Identifying contributing factors influencing pediatric nurses' and health professionals' self-reported collaborative practice behaviors

2021 ◽  
Author(s):  
Susan Kilroy ◽  
Colleen Corte ◽  
Chang Park ◽  
Catherine Vincent ◽  
Frank Borgers ◽  
...  
Keyword(s):  
Health Professionals ◽  
Collaborative Practice ◽  
Pediatric Nurses ◽  
Contributing Factors ◽  
Practice Behaviors ◽  
Factors Influencing

Osteoporosis

2020 ◽  
pp. 39-60
Keyword(s):  
Health Professionals ◽  
Premenopausal Women ◽  
Assessment Tools ◽  
Contributing Factors ◽  
Factors Influencing ◽  
Significant Burden ◽  
The Individual ◽  
Appropriate Education ◽  
Secondary Causes

This chapter defines osteoporosis and its clinical features. The factors influencing bone mass and bone loss are described as well as contributing factors to the development of osteoporosis including hormonal, dietary, hereditary, and activity undertaken as well as the secondary causes seen in drug or disease-related issues. Diagnosis and how dual-energy X-ray absorptiometry scans are used and interpreted are briefly outlined. A key point that is discussed is osteoporosis in premenopausal women and in men, including causes and management. Vertebral and hip fractures result in a significant burden to the individual and to society. Avoiding these fractures is an important factor for all health professionals to consider so this chapter offers some useful information about managing older people at greater risk of such fractures as well as lifestyle points and how to offer appropriate education and support to all those at risk. In the final sections, assessment tools are described, the role of the nurse in the care of patients with osteoporosis is outlined, and frequently asked questions are covered.

scholarly journals Feedback of patient survey on medication improves the management of polypharmacy: a pilot trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Pilot Trial ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Oral Medications ◽  
Medical Institutions ◽  
Chi Square Test ◽  
Survey Results

Abstract Background Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods After conducting a questionnaire survey of patients in Study 1, we provided its results to the healthcare professionals, and then surveyed the number of polypharmacy patients and oral medications using a before-after comparative study design in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performed a t-test and a chi-square test. Results In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR) = 3.14; 95% confidence interval (CI) = 2.01–4.91), number of medical institutions (OR = 2.34; 95%CI = 1.50–3.64), and patients’ difficulty with asking their doctors to deprescribe their medications (OR = 2.21; 95%CI = 1.25–3.90). After the feedback, the number of polypharmacy patients decreased from 175 to 159 individuals and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p < 0.001, respectively). Conclusions Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients’ difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

Interprofessional Collaborative Practice and School Nursing: A Model for Improved Health Outcomes

2017 ◽  
Vol 22 (3) ◽  
Author(s):  
Robin Fleming ◽  
Mayumi Willgerodt
Keyword(s):  
Case Management ◽  
Health Professionals ◽  
Interprofessional Education ◽  
Interprofessional Collaboration ◽  
Core Competencies ◽  
School Setting ◽  
Healthcare Providers ◽  
School Nurse ◽  
Collaborative Practice ◽  
Interprofessional Collaborative Practice

Effective communication, teamwork, and interprofessional collaboration, or teams of health and non-health professionals working together, are critical to improving the patient experience of care; improving population health; and reducing healthcare costs (i.e., the Triple Aim). In 2016, the Interprofessional Education Collaborative (IPEC) Expert Panel updated its Core Competencies for Interprofessional Collaborative Practice. As health professionals who collaborate with an extensive network of health and non-health professionals, school nurses embody the aims of interprofessional collaboration (IPC). This article briefly reviews the background of interprofessional collaboration and describes ways that school nurse practice aligns with IPC core competencies to incorporate interprofessional collaboration. We discuss successes, such as case management and care coordination, and include challenges to IPC in the school setting. In conclusion, through case management and collaborative care, school nurse expertise in effective IPC fosters knowledge through which core competencies can be strengthened, with benefits for both patients and other healthcare providers.

Interprofessional Education

2020 ◽  
pp. 259-285
Author(s):  
Izhar Faisal ◽  
Saima Salam ◽  
Manisha Arora
Keyword(s):  
Developing Countries ◽  
Healthcare System ◽  
Health Professionals ◽  
Interprofessional Education ◽  
Institutional Support ◽  
Developed Countries ◽  
Collaborative Practice ◽  
Workplace Culture ◽  
Potential Barriers ◽  
Complete Overhaul

With an ever worsening shortage of healthcare workers, there has been a global shift towards strengthening of interprofessional education (IPE). IPE has existed as a powerful tool in developed countries, but in developing countries like India, it is still in its infancy. Several models of interprofessional education exist, yet India lags behind in implementing these models in academic curricula. Rudimentary curriculum, inefficient healthcare system, and maldistribution of health professionals are some of the potential barriers. A complete overhaul of the healthcare system along with progressive strategies of incorporation of IPE needs to be debated, and associated limitations need to be addressed. Adequate institutional support, well-constructed protocols, infrastructural revamp, and change of workplace culture are vital for IPE to succeed and be sustainable. This chapter provides an overview of IPE and collaborative practice in Indian settings and presents an account of an Indian institution utilizing IPP approach and highlights potential challenges in incorporating IPE in the academic curriculum.

Developing a model for analyzing the factors influencing interpersonal conflict

2019 ◽  
Vol 57 (5) ◽  
pp. 1127-1144
Author(s):  
Zeinab Lalegani ◽  
Ali Nasr Isfahani ◽  
Arash Shahin ◽  
Ali Safari
Keyword(s):  
Qualitative Study ◽  
Mixed Method ◽  
Interpersonal Conflict ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Contributing Factors ◽  
Content Type ◽  
Factors Affecting ◽  
Interpersonal Conflicts ◽  
Factors Influencing

Purpose The purpose of this paper is to develop and analyze a model of factors influencing interpersonal conflicts. Design/methodology/approach This research was conducted using a mixed method approach. In the qualitative study, the conceptual model of the factors affecting interpersonal conflicts was extracted from semi-structured interviews with 17 relevant experts using a theme analysis technique. Then, three hypotheses were developed based on the model and relevant theoretical evidence. Using a researcher-made questionnaire which was developed earlier based on the qualitative results, a quantitative-based survey was performed to assess the interpersonal conflicts and also the standard scale of the level of interpersonal conflicts (Jehn, 1997). The hypotheses were tested on a sample of 160 employees of Chaharmahal and Bakhtiari Province Gas Company (CBPGC). Findings The results of the qualitative study indicated that individual factors including personality dimensions and individual differences; organizational factors including five dimensions of organizational culture, organizational structure, management characteristics, intra-organization factors and human resource systems; and environmental factors influenced the creation of interpersonal conflicts. The results of the quantitative study indicated that organizational factors with an effect size of 0.502 were identified as the most important factor influencing interpersonal conflicts. Research limitations/implications The findings of this study can provide a roadmap to managers of the CBPGC to be aware of the contributing factors to conflict within their organization. Originality/value The use of mixed method to identify the causes and factors of interpersonal conflict and analyzing a context different from previous studies can be considered as the innovations of this study.

Is Sino-Africa Bilateral Trade More than Resource Focused? The Rhetoric and the Reality

2019 ◽  
Vol 18 (4) ◽  
pp. 362-394
Author(s):  
Aye Alemu ◽  
Wenqing Zhang
Keyword(s):  
Natural Resources ◽  
Natural Resource ◽  
Bilateral Trade ◽  
Rapid Expansion ◽  
Contributing Factors ◽  
African Countries ◽  
Factors Influencing ◽  
Oil Exports ◽  
The Empirical Analysis ◽  
Significant Factors

Abstract This study uses an augmented dynamic gravity model to identify the main contributing factors influencing bilateral trade between China and 46 African countries in general and to test whether Sino-Africa bilateral trade is more than resource focused in particular. Natural resource was captured by “oil exports” and “ores & metal exports,” and the empirical analysis verifies only “oil” not “ores & metals” to significantly influence the growing Sino-Africa bilateral trade. Thus, the empirical result partially supports the widely held view that natural resources are critical to bilateral trade between China and African countries. However, it is not true that Chinese engagement in Africa is exclusively due to natural resources as always portrayed. Apart from the oil factor, some other significant factors for the growing bilateral trade are identified. The study indicates there is a huge opportunity and potential for rapid expansion of Sino-Africa bilateral trade that is mutually beneficial.

A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: perceptions of palliative care planning coordinators and other health professionals in the IDEAL study

2017 ◽  
Vol 29 (10) ◽  
pp. 1713-1722 ◽  
Author(s):  
Tim Luckett ◽  
Lynnette Chenoweth ◽  
Jane Phillips ◽  
Deborah Brooks ◽  
Janet Cook ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Nursing Homes ◽  
Health Professionals ◽  
Business Models ◽  
Care Planning ◽  
Advanced Dementia ◽  
Factors Influencing ◽  
Case Conferences ◽  
Family Case

ABSTRACTBackground:Palliative care for nursing home residents with advanced dementia is often sub-optimal due to poor communication and limited care planning. In a cluster randomized controlled trial, registered nurses (RNs) from 10 nursing homes were trained and funded to work as Palliative Care Planning Coordinators (PCPCs) to organize family case conferences and mentor staff. This qualitative sub-study aimed to explore PCPC and health professional perceptions of the benefits of facilitated case conferencing and identify factors influencing implementation.Method:Semi-structured interviews were conducted with the RNs in the PCPC role, other members of nursing home staff, and physicians who participated in case conferences. Analysis was conducted by two researchers using a thematic framework approach.Results:Interviews were conducted with 11 PCPCs, 18 other nurses, eight allied health workers, and three physicians. Perceived benefits of facilitated case conferencing included better communication between staff and families, greater multi-disciplinary involvement in case conferences and care planning, and improved staff attitudes and capabilities for dementia palliative care. Key factors influencing implementation included: staffing levels and time; support from management, staff and physicians; and positive family feedback.Conclusion:The facilitated approach explored in this study addressed known barriers to case conferencing. However, current business models in the sector make it difficult for case conferencing to receive the required levels of nursing qualification, training, and time. A collaborative nursing home culture and ongoing relationships with health professionals are also prerequisites for success. Further studies should document resident and family perceptions to harness consumer advocacy.

scholarly journals Factors Influencing Pain Management Practice in Pediatric Nurses

2016 ◽  
Vol 22 (4) ◽  
pp. 279-288 ◽  
Author(s):  
Suk Ja Heo ◽  
Jin Sun Kim ◽  
Hyunlye Kim
Keyword(s):  
Pain Management ◽  
Management Practice ◽  
Pediatric Nurses ◽  
Factors Influencing
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