Professional Team Members Research Articles

Roles and challenges encountered by midwives in the management of postpartum haemorrhage following normal vaginal delivery: A scoping review

AbstractAimsTo establish a comprehensive understanding of the roles of midwives and the challenges they encounter in the prevention, diagnosis and management of postpartum haemorrhage (PPH) following normal vaginal delivery.DesignWe conducted a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis for Scoping Reviews (PRISMA‐ScR) recommendations.MethodsWe considered studies related to the roles of midwives and the challenges they encounter in the prevention, diagnosis and management of PPH during vaginal delivery. We excluded guidelines, consensuses, abstracts of meetings and non‐English language studies. Databases, including the Cochrane Library, PubMed, Web of Science, Ovid, Medline, Embase, JBI EBP and BIOSIS Previews, were searched on January 1, 2023, with no time limitations.ResultsWe included 28 publications. Midwives play important roles in the prevention, diagnosis and management of postpartum haemorrhage during vaginal delivery. In the prevention of PPH, midwives' roles include identifying and managing high‐risk factors, managing labour and implementing skin‐to‐skin contact. In the diagnosis of PPH, midwives' roles include early recognition and blood loss estimation. In the management of PPH, midwives are involved in mobilizing other professional team members, emergency management, investigating causes, enhancing uterine contractions, the repair of perineal tears, arranging transfers and preparation for surgical intervention. However, midwives face substantial challenges, including insufficient knowledge and skills, poor teamwork skills, insufficient resources and the need to deal with their negative emotions. Midwives must improve their knowledge, skills and teamwork abilities. Health care system managers and the government should give full support to midwives. Future research should focus on developing clinical practice guidelines for midwives for preventing, diagnosing and managing postpartum haemorrhage.

Addressing the growing burden of obesity, diabetes and asthma in children and adolescents: The role of primary health care and the WHO Pocket book in Europe for a healthy future

The burden of obesity, diabetes mellitus and asthma remains a significant public health issue worldwide. These conditions are associated with premature deaths and a reduced quality of life. Primary health care plays a key role in the prevention, detection, and management of noncommunicable diseases in childhood, including diabetes and asthma. Health promotion is crucial for a healthy life from early childhood, preventing from obesity, a sedentary lifestyle, exposure to tobacco smoke, and other risk factors associated to noncommunicable diseases. Asthma and type 1 diabetes mainly begin in childhood; thus, recognition and early detection at the primary health care level are essential. In the long term, management of children with chronic diseases requires regular follow-up and cooperation with a specialized team. Care coordination by the primary health care provider is key for optimal control of the disease and development of the child or adolescent in the physical, emotional, and social spheres. Over-referral for diagnosis and follow-up is associated with unnecessary specialist overload, patient anxiety, and financial burden for the families and the health system. Clear criteria and referral pathways with efficient communication between the professional team members are essential to empower primary health care providers, avoid unnecessary referrals, and optimize the care and quality of life of children and adolescents with chronic diseases.The WHO Pocket book of primary health care for children and adolescents was recently developed to address knowledge gaps and improve the diagnosis and management of children and adolescents at the outpatient level. It dedicates an entire chapter to health promotion and disease prevention with counselling messages addressed to children, adolescents and their families; provides guidance for the diagnosis and management of asthma, diabetes and other chronic diseases; and includes additional considerations for adolescents living with chronic conditions.

Exploring intensive care nurses' perception of simulation-based learning: A systematic review and meta-synthesis.

To explore intensive care nurses' (ICN) perceptions of simulation-based learning (SBL). A systematic review and meta-synthesis. The review followed the PRISMA guidelines for reporting a systematic review. A systematic search strategy was developed using a modified PICo framework. A comprehensive search was conducted in July 2023 in CINAHL, OVID Embase, Medline complete, Web of Science, ERIC and Scopus databases for articles published in English between 2013 and 2023. Data were extracted using the Joanna Briggs Institute QARI Data Extraction, with data synthesis guided by Braun and Clark's thematic analysis approach. Quality appraisal was assessed using the CASP tool. Eleven studies providing qualitative data were included for analysis. Analysis and meta-synthesis led to the construction of two themes: The learning experience and professional growth through collaboration. The review highlights the balance needed in finding the appropriate simulation approach, with the right level of fidelity, conducted at appropriately regular intervals, incorporating the correct makeup of professional team members, conducted in the right environment and facilitated by a skilled facilitator, to ensure best outcomes and return on investment for ICN's education. These findings are a valuable resource for educators and organisations considering simulation-based learning initiatives in the intensive care setting. This review involved analysis of existing literature and as such no unique patient or public involvement occurred. The systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) reporting guidelines.

A Concept Analysis of Spiritual Self-Care in Hospice Team Members by Hybrid Model

Purpose: The study aimed to clarify the concept of spiritual self-care in hospice team members. Methods: To analyze the concept of spiritual self-care of hospice care team, the study was carried out using Schwartz-Barcott and Kim's hybrid model including theoretical, fieldwork and final analytic stages. In the theoretical stage, 'spirituality', 'spiritual well-being', 'spiritual health', 'spiritual care', and 'self-care' were set as search terms, and the resulting 107 related works of domestic and international literature were analyzed. In the field survey stage, data were collected from nurses and spiritual experts with more than 5 years of experience in spiritual self-care.Results: The concept of spiritual self-care is to realize the meaning and purpose of life while constantly maintaining relationships with oneself, neighbors, communities, and the absolute, utilize transcendence and internal resources, strengthen professional competence, maintain work-life balance, and achieve spiritual well-being. It was identified as a dynamic state to realize. The quality attributes of the concept of spiritual self-care were found to have 5 attributes and 15 indicators. Conclusion: The attributes and indicators derived through this study will be helpful in understanding the concept of hospice team members' spiritual self-care. In addition, as a way to continuously grow and train professional hospice team members, it can be used to develop a spiritual self-care assessment tool and an educational program to prevent burnout.

The role of pharmacist in guiding the pharmacy clients towards pharmaceutical preparations use

AbstractObjectivesPharmacist-client communication is one of the most significant relationships in the healthcare delivery system. Our study aims to assess the active role of the pharmacist in educating and guiding pharmacy clients who are receiving over-the-counter and/or pharmaceutical preparations properly and safely.MethodsThis study follows the descriptive and analytical approach by adapting the questionnaire instrument; the questionnaire was distributed through the Internet and the online survey using Google Forms was based on a quantitative measurement to estimate the independent and the dependent variables.Key findingsThe obtained data confirmed that there are statistically significant effects related to the pharmacist interaction skills (pharmacist’s trust, integrity, responsiveness and empathy) on guiding the consumers in taking medicines and pharmaceutical preparations effectively and safely.ConclusionsThe pharmacist’s role as a medications expert and member of multidisciplinary healthcare professional team must work in tandem with other healthcare professionals to guard the client’s safety and achieve good therapeutic outcomes.

프로야구단의 스포츠 윤리경영에 대한 개선방향 탐색

Purpose: In this study, the major problems and improvement directions of professional baseball team’s sports ethics management are examined through an expert Delphi analysis.BR Method: A Delphi survey was conducted three times, with 12 experts. The average and content validity ratio (CVR) were calculated to verify the relevance and validity of the items.BR Results: The results of this study are as follows. 1) Two key items were identified as ‘establishment and application of reasonable ethical standards’ and ‘establishment and settlement of systematic education system’ as a way to improve the ethical management system of professional baseball teams. 2) Two key items were identified as a way to improve the social contribution activities of professional baseball teams: ‘finding a plan for continuous social contribution activities’ and ‘sharing information about social contribution activities for the local community’. 3) The key items of ‘improving the welfare system’ were identified as a way to improve support for members of professional baseball teams. 4) As a way to improve the fan support of professional baseball clubs, five key items were identified: ‘fan support activity request survey’, ‘continuous and diverse fan support activities preparation’, ‘organizing event for interaction with fans organized by the club’, ‘fan satisfaction survey and evaluation’, and ‘raising the perception that fans come first’.BR Conclusion: This study will be able to provide practical implications for the ethical management planning and execution of domestic professional baseball teams.

Fostering egalitarianism for team learning in professional service teams

Purpose The purpose of this study is to explore what contributes to egalitarian teams and facilitates for team learning in professional service teams. Design/methodology/approach A qualitative case study, including 41 in-depth interviews (n = 18) of professional service team members and managers in one of Nordics largest professional service companies was conducted. Findings This study reveals how acknowledgement of generational differences and humour can facilitate egalitarianism and psychological safety for members of professional service teams. This in turn relates to team learning processes and behaviours. Humour creates a “safe space” between team members representing different areas of the novice–expert continuum for idea generation and knowledge sharing. Originality/value To the best of the authors’ knowledge, this study is one of the first to contribute with insight on experiences and expectations of humour as an enabling mechanism for egalitarianism and team learning in professional service teams. The findings provide professional service firms with valuable and tangible insights, which could serve as a basis for designing learning and training practices.

Emotional Intelligence: Its importance to HE professional services team members during challenging times

In recent years a variety of trends have increased uncertainty over the future of the Higher Education (HE) sector. While these create challenges for all staff, they potentially impact most on non-academic staff, due to long standing misunderstanding and undervaluing of their roles and despite them representing almost half of all jobs within the sector. In this context, leaders’ abilities to manage emotions in the workplace appear to be at a premium. However emotionality remains under-explored both generally within HE and in non-academic contexts particularly. This article summarizes findings from research into the impact perceptions of managers’ abilities to display Emotional Intelligence (EI) has on the wellbeing, attitudes and performance of staff within the context of a professional services team in one English university. It found perceptions of managers’ EI could be a powerful influence on team members’ mental health, including stress and anxiety. Furthermore, when managers were viewed as being Emotionally Intelligent, staff reported this significantly impacted their motivation and could lead to tangible improvements in core areas of job performance, including commitment, flexibility and discretionary effort. It recommends Higher Education Institutions (HEIs) consider placing greater emphasis on developing understanding of EI throughout their workforce while also building capacity in its practice amongst current and prospective managers.

Bridging the Gap for Children With Compound Health Challenges: An Intervention Protocol.

Background: During the last decades, there is a major shift in the panorama of diseases in children and adolescents. More children are referred to the specialized health care services due to less specific symptoms and more complex health challenges. These children are particularly difficult to care for in a “single-disease” oriented system. Our objective was to develop an alternative and more holistic approach better tailored to the complex needs of these children.Method: The target patient population is children between 6 and 13 years with three or more referrals including both the pediatric department and the mental health services. Furthermore, to be included in the project, the child's actual complaints needed to be clinically considered as an unclear or compound condition in need of an alternative approach. This paper describes the process of developing an intervention where a complementary professional team meets the patient and his/her family altogether for 2.5 h. The consultation focus on clarifying the complex symptomatology and on problem solving. The bio-psycho-social model is applied, emphasizing the patient's story as told on the whiteboard. In the dynamic processes of development, piloting, evaluating, and adjusting the components, feed-back from the patients, their families, professional team members, and external team coaches is important.The professional teams include pediatricians, psychologists and physiotherapists. Achieving the transformation from a logistic oriented team where members act separately toward a real complementary team, seems to be a success factor.Discussion: Composing multi-disciplinary and complementary teams was an essential part of the re-designed intervention. Team interaction transforming the professionals from working as a logistic team to act as a complementary team, was one of the important requirements in the process. When re-designing the specialist health service, it is mandatory to anchor all changes among employees as well as the hospital leadership. In addition, it is important to include patient experiences in the process of improvement. Evaluation of long-term outcomes is needed to investigate possible benefits from the new intervention.Trial Registration: Transitioning Young Patients' Health Care Trajectories, NCT04652154. Registered December 3rd, 2020–Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04652154?term=NCT04652154&draw=2&rank=1.

The Effects of Family-Centered Early Interven-tion Practices by Creating a Professional Team-Based Model in a Southern Regional Hospital

<p>以家庭為中心的服務觀念已是目前早期療育服務的發展重點，強調家庭與兒童皆為早期療育中重要的一環，臺灣的醫療服務模式多屬於傳統的專業導向，因此如何將專業服務邁向家庭中心導向凸顯出其重要性。本研究目的為建立可實施在醫療院所以家庭為中心早療專業團隊服務模式，並探討家庭與專業人員在進行研究過程中之變化與兒童之成效。專業團隊與九組家庭進行以作息為本位之晤談方式，透過討論形成共識，並在課程中持續與家庭討論與引導。結果顯示專業人員提供以家庭為中心的早療服務品質，在研究進行後皆有顯著的改善，家庭除了感受以家庭為中心的服務品質有顯著改善外，家庭成效則顯示在了解孩子優勢、幫助孩子學習以及獲得支持系統有顯著的進步；兒童在研究進行後在目標達成量表有顯著的進步。本研究所提出以家庭為中心的早療服務模式是可以運用在醫療環境中使用，相較於傳統的服務模式，能夠更符合家庭的需求，提升家庭的能力以及獲得更多具體的資訊來幫助孩子發展與學習，專業人員能夠在與家庭溝通的過程中更了解家庭的目標與期待，進而與家庭形成共識與良好的合作關係，進而達到良好的兒童成效。</p> <p> </p><p>The family-centered early intervention practice emphasizes that the family are as im-portant as the children with developmental delay when they receive the service, and the approach often adopts a professional team-based model. However, such practices may have difficulties in implementing in hospitals in Taiwan due to the traditional concept of “expert guidance” existing in most medical systems. The aim of this research attempted to build a professional team-based model and investigated the effects of family-centered services. There were nine families recruited in this study after trained by the professional team members on family-centered services courses which tried to build collaborative relationships with fami-lies, and coach families how to create learning opportunities for their children in daily ac-tivities. Instruments of MPOC-SP, MPOC, FOS-RT, CDIIT-DT and GAS were used to evaluate the effects of the team-based and family-centered services after six months inter-vention. The result found significant improvements in the quality of family-centered services provided by the professional team-based model. Another significant result was found in family outcomes, such as understanding rights, helping children learn and creating a support system for their own family. The outcomes of the children also showed significant im-provements in GAS. The study suggests the professional team-based model to provide fam-ily-centered early intervention services could be effective through collaboration for en-hancing functions of family and promoting development of children with special needs.</p> <p> </p>

Das Team in der Neurorehabilitation

Neurological rehabilitation is rehabilitative therapy that is concerned with neurological patients in a multi-professional team under the leadership of a physician. The members of this interdisciplinary team work together closely with an intense exchange of knowledge and competence. This primary treatment team includes specialists in neuropsychology, speech therapy, occupational therapy and physiotherapy (including physical therapy), along with social workers and co-therapeutic nursing. Other forms of therapy may also be included. A secondary team is defined by the cooperation of the neurologist with other medical fields, e.g., neurosurgery, geriatrics, psychiatry, orthopedics and neuropediatrics. A tertiary team exists in the form of organizational cooperation between the medical und economic clinic management with insurance companies and political decision makers. Every kind of rehabilitation is basically multi-professional from an organizational viewpoint, and it is performed interdisciplinarily applying the methods of all therapeutic disciplines to create synergies. This particularly applies to neurorehabilitation, as in this field – generally following a disease or an injury to the brain as the central regulation organ – several different disorders occur in combination: sensorimotor symptoms and signs like paralysis, spasticity, dysphagia and loss of coordination; cognitive or speech disorders; or finally psychological alterations like depression or anxiety. Therefore it is particularly important that the professional team members match and coordinate their therapeutic procedures to reach common rehabilitative goals. »Multi-professional« in this context means that the representatives of the different therapeutic fields work with the patient on an advanced competency level, and »interdisciplinary« means that the members of the team work together closely with thorough cross-consultation between their disciplines. Transdisciplinary cooperation represents the highest level of team competency and includes regularly adopting the tasks and therapeutic procedures from other disciplines. All kinds of cooperation are performed under the supervision of a physician who assumes full responsibility for the rehabilitative therapy, including the prescription of medication and introduction of acute interventions, e.g., surgical procedures. This paper is only concerned with the primary – therapeutic – team. The secondary and tertiary forms of team cooperation are planned to be published separately.

Growing Neonatal Advanced Practice Providers via Mentorship Can Fill the Need: Program Description and Tool Kit.

The need for neonatal advanced practice providers (APPs) has been described. Hospital training programs for neonatal physician assistants (PAs) have been developed by physicians. No publications exist about programs administered by neonatal APPs for both new graduate neonatal nurse practitioners (NNPs) and neonatal PAs. The purpose of this work was to mentor, train, and hire neonatal APPs in a program administered by neonatal APPs. We developed a 2-pronged approach to attract PAs and new graduate NNPs. Marketing strategies included receptions, information, and mentorship. A 12-month neonatal PA fellowship program included clinical mentorship and weekly didactics. Case-based presentations were provided by neonatal APPs, neonatologists, and allied professionals. The new graduate NNP program included clinical mentorship and monthly meetings with peer support, lectures, and case presentations. Neonatal APPs were clinical mentors. Team-building activities supported mentorship and collaboration among all care providers. In less than 5 years, 10 PAs and 11 new graduate NNPs have been trained and hired, as well as experienced neonatal APPs hired for this regional neonatology program. For the first time in years, locum tenens neonatal APPs are not required. We have developed a "tool kit" of content, activities, exercises, and evaluations to support successful attainment of expected competencies. Future studies can measure retention, satisfaction, and clinical outcomes. A successful training program has been implemented to meet the growing demand. We support the values of integrity, collaboration, and equity to facilitate this successful paradigm shift among all neonatal professional team members.

Identifying medication-related problems in pharmacist-run home visits

BackgroundHome visits (HVs) may be warranted for many reasons (e.g., uncontrolled disease states, suspected psychosocial issues, frequent hospitalizations, poor health literacy). Patients who frequently visit the emergency department (ED) are high-risk individuals, oftentimes exhibiting health-related barriers and medication-related problems (MRPs). ObjectivesThis study seeks to answer whether HVs for frequent ED users conducted by a pharmacist with pharmacy students will detect more MRPs compared to office visits (OVs) and enhance patient perception of HV services. MethodsPatients who visited the ED at least twice over a 12-month period were included in a retrospective chart review. Eligible patients were randomized into an HV group or OV group. Patients in the HV group were visited by a pharmacist and pharmacy students to identify and resolve MRPs, whereas patients in the OV arm brought their medications into the office for review. Patients in the HV group completed a pre- and postvisit survey about their experiences. ResultsEighteen patients participated in the study: 10 patients were randomized to the OV arm and 8 patients were randomized to the HV arm. A total of 39 MRPs were identified in 8 HVs versus 33 MRPs in 10 OVs (mean 5 ± 0.926 vs. 3.3 ± 1.89, P = 0.034). Overall, nonadherence was the most common MRP and medication reconciliation was the most common intervention. All 8 HV patients completed the pre- and post-HV surveys. Post-HV survey results indicated that patients agreed that student pharmacists were professional team members and that their HV was needed. The patients agreed to recommend a pharmacist-run HV. ConclusionPatient homes serve as alternative and convenient spaces for pharmacists to help manage their medications, specifically to identify MRPs and provide meaningful recommendations.

The power of knowledge management in tertiary sector

Tertiary Education Organisations generate significant amounts of data within the course of their primary activities and have multiple complex processes to manage the work of the Faculties, Student Support and Administrative Services. This makes knowledge management a critical necessity to ensure continuity across the organisation. The project examines the practices at Otago Polytechnic Auckland International Campus which is as a joint venture and has a unique challenge of having to merge knowledge management systems from two different tertiary education organisations – Future Skills and Otago Polytechnic. The project explores internal communications, individual work preferences and knowledge accessibility as key contributors to knowledge management through document analysis and thematic analysis of interviews with members of Otago Polytechnic Auckland International Campus academic and professional teams/ departments. The findings identified that different departments rely on individual processes that may vary significantly depending on personal preferences of the key internal stakeholders and often compartmentalise beneficial information without making it available to stakeholders outside of their teams. This research highlighted the challenges of relying on faculty-specific systems for managing operational data, which extends into different knowledge management systems across the organisation and complicates knowledge transfer. The evidence was used to make a case for higher integration of the knowledge management processes within the organisation as a way to maintain consistent quality standards and reduce operational costs, particularly within the context of increased volatility of the higher education sector.

Driving sustainable construction development through post-contract key performance indicators and drivers

PurposeThis research examines what key performance indicators (KPIs) and drivers should be applied at the post-contract phase of construction development to monitor and drive project outcomes in sustainable design and construction. It supplements the previous research which focuses on pre-contract sustainable procurement of competent professionals. Consequently, optimal sustainability can be achieved for the overall sustainable development process.Design/methodology/approachA review of empirical work was conducted to consolidate the holistic aspects of sustainability that should be considered for design and construction and their project outcome KPI measures. Based on a country-wide questionnaire survey of the university estate sector in the UK, a quantitative hierarchical regression analysis was conducted to identify the performance drivers for those KPIs.FindingsThe empirical work review demonstrates that holistic sustainability for development can be measured by project outcome KPIs: economic sustainability by cost KPIs; functional, social and environmental sustainability by quality KPIs. The quantitative hierarchical regression analysis confirmed that these four aspects of sustainability could be significantly driven by task performance and contextual performance drivers, as supported by the job performance theory.Research limitations/implicationsThe investigation was undertaken within the context of university estates forming a unique public sector in the UK. The findings form a baseline upon which further research can be conducted in other organisations in the wider public and private sectors. Ultimately, holistic sustainability can be fully driven by construction professionals to achieve government and corporate construction strategy for the benefits of sustainable built environment.Practical implicationsThe findings inform project managers and construction professionals that they should apply clear, measurable cost and quality KPIs and focus on significant performance drivers in tandem to drive holistic sustainability for design and construction. Project staff should have a high commitment, technical expertise and experience, execute the project with proper design and management methods and provide a high level of trust and collaboration to the client. Clients, designers and contractors are key stakeholders in the development process so they should be consulted for forming the contract KPIs to monitor the sustainable project outcomes.Social implicationsThe generalised results confirm that task and contextual performance drivers can be applied as project management tools for managing the professional team members to achieve sustainability deliverables in terms of KPIs. Such findings will enhance the government or corporate construction strategy for managing and achieving holistic sustainability for construction developments.Originality/valueThis research identifies post-contract performance monitoring measures (cost and quality KPIs as well as task and contextual performance drivers) that can be adopted for driving sustainable design and construction for sustainable development.

Social Robotics for Nonsocial Teleoperation: Leveraging Social Techniques to Impact Teleoperator Performance and Experience

Research has demonstrated the potential for robotic interfaces to leverage human-like social interaction techniques, for example, autonomous social robots as companions, as professional team members, or as social proxies in robot telepresence. We propose that there is an untapped opportunity to extend the benefits of social robotics to more traditional teleoperation, where the robot does not typically communicate with the operator socially. We argue that teleoperated robots can and should leverage social techniques to shape interactions with the operator, even in use cases such as remote exploration or inspection that do not involve using the robot to communicate with other people. The core benefit of social robotics is to leverage human-like and thus familiar social techniques to communicate effectively or shape people’s mood and behavior. Initial results provide proofs of concept for similar benefits of social techniques applied to more traditional teleoperation; for example, we can design teleoperated robots as social agents to facilitate communication or to shape operator behavior, or teleoperated robots can leverage knowledge of operator psychology to change perceptions, potentially improving operation safety and performance. This paper provides a proposal and roadmap for leveraging social robotics techniques in more classical teleoperation interfaces.

A Randomized Control Study on the Effectiveness of Holistic Health Practice Program on a Group of Baccalaureate Nursing Students

Background: From adolescents transitioning into professional healthcare team members, nursing students need to face different kinds of challenges during their journey of nursing study. Are nursing students ready and prepared to take care of themselves before taking care of others? Aim: Few studies were found on the holistic health of nurses in Macao. This study aims to explore the health status of a group of first-year undergraduate nursing students and to investigate whether a holistic health practice program can enhance their holistic health, self-esteem, and self-efficacy after they participate in the program. Methods: A randomized control study was used. Students in both the experimental and control groups filled in an online pre-test questionnaire, which consisted of some demographic information and the following measurement tools including, the Health Promotion Lifestyle Profile-II (HPLP-II), the Self-Esteem Scale (ESTEEM), and the General Self-Efficacy Scale (GSES). The experimental participants had to undergo an additional 6-sessions program on holistic health practice. After the intervention, all participants in both groups were invited to complete an online post-test questionnaire, which was the same as the one used in pre-study. Results: Results showed that participants’ physical activity was the lowest score in 6 domains, followed by their health responsibility. On the other hand, their spiritual growth scored the highest. The study found that participants who had attended the holistic health practice program had significantly enhanced their holistic health, self-esteem, and self-efficacy. Conclusion: This study provided some ground data of the holistic health status of nursing students in Macao. It also demonstrated that the Holistic Health Practice Program is effective in promoting holistic health, self-esteem, and self-efficacy among junior nursing students.

Enhancing pre-licenced pharmacists' communication and interprofessional collaboration utilizing the RIPE model of interprofessional learning: A qualitative study.

Interacting and engaging with other health care professionals can enhance communication and collaboration within the multidisciplinary healthcare team, contributing to improved patient safety and patient outcomes. To explore the student learning experience utilizing the Reflective Interprofessional Education Model (RIPE) model of interprofessional learning. Qualitative study utilizing data from seven (7) focus groups sessions. Data were transcribed verbatim using a transcribing service; and analyzed using Braun and Clarke's 6-phase process for thematic analysis. Fifty-five Master of Pharmacy pre-licenced students (male n=25; female: n=30) participated in the study. The 7 focus groups consisted of 6-8 participants ranging between 18 and 28min in duration. Thematic analysis generated four key themes: (i) Time management: managing interruptions in a time pressured acute care environment is challenging but necessary; (ii) Learning the Lingo: patient-centered communicating and engaging patients and family in care; (iii) Communication: developing interprofessional communication as a vital skill for healthcare professionals; and (iv) Teamwork: recognizing the importance of teamwork, relationships and respect. Students found the simulated, acute care setting challenging for effective communication and collaboration with other health professional team members. It was also perceived that critical patient information can be lost or misinterpreted if there is poor interprofessional communication and collaboration, contributing to iatrogenesis and poor patient outcomes. Effective collaboration was perceived to be beneficial to enhancing confidence with engagement and communication, appreciation and respect for the expertise of other healthcare professions.

Professional Autonomy of Nurses: A Qualitative Meta-Synthesis Study.

Background:Autonomy is the main element of professional practice in nursing. However, despite the many studies conducted on nursing autonomy, this concept is not fully understood and a comprehensive explanation of this concept in nursing is necessary. Meta-synthesis offers a way to increase the understanding of this concept using existing research findings. Thus, the present study aimed to explain the concept of professional nursing autonomy.Materials and Methods:This qualitative meta-synthesis was conducted based on a modified version of Noblit and Hare's meta-ethnography approach and qualitative studies on the concept of nursing autonomy published in databases such as PubMed, Scopus, Web of Science, Cochrane, SID, IranMedex, Magiran, and ScienceDirect in the past 15 years (2003–2018).Results:Thirteen articles that reported the experiences of nurses regarding professional autonomy were included in the research. Based on the meta-synthesis of findings, the final interpretation of the professional autonomy of clinical nurses was presented in the three themes of professional competence, professional decision making, and professional interactions.Conclusions:According to the results, the concept of professional autonomy is a developmental achievement based on patient-based professional competence along with self-reliance to provide the best care plan for the promotion of patients' health through the professional decision making and professional interactions with other professional team members.

Final clinical practicum of nursing education and transition experience of new nurses

Abstract Background Challenges in transitioning from a student to a registered nurse may contribute to new nurses high turnover rates. Final clinical practicum (FCP) before graduation is known for its importance in preparing students for the transition but little is known about the specific elements of FCPs essential for successful transition. We examined the associations between multiple FCP elements and transition experiences in new nurses and whether work characteristics modified these associations. Methods The data were collected in 2018 with electronic survey. The sample comprised 712 Finnish nurses graduated within the last two years. Linear regression analyses was used to examine the association of five FCP elements (Preparing for demands; Being part of team; Systematicness of FCP; Teacher involvement; Quality of supervision) with the transition experience that was measured with four scales demonstrating its emotional, physical, socio-developmental and intellectual domains. Work characteristics were defined based on demand-control -model and multiple potential confounders were considered. Results Several associations were found between the FCP elements and the four transition indicators (psychological distress, sleep problems, role conflict/ambiguity and perception of transition/educational preparation). Systematicness of FCP was, however, the only element associated with all the transition indicators, whereas quality of supervision was not associated with any. Multiple interactions were also detected between the FCP elements and job demands. Conclusions Our results suggest that FCP experiences reflect to new nurses’ first years of employment. Especially systematic planning and implementation of FCP, collegial work atmosphere and an opportunity for students to become an active member of the work community should be ensured for promoting a smoother transition from student to nurse. This could increase the chances to retain new nurses in the health care workforce. Key messages Well planned and implemented final clinical practicums with an opportunity to become an active member of professional team could help nursing students to obtain a smoother transition into nurses. The benefits of having a good final clinical practicum experience may be squandered if considerably high level of job demands (e.g. timepressure) is experienced in the first years of employment.