Resolving the Barriers to Interprofessional Education- One University’s Perspective
The fundamental issue facing interprofessional education hinges on using an appropriate theory, which supports testable hypotheses about the collaboration inherent in interprofessional education and interprofessional collaboration.
This is a draft version of the following publication: Gilbert, J.H.V. Resolving the Barriers to Interprofessional Education - One University’s Perspective. Meeting Report, International Symposium 2000: Educating for Quality Healthcare. It is available for download with the permission of the author.
Romanow – Not just some strolling player
The Romanow Commission (November, 2002) may be an event of the past, but in a number of different venues the work needed to set in place changes recommended by Romanow is just beginning. The most visible is the formation of the national Health Council, announced in December 2003, to be chaired by Michael Decter.
Prospects for Care Coordination Measurement Using Electronic Data Sources
Care coordination has been recognized as a priority area for improving health care delivery in the U.S. Robust measures of care coordination processes will be essential tools to evaluate, guide, and support efforts to understand and improve deficits in care coordination.
A National Agenda for Research in Collaborative Care
This collection of three research papers represents the fruits of the AHRQ-funded Collaborative Care Research Network Research Development Conference in Denver in October 2009. At the meeting, participants took steps toward establishing a research agenda for collaborative care among primary care and mental health clinicians.
The three papers are:
Collaboration between nurses and physicians
Collaboration between nurses and physicians has emerged as a result of recent research as a key variable in explaining patient outcomes from intensive care. However, the term has lacked a generally accepted definition, and this creates problems for new research. The use of the term in studies related to collaborative practice is reviewed here. Content areas for an instrument that could be used to examine collaborative work are suggested.
Who is attending? End-of-life decision making in the intensive care unit
PURPOSE: Traditional expectations of the single attending physician who manages a patient's care do not apply in today's intensive care units (ICUs). Although many physicians and other professionals have adapted to the complexity of multiple attendings, ICU patients and families often expect the traditional, single physician model, particularly at the time of end-of-life decision making (EOLDM). Our purpose was to examine the role of ICU attending physicians in different types of ICUs and the consequences of that role for clinicians, patients, and families in the context of EOLDM.
Nurse-physician collaboration in intensive care units
In this editorial, the author describes and evaluates an intervention study by Drs. Hamric and Blackhall. Particularly significant is the determination of positive relationships between collaboration and a) satisfaction with quality of care and b) ethical climate for two groups of nurses and the single group of physicians studied. Collaboration also was related inversely to moral distress.
Overview: Partnerships and collaboration: What skills are needed?
The author gives an overview of a special issue of The Online Journal of Issues in Nursing, highlighting several themes: At the beginning is interdisciplinary education, with nascent providers of various professions learning together both about substance and about the perspectives of each other’s professions. In the process of professional work, there is the need to consider multiple perspectives and to communicate thoughtfully, not only in traditional teams, during interdisciplinary rounds, and in telephone communications but using new forms of technology.
The dying patient in the ICU: Role of the interdisciplinary team
Expert opinion supports the application of broad interdisciplinary team approaches to the care of the dying patient in the intensive care unit (ICU). Current literature contains many suggestions about how core team members-physicians, nurses, and patients/family members-could systematically enhance interdisciplinary collaboration in the care of the dying patient. In the few studies of ICU interdisciplinary collaborative care of the dying patient, investigator shave demonstrated improvement in care.
Collaboration: A tool addressing ethical issues for elderly patients near the end of life in intensive care units
The purpose of this article is to propose that collaboration is a valuable way to address ethical issues associated with the treatment of elderly patients near the end of life in intensive care units (ICUs). Collaboration among health care providers and with patients and their families has been called “an ethical responsibility of the highest priority” (Levine, 1989, p. 5).