Статті в журналах: "Health care teams Attitudes"

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Zucchero, Renée A., Edmond Hooker, and Shelagh Larkin. "An interdisciplinary symposium on dementia care improves student attitudes toward health care teams." International Psychogeriatrics 22, no. 2 (November 30, 2009): 312–20. http://dx.doi.org/10.1017/s1041610209991293.

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ABSTRACTBackground: Interdisciplinary teams are sometimes used in the provision of health care to populations who present with complicated needs, such as older adults experiencing dementia. Moreover, there is an international consensus that health care students should receive training in interdisciplinary care.Methods: 157 health care students from Xavier University's College of Social Sciences, Health, and Education in Cincinnati, U.S.A. participated in a five-hour symposium on an interdisciplinary approach to treating older adults with dementia. The Attitudes Toward Health Care Teams Scale (ATHCTS; Heinemann et al., 1999) was used to assess student attitudes before and after the symposium.Results: A paired-sample t-test was conducted to compare pre and post-test ATHCTS overall and subscale scores. There was a statistically significant increase in the overall pre-post ATHCTS scores and Quality of Care/Process Subscale scores. There was a significant decrease in the Physician Centrality Subscale scores.Conclusions: The findings suggest that, after the symposium, participants reported more positive overall attitudes about health care teams, and about the quality of care provided by such teams and the teamwork to achieve good patient care. Participants also displayed a decrease in their beliefs about how essential physicians are as leaders of health care teams. These results affirm the use of a brief interdisciplinary educational approach in changing student attitudes about the use of health care teams. Students who develop more positive attitudes about working on an interdisciplinary health care team recognize the team's value and therefore may be more receptive to and effective in working as professional team members in the future.

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Heinemann, Gloria D., Madeline H. Schmitt, Michael P. Farrell, and Sara A. Brallier. "Development of an Attitudes toward Health Care Teams Scale." Evaluation & the Health Professions 22, no. 1 (March 1999): 123–42. http://dx.doi.org/10.1177/01632789922034202.

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Hicks, Carolyn, Deborah Hennessy, Jane Cooper, and Frederick Barwell. "Investigating attitudes to research in primary health care teams." Journal of Advanced Nursing 24, no. 5 (November 1996): 1033–41. http://dx.doi.org/10.1111/j.1365-2648.1996.tb02940.x.

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Nozaki, Shinjiro, Takatoshi Makino, Bumsuk Lee, Hiroki Matsui, Yoshiharu Tokita, Hiromitsu Shinozaki, Mikiko Kishi, et al. "First-year Medical Students’ Attitudes toward Health Care Teams:." Kitakanto Medical Journal 71, no. 2 (May 1, 2021): 115–21. http://dx.doi.org/10.2974/kmj.71.115.

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Vuononvirta, Tiina, Markku Timonen, Sirkka Keinänen-Kiukaanniemi, Olavi Timonen, Kirsti Ylitalo, Outi Kanste, and Anja Taanila. "The attitudes of multiprofessional teams to telehealth adoption in northern Finland health centres." Journal of Telemedicine and Telecare 15, no. 6 (August 31, 2009): 290–96. http://dx.doi.org/10.1258/jtt.2009.090108.

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A telehealth network was established between seven health centres, the local university and the university hospital in the Oulu Arc Subregion in a rural area of northern Finland. During the period 2004–2007, the videophone network was used for different types of teleconsultation (orthopaedics, psychiatry, diabetes, rehabilitation), continuing education and various patient care and administrative meetings. Qualitative research with observation and interviews with 30 professionals (physicians, nurses, psychiatric nurses, physiotherapists) was carried out in early 2007 to find out health-care professionals' attitudes toward telehealth and to see how the attitudes were connected to telehealth usage. Overall, the attitudes were more positive than negative, ranging from negative to enthusiastically positive. Diversity of attitudes occurred in relation to time, situation, profession, health centre and telehealth application. Ten different types of telehealth adopters were recognized: enthusiastic user, positive user, critical user, hesitant user, positive participant, hesitant participant, critical participant, neutral participant, negative participant and positive non-participant. Telehealth was especially well accepted in continuing education and in diabetes teleconsultations. The study showed that a negative attitude was not a definite barrier to telehealth adoption, but it did require additional attention from project workers and managers. Project staff and managers need to take into account the diverse attitudes of health professionals, because different people require different actions to adopt telehealth in their work.

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Kim, Kyeongmo, and Jungyai Ko. "Attitudes toward interprofessional health care teams scale: a confirmatory factor analysis." Journal of Interprofessional Care 28, no. 2 (December 13, 2013): 149–54. http://dx.doi.org/10.3109/13561820.2013.857645.

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Ko, Jungyai, Marie Bailey-Kloch, and Kyeongmo Kim. "Interprofessional Experiences and Attitudes Toward Interprofessional Health Care Teams Among Health Sciences Students." Social Work in Health Care 53, no. 6 (July 3, 2014): 552–67. http://dx.doi.org/10.1080/00981389.2014.903884.

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Li, Dan, Ai-li Wang, Yan-fen Gu, Qin Liu, Xiao-min Chen, Zi-ying Wang, Hui-ren Zhuang, Miao Du, Chi Chen, and Hai-ping Yu. "Validity of Chinese Version of Attitudes Toward Interprofessional Health Care Teams Scale." Journal of Multidisciplinary Healthcare Volume 14 (April 2021): 951–59. http://dx.doi.org/10.2147/jmdh.s305768.

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Santos, José Carlos, Rosa Maria Pereira Simões, Maria Pedro Queiroz de Azevedo Erse, Jorge Daniel Neto Façanha, and Lúcia Amélia Fernandes Alves Marques. "Impact of "+Contigo" training on the knowledge and attitudes of health care professionals about suicide." Revista Latino-Americana de Enfermagem 22, no. 4 (August 2014): 679–84. http://dx.doi.org/10.1590/0104-1169.3503.2467.

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OBJECTIVES: to evaluate the results of "+Contigo" training, developed by nurses and directed at 66 health professionals of integrated school health teams in Primary Health Care.METHOD: quantitative with data collection through the Suicide Behavior Attitude Questionnaire, administered before and after the training.RESULTS: significant increases were observed in suicide prevention knowledge and in changing attitudes of health professionals towards individuals with suicidal behavior.CONCLUSION: these results allow us to affirm that nurses hold scientific and pedagogical knowledge that grant them a privileged position in the health teams, to develop training aimed at health professionals involved in suicide prevention.

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Mangir, Christina, Leigh Boehmer, Sandra E. Kurtin, Lalan S. Wilfong, Rena Kass, Lillie D. Shockney, Mary C. Politi, et al. "Shared decision-making attitudes and practices in multidisciplinary cancer care teams." Journal of Clinical Oncology 38, no. 29_suppl (October 10, 2020): 180. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.180.

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180 Background: Patients who engage in decision making are more likely to experience confidence in treatment decisions, satisfaction with treatment, and trust in clinicians. The Association of Community Cancer Centers (ACCC) conducted a survey to explore multidisciplinary team attitudes and practices around shared decision-making (SDM) and health literacy. Methods: ACCC convened a steering committee of multidisciplinary specialists and advocacy representatives to guide this research. The survey included 26 mostly closed-ended questions and was open to multidisciplinary cancer programs from 10/29/19 to 2/20/20. Exploratory analysis was performed on this data set of 305 complete responses. Results: While most respondents reported engaging patients in decision-making to some degree, only 50% reported that SDM is a top organizational priority. 33% reported organizational efforts to formally integrate SDM into the clinical workflow, with only 15% indicating staff opportunities for basic SDM training. The three most frequently cited perceived barriers to engaging in SDM were patients feeling overwhelmed (53%), wanting to defer decisions to clinicians (46%), and having limited health literacy (46%). Only 13% indicated that lack of time was a barrier. Less than half (41%) of respondents reported using patient decision aids to support SDM. Respondents represented a wide range of multidisciplinary team members, though surgical oncologists and general surgeons (20% and 16% respectively) are overrepresented in the results. Conclusions: SDM is commonly accepted as essential to patient engagement but clarity in terminology and prioritizing formal integration of SDM into practice is limited. Strategies to improve integration of SDM into oncology practice should include: 1) Educational initiatives and tools to overcome barriers to SDM, including patient decision aids and SDM training, 2) Initiatives to address health literacy as it relates to patient and caregiver engagement in decision making, 3) Psychosocial support for patients whose emotional upset is a barrier to SDM, 4) Healthcare policies that encourage and incentive providers to engage in SDM. Future analyses will require concurrent assessment of patient, caregiver, healthcare professional, and administrator perspectives.

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Beatty, Patricia Robbins. "Attitudes and perceptions of nursing students toward preparation for interdisciplinary health care teams." Journal of Advanced Nursing 12, no. 1 (January 1987): 21–27. http://dx.doi.org/10.1111/j.1365-2648.1987.tb01299.x.

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Syahrani Hajri, Waode, Masta Hutasoit, and Retty Nirmala Santiasari. "SIKAP DOSEN TERHADAP PEMBELAJARAN INTERPROFESIONAL EDUCATION (IPE) STUDI PADA DOSEN DI STIKES JENDERAL ACHMAD YANI YOGYAKARTA." MEDIA ILMU KESEHATAN 7, no. 2 (November 17, 2019): 169–78. http://dx.doi.org/10.30989/mik.v7i2.238.

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Background: Application of IPE in academics prioritizes collaborative competencies to make students able to understand how to work interprofessionally, so as to foster readiness. Lecturer attitudes are considered as an important component in implementing successful IPE in academic environment. Objective: The purpose of this study was to examine and analyse lecturers attitudes towards interprofessional education. Method: This was descriptive comparative study with cross sectional design. Sampel were 31 lecturers from departments of nursing, midwifery, and medical record taken by purposive sampling. Modified questioner of Attitudes Toward Interprofessional Health Care Teams (ATHCT), Readiness for Interprofessional Learning Scale (RIPLS), and Attitudes Towards Interprofessional Learning in Academic Setting (ATILAS) were applied to examine lecturers attitudes. Result: The results indicate lecturer's positive attitude toward IPE, with an average score of statement item M = 3.96 on the attitude aspect to the interprofessional health care teams; M = 4.11 on attitude aspect to interprofessional education; as well as on attitudes towards interprofessional learning in academic setting with M = 3,93. Discipline, gender, and teaching experience have no significant relationship with overall attitudinal responses towards IPE. Conclusions: These findings can be used as a consideration of the intitution in applying Interprofessional Education at the academic settings. Keywords: Attitudes, Interprofessional Education, Lecturers

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Hutasoit, Masta. "SIKAP DOSEN TERHADAP PEMBELAJARAN INTERPROFESIONAL EDUCATION (IPE) STUDI PADA DOSEN DI STIKES JENDERAL ACHMAD YANI YOGYAKARTA." Media Ilmu Kesehatan 7, no. 2 (August 30, 2018): 169–78. http://dx.doi.org/10.30989/mik.v7i2.285.

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Background: Application of IPE in academics prioritizes collaborative competencies to make students able to understand how to work interprofessionally, so as to foster readiness. Lecturer attitudes are considered as an important component in implementing successful IPE in academic environment. Objective: The purpose of this study was to examine and analyse lecturers attitudes towards interprofessional education. Method: This was descriptive comparative study with cross sectional design. Sampel were 31 lecturers from departments of nursing, midwifery, and medical record taken by purposive sampling. Modified questioner of Attitudes Toward Interprofessional Health Care Teams (ATHCT), Readiness for Interprofessional Learning Scale (RIPLS), and Attitudes Towards Interprofessional Learning in Academic Setting (ATILAS) were applied to examine lecturers attitudes. Result: The results indicate lecturer's positive attitude toward IPE, with an average score of statement item M = 3.96 on the attitude aspect to the interprofessional health care teams; M = 4.11 on attitude aspect to interprofessional education; as well as on attitudes towards interprofessional learning in academic setting with M = 3,93. Discipline, gender, and teaching experience have no significant relationship with overall attitudinal responses towards IPE. Conclusions: These findings can be used as a consideration of the intitution in applying Interprofessional Education at the academic settings. Keywords: Attitudes, Interprofessional Education, Lecturers

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Walker, P., O. G. Haeney, and P. C. Naik. "Attitudes to referral to community mental health teams: a questionnaire study." Psychiatric Bulletin 29, no. 6 (June 2005): 213–14. http://dx.doi.org/10.1192/pb.29.6.213.

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Aims and MethodThere are no data or guidelines on who should be referred to community mental health teams (CMHTs), resulting in enormous variability in referral patterns. General practitioners (GPs) and psychiatrists were surveyed using a purpose-designed questionnaire to assess their attitudes regarding referral of individuals with different psychiatric disorders.ResultsThere was consensus among GPs and psychiatrists that individuals with psychotic disorders, mania, severe depression and phobias should be referred to CMHTs. GPs were more likely to refer personality disorder, whereas the reverse was true for moderate depression and anxiety/ panic disorders. There was disagreement within groups about referral for acute stress reaction, mild depression and adjustment disorders.Clinical ImplicationsUncertainty about appropriate referral causes variability in referral patterns and service provisions. This needs resolution through the Royal Colleges of Psychiatrists and General Practitioners, to provide guidance leading to equality of care for all.

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Kusmiran, Eny, Istianah Istianah, and Lisbet Octovia Manalu. "EFFECT OF INTERPROFESSIONAL EDUCATION MODEL TO TEAM WORK AND COLLABORATION ATTITUDES OF NURSING STUDENTS IN THE INTENSIVE CARE UNIT OF HOSPITAL." INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) 1, no. 2 (February 8, 2017): 115. http://dx.doi.org/10.24990/injec.v1i2.114.

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Background: International policy recommends Interprofesional Education (IPE) to improve the practice of interprofessional In an effort to improve the practice of professional nurses, the IPE is the strategy of forming professional conduct of nurses in team work and collaboration between other health professionals, especially doctors in critical care. Objective: to identify the effect of IPE model of team work and collaboration of the attitudes of nursing students in an intensive care unit of Hospital. Methods: This study was conducted with The quasi-experimental design. The number of 30 subjects (15 intervention and 15 control group) by random sampling. The intervention consisted of 1) pretest 2) the provision of material interprofessional education modules on subjects of critical nursing for 2 weeks, 2) posttest. Paired t tests were used to determine the effects of interprofessional Education. Independence t-test were used to determine the difference effect of interprofessional Education. The instrument used was The Attitudes towards interprofessional Health Care Teams Scales to measure the attitude of teamwork and Interprofesional Collaboration Scales to measure the attitude of collaboration. Results: There were differences rates of team work and collaboration attitudes of nurses before and after on intervention group. There werenot differences rates of team work and collaboration attitudes of nurses before and after on control group. There were differences scores of the attitude of team work and collaboration between the intervention and control groups. Conclusions and Recommendations: Giving IPE modules for nurses are commonly regarded to be an essential strategy for improving team work and collaboration attitudes on nurses student at intensive care unit of hospital. Keyword: Interprofessional Education, team work, collaboration, nurses student.

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Dobson, Roy T., Carol J. Henry, Jeff G. Taylor, Gordon A. Zello, Jean Lachaine, Dorothy A. Forbes, and David L. Keegan. "Interprofessional health care teams: Attitudes and environmental factors associated with participation by community pharmacists." Journal of Interprofessional Care 20, no. 2 (January 2006): 119–32. http://dx.doi.org/10.1080/13561820600614031.

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Hyer, Kathryn, Susan Fairchild, Ivo Abraham, Mathy Mezey, and Terry Fulmer. "Measuring attitudes related to interdisciplinary training: revisiting the Heinemann, Schmitt and Farrell 'attitudes toward health care teams' scale." Journal of Interprofessional Care 14, no. 3 (August 2000): 249–58. http://dx.doi.org/10.1080/713678570.

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Hyer, Susan Fairchild, Ivo Abraham,, Kathryn. "Measuring attitudes related to interdisciplinary training: revisiting the Heinemann, Schmitt and Farrell attitudes toward health care teams scale." Journal of Interprofessional Care 14, no. 3 (January 2000): 249–58. http://dx.doi.org/10.1080/jic.14.3.249.258.

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Groessl, Joan M., and Christine L. Vandenhouten. "Examining Students’ Attitudes and Readiness for Interprofessional Education and Practice." Education Research International 2019 (January 2, 2019): 1–7. http://dx.doi.org/10.1155/2019/2153292.

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This study examined RN-to-BSN and Master of Social Work students’ attitudes and readiness for interprofessional (IP) practice and educational experiences. The Attitudes toward Health Care Teams Scale (ATHCTS) developed by Heinemann et al. measures attitudes toward health care teams including the quality of care/process and physician centrality. Students’ readiness for IP education was measured by the Readiness for Interprofessional Learning Scale (RIPLS) developed by Parsell and Bligh. Discussion of an interprofessional activity including student reactions is provided. Statistically significant differences were found in the mean scores for the Patient-Centeredness subscale of the RIPLS and in overall ATHCTS scores as well as the Physician Centrality subscale scores. Overall, participants demonstrated readiness and benefits of IP education.

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Kumra, Tina, Selvi Rajagopal, Kathleen Johnson, Lavanya Garnepudi, Ariella Apfel, and Michael Crocetti. "Patient Centered Medical Home Cooking: Community Culinary Workshops for Multidisciplinary Teams." Journal of Primary Care & Community Health 12 (January 2021): 215013272098503. http://dx.doi.org/10.1177/2150132720985038.

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Ideal management of chronic disease includes team based primary care, however primary care medical staff face a lack of training when addressing nutritional counseling and lifestyle prevention. Interactive culinary medicine education has shown to improve knowledge and confidence among medical students. The aim of this study was to determine whether a culinary medicine curriculum delivered to a multidisciplinary team of primary care medical staff and medical students in a community setting would improve self-reported efficacy in nutritional counseling and whether efficacy differed between participant roles. A 4-h interactive workshop that took place within the neighborhood of a primary care medical home was delivered to medical staff and students. Participants completed a voluntary questionnaire before and after the workshop that addressed participants’ attitudes and confidence in providing nutritional counseling to patients. Chi-square tests were run to determine statistically significant associations between role of participant and survey question responses. Sign Rank tests were run to determine if pre-workshop responses differed significantly from post-workshop responses. Thirteen of seventeen responses related to attitudes and efficacy demonstrated significant improvement after the workshop compared with prior to the workshop. Significant differences noted between roles prior to the workshop disappear when asking the same questions after the workshop. Delivery of culinary medicine curricula to a primary care medical home team in a community setting is an innovative opportunity to collaboratively improve nutritional education and counseling in chronic disease prevention.

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Cardno, A. G., and C. J. Simpson. "The first nine months of a community mental health team: a study of communication and attitudes." Psychiatric Bulletin 15, no. 3 (March 1991): 133–35. http://dx.doi.org/10.1192/pb.15.3.133.

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Community orientated mental health services are rapidly developing in Britain today, and as part of this development many community mental health teams (CMHTs) are being established. This study looks at some of the relationships between members of one CMHT and local primary health care team members and social workers, with particular emphasis on communication between these various professionals.

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Snowdon, John. "Mental health service delivery in long-term care homes." International Psychogeriatrics 22, no. 7 (June 18, 2010): 1063–71. http://dx.doi.org/10.1017/s1041610210000773.

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ABSTRACTBackground:The prevalence of mental disorders in long-term care (LTC) homes is high, but quality and availability of mental health services to assess and help in management of cases have been criticized.Method:Literature concerning mental health problems in LTC homes was reviewed, especially regarding models of mental health service delivery and factors that affect development, persistence and reduction of symptoms and distress.Results:The advantages of consultation-liaison arrangements and of telepsychiatry were noted. Discussions led to development of recommendations aimed at improving mental health expertise and provision of assessment and intervention services in LTC homes in diverse countries. Prompt recognition of mental health problems among residents is required, with availability of a team working within the facility to deal with these problems. Commonly such multidisciplinary teams are formed by facility staff linking with visiting mental health professionals or services. Quality of care is also affected by the organization, attitudes and education within LTC facilities.Conclusion:Provision of optimal mental health care in LTC settings is dependent on adequate funding, availability of expertise and education, positive and caring attitudes, recognition of needs, and supportive teamwork. The latter should include cooperative links between well-resourced and under-resourced regions.

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Simin, Dragana, Dragana Milutinovic, Branislava Brestovacki, Ilija Andrijevic, and Tomislav Cigic. "Improvement of teamwork in health care through interprofessional education." Srpski arhiv za celokupno lekarstvo 138, no. 7-8 (2010): 480–85. http://dx.doi.org/10.2298/sarh1008480s.

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Introduction. Collaboration, within and between healthcare teams, facilitates effective healthcare. Internationally, the development of interprofessional education, as a means to facilitate more effective teamwork in health care, has been recognized for over forty years. Objective. The aim of this paper is to evaluate students' attitudes toward the influence of interprofessional education on improvement of collaboration and teamwork. Methods. The research was conducted by interviewing students at the Medical Faculty in Novi Sad in the form of cross-sectional study. The study sample included students from two undergraduate programmes: School of Nursing (n=52) and Integrated Studies of Medicine (n=53). Students admitted to the research had to be exposed to clinical experience. The instrument used in this study was the Readiness for Interprofessional Learning Scale (RIPLS). Results. As many as 93.3% of students indicated that basics of teamwork skills should be obtained prior to graduation, whereas 96.2% considered that interprofessional education would enable them to improve mutual trust and respect. The majority of interviewees indicated that patients would ultimately benefit if healthcare students worked together to solve patient problems. Multivariate procedures MANOVA p<0.05 and discriminative analysis p<0.05 of students' attitudes toward teamwork and collaboration showed significant differences between the students of medicine and nursing. Conclusion. The students of the Integrated Studies of Medicine and School of Nursing had a positive attitude toward the influence of interprofessional education on the improvement of collaboration and teamwork.

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Fraley, Hannah E., Teri Aronowitz, and Hanni M. Stoklosa. "Systematic Review of Human Trafficking Educational Interventions for Health Care Providers." Western Journal of Nursing Research 42, no. 2 (March 29, 2019): 131–42. http://dx.doi.org/10.1177/0193945919837366.

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Human trafficking is a global population health threat. Trafficking minors threatens the safety and well-being of youth. Limited studies measure health care providers’ awareness and attitudes toward trafficking. This systematic review synthesized retrospective and current knowledge and identified gaps in educational interventions aimed at increasing providers’ awareness and attitudes toward trafficking. A systematic search of four databases identified peer-reviewed published papers between January 1, 2000 and September 1, 2018. The Cochrane Collaboration’s Preferred Reporting Items for Systematic Reviews was followed. Study quality was assessed using the Downs and Black checklist. The Psychometric Grading Framework was used to assess the validity of instruments. Findings across studies ( N = 7) reveal providers (mostly social workers and physicians) have low awareness of trafficking and can have negative attitudes toward victims. Multiphase educational approaches and use of content experts, including survivors, in developing interventions enhanced sustainability of outcomes. Targeting multidisciplinary health care teams, including nurses, enhanced interventions.

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Murni, Ni Nengah Arini, and Suwanti Suwanti. "THE CORRELATION AMONG KNOWLEDGE, ATTITUDE AND MOTHER’S BEHAVIOR IN ORAL AND DENTAL HEALTH CARE." Jurnal Kesehatan Prima 11, no. 1 (April 10, 2018): 66. http://dx.doi.org/10.32807/jkp.v11i1.84.

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Abstract : The study aimed to determine the correlation among knowledge and attitude with the behavior of pregnant women in dental and oral health care during pregnancy. The research was analytic observational and in terms of time used crossectional approach. The population in this study were pregnant women at Narmada Community Health Center whereas the sample obtained by 34 people who came to check Antenatal Care (ANC) in June 2015 taken by accidental sampling technique. Data collection of knowledge, attitude and behavior variables used questionnaire and Statistical analysis was performed by using Chi Square test. The research finding indicated that from 34 respondents, 17 pregnant women (50%) had lack knowledge level about oral and dental health care during pregnancy. The attitude of pregnant women in dental and oral care during pregnancy was 73.5% (poor attitudes), and in terms of respondents’ behaviour was the same like respondents’ attitude by 73.5% (poor attitude). Therefore, it can be concluded that there was a significant correlation between knowledge with pregnant women behavior in dental and oral health care (P value = 0.013) and there was significant correlation between attitude with respondents behaviour in oral and dental care during pregnancy (P value = 0.004). Suggestion: It is expected for Health Care Institutions and health workers need to do an effort of sustainable counselling to communities, especially pregnant women about risk factors that can cause dental caries which can affect the health of both fetus and mother, increasing promotive efforts, for instance the improvement and maintenance of health and preventive efforts for communnities and pregnant women in order to have a good knowledge and attitude in maintaining oral an dental health care during pregnancy can be preserved and further enhanced, hence the sense of responsibility in terms of a behavior in the community or pregnant women concerning dental and oral health increases in line with knowledge improvement and developing attitudes.

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Pelaez, Martha, and Marilyn Rice. "Primary Health Care and Aging." Californian Journal of Health Promotion 2, no. 3 (September 1, 2004): 99–108. http://dx.doi.org/10.32398/cjhp.v2i3.884.

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From 21-25 February 2000, in San Jose, Costa Rica, a WHO Consultative Group was held on the topic of Primary Health Care for Older Persons, with representatives from 13 countries from around the world, as well as Headquarters and Regional offices of WHO and the private sector. In the policy statement that emerged from the meeting four basic principles were highlighted: universal accessibility and coverage on the basis of need, community and individual involvement, intersectoral action for health, and appropriate use of cost effective technologies in relation to the available resources. Three complementary integration functions are mentioned: functional with an integrated approach to the health needs of individuals over their life course taking precedence over episodic management of disease; organizational, with a focus on how health centers should function with interdisciplinary teams; and educational which addresses the knowledge and skills and attitudes needed by health professionals that will facilitate communication, networking, advocacy and mediation of resources. The proceedings go on to outline the objectives to be included in national plans on health of older people, as well as the extended benefits and outcomes to be expected from PHC strategies for older people. In promoting quality of care for older persons, positive and negative factors are mentioned, as are strategies to: stimulate interest in geriatric care, motivate general practitioners to focus on the care of elders, encourage teamwork among PHC staff, and encourage multi-sectoral collaboration in promoting the health of older persons. An example is provided of healthy ageing from Canada. The recommendations include defining and measuring an ageing friendly health center (with specific indicators for the latter), defining the role of the PHC team in promoting healthy ageing, characteristics that programs should have to promote “age friendly” services in the primary care setting, and outcome indicators for quality of care of elders at the PHC level.

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Stadick, Jessica L. "Understanding health care professionals' attitudes towards working in teams and interprofessional collaborative competencies: A mixed methods analysis." Journal of Interprofessional Education & Practice 21 (December 2020): 100370. http://dx.doi.org/10.1016/j.xjep.2020.100370.

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Costa, Gislaine Desani da, Vívian Marina Calixto Damasceno Spineli, and Maria Amélia de Campos Oliveira. "Professional education on dementias in Primary Health Care: an integrative review." Revista Brasileira de Enfermagem 72, no. 4 (August 2019): 1086–93. http://dx.doi.org/10.1590/0034-7167-2018-0652.

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ABSTRACT Objective: To investigate the most commonly used educational approaches in dementia training for primary health care professionals. Method: Integrative literature review, conducted between April and June of 2018, in PubMed, LILACS and IBECS databases. The descriptors used were: Training, Health Personnel, Dementia, Primary Health Care for PubMed; and the MeSH terms, Training Programs, Health Personnel, Dementia, and Primary Health Care for LILACS and IBECS. Results: The sample consisted of 13 articles; eight were published in the last five years (62%); seven articles with a quantitative approach (54%); seven articles produced on the European continent (54%), followed by five published on the North American continent (38%). All journals were from the health area (100%). Conclusion: Educational strategies were combined and used for education. Significant improvements in knowledge, skills, and attitudes of the teams with regard to professional management of dementias were evidenced.

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Umoren, Rachel A., Julie A. Poore, Linda Sweigart, Natalia Rybas, Evalyn Gossett, Miles Johnson, Martina Allen, Patricia J. Scott, Barbara Truman, and Rohit Das. "TeamSTEPPS Virtual Teams: Interactive Virtual Team Training and Practice for Health Professional Learners." Creative Nursing 23, no. 3 (2017): 184–91. http://dx.doi.org/10.1891/1078-4535.23.3.184.

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Medical errors because of communication failure are common in health care settings. Teamwork training, such as Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), improves team performance and patient outcomes. Academic institutions seek high-quality, low-cost curricula for interprofessional education (IPE) to prepare learners for clinical experiences before and after graduation; however, most IPE curricula involve lectures, simple tabletop exercises, and in-person simulations and are not readily accessible to geographically distributed and asynchronously engaged learners. To address this need, interprofessional faculty from multiple institutions and specialties created a series of eight screen-based interactive virtual simulation cases featuring typical clinical situations, with the goal of preparing learners to provide safe and effective care in clinical teams. Virtual simulations permit flexible, asynchronous learning on the learner’s schedule and allow educators an opportunity to identify gaps in knowledge and/or attitudes that can be addressed during class or forum discussions. In 2016, 1,128 unique users accessed the scenarios. As a result of such virtual activities, learner selection of the appropriate TeamSTEPPS tool increased with progression through the scenarios.

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Helling, Dennis K., Patrick W. Thies, and Robert E. Rakel. "The Effect of Clinical Pharmacy Services on Family Practice Residents' Attitudes: A Nationwide Study." Drug Intelligence & Clinical Pharmacy 20, no. 6 (June 1986): 493–96. http://dx.doi.org/10.1177/106002808602000613.

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A nationwide study investigated the attitudes of family practice residents toward: (1) interdisciplinary health care teams in family practice; (2) the clinical pharmacist as a member of the health care team; and (3) the utility of clinical pharmacist involvement in private family practice offices. A random sample of 174 family practice residency programs was selected for study. First-year residents comprised the sample population. Based on the response of the directors, programs were assigned to experimental (programs offering clinical pharmacy services) or control (no clinical pharmacy services) groups. Completed attitudinal instruments were received from 158 resident respondents in the experimental group and 153 resident respondents from the control group. The reliability coefficient of the returned questionnaires was 0.901 by the split-halves method. Residents in the experimental group had significantly more favorable attitudes than those residents in the control group on several scales. These scales included the clinical pharmacist's participation on the health care team, utility of a clinical pharmacist in a private practice setting, desirability of hiring a clinical pharmacist, and the desirability of practicing with a multidisciplinary health care team. These results support the hypothesis that exposure to clinical pharmacy services can significantly affect physician resident's attitudes toward clinical pharmacy.

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Cheong, Lynn H., Carol L. Armour, and Sinthia Z. Bosnic-Anticevich. "Multidisciplinary collaboration in primary care: through the eyes of patients." Australian Journal of Primary Health 19, no. 3 (2013): 190. http://dx.doi.org/10.1071/py12019.

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Managing chronic illness is highly complex and the pathways to access health care for the patient are unpredictable and often unknown. While multidisciplinary care (MDC) arrangements are promoted in the Australian primary health care system, there is a paucity of research on multidisciplinary collaboration from patients’ perspectives. This exploratory study is the first to gain an understanding of the experiences, perceptions, attitudes and potential role of people with chronic illness (asthma) on the delivery of MDC in the Australian primary health care setting. In-depth semi-structured interviews were conducted with asthma patients from Sydney, Australia. Qualitative analysis of data indicates that patients are significant players in MDC and their perceptions of their chronic condition, perceived roles of health care professionals, and expectations of health care delivery, influence their participation and attitudes towards multidisciplinary services. Our research shows the challenges presented by patients in the delivery and establishment of multidisciplinary health care teams, and highlights the need to consider patients’ perspectives in the development of MDC models in primary care.

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Pullon, Sue, Eileen McKinlay, Louise Beckingsale, Meredith Perry, Ben Darlow, Ben Gray, Peter Gallagher, Kath Hoare, and Sonya Morgan. "Interprofessional education for physiotherapy, medical and dietetics students: a pilot programme." Journal of Primary Health Care 5, no. 1 (2013): 52. http://dx.doi.org/10.1071/hc13052.

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INTRODUCTION: Interprofessional education (IPE) has been shown to enhance interprofessional practice among health professionals. Until recently there has been limited opportunity to undertake such initiatives within existing pre-registration degree courses in New Zealand. AIM: This study aimed to test the feasibility of delivering an interprofessional component within existing health professional courses for medicine, physiotherapy and dietetics at the University of Otago, Wellington, New Zealand. METHODS: An interprofessional case-based course component (on chronic condition management) was developed by academic clinical teachers from schools of medicine, physiotherapy and dietetics at the same location. Evaluation was undertaken using a previously validated pre- and post-survey tool, to ascertain changes in attitude among students towards interprofessional practice, IPE and the effectiveness of health care teams. Focus groups were conducted with students and teachers. RESULTS: Survey results indicated pre-existing positive attitudes to interprofessional practice and education among students. There was a statistically significant increase in positive attitude towards such practice and education, and increased confidence in the effectiveness of heath care teams. Focus group findings were consistent with the survey results for students, and highlighted challenges experienced by the teachers. DISCUSSION: Students and teachers alike enjoyed the interprofessional interaction and benefited from a collaborative approach to chronic condition management. The timing and nature of learning activities and assessment methods created logistical challenges. Such course components have potential to improve collaborative practice and the quality and safety of health care among graduates. Interprofessional course components need to be equitable across disciplines and embedded in the unidisciplinary courses. KEYWORDS: Dietetics; education; interprofessional relations; medicine; New Zealand; physiotherapy; primary health care

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Ignacio, Caroline Ferraz, Martha Macedo de Lima Barata, and Antonio Henrique Almeida de Moraes Neto. "The Brazilian Family Health Strategy and the management of intestinal parasitic infections." Primary Health Care Research & Development 19, no. 04 (November 8, 2017): 333–43. http://dx.doi.org/10.1017/s146342361700072x.

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AimThis study analyzed the management of intestinal parasitic infections in the Family Health Strategy covering Brazilian urban slums.BackgroundThe Family Health Strategy is the preferred strategy for providing public, community-based primary health care in the Brazilian Unified Health System (SUS). Through this strategy, Family Health teams are responsible for the health of residents of a defined territory, including health promotion, health education and control of neglected tropical diseases such as intestinal parasitic infections.MethodsKnowledge, attitudes and practices surveys were applied with Family Health team members (n=58) and patients (n=571) of an agglomeration of Brazilian urban slums in Rio de Janeiro.FindingsThe management of intestinal parasitic infections and health promotion were limited. Health education was not considered an essential aspect of team members’ work and did not include environmental or social determinants of health. Community health workers and urban slum residents presented similar knowledge, attitudes and practices regarding intestinal parasitic infections.ConclusionsMultiple, competing demands promote prioritization of the aspects of care where curative, biomedical activities predominate over prevention and an integral approach to health. However, the complex processes involving the cycle of poverty and disease go beyond the biomedical, limiting the potential for health in urban slums. Implications include a need to better prepare health professionals for primary health care services through reflection on local concerns and the social determinants of health, highlighting the importance of territorialized care and permanent education.

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Buckley de Meritens, Alexandre, Benjamin Margolis, Craig Blinderman, Holly G. Prigerson, Paul K. Maciejewski, Megan J. Shen, June Y. Hou, William M. Burke, Jason D. Wright, and Ana I. Tergas. "Practice Patterns, Attitudes, and Barriers to Palliative Care Consultation by Gynecologic Oncologists." Journal of Oncology Practice 13, no. 9 (September 2017): e703-e711. http://dx.doi.org/10.1200/jop.2017.021048.

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Purpose: We sought to describe practice patterns, attitudes, and barriers to the integration of palliative care services by gynecologic oncologists. Methods: Members of the Society of Gynecologic Oncology were electronically surveyed regarding their practice of incorporating palliative care services and to identify barriers for consultation. Descriptive statistics were used, and two-sample z-tests of proportions were performed to compare responses to related questions. Results: Of the 145 respondents, 71% were attending physicians and 58% worked at an academic medical center. The vast majority (92%) had palliative care services available for consultation at their hospital; 48% thought that palliative care services were appropriately used, 51% thought they were underused, and 1% thought they were overused. Thirty percent of respondents thought that palliative care services should be incorporated at first recurrence, whereas 42% thought palliative care should be incorporated when prognosis for life expectancy is ≤ 6 months. Most participants (75%) responded that palliative care consultation is reasonable for symptom control at any stage of disease. Respondents were most likely to consult palliative care services for pain control (53%) and other symptoms (63%). Eighty-three percent of respondents thought that communicating prognosis is the primary team’s responsibility, whereas the responsibilities for pain and symptom control, resuscitation status, and goals of care discussions were split between the primary team only and both teams. The main barrier for consulting palliative care services was the concern that patients and families would feel abandoned by the primary oncologist (73%). Ninety-seven percent of respondents answered that palliative care services are useful to improve patient care. Conclusion: The majority of gynecologic oncologists perceived palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient and family members was identified as a significant barrier to palliative care consult.

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Ramadini, Savira Dwi, and Oktarina Oktarina. "The Attitude and Readiness Towards Interprofessional Education (IPE) Among Medical Teachers of Universitas Muhammadiyah Jakarta." Muhammadiyah Journal of Geriatric 2, no. 1 (June 7, 2021): 1. http://dx.doi.org/10.24853/mujg.2.1.1-9.

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Background: Geriatric has multi-problems which need inter-disciplinary supports including collaboration among health professionals. To realize the importance of collaboration among health workers is to encourage collaboration since educational process. Teachers play an important role in conducting an Interprofessional Education (IPE). Purposes: To describe the attitudes and readiness of medical teachers of Universitas Muhammadiyah Jakarta (UMJ) towards IPE in 2019. Methods: The subjects of the study were medical teachers of UMJ with a sample size of 34 respondents. It was conducted at UMJ on November-December 2019. The instrument used for measuring the variable of attitude is the Attitudes toward Health Care Teams Scale (ATHCTS), whilst Readiness for Interprofessional Learning Scale (RIPLS) questionnaire was for the readiness. Results: It was found respondents who had attitudes in the good and fairly good categories were 62% and 38% respectively. Based on their state of readiness, 85% of the respondents were adequate, 15% moderate, and none not ready. Conclusion: Most of the respondents had a good attitude and ready for IPE. It was found that the aspects of the role in the team are mostly fairly good compared to aspects of values in the team and efficiency in the team which are mostly in the good category. The readiness showed adequate state in 2 aspects which are teamwork and collaboration and professional identity, whilst the aspect of role and responsibility was moderate. Consequently, improvement should be directed for the attitude to play a role in the team and the readiness in role and responsibility aspects.

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Prates, José Gilberto, Márcia Aparecida Ferreira de Oliveira, Heloísa Garcia Claro, Paula Hayasi Pinho, Gabriella de Andrade Boska, Ivan Filipe de Almeida Lopes Fernandes, and Julia Carolina de Mattos Cerioni Silva. "Attitudes of professionals from Psychosocial Care Centers towards alcohol, alcoholism, and alcoholics." Rev Rene 22 (August 12, 2021): e62765. http://dx.doi.org/10.15253/2175-6783.20212262765.

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Objective: to assess the attitudes of professionals from Psychosocial Care Centers towards alcohol, alcoholism, and alcoholics. Methods: a cross-sectional evaluation study with 288 professionals from 12 healthcare services. Sociodemographic data, Patient Satisfaction Scale with Mental Health Services and Attitude Scale for alcohol, alcoholism, and alcoholics were collected. Results: the professionals who showed a more critical attitude towards their work routine and those who worked in the healthcare services for longer had positive attitudes towards alcohol, alcoholism, and alcoholics. Professionals from the administrative team and health technicians had more negative attitudes. Conclusion: the attitudes of professionals towards alcohol, alcoholism, and alcoholics, in general, are positive and were associated with longer working time in the field and the manifestation of disapproving situations with work.

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Suprapto, Suprapto, Trimaya Cahya Mulat, and Nur Syamsi Norma Lalla. "Nurse competence in implementing public health care." International Journal of Public Health Science (IJPHS) 10, no. 2 (June 1, 2021): 428. http://dx.doi.org/10.11591/ijphs.v10i2.20711.

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Health development is a way of increasing awareness, willingness and ability to live healthy for everyone so that an optimal degree of public health can be achieved. The purpose of knowing how the relationship between nurse competence and community health care activities. This study employed quantitative approach and correlation analysis. The population was nurses who work at public health center in Makassar City, Indonesia, however there were 118 nurses who meet the criteria in their selection. There were relationships between attitudes, skills, and competencies with the level of implementation of community health services and that there is an interaction between competence and training. The results of the competency analysis obtained an OR value of 6.429, meaning that public health center nurses who have good competence have a chance of 6.429 times to carry out community health care activities optimally. Most dominant with the implementation of public health care is the interaction between competence and training. The competence of nurses need to be improved in order to optimize the implementation of community health services through training, coaching through assigned teams, and collaborating with peers and providing support in the form of policies for rewards and sanctions such as nurse career paths.

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Hayashi, Tomoko, Hiromitsu Shinozaki, Takatoshi Makino, Hatsue Ogawara, Yasuyoshi Asakawa, Kiyotaka Iwasaki, Tamiko Matsuda, et al. "Changes in attitudes toward interprofessional health care teams and education in the first- and third-year undergraduate students." Journal of Interprofessional Care 26, no. 2 (January 17, 2012): 100–107. http://dx.doi.org/10.3109/13561820.2011.644355.

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Kururi, Nana, Takatoshi Makino, Hiroko Kazama, Yoshiharu Tokita, Hiroki Matsui, Bumsuk Lee, Shiomi Kanaizumi, et al. "Repeated cross-sectional study of the longitudinal changes in attitudes toward interprofessional health care teams amongst undergraduate students." Journal of Interprofessional Care 28, no. 4 (March 19, 2014): 285–91. http://dx.doi.org/10.3109/13561820.2014.891977.

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Aleshire, Mollie E., Alexandra Dampier, and Leslie Woltenberg. "Evaluating Undergraduate Nursing Students' Attitudes Toward Health Care Teams in the Context of an Interprofessionally-Focused Nursing Course." Journal of Professional Nursing 35, no. 1 (January 2019): 37–43. http://dx.doi.org/10.1016/j.profnurs.2018.05.004.

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Butler, Joseph, Simone de Cassan, Belinda Lennox, Phillip Turner, Margaret Glogowska, Tom Fanshawe, and Gail Hayward. "S239. EVALUATION OF A POINT OF CARE DEVICE IN IMPROVING PHYSICAL HEALTH CHECK UPTAKE IN TWO COMMUNITY MENTAL HEALTH TEAMS." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S130. http://dx.doi.org/10.1093/schbul/sbaa031.305.

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Abstract Background Patients with Severe Mental Illness (SMI) have a life expectancy 15–20 years below that of the general population, mediated predominantly by the complications of poor cardiovascular health. Physical healthcare for this population is shared between General Practice (GP) and Community Mental Health Teams (CMHTs) and encompasses a NICE-recommended annual physical health check, to screen for cardiovascular complications. Audit findings in 2017 across the South of England show poor physical health check completion (38%), typically because HbA1c and Lipid Panel blood tests were omitted. Traditionally, patients are advised to attend their GP surgery for these tests, which can be a challenge for patients with SMI. There is a growing market of POC devices able to calculate an HbA1c or Lipid Panel in rapidly from ‘fingerprick’ samples of blood at, or near the site of the patient. The Cardiovascular Monitoring in Mental Health (CARMEN) project hypothesised that test uptake would be improved by implementation of a ‘Point of Care’ (POC) blood testing device in two CMHTs. Methods We embedded the ‘Afinion’ device into an Early Intervention Team and an Adult Mental Health Team in Oxfordshire for six months. Training was provided to care coordinators with ongoing support to facilitate engagement with the device. We compared rates of blood test and full physical health check completion in the intervention teams to a matched early intervention team and adult mental health term in Buckinghamshire. We performed semi-structured interviews with patients receiving POC-augmented care and clinicians from the intervention teams. Results Data showed that whilst the Adult Mental Health team did not engage with the device and saw no change in outcomes, the Early Intervention Team did engage and increased rates of physical health check completion from 22.6% to 40.3% of their caseload per 6 months. Completion in the control CMHT was 7.8%. Similar trends were seen in rates of HbA1c and Lipid Panel completion. Qualitative interviews revealed universal patient support for POC and diverse attitudes to the role of the mental health teams in providing physical healthcare. We explored how clinicians engaged and why they didn’t engage with the device, and how access to POC modulated the therapeutic relationship. Discussion Our findings show that using POC for Physical Health Checks is acceptable to patients with SMI and mental health care clinicians, many of whom are from a non-clinical background. In teams where it is well adopted, POC testing can improve physical health check completion in the SMI population, although our qualitative findings highlight important considerations for maximising clinician engagement.

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Moreira, Margarida A., and Helena M. Almeida. "The attitudes of primary care nurses in the families’ aging cycle." European Journal of Investigation in Health, Psychology and Education 5, no. 1 (June 13, 2014): 35–42. http://dx.doi.org/10.1989/ejihpe.v1i1.88.

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In Portugal, due to the importance of the family in care, the professional profile of the family nurse was created to ensure quality care, since they are considered to be at the core of the teams. Several authors argue that nurses who assign importance to the families in health care are more likely to interact with these families, increasing the level of care. In addition, the center of attention in nursing interventions should not only be the families’ responses, but also the nurses’ attitudes. With the aim of assessing nurses’ attitudes about the family care, a quantitative study was carried out in which the scale “A Importância das Famílias nos Cuidados de Enfermagem-Atitudes dos Enfermeiros (IFCE-AE)” was applied to 871 Primary Health Care nurses in the center region of Portugal. It was concluded that nurses who perform a specific intervention with parents, grandparents and grandchildren (p<0.001); request the presence of grandchildren when consulting the grandparents (p<0.001); and integrate grandchildren in the care for their grandparents (p<0.001) have better attitudes.

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Moreira, Margarida A., and Helena M. Almeida. "The attitudes of primary care nurses in the families’ aging cycle." European Journal of Investigation in Health, Psychology and Education 5, no. 1 (June 13, 2014): 35–42. http://dx.doi.org/10.3390/ejihpe5010004.

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In Portugal, due to the importance of the family in care, the professional profile of the family nurse was created to ensure quality care, since they are considered to be at the core of the teams. Several authors argue that nurses who assign importance to the families in health care are more likely to interact with these families, increasing the level of care. In addition, the center of attention in nursing interventions should not only be the families’ responses, but also the nurses’ attitudes. With the aim of assessing nurses’ attitudes about the family care, a quantitative study was carried out in which the scale “A Importância das Famílias nos Cuidados de Enfermagem-Atitudes dos Enfermeiros (IFCE-AE)” was applied to 871 Primary Health Care nurses in the center region of Portugal. It was concluded that nurses who perform a specific intervention with parents, grandparents and grandchildren (p<0.001); request the presence of grandchildren when consulting the grandparents (p<0.001); and integrate grandchildren in the care for their grandparents (p<0.001) have better attitudes.

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Zigdon, Avi, Tamar Zigdon, and Daniel Sender Moran. "Attitudes of Nurses Towards Searching Online for Medical Information for Personal Health Needs: Cross-Sectional Questionnaire Study." Journal of Medical Internet Research 22, no. 3 (March 16, 2020): e16133. http://dx.doi.org/10.2196/16133.

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Background Use of online clinical health care information has become part of the skill set required by medical teams. Nurses believe that information quality and availability affect nursing care and methods. However, nurses tend not to exploit professional medical databases for evidence-based medical information for their personal needs. This phenomenon has received little research attention. Objective This study aimed to address the knowledge gap around nurses' attitudes towards searching online for medical information for their personal needs (ie, for themselves and their families) by (1) evaluating the level of exposure to medical information and the effect on attitudes towards the use of online search options, (2) assessing the effect of the choice of a primary means of searching for medical information on the attitudes towards the use of online search options, and (3) gauging the influence of sociodemographic data and health status on nurses’ attitudes towards searching online for medical information. Methods Nurses employed in general departments in a general hospital (34/210, 16.2%), nursing home (42/200, 21.0%), and geriatric medical center (45/180, 25.0%) in Israel were invited to complete the eHealth Impact Questionnaire (alpha=.95). Questionnaires were distributed by nurses in charge of the general hospitalization wards. The data collection period was February to March 2018. The response rate was 40.3% (121/300). Results Nurses tended to search for medical information for personal needs on social media (24/121, 19.8%) and TV (eg, health programs, health news; 23/121, 19.0%). Nurses who chose social media as their primary means of receiving general information had a positive attitude about using the online environment as a source for medical information compared to nurses who found information through other means (t119=4.44, P<.001). Nurses exposed to medical information via social media had a positive attitude towards the use of the internet to find medical information compared to nurses who were not exposed to social media (t119=3.04, P=.003). The attitudes of nurses towards the utility of online medical information for personal needs increased with better participant health status (F2,118=3.63, P=.03). However, the attitudes of participants with a chronic disease did not differ from those of healthy participants. Conclusions Nurses in Israel are less likely to use their professional skills and knowledge to search in professional databases for evidence-based medical information for their personal needs. Instead, they prefer medical information that is easy to access and not evidence-based, such as that on social media and TV. However, these search patterns for personal use may affect their clinical role, impair quality of care, and lead to incorrect medical decisions for their patients in the health care system. Therefore, during nursing education, training for searching skills, retrieval skills, and online search techniques for evidence-based medical information is vital for evidence-based practice.

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Hughes, Ashley M., Shirley C. Sonesh, Rachel E. Mason, Megan E. Gregory, Antonio Marttos, Carl I. Schulman, and Eduardo Salas. "Trauma, Teams, and Telemedicine: Evaluating Telemedicine and Teamwork in a Mass Casualty Simulation." Military Medicine 186, no. 7-8 (July 1, 2021): e811-e818. http://dx.doi.org/10.1093/milmed/usaa434.

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Abstract Introduction Mass casualty events (MASCAL) are on the rise globally. Although natural disasters are often unavoidable, the preparation to respond to unique patient demands in MASCAL can be improved. Utilizing telemedicine can allow for a better response to such disasters by providing access to a virtual team member with necessary specialized expertise. The purpose of this study was to examine the positive and/or negative impacts of telemedicine on teamwork in teams responding to MASCAL events. Methods We introduced a telemedical device (DiMobile Care) to Forward Surgical Teams during a MASCAL simulated training event. We assessed teamwork-related attitudes, behaviors, and cognitions during the MASCAL scenario through pre-post surveys and observations of use. Analyses compare users and nonusers of telemedicine and pre-post training differences in teamwork. Results We received 50 complete responses to our surveys. Overall, clinicians have positive reactions toward the potential benefits of telemedicine; further, participants report a significant decrease in psychological safety after training, with users rating psychological safety as significantly higher than non-telemedicine users. Neither training nor telemedicine use produced significant changes in cognitive and behavioral-based teamwork. Nonetheless, participants reported perceiving that telemedicine improved leadership and adaptive care plans. Conclusions Telemedicine shows promise in connecting Forward Surgical Teams with nuanced surgical expertise without harming quality of care metrics (i.e., teamwork). However, we advise future iterations of DiMobile Care and other telemedical devices to consider contextual features of information flow to ensure favorable use by teams in time-intensive, high-stakes environments, such as MASCAL.

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Watson, Jennifer B., Teresa Drulia, and Laurel Lynch. "Enhancing SLP Students' Perceptions of Older Persons and Collaborative Practice Through Geriatric Interprofessional Teamwork." Perspectives of the ASHA Special Interest Groups 6, no. 4 (August 20, 2021): 941–54. http://dx.doi.org/10.1044/2021_persp-21-00011.

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Purpose To address the need for practice-ready geriatric health professionals, the Seniors Assisting in Geriatric Education (SAGE) program was developed and implemented by two partnering institutions. This study examines speech-language pathology students' perceptions of interprofessional (IP) teamwork and older persons following participation in the SAGE program. Specifically, students reflected on their IP competencies and attitudes toward older persons and overall perceptions of their SAGE experience and how this experience may impact their future practice. Method IP teams of three or four students ( n = 662) from eight disciplines and two partnering institutions participated in the SAGE program. Over three semesters, IP student teams visited a senior mentor's home, completing assignments aimed at growing skills in geriatric collaborative care. A mixed-method approach was used to examine 20 speech-language pathology students' perceptions post-SAGE. Students completed two questionnaires and provided written and verbal feedback, including retrospective pre–post comparisons. Results Moderate positive effect sizes were observed on retrospective reports examining perceptions of IP knowledge, attitudes, and skills. These reports were consistent with responses to additional questions examining values/ethics, roles and responsibilities, IP communication, and teamwork. Quantitative and qualitative measures reflected predominantly positive attitudes toward older persons, including an appreciation for older adults, increased knowledge and skills in geriatric care, and an interest in working with older persons in the future. Conclusions Speech-language pathology students participating on an IP geriatric team reported improved knowledge, attitudes, and skills in geriatric collaborative care. Additional study is needed to determine the impact of this experience on students' behaviors as future IP team members.

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Siongco, Kathryn Lizbeth L., Keiko Nakamura, Kaoruko Seino, TJ Robinson T. Moncatar, Lourdes Marie S. Tejero, Shelley Ann F. De La Vega, Sheila R. Bonito, et al. "Improving Community Health Workers’ Attitudes toward Collaborative Practice in the Care of Older Adults: An In-Service Training Intervention Trial in the Philippines." International Journal of Environmental Research and Public Health 18, no. 19 (September 23, 2021): 9986. http://dx.doi.org/10.3390/ijerph18199986.

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The objective of this study was to evaluate the efficacy of an in-service, short-term training program in improving the attitudes toward, and readiness and activities for collaboration among community health workers (CHWs) in a primary care setting in the Philippines. A randomized controlled trial was adopted dividing participants into an intervention (n = 42) and a control group (n = 39). Attitudes toward, and readiness and activities for collaboration were measured using three standardized scales before and at 6 months after the training. A significant difference (p < 0.001) was observed in the Attitudes Toward Health Care Teams Scale (ATHCTS) scores between pre- and post-test in the intervention (6.3 ± 8.3 [Mean ± SD]) and control groups (0.7 ± 8.2). Multivariate linear regression analysis showed an independent positive association between the intervention and greater improvement in the ATHCTS score (Coefficient β = 6.17; 95% CI = 0.82, 11.53; p = 0.03) at follow-up, after adjustment for age, years in current occupation, and social support role of participants. The results demonstrated the efficacy of the intervention for improving the attitudes of CHWs toward collaborative practice in the care of older adults.

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Dagnone, J. Damon, Amandeep Takhar, and Lauren Lacroix. "The Simulation Olympics: a resuscitation-based simulation competition as an educational intervention." CJEM 14, no. 06 (November 2012): 363–68. http://dx.doi.org/10.2310/8000.2012.120767.

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ABSTRACTThe Department of Emergency Medicine at Queen's University developed, implemented, and evaluated an interprofessional simulation-based competition called the Simulation Olympics with the purpose of encouraging health care providers to practice resuscitation skills and foster strong team-based attitudes. Eleven teams (N= 45) participated in the competition. Teams completed three standardized resuscitation scenarios in a high-fidelity simulation laboratory with teams composed of nurses, respiratory therapists, and undergraduate and postgraduate medical trainees. Trained standardized actors and a dedicated technician were used for all scenarios. Judges evaluated team performance using standardized assessment tools. All participants (100%) completed an anonymous two-page questionnaire prior to the competition assessing baseline characteristics and evaluating participant attitudes, motivation, and barriers to participation. The majority of participants (71%) completed an evaluation form following the event focusing on highlights, barriers to participation, and desired future directions. Evaluations were uniformly positive in short-answer feedback and attitudinal scoring measures. To our knowledge, the Simulation Olympics competition is the first of its kind in Canada to be offered at an academic teaching hospital.

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Johnston, Robert, Sina Haeri, Richard Hale, William Lindsley, Annette McCormick, and Eric Su. "The Value of Implementing Multidisciplinary Perinatal Care Conference in the Private Practice Setting." American Journal of Perinatology Reports 07, no. 04 (October 2017): e201-e204. http://dx.doi.org/10.1055/s-0037-1608640.

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Objective The objective of this study was to estimate the impact of multidisciplinary (Multi-D) perinatal care conference (PCC) implementation in the private practice setting. Methods After the initial 12-month period following implementation of the monthly PCC by private maternal–fetal medicine and neonatology practitioners, conference attendees were asked to completed a modified version of the Attitudes Toward Health Care Teams Scale, involving 19 questions assessing their attitudes and opinions toward Multi-D team care on a five-point Likert's scale. Results Of the 51 average attendees to the PCC, 82.3% completed the survey. A majority of respondents agreed that Multi-D team care resulted in improved care for patients and family, was not overly complex to coordinate, and resulted in significant job satisfaction and improved medical knowledge. Conclusion Multi-D care is an effective approach to the complicated needs of maternal–fetal medicine patients which may lead to improved patient and family outcomes, high provider satisfaction, and can easily be implemented and utilized within a private practice or community hospital setting.

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Gomides, Mabel Duarte Alves, Astrídia Marília de Souza Fontes, Amanda Oliveira Soares Monteiro Silveira, and Geraldo Sadoyama. "Patient safety culture in the intensive care unit: cross-study." Journal of Infection in Developing Countries 13, no. 06 (June 30, 2019): 496–503. http://dx.doi.org/10.3855/jidc.11166.

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Introduction: Patient safety culture has been the reason for great concern for the scientific community due to the high number of failures resulting from the provision of health care. The objective of this study was to evaluate the perception regarding the patient safety culture and their differences between categories, in the professional teams of the adult intensive care unit (ICU). Methodology: This is a cross-sectional descriptive study, with a quantitative approach, to evaluate the patient safety culture developed in the unit adult ICU of a public university hospital. Results: In this survey, 138 employees of the ICU participated, among them: physicians, psychologists, nutritionists, physiotherapists, nurses, nursing technicians, and secretaries. There was a predominance of nursing technicians (76.8%) and work experience time from 5 to ≥ 21 years (62.3%). The overall mean of the safety culture in the ICU was 57.80, and the domains with the best average were stress perception (73.84) and satisfaction at work (72.38) and with the worst mean was the perception of hospital management (42.69). The perception of safety attitudes in the professional category of physicians presented a general average of 61.63, being strengthened to job satisfaction (77,89) and with a higher perception in relation to nurses. Conclusions: The overall ICU average for the patient safety culture was less than 75, which demonstrates a team with weakened safety attitude and, in addition, low perceptions of safety attitudes based on the results of management domains, working conditions and communication failures.

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