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2.
BMC Med Educ ; 22(1): 793, 2022 Nov 16.
Artículo en Inglés | MEDLINE | ID: mdl-36384711

RESUMEN

BACKGROUND: Continuing professional development (CPD) is essential for career progression and maintaining military nursing competency. A well-designed CPD programme can improve the effectiveness of transforming knowledge and skills in healthcare organisations. This study aimed to develop a competency-based CPD curriculum for military nurses in China and evaluate its effectiveness from a developmental pilot study. METHODS: In phase one, a two-round Delphi was conducted to design a competency-based curriculum of CPD based on a clinical ladder model among military nurses. In phase two, the curriculum of one CPD programme was redesigned, and a pilot quasi-experiment was conducted to evaluate the effectiveness of this programme. RESULTS: A competency-based curriculum was developed for primary, intermediate, and senior titles, respectively. The trainees' overall satisfaction with the redesigned CPD programme was 100%. The four themes in the qualitative data were: 1) learning motivation and learning barriers; 2) professional growth; 3) role model promoted career planning; 4) learning environment mattered. CONCLUSION: This study developed a competency-based curriculum for continuing professional development among military nurses that can be used in designing CPD programmes. Competency-based curriculum can be utilised in the CPD activities to facilitate the improvement of nursing competency.


Asunto(s)
Competencia Clínica , Curriculum , Humanos , Proyectos Piloto , Desarrollo de Programa , Aprendizaje
3.
J Prof Nurs ; 42: 231-238, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36150866

RESUMEN

Faculty members teaching in the Doctor of Nursing Practice (DNP) programs are charged with undergoing curriculum restructure that is aligned with the American Association of Colleges of Nursing (AACN) newly released Essentials. The purpose of this article is to share an existing course structure that was designed to teach students the business acumen in a strategic and financial business planning course and present a strategy for nursing faculty to consider when applying the Essentials to new or existing courses. This article includes a brief review of the literature, a discussion of a strategic and financial business planning course, and application of the Essentials for graduate nursing programs. Based on findings from the literature, and reported student outcomes, a strategic and financial program planning course is an effective way to meet the new Essentials for graduate nursing students that are competency-based, while providing valuable business acumen learning experiences.


Asunto(s)
Educación de Postgrado en Enfermería , Estudiantes de Enfermería , Curriculum , Docentes de Enfermería , Humanos , Desarrollo de Programa
4.
J Dent Educ ; 86(9): 1214-1222, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36165243

RESUMEN

The purpose of this article is to discuss the challenges surrounding the underrepresentation of Black/African American (BAA) men in dentistry and dental education and present a rationale for anti-racism strategies to address them. Data and insights from the literature are presented to discuss how racism may derail BAA's opportunities to achieve a dental education through stereotyping, social, and academic isolation. Additionally, the authors present commentary and testimonials on the importance of mentorship to guide BAA men into and through dental careers. Additionally, the article describes two examples of successful career pathway programs, and highlights the significance of historically Black colleges and universities to promoting diversity within the dental profession. Anti-racism recommendations for change include more direct attention to how dental school humanistic environments support BAA men, committing human and financial resources for program development, and using data-driven metrics to assess those programs longitudinally. The commitment of dental education to promote oral health equity demands more than appreciation of BAA men's contributions, but a commitment to creating and advancing opportunities that assure their success.


Asunto(s)
Afroamericanos , Racismo , Educación en Odontología , Humanos , Masculino , Mentores , Desarrollo de Programa
5.
Eval Program Plann ; 94: 102148, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35973393

RESUMEN

This paper presents an overview of how a plan was developed for evaluating Develop Your Data Mindset: Essentials of Educational Data Use, an online curriculum intended to improve in-service and pre-service educators' knowledge and skills relevant to data utilization. Five categories of assessment, a program evaluation framework, logic model, theory of change, project plan, metrics spreadsheet, and the A+ Inquiry model are synthesized to demonstrate how they supported the development of an evaluation plan. Types of evidence are described to provide an overview of the need for improved instructional supports relevant to educator data utilization, how the activities to develop and implement an online curriculum are appropriate to meet the need, how well the activities are implemented as planned, and the extent to which intended outcomes of the curriculum are achieved. Applying the methods outlined in this paper yielded a plan to help ensure the curriculum would be assessed through a comprehensive evaluation lens. Limitations are acknowledged. Methods described in this paper could be adapted to support program evaluation planning and implementation beyond the scope of this project.


Asunto(s)
Curriculum , Personal Docente , Humanos , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
6.
J Adv Nurs ; 78(10): 3409-3426, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35986591

RESUMEN

AIMS: The study aim was to examine the impact of a home-based programme intervention on organizational contexts, implementation processes and organizational capacity outcomes from multicultural, multilingual participants working at community-based organizations. DESIGN: This was a sequential exploratory, mixed-methods longitudinal study using community-based participatory research principles. SAMPLE: Twenty participants from nine multicultural, multilingual community-based organizations were in this public health initiative's intervention to develop community-designed, home-based programmes. METHODS: Capacity building providers delivered the intervention selected by the funders. Workshop outcomes were descriptively measured in April/May 2019. In April/May and November 2019, participants completed surveys about organizational contexts, implementation processes and organizational capacity outcomes, which were analysed with t-tests using the organization as the unit of analysis. Qualitative data were analysed using content analysis. RESULTS: Seven programmes were new and two were modified. As workshop outcomes, 59% of participants reported increased overall implementation knowledge and 74% reported capacity building providers as the most helpful resource. After 6 to 7 months, no statistically significant changes were noted in organizational contexts, implementation processes or organizational capacity outcomes. Participants benefited from capacity building because they had programmes developed, formed partnerships with capacity building providers, gained implementation knowledge, and engaged in networking. CONCLUSION: Participants reported excellent individual and organizational strengths. Many Initiative factors contributed to no statistical changes. Namely, there was no opportunity for baseline data; limited community-based organization engagement in the intervention model selection, timeline and processes; the Initiative's timeline did not fit participants' timeline; insufficient time to develop culturally and linguistically appropriate programmes; late literature review abstracts; lack of adequate, planful and paid capacity building time; and a contract requirement to have the programme due when it was not implementable. These Initiative design factors, as reported by participants, limited the Initiative's home-based programme development. IMPACT: This study highlights the strengths of participants, community-based organizations and capacity building providers. Model selection, timeline and budget were identified as key factors for equitable implementation in multicultural, multilingual organizations.


Asunto(s)
Creación de Capacidad , Investigación Participativa Basada en la Comunidad , Investigación Participativa Basada en la Comunidad/métodos , Humanos , Estudios Longitudinales , Desarrollo de Programa
7.
Acad Med ; 97(11S): S4-S7, 2022 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-35947477

RESUMEN

Meaningful Equity, Diversity, and Inclusion (EDI) efforts may be stymied by concerns about whether proposed initiatives are performative or tokenistic. The purpose of this project was to analyze discussions by the Research in Medical Education (RIME) Program Planning committee about how best to recognize and support underrepresented in medicine (URiM) researchers in medical education to generate lessons learned that might inform local, national, and international actions to implement meaningful EDI initiatives. Ten RIME Program Planning Committee members and administrative staff participated in a focus group held virtually in August 2021. Focus group questions elicited opinions about "if and how" to establish a URiM research award. The focus group was recorded, transcribed, and thematically analyzed. Recognition of privilege, including who has it and who doesn't, underpinned the focus group discussion, which revolved around 2 themes: (1) tensions between optics and semantics, and (2) potential unintended consequences of trying to level the medical education playing field. The overarching storyline threaded throughout the focus group discussion was intentionality. Focus group participants sought to avoid performativity by creating an award that would be meaningful to recipients and to career gatekeepers such as department chairs and promotion and tenure committees. Ultimately, participants decided to create an award that focused on exemplary Equity, Diversity, and Inclusion (EDI) scholarship, which was eventually named the "RIME URiM Research Award." Difficult but productive conversations about EDI initiatives are necessary to advance underrepresented in medicine (URiM) scholarship. This transparent commentary may trigger further critical conversations.


Asunto(s)
Distinciones y Premios , Educación Médica , Humanos , Facultades de Medicina , Investigadores , Desarrollo de Programa
8.
Am J Manag Care ; 28(8): 382-389, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35981123

RESUMEN

OBJECTIVES: CMS' coverage with evidence development (CED) policy allows Medicare beneficiaries to access promising therapies and services while additional data are collected. CED program characteristics are mostly unreported, and qualities associated with retirement of CED data collection requirements are unknown. We aimed to review and systematically describe CED program history and components and report programmatic elements correlated with retirement of CED data collection requirements, while identifying areas for policy improvement. STUDY DESIGN: Systematic review. METHODS: We extracted CED information from the CMS website, ClinicalTrials.gov, PubMed, internet searches, and communication with CMS. RESULTS: There were 27 CED determinations from 2005 to 2022 in 8 therapeutic areas, with the most for cardiovascular diseases (8/27; 30%). Duration of CED programs (range, 1-16 years) and the number of related registries and clinical trials (range, 0-34) were widely variable. Only 4 CEDs have had data collection requirements with continued National Coverage Determination (NCD); 3 relate to cardiovascular therapies, and all have some public availability of findings resulting from CED-related data collection mechanisms. There were 2 instances of NCD revocation and deferral to local coverage decisions. CONCLUSIONS: Changes in the CED program through improving program predictability and transparency with regard to outstanding questions, roles of relevant stakeholders, and requirements for reporting and reevaluation would strengthen the program's effectiveness. Ultimately, these improvements would provide incentives for stakeholder participation in data collection to achieve the goal of increasing access to beneficial therapies and improving clinical outcomes.


Asunto(s)
Medicare , Enfermedades no Transmisibles , Anciano , Humanos , Desarrollo de Programa , Sistema de Registros , Estados Unidos
9.
J Contin Educ Nurs ; 53(9): 389-392, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36041200

RESUMEN

Nursing professional development practitioners are critical to nurse residency program (NRP) development, implementation, and evaluation. Conducting a program evaluation provides an opportunity to collect and analyze data on identified goals and outcome measures and determine if the program components need to modified or changed. Health care organizations need a systematic process for evaluating NRPs to ensure effectiveness of program delivery, provide evidence to demonstrate program value to the organization, report achievement of program outcomes, and for continuous quality improvement. With the growing importance of offering high-quality NRPs, nurses in professional development must critically consider the type of data required to demonstrate program value and use the best tools to collect outcome data. This article discusses a variety of data collection tools that can be selected to measure NRP outcomes. [J Contin Educ Nurs. 2022;53(9):389-392.].


Asunto(s)
Internado y Residencia , Humanos , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
10.
J Grad Med Educ ; 14(4): 451-457, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35991101

RESUMEN

Background: Program directors (PDs) are essential to more than 12 000 residency and fellowship programs accredited in the United States. Short PD tenure may affect overall program quality. Reasons why PDs leave the position are multifactorial, and little is known about the reasons why PDs stay in the position. Objective: The authors explored factors related to retention and why family medicine PDs have stayed in their positions long term. Methods: This was a qualitative study of PDs in their roles for 12 or more years drawn from a national sample of family medicine residency PDs. Interviews with semi-structured and structured questions about long-term PD experience were conducted in October and November 2020. Multiple cycles of comparative coding and code network analysis produced constructs describing reasons why some PDs stay in the position long term. Results: Among 17 respondents with a mean tenure of 17.4 years, 3 interrelated constructs consistently emerged that supported PDs: developing the program, support systems, and job rewards. Program development reinforces internal and external support systems and enhances experiencing rewards of the job. Strong support systems enable further program development and job rewards. Conclusions: Family medicine residency PDs who have been in the role 12 or more years continuously work to develop the program, benefit from strong internal and external support systems, and describe many important rewards of the position that help sustain them in the role.


Asunto(s)
Medicina Familiar y Comunitaria , Internado y Residencia , Medicina Familiar y Comunitaria/educación , Humanos , Desarrollo de Programa , Estados Unidos
11.
Artículo en Inglés | MEDLINE | ID: mdl-36011734

RESUMEN

This manuscript introduces a new framework for creating innovations in public health-the Framework for Public Health Innovation. The framework was developed through a longitudinal qualitative research study that investigated the process of creating innovative adolescent health programs. Interviews were conducted with a national sample of 26 organizations over two time points. Data collection focused on the process of innovative program development; organizational capacity; training; and technical assistance needs, successes, and barriers. The framework was developed and modified based on interview findings and expert advice; then, the final framework was validated with content experts. The framework illustrates a dynamic process of innovation that begins with dissatisfaction with the status quo, and then, illustrates three necessary components for innovation-space, process, and partnerships. Four categories of innovation, which range in complexity, are proposed: (1) creating a new component to an existing program, (2) adapting an existing program to meet new needs, (3) taking an alternative approach to addressing an existing program, and (4) reframing a health problem from a new perspective. As illustrated by a feedback loop, the resulting innovations disrupt the status quo. This model can be applied to any content area in public health and is useful for both research and practitioners.


Asunto(s)
Salud Pública , Adolescente , Humanos , Innovación Organizacional , Desarrollo de Programa , Investigación Cualitativa
12.
BMJ Open ; 12(7): e056605, 2022 07 05.
Artículo en Inglés | MEDLINE | ID: mdl-35790332

RESUMEN

INTRODUCTION: Every year 2.4 million deaths occur worldwide in babies younger than 28 days. Approximately 70% of these deaths occur in low-resource settings because of failure to implement evidence-based interventions. Digital health technologies may offer an implementation solution. Since 2014, we have worked in Bangladesh, Malawi, Zimbabwe and the UK to develop and pilot Neotree: an android app with accompanying data visualisation, linkage and export. Its low-cost hardware and state-of-the-art software are used to improve bedside postnatal care and to provide insights into population health trends, to impact wider policy and practice. METHODS AND ANALYSIS: This is a mixed methods (1) intervention codevelopment and optimisation and (2) pilot implementation evaluation (including economic evaluation) study. Neotree will be implemented in two hospitals in Zimbabwe, and one in Malawi. Over the 2-year study period clinical and demographic newborn data will be collected via Neotree, in addition to behavioural science informed qualitative and quantitative implementation evaluation and measures of cost, newborn care quality and usability. Neotree clinical decision support algorithms will be optimised according to best available evidence and clinical validation studies. ETHICS AND DISSEMINATION: This is a Wellcome Trust funded project (215742_Z_19_Z). Research ethics approvals have been obtained: Malawi College of Medicine Research and Ethics Committee (P.01/20/2909; P.02/19/2613); UCL (17123/001, 6681/001, 5019/004); Medical Research Council Zimbabwe (MRCZ/A/2570), BRTI and JREC institutional review boards (AP155/2020; JREC/327/19), Sally Mugabe Hospital Ethics Committee (071119/64; 250418/48). Results will be disseminated via academic publications and public and policy engagement activities. In this study, the care for an estimated 15 000 babies across three sites will be impacted. TRIAL REGISTRATION NUMBER: NCT0512707; Pre-results.


Asunto(s)
Salud del Lactante , Atención Posnatal , Mejoramiento de la Calidad , Telemedicina , Algoritmos , Sistemas de Apoyo a Decisiones Clínicas/normas , Recursos en Salud , Humanos , Salud del Lactante/economía , Salud del Lactante/normas , Recién Nacido , Malaui , Aplicaciones Móviles , Proyectos Piloto , Atención Posnatal/economía , Atención Posnatal/métodos , Atención Posnatal/normas , Pobreza , Desarrollo de Programa/economía , Desarrollo de Programa/normas , Mejoramiento de la Calidad/economía , Mejoramiento de la Calidad/normas , Calidad de la Atención de Salud/economía , Calidad de la Atención de Salud/normas , Telemedicina/economía , Telemedicina/métodos , Telemedicina/normas , Zimbabwe
13.
Nurse Educ Today ; 117: 105477, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35908406

RESUMEN

BACKGROUND: Access to comprehensive, integrated, multidisciplinary care is one of the most urgent and actionable recommendations of the Advanced Breast Cancer Global Alliance. However, access to specialist breast care units, and specialist breast cancer nurses is variable, influenced by access to specialist education and role recognition. To date, there has not been a synthesis of evidence regarding educational programmes related to advanced breast cancer education for nurses. OBJECTIVES: The aim of this review was to determine the content, mode of delivery, assessment and outcomes of education programmes related to advanced breast cancer for nurses. REVIEW METHODS: A systematic review was undertaken, according to the Joanna Briggs Institute's mixed methods review methodology. DATA SOURCES: MEDLINE, PUBMED, CINAHL, Scopus, PsycInfo, Joanna Briggs Institute, Web of Science and grey literature sources were systematically searched. Eleven publications met the inclusion criteria. Data relating to programme content, mode of delivery, assessment and outcomes were extracted and analysed. RESULTS: This review identifies a limited number of educational programmes within this specialist area of nursing practice. Shortcomings in the development, implementation and evaluation of advanced breast cancer education programmes included limited use of educational standards, theoretical frameworks and patient and public involvement to inform programme development. Evaluation of education programmes related to advanced breast cancer relied predominantly on self-reported learning, with limited consideration of the impacts of education on service delivery, patient experience or quality of care. CONCLUSIONS: Future development of advanced breast cancer education programmes must consider the alignment of programme content and learning outcomes with existing educational and competency standards. Evaluation of educational programmes in this field must endeavour to enhance rigour of methods, incorporating standardised questionnaires, and multiple methods and sources of data to evaluate the broader impacts of advanced breast cancer education for nurses.


Asunto(s)
Neoplasias de la Mama , Neoplasias de la Mama/terapia , Femenino , Educación en Salud , Humanos , Aprendizaje , Desarrollo de Programa
14.
Front Public Health ; 10: 882576, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35719656

RESUMEN

Background: Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently suggest that interventions that include both spouses are effective in decreasing depression and relationship distress. Considering the busy lives of middle-aged couples, it is essential to develop an online-coaching blended couple-oriented intervention. This study aimed to describe the development, implementation, and evaluation of an online-coaching blended couple-oriented intervention using an online program and coaching via videoconference to prevent middle-aged couples' depression; this was done using an intervention mapping (IM) protocol. Methods: Six steps of IM were used to systematically develop a tailored multi-level intervention specific to middle-aged couples' depression. These steps of the IM protocol involve needs assessment, formulation of change objectives, theory-based methods, and practical strategies for program design, program development, program implementation, and program evaluation. Results: The results of the six steps were as follows: (a) middle-aged couples' needs and mental health problems were identified through a scoping review study, mixed-method study, and expert interviews; (b) six performance objectives (POs) were formulated based on the results of Step 1, and intrapersonal, interpersonal, and temporal/transpersonal determinants were identified based on the self-transcendence theory. Change objectives were developed by combining POs with determinants; (c) self-regulated learning was chosen for theoretical teaching methods and practical strategies to change the determinants of each level; (d) four modules consisting of 16 sessions were developed based on the self-transcendence theory; (e) experts evaluated the program and coaches were trained; and (f) the evaluation plan for the program's feasibility, acceptability, usability, and preliminary effects was developed. Discussion: The systematic process using IM allowed us to develop an online-coaching blended couple-oriented intervention to prevent depression and promote couples' relationships. The primary effects of this newly developed program should be evaluated in future studies. This may lead to the increased adoption and implementation of evidence-based and tailored interventions for psychological wellbeing in middle adulthood.


Asunto(s)
Tutoría , Depresión/prevención & control , Aprendizaje , Desarrollo de Programa/métodos , Evaluación de Programas y Proyectos de Salud
15.
Artículo en Inglés | MEDLINE | ID: mdl-35682385

RESUMEN

The SAVING project aimed to create a sustainable and active aging program to promote the transition to sustainable aging in residential structures for the elderly (RSEs), developing research activities to apply the best strategies and good practices regarding the promotion of an active, healthy, and sustainable aging regarding social, economic, environmental, and pedagogic aspects. All this innovative methodology was built on a living-lab approach applied in one RSE, that was used as a case study. The results showed that the creation of the SAVING Brigade allowed not only increased reflection and mutual learning, but also created better conditions to face uncertainties and obstacles. Moreover, the use of indicators supported the basic themes and enabled comparison with other studies, between institutions or programs. Finally, the Action Plan acted as a tool for the development of previously defined strategies. It is possible to conclude that the breadth of the concept of quality of life encompasses the physical health of the individual, their psychological state, their social relationships, their perceptions, and the relationship with the characteristics of the context in which they are inserted. Therefore, active, sustainable, and healthy aging should be the goal.


Asunto(s)
Envejecimiento , Calidad de Vida , Anciano , Humanos , Desarrollo de Programa
16.
Curr Oncol ; 29(6): 4034-4053, 2022 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-35735431

RESUMEN

Adolescent and young adult (AYA, ages 15-39 years) oncology patients are an underserved population with specialized needs. AYA programs are absent from most Canadian centers. We identified a priority list and sequence for new programs to address. Program goals, priorities, and activities were developed through literature review, national consensus documents, and expert opinion. Health care providers (HCPs) involved in AYA cancer care, administrators, and patient and family representatives were engaged to co-develop program goals and activities. A modified Delphi technique was used through two iterations followed by an in-person meeting to prioritize program implementation. Consensus was defined as a mean score of less than 2.0 (not important) or 4.0 or greater (important). Items without consensus (scored between 2.0 and 3.99) were discussed at the in-person meeting. Sixty provincial stakeholders completed the Delphi survey across multiple disciplines. Twenty-seven stakeholders attended the in-person meeting. All goals were deemed important, except development of a research program. Patient implementation tasks ranked highest. Priority sequence of implementation was: patient care first, followed by HCP education; patient and family education; program sustainability plan; evaluation; research; then a model for multidisciplinary tumor board review. These represent key goals for new AYA oncology programs and a priority sequence of implementation.


Asunto(s)
Oncología Médica , Neoplasias , Adolescente , Adulto , Canadá , Consenso , Humanos , Neoplasias/terapia , Desarrollo de Programa , Adulto Joven
17.
J Nurs Educ ; 61(5): 276-279, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35522769

RESUMEN

BACKGROUND: There is a lack of published literature linking the nursing student experience and program evaluation relationship. A mixed-methods approach was used to improve the nursing student experience through faculty, staff, and student engagement. METHOD: A student experience initiative was launched in 2016. A 3-year plan was developed by an external consultant and steering committee. A process to prioritize improvement needs across all programs was used, with program-specific plans, faculty engagement, and results in a graduate-entry nursing program. RESULTS: Student satisfaction ratings on exit surveys increased from 1 of 10 at the start of the initiative in 2016 to 8 of 10 in 2021. Continuous improvement and engagement are needed to maintain student satisfaction in nursing education. CONCLUSION: This initiative can serve as a framework for other educational partners to consider adopting to enhance the nursing student experience and improve program outcomes. [J Nurs Educ. 2022;61(5):276-279.].


Asunto(s)
Bachillerato en Enfermería , Educación en Enfermería , Estudiantes de Enfermería , Bachillerato en Enfermería/métodos , Humanos , Desarrollo de Programa
19.
J Nurs Adm ; 52(6): 371-376, 2022 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-35608980

RESUMEN

ABSTRACT: A paucity of nurses trained in clinical research prompted the development and implementation of a newly licensed nurse residency program in oncology research. The components of the program, funding, curriculum development, preceptor model, and partnerships, are described. Formal evaluation to quantify success in creating a pipeline for the future, increasing retention, and reducing costs is underway and will be reported in a future publication.


Asunto(s)
Internado y Residencia , Enfermeras y Enfermeros , Investigación en Enfermería Clínica , Humanos , Desarrollo de Programa
20.
Nurs Womens Health ; 26(3): 215-225, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35568062

RESUMEN

OBJECTIVE: To evaluate key lessons learned from efforts at increasing engagement in integrated prenatal and opioid use disorder services. DESIGN: An interdisciplinary team consisting of a board-certified obstetrician and registered nurse led the implementation of this multipronged approach driven by several plan-do-study-act cycles to develop an integrated prenatal and opioid use disorder program. SETTING/LOCAL PROBLEM: An urban community health center in Chicago, Illinois, where mental health issues, including substance use, are the leading cause of death for pregnant people. PARTICIPANTS: Connections were made with local harm reduction agencies, substance use treatment facilities, and community outreach programs to develop partnerships with organizations providing existing addiction and maternal-child services in the community. INTERVENTION/MEASURES: Partnership building was achieved through organization needs assessments, dissemination of information about integrated services, and sustained communication. Referral workflow guides and patient education cards were created and distributed to community partners. Incoming referrals were tracked at the clinic site. Use of the referral materials was evaluated via online surveys distributed to community partners. RESULTS: In the 18 weeks of enhanced integration, three patients engaged in services and were initiated on medication for opioid use disorder, two of whom had been referred from agencies targeted in the outreach efforts. Surveys showed that community partners believe the referral guides were easy to use and that the harm reduction information on the patient cards was useful. CONCLUSION: An urban community health center was equipped to provide comprehensive, integrated services to pregnant people with opioid use disorder, but barriers such as community unawareness and stigma impeded engagement. Sustained collaboration with community partners serving pregnant people with opioid use disorder supports program development and linkage to care. Integrated prenatal and opioid use disorder care is feasible, is destigmatizing in nature, and can lead to improved maternal and fetal outcomes.


Asunto(s)
Trastornos Relacionados con Opioides , Comunicación , Femenino , Humanos , Trastornos Relacionados con Opioides/terapia , Embarazo , Atención Prenatal , Desarrollo de Programa , Derivación y Consulta
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