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1.
N C Med J ; 81(1): 5-13, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31908325

RESUMO

BACKGROUND In 2016, the North Carolina Division of Public Health (DPH) launched the Improving Community Outcomes for Maternal and Child Health (ICO4MCH) program to provide 5 local health departments (LHDs) with financial resources and technical assistance to address 3 aims: improve birth outcomes, reduce infant mortality, and improve health for children from birth to 5 years.METHOD: State legislation established an academic-practice partnership between NCDPH and the University of North Carolina at Chapel Hill (UNC) to provide program evaluation and implementation coaching to LHDs. ICO4MCH used a collective impact framework, principles of implementation science, and a health equity approach to implement evidence-based strategies to address the program's aims.RESULTS: A shared measurement system was developed by an evaluation stakeholders group led by the NCDPH and UNC in which LHDs reported data on a quarterly basis and the evaluators returned reports to drive improvements. Structured assessments and technical assistance provided by implementation coaches helped grantees address barriers to implementation including cultivating and sustaining a diverse community action team, addressing staff turnover, and using data to drive improvements.LIMITATIONS: It was challenging for grantees to balance community needs and build partnerships in the first year while integrating data from multiple assessments into action plans to meet the performance measures. It was necessary to streamline assessments and reduce indicators to make data more actionable.CONCLUSION: An academic-practice partnership was integral to successful implementation of the ICO4MCH program and may serve as a model for moving evidence-based maternal child health programs to practice in LHDs.


Assuntos
Saúde da Criança , Promoção da Saúde/organização & administração , Relações Interinstitucionais , Saúde Materna , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , North Carolina , Gravidez , Avaliação de Programas e Projetos de Saúde
2.
J Nurs Adm ; 49(12): 577-579, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725515

RESUMO

The American Organization of Nurse Leaders and the American Association of Colleges of Nursing have been working together since 2010 to address how academic-practice partnerships can most effectively advance the profession by preparing a well-educated workforce. This article describes the work to date and future strategic priorities.


Assuntos
Centros Médicos Acadêmicos/organização & administração , Relações Interinstitucionais , Prática Privada de Enfermagem/organização & administração , Escolas de Enfermagem/organização & administração , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
3.
BMC Health Serv Res ; 19(1): 785, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31675956

RESUMO

BACKGROUND: There is increasing interest in and demands for partnerships between academia and healthcare practices. Few empirical studies have described the influence of such partnerships from a practice perspective. The purpose of this study was to evaluate the impact of a reform launched to increase integration between primary care and academia and to identify potential reasons for why the observed impact occurred in three areas targeted by the reform: research, student education, and continued professional development. METHODS: The study was conducted in Stockholm County, the largest healthcare region in Sweden, at the introduction of a partnership between primary care and academia, including eight coordinating centres and approximately 500 surrounding primary care units. A programme theory-based qualitative approach to evaluation was used, building on document analysis, and in-depth interviews with the centre managers (n = 6) and coordinators (n = 8) conducted 42-66 months after the initiation of the reform. RESULTS: The analysis showed that the reform had some impact on all three areas targeted by the reform: research, student education, and continued professional development. The input that contributed most extensively to the impact was the establishment of facilitating roles. Most changes occurred at the coordinating centres and primarily in the area of student education. The effect on student education was primarily due to having prior experience in this area and perceptions of timely benefits of students to care practice. CONCLUSIONS: Partnerships between primary care and academia hold the potential of practice impact. To increase integration between primary care and academia, the components of the integration must be understandable and relevant for primary care practitioners, and importantly, compliant with delivery of primary care.


Assuntos
Reforma dos Serviços de Saúde/organização & administração , Relações Interinstitucionais , Atenção Primária à Saúde/organização & administração , Universidades/organização & administração , Humanos , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , Suécia
4.
Health Serv Res ; 54(6): 1246-1254, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31595498

RESUMO

OBJECTIVE: To measure strategies of interorganizational collaboration among health care and social service organizations that serve older adults. STUDY SETTING: Twenty Hospital Service Areas (HSAs) in the United States. STUDY DESIGN: We developed and validated a novel scale to characterize interorganizational collaboration, and then tested its application by assessing whether the scale differentiated between HSAs with high vs low performance on potentially avoidable health care use and spending for Medicare beneficiaries. DATA COLLECTION: Health care and social service organizations (N = 173 total) in each HSA completed a 12-item collaboration scale, three questions about collaboration behaviors, and a detailed survey documenting collaborative network ties. PRINCIPAL FINDINGS: We identified two distinguishable subscales of interorganizational collaboration: (a) Aligning Strategy and (b) Coordinating Current Work. Each subscale demonstrated convergent validity with the organization's position in the collaborative network, and with collaboration behaviors. The full scale and Coordinating Current Work subscale did not differentiate high- vs low-performing HSAs, but the Aligning Strategy subscale was significantly higher in high-performing HSAs than in low-performing HSAs (P = .01). CONCLUSIONS: Cross-sector collaboration-and particularly Aligning Strategy-is associated with health care use and spending for older adults. This new survey measure could be used to track the impact of interventions to foster interorganizational collaboration.


Assuntos
Comportamento Cooperativo , Relações Interinstitucionais , Medicare/organização & administração , Reprodutibilidade dos Testes , Serviço Social/organização & administração , Inquéritos e Questionários/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Medicare/estatística & dados numéricos , Pessoa de Meia-Idade , Serviço Social/estatística & dados numéricos , Estados Unidos
5.
Br J Nurs ; 28(17): 1124-1128, 2019 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-31556740

RESUMO

Coaching is an intervention that facilitates another person's learning, development and performance. Applied to student nurse practice placement learning, coaching has the potential to boost leadership learning that is student led, less focused on following the directions of a mentor and more focused on students taking responsibility for identifying their learning goals and objectives. This article gives personal perspectives about how a collaboration between four Greater Manchester (GM) universities and their partner practice organisations developed, implemented and evaluated a coaching approach to student nurse clinical leadership development and peer learning, while increasing practice placement capacity-the GM Synergy model. Perspectives are given on setting up a project team, testing the model before implementation and developing a robust evaluation framework. Coaching as a model for student support and clinical leadership development is in line with the Nursing and Midwifery Council's Future Nurse: Standards of Proficiency for Registered Nurses document, with the practice supervisor role complementing the role of the coach in clinical practice.


Assuntos
Bacharelado em Enfermagem/organização & administração , Liderança , Aprendizagem , Tutoria/organização & administração , Estudantes de Enfermagem/psicologia , Inglaterra , Humanos , Relações Interinstitucionais , Modelos Educacionais , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Universidades/organização & administração
6.
Semin Vasc Surg ; 32(1-2): 30-32, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540654

RESUMO

Vascular surgery is a specialty discipline highlighted by a lifelong learning process from which new endovascular devices and techniques will continue to emerge. Industry partnerships can provide a safe learning environment for trainees, with a focus on maximizing learning opportunities during fellowship or residency. Unlike other surgical specialties, vascular surgery empowers its trainees to become competent in both open and image-guided endovascular interventions, requiring two unique skill sets to become a contemporary vascular surgeon. Due to the rapid growth of technology and innovations, industry partnerships enhance and maximize the learning experience of the trainee by often providing the products, education, research support, and financial assistance. This can come in the form of innovative and educational activities, including simulation, exposure to thought leaders, attendance at conferences and workshops, and one-on-one assistance with cases. In this article, we review the role that industry can serve in vascular education to support budding vascular surgeons through exposure and repetition as they lay down the fundamentals of their careers.


Assuntos
Educação de Pós-Graduação em Medicina/métodos , Setor de Assistência à Saúde , Relações Interinstitucionais , Parcerias Público-Privadas , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/educação , Comportamento Cooperativo , Currículo , Educação de Pós-Graduação em Medicina/economia , Setor de Assistência à Saúde/economia , Humanos , Parcerias Público-Privadas/economia , Apoio à Pesquisa como Assunto , Cirurgiões/economia , Procedimentos Cirúrgicos Vasculares/economia
7.
J Nurs Adm ; 49(10): 463-465, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517754

RESUMO

This article describes an innovative academic-practice partnership designed to promote new nurse competency and meet employer needs for graduates with in-demand knowledge and competencies in specialty patient populations. Three practice partners identified areas of need and with the school of nursing developed specialty nursing elective courses with precepted clinical experiences.


Assuntos
Currículo , Bacharelado em Enfermagem/organização & administração , Relações Interinstitucionais , Colaboração Intersetorial , Recursos Humanos de Enfermagem no Hospital/educação , Preceptoria/organização & administração , Adulto , Feminino , Humanos , Masculino , Estados Unidos , Adulto Jovem
8.
Scand J Trauma Resusc Emerg Med ; 27(1): 78, 2019 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-31429788

RESUMO

BACKGROUND: High demands are placed on the emergency medical services to handle rescue operations in challenging environments such as tunnels. In Oslo, Norway a specialised management function within the emergency medical services, the medical on-scene commander, in line with the command structure within the police and fire brigade, might support or take over command and control from the ambulance incident officer arriving as the first ambulance personnel on scene. The aim was to shed light on the emergency medical service experiences from real tunnel incidents described by the Oslo medical on-scene commanders. METHODS: Interviews were conducted with six of the seven medical on-scene commander in Oslo, Norway. Data were analysed using a qualitative content analysis. RESULTS: The overall theme was "A need for mutual understanding of a tunnel incident". The medical on-scene commander provided tactical support, using their special knowledge of risk objects and resources in the local area. They established operation plans with other emergency services (the police and fire brigade) in a structured and trustful way, thus creating a fluent and coordinated mission. Also, less time was spent arguing at the incident site. By socialising also outside ordinary working hours, a strong foundation of reliance was built between the different parties. A challenge in recent years has been the increasing ordinary workload, giving less opportunity for training and exchange of experiences between the three emergency services. CONCLUSIONS: The enthusiastic pioneers within the three emergency services have created a sense of familiarity and trust. A specially trained medical on-scene commander at a tunnel incident is regarded to improve the medical management. To improve efficiency, this might be worth studying for other emergency medical services with similar conditions, i.e. tunnels in densely populated areas.


Assuntos
Desastres , Serviços Médicos de Emergência/organização & administração , Incidentes com Feridos em Massa , Trabalho de Resgate/organização & administração , Comunicação , Humanos , Relações Interinstitucionais , Entrevistas como Assunto , Liderança , Masculino , Noruega , Competência Profissional , Gestão da Segurança , Carga de Trabalho
9.
J Nurses Prof Dev ; 35(5): 240-247, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31425311

RESUMO

Graduate nursing education programs' focus on preparation for academia results in many graduate nurses being unprepared to function as nursing professional development (NPD) practitioners in the practice environment. This article describes the development of an innovative collaborative partnership designation program and how a specialty organization, health system, and academia partnered to create an educational program to prepare NPD practitioners. The designation program provides a practical tool for use by NPD departments to advocate for the NPD specialty.


Assuntos
Currículo , Relações Interinstitucionais , Profissionais de Enfermagem/educação , Especialidades de Enfermagem , Desenvolvimento de Pessoal , Educação de Pós-Graduação em Enfermagem , Humanos
10.
Med Ref Serv Q ; 38(3): 211-217, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31379289

RESUMO

This case study describes how librarians at Rudolph Matas Library of the Health Sciences at Tulane University have partnered and worked with several departments that fall under the Vice President of Research. Examples include detailed literature searches, cooperative purchasing, and clinical trial registration. Some upcoming activities and opportunities for collaboration will also be discussed. Finally, the authors will share some valuable lessons learned through the process of collaboration with the research infrastructure of the university.


Assuntos
Pesquisa Biomédica/organização & administração , Comportamento Cooperativo , Relações Interinstitucionais , Bibliotecas Médicas/organização & administração , Serviços de Biblioteca/organização & administração , Humanos , Nova Orleans , Estudos de Casos Organizacionais , Universidades
12.
J Nurs Adm ; 49(7-8): 377-383, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31335520

RESUMO

A practice-focused academic-practice partnership merging the strengths and resources of 2 faith-based community organizations built evidence-based practice, nursing research, and innovative nursing programs. The unique partnership emphasizing quality care and patient outcomes resulted in hospital-acquired infection reduction, interventional research reducing readmissions, clinical redesign, increased percentage of bachelor's degree-prepared nurses, and dissemination through publication and presentation. Key elements to partnership success were shared mission and vision, program oversight, strong contract, and annual plans with specific measurable outcomes.


Assuntos
Comportamento Cooperativo , Prática Clínica Baseada em Evidências/métodos , Hospitais , Relações Interinstitucionais , Escolas de Enfermagem/organização & administração , Humanos , Modelos Organizacionais
13.
Am Surg ; 85(6): 595-600, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31267899

RESUMO

Interhospital transfer of emergency general surgery (EGS) patients is a common occurrence. Modern individual hospital practices for interhospital transfers have unknown variability. A retrospective review of the Maryland Health Services Cost Review Commission database was undertaken from 2013 to 2015. EGS encounters were divided into three groups: encounters not transferred, encounters transferred from a hospital, and encounters transferred to a hospital. In total, 380,405 EGS encounters were identified, including 12,153 (3.2%) encounters transferred to a hospital, 10,163 (2.7%) encounters transferred from a hospital, and 358,089 (94.1%) encounters not transferred. For individual hospitals, percentage of encounters transferred to a hospital ranged from 0 to 30.05 per cent, encounters transferred from a hospital from 0.02 to 14.62 per cent, and encounters not transferred from 69.25 to 99.95 per cent of total encounters at individual hospitals. Percentage of encounters transferred from individual hospitals was inversely correlated with annual EGS hospital volume (P < 0.001, r = -0.59), whereas percentage of encounters transferred to individual hospitals was directly correlated with annual EGS hospital volume (P < 0.001, r = 0.51). Individual hospital practices for interhospital transfer of EGS patients have substantial variability. This is the first study to describe individual hospital interhospital transfer practices for EGS.


Assuntos
Tratamento de Emergência/métodos , Cirurgia Geral/organização & administração , Transferência de Pacientes/organização & administração , Qualidade da Assistência à Saúde , Estudos de Coortes , Bases de Dados Factuais , Emergências , Feminino , Hospitais com Alto Volume de Atendimentos , Humanos , Relações Interinstitucionais , Tempo de Internação , Masculino , Maryland , Estudos Retrospectivos , Contrato de Transferência de Pacientes
14.
J Health Organ Manag ; 33(4): 511-528, 2019 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-31282814

RESUMO

PURPOSE: Multisector health care alliances (alliances) are increasingly viewed as playing an important role in improving the health and health care of local populations, in part by disseminating innovative practices, yet alliances face a number of challenges to disseminating these practices beyond a limited set of initial participants. The purpose of this paper is to examine how alliances attempt to disseminate innovative practices and the facilitating and inhibiting factors that alliances confront when trying to do so. DESIGN/METHODOLOGY/APPROACH: The authors adopted multiple holistic case study design of eight alliances with a maximum variation case selection strategy to reflect a range of structural and geographic characteristics. Semi-structured interviews with staff, leaders and board members were used. FINDINGS: The findings show that dissemination is a multidirectional process that is closely if not inextricably intertwined with capacity- and context-related factors (of the alliance, partnering organizations and target organizations). Thus, standardized approaches to dissemination are likely the exception and not the rule, and highlight the value of existing frameworks as a starting point for conceptualizing the important aspects of dissemination, but they are incomplete in their description of the "on-the-ground" dissemination processes that occur in the context of collaborative organizational forms such as alliances. ORIGINALITY/VALUE: Despite a rapidly expanding evidence base to guide clinical and managerial decision making, this knowledge often fails to make its way into routine practice. Consequently, the search for effective strategies to reduce this gap has accelerated in the past decade. This study sheds light on those strategies and the challenges to implementing them.


Assuntos
Difusão de Inovações , Inovação Organizacional , Melhoria de Qualidade/organização & administração , Assistência à Saúde/organização & administração , Humanos , Relações Interinstitucionais , Entrevistas como Assunto , Estudos de Casos Organizacionais
15.
East Mediterr Health J ; 25(4): 269-281, 2019 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-31210348

RESUMO

Background: Due to the importance of managing communicable diseases in disaster situations, the Centre for Communicable Diseases Management (CCDM) within the Iranian Ministry of Health and Medical Education has taken measures to improve routine communicable diseases management systems in normal and emergency situations. Aims: This study aimed to explore the improvement measures since 2005. Methods: A qualitative document analysis method was used to analyse all documents related to communicable diseases management from March 2003 to the end of 2014 in the CCDM and on official websites of related organizations. Results: Seventy-two documents addressing communicable diseases management in disasters were included in the final analysis. The findings were summarized in 4 phases of the disaster management cycle corresponding to 5 core and support functions of the surveillance system. Conclusions: The findings highlighted improvements in communicable diseases management in disasters, including interorganizational collaboration, information flow and use of new technologies such as web-based or mobile phone-based systems.


Assuntos
Controle de Doenças Transmissíveis/organização & administração , Planejamento em Desastres/organização & administração , Desastres , Comunicação , Comportamento Cooperativo , Guias como Assunto , Humanos , Capacitação em Serviço/organização & administração , Relações Interinstitucionais , Irã (Geográfico) , Políticas
19.
Gan To Kagaku Ryoho ; 46(4): 626-629, 2019 Apr.
Artigo em Japonês | MEDLINE | ID: mdl-31164497

RESUMO

In Japan, "Designated Core Hospitals for Cancer Genomic Medicine" as leading hospitals on cancer genomic medicine and "Cooperative Hospitals for Cancer Genomic Medicine" which conduct cancer genomic medicine in each region are working together to promote cancer genomic medicine. Eleven institutions as the former and 135 institutions as the latter are currently designated. It is essential to hold a molecular tumor board, which is called "Expert Panel" in Japan, to provide cancer genomic medicine for patients. In the Expert Panel, the results of tumor sequencing are interpreted with clinical information, then recommended treatment and genetic information to be provided are determined. Holding Expert Panels is a duty of Designated Core Hospitals for Cancer Genomic Medicine and Cooperative Hospitals need to participate in it. In order to facilitate the Expert Panel, it is effective to share patient's information using well-managed Web system. Besides that, there are many tasks to be addressed by cooperation of Designated Core Hospitals and Cooperative Hospitals such as registration of patient's information in the Center for Cancer genomics and Advanced Therapeutics(C-CAT), correspondence to increasing genomic testing and nurturing specialized human resources involved in cancer genomic medicine. Interinstitutional collaboration should be more encouraged to propagate cancer genomic medicine.


Assuntos
Genômica , Relações Interinstitucionais , Neoplasias , Hospitais , Humanos , Japão
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