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[PMID]:29496801
[Au] Autor:Sabato E; Owens J; Mauro AM; Findley P; Lamba S; Fenesy K
[Ad] Endereço:Dr. Sabato is Assistant Dean for Academic Affairs and Instructor, Rutgers School of Dental Medicine; Dr. Owens is Predoctoral Director, Department of Periodontics and Assistant Professor, Louisiana State University School of Dentistry; Dr. Mauro is Assistant Dean for Educational Research and Innovat
[Ti] Título:Integrating Social Determinants of Health into Dental Curricula: An Interprofessional Approach.
[So] Source:J Dent Educ;82(3):237-245, 2018 Mar.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Approaching patient care from a holistic perspective, incorporating not only the patient's medical and dental history but also psychosocial history, improves patient outcomes. Practitioners should be trained to provide this style of care through inclusive education, including training working on interprofessional teams. A component of this education must incorporate social determinants of health into the treatment plan. Social determinants of health include income, race/ethnicity, education level, work opportunities, living conditions, and access to health care. Education regarding social determinants of health should be woven throughout dental curricula, including hands-on application opportunities. This education must extend to patient care situations rather than be limited to didactic settings. This article explains the need to incorporate social determinants of health into dental education and illustrates how social determinants education is being addressed in two U.S. dental schools' curricula, including how to weave social determinants of health into interprofessional education. These descriptions may serve as a model for curricular innovation and faculty development across the dental education community.
[Mh] Termos MeSH primário: Educação em Odontologia
Relações Interprofissionais
Determinantes Sociais da Saúde
[Mh] Termos MeSH secundário: Currículo
Assistência Odontológica/métodos
Avaliação Educacional
Seres Humanos
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180303
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.022


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[PMID]:28453828
[Au] Autor:Reeves S; Clark E; Lawton S; Ream M; Ross F
[Ad] Endereço:Centre for Health & Social Care Research, Kingston University & St George's, University of London, Hunter Wing, St George's Hospital, Cranmer Terrace, London, UK.
[Ti] Título:Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review.
[So] Source:Int J Qual Health Care;29(2):144-150, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Purpose: This narrative review aimed to scope the patient safety literature to identify interprofessional intervention approaches, sources of evidence and reported outcomes. Data sources: Two major databases (MEDLINE and CINAHL) were searched from 2005 to 2015. Study selection: A total of 1552 abstracts were initially identified. After screening these abstracts, 129 full papers were obtained. Further screening resulted in a total of 89 papers included in this review. Data extraction: The following information was extracted from each included paper: details on the patient safety intervention, study methods employed and outcomes reported. Results of data synthesis: It was found that the bulk of the included studies was undertaken in a North American acute care context. Most often, studies involved qualified professionals from nursing and medicine collaborating in hospitals and medical centres. Nearly half the studies reported in this review employed educational interventions, such as TeamSTEPPS, aimed at enhancing practitioners' competence of delivering safe patient care. Nearly a third of studies involved practice-based interventions (e.g. checklists) aimed at improving the delivery of safe care. Most of the studies used a quasi-experimental design and typically gathered survey data. The majority reported outcomes related to changes in professionals' attitudes, knowledge and skills. There were, however, fewer studies reporting changes in practitioners' safety behaviours, organizational practices or patient benefit. Conclusion: The use of different interprofessional interventions are key activities involved in promoting safe patient care practices. However, further work is needed to strengthen these interventions and their evaluations.
[Mh] Termos MeSH primário: Relações Interprofissionais
Segurança do Paciente
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Educação Profissionalizante/métodos
Conhecimentos, Atitudes e Prática em Saúde
Pessoal de Saúde/educação
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx008


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[PMID]:28453822
[Au] Autor:Berian JR; Thomas JM; Minami CA; Farrell PR; O'Leary KJ; Williams MV; Prachand VN; Halverson AL; Bilimoria KY; Johnson JK
[Ad] Endereço:Illinois Surgical Quality Improvement Collaborative (ISQIC), 633 N. St Clair St., 20th Floor, Chicago, IL 60611, USA.
[Ti] Título:Evaluation of a novel mentor program to improve surgical care for US hospitals.
[So] Source:Int J Qual Health Care;29(2):234-242, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: To evaluate a novel mentor program for 27 US surgeons, charged with improving quality at their respective hospitals, having been paired 1:1 with 27 surgeon mentors through a state-wide quality improvement (QI) initiative. Design: Mixed-methods utilizing quantitative surveys and in-depth semi-structured interviews. Setting: The Illinois Surgical Quality Improvement Collaborative (ISQIC) utilized a novel Mentor Program to guide surgeons new to QI. Participants: All mentor-mentee pairs received the survey (n = 27). Purposive sampling identified a subset of mentors (n = 8) and mentees (n = 4) for in-depth semi-structured interviews. Intervention: Surgeons with expertise in QI mentored surgeons new to QI. Main outcome measures: (i) Quantitative: self-reported satisfaction with the mentor program; (ii) Qualitative: key themes suggesting actions and strategies to facilitate mentorship in QI. Results: Mentees expressed satisfaction with the mentor program (n = 24, 88.9%) and agreed that mentorship is vital to ISQIC (n = 24, 88.9%). Analysis of interview data revealed four key themes: (i) nuances of data management, (ii) culture of quality and safety, (iii) mentor-mentee relationship and (iv) logistics. Strategies from these key themes include: utilize raw data for in-depth QI understanding, facilitate presentations to build QI support, identify opportunities for in-person meetings and establish scheduled conference calls. The mentor's role required sharing experiences and acting as a resource. The mentee's role required actively bringing questions and identifying barriers. Conclusions: Mentorship plays a vital role in advancing surgeon knowledge and engagement with QI in ISQIC. Key themes in mentorship reflect strategies to best facilitate mentorship, which may serve as a guide to other collaboratives.
[Mh] Termos MeSH primário: Mentores
Melhoria de Qualidade/organização & administração
Cirurgiões/psicologia
Centro Cirúrgico Hospitalar/normas
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Feminino
Seres Humanos
Relações Interprofissionais
Masculino
Satisfação Pessoal
Avaliação de Programas e Projetos de Saúde
Inquéritos e Questionários
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx005


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[PMID]:29406647
[Au] Autor:Stokes D
[Ti] Título:Empowering Children with Autism Spectrum Disorder and Their Families within the Healthcare Environment.
[So] Source:Pediatr Nurs;42(5):254-5, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patient and family education is a critical element of diabetes management. Many children with new onset type 1 diabetes present with symptoms of diabetic ketoacidosis (DKA) and are hospitalized at diagnosis. These children and their families receive their initial education in the hospital setting. As soon as blood glucose levels are stabilized and the acidosis is corrected. The patient is discharged home, usually within three days (Nettles, 2005). There is little time to provide the skills and education, as well as emotional support, for a smooth transition to home. It is a challenge to achieve these goals if the only resource person for diabetes education is the clinical nurse specialist (CNS). The CNS for a 14-bed pediatric unit sought to expand the role of the bedside nurse to being the primary educator of patients with diabetes through education and support. All nurses attended an eight-hour workshop on diabetes. A DKA protocol was developed through multidisciplinary collaboration, and nurses were educated on this protocol. Additionally, the CNS organized a diabetes resource cart that contains the tools for diabetes education. The protocol and education materials were uploaded in the Pediatric Share Point site to make them accessible to nurses. Most importantly, the CNS developed a structured patient education plan that is outcome-oriented, and based on review of current literature and practices in the unit. This initiative resulted in an increase in nursing confidence and expertise related to diabetes care as demonstrated by competencies met by nurses and anecdotal evidence from nurses and patients' caregivers.
[Mh] Termos MeSH primário: Transtorno do Espectro Autista/psicologia
Crianças com Deficiência/psicologia
Família/psicologia
Pessoal de Saúde/psicologia
Relações Interprofissionais
Poder (Psicologia)
[Mh] Termos MeSH secundário: Adolescente
Adulto
Atitude Frente à Saúde
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29406638
[Au] Autor:McGuire M
[Ti] Título:Is the Key to Successful Teambuilding Puzzling? Exactly!
[So] Source:Pediatr Nurs;42(5):212, 216, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Relações Interprofissionais
Colaboração Intersetorial
Medicina Naval/organização & administração
Equipe de Assistência ao Paciente/organização & administração
Enfermagem Pediátrica/organização & administração
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Maryland
Meia-Idade
Estados Unidos
United States Public Health Service
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29384303
[Au] Autor:Benoit M; Pilon R; Lavoie AM; Pariseau-Legault P
[Ti] Título:[Overlapping, interdependence or complementarity, interprofessional collaboration between nurse practitioners and other health professionals in Ontario].
[Ti] Título:Chevauchement, interdépendance ou complémentarité?, la collaboration interprofessionnelle entre l?infirmière praticienne et d?autres professionnels de santé en Ontario..
[So] Source:Sante Publique;29(5):693-706, 2017 Dec 05.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:OBJECTIVE: The Naylor Report (2015) states that nurse practitioners (NP) are still underutilized in Canada despite positive evidence of their work and the benefits they provide to health systems and, more generally, the health of the population. METHODS: Why are nurse practitioners not more actively involved in the Canadian health care system? A socio-historical literature review showed that there is overlap, interdependence or complementarity between the role of NPs and that of other health professionals and that this concerns their status, training as well as the scope of their practice. The development of an interprofessional collaborative approach, although supported by most professional nursing associations in Canada, is difficult to establish in NP practice and training. RESULTS: This article describes the emergence of the role of NPs in Canada and provides an update on the current status of their integration in the health system with reference to the Ontario example. It provides insight into the overlap and zones of complementarity or interdependence between NPs and other health professionals. CONCLUSION: In conclusion, the authors call for improved governance by the contribution of a new collaborative contract with other health professionals. This contract should be based on the interdependence of practices and the complementarity of roles between all health professionals including NPs.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Relações Interprofissionais
Profissionais de Enfermagem
Papel do Profissional de Enfermagem
[Mh] Termos MeSH secundário: Seres Humanos
Legislação de Enfermagem
Ontário
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.3917/spub.175.0693


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[PMID]:29461354
[Au] Autor:Pedersen A; Sorensen J; Babcock T; Bradley M; Donaldson N; Donnelly JE; Edgar W
[Ad] Endereço:Author Affiliations: Director of Nursing (Ms Pedersen), UPMC Hamot, Erie; Chief Nursing Officer and Vice President Patient Services (Dr Sorensen), UPMC Northwest, Seneca; and ED Clinician (Mr Babcock), Clinical Director Medical-Surgical (Ms Bradley), 7 South Clinician (Ms Donaldson), CNE and Vice President of Patient Care Services (Mr Donnelly), and Director 4 South (Mr Edgar), UPMC Hamot, Erie, Pennsylvania.
[Ti] Título:A Nursing Leadership Immersion Program: Succession Planning Using Social Capital.
[So] Source:J Nurs Adm;48(3):168-174, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article describes the inception and evolution of a 3-month immersion experience between hospital and nurse leaders where sociological principles were applied to support nurse leader succession. Unique to this program, the bedside nurse joins the nursing executive team full time to participate in all organizational leadership activities as part of the experience.
[Mh] Termos MeSH primário: Enfermeiras Administradoras/organização & administração
Equipe de Enfermagem/organização & administração
Capital Social
[Mh] Termos MeSH secundário: Seres Humanos
Relações Interprofissionais
Liderança
Enfermeiras Administradoras/educação
Enfermeiras Administradoras/normas
Equipe de Enfermagem/normas
Estudos de Casos Organizacionais
Cultura Organizacional
Competência Profissional
Desenvolvimento de Pessoal/métodos
Desenvolvimento de Pessoal/organização & administração
Desenvolvimento de Pessoal/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000592


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[PMID]:29461353
[Au] Autor:Moreno JV; Girard AS; Foad W
[Ad] Endereço:Author Affiliations: Director of Professional Development and Clinical Education (Dr Moreno), Center of Professional Excellence and Inquiry, Stanford Children's Health/Lucille Packard Children's Hospital, Menlo Park; and Magnet Program Director (Dr Girard) and Associate Chief Nursing Officer (Ms Foad), Patient Care Services, Stanford Health Care, Stanford, California.
[Ti] Título:Realigning Shared Governance With Magnet® and the Organization's Operating System to Achieve Clinical Excellence.
[So] Source:J Nurs Adm;48(3):160-167, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2012, an academic medical center successfully overhauled a 15-year-old shared governance to align 6 house-wide and 30 unit-based councils with the new Magnet Recognition Program® and the organization's operating system, using the processes of LEAN methodology. The redesign improved cross-council communication structures, facilitated effective shared decision-making processes, increased staff engagement, and improved clinical outcomes. The innovative structural and process elements of the new model are replicable in other health institutions.
[Mh] Termos MeSH primário: Centros Médicos Acadêmicos/organização & administração
Tomada de Decisões Gerenciais
Recursos Humanos de Enfermagem no Hospital/organização & administração
Gestão da Qualidade Total/organização & administração
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos/normas
Tomada de Decisões
Seres Humanos
Relações Interprofissionais
Liderança
Recursos Humanos de Enfermagem no Hospital/psicologia
Recursos Humanos de Enfermagem no Hospital/normas
Estudos de Casos Organizacionais
Inovação Organizacional
Melhoria de Qualidade/organização & administração
Melhoria de Qualidade/normas
Gestão da Qualidade Total/normas
Engajamento no Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000591


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[PMID]:29461350
[Au] Autor:Nelson-Brantley HV; Ford DJ; Miller KL; Stegenga KA; Lee RH; Bott MJ
[Ad] Endereço:Author Affiliations: Assistant Professor (Dr Nelson-Brantley), Professor and Former Dean (Dr Miller), Adjunct Clinical Assistant Professor (Dr Stegenga), Associate Professor and Associate Dean for Research (Dr Bott), University of Kansas School of Nursing; Associate Professor (Dr Ford), Interdisciplinary Leadership Doctoral Program, Creighton University; Professor and Chair (Dr Lee), Health Policy and Management Department, University of Kansas Medical Center.
[Ti] Título:Leading Change: A Case Study of the First Independent Critical-Access Hospital to Achieve Magnet® Designation.
[So] Source:J Nurs Adm;48(3):141-148, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study was to understand how nurses in a 25-bed critical-access hospital (CAH) led change to become the 1st to achieve Magnet®. BACKGROUND: Approximately 21% of the US population lives in rural areas served by CAHs. Rural nurse executives are particularly challenged with limited resources. METHODS: Staff nurses, nurse managers, interprofessional care providers, the chief nursing officer, and board of directors (n = 27) were interviewed. Observations of hospital units and administrative meetings were done, and hospital reports were analyzed. RESULTS: Nine themes emerged to support a conceptual model of leading change. The CAH spent 3 years of its 6-year journey establishing organizational readiness. Nurses overcame complex challenges by balancing operational support and fostering relationships. The Magnet journey led to significantly improved nurse and patient outcomes. A new organizational culture centered on shared governance, evidence-based practice, and higher education emerged. CONCLUSIONS: The journey to Magnet leads to improved nurse, patient, and organization outcomes.
[Mh] Termos MeSH primário: Hospitais Rurais/organização & administração
Enfermeiras Administradoras/organização & administração
Recursos Humanos de Enfermagem no Hospital/organização & administração
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Hospitais Rurais/recursos humanos
Hospitais Rurais/normas
Seres Humanos
Relações Interprofissionais
Liderança
Enfermeiras Administradoras/normas
Recursos Humanos de Enfermagem no Hospital/normas
Estudos de Casos Organizacionais
Cultura Organizacional
Inovação Organizacional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000588


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[PMID]:29389801
[Au] Autor:Havens DS; Gittell JH; Vasey J
[Ad] Endereço:Author Affiliations: Professor (Dr Havens), School of Nursing, The University of North Carolina at Chapel Hill; Professor (Dr Gittell), Heller School for Social Policy & Management, Brandeis University, Waltham, Massachusetts; Principal (Dr Vasey), Tosti-Vasey & Vasey, Bellefonte, Pennsylvania.
[Ti] Título:Impact of Relational Coordination on Nurse Job Satisfaction, Work Engagement and Burnout: Achieving the Quadruple Aim.
[So] Source:J Nurs Adm;48(3):132-140, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To explore how relational coordination, known to enhance quality and efficiency outcomes for patients and hospitals, impacts direct care nurse outcomes such as burnout, work engagement, and job satisfaction, addressing the "Quadruple Aim," to improve the experience of providing care. BACKGROUND: Hospitals are complex organizations in which multiple providers work interdependently, under conditions of uncertainty and time constraints, to deliver safe quality care despite differences in specialization, training, and status. Relational coordination-communicating and relating for the purpose of task integration-is known to improve quality, safety, and efficiency under these conditions, but less is known about its impact on the well-being of direct care providers themselves. METHODS: Surveys measuring relational coordination among nurses and other types of providers as well as job-related outcomes in 5 acute care community hospitals were completed by direct care RNs. RESULTS: Relational coordination was significantly related to increased job satisfaction, increased work engagement, and reduced burnout. CONCLUSIONS: Relational coordination contributes to the well-being of direct care nurses, addressing the Quadruple Aim by improving the experience of providing care.
[Mh] Termos MeSH primário: Esgotamento Profissional/psicologia
Satisfação no Emprego
Cuidados de Enfermagem/normas
Recursos Humanos de Enfermagem no Hospital/normas
Equipe de Assistência ao Paciente/normas
Qualidade da Assistência à Saúde/normas
Engajamento no Trabalho
[Mh] Termos MeSH secundário: Esgotamento Profissional/etiologia
Esgotamento Profissional/prevenção & controle
Seres Humanos
Relações Interprofissionais
Colaboração Intersetorial
Cuidados de Enfermagem/organização & administração
Cuidados de Enfermagem/psicologia
Recursos Humanos de Enfermagem no Hospital/organização & administração
Recursos Humanos de Enfermagem no Hospital/psicologia
Equipe de Assistência ao Paciente/organização & administração
Qualidade da Assistência à Saúde/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000587



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