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3.
J Nurses Prof Dev ; 37(3): E5-E9, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33961369

RESUMO

The nursing professional development practitioner's call to action at a large, acute care academic facility during the novel coronavirus pandemic required adaptability and resiliency. When rapid, unprecedented challenges altered nursing professional development workflow, a department of 16 practitioners split into three teams. The teams achieved goals by meeting the demand for education and training of frontline staff during the surge in novel coronavirus patients.


Assuntos
COVID-19/enfermagem , Profissionais de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/educação , COVID-19/epidemiologia , Hospitais de Ensino , Humanos , Relações Interprofissionais , New Jersey/epidemiologia , Pesquisa em Avaliação de Enfermagem
4.
Nurse Educ Pract ; 53: 103075, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33991967

RESUMO

Children with chronic illnesses have improved physiological and psychosocial outcomes when they are able to identify and converse with others who experience the same challenges. Support groups are one way to enhance this interaction. To facilitate this process, student nurses worked with an interprofessional healthcare team, thalassemia patients, and their families to determine their support needs. The purpose of this article is to describe the innovative development and outcomes of the Thalassemia Patient Support Project, a community engagement partnership. This partnership provided a unique educational clinical experience for nursing students where they had an opportunity to help develop a support group and a pediatric to adult transitional care program. The outcomes could be used as a guide for community nursing education, in US and international settings.


Assuntos
Educação em Enfermagem , Estudantes de Enfermagem , Talassemia , Adulto , Criança , Relações Comunidade-Instituição , Humanos , Relações Interprofissionais , Equipe de Assistência ao Paciente
5.
Nurse Educ Pract ; 53: 103073, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33991968

RESUMO

To bridge the gap between university and the clinical environment, the university where this study was conducted incorporated interprofessional simulation sessions into the curricula for pre-registration nursing and occupational therapy students. The purpose of the study was to evaluate the effectiveness of simulation training to support the development of students' interprofessional communication and teamwork skills. Study participants were first-year students. A mixed methods study design was used that included: (1) a cross-sectional survey, (using the Interprofessional Education Collaborative Competency Self-Assessment tool), before and after the simulation session; and (2) two focus groups with students and one with academic staff. A total of 91 students and 5 staff participated. All students increased their self-perceived skills in interprofessional interactions. Two major themes were identified: 'Communication and Teamwork', with four sub-themes, (1) 'Significance of Communication in teamwork'; (2) 'Learning about, from and with each other'; (3) 'Professional role identification and collaborative practice'; and (4) 'Clinical leadership facilitated collaboration' and 'Lessons learnt from the simulation session', with three subthemes: (1) 'enhanced preparation for clinical placement'; (2) 'the experience of interacting with a simulated patient'; and (3) 'holistic patient care'. The results from the study demonstrated that interprofessional simulation sessions are an effective approach to introducing and developing collaborative clinical practice.


Assuntos
Terapia Ocupacional , Treinamento por Simulação , Estudantes de Enfermagem , Atitude do Pessoal de Saúde , Comunicação , Comportamento Cooperativo , Estudos Transversais , Humanos , Relações Interprofissionais , Equipe de Assistência ao Paciente , Estudantes
6.
7.
BMC Med Educ ; 21(1): 285, 2021 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-34006277

RESUMO

BACKGROUND: During the Covid-19 pandemic medical students were offered paid roles as medical student healthcare assistants. Anecdotal reports suggested that students found this experience rich for learning. Previous studies have explored alternative models of student service, however this defined medical student support role is novel. METHODS: Individual semi-structured interviews were recorded with 20 medical students at a UK medical school exploring their experiences of placement learning and experiences of working as healthcare assistants. Responses were analysed qualitatively using a framework approach. The framework was developed into a model describing key findings and their relationships. RESULTS: Interviews yielded data that broadly covered aspects of (1) Medical students' experiences of clinical placement learning (2) Medical students' experiences of working as medical student healthcare assistants (3) Learning resulting from working as a healthcare assistant (4) Hierarchies and professional barriers in the clinical environment (5) Influences on professional identity. Participants described barriers and facilitators of clinical learning and how assuming a healthcare assistant role impacted on learning and socialisation within the multidisciplinary team. Students became increasingly socialised within the healthcare team, contributing directly to patient care; the resulting social capital opened new opportunities for learning, team working and enhanced students' interprofessional identity. Students described the impact of these experiences on their aspirations for their future practice. CONCLUSIONS: Changes to work patterns in healthcare and delivery models of medical education have eroded opportunities for students to contribute to healthcare delivery and be embedded within a team. This is impacting negatively on student learning and socialisation and we suggest that medical curricula have much to learn from nursing and allied health professional training. Longitudinal embedment with a multidisciplinary team, where students have a defined role and work directly with patients may not only add value to clinical service, but also overcome current barriers to effective placement learning and interprofessional identity formation for medical students.


Assuntos
COVID-19 , Educação Médica , Estudantes de Medicina , Estudantes de Enfermagem , Humanos , Relações Interprofissionais , Pandemias , SARS-CoV-2
9.
Nurse Educ Pract ; 53: 103023, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33894489

RESUMO

Interprofessional education can promote healthcare professionals' competence to work in interprofessional collaboration, which is essential for the quality and safety of care. An interprofessional approach is particularly important in complex, chronic diseases like diabetes. This qualitative study evaluated changes in medical and nursing students' perceptions of interprofessional collaboration, induced by a novel interprofessional education course on diabetes care with practical elements. Data from focus-group interviews of 30 students before and after the course were analyzed by using inductive and deductive content analysis. The students' perceptions were illustrated as Elements of Collaborative Care (e.g. Quality of professional care relationship) and Elements of Interprofessional Collaboration (e.g. Importance of communication and Valuation of collaboration). The post-course interviews added one subcategory (Need of resources) to the pre-course perceptions, and there was improvement in ten areas of self-perceived competence in performing or understanding interprofessional collaboration on diabetes care. The course improved the students' self-perceived competence and confidence in interprofessional collaboration on the care of patients with diabetes, and their understanding of interprofessional collaboration changed towards a more patient-centred and holistic perspective. The findings support further implementation of IPE with practical elements in future health professionals' education.


Assuntos
Diabetes Mellitus , Estudantes de Enfermagem , Atitude do Pessoal de Saúde , Comportamento Cooperativo , Diabetes Mellitus/terapia , Humanos , Relações Interprofissionais , Percepção
10.
Nurse Educ Pract ; 52: 102994, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33799095

RESUMO

The purpose of this study was to investigate how postgraduate neonatal nursing students transfer learning from in-situ resuscitation simulation with interprofessional teams to clinical practice. It is essential that healthcare professionals involved in stabilization and resuscitation of newborns master technical (e.g.bag-mask ventilation) and non-technical skills (e.g. teamwork and communication). Simulation plays an important role in education as it allows healthcare professionals safe practicing of skills and teamwork under direct supervision. Debriefing is a central component. Eighteen postgraduate neonatal nursing students participated in in-situ simulation with interprofessional team. Subsequently, five students were interviewed individually. A qualitative content analysis was performed. Three descriptive categories were identified, representing the manifest content:'Non-technical skills','Task management in an acute situation', and 'Learning through reflection'. The interviewees highlighted a deeper understanding of the collaboration and mutual dependency in the team after in-situ simulation. One latent content was identified: "Trust and competence in a relational collaboration". It is challenging to choose the best suited learning activities for learning different subject matters, like skills and competencies needed in clinical neonatal resuscitation.Despite this being a small study, the findings can be transferred to similar educational contexts.


Assuntos
Enfermagem Neonatal , Treinamento por Simulação , Estudantes de Enfermagem , Humanos , Recém-Nascido , Relações Interprofissionais , Equipe de Assistência ao Paciente , Ressuscitação , Transferência de Experiência
11.
J Nurs Adm ; 51(5): 271-278, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-33882555

RESUMO

OBJECTIVE: The aim of this study was to measure structural empowerment (SE) and capture short-term changes in perception for senior nurse leaders before and after a formal development experience. BACKGROUND: The body of literature related to SE in senior nurse leaders is limited. Applying the SE concept to senior levels of nursing leadership provides a vehicle to impact nurse leader retention and ultimately the organization beyond singular units. METHODS: The Advanced Leadership Program (ALP) was designed in collaboration with the American Nurses Association to support personal and professional development for senior nurse leaders. The sample included 28 participants from the United States and the United Kingdom over a 6-month period. RESULTS: The effect of the intervention was seen in the postintervention survey rating SE higher in 5 of 7 domains as compared with the preintervention survey, reduction in overall turnover, and improvements in patient experience scores. Additionally, the participants evaluated the program in top categories, and comments were highly positive around peer support, improved working relationships, and expectations. CONCLUSION: The ALP has shown promise in strengthening SE for senior nurse leaders by supporting leadership skill development, follow-up training, and peer network development.


Assuntos
Competência Clínica , Liderança , Enfermeiras Administradoras/organização & administração , Supervisão de Enfermagem/organização & administração , Humanos , Relações Interprofissionais , Papel do Profissional de Enfermagem , Inovação Organizacional , Reino Unido , Estados Unidos
12.
Rev Infirm ; 70(270): 35-36, 2021 Apr.
Artigo em Francês | MEDLINE | ID: mdl-33832728

RESUMO

To be part of a protocol of cooperation between health professionals aims to meet the needs of the population. The interlinking of medical and paramedical skills is based on an approach in which trust and expertise combine to guarantee quality and safety thanks to a defined framework. This cooperation system supports the need for coherent and sometimes innovative collective work. Renovated in 2019, it is now organized around two models of national or local experimental protocols.


Assuntos
Comportamento Cooperativo , Pessoal de Saúde , Relações Interprofissionais , Pessoal de Saúde/psicologia , Humanos
14.
Rev Esp Salud Publica ; 952021 Apr 14.
Artigo em Espanhol | MEDLINE | ID: mdl-33850095

RESUMO

OBJECTIVE: The disease produced by SARS-CoV-2 has led to severe situations and mortality in elderly people. The objective of this study was to describe the collaboration between hospital professionals and nursing homes when applying preventive measures for the transmission of COVID-19 and in the assistance of institutionalized patients. METHODS: A descriptive study was carried out in 4 centers with information collected by researchers in two moments of the COVID-19 pandemic. The information collected was related to the resources and knowledge of infection prevention, details about face-to-face and telematic assistance from the hospital team, as well as material, drugs provided, and clinical results. The variables studied were described by means of percentages, absolute frequencies and ratios; statistical chi-square tests and McNemar'test were used. RESULTS: The study was conducted in 4 centers with a total of 640 residents and an initial occupancy between 62% and 85%. Differences were found regarding the ratio of staff and knowledge of preventive measures of the transmission of SARS-CoV-2 infection, which was improved in the second period of the study. The number of face-to-face visits (from 5 to 22) and telematic visits (between 42 and 109 patients) were different in the 4 nursing homes, as well as the material provided, adapted to the needs of each center. The percentage of infected patients ranged from 6.1% to 90.2%, and the accumulated mortality in the second period ranged from 15.38% to 38.35% of the residents at the beginning of the pandemic. CONCLUSIONS: The collaboration between the professionals of healthcare centers and the hospital, adapted to the needs of each center, has allowed to improve the assistance to the residents and the coordination between the professionals, optimizing the available resources.


Assuntos
COVID-19/terapia , Instituição de Longa Permanência para Idosos/organização & administração , Hospitais Universitários/organização & administração , Controle de Infecções/métodos , Relações Interprofissionais , Colaboração Intersetorial , Casas de Saúde/organização & administração , Idoso , Idoso de 80 Anos ou mais , COVID-19/diagnóstico , COVID-19/mortalidade , COVID-19/transmissão , Competência Clínica , Feminino , Humanos , Controle de Infecções/organização & administração , Assistência de Longa Duração , Masculino , Espanha/epidemiologia
15.
Soc Sci Med ; 277: 113904, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33839468

RESUMO

Interprofessional collaboration is increasingly encouraged and studied. However, there remains a need to broaden the understanding of professionals' contributions through their day-to-day interactions to minimize the impact of professional boundaries that evoke gaps in patient care. Drawing upon narrative theory emphasizing therapeutic emplotment, this ethnographic study explores how professionals contribute to interprofessional collaboration through social interactions during teamwork. Data collection was undertaken in a biopsychosocial pain rehabilitation ward in a hospital in Norway in 2016, and included participant observation of the ward-based work of two teams, and interviews with professionals from six professions (12) and patients (7). Formal and informal interprofessional interactions and patient encounters were observed. The study found that through interactions, the professionals' shared their understandings across all professions about the successfulness of their own work and of what outsider professionals were doing incorrectly when addressing patients from a biomedical approach. Imbued in these interactions were the pieces of an implicit shared clinical plot for their patients' journeys through rehabilitation and life afterwards. We argue that creating the shared clinical plot enhances conciliation across professions and interpersonal motivation to carry out the work. A struggle between perspectives in interprofessional collaboration should not be prematurely interpreted as an obstruction to collaboration, since the struggle can imbue essential narrative work. This extends the theoretical study of therapeutic emplotment as a central motivational process in interprofessional collaboration in teams.


Assuntos
Antropologia Cultural , Equipe de Assistência ao Paciente , Comportamento Cooperativo , Humanos , Relações Interprofissionais , Modelos Teóricos , Noruega , Dor
17.
Artigo em Inglês | MEDLINE | ID: mdl-33918010

RESUMO

Communication breakdowns contribute to medication incidents involving older people across transitions of care. The purpose of this paper is to examine how interprofessional and intraprofessional communication occurs in managing older patients' medications across transitions of care in acute and geriatric rehabilitation settings. An ethnographic design was used with semi-structured interviews, observations and focus groups undertaken in an acute tertiary referral hospital and a geriatric rehabilitation facility. Communication to manage medications was influenced by the clinical context comprising the transferring setting (preparing for transfer), receiving setting (setting after transfer) and 'real-time' (simultaneous communication). Three themes reflected these clinical contexts: dissemination of medication information, safe continuation of medications and barriers to collaborative communication. In transferring settings, nurses and pharmacists anticipated communication breakdowns and initiated additional communication activities to ensure safe information transfer. In receiving settings, all health professionals contributed to facilitating safe continuation of medications. Although health professionals of different disciplines sometimes communicated with each other, communication mostly occurred between health professionals of the same discipline. Lack of communication with pharmacists occurred despite all health professionals acknowledging their important role. Greater levels of proactive preparation by health professionals prior to transfers would reduce opportunities for errors relating to continuation of medications.


Assuntos
Comunicação , Relações Interprofissionais , Idoso , Pessoal de Saúde , Humanos , Farmacêuticos , Pesquisa Qualitativa
19.
Artigo em Inglês | MEDLINE | ID: mdl-33809540

RESUMO

One of the key challenges with implementing and sustaining interprofessional education initiatives is the lack of governance structures and processes to guide them. This case study presents a process evaluation of an intersectoral advisory group that facilitated a novel interprofessional clinical education model in rural health settings in the state of Queensland, Australia. The group consisted of health and academic partners to guide the implementation and promote sustainability of this new model. The advisory group process was evaluated mid-way and at conclusion of the group functions, using focus group discussions. The focus group audio recordings were transcribed verbatim and subjected to inductive content analysis. Categories were developed for reporting. Three broad categories were identified: Characteristics of the group, functions of the group and multifaceted communication within the group and between sectors. By identifying and mapping the processes used by a strategic, high-level intersectoral advisory group consisting of members from the health and academic fields, key recommendations have been formulated to guide similar work in the future.


Assuntos
Relações Interprofissionais , Serviços de Saúde Rural , Austrália , Humanos , Educação Interprofissional , Queensland
20.
Am J Nurs ; 121(5): 38-45, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-33872262

RESUMO

ABSTRACT: Care for the Caregiver is a peer-to-peer program that provides support and guidance to clinicians who have experienced an unexpected and emotionally distressing event. Its development was preceded by communication and resolution programs that were endorsed by the Joint Commission in 2001, subsequently introduced at several U.S. medical centers, and in 2009 were incorporated within demonstration projects funded by the Agency for Healthcare Research and Quality. In August 2014, the authors introduced the Care for the Caregiver program across the MedStar Health System, which includes seven hospitals in Maryland and three in the District of Columbia. Here, they describe how the program was initially conceived and structured-and how it evolved in response to the current pandemic.


Assuntos
Fardo do Cuidador/prevenção & controle , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Grupos de Autoajuda/organização & administração , Apoio Social , Adaptação Psicológica , COVID-19 , Cuidadores , Cuidados Críticos/psicologia , District of Columbia , Humanos , Relações Interprofissionais , Maryland
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