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1.
Clin Nurse Spec ; 34(5): 217-221, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32796382

RESUMO

BACKGROUND: Consistent implementation of evidence-based practice (EBP) leads to high-quality care, improved patient outcomes, and reduced costs. Increased job satisfaction, decreased turnover, and increased autonomy are reported when nurses use evidence for practice decisions. It is essential that clinical nurse specialists have strong EBP skills and enculturate these skills into bedside staff. PROJECT DESIGN AND IMPLEMENTATION: Interactive 90-minute workshops were developed to review the steps of EBP. The participants were nurses at the bedside and were encouraged to cultivate a spirit of inquiry. OUTCOME EVALUATION: Twenty-three workshops were held with 349 participants. Pre and post surveys were used to assess changes in knowledge and self-perceived confidence. A moderate to large effect size was noted in all areas measured. The largest change in knowledge was in correct identification of use of Boolean operators, which showed a 71% improvement. Overall mean knowledge improved by 29%, which was statistically significant (P < .0001). IMPLICATIONS FOR PRACTICE: Clinical nurse specialists can enact culture change by understanding the needs of their stakeholders and applying concepts to find creative ways to bring change to staff. This workshop successfully taught EBP concepts and implemented culture change in a way that was low cost and easy to replicate.


Assuntos
Competência Clínica , Prática Clínica Baseada em Evidências/educação , Enfermeiras Clínicas/educação , Educação , Prática Clínica Baseada em Evidências/organização & administração , Humanos , Relações Interprofissionais , Enfermeiras Clínicas/psicologia , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem
2.
Malawi Med J ; 32(1): 13-18, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32733654

RESUMO

Background: This paper reports on part of a larger study, the aim of which was to develop an intervention to collaboratively develop innovative strategies to promote effective collaborative practices among midwives and medical professionals working in intrapartum care unit. Collaborative practice is a critical marker for success in improving quality of maternity care. To date, there has been limited exploration of collaborative practices between midwives and medical professionals working in intrapartum care from the African perspective. Aim: This paper reports findings of the discovery phase of appreciative inquiry (AI) set out to understand the perspectives of midwives and medical professionals on collaborative practices at Queen Elizabeth Central Hospital labour and delivery ward in Malawi. Methods: The study used an exploratory qualitative approach framed in an Appreciative Inquiry theoretical perspective. Appreciative Inquiry consists of four phases :(discovery, dream, design and destiny).The discovery phase consisted of 16 in-depth interviews and 2 focus group discussions among purposively selected midwives (4 nurse midwives, 2 midwifery unit matrons) and medical professionals (2 obstetricians, 4 registrars, 2 intern doctors, 2 clinical officers) working in the labour ward. All interviews and discussions were audiotaped and transcribed verbatim. Data were analysed using thematic analysis. Results: Five dominant themes emerged: collaborative breakdown, benefits of collaboration, the importance of positive and respectful attitude, barriers to effective collaborative practices and strategies to improve collaborative practice. Conclusion/Recommendations: Aligning the perspectives of the members of the two disciplines is significant to effective implementation of collaborative intrapartum care. Participants demonstrated that there is increased parallel working of midwives and doctors at QECH. This is not professionally healthy. Therefore, putting together the viewpoints of the professions to create a mutually agreeable professional framework of collaborative intrapartum practice is significant. Additionally, there is an obvious need to address the professional concerns of both disciplines.


Assuntos
Comportamento Cooperativo , Relações Interprofissionais , Serviços de Saúde Materna/organização & administração , Tocologia , Enfermeiras Obstétricas/psicologia , Médicos/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Hospitais Universitários , Humanos , Entrevistas como Assunto , Trabalho de Parto , Malaui , Unidade Hospitalar de Ginecologia e Obstetrícia , Gravidez , Pesquisa Qualitativa
5.
Nurs Educ Perspect ; 41(5): 294-296, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32833394

RESUMO

TeamSTEPPS is a curriculum designed to improve team communication to reduce medical errors and improve patient safety. This exploratory study used a questionnaire to explore differences in attitudes of 130 nursing and respiratory therapy students using a TeamSTEPPS-based interprofessional education seminar and simulation. Results support that students' attitudes regarding the principles Team Structure, Leadership, Situation Monitoring, Mutual Support, and Communication improved from Time 1 (preseminar) to Time 2 (postseminar; p < .05). This improvement was sustained at Time 3 (postsimulation) in all principles except for Mutual Support. Participation in a TeamSTEPPS seminar and simulation can influence attitudes among health care professional students.


Assuntos
Currículo , Educação em Enfermagem/organização & administração , Relações Interprofissionais , Treinamento por Simulação/organização & administração , Estudantes de Enfermagem/psicologia , Atitude do Pessoal de Saúde , Comunicação , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Equipe de Assistência ao Paciente , Terapia Respiratória/educação , Estudantes de Ciências da Saúde/psicologia
8.
Nursing ; 50(8): 57-60, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32701893

RESUMO

The term horizontal violence (HV) is synonymous with nurse-to-peer incivility or bullying. This article examines why HV continues to plague the nursing profession and discusses tools and strategies for eliminating this toxic behavior from the workplace.


Assuntos
Bullying/prevenção & controle , Incivilidade/prevenção & controle , Relações Interprofissionais , Enfermeiras e Enfermeiros/psicologia , Grupo Associado , Violência no Trabalho/prevenção & controle , Humanos
9.
Am J Pharm Educ ; 84(6): ajpe8158, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32665729

RESUMO

The novel coronavirus identified in 2019 (COVID-19) pandemic has impacted pharmacy graduate and postgraduate education. This crisis has resulted in a cosmic shift in the administration of these programs to ensure core values are sustained. Adjustments may be needed at a minimum to ensure that postgraduate trainees complete program requirements while maintaining safety. Moving forward, additional issues may arise that will need to be addressed such as admissions and program onboarding, acclimating students to new training environments, and managing inadequate resources for distance education, distance practice, and remote versus in-person research opportunities.


Assuntos
Infecções por Coronavirus/epidemiologia , Educação de Pós-Graduação/organização & administração , Educação em Farmácia/organização & administração , Pneumonia Viral/epidemiologia , Betacoronavirus , Educação a Distância , Educação de Pós-Graduação/normas , Educação em Farmácia/normas , Humanos , Relações Interprofissionais , Pandemias , Equipe de Assistência ao Paciente/organização & administração , Residências em Farmácia/organização & administração , Pesquisa/organização & administração , Critérios de Admissão Escolar , Ensino/organização & administração , Telemedicina/organização & administração
10.
N C Med J ; 81(4): 249-253, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32641460

RESUMO

As the population ages, the number of people living with serious illness is increasing and the demand for quality, timely, person-centered palliative care is growing. We need specialized, trained health professionals working in collaborative teams to answer this call. It is upon health care leaders and policymakers to jointly design, build, and sustain a workforce to ensure all North Carolinians have access to care during a serious illness or end of life.


Assuntos
Relações Interprofissionais , Cuidados Paliativos/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Cuidadores , Estado Terminal , Humanos , North Carolina
14.
J Investig Med ; 68(6): 1128-1134, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32641352

RESUMO

Mentorship is a critical component of career development, particularly in academic medicine. Peer mentorship, which does not adhere to traditional hierarchies, is perhaps more accessible for underrepresented groups, including women and minorities. In this article, we review various models of peer mentorship, highlighting their respective advantages and disadvantages. Structured peer mentorship groups exist in different settings, such as those created under the auspices of formal career development programs, part of training grant programs, or through professional societies. Social media has further enabled the establishment of informal peer mentorship through participatory online groups, blogs, and forums that provide platforms for peer-to-peer advice and support. Such groups can evolve rapidly to address changing conditions, as demonstrated by physician listserv and Facebook groups related to the COVID-19 pandemic. Peer mentorship can also be found among colleagues brought together through a common location, interest, or goal, and typically these relationships are informal and fluid. Finally, we highlight here our experience with intentional formation of a small peer mentoring group that provides structure and a safe space for professional and social-emotional growth and support. In order to maximize impact and functionality, this model of peer mentorship requires commitment among peers and a more formalized process than many other peer mentoring models, accounting for group dynamics and the unique needs of members. When done successfully, the depth of these mentoring relationships can produce myriad benefits for individuals with careers in academic medicine including, but not limited to, those from underrepresented backgrounds.


Assuntos
Capacitação em Serviço , Relações Interprofissionais , Tutoria , Mentores , Escolha da Profissão , Infecções por Coronavirus , Feminino , Humanos , Masculino , Grupos Minoritários , Exposição Ocupacional , Pandemias , Grupo Associado , Médicos , Médicas , Pneumonia Viral , Mídias Sociais , Apoio Social , Sociedades Médicas , Estados Unidos , Universidades
16.
Int Braz J Urol ; 46(suppl.1): 170-180, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32649082

RESUMO

PURPOSE: to provide an update on the management of a Urology Department during the COVID-19 outbreak, suggesting strategies to optimize assistance to the patients, to implement telemedicine and triage protocols, to define pathways for hospital access, to reduce risk of contagious inside the hospital and to determine the role of residents during the pandemic. MATERIALS AND METHODS: In May the 6th 2020 we performed a review of the literature through online search engines (PubMed, Web of Science and Science Direct). We looked at recommendations provided by the EAU and ERUS regarding the management of urological patients during the COVID-19 pandemic. The main aspects of interest were: the definition of deferrable and non-deferrable procedures, Personal Protective Equipment (PPE) and hospital protocols for health care providers, triage, hospitalization and surgery, post-operative care training and residents' activity. A narrative summary of guidelines and current literature for each point of interest was performed. CONCLUSION: In the actual Covid-19 scenario, while the number of positive patients globally keep on rising, it is fundamental to embrace a new way to deliver healthcare and to overcome challenges of physical distancing and self-isolation. The use of appropriate PPE, definite pathways to access the hospital, the implementation of telemedicine protocols can represent effective strategies to carry on delivering healthcare.


Assuntos
Infecções por Coronavirus , Pandemias , Equipamento de Proteção Individual , Pneumonia Viral , Guias de Prática Clínica como Assunto , Urologia/organização & administração , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Relações Interprofissionais , Pneumonia Viral/epidemiologia , Telemedicina
17.
Artigo em Inglês | MEDLINE | ID: mdl-32602672

RESUMO

This study aimed to evaluate perceptions of safety and preparedness among health workers caring for coronavirus disease 2019 (COVID-19) patients before and after a multi-professional simulation-based course in Pakistan. Health workers' perceptions of preparedness, safety, and their willingness to care for COVID-19 patients were measured before and after they attended a simulation-based training course to prepare them to care for COVID-19 patients at Combined Military Hospital Landi Kotal Cantt, from March 1 to April 30, 2020. The participants' perceived level of safety and preparedness to care for COVID-19 patients before the simulation-based course was low, but increased after completing it (P<0.05). They felt confident and were significantly more willing to care for patients with COVID-19 or other infections requiring strict isolation. Simulation-based training is an effective tool to improve perceptions of risk and readiness to deal with COVID-19 among medical and non-medical health workers in Pakistan.


Assuntos
Infecções por Coronavirus/terapia , Relações Interprofissionais , Recursos Humanos em Hospital/educação , Recursos Humanos em Hospital/psicologia , Pneumonia Viral/terapia , Treinamento por Simulação/métodos , Adulto , Infecções por Coronavirus/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Paquistão/epidemiologia , Pandemias , Recursos Humanos em Hospital/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Avaliação de Programas e Projetos de Saúde , Segurança , Autoeficácia , Adulto Jovem
18.
J Am Dent Assoc ; 151(8): 637-638, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32718493
19.
J Korean Med Sci ; 35(22): e211, 2020 Jun 08.
Artigo em Inglês | MEDLINE | ID: covidwho-574623

RESUMO

As of April 18, 2020, there have been a total of 10,653 confirmed cases and 232 deaths due to coronavirus disease 2019 (COVID-19) in Korea. The pathogen spread quickly, and the outbreak caused nationwide anxiety and shock. This study presented the anecdotal records that provided a detailed process of the multidisciplinary teamwork in mental health during the COVID-19 outbreak in the country. Psychosocial support is no less important than infection control during an epidemic, and collaboration and networking are at the core of disaster management. Thus, a multidisciplinary team of mental health professionals was immediately established and has collaborated effectively with its internal and external stakeholders for psychosocial support during the COVID-19 outbreak.


Assuntos
Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Sistemas de Apoio Psicossocial , Betacoronavirus , Pessoal de Saúde , Humanos , Relações Interprofissionais , Saúde Mental , Pandemias , República da Coreia
20.
J Korean Med Sci ; 35(22): e211, 2020 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-32508070

RESUMO

As of April 18, 2020, there have been a total of 10,653 confirmed cases and 232 deaths due to coronavirus disease 2019 (COVID-19) in Korea. The pathogen spread quickly, and the outbreak caused nationwide anxiety and shock. This study presented the anecdotal records that provided a detailed process of the multidisciplinary teamwork in mental health during the COVID-19 outbreak in the country. Psychosocial support is no less important than infection control during an epidemic, and collaboration and networking are at the core of disaster management. Thus, a multidisciplinary team of mental health professionals was immediately established and has collaborated effectively with its internal and external stakeholders for psychosocial support during the COVID-19 outbreak.


Assuntos
Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Sistemas de Apoio Psicossocial , Betacoronavirus , Pessoal de Saúde , Humanos , Relações Interprofissionais , Saúde Mental , Pandemias , República da Coreia
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