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Implementing structured, multiprofessional medical ethical decision-making in a neonatal intensive care unit

Implementing structured, multiprofessional medical ethical decision-making in a neonatal intensive care unit

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

BACKGROUND:

In neonatal intensive care, a child's death is often preceded by a medical decision. Nurses, social workers and pastors, however, are often excluded from ethical case deliberation. If multiprofessional ethical case deliberations do take place, participants may not always know how to perform to the fullest.

SETTING:

A level-IIID neonatal intensive care unit of a paediatric teaching hospital in the Netherlands.

METHODS:

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A two-week stay in an Interprofessional Training Unit changes students' attitudes to health professionals

A two-week stay in an Interprofessional Training Unit changes students' attitudes to health professionals

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

Attitudes amongst health professionals can impact on the effectiveness of teamworking and patient care. Interprofessional education (IPE) is thought to contribute to the development of positive attitudes. An Interprofessional Training Unit (ITU) was set up to create an optimal learning environment for healthcare students. Students' attitudes were assessed, using a version of the Attitudes to Health Professionals Questionnaire (AHPQ) that had been translated into the students' native language. This paper describes the process undertaken to obtain a trustworthy translation.

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Interprofessional intensive care unit team interactions and medical crises: a qualitative study

Interprofessional intensive care unit team interactions and medical crises: a qualitative study

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

Research has suggested that interprofessional collaboration could improve patient outcomes in the intensive care unit (ICU). Maintaining optimal interprofessional interactions in a setting where unpredictable medical crises occur periodically is however challenging. Our study aimed to investigate the perceptions of ICU health care professionals regarding how acute medical crises affect their team interactions. We conducted 25 semi-structured interviews of ICU nurses, staff physicians, and respiratory therapists.

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Improved employment rates after multiprofessional cross-sector cooperation in vocational rehabilitation: a 6-year follow-up with comparison groups

Improved employment rates after multiprofessional cross-sector cooperation in vocational rehabilitation: a 6-year follow-up with comparison groups

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

The objective of this study was to better understand the long-term effects of an improved model for cooperation on employment between rehabilitation professionals in vocational rehabilitation (VR). To compare these effects with those associated with the traditional model of cooperation. The study featured a group of patients who participated in a developmental project. All of the patients had some degree of restricted work capacity, which was evidenced somatically as well as mentally/socially.

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An interprofessional approach to improving paediatric medication safety

An interprofessional approach to improving paediatric medication safety

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

BACKGROUND:

Safe drug prescribing and administration are essential elements within undergraduate healthcare curricula, but medication errors, especially in paediatric practice, continue to compromise patient safety. In this area of clinical care, collective responsibility, team working and communication between health professionals have been identified as key elements in safe clinical practice. To date, there is limited research evidence as to how best to deliver teaching and learning of these competencies to practitioners of the future.

METHODS:

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Knowledge and attitudes of allied health professional students regarding the stroke rehabilitation team and the role of the Speech and Language Therapist

Knowledge and attitudes of allied health professional students regarding the stroke rehabilitation team and the role of the Speech and Language Therapist

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

BACKGROUND:

One of the major barriers to effective team working among healthcare professionals is a lack of knowledge of each other's roles. The importance of understanding Irish healthcare students' attitudes towards team working and each other's roles led to the development of this study.

AIMS:

The aims were to investigate allied health professional students' perceptions and experiences of the stroke rehabilitation team and the role of the Speech and Language Therapist (SLT).

METHODS & PROCEDURES:

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An evaluation of using champions to enhance inter-professional learning in the practice setting

An evaluation of using champions to enhance inter-professional learning in the practice setting

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

The promotion of interprofessional working is a key government target for healthcare professionals. This article outlines one approach to establish inter-professional learning in the practice setting using systems based on current clinical placement allocation of students from a variety of health and social care professions. By utilising current unprofessional support systems for developing the learning environment, inter-professional learning opportunities were created for students.

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Attitudes toward safety and teamwork in a maternity unit with embedded team training

Attitudes toward safety and teamwork in a maternity unit with embedded team training

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

The objective of this study was to identify any residual challenges in a unit with a track record of good clinical performance. A cross-sectional survey of frontline caregiver attitudes was conducted using a validated psychometric instrument. A total of 69% (91 of 132) of eligible participants completed questionnaires. The results indicated positive safety culture, teamwork climate, and job satisfaction. Perceptions of high workload and insufficient staffing levels were the most prominent negative observations but not to the detriment of job satisfaction or perception of work conditions.

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The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction.

The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction.

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Mar 14, 2014 - 11:14am CDT

BACKGROUND: The implementation of the 'Surgical Safety Checklist' caused a significant reduction in the incidence of complications and mortality among patients undergoing surgery. The aim of the present study was to evaluate perioperative safety standards and the quality of interprofessional cooperation before and after the introduction of a safety checklist from staff members' point of view.

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