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Improving hospital care and collaborative communications for the 21st century: Key recommendations for general internal medicine

BACKGROUND: Communication and collaboration failures can have negative impacts on the efficiency of both individual clinicians and health care system delivery as well as on the quality of patient care. Recognizing the problems associated with clinical and collaboration communication, health care professionals and organizations alike have begun to look at alternative communication technologies to address some of these inefficiencies and to improve interprofessional collaboration.

Scott Reeves - May 20, 2014

Interprofessional communication with hospitalist and consultant physicians in general internal medicine: A qualitative study

BACKGROUND: Studies in General Internal Medicine [GIM] settings have shown that optimizing interprofessional communication is important, yet complex and challenging. While the physician is integral to interprofessional work in GIM there are often communication barriers in place that impact perceptions and experiences with the quality and quantity of their communication with other team members.

Scott Reeves - May 20, 2014

Interprofessional education: An overview of key developments in the past three decades

OBJECTIVE: This paper provides an overview of key developments of interprofessional education (IPE) in relation to its evolution over the past 30 years.

METHODS: A narrative review of the salient IPE literature was undertaken to generate key source materials for this paper.

Scott Reeves - May 20, 2014

An evaluation of the use of smartphones to communicate between clinicians: A mixed-methods study

BACKGROUND: Communication between clinicians is critical to providing quality patient care but is often hampered by limitations of current systems. Smartphones such as BlackBerrys may improve communication, but studies of these technologies have been limited to date.

OBJECTIVE: Our objectives were to describe how smartphones were adopted for clinical communication within general internal medical wards and determine their impact on team effectiveness and communication.

Scott Reeves - May 20, 2014

A critical examination of the role of appreciative inquiry within an interprofessional education initiative

Appreciative inquiry (AI) is a relatively new approach to initiating or managing organizational change that is associated with the 'positiveness' movement in psychology and its offshoot positive organizational scholarship. Rather than dwelling upon problems related to change, AI encourages individuals to adopt a positive, constructive approach to managing change. In recent years, AI has been used to initiate change across a broad range of public and private sector organizations.

Scott Reeves - May 20, 2014

Assessment of interprofessional learning: The design of an interprofessional objective structured clinical examination (iOSCE) approach

Despite the broad adoption of IPE across a number of educational institutions, in general, there continues to be little focus on the development and implementation of sound assessment strategies.

Scott Reeves - May 19, 2014

Interprofessional primary care protocols: A strategy to promote an evidence-based approach to teamwork and the delivery of care

Primary care reform involving interprofessional team-based care is a global phenomenon. In Ontario, Canada, 150 Family Health Teams (FHTs) have been approved in the past few years. The transition to a FHT is complex involving many changes and the processes for collaborative teamwork are not clearly delineated. To support the transition to team-based care in FHTs, a project was undertaken to develop and implement a series of interprofessional protocols in four clinical areas.

Scott Reeves - May 19, 2014

Exploring an IPE faculty development program using the 3-P model

While interprofessional education (IPE) activities have expanded across clinical contexts and countries in the past decade, our empirical understanding of this form of education is limited by an over-reliance upon studies which continue to focus on short term learner-focused outcomes. As a result we have only a partial understanding of the attributes needed to become an effective interprofessional facilitator.

Scott Reeves - May 19, 2014

Interprofessional collaboration in family health teams: An Ontario-based study

OBJECTIVE: To examine family health team (FHT) members' perspectives and experiences of interprofessional collaboration and perceived benefits.

DESIGN: Qualitative case study using semistructured interviews.

SETTING: Fourteen FHTs in urban and rural Ontario.

PARTICIPANTS: Purposeful sample of the members of 14 FHTs, including family physicians, nurse practitioners, nurses, dietitians, social workers, pharmacists, and managers.

Scott Reeves - May 19, 2014

Synthesis of systematic review evidence of interprofessional education

Interprofessional education (IPE) continues to be a central focus within health care and research spheres. As a result, there is a sustained interest in understanding its overall effects on learners, professions, organizations, and patients. Systematic reviews are instrumental in assessing evidence and informing disciplinary fields about the effects of interventions and providing direction for future activity and research. This paper provides a synthesis and critical appraisal of the evidence for IPE contained in the small, but growing, systematic review literature.

Scott Reeves - May 19, 2014