Towards culture change in the operating theatre: Embedding a complex educational intervention to improve teamwork climate
BACKGROUND: Changing teamwork climate in healthcare through a collective shift in attitudes and values may be a necessary precursor to establishing a positive teamwork culture, where innovations can be more readily embedded and sustained. A complex educational intervention was initiated across an entire UK Trust's surgical provision, and then sustained. Attitudes towards teamwork were measured longitudinally to examine if the intervention produced sustainable results.
Developing and testing a tool to measure nurse/physician communication in the intensive care unit
OBJECTIVES: The purpose of this study, conducted in 3 intensive care units (ICUs) at 1 Department of Veterans Affairs Medical Center, was to develop tools and procedures to measure nurse/physician communication in future studies.
Advancing Educational Continuity in Primary Care Residencies: An Opportunity for Patient-Centered Medical Homes
Continuity of care is a core value of patients and primary care physicians, yet in graduate medical education (GME), creating effective clinical teaching environments that emphasize continuity poses challenges. In this Perspective, the authors review three dimensions of continuity for patient care-informational, longitudinal, and interpersonal-and propose analogous dimensions describing continuity for learning that address both residents learning from patient care and supervisors and interprofessional team members supporting residents' competency development.
Aligning expansion of graduate medical education with recent recommendations for reform
Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education
To integrate health care professional learners into patient-centered primary care delivery models, the Department of Veterans Affairs has funded five Centers of Excellence in Primary Care Education (CoEPCEs). The main goal of the CoEPCEs is to develop and test innovative structural and curricular models that foster transformation of health care training from profession-specific "silos" to interprofessional, team-based educational and care delivery models in patient-centered primary care settings.
Interprofessional professionalism: Linking professionalism and interprofessional care
Professionalism has typically been defined as a set of non-cognitive characteristics (such as empathy) or as a set of humanistic values and behaviors through which clinicians express a commitment to excellence and compassion (Stern, 2006).
Defining and measuring construct of interprofessional professionalism
The Interprofessional Professionalism Collaborative (IPC), convened in 2006, currently consists of 11 national organizations representing health professions programs at the doctoral entry level, and is developing a framework of "interprofessional professionalism" (IPP) around observable behaviors that illustrate what professionalism looks like in the context of interprofessional collaborations focused on patient-, client-, and family-centered care. IPC's goal is to create tools to foster and measure these behaviors in health professionals and students.
Progress and Promise: Profiles in Interprofessional Health Training to Deliver Patient-Centered Primary Care
The publication highlights how seven programs from California, Illinois, New Mexico, North Carolina, Oklahoma, South Carolina, Texas and Virginia train a variety of health care professionals to work together as teams in patient-centered medical homes.
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.
The Safety Organizing Scale: Development and validation of a behavioral measure of safety culture in hospital nursing units
BACKGROUND: Evidence that medical error is a systemic problem requiring systemic solutions continues to expand. Developing a "safety culture" is one potential strategy toward improving patient safety. A reliable and valid self-report measure of safety culture is needed that is both grounded in concrete behaviors and is positively related to patient safety.