A Toolkit for Redesign in Health Care: Final Report
In October 2003, Denver Health began a major effort to redesign/transform the process of care in the hospital in a comprehensive manner. This project was supported by the Agency for Healthcare Research and Quality.
This document presents the following information:
Nurse-physician collaboration and satisfaction with the decision-making process in three critical care units
OBJECTIVE: To assess and compare levels of nurse-physician collaboration and satisfaction with the decision-making process as reported by critical care nurses, resident physicians (residents), and attending physicians (attendings) in making decisions to transfer individual patients out of the critical care unit, and to assess if satisfaction predicts nurse retention.
DESIGN: Longitudinal descriptive correlational study using self-reporting instruments.
Development of an instrument to measure collaboration and satisfaction about care decisions
The psychometric assessment of a new instrument for measurement of the construct of nurse-physician collaboration in making specific patient care decisions. Collaboration and Satisfaction About Care Decisions (CSACD), is reported. Content validity for the tool was supported by literature review, nurse and physician experts, and potential subjects. In a pilot study 58 neonatal intensive care nurses' and resident physicians' responses showed variance; alpha reliability of the collaboration questions was 0.95.
Two instruments to measure interdisciplinary bioethical decision making
OBJECTIVE: To develop and test two instruments measuring decision making about level of aggressiveness of intensive care unit (ICU) patient care. Decisions about Aggressiveness of Patient Care (DAC) measures care providers' general perceptions about decision making. Decisions about Aggressiveness of Patient Care for Specific Patients (DAC[SP]) measures perceptions in specific situations.
DESIGN: Two-phase psychometric instrument evaluation.
SETTING: Phase I, nationally mailed questionnaire. Phase II, northeastern medical center medical ICU.
Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE) Instrument
Development of the Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE) instrument was guided by the Interprofessional Education Collaborative’s competency framework. The SPICE instrument contains 10 items and 3 factors dedicated to interprofessional teamwork and team-based practice (items 1, 5, 6, & 8-10), roles/responsibilities for collaborative practice (items 2 & 7), and patient outcomes from collaborative practice (items 3 & 4).
Learning for real life: Patient-focused interprofessional workshops offer added value
OBJECTIVES: This paper reports relevant findings of a pilot interprofessional education (IPE) project in the Schools of Medicine and Healthcare Studies at the University of Leeds. The purpose of the paper is to make a contribution towards answering 2 questions of fundamental importance to the development of IPE. Is there a demonstrable value to learning together? What types of IPE, under what circumstances, produce what type of outcomes?
Interprofessional education: What’s the point and where we’re at
In this paper, the authors define interprofessional education (IPE), describe models of IPE, and explore the problems of evaluating the IPE learning experience. Changing the way we educate health professionals is key to achieving system change and to ensuring that health providers have the necessary knowledge and training to work effectively in interprofessional teams within the evolving health care system.
Interprofessional education: A review of context, learning and the research agenda
CONTEXT: Interprofessional education (IPE) is not a recent phenomenon and has been the subject of several World Health Organization reports. Its focus is on health professionals and students learning with, from and about one another to improve collaboration and the quality of patient care. The drivers for IPE include new models of health care delivery in the context of an ageing population and the increasing prevalence of long-term chronic disease, in addition to the patient safety agenda.
Compassion: Wherefore Art Thou?
Compassion is a health professional value that has received a lot of attention recently. In this paper we consider the nature of compassion, its definition and its expression in practice. We further link compassion to patient-centred care. There is debate about whether compassion can be learned, and therefore assessed. There are similar discussions in relation to ‘professionalism’ and the effects of the hidden curriculum.
Interprofessional Collaboration Scale
The Interprofessional Collaboration Scale contains 13 items to measure three constructs: communication (5 items), accommodation (5 items), and isolation (3 items). The scale's novel feature is that it was conceived and written for multiple-group, round robin, rater judgements of target groups. For example, inpatient medical/surgical wards may be staffed by nurses, physicians, and allied health care professionals. The survey can be completed by nurses (raters) to make physicians and other health professionals targets of the items.
