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1.
J Nurs Adm ; 50(2): 109-114, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31929346

RESUMEN

OBJECTIVE: Evaluate the use of the Innovation Studio on interprofessional collaboration and attitudes toward interprofessional learning, job satisfaction, and intent to stay. BACKGROUND: The healthcare workforce is experiencing high burnout rates, and providers are unsatisfied with their work. Evidence supports that interprofessional collaboration is a key strategy to increase job satisfaction and intent to stay in healthcare professionals. The Innovation Studio is a tool to engage healthcare providers in interprofessional collaboration. METHODS: A pretest/posttest evaluation of the Innovation Studio with 14 healthcare professionals was conducted with self-reported scores on job satisfaction, readiness for interprofessional learning, and intent to stay as outcomes. RESULTS: Positive effects were found on interprofessional learning and intent to stay, but not job satisfaction. Eleven interprofessional projects were developed. Responses to open-ended questions indicated satisfaction with the Innovation Studio. CONCLUSIONS: The Innovation Studio was successful in stimulating numerous interprofessional projects and had a positive effect on interprofessional learning and intent to stay.


Asunto(s)
Actitud del Personal de Salud , Agotamiento Profesional/psicología , Personal de Salud/psicología , Relaciones Interprofesionales , Satisfacción en el Trabajo , Personal de Enfermería en Hospital/psicología , Reorganización del Personal , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios
2.
Br J Nurs ; 29(1): 36-43, 2020 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-31917949

RESUMEN

The aim of this narrative literature review was to explore the impact of interprofessional simulation-based team training on difficult airway management. The Fourth National Audit Project of The Royal College of Anaesthetists and The Difficult Airway Society identified recurrent deficits in practice that included delayed recognition of critical events, inadequate provision of appropriately trained staff and poor collaboration and communication strategies between teams. Computerised databases were assessed to enable data collection, and a narrative literature review and synthesis of eight quantitative studies were performed. Four core themes were identified: debriefing, measures of assessment and evaluation, non-technical skills and patient safety, and patient outcomes. There are many benefits to be gained from interprofessional simulation training as a method of teaching high-risk and infrequent clinical airway emergencies. The practised response to emergency algorithms is crucial and plays a vital role in the reduction of errors and adverse patient outcomes.


Asunto(s)
Manejo de la Vía Aérea , Personal de Salud/educación , Relaciones Interprofesionales , Grupo de Atención al Paciente/organización & administración , Entrenamiento Simulado/métodos , Personal de Salud/psicología , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto
3.
Hu Li Za Zhi ; 67(1): 89-97, 2020 Feb.
Artículo en Chino | MEDLINE | ID: mdl-31960400

RESUMEN

BACKGROUND & PROBLEMS: Dermatitis associated with incontinence was the cause of 55% of the total of 386 skin lesion cases in our unit between July and December 2016 and 40.3% of the skin lesion cases in our unit during March and April 2017, indicating the importance of this issue. Our survey showed that the nurses in our unit scored an average of 78.9% on knowledge related to the prevention of incontinence-associated dermatitis and only 58.2% on knowledge related to incontinence-associated dermatitis care. The main reasons for the high incidence of incontinence-associated dermatitis included: incorrect implementation of care, no discussion with the medical team, no incontinence care standards, no continue education, lack of related equipment for preventing incontinence-associated dermatitis, unit patient characteristics, and drugs used. PURPOSE: To reduce the incidence of incontinence-associated dermatitis from 40.3% to 32.0%. RESOLUTION: A care-bundle in treating incontinence-associated dermatitis was implemented by designing an assessment flow chart for evaluating incontinence-associated dermatitis, by setting standard guidelines for incontinence-associated dermatitis care, by distributing reminder cards, special toolboxes, and by changing how the little diapers were wrapped. In-service education lessons, inter-professional collaborative practice, and regular internal audit were also executed. RESULTS: After project implementation, the knowledge score of nurses increased from 78.9% to 95.7%; the correctness of care score, as retested in November 2017, increased from 58.2% to 91.5%; and the incidence of incontinence-associated dermatitis dropped to 18.5%. These improvements achieved the goals of this project. Furthermore, the sustained effect of the project measures was confirmed, with the incidence of incontinence-associated dermatitis determined as 17.9% at three months after completion of the project. CONCLUSIONS: Formulating care procedures and cooperating with medical team personnel to provide creative care measures were shown to effectively decrease the incidence of incontinence-associated dermatitis and improve overall quality of care. The findings of this project support the revision by hospitals of regulations and procedures related to adult incontinence-associated dermatitis to provide caregivers with basis-of-care standards and uniform care procedures and standards in support of effective patient skin care regimens.


Asunto(s)
Dermatitis/prevención & control , Incontinencia Fecal/complicaciones , Relaciones Interprofesionales , Personal de Enfermería en Hospital/psicología , Cuidados de la Piel/enfermería , Incontinencia Urinaria/complicaciones , Adulto , Dermatitis/epidemiología , Incontinencia Fecal/enfermería , Conocimientos, Actitudes y Práctica en Salud , Humanos , Incidencia , Investigación en Evaluación de Enfermería , Incontinencia Urinaria/enfermería
4.
J Dent Educ ; 84(1): 105-110, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977096

RESUMEN

The World Health Organization has indicated that Interprofessional Education (IPE) occurs when "students from two or more professions learn about, from, and with each other".1 These IPE experiences are widely thought to provide students with the opportunity to learn and practice the knowledge, skills, behaviors and attitudes that will ultimately translate into the provision of safer, higher quality, team-based patient care when they become health care practitioners in collaborative care environments. At the joint American Dental Education Association (ADEA) and Association for Dental Education in Europe (ADEE) 2019 Shaping the Future of Dental Education III conference in Brescia, Italy, delegates explored the concept of transprofessional learning, where students learn skills across a wider range of professions than health professions alone. The workshop continued the dialogue that began during the 2017 ADEA-ADEE Shaping the Future of Dental Education II conference in London, England as previously reported by Davis et al.,2 and explored the use of transprofessional learning through the lenses of dental education, applied linguistics education and law education focusing on the use of reflective practices. The workshop brought together educators from around the globe in a highly interactive setting where they had the opportunity to discuss and develop tools and practices for teaching reflective practice by using a transprofessional learning approach.


Asunto(s)
Educación en Odontología , Relaciones Interprofesionales , Odontología , Inglaterra , Europa (Continente) , Humanos , Lingüística , Londres
6.
Eur J Dent Educ ; 24(1): 145-153, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31677206

RESUMEN

INTRODUCTION: The purpose of this study was to evaluate the perceptions of dentists and dental hygienists regarding their own and each other's roles in interprofessional collaboration following a clinical interprofessional educational programme (CIEP) as part of their graduate programme at Radboud university medical center (Radboudumc) and HAN University of Applied Sciences (HAN UAS), Nijmegen, the Netherlands, respectively. Perceptions were obtained at the end of their study (2014) and two years after their graduation (2016). METHODS: A qualitative study was conducted using a questionnaire with open-ended questions. Sixty-two dentists and thirty-eight dental hygienists were invited. Theory-based analyses were applied in combination with principles of Grounded Theory to analyse and synthesise the collected data from the open-ended questions. RESULTS: At baseline, 100% responded. At follow-up, thirty-two dentists (51.6%) and twenty-six dental hygienists (68.4%) responded; twenty-seven dentists (43.5%) and eighteen dental hygienists (47.4%) were included. Many similarities were found between baseline and follow-up regarding perceptions of each other's expertise and responsibility, learning from and with each other, and the behaviour of students and the "novice" professionals in interprofessional collaboration. Both dentists and dental hygienists experienced the CIEP as useful for interprofessional collaboration. The "novice" dentists and dental hygienists indicated that in dental practices interprofessional collaboration was less common. CONCLUSION: The CIEP resulted in more understanding amongst dentists and dental hygienists with regard to interprofessional roles, but in practice the "novice" dentists and dental hygienists face difficulties in applying the interprofessional roles.


Asunto(s)
Actitud del Personal de Salud , Higienistas Dentales , Odontólogos , Humanos , Relaciones Interprofesionales , Países Bajos , Investigación Cualitativa , Encuestas y Cuestionarios
7.
J Clin Nurs ; 29(1-2): 53-59, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31241794

RESUMEN

AIMS AND OBJECTIVES: To examine the association between registered nurses' (referred to as "nurses" for brevity) shifts of 12 hr or more and presence of continuing educational programmes; ability to discuss patient care with other nurses; assignments that foster continuity of care; and patient care information being lost during handovers. BACKGROUND: The introduction of long shifts (i.e., shifts of 12 hr or more) remains controversial. While there are claims of efficiency, studies have shown long shifts to be associated with adverse effects on quality of care. Efficiency claims are predicated on the assumption that long shifts reduce overlaps between shifts; these overlaps are believed to be unproductive and dangerous. However, there are potentially valuable educational and communication activities that occur during these overlaps. DESIGN: Cross-sectional survey of 31,627 nurses within 487 hospitals in 12 European countries. METHODS: The associations were measured through generalised linear mixed models. The study methods were compliant with the STROBE checklist. RESULTS: When nurses worked shifts of 12 hr or more, they were less likely to report having continuing educational programmes; and time to discuss patient care with other nurses, compared to nurses working 8 hr or less. Nurses working shifts of 12 hr or more were less likely to report assignments that foster continuity of care, albeit the association was not significant. Similarly, working long shifts was associated with reports of patient care information being lost during handovers, although association was not significant. CONCLUSION: Working shifts of 12 hr or more is associated with reduced educational activities and fewer opportunities to discuss patient care, with potential negative consequences for safe and effective care. RELEVANCE TO CLINICAL PRACTICE: Implementation of long shifts should be questioned, as reduced opportunity to discuss care or participate in educational activities may jeopardise the quality and safety of care for patients.


Asunto(s)
Continuidad de la Atención al Paciente/normas , Personal de Enfermería en Hospital/estadística & datos numéricos , Horario de Trabajo por Turnos/estadística & datos numéricos , Estudios Transversales , Educación Continua/estadística & datos numéricos , Europa (Continente) , Femenino , Hospitales , Humanos , Relaciones Interprofesionales , Masculino , Personal de Enfermería en Hospital/organización & administración , Personal de Enfermería en Hospital/psicología , Horario de Trabajo por Turnos/psicología , Encuestas y Cuestionarios
10.
J Nurs Adm ; 50(1): 3-4, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31809449

RESUMEN

Feedback is a necessary and important part of career growth, and feedback from peers is shown to improve everything from job performance to quality outcomes. So why is feedback so hard to give and receive? This month's Magnet Perspectives examines the role of feedback in the workplace; why peer feedback programs are gaining traction, especially in nursing; and how your organization can benefit from a formal, systematic peer feedback process. The column also explores how the Magnet environment promotes peer feedback and offers tips to help you create a successful program that fosters openness and communication.


Asunto(s)
Movilidad Laboral , Retroalimentación , Relaciones Interprofesionales , Enfermeras Administradoras , Humanos
11.
J Nurs Adm ; 50(1): 12-15, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31809452

RESUMEN

Evidence-based practice (EBP), communication, and interprofessional collaboration are all essential for safe, quality care. As members of the interprofessional team, nurse leaders are in a unique position to advance patient safety with a strategic plan, infrastructure, resources, reporting structure, and recognition program to guide the way. Leaders of a 152-bed children's and women's hospital formed an academic-practice partnership to create an interprofessional council to foster the principles of collaboration and EBP among frontline staff.


Asunto(s)
Enfermería Basada en la Evidencia , Relaciones Interprofesionales , Enfermeras Administradoras , Personal de Enfermería en Hospital , Humanos
12.
Ann R Coll Surg Engl ; 102(1): 3-8, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31858833

RESUMEN

INTRODUCTION: Achieving a standard of clinical research at the pinnacle of the evidence pyramid is historically expensive and logistically challenging. Research collaboratives have delivered high-impact prospective multicentre audits and clinical trials by using trainee networks with a range of enabling technology. This review outlines such use of technology in the UK and provides a framework of recommended technologies for future studies. METHODS: A review of the literature identified technology used in collaborative projects. Additional technologies were identified through web searches. Technologies were grouped into themes including access (networking and engagement), collaboration and event organisation. The technologies available to support each theme were studied further to outline relative benefits and limitations. FINDINGS: Thirty-three articles from trainee research collaboratives were identified. The most frequently documented technologies were social media applications, website platforms and research databases. The Supportive Technologies in Collaborative Research framework is proposed, providing a structure for using the technologies available to support multicentre collaboration. Such technologies are often overlooked in the literature by established and start-up collaborative project groups. If used correctly, they might help to overcome the physical, logistical and financial barriers of multicentre clinical trials.


Asunto(s)
Investigación Biomédica/métodos , Tecnología Biomédica/métodos , Conducta Cooperativa , Relaciones Interprofesionales , Ensayos Clínicos como Asunto , Comunicación , Cirugía General/educación , Humanos , Internet , Redes Sociales en Línea , Estudiantes de Medicina
13.
Anasthesiol Intensivmed Notfallmed Schmerzther ; 54(11-12): 685-703, 2019 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-31805587

RESUMEN

In Germany, the increasing focus on child abuse led to remarkable changes in recent years. The latest child protection laws (Kinderschutzgesetz, 2012) and the new medical guideline (AWMF S3+ Kinderschutzleitlinie, 2019) provide effective means for child protection services. Sound knowledge of the clinical manifestations, the parties involved, and the legal situation are required in order to provide effective child protection interventions. This article presents an update of the epidemiology, the legal situation, and the clinical manifestations concerning child abuse. With this information it foremost adresses medical professionals seeing children regularly without having a child protection team at disposal.


Asunto(s)
Maltrato a los Niños , Niño , Maltrato a los Niños/diagnóstico , Maltrato a los Niños/prevención & control , Alemania , Humanos , Relaciones Interprofesionales
16.
Soins ; 64(841): 50-51, 2019 Dec.
Artículo en Francés | MEDLINE | ID: mdl-31864514

RESUMEN

Beyond the checking of a prescription, the pathophysiological characteristics of the patient and the other prescribed medicines, pharmacists contribute to the field of oncology in their other missions. The benefits in terms of the reduction of risks for caregivers have been favoured by the centralisation of preparations combined with the application of other methods derived from industry. Research is continuing in order to dispense safe medicines which comply with the prescription and control the risks linked to the use of these highly active medicines.


Asunto(s)
Cuidadores/psicología , Relaciones Interprofesionales , Neoplasias/tratamiento farmacológico , Farmacéuticos/psicología , Humanos
18.
J Forensic Nurs ; 15(4): 214-221, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31764525

RESUMEN

The practice of trauma-informed care (TIC) allows nurses in any setting to identify and intervene with traumatized individuals and to create a continuum of care when forensic nursing services are needed. The purpose of this article is to suggest ways to incorporate TIC content into baccalaureate nursing programs. We begin with an overview of baccalaureate nursing curricula and common types of traumatic experience important for students to understand. We then propose specific strategies for inclusion of TIC content in baccalaureate nursing education, using the American Association of Colleges of Nursing Essentials of Baccalaureate Education for Professional Nursing Practice. With a solid foundation in TIC, baccalaureate-prepared nursing students can provide effective patient care and better support forensic nursing practice. This will increase the capacity of the nursing profession in general to meet the needs of those affected by trauma, violence, and abuse.


Asunto(s)
Curriculum , Bachillerato en Enfermería , Trauma Psicológico/enfermería , Comunicación , Víctimas de Crimen/psicología , Práctica Clínica Basada en la Evidencia , Política de Salud , Humanos , Relaciones Interprofesionales , Seguridad del Paciente , Servicios Preventivos de Salud , Profesionalismo , Calidad de la Atención de Salud , Determinantes Sociales de la Salud , Estados Unidos , Poblaciones Vulnerables
20.
N Engl J Med ; 381(21): 1992-1993, 2019 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-31747727
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