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Journal of Interprofessional Care

Gerda Reitsma, Belinda Scrooby, Tinda Rabie, Michelle Viljoen, Karlien Smit, Antoinette Du Preez, Ronel Pretorius, Abie Van Oort, Mariëtte Swanepoel, Adéle Naudé, Robin Dolman
The need for interprofessional education (IPE) in health science disciplines is a current global trend. However, despite international support and demand, IPE is still new to many health professions curricula in South Africa. Furthermore, while ample existing academic literature addresses commonly encountered barriers to IPE, there is still a need to investigate the dynamics and challenges associated with the process of implementing IPE at universities. IPE is not yet part of the formal curriculum at a faculty of health sciences at a South African Higher Education Institute, so a pilot project was conducted to investigate the experiences of an IPE process by students from different health professions toward informing the planning and implementation of IPE in the formal curriculum...
February 19, 2019: Journal of Interprofessional Care
Brenda Flood, Clare Hocking, Liz Smythe, Marion Jones
Interprofessional practice is recognized as essential to providing patient-centered, collaborative and high quality care, contributing to optimal health outcomes. Understandings of how best to cultivate practitioners able to 'be' and 'become' interprofessional remain problematic. To advance that understanding, this hermeneutic phenomenological study addressed the question: 'What are health professionals' experiences of working with people from other disciplines?' In-depth, semi structured interviews with 12 health professionals from nursing, occupational therapy, physiotherapy, speech and language therapy, medicine, social work, and midwifery were undertaken using a conversation style...
February 18, 2019: Journal of Interprofessional Care
Magdalena Cerbin-Koczorowska, Lucja Zielinska-Tomczak, Magdalena Waszyk-Nowaczyk, Michal Michalak, Agnieszka Skowron
Pharmaceutical care was legally introduced as an interprofessional service in Poland in 2009. However, a collaboration between physicians and pharmacists remains incidental. Proper education at the undergraduate level is necessary to shape the attitudes of students toward establishing interprofessional relations. The aim of the study was to assess the perception of physician-pharmacist collaboration among final-year medical and pharmacy students through questionnaires with both closed-ended and open-ended questions...
February 11, 2019: Journal of Interprofessional Care
Brian Sick, David M Radosevich, Amy L Pittenger, Barbara Brandt
Interprofessional education within clinical teaching sites is a key part of training for pre-professional students. However, the necessary characteristics of these interprofessional clinical teaching sites is unclear. We developed a tool, the Interprofessional Education Site Readiness, or InSITE, tool, for individuals at a site to use as a self-assessment of the site's current readiness for providing interprofessional education. The tool progressed through six stages of development, collecting evidence for validity and reliability, resulting in a final tool with 23 questions distributed across five domains...
February 11, 2019: Journal of Interprofessional Care
Linda Y Kim, Karleen F Giannitrapani, Alexis K Huynh, David A Ganz, Alison B Hamilton, Elizabeth M Yano, Lisa V Rubenstein, Susan E Stockdale
Although numerous scholars have emphasized the need for effective communication between members of interprofessional teams, few studies provide a clear understanding of what constitutes effective team communication in primary care settings, specifically where patient-centered medical home (PCMH) teams have been implemented. This paper describes the elements of effective communication as perceived by members of interprofessional PCMH primary care teams, and identifies elements of effective communication that have persisted over time...
February 6, 2019: Journal of Interprofessional Care
Sarah A Manspeaker, Dorice A Hankemeier
Interprofessional collaborative practice (IPCP) is a recommended area of emphasis within healthcare. Little is known regarding athletic trainers' perceptions of benefits and drawbacks to participation in IPCP. A cross-sectional survey design with open-ended questions was utilised to survey 513 athletic trainers from across the United States. Data were extracted and analysed following a general inductive qualitative approach to determine categories and subcategories. Triangulation occurred via multi-analyst coding and review of findings by an external auditor...
January 28, 2019: Journal of Interprofessional Care
Kimberly D Wynarczuk, Diane E Hadley, Supriya Sen, Joan F Ward, Valerie S Ganetsky, Sanchita Sen
Understanding roles and responsibilities within the interprofessional practice is a key competency of interprofessional education (IPE). Students in health professions programs can have limited understanding and perceptions of health professions, including their own and other professions. The purpose of this study was to understand students' perceptions of the roles and responsibilities of other health-care professionals. Students enrolled in occupational therapy, pharmacy, physical therapy, and physician assistant programs at a university participated in a three-hour IPE workshop...
January 28, 2019: Journal of Interprofessional Care
Michelle Chan, Christina Y Le, Elizabeth Dennett, Terry Defreitas, Jackie L Whittaker
The primary objective of this review was to describe health quality indicator (HQI) outcomes of team-based musculoskeletal (MSK) assessments aimed at directing patient care. Secondary objectives included determining the most commonly assessed HQIs, extent of team collaboration, and the healthcare practitioners that most commonly comprise MSK-assessment teams. This review was registered in the PROSPERO database and conducted according to PRISMA guidelines. Five databases were systematically searched to August 2017...
January 28, 2019: Journal of Interprofessional Care
Evi Matthys, Roy Remmen, Peter Van Bogaert
Single-handed general practices and group practices are the two predominant modes of primary care provision across European countries. In Belgium, single-handed practices have been the main form of primary care provision for years, but recently a trend is emerging towards introducing more group practices where a number of primary care physicians collaborate with other health professionals such as primary care nurses. The aim of this study was to measure the current support in general practices, and to gain insight in the general practitioner attitudes towards being supported by a practice nurse...
January 25, 2019: Journal of Interprofessional Care
Devon A Sherwood, Debra Kramlich, Kira Rodriguez, Clay Graybeal
Substance use is a major public health concern in the United States; only a fraction of people needing treatment for substance use receive care. Screening, Brief Intervention, and Referral to Treatment (SBIRT) training is one strategy to increase the identification and treatment of substance use. Integrated approaches to SBIRT delivery assure that every patient will be screened regardless of when and how they enter the healthcare system. The Collaborative SBIRT Training program at the University of New England includes 10 different health disciplines in its educational model (dental hygiene, dental medicine, nursing, occupation therapy, osteopathic medicine, pharmacy, physician assistants, social work, physical therapy, and health, wellness, and occupational studies)...
January 25, 2019: Journal of Interprofessional Care
Erin Fraher, Barbara Brandt
Traditional workforce planning methodologies and interprofessional education (IPE) approaches will not address the significant challenges facing health care systems seeking to integrate services, eliminate waste and meet rising demand within fixed or shrinking budgets. This article describes how New Zealand's workforce planning approach could be used as a model by other countries to move toward needs-based, interprofessional workforce planning. Such an approach requires a paradigm shift to reframe health workforce planning away from a focus on shortages toward assessing how to more effectively deploy and retrain the existing workforce; away from silo-based workforce projection models toward methodologies that recognize professions' overlapping scopes of practice; and away from a focus on traditional health professions toward including both health and social care workers...
January 23, 2019: Journal of Interprofessional Care
Anne Marie Southcott, Clare Holdsworth, Louise Malcolm, Sanjeevan Muruganandan, Elizabeth Skinner
It has been suggested that interprofessional tracheostomy teams improve safety, enhance outcomes and promote excellence. This study evaluated the effect of a Tracheostomy Review Service (TRS) on patient outcomes and staff attitudes. The TRS reviewed patients with a tracheostomy tube (TT) in situ on our wards. Data was collected via medical record audit. Two years of retrospective data (n = 39) was compared with 12 months of prospective data (n = 28) for: length of cannulation (LOC); length of ward-based cannulation (LOWBC); length of stay (LOS); ICU LOS (ICU-length of stay); the frequency and time to trial one way valve (PMV); and tracheostomy-related adverse events (AE)...
January 23, 2019: Journal of Interprofessional Care
Yu-Che Chang, Lan-Ti Chou, Hui-Ling Lin, Shu-Fen Huang, Mei-Chuan Shih, Mao-Chang Wu, Chiao-Lin Wu, Pin-Tarng Chen, Chung-Hsien Chaou
Intrahospital transport of critically ill patients for diagnostic or therapeutic procedures can be compromised by patient instability, equipment problems or inexperienced teamworking. This quasi-experimental study aimed to assess the effectiveness of an in-situ interprofessional simulation-based training (IIST) model for junior member transport teams. Newly registered postgraduate physicians, nurses and respiratory therapists underwent the IIST. The technical skills (TS) of each participant and non-technical skills (NTS) of each interprofessional team were assessed using well-validated checklists...
January 23, 2019: Journal of Interprofessional Care
Stefanus Snyman, Maryke Geldenhuys
Students often find the primarily theoretical, classroom-based teaching of Public Health early on in undergraduate health professions curricula boring, failing to see its relevance for their future careers. An innovative approach to this challenge, based on social constructivist theory, was introduced at a South African university. First-year students were divided into interprofessional groups to visit an underserved community. In preparation for this experience, groups gathered information on "their" community after attending lectures/workshops...
January 21, 2019: Journal of Interprofessional Care
Marie Dahlen Granrud, Kersti Theander, Agneta Anderzèn-Carlsson, Anne Kjersti Myhrene Steffenak
A growing proportion of adolescents struggle with school life and could benefit from special school programmes. School could be an arena for supporting such adolescents and, to meet these challenges, interprofessional collaboration (IPC) has been recommended for better health. The aim of the present study was to explore the experience of IPC in a special school programme offered to adolescents who struggle with school life - from the perspective of the professionals involved. Focus group interviews were carried out with four groups and fourteen participants, and the focus groups included two to five participants each...
January 17, 2019: Journal of Interprofessional Care
Bi Hui Chew, Charmaine Jinxiu Tang, Wee Shiong Lim, Joyce Kwee Yong Yap, Wentao Zhou, Sok Ying Liaw
Interprofessional bedside rounds by nurses and physicians provide valuable space and time for the discussion of patient care, which is essential for providing quality care. However, nurse-physician collaboration and barriers to attending these rounds are not well-examined. This study aimed to examine the collaboration of nurses and physicians and their perceived barriers to interprofessional bedside rounds. A cross-sectional survey was conducted on 371 medical ward-based nurses and physicians from an acute care tertiary hospital in Singapore, using a 27-item Nurse-Physician Collaboration Scale and a 21-item Perceived Barriers to Interprofessional Bedside Rounds questionnaire...
January 16, 2019: Journal of Interprofessional Care
Timothy C Clapper, Kevin Ching, Joanna G Lee, Elizabeth Mauer, Linda M Gerber, Brittany Sobin, Snezana Nena Osorio, Jennifer I DiPace
Interns and newly assigned nurses are expected to assimilate rapidly and begin functioning as members of interprofessional teams. This mixed-method pilot research assessed the impact of a Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) implementation plan in an urban academic teaching hospital that included a cohort of newly assigned pediatric interns and nurses (N = 23). We collected pre- and post-intervention course knowledge and team performance data from two teams in two separate simulation cases...
January 10, 2019: Journal of Interprofessional Care
Erin Abu-Rish Blakeney, Danielle C Lavallee, Dawon Baik, Susan Pambianco, Kevin D O'Brien, Brenda K Zierler
Effective delivery of healthcare is highly interdependent within and between interprofessional (IP) care teams and the patients they serve. This is particularly true for complex health conditions such as advanced heart failure (AHF). Our Academic Practice Partnership received funding to carry out IP workforce development with inpatient AHF care teams. Our objectives were to (a) identify challenges in team functioning that affected communication and relationships among the AHF care teams, (b) collaboratively identify a focal work process in need of improvement, and (c) test whether facilitated the implementation of team training and work process changes would lead to improvements in team communication, relationships, and process outcomes...
December 30, 2018: Journal of Interprofessional Care
Megan Gleddie, Sarah Stahlke, Pauline Paul
Interprofessional teamwork is touted as essential to positive patient, staff, and organizational outcomes. However, differing understandings of teamwork and divergent professional cultures amongst healthcare providers influence the success of teamwork. In labour and delivery, nurse-physician teamwork is vital to safe, family-centered maternity care. In this focused ethnography, the perceptions of obstetrical nurses were sought to understand nurse-physician teamwork and the features that facilitate or impede it...
December 30, 2018: Journal of Interprofessional Care
Sarah Berger, Benedict Whelan, Cornelia Mahler, Joachim Szecsenyi, Katja Krug
An emerging challenge for educators of the health professions in undergraduate programmes is appropriately and adequately preparing students for the complexity they will encounter in practice. New graduate health professionals report increasing challenges transitioning to practice in contemporary health care environments due to the complexity encountered. Although literature on complexity science in health professional education is growing, research evidence on learning opportunities for students related to complexity remains sparse...
December 25, 2018: Journal of Interprofessional Care
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