Team Of Professionals Research Articles

ITHRIVE 365: A Community-Led, Multicomponent Health Promotion Intervention for Black Same Gender Loving Men.

Although health inequities among Black same gender loving men (SGLM) are well documented (e.g., chronic psychological disorders, HIV, suicide), there are few accessible, culturally affirming, and community-led interventions designed to reduce these inequities. The present manuscript describes the process through which we developed iTHRIVE 365, a multicomponent health-promotion intervention designed by Black SGLM for Black SGLM. We utilized a community-based participatory research approach (CBPR) that included collaboration between THRIVE SS, a Black SGLM-run community-based organization, and a multisectoral team of public health, research, and digital design professionals to develop the intervention. A five-phase development process included four phases of focus groups and a technical pilot to assess community priorities and incorporate input on each feature of the intervention. Directed content analysis indicated that participants wanted a multicomponent and technology-mediated intervention that promotes health knowledge and motivation, Black SGLM social support, access to affirming healthcare, and housing and economic resources. iTHRIVE 365 combines multilevel and culturally affirming intervention features to combat the effects of oppression and ultimately promote Black SGLM's biopsychosocial health.

The Perception of quality and the performance in primary health Care of central Alentejo – Portugal

Quality and performance are current issues and a strategic priority for the Portuguese National Health Service. Currently, there is a lack of studies in primary health care (PHC) that assess the relationship between the quality and the level of performance of the Primary Health Care Teams. In Portugal, those teams are monitored through the Global Performance Index (GPI), which demonstrates, through a score, the procedures and results obtained by electronic records and the metrics defined for each indicator. This paper aims to analyze the relationship between the perception of the quality of health professionals (service culture; leadership; service strategy; infrastructure and external resources; information and knowledge; processes; service management; human resource planning and skills development, commitment; conditions, satisfaction, performance, and recognition; and results) in the different Primary Health Care teams of the PHC of Central Alentejo—Portugal, and the level of performance of the given teams (care performance; professional training; organizational quality; and services). Self-Perception of Quality Questionnaire for Primary Health Care (SPQQ4PHC) was used as an assessment tool. The population comprises 324 health professionals (Family Doctors, Nurses, and Medical Secretaries) distributed over 34 Primary Health Care Teams. When analyzing the global correlation of the variables in the SPQQ4PHC questionnaire with the GPI, it´s possible to confirm that twenty-one out of twenty-five correlates with the GPI. Thus, this study allowed us to conclude that, as health professionals perceive the quality of the variables increases, the GPI also increases, demonstrating that the dimensions of quality and performance are closely related.

Early Follow-up of Parents by a Specialized Cleft Nurse After the Birth of an Infant with Cleft lip and/or Palate.

To document the impact of early follow-up by specialized cleft nurses (SCNs) to families of infants with cleft lip and/or cleft palate (CL/P). Prospective inclusion of a control group, which received standard care alone, followed by an intervention group, which in addition received early SCN follow-up. The cleft lip and palate team at a University hospital. 70 families (69 mothers and 57 fathers); control group (n = 38); intervention group (n = 32). SCNs offered a consultation at the maternity ward and follow-ups by phone or face-to-face at one, three, eight weeks and six months after birth. Use of Internet-Questionnaire, Quality of discharge teaching scale (QDTS), Post discharge coping difficulty scale (PDCDS), Response on follow-up by health professionals. Infants in the intervention group were admitted less frequently to a Neonatal Intensive Care unit (NICU); 21.9% vs 51.4%, P = .012. Parents in the intervention group used internet for cleft-related reasons less frequently (74.6% vs 85.9%), P = .112 and the mothers benefitted less from cleft-related activity on the internet (P = .013). The intervention group reported higher mean score for satisfaction with total cleft care (P = .001). There were no significant group differences regarding mean total score for discharge teaching (P = .315) and coping difficulties (P = .919). Early follow-up by a SCN with expertise in cleft care is highly valued by parents. Closer cooperation between the cleft team and health professionals at birth hospitals and Child health centers is necessary for optimal follow-up.

The Politics of Canada’s Return to International Hockey in 1977: Hockey Diplomacy?

In 1977, the Canadian men’s national hockey team returned to international competition, marking the end of a controversial boycott launched in 1970 by Canadian ice hockey officials in protest of the International Ice Hockey Federation’s refusal to allow professionals to participate in international tournaments. However, Canada’s much-heralded presence at the 1977 World Championships in Vienna, Austria, was memorable for mostly the wrong reasons. The hastily assembled team of professionals finished fourth, out of medal contention, and engaged in repeated acts of brutality against its opponents. The team’s poor performance and unsportsmanlike conduct subsequently prompted Iona Campagnolo, the minister of state for Fitness and Amateur Sport, to commission a study on Canada’s role in international hockey. Drawing from archival diplomatic communications, this article explores the changing political and economic dynamics that shaped the series of negotiations and compromises that culminated in Canada’s return to international competition in 1977 and the fallout from its performance there. It argues that Canada’s return to the International Ice Hockey Federation’s World Championships in 1977 with a team of professionals marked a pivotal moment in the history of international hockey, further propelling the sport into a new era of commodification and accentuating the decline of the traditional amateur ideal—developments that consolidated the power of the National Hockey League in international hockey and over the Canadian men’s national team.

Role development, implementation and evaluation of nurse practitioners in a Belgian university hospital: a mixed methods study protocol

IntroductionDue to the increased prevalence of chronic conditions, multimorbidity and an increased complexity of care, the burden on healthcare teams is high resulting in unmet needs of patients and their...

Support, Advocacy, and Mental Health Interventions for Children in Vulnerable Circumstances and Distress: A Unique Public Child Mental Health Initiative in India

Support, Advocacy, and Mental health interventions for children in Vulnerable circumstances And Distress (SAMVAD) is a National Initiative and Integrated Resource for Child Protection, Mental Health, and Psychosocial Care, established by the Ministry of Women and Child Development, Government of India; this initiative is located in the Department of Child and Adolescent Psychiatry, NIMHANS. With the aim of enhancing child and adolescent psychosocial well-being, through the promotion of transdisciplinary and integrated approaches to mental health and protection, SAMVAD was established to extend its support and activities to all the states in the country. It comprises a multidisciplinary team of childcare professionals, with expertise in training and capacity building, program and policy research pertaining to child mental health, protection, education, and law.

Early Childhood Educators' Professional Learning for Sustainability Through Action Research in Australian Immersive Nature Play Programmes

In this paper, I provide insights into how action research influenced the movement of Australian early childhood educators' worldviews, identities, and their agency in relation to education for sustainability (EfS) in natural outdoor settings. This was integral to a larger study that explored early childhood educators' understandings of a nature-sustainability nexus and its influence on their pedagogies in Australian immersive nature play programmes. The findings indicated personal transformations for some participants as individuals and as teams of early childhood professionals, resulting in new discourses for EfS-with others engaging in an ongoing journey of disrupting dominant anthropocentric ways of thinking.

Enhancing Strategic Learning Through the Implementation of Robust Process Improvement in a Specialized Tertiary Care Hospital.

Performance improvement (PI) in healthcare is essential to improve health, patient experience, and reduce costs. PI projects became low, inconsistent and weakly-sustained in our hospital. The low number and low sustainability were scarcely in alignment with our strategic goal to become a high reliability organization (HRO). This was due to lack of standardized knowledge and ability to initiate and sustain PI projects. Therefore, a structured framework was developed, followed by the building of capacity and capability in the use of robust process improvement (RPI) amidst the COVID-19 pandemic. A team of healthcare quality professionals collaborated with Hospital Performance Improvement-Press Ganey for hospital-wide quality improvement project. The team received training on RPI from Press Ganey and created the framework to use . This framework is based on the Institute for Healthcare Improvement Model for Improvement, Lean, Six Sigma, and FOCUS-PDSA (Find-Organize-Clarify-Understand-Select-Plan-Do-Study-Act). Thereafter, the team of internal coaches organized an RPI training course that consisted of 6 sessions, for clinical and nonclinical staff , using classroom and virtual sessions during the pandemic. This course was increased to eight sessions to avoid information overload. Process measures were collected using a survey to obtain feedback, whereas outcome measures were from the number of completed projects and their effects related to costs, access to care, waiting time, number of harms, and compliance. Participation and submission improved after three PDSA (Plan-Do-Study-Act) cycles. This resulted in an increased number of completed and sustained projects from 50 in 2019 to 94 in 2020 and continued to rise to 109 in 2021. There were 140 and 122 certified RPI coaches in 2020 and 2021, respectively. Although there was a decrease in the number of certified coaches in 2021, the number of completed projects was higher than in 2020. The overall effect of these completed projects by the third quarter of 2021 showed improvement in access to care by 39%, compliance to standards of care by 48%, satisfaction by 8%, and reduction in costs by 47,010 SAR, in waiting time of 170 hours, and in the number of harms by 89. This quality improvement project led to enhanced capacity of staff as seen in the increased number of certified RPI coaches, thereby increasing the submission and completion of projects in 1 year. Its sustainability during the 2 succeeding years continued to enhance project completion and maintenance, bringing quality improvement benefits to the organization and the patients.

Spiritual and religious perspectives in persons with visual impairment due to age-related macular degeneration.

Age-related macular degeneration (AMD) is one of the global leading causes of severe vision loss. Patients suffering from AMD face complex spiritual and mental challenges that have an impact on the course of their disease, their quality of life, and their relationship with their surroundings. A survey was carried out using a 21-item questionnaire between August 2020 and June 2021 among 117 patients from different countries to investigate how spirituality, religion, and their way of practicing them affected the experiences and daily lives of patients suffering from AMD, and whether it helped them cope with the disease. Our study concluded that spirituality and religion are important factors that facilitate patients' ability to cope with a progressive degenerative disease such as AMD. Patients who are religious are more at peace with having AMD. Practices that contribute to patients being at peace in accepting the disease are regular prayers or meditation. Spirituality and religion are important components that promote a healthier and happier emotional state and mental wellbeing. In particular, by believing that death is not the end, patients feel more hopeful, which helps in their adjustment to a seemingly hopeless health condition. A significant number of AMD patients desire to talk about God with the medical staff. The profile of such patients could be those believing in a higher power, praying often, participating in religious services, being worried about the loss of vision, and needing assistance in daily life. An interdisciplinary and multidimensional team of medical health professionals including mental health workers and chaplains can be of great value in managing persons with AMD.

Perspectives on the Person-Centered Practice of Healthcare Professionals at an Inpatient Hospital Department: A Descriptive Study.

The characteristics of health professionals and their understanding of person-centeredness may have important implications for the development of person-centered practice in specific care settings. In this study, we characterized the perceptions of the person-centered practice of a multidisciplinary team of health professionals working in the internal medicine inpatient unit of a Portuguese hospital. Data were collected using a brief sociodemographic and professional questionnaire and the person-centered practice inventory-staff (PCPI-S), and the effect of different sociodemographic and professional variables on each PCPI-S domain was determined using an analysis of variance (ANOVA). The results showed that a person-centered practice was positively perceived in the major constructs of prerequisites (M = 4.12; SD = 0.36), the practice environment (M = 3.50; SD = 0.48), and person-centered process (M = 4.08; SD = 0.62) domains. The highest scored construct was developed interpersonal skills (M = 4.35; SD = 0.47), and the lowest was supportive organization systems (M = 3.08; SD = 0.80). Gender was found to influence the perceptions of knowing self (F(2,75) = 3.67, p = 0.03, partial η2 = 0.089) and the physical environment (F(2,75) = 3.63, p = 0.03, partial η2 = 0.088), as was profession on shared decision-making systems (F(2,75) = 5.38, p < 0.01, partial η2 = 0.125) and commitment to the job (F(2,75) = 5.27, p < 0.01, partial η2 = 0.123), and the educational level on being professionally competent (F(1,75) = 4.99, p = 0.03, partial η2 = 0.062) and having commitment to the job (F(2,75) = 4.49, p = 0.04, partial η2 = 0.056). In addition, the PCPI-S proved to be a reliable instrument for characterizing healthcare professionals' perceptions of the person-centeredness of care in this context. Identifying personal and professional variables that influence these perceptions could provide a starting point for defining strategies to move practice toward person-centeredness and for monitoring changes in healthcare practice.

Habilidades sociais de enfermeiros da atenção básica e o agir comunicativo de Jürgen Habermas

Objective Promote a reflection on social skills in the work of primary care nurses from the perspective of Habermas’ communicative action. Method This is a reflection article that proposes a discussion about social skills in the work of primary care nurses, based on Habermas’ theory of communicative action. Development Social skills refer to the behaviors in the individual’s repertoire to deal with the demands and social situations that occur in everyday life. In the work process, the nurse, being the team manager, must develop their potential to expand the skills relevant to the management of care, especially in terms of effective communication. Conclusion The research concluded that the theory of communicative action of Jurgen Habermas contributes to the managerial practice of nurses and supports a positive social performance since, by submitting their attitudes to a communicative action, nurses will be in search of greater interaction with their team, patients, family and other professionals who constitute the care networks.

Teachers’ beliefs about educational quality: Examining the power of school settings through survey experiments

This study aims to characterize teachers' beliefs on determinants of educational quality and the influence of school settings. A factorial survey experiment with a probabilistic sample of 1285 Chilean primary school teachers is used to identify the causal attributions of the quality of teacher–student relations and learning methodologies in schools. Results indicate that teachers believe that decisional power and income satisfaction are the most important determinants of relational quality, while planning preparation and a multidisciplinary team of professionals are the most crucial for the quality of learning methodologies. Moreover, schools' characteristics affect teachers’ causal beliefs about educational quality.

Supporting post-stroke access to services and resources for individuals with low income: understanding usual care practices in acute care and rehabilitation settings

Purpose Following stroke, individuals who live in a low-income or are at risk of living in a low-income situation face challenges with timely access to social services and community resources. Understanding the usual care practices of stroke teams, specifically, how they support this access to services and resources, is an important first step in promoting the implementation of practice change. Method A qualitative multiple-case study of acute care, inpatient, and outpatient rehabilitation stroke teams in an urban area of Canada. Semi-structured interviews and questionnaires about the workplace context were conducted with 19 professionals (social workers, occupational therapists, physiotherapists, speech-language pathologists) at four sites. Results In their usual practice, stroke teams prioritized immediate care needs. The stroke team professionals did not address income or resources unless it directly affected discharge. Usual care was influenced by factors such as time constraints, lack of knowledge about services and resources, and social service system limitations. Conclusion To better support post-stroke access to social services and resource for low-income individuals, a multidisciplinary approach, with actions beginning earlier on and extending throughout the continuum of care, is recommended, in addition to system-level advocacy.

Regenerative Rehabilitation

This regenerative rehabilitation special topic issue contains articles from an international author list and a wide array of topics that may be useful for a multidisciplinary team of healthcare professionals including physicians, physiotherapists, exercise professionals, and healthcare researchers or biologists involved in the care of patients with musculoskeletal disorders.

Global Nursing Care for Neurosurgical Patients

To address the staggering inequalities in access to neurosurgical care worldwide is the foundation of the global neurosurgery movement. The Global Neurosurgery Committee (GNC), which is part of the World Federation of Neurosurgical Societies (WFNS), represents the highest organizational level of the global neurosurgery movement. The endeavors of the inaugural GNC 1.0 culminated with the accomplishment of the Global Action Plan which objectives are to amplify, align, advance, assimilate and advocate for core neurosurgical activities such as the implementation and strengthening of neurosurgical capacity building into existing health systems1.&#x0D; To operationalize and decentralize the Global Action Plan, the recently commissioned GNC 2.0 is divided into designated teams; importantly neurosurgical nursing is included for the first time in the history of the WFNS/GNC. We (Yee Yit Cheng, Malaysia and Camilla G. Aukrust, Norway) have been invited to lead the nursing team in the time 2021-2023. The overall main goal is to build relationships and to reinforce the neurosurgical nursing workforce, specifically focusing on low-and middle-income countries (LMIC). To reach the goal we have assembled a diverse and global team of professionals, and created a mini-strategic plan with specific and time bound objectives within the following areas; policy/advocacy, clinical training/education and research. The consolidated efforts of the team members will be instrumental to reach the targets of the strategic plan. In the following four paragraphs, we will briefly outline the main objectives of the GNC nursing teams’ strategic plan.

IMPACT OF BURNOUT SYNDROME ON INTENTION TO LEAVE AMONG NURSE AT X HOSPITAL GRESIK

Background: Turnover of nurse was still a challenge and concern for nursing and hospital management. Nurses who voluntarily leave the organization were threat to nursing organization. Turnover among nurse was contributed factor to the decline in the number of nurses worldwide. High turnover among nurse causes losses to the organization in terms of costs, resources and nurses’ motivation. Turnover among nurses was ranked highest in the team of health professionals.&#x0D; &#x0D; Objectives: The aim of this study was to know how the effect of burnout syndrome on the level of intention to leave among nurses.&#x0D; &#x0D; Methods: This study was used explanatory design with a cross sectional with 126 respondents. Data were collected using a questionnaire that has been tested for validity and reliability. The variables included burnout syndrome and turnover intention. Data were analyzed using binary logistic regression techniques.&#x0D; &#x0D; Results: The significant value of logistic regression test was obtained at 0.003 (&lt;α=0.05). So, burnout syndrome has a significant direct effect to intention to leave among nurse. If burnout syndrome higher, intention to leave will be higher too.&#x0D; &#x0D; Conclusion: Dimensions of emotional and physical exhaustion are dominant to increase intention to leave of nurse. Intervention that can be made to reduce nurse burnout among nurse through personal focus to strengthen individual coping strategies to confront of stress, while organizational roles focus on reducing job demands among nurse.

Being, becoming, belonging: Negotiating temporality, memory and identity in life story conversations with care-experienced children and young people

This article uses Feminist New Materialist theoretical perspectives on time and temporality to critically explore the social work practice of life story work, designed to help children who are or have been in public care, or are adopted, assemble a coherent narrative of their care journey, adverse experiences and identity. Interview data presented here was produced with 17 participants (foster carers, adoptive parents and social work professionals in care or adoption teams) who were part of a project which sought to understand how aspects of life story work could be transformed into everyday care conversations between children and the adults who care for them (see www.difficultconversations.info ). Our analysis highlights the way participants understood and constructed temporal elements of children’s experiences and identities: their pasts, presents and futures, in the context of having conversations about care with them. Through the discussion, we indicate a need to loosen the configuration of children’s life stories and identities as ‘pre-care’ and ‘post-care’, and instead move toward an acceptance of children’s multiple selves and multiple important others as existing across time.

Consultations Preliminary to Interdisciplinary Chronic Pain Rehabilitation

Before patients with chronic pain enter an interdisciplinary chronic pain rehabilitation programme, a team of various healthcare professionals performs a biopsychosocial analysis of their pain problem. To enhance patients’ engagement, the problem analysis is thoroughly discussed with them in order to gain a shared understanding of the nature of their pain problem. This study explores how patients and practitioners talk through their rehabilitation team’s hypotheses regarding the psychosocial factors involved in these patients’ health situation. Nine consultations were recorded at various Dutch interdisciplinary chronic pain rehabilitation units. The recordings were transcribed and analysed, combining an applied conversation analytic research approach with discursive psychology. Patients and practitioners are found to orient to ensuring consensus on the problem analysis as a relevant activity and tend to avoid or minimize the articulation of differences in perspectives. This study also shows that this orientation to consensus involves a delicate management of issues of accountability and blame. Findings can be used by practitioners to consider communication practices that are more likely to encourage patients to voice potential concerns regarding their rehabilitation team’s findings.

The feasibility and acceptability of an early tele-palliative care intervention to improve quality of life in heart failure patients in Iran: A protocol for a randomized controlled trial

BackgroundHeart failure (HF) has become a global health problem that has affected the quality of life of millions of people. One approach to improving patients’ quality of life (QoL) with chronic diseases such as HF is palliative care. In Iran, the bulk of palliative care research is directed to patients with cancer, with the primary focus on the physical aspect rather than the psychosocial and spiritual aspects of palliative care. To address this gap, this study aims to determine the feasibility and acceptability of this early tele-palliative care intervention to improve quality of life in heart failure patients in Iran. MethodsThe early tele-palliative care versus usual care study is designed as a single-centre, randomised, feasibility trial of 50 patients with heart failure aged 18 to 65 and clinician-determined New York Heart Association class II/III or American College of Cardiology stage B/C HF, recruited in Imam Khomeini Hospital Complex, Tehran, Iran. This intervention contains 6 weekly educational webinars and concurrent WhatsApp® group activities. Program feasibility and acceptability will be assessed by measuring the recruitment, attrition, and questionnaire completion rates; satisfaction and attitudes about the intervention will be measured via a telephone-based interviews. Secondary outcomes of Qol, mood status and number of emergency department visits will be measured with validated instruments. Participants in both groups will be followed up for 6 weeks, and the measures will be re-administered. Appropriate statistical tests will be used to analyse the data. ConclusionThis is the first early tele-palliative care intervention designed for heart failure patients in Iran. The intervention has been developed by a multidisciplinary team of academic and clinical professionals with patient stakeholder input to create a rigorous and culturally responsive approach for palliative care delivery for heart failure patients in Iran. Trial registrationIRCT registration number - IRCT20100725004443N29.

PALLIATIVE CARE IN THE HOSPITAL ENVIRONMENT

Different studies have discussed the importance of including palliative care as a mandatory component in the training of health team professionals. Currently, it is explored in different disciplines and rarely has its own curriculum, which leads to a superficial approach to this extremely relevant topic. With palliative care, the experience of anticipatory grief pains becomes more bearable, even making this experience have a new meaning and finitude is not just a place of waiting in which regrets gnaw at the conscience of patients, but of a place where these patients start to be the protagonists of their history, with the possibility of carrying out unfinished or even started things, but which they would like to accomplish before the terminality.