Perception Of Team Research Articles

Multi-professional perceptions of clinical research delivery and the Clinical Research Nurse role: a realist review.

Introduction & BackgroundThe delivery of clinical research and the Clinical Research Nurse (CRN) role is fundamental to the wider health agenda, yet both remain misunderstood outwith research teams.MethodsA realist review was conducted to identify factors that influence how clinical research is perceived by healthcare professionals operating outside NHS clinical research teams. Keyword searches were undertaken across four healthcare databases including grey literature, with iterative snowball searching. Data were extracted from 42/387 sources. Coding generated 3664 extracts of text across 160 themes. Theories generated were presented as ‘If-Then’ statements.ResultsThirteen theory statements described factors that may influence how clinical research is perceived by healthcare professionals operating outside clinical research teams across three contextual levels: • Micro: Individual characteristics/behaviours/CRN perceptions• Meso: Interpersonal relationships at the interface between CRN roles and healthcare delivery• Macro: Systemwide/infrastructural/cultural issues impacting clinical research delivery. ConclusionFactors at micro, meso and macro level contexts may influence how clinical research is perceived by healthcare professionals operating outside clinical research teams. This has the potential to affect the success of clinical research delivery. Meso level theories regarding the perceptions of healthcare professionals outwith research teams may provide insight. Empirical testing of one such theory is underway.

Canine behaviour medicine in UK small animal practice

Despite the advancements in the field of veterinary behaviour medicine, problem behaviours remain a leading cause for canine relinquishment and euthanasia in the UK and so should be of concern to veterinary professionals. This review aimed to critically evaluate the literature on the perceptions of the veterinary care team, including the veterinary practitioner and the veterinary nurse, of their roles in canine behaviour medicine. Additionally, the review discussed barriers to the delivery of behavioural medicine in practice and subsequently examined the benefits of applying a behaviour-centered approach to care. Despite revisions to the Royal College of Veterinary Surgeons curricula, inadequate behavioural training during undergraduate studies was identified as a primary barrier to the provision of behaviour support in practice by veterinarians and veterinary nurses. Furthermore, veterinary professionals frequently identified a lack of time to discuss, educate and diagnose behavioural problems. However, should the barriers to the provision of behavioural medicine be addressed, current literature suggests that the benefits of applying behaviour medicine to practice may include financial growth for the practice, workplace safety, improved perception from clients and ultimately improved animal welfare.

Physicians' perspectives and attitudes toward surgical bailout in transcatheter aortic valve replacement

ObjectivesThe incidence of surgical bailout during transcatheter aortic valve replacement (TAVR) is ∼1%, with an associated 50% in-hospital mortality. We performed an exploratory qualitative study of TAVR team perceptions regarding routine surgical bailout planning with patients. MethodsWe developed a semistructed interview guide to explore clinician perspectives on the TAVR consent process, managing intraoperative emergencies, and involving patients in surgical contingency planning. We interviewed surgeons, cardiologists, and anesthesiologists involved with TAVR in 4 hospitals. We performed qualitative thematic analysis via independent coding of salient quotations from the transcribed texts. Codes were categorized based on shared meaning and the final themes were derived by identifying key content, and examining its relational nature. ResultsThirteen interviews were conducted, identifying 4 major themes. Participants agreed that eliciting patient preference for bailout is crucial, particularly when surgical outcome is ambiguous. In those cases, participants offered criteria for determining which patients should be engaged in a more nuanced discussion. The ethos of specialty clinicians impacted anticipation and response to procedural emergencies. Finally, physician attitudes reflected strong emotional responses to patient death/morbidity, particularly in iatrogenic injury. Participants expressed anxiety with performing TAVR without surgical backup, while also demonstrating willingness to respect patients' wishes. ConclusionsThe TAVR team supports engaging patients regarding potential surgical bailout and honoring their preferences in the event of complication. However, clinical judgment about the expected outcome of bailout would frame that discussion. Participants described the emotional weight of not pursuing bailout if indicated and the importance of good coping mechanisms.

Safety culture in a nephrology service at a university hospital: A mixed method study

ObjectiveTo evaluate the safety culture from the perception of the multidisciplinary team of the nephrology service of a university hospital. MethodMixed methods study with concomitant triangulation of data, with 56 participants. In the adopted approach, data are weighted with QUAN+qual notation. Quantitative data were collected using the Hospital Survey on Patient Safety Culture instrument and analyzed using simple descriptive statistics. Qualitative data were obtained from recorded interviews and analyzed using the content analysis technique proposed by Bardin. ResultsThe answers obtained in the quantitative instrument pointed out that of the twelve dimensions of the service, three were neutral, nine were fragile, and none was strong. From the qualitative analysis, similarities and divergences were identified in the statements about the quantitative data. The intersection of the data resulted in the category “Safety culture in the work environment of Nephrology”. ConclusionKnowing the level of safety culture through the perception of nephrology health professionals allowed the identification of a critical and problematic scenario that needs improvements in the dimensions classified as fragile in order to advance in the perspectives of safety and in the polishing of actions aimed at safer care.

Integration of a Tobacco Treatment Specialist into Primary Care: Perception from Multidisciplinary Team

Background Tobacco continues to be on the leading cause of avoidable death. Primary care practices are ideal locations to provide tobacco cessation visits. Tobacco treatment specialists are trained individuals with expertise in providing medication and counseling management to patients to help with tobacco cessation. Purpose The purpose of this study was to examine the integration of a tobacco treatment specialist into the primary care setting and the perception of this role from the multidisciplinary team. Method We conducted an electronic cross-sectional survey to evaluate awareness and perception of the integration of a tobacco treatment specialist into a primary care facility that is part of a large Midwestern tertiary healthcare center. The sample for this study included all the primary clinic staff that directly work with patients and included licensed practical nurses, registered nurses, physician assistants, certified nurse practitioners, and medical doctors. Results 55% (n = 22) of staff had utilized the tobacco treatment specialist with direct patient care. Reasons for using the specialist was for referral for follow-up tobacco cessation visit (54%), curbside consultations (21%), medication management (21%), and other reasons (5%). The majority of staff strongly agreed that utilizing the TTS was valuable. Conclusion This study reinforced the positive impact a tobacco treatment specialist can have being integrated into the primary care practice from the perception of the multidisciplinary team.

Student's perception of the TOEFL preparation course proposal team

The purpose of this research is to explore students'' perceptions about the TOEFL preparation class that has been held by the Language Center of the University of Lampung within a year, which later the results of this research can be used as material for future evaluations towards achieving better quality. This research is a type of qualitative research. In addition, observations and questionnaires will also be distributed to support interviews so that the data obtained are more valid. The subjects in this study were 11 students from various faculties who took the TOEFL class preparation course. Qualitative data related to student perceptions will be analyzed manually based on Descriptive and In-Vivo coding. As a result, from what the participants knew about the TOEFL class is they know it very well. The facilities provided are still lacking, the material provided was well packaged and quite easy to understand, the method used was still too simple and unattractive, the study schedule could be better arranged and learning could start on time. In this study, there were 5 students from various faculties who were involved as participants. Each of the students and students were interviewed. The questions asked cover several topics, namely what they know about the TOEFL class at the Lampung University language lab, the facilities provided, the material being taught, the teaching techniques used and the time management applied.

How Residents MET their Training: Resident’s Perception of Medical Emergency Team and its Contribution to their Training

How Residents MET their Training: Resident’s Perception of Medical Emergency Team and its Contribution to their Training

Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit.

to understand the perception of the multiprofessional team about the quality of health care provided to patients in palliative care in the Intensive Care Unit. qualitative study, anchored to Donabedian's theoretical framework, through semi-structured interviews with 35 professionals working in the Intensive Care Unit. For data analysis, the Content Analysis technique was used. three categories were pre-established: structure, process, and outcome, from which five subcategories emerged: Deficit in terms of numbers of workers and professional qualification; Ambience and palliative care; (In)existence of assistance based on the principles of palliative care; Failures in communication and in the interdisciplinary approach and Repercussions of (lack of) assistance. the study allowed understanding the institutional weaknesses for the operationalization of care provided to patients eligible for palliative care in the Intensive Care Unit setting. Thus, for this philosophy of care to be propagated, the co-participation of managers, professionals, patients, and family members is required, since these gaps cannot be filled without collective involvement.

The perception of the RTS team of workers about the home and the production of care in the context of the Covid-19 pandemic

Resumo Introdução: Os Serviços Residenciais Terapêuticos (SRT) são pontos da Rede de Atenção Psicossocial alinhados com a lógica da desinstitucionalização. O objetivo deste estudo foi analisar a percepção de 'casa' pela equipe de cuidadoras de SRT e suas implicações para a produção do cuidado durante a pandemia de Covid-19. Métodos: Estudo qualitativo de abordagem cartográfica que teve como cenário de estudo 4 SRT do município do Rio de Janeiro. Para a coleta dos dados, foram realizadas entrevistas com 9 trabalhadoras e observação participante de reuniões. Resultados e discussão: Os analisadores Lugar de Casa e Efeitos da Pandemia emergiram do processamento. O primeiro mostra a percepção das trabalhadoras acerca do ambiente da casa, enquanto o segundo traz a influência da pandemia na produção do cuidado nas SRT. O ambiente das residências é múltiplo, diverso e, por vezes, contraditório, permeado por diferentes modos de vida e influenciado por aspectos culturais, percepções e experiências vividas.

Effects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study.

to analyze the implementation of multidisciplinary checklist-directed rounds before health indicators and multidisciplinary team perception of an Intensive Care Unit. a mixed methods study, with an explanatory sequential design, carried out at a hospital in southern Brazil, from September 2020 to August 2021. The integration of quantitative and qualitative data was combined by connection. after the implementation of checklist-directed rounds, there was a significant reduction in hospital stay from ventilator-associated pneumonia, urinary tract infection and daily invasive device use. The investigated practice is essential for comprehensive care, harm reduction, effective work and critical patient safety. the multidisciplinary rounds with checklist use reduced data on health indicators of critically ill patients and was considered a vital practice in the intensive care setting.

Multidisciplinary team perceptions of the Case/Care Managers' role implementation: a qualitative study.

Background and aim of the work.The roles of Case Managers, Care Managers and fledgling Case / Care Managers integrate clinical systems to achieve optimal patient outcomes through the coordinated use of the most appropriate clinical resources. Although the Case and Care Managers roles have been researched, there is still little evidence of the development of the Case / Care Manager in the Italian NHS. The aim of this research is to investigate the perception of healthcare professionals of the implementation of the Case/ Care Manager figure and how it operates in healthcare settings.Research design and methods.The study adopted a qualitative descriptive methodology with a phenomenological approach, using in-depth interviews. Participants (N = 21) were health professionals of multidisciplinary teams from several healthcare contexts in northern and central Italy, in which was activated a Case, Care, or Case / Care Manager role. The study was conducted in December 2020/ January 2021.Results.The themes showed a general vision of the Case Manager, even a critical one, as a figure in transformation precisely from Case Management to Case / Care management. The themes underline how the Case / Care Manager represent a facilitator of clinical-therapeutic paths while acting as a reference figure, supporting the patient, his/her family and the multidisciplinary team.Conclusions.The results of the study confirm the Case / Care Manager as the health professional who deals with care pathways through an integrated, interdisciplinary and personalized approach, placing the person at the centre and thus overcoming a disease-centered approach.

Searching for a professional identity: a qualitative study of the oncology nurses role in a multidisciplinary breast-unit team.

Interprofessional collaboration concept in healthcare implies and evoke enhanced nurses' involvement and role consideration. Our research aimed to investigate: 1) the impact of nursing within a multidisciplinary team of breast-unit practice; 2) healthcare team and patients' perceptions of key-features of the interprofessional care pathway. A qualitative exploratory approach was adopted. Researchers were involved in the activities of the Breast Unit: department meetings, review of unit guidelines, observation of professional practice and documents. In-depth interviews were conducted with 14 patients and a representative group of 15 healthcare professionals from the unit. Qualitative content analysis was chosen to infer data from interviews' transcripts. The analysis' critical themes showed a very marginal nursing presence and the unfulfilled role of the Case Manager, especially in organizing the patient's journey and facilitating team communication. Furthermore, the lack of shared decision-making, team communication problems and limited inter-professional collaboration indicated the mono-professional management of the breast unit and a devaluation of specialist nurses role in managing patient care. The supportive roles of the oncology specialist nurse and case manager are still struggling within the cancer care pathways and multidisciplinary team. Although healthcare organizations attempt to develop and expand these roles, nurses must assess, identify challenges and barriers to navigate through such complex systems. Therefore, the implementation of interprofessional collaboration and a person-centred model of care can also take place through greater socio-cultural awareness and the recognition by health professionals and patients of the specialist nurses role.

Stroke unities: the role of the occupational therapist and the perception of the multidisciplinary team

Every second a person in the world suffers from a stroke, not surprising, therefore, that stroke is the leading cause of death and morbidity in Portugal. Increasingly, acute stroke is considered a medical emergency. The evidence proves that the treatment of these patients in specialized units (stroke units) is effective in acute stroke. A stroke unit is a hospital area where professionals with specific, well-defined training work, who provide care to stroke patients who are already stabilized, but are still in an acute phase(DGS, 2001). The aim of this study is to understand the role of the occupational therapist in stroke units and to identify the perspective of the multidisciplinary team on their work, clarifying what are the advantages of this professional in the team. The study falls within the qualitative paradigm, exploratory and descriptive. Semi-structured interviews were performed to 39 health professionals. The technique used was the content analysis of interviews. Based on previously established categories, other categories emerged.

The use of illustrations to explore social work students’ perceptions of interprofessional teams

ABSTRACT Social workers often practice within interprofessional teams, yet few research studies have examined social work students’ perceptions of their role on these teams using a visual methodology such as illustrations and illustration descriptions. This qualitative study aimed to understand 1) What are social work students’ perceptions of their role on interprofessional teams? 2) What are social work students’ perceptions of the different members involved in interprofessional teams? 3) What are social work students’ perceptions of how interprofessional team members work together? Analysis of the illustrations and illustration descriptions from twenty-six advanced year MSW students from one southeastern university in the United States suggests that many perceived their role as considering the client/family in decision making. In terms of team membership, half of the students depicted clients being involved, and most drew other professionals with a focus on health-related professionals. Students also drew a range of ways team members work together, such as in meetings at tables or in client rooms or talking to each other. Findings from this study have implications for social work education, particularly in relation to interprofessional collaboration, leadership, understanding students’ mental models of interprofessional teams, and client-centered care.

Multidisciplinary team perception of games-based therapy in critical care: A service evaluation.

As survivorship following critical illness improves, there is greater focus on maximizing recovery. As well as physical effects, critical illness often results in cognitive impairments such as delirium, anxiety, or disorientation. In other populations, such as delirium, non-pharmacological approaches to manage these conditions are preferred, including re-orientation and ensuring personal care needs are met. Cognitive rehabilitation is also well documented for patients with neuropsychological deficits. Treatments include memory aids, compensation strategies, and functional execution. In other hospital populations, games and activities have been utilized to optimize patient engagement, stimulation, and aid recovery, but it is considered an emerging therapy in intensive care. This service evaluation aimed to gather multidisciplinary team members' perceptions of the use of games based therapy (GBT) in critical care, including patient engagement and acceptability in clinical practice. A UK-based single-centre qualitative service evaluation. Purposive sampling was used to identify interviewees within an adult intensive care who had experience of using a recently implemented GBT intervention. Qualitative data were collected through semi-structured interviews, which were recorded and transcribed verbatim. Data were analysed using thematic analysis. Eight staff members across the multidisciplinary team were interviewed. One overarching theme of humanizing health care was identified, with three sub-themes of enhancing recovery, non-physical components of care, and bespoke tailoring. In addition, further recommendations for development of the service were summarized. GBT was well received by staff in clinical practice. It was described as a supportive adjunct to traditional care and rehabilitation, enhancing staff-patient relationships. While it was recognized it may not suit all patients, GBT has the potential to enhance cognitive and physical recovery.

Perceptions of specialty palliative care and its role in pediatric stem cell transplant: A multidisciplinary qualitative study

Consultation of specialty palliative care remains uncommon in pediatric stem cell transplant (SCT) despite growing evidence that early integration of palliative care improves outcomes in patients with advanced cancers or undergoing SCT. Little is known about how multidisciplinary pediatric SCT teams perceive palliative care and its role in SCT. We conducted semistructured interviews of members of a multi-disciplinary SCT team to understand their perceptions of palliative care, how specialty palliative care is integrated into SCT, and to identify barriers to increased integration. Eligible participants included physicians, nurses, inpatient nurse practitioners, social workers, and child life specialists. Data were analyzed using thematic analysis. Four major themes were identified. First, SCT team members held a favorable perception of the palliative care team. Second, participants desired increased palliative care integration in SCT. Third, participants believed that the palliative care team had insufficient resources to care for the large number of SCT patients, which led to the SCT team limiting palliative care consultation. And, finally, the lack of a standardized palliative care consultation process prevented greater integration of palliative care in SCT. SCT team members held a favorable perception of palliative care and saw a role for greater palliative care integration throughout the SCT course. We identified modifiable barriers to greater palliative care integration. SCT teams who desire greater palliative care integration may adapt and implement an existing model of palliative care integration in order to improve standardization and increase integration of specialty palliative care in SCT.

Hospital medicine team perception of diversity and inclusion at work

ABSTRACT Background : Diversity and Inclusion concepts are crucial in healthcare as the patient population we encounter as hospitalist medicine team is diverse. A diverse and inclusive environment for healthcare employees can lead to improved job satisfaction and high-quality medical care of patients. However, hospitalist perspectives on diversity and inclusion in their work environment are not well studied and noted in literature. Understanding hospitalist perspectives of diversity and inclusion is important in promoting organizational culture. Methods We conducted an online survey of a large hospitalist group at Mayo Clinic, Rochester, from October–December 2019, as part of Hospital Internal Medicine (HIM) Diversity Council (HIM-DC) inception, to understand the perceptions of its staff about diversity and inclusion at work and facilitate the next best steps for the team. The responses to the survey questions were graded on a likert scale. Descriptive statistics were used to analyze and interpret the data. Results : Of the 135 team members, 78 responded (58%). Of the respondents, more than 80% never witnessed or experienced discrimination from a colleague, while more than 50% did witness or experience discrimination from a patient/visitor. More than 70% did not report this discrimination. Nearly 90% felt that it was an inclusive environment at work, across different personal attributes. Most of the respondents requested additional cultural education and social events. Conclusion Unfortunately, a higher percentage of discrimination is perceived from patients/visitors. This highlights the need for institutional policies about visitor conduct. A high proportion of HIM staff felt inclusive at workplace. Committees such as HIM-DC can augment cultural education and social events to improve team’s perception.

Multidisciplinary team perceptions about the implementation and safety of early mobilization for newborns in post-operative care

BACKGROUND: Early mobilization can be a therapeutic intervention that can prevent long-term consequences from prolonged bed rest in post-operative newborns. OBJECTIVE: Describe the knowledge of the healthcare professionals in the Newborn Intensive Care Unit (NICU) about early mobilization and its safety for post-operative infants. METHODS: This research is an analytical descriptive cross-sectional study with mixed methods, performed by analyzing a questionnaire given to NICU health professionals. RESULTS: The sample was composed of 31 professionals, of which 64.5% affirm that they know what early mobilization means, most of whom defined the intervention in terms of motor activity, 83% believe it is beneficial, 77.4% consider early mobilization safe. However, 90% of the professionals showed concerns for possible adverse events, the most cited being device dislodgment and hemodynamic decompensation. The majority stated that early mobilization should be avoided when concerned about hemodynamic instability or the type of surgery. Approximately 71% affirm that they did not receive educational training for implementing early mobilization. CONCLUSION: This study showed the need for more training and education about early mobilization for professionals and the establishment of evidence-based institutional protocols.

Human Versus Artificial Intelligence: A Data-Driven Approach to Real-Time Process Management During Complex Engineering Design

Abstract Managing the design process of teams has been shown to considerably improve problem-solving behaviors and resulting final outcomes. Automating this activity presents significant opportunities in delivering interventions that dynamically adapt to the state of a team in order to reap the most impact. In this work, an artificial intelligence (AI) agent is created to manage the design process of engineering teams in real time, tracking features of teams’ actions and communications during a complex design and path-planning task in multidisciplinary teams. Teams are also placed under the guidance of human process managers for comparison. Regarding outcomes, teams perform equally as well under both types of management, with trends toward even superior performance from the AI-managed teams. The managers’ intervention strategies and team perceptions of those strategies are also explored, illuminating some intriguing similarities. Both the AI and human process managers focus largely on communication-based interventions, though differences start to emerge in the distribution of interventions across team roles. Furthermore, team members perceive the interventions from both the AI and human manager as equally relevant and helpful, and believe the AI agent to be just as sensitive to the needs of the team. Thus, the overall results show that the AI manager agent introduced in this work is able to match the capabilities of humans, showing potential in automating the management of a complex design process.

Trauma 2021: Trauma Association of Canada Annual Scientific Meeting, Vancouver, British Columbia (virtual), April 12–16, 2021Perceptions of a trauma team regarding in situ simulationEpidemiology of submersion injuries in Canadian children and adolescents: 1990–2018A survey of medical and administrative directors on REBOA use in Canadian trauma centresCut to the chase: comparing cutting tools in the exposure of simulated trauma patientsPediatric major

# Perceptions of a trauma team regarding in situ simulation {#article-title-2} In situ simulation shows promise as an effective training tool for trauma; however, its disruptive nature is a major downside. Although the benefits of in situ simulation in trauma have been described, the potential