The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: Study protocol: for a cluster randomised controlled trial and evaluation of implementation processes
BACKGROUND: Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.
Identifying ethical issues from the perspective of the registered nurse
A review of the formal ethics consultations performed at a rural academic medical center during 2006 revealed that only 5 of 72 consultations were initiated by nurses. A descriptive exploratory convenience study used a 3-item survey to collect information from registered nurses who provide direct patient care at the rural academic medical center.
Better interprofessional teamwork, higher level of organized care, and lower risk of burnout in acute health care teams using care pathways: A cluster randomized controlled trial
BACKGROUND: Effective interprofessional teamwork is an essential component for the delivery of high-quality patient care in an increasingly complex medical environment. The objective is to evaluate whether the implementation of care pathways (CPs) improves teamwork in an acute hospital setting.
Interprofessional education in anatomy: Learning together in medical and nursing training
Teamwork and the interprofessional collaboration of all health professions are a guarantee of patient safety and highly qualified treatment in patient care. In the daily clinical routine, physicians and nurses must work together, but the education of the different health professions occurs separately in various places, mostly without interrelated contact. Such training abets mutual misunderstanding and cements professional protectionism, which is why interprofessional education can play an important role in dismantling such barriers to future cooperation.
An evaluation of interdisciplinary team training in hospice care
Medicare requires all hospice agencies to conduct regular interdisciplinary team meetings to facilitate collaboration within the team and to coordinate holistic plans of patient care. This study takes a preliminary look at hospice agencies' preparation of interdisciplinary team members for collaboration within team meetings and aims to explain hospices' strategies for training and assessing the collaborative strength of interdisciplinary team meetings.
Assessing teamwork in the trauma bay: Introduction of a modified "NOTECHS" scale for trauma
BACKGROUND: A modified nontechnical skills (NOTECHS) scale for trauma (T-NOTECHS) was developed to teach and assess teamwork skills of multidisciplinary trauma resuscitation teams. In this study, T-NOTECHS was evaluated for reliability and correlation with clinical performance.
METHODS: Interrater reliability (intraclass correlation coefficient) and correlation with the speed and completeness of resuscitation tasks were assessed during simulation-based teamwork training and during actual trauma resuscitations.
Methods for evaluating practice change toward a patient-centered medical home
PURPOSE: Understanding the transformation of primary care practices to patient-centered medical homes (PCMHs) requires making sense of the change process, multilevel outcomes, and context. We describe the methods used to evaluate the country's first national demonstration project of the PCMH concept, with an emphasis on the quantitative measures and lessons for multimethod evaluation approaches.
The Knowledge, Skill, and Ability Requirements for Teamwork: Revisiting the Teamwork-KSA Test's validity
The Teamwork – Knowledge, Skills, and Ability (KSA) Test was developed by Stevens and Campion to operationalize their comprehensive taxonomy of teamwork competencies. The test is generally considered ‘valid’ and has been used frequently in organizations. Our review of the literature found an average criterion validity of.20 for the Teamwork-KSA Test, although there was considerable variability across studies. We could find no research on the item properties, factor structure, or subscale reliabilities, and no extensive investigations of the nomological net of this test.
The triple aim: Care, health, and cost
Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsibility for all three aims for that population.
The knowledge, skill, and ability requirements for teamwork: Implications for human resource management
This study reviews the literature on groups to determine the knowledge, skill, and ability (KSA) requirements for teamwork. The focus is on: (1) KSAs rather than personality traits; (2) team rather than technical KSAs; and (3) the individual rather than team level of analysis. Fourteen specific KSAs are derived. Then, the implications of these teamwork KSAs for the modification or development of human resource (HR) management systems are determined, and research issues are discussed.