Connecting the dots: Interprofessional health education and delivery system redesign at the Veterans Health Administration
Health systems around the United States are embracing new models of primary care using interprofessional team-based approaches in pursuit of better patient outcomes, higher levels of satisfaction among patients and providers, and improved overall value. Less often discussed are the implications of new models of care for health professions education, including education for physicians, nurse practitioners, physician assistants, and other professions engaged in primary care.
Handling Ethical Dilemmas in Multidisciplinary Teams: An Interprofessional Values-based Approach
This chapter explores the concept and practice of teamwork and interprofessional collaboration in the support and treatment of clients with mental health problems. Mental health care provision is complex, ethically challenging, and frequently delivered via mental health care teams (MHCT) in both primary and secondary health care settings. We consider how such teams may work together optimally using values-based and client-centered approaches.
Teamwork training with nursing and medical students: Does the method matter? Results of an interinstitutional, interdisciplinary collaboration
OBJECTIVES: The authors conducted a randomised controlled trial of four pedagogical methods commonly used to deliver teamwork training and measured the effects of each method on the acquisition of student teamwork knowledge, skills, and attitudes.
Interprofessional teamwork in medical rehabilitation: A comparison of multidisciplinary and interdisciplinary team approach
OBJECTIVE: To compare multi- and interdisciplinary team approaches concerning team process (teamwork) and team effectiveness (team performance and staff satisfaction) in German medical rehabilitation clinics.
DESIGN: A cross-sectional study with a descriptive-explorative design.
SETTING: Eighteen medical rehabilitation clinics divided into two groups (somatic and psychosomatic indication fields).
SUBJECTS: The 18 head physicians or psychotherapists in the clinics and their complete rehabilitation teams (n = 824).
Observational teamwork assessment for surgery: Content validation and tool refinement
BACKGROUND: Effective teamwork is crucial for safe surgery. Failures in nontechnical and teamwork skills are frequently implicated in adverse events. The Observational Teamwork Assessment for Surgery (OTAS) tool assesses teamwork of the entire team in the operating room. Empirical testing of OTAS has yet to explore the content validity of the tool.
Assessment of stress and teamwork in the operating room: An exploratory study
BACKGROUND: Although effective teamwork is fundamental to patient safety in the operating room (OR), acute stress increasingly is recognized as detrimental for teamwork. This study concurrently assessed teamwork and stress levels experienced by OR team members.
METHODS: Data were collected in real time in 20 elective surgical cases. The validated Observational Teamwork Assessment for Surgery was used to assess teamwork, whereas stress was assessed using the validated State-Trait Anxiety Inventory.
Observational teamwork assessment for surgery: Construct validation with expert versus novice raters
OBJECTIVE: To test the construct validity of the Observational Teamwork Assessment for Surgery (OTAS) tool.
SUMMARY BACKGROUND DATA: Poor teamwork in surgical teams has been implicated in adverse events to patients. The OTAS is a tool that assesses teamwork in real time for the entire surgical team. Existing empirical research on OTAS has yet to explore how expert versus novice tool users use the tool to assess teamwork in the operating room.
Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation
AIM: The aim of the study reported here was to address the need to assess and train teamwork and non-technical skills in the context of Resuscitation. Specifically, we sought to develop a tool that is feasible to use and psychometrically sound to assess team behaviours during cardiac arrest resuscitation attempts.
Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study
Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP).
Performance Measurement in Simulation-Based Training: A Review and Best Practices
Simulation-based training (SBT) is a methodology for providing systematic and structured learning experiences. The effectinvess of this methodology is dependent on the quality of performance measurement practices in place. Performance measurement during SBT must be diagnosed; that is, the causes of effective and ineffective performance must be determined. This diagonstic measurement drives the systematic decisions concerning corrective feedback and remediation. The purpose of this article is to provide a state of the science review of human performance measurement systems in SBT.