emerging health care professionals and those already in the field are prepared to meet the health care needs of racially and ethnically diverse populations. Ethn Dis. 2019;29(Supp 2):359-364. doi:10.18865/ed.29.S2.359

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Relationship between Transformational Leadership and Employee Retention among Healthcare Professionals in the United States

Business and Economic Research ◽

10.5296/ber.v6i2.9831 ◽

2016 ◽

Vol 6 (2) ◽

pp. 235 ◽

Cited By ~ 4

Author(s):

Mouhamadou Sow ◽

Ambroise Ntamon ◽

Rosa Osuoha

Keyword(s):

United States ◽

Health Care ◽

Transformational Leadership ◽

Organizational Performance ◽

Health Care Professionals ◽

Online Survey ◽

Healthcare Professionals ◽

Turnover Intentions ◽

The United States ◽

Leadership Components

With the endemic health care professional shortage seen both in the United States as well as globally, retaining staff is a high priority. Much like other organizations who rely on human capital, health care professionals are the most important resource for improving patient outcomes, and for achieving organizational performance. Leaders must effectively manage their employees in order to retain top talent and meet organizational goals. One reason for high turnover rates among healthcare professionals is the lack of recognition they are given by their leaders. With this in mind, the purpose of this study was to examine the relationship between transformational leadership components and turnover intentions of health care professionals. One hundred and twenty-seven healthcare professionals from the United States participated in the survey. Participants were recruited through a LinkedIn group of healthcare professionals. More than 100 healthcare professionals from the United States responded to an online survey that contained the Global Transformational Leadership Scale, The Turnover Intention Scale, and demographic questions to describe the sample. A correlational analysis was conducted to determine the type of relationship between the health care professional’s perceptions of their supervisors’ transformational leadership and their intent to turnover. The results of this study support the theory of transformational leadership. The health care professionals’ turnover intentions were negatively correlated with the transformational leadership components, which indicate that as their turnover intentions increased their positive rating of their supervisors’ transformational leadership behaviors decreased.

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Aging And Health In South Dakota: Who Will Provide Care?

Journal of Business & Economics Research (JBER) ◽

10.19030/jber.v4i10.2699 ◽

2011 ◽

Vol 4 (10) ◽

Author(s):

Diane K. Duin ◽

DeVee Dykstra

Keyword(s):

Health Care ◽

South Dakota ◽

Health Care Professionals ◽

Work Force ◽

The Elderly ◽

The United States ◽

Working Population ◽

Care Needs ◽

Care For The Elderly ◽

United States Economy

Demographers have long been writing of an aging population.  The forthcoming demographic changes predicted include the doubling of the elderly in selected states between 1995 and 2025, and the possibility that the numbers of people over age 85 is expected to reach at least 27 million by 2050.  These changes in the population will have a major impact on many sectors of the United States economy, including health care.  The effect on health care will include changes in technology to provide needed services to the elderly, access to medications by the elderly, overall service provision to the elderly by health care organizations, as well as reimbursement for services to the elderly.  The most dramatic affect on health care is still a couple of decades away.  As a result of the demographic trends there will be an insufficient supply of health care workers, while at the same time an increase in the health care needs of the elderly.  In South Dakota the working population, those 16 to 64 years of age, is experiencing significant changes.  The 16 to 44 year old segment of the population has declined by 10.4%.  The 45 to 64 year old segment has increased by 23.5%.  These changes in the South Dakota demographics indicate that the working population is aging, while the numbers of individuals available to replace them in the work force (the replacement group) is declining.   The data provides an indication that there will be more elderly consuming greater amounts of health care resources and fewer health care professionals, specifically nurses, in South Dakota to provide health care for the elderly.

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COVID-19 in Nepal: Scarcity of Personal Protective Equipment (PPE) and its Alternative

Europasian Journal of Medical Sciences ◽

10.46405/ejms.v2i1.47 ◽

2020 ◽

Vol 2 (1) ◽

pp. 74-80

Author(s):

Laxmi Panthy ◽

Jagadishwor Panthi ◽

Kapil Amgain ◽

Pooja Thapaliya ◽

Jos Van Laar

Keyword(s):

Health Care ◽

Personal Protective Equipment ◽

Health Care Professionals ◽

The United States ◽

Global Market ◽

World Health ◽

Protective Equipment ◽

Second Phase ◽

Protective Gear ◽

Preventive Practices

The Coronavirus Disease (COVID-19), which was first discovered in Wuhan, China in December 2019, puts an entire world under unprecedented danger. Powerful nations such as the United States of America and European Union countries having their hardest time to get sufficient medical protective gear, ensure market operation, and eventually to save people from dying of corona infection. To date, 213 countries have been affected. World Health Organization (WHO) has confirmed 123,010 deaths and 1914,916 cases with coronavirus positive as of 15 April 2020. It has created a global public health emergency. There is no specific prophylaxis or treatment available yet. Hand washing, covering one's mouth when coughing, social distancing, self-isolation, and quarantine are preventive measures to hamper the spread of disease. Currently, Nepal has entered into the second phase of the outbreak. Health care workers (HCW) at the frontlines of the battle against COVID-19 are ill-equipped to treat coronavirus patients, due to not having adequate personal protective equipment in Nepal. Additionally, there is a shortage of PPE in the world market due to the aggressive buying of PPE globally. According to UNICEF, demand for protective gear used in response to COVID-19 has increased as high as 1000-2000 folds than of annual demand. Conclusion: In this global scarcity, locally made PPE has become another alternate way for Nepal. Hence, some of the local garments, hospitals, and local rural municipalities have prepared and delivered to HCWs. Although these Nepal-made PPE are not as high quality as imported ones, they at least offer some protection to medical staff. Recommendations: Following is our recommendation to the stakeholders: Learn- from countries with the lowest mortality rate and best medical & preventive practices policies, as fast as possible. Alternative Approaches - are necessary to decrease the risk of exposure to HCWs and are safe for patient care in this global market scarcity of PPE. Solidarity- between richer and poorer countries is necessary. Cooperate globally - international cooperation between governments, scientists, corporations, and health care professionals is not only needed but also necessary to end this pandemic.

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States Can Transform Their Health Care Workforce

Journal of Graduate Medical Education ◽

10.4300/jgme-d-14-00502.1 ◽

2014 ◽

Vol 6 (4) ◽

pp. 805-808 ◽

Cited By ~ 6

Author(s):

Paul H. Rockey ◽

Richard E. Rieselbach ◽

Katherine Neuhausen ◽

Thomas J. Nasca ◽

Robert L. Phillips ◽

...

Keyword(s):

Health Care ◽

Health Care Access ◽

The United States ◽

Institute Of Medicine ◽

Care Needs ◽

Health Care Workforce ◽

Care Access ◽

Unmet Health Care Needs ◽

Workforce Needs ◽

Distribution Of Physicians

Abstract The United States faces the simultaneous challenges of improving health care access and balancing the specialty and geographic distribution of physicians. A 2014 Institute of Medicine report recommended significant changes in Medicare graduate medical education (GME) funding, to incentivize innovation and increase accountability for meeting national physician workforce needs. Annually, nearly $4 billion of Medicaid funds support GME, with limited accountability for outcomes. Directing these funds toward states' greatest health care workforce needs could address health care access and physician maldistribution issues and make the funding for resident education more accountable. Under the proposed approach, states would use Medicaid funds, in conjunction with Medicare GME funds, to expand existing GME programs and establish new primary care and specialty programs that focus on their population's unmet health care needs.

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Attitudes toward interprofessional education and collaborative practices in Mongolia

International Journal on Integrated Education ◽

10.31149/ijie.v3i8.536 ◽

2020 ◽

Vol 3 (8) ◽

pp. 48-52

Author(s):

Azjargal Baatar ◽

Sumberzul Nyamjav ◽

Oyuntsetseg Sandag

Keyword(s):

Health Care ◽

Professional Education ◽

Health Care Professionals ◽

Interprofessional Education ◽

Health Care Team ◽

Faculty Members ◽

Care Team ◽

High Rate ◽

World Health ◽

Chi Square

From the perspective of activity theory, it can be argued that the major challenge in relation to implementing interprofessional education (IPE) could be embraced as contradictions that may lead to change. Patients have complex health needs and typically require insight from more than one discipline to address issues regarding their health status (Lumague et al. 2006). The World Health Organization (WHO) recommends that institutions engaged in health professional education and training consider implementing IPE in both undergraduate and postgraduate programs (WHO, 2010). The purpose of this study was to identify the needs of IPECP for health care professionals, faculty members, and students. Methods: The survey instrument contained four scales to evaluate faculty attitudes toward IPE and teamwork, adapted from the methods of Curran et al. (2007). Each scale asked respondents to rate their attitudes toward statements on a 5-point Likert scale (1=strongly disagree; 2=disagree; 3=neutral; 4=agree; 5=strongly agree). The initial factor extractions were performed by means of principal components analysis. To define the model structure more clearly, an exploratory factor analysis using varimax rotation was conducted. The level of significance was p<.0001 for all tests. Results: As shown in Table 2, the Kaiser–Meyer-Olkin index was 0.902, indicating sampling adequacy, and the Bartlett Sphericity Chi-Square index was 2246.5 (p <0.0001). Cronbach’s alpha for the 14 items was 0.731, revealing a high rate of internal consistency. The modified Attitude toward health care team scores (ATHCTS) questionnaire was categorized into four factors: “Quality of care,” “Team efficiency,” “Patient-centered care,” and “Negative factors.” Conclusion: Findings suggest that the positive attitude of health care professionals, faculty members and students towards IPE indicates the need for IPE training.

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Assessment of Screening, Brief Intervention, and Referral to Treatment Training to Interprofessional Health-Care Students

SAGE Open Nursing ◽

10.1177/2377960819834132 ◽

2019 ◽

Vol 5 ◽

pp. 237796081983413 ◽

Cited By ~ 1

Author(s):

Helen C. Pervanas ◽

Eric Landry ◽

Douglas R. Southard ◽

Pamela P. DiNapoli ◽

Paula Smith ◽

...

Keyword(s):

Health Care ◽

At Risk ◽

Substance Abuse ◽

Substance Use ◽

Substance Use Disorder ◽

Brief Intervention ◽

Health Care Professionals ◽

Interprofessional Education ◽

The United States ◽

Health Care Students

Substance abuse and addiction are responsible for an assortment of health and financial concerns in the United States. Tools to identify and assist at-risk persons before they develop a substance use disorder are necessary. Screening, brief intervention, and referral to treatment (SBIRT) can be utilized by health-care professionals to identify those at risk to minimize health-related complications and the potential of developing a substance use disorder. The primary objective of this study was to provide educational training sessions on SBIRT to health-care students utilizing interprofessional education activities and assess perceptions of the training sessions and activities with regard to confidence to utilize SBIRT in at-risk patients and overall student satisfaction with SBIRT instruction. The research protocol enrolled students of pharmacy, nursing, medicine, behavioral health, and physician assistant studies who received interprofessional SBIRT training. Students completed an anonymous posttraining online survey, measuring student perceptions of knowledge gained and confidence to utilize training. A total of 303 students completed the SBIRT training. Approximately 70% of students were satisfied with the training materials, instruction, quality, and experience. After training, 78% were confident that they could perform screening for substance abuse, conduct a brief intervention (80%), and when to refer to treatment (71%). A total 73% of students reported that the asynchronous online-based activity was extremely effective in increasing knowledge of the roles and responsibilities of other disciplines and providing opportunities to interact with students from other health professions. Interprofessional education-trained students from multiple health-care disciplines feel comfortable performing SBIRT to identify persons at risk for substance misuse in practice.

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The Role and Rise of Interprofessional Continuing Education

Journal of Medical Regulation ◽

10.30770/2572-1852-105.3.6 ◽

2019 ◽

Vol 105 (3) ◽

pp. 6-13 ◽

Cited By ~ 1

Author(s):

Kate Regnier ◽

Kathy Chappell ◽

Dimitra V. Travlos

Keyword(s):

Health Care ◽

Continuing Education ◽

Health Care Professionals ◽

Interprofessional Education ◽

Health Care Quality ◽

Evidence Base ◽

Care Quality ◽

Institute Of Medicine ◽

And Performance ◽

The Relationship

ABSTRACT For decades, health leadership organizations have identified interprofessional education and team-based care as a critical component of health care quality and safety. The Institute of Medicine (IOM) has issued a series of reports demonstrating the relationship between poor team performance and negative patient outcome and has called on accreditors, licensing and certifying bodies to use their oversight processes as levers for change. Toward that end, three of the national accreditors in medicine, nursing and pharmacy collaborated to create a unified accreditation system, setting standards for interprofessional continuing education (IPCE) and establishing an IPCE credit that designates activities planned by and for health care teams. There is evidence supporting the relationship between engagement in IPCE and improvements in health care professionals' knowledge, attitudes, competence and performance, as well as patient and system outcomes. The accreditors believe that this evidence base is strong enough to justify including IPCE in regulatory requirements. In 2018, the Federation of State Medical Boards (FSMB) recognized IPCE credit as an additional means of satisfying CME requirements for medical license renewal. The increasing recognition of IPCE demonstrates the pivotal role of accreditors and regulators in driving the advancement of IPCE and team care now and in the future.

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