scholarly journals The professionalism of psychiatry registrars as perceived by patients and various health practitioners at Weskoppies Psychiatric Hospital, Pretoria

2018 ◽  
Vol 24 ◽  
Author(s):  
Matthews M. Banda ◽  
Werdie C.W. Van Staden
Keyword(s):  
Time Management ◽  
Allied Health ◽  
Patient Needs ◽  
Patient Relationship ◽  
Relationship Skills ◽  
Validated Questionnaire ◽  
Health Practitioners ◽  
Evaluation Exercise ◽  
Reflective Skills ◽  
Interprofessional Relationship

Objectives: Amidst calls for improved professionalism, this study examined the professionalism of psychiatry registrars at Weskoppies Hospital as evaluated by their patients, themselves, their consultants and other health practitioners. The second objective was to examine the perceived importance of aspects of professionalism and compare these descriptively among the various health practitioners and patients.Method: Participants completed the Professionalism Mini-Evaluation Exercise Questionnaire in evaluating the professionalism of the registrar. The number of questionnaires completed by patients, allied health practitioners, consultant psychiatrists and psychiatry registrars were, respectively, 100, 50, 25 and 20; thus, 195 in total. This previously validated questionnaire consists of 21 items that enquire about doctor-patient relationship skills, reflective skills, time management and interprofessional relationship skills. Participants also ranked the three items of the questionnaire that they considered most important.Results: Highly statistically significant differences among four groups emerged for both the total and all four subscale scores, with patients generally rating the professionalism of registrars as lower, and not meeting with expectations. All four groups ranked ‘listened actively to patient’ and ‘showed interest in patient as person’ highly. Patients and allied health practitioners ranked the attribute ‘was on time’ highly, while consultants and registrars did not.Conclusion: Improving professionalism requires that the attributes ‘listening actively to patient’ and ‘recognising and meeting patient needs’ are taken seriously. Doing so requires that patients also evaluate the professionalism of registrars, rather than relying merely on the evaluation by consultants as being sufficient.

scholarly journals Assessment of medical professionalism: A Delphi study

2020 ◽  
Author(s):  
Warren FONG ◽  
Yu Heng Kwan ◽  
Sungwon Yoon ◽  
Jie Kie PHANG ◽  
Julian THUMBOO ◽  
...  
Keyword(s):  
Delphi Study ◽  
Time Management ◽  
Delphi Survey ◽  
Medical Professionalism ◽  
Professional Relationship ◽  
Relationship Skills ◽  
Culturally Adapted ◽  
Previous Round ◽  
Evaluation Exercise ◽  
Reflective Skills

Abstract Background The importance of medical professionalism and its assessment has been well documented in the literature. However, there is currently no culturally-adapted tool to assess medical professionalism in Singapore. This study sets out to find consensus on relevance of the items from the Professional Mini Evaluation Exercise (P-MEX) for assessing medical professionalism in Singapore. Methods A two-round Delphi survey was completed by an expert panel consisting of program directors, associate designated institutional officials, and designated institutional official (n=15) from residency programs in Singapore. Round 1 comprised of 23 items from the P-MEX rated on a 5-point scale (1= Definitely include, 2= Possibly include, 3= Neutral, 4= Possibly exclude, 5= Definitely exclude). In round 2, the experts received feedback from the previous round, and were asked to re-rate the items which did not achieve consensus in the previous round. The threshold for consensus in the study was defined as 70% or greater agreement among experts. Results Completed questionnaires for both rounds were received from all 15 experts. In round 1, 18 items (78%) achieved consensus to be included. In round 2, 1 (4%) item achieved consensus to be included. However, none of the remaining item achieved consensus to be removed. A consensual list of 23 items covering four domains of medical professionalism (Doctor-patient relationship skills, Reflective skills, Time management and Inter-professional relationship skills) was obtained during the two-rounds of Delphi survey. Conclusions This 23-item P-MEX has garnered consensus and is suitable for assessing medical professionalism in Singapore. The findings of this study can provide guidance for faculty and institutions who want to assess medical professionalism of their medical trainees.

Allied health: integral to transforming health

2016 ◽  
Vol 40 (2) ◽  
pp. 194 ◽  
Author(s):  
Lucylynn Lizarondo ◽  
Catherine Turnbull ◽  
Tracey Kroon ◽  
Karen Grimmer ◽  
Alison Bell ◽  
...  
Keyword(s):  
Health Services ◽  
Health System ◽  
Patient Outcomes ◽  
Allied Health ◽  
Systems Of Care ◽  
Healthcare Services ◽  
Supporting Evidence ◽  
Allied Health Professionals ◽  
Health Practitioners

Objective South Australia is taking an innovative step in transforming the way its healthcare is organised and delivered to better manage current and future demands on the health system. In an environment of transforming health services, there are clear opportunities for allied health to assist in determining solutions to various healthcare challenges. A recent opinion piece proposed 10 clinician-driven strategies to assist in maximising value and sustainability of healthcare in Australia. The present study aimed to seek the perspectives of allied health clinicians, educators, researchers, policy makers and managers on these strategies and their relevance to allied health. Methods A survey of allied health practitioners was undertaken to capture their perspectives on the 10 clinician-driven strategies for maximising value and sustainability of healthcare in Australia. Survey findings were then layered with evidence from the literature. Results Highly relevant across allied health are the strategies of discontinuation of low value practices, targeting clinical interventions to those getting greatest benefit, active involvement of patients in shared decision making and self-management and advocating for integrated systems of care. Conclusions Allied health professionals have been involved in the South Australian healthcare system for a prolonged period, but their services are poorly recognised, often overlooked and not greatly supported in existing traditional practices. The results of the present study highlight ways in which healthcare services can implement strategies not only to improve the quality of patient outcomes, but also to offer innovative solutions for future, sustainable healthcare. The findings call for concerted efforts to increase the utilisation of allied health services to ensure the ‘maximum value for spend’ of the increasingly scarce health dollar. What is known about the topic? In medicine, clinician-driven strategies have been proposed to minimise inappropriate and costly care and maximise highly appropriate and less expensive care. These strategies were developed based on clinical experiences and with supporting evidence from scientific studies. What does this paper add? Major changes to the health system are required to slow down the growth in healthcare expenditure. This paper describes opportunities in which allied health practitioners can implement similar strategies not only to improve the quality of patient outcomes, but also to offer cost-effective solutions for a sustainable healthcare. What are the implications for practitioners? Allied health practitioners can provide solutions to healthcare challenges and assist in the transformation of healthcare in Australia. However, for this to happen, there should be concerted efforts to increase recognition of and support for the use of allied health services.

Evaluation of Students to Select Different Educational Technique Using Dreem

2021 ◽  
Vol 15 (12) ◽  
pp. 3547-3549
Author(s):  
Shmyla Hamid ◽  
Farrukh Sarfraz ◽  
Nadeem Razaq ◽  
Sadia Ikram ◽  
Junaid Iqbal ◽  
...  
Keyword(s):  
Medical Students ◽  
Allied Health ◽  
Health Sciences ◽  
Mean Value ◽  
Educational Environment ◽  
P Value ◽  
Medical Group ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Medical University

Introduction: Problem-Based Learning (PBL) could be an instructing strategy in which complex real-world issues are utilized as the vehicle to promote student learning of concepts and standards as opposed to direct introduction of facts and ideas. In expansion to course content, PBL can promote the improvement of basic thinking aptitudes, problem-solving abilities, and communication skills. It can also show new horizons for working in group to become a lifelong learner. Objective: To evaluate the educational environment in medical and allied health sciences students at Rawalpindi Medical University. Material & Method: Study design: quantitative cross sectional Settings: Rawalpindi Medical University Duration: Six months i.e. 1st January 2021 to 30th June 2021 Methodology: The students of medical from medical college and Physiotherapy from allied health sciences have been selected. Pre validated questionnaire DREEM was used to evaluate the perception of educational environment at Rawalpindi Medical University students for using educational strategies. The students enrolled in the study after giving consent. Results: The total number and percentages were 1200/1750 (68.5%) from medical students and 70/150 (46.6%) from allied health sciences participated in the study from Rawalpindi Medical University. Table 2 shows two groups, total participants, maximum score, mean value, Standard deviation and p value. The overall DREEM score of medical group was 135/200 which use PBL approach and Allied group score was 102/200 which was on traditional strategy. It is also noticed that mean score from the medical group is greater than 3 while Allied health sciences lower than 2. Conclusion: Differentiating student discernments of educational environments appear related with the medical schools embracing different educational methodologies in our setting. Cautious and detailed interpretation of DREEM symptomatic results can be utilized to identify qualities and shortcomings of educational program and needed intervention. In any case to sort of educational programs experienced, institutional mediations show up fundamental in the areas of academic and social support and stress management. Continuous assessment of learning situations ought to be linked to making strides the instructive encounters for medical students. Keywords: PBL, DREEM, Educational Environment, Learning

Trans-disciplinary advanced allied health practitioners for acute hospital inpatients: a feasibility study

2018 ◽  
Vol 31 (2) ◽  
pp. 103-109
Author(s):  
Dina Watterson ◽  
Kerrie Walter ◽  
Lisa O’Brien ◽  
Desiree Terrill ◽  
Kathleen Philip ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Allied Health ◽  
Acute Hospital ◽  
Health Practitioners ◽  
Hospital Inpatients

Connecting practice: a practitioner centred model of supervision

2014 ◽  
Vol 19 (3) ◽  
pp. 235-252 ◽  
Author(s):  
Susan A. Nancarrow ◽  
Rachael Wade ◽  
Anna Moran ◽  
Julia Coyle ◽  
Jennifer Young ◽  
...  
Keyword(s):  
Clinical Supervision ◽  
Thematic Analysis ◽  
Allied Health ◽  
Explicit Knowledge ◽  
Grey Literature ◽  
Support Network ◽  
Framework Analysis ◽  
Content Type ◽  
Supervision Models ◽  
Health Practitioners

Purpose – The purpose of this paper is to analyse existing clinical supervision frameworks to develop a supervision meta-model. Design/methodology/approach – This research involved a thematic analysis of existing supervision frameworks used to support allied health practitioners working in rural or remote settings in Australia to identify key domains of supervision which could form the basis of supervision framework in this context. A three-tiered sampling approach of the selection of supervision frameworks ensured the direct relevance of the final domains identified to Australian rural allied health practitioners, allied health practitioners generally and to the wider area of health supervision. Thematic analysis was undertaken by Framework analysis methodology using Mindmapping software. The results were organised into a new conceptual model which places the practitioner at the centre of supervision. Findings – The review included 17 supervision frameworks, encompassing 13 domains of supervision: definitions; purpose and function; supervision models; contexts; content; Modes of engagement; Supervisor attributes; supervisory relationships; supervisor responsibilities; supervisee responsibilities; structures/process for supervision and support; facilitators and barriers; outcomes. The authors developed a reflective, supervision and support framework “Connecting Practice” that is practitioner centred, recognises the tacit and explicit knowledge that staff bring to the relationship, and enables them to identify their own goals and support networks within the context in which they work. Research limitations/implications – This is a thematic analysis of the literature which was argely based on an analysis of grey literature. Practical implications – The resulting core domains of supervision provide an evidence-based foundation for the development of clinical supervision models which can be adapted to a range of contexts. Social implications – An outcome of this paper is a framework called Connecting Practice which organises the domains of supervision in a temporal way, separating those domains that can be modified to improve the supervision framework, from those which are less easily modifiable. This approach is important to help embed the implementation of supervision and support into organisational practice. This paper adds to the existing growing body of work around supervision by helping understand the domains or components that make up the supervisory experience. Originality/value – Connecting Practice replaces traditional, more hierarchical models of supervision to put the practitioner at the centre of a personalised supervision and support network.

An approach to building research capacity for health practitioners in a public health environment: an organisational perspective

2014 ◽  
Vol 38 (3) ◽  
pp. 252 ◽  
Author(s):  
Julie Hulcombe ◽  
Jennifer Sturgess ◽  
Tina Souvlis ◽  
Cate Fitzgerald
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Capacity Building ◽  
Allied Health ◽  
Research Capacity ◽  
Research Capacity Building ◽  
Research Activity ◽  
Cultural Perspectives ◽  
Health Practitioners ◽  
Public Sector Health

A unique opportunity to engage in research capacity-building strategies for health practitioners arose within public sector health services during the negotiations for an industrial agreement. A research capacity-building initiative for health practitioners that is allied health, oral health and scientist practitioners was funded and the components of this initiative are described. The initiative was implemented using a research capacity-building framework developed from a review of the literature and stakeholder consultations. The framework included leadership and governance, support to researchers and translation of evidence into practice and was contextualised to public health environments. There were several phases of implementation. An evaluation of the preliminary phase of establishing research positions and research activity was conducted and several successes of the capacity-building strategies were identified. These successes (e.g. solid partnerships with universities) are discussed, as are future concerns, such as sustainability of the initiative in a tighter fiscal context. What is known about the topic? The literature identifies strategies to increase research capacity, including grant funds and bursaries, training in research methods, regular forums and networks for support, positions for research fellows and linkages and partnerships. There is minimal clarity or discourse around the organisational strategies or proposed evaluation of such strategies to enable or support research capacity building. What does this paper add? This paper describes implementation of a research capacity-building framework developed from a unique opportunity to provide funding for research positions and grants embedded in an industrial agreement. It describes the organisational and cultural perspectives and framework to build a research culture based on this funding, in a predominantly clinical workforce. What are the implications for practitioners? Research positions for allied health, oral health and scientist practitioners funded and supported jointly by a health organisation and a university are able to influence the number and quality of research proposals developed. These disciplines in other jurisdictions may use this model of research capacity building within their particular context.

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