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Straub C, Heinzmann A, Krueger M, Bode SFN. Nursing staff's and physicians' acquisition of competences and attitudes to interprofessional education and interprofessional collaboration in pediatrics. BMC MEDICAL EDUCATION 2020; 20:213. [PMID: 32615959 PMCID: PMC7331121 DOI: 10.1186/s12909-020-02128-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Accepted: 06/25/2020] [Indexed: 05/25/2023]
Abstract
BACKGROUND Interprofessional education (IPE) is deemed essential for interprofessional collaboration (IPC) in healthcare systems. IPC has positive effects for both patients and healthcare professionals. Especially in pediatrics, IPC is paramount for adequate care of patients and their families though there is a lack of data on the attitudes towards IPE and IPC and acquisition of respective competences in pediatric nursing and medical staff. METHODS Frequencies of interactions and attitudes towards IPE and IPC, with a focus on acquisition of competences for IPE and IPC, of nurses (N = 79) and physicians (N = 70) in a large pediatric university hospital were evaluated with an online questionnaire. RESULTS All participants worked as part of interprofessional teams, mostly consisting of nurses and physicians. The majority (94.9% (n = 75) of nurses and 100% (n = 70) of physicians) highly valued IPC. Medical doctors acquired most competences important for IPC during day-to-day work and reported a substantial lack of IPE. Nursing staff on the other hand did report significant interprofessional education during their training as well as ongoing interprofessional learning during day-to-day work. Nurses also appreciated IPE more. CONCLUSIONS Even though IPC is commonly reported in nurses and physicians working at a large pediatric university hospital there is a lack of structured IPE. A focus should be on IPE for nurses and physicians to enable them to effectively collaborate together. Political and local initiatives for IPE are gaining momentum but still need to be established nationally and internationally.
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Affiliation(s)
- Christine Straub
- Center for Pediatrics - Department of general pediatrics, adolescent medicine, and neonatology, Medical Center, Medical Faculty, University of Freiburg, Mathildenstrasse 1, 79106, Freiburg, Germany
| | - Andrea Heinzmann
- Center for Pediatrics - Department of general pediatrics, adolescent medicine, and neonatology, Medical Center, Medical Faculty, University of Freiburg, Mathildenstrasse 1, 79106, Freiburg, Germany
| | - Marcus Krueger
- Department of Neonatology, Harlaching, Munich Municipal Hospitals, Munich, Germany
| | - Sebastian F N Bode
- Center for Pediatrics - Department of general pediatrics, adolescent medicine, and neonatology, Medical Center, Medical Faculty, University of Freiburg, Mathildenstrasse 1, 79106, Freiburg, Germany.
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Krampe F, Peters S, Straub C, Bode S. Protecting children across borders - child protection in an international context (Germany/Switzerland) as an interprofessional teaching unit. GMS JOURNAL FOR MEDICAL EDUCATION 2020; 37:Doc4. [PMID: 32270018 PMCID: PMC7105767 DOI: 10.3205/zma001297] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 11/26/2019] [Accepted: 12/12/2019] [Indexed: 05/25/2023]
Abstract
Introduction: Interprofessional collaboration (IPC) in everyday clinical practice is a prerequisite for good patient care but currently this is not sufficiently anchored in the education of health care professionals. Project description: A course on child protection in the interprofessional and international domain was established at the Medical School, University of Freiburg. In this course, students of medicine, nursing science and social work acquire skills for successful interprofessional cooperation. Its participants learn across professional and national borders, not only with but also from and about each other. In this way, they deepen their insights into international IPC through a key topic that is relevant to many disciplines. The course is run as a one-day campus day. This paper presents the course setup and evaluation results. Methods: The evaluation was carried out online and in writing in a before and after format using the Freiburg Questionnaire for Interprofessional Learning Evaluation (FILE) in addition to oral feedback. Learning objectives for IPC and child protection were formulated and the participants were asked about their subjective achievements. Results: From summer semester (SuSe) 2017 to SuSe 2018, 39 participants took part in the course. It was rated as m=1.5 (using German school grades where 1=very good, 6=unsatisfactory). In 18 of the 26 FILE items, participants report a self-assessed increase in knowledge or skills/abilities. This growth in learning coincides with the learning objectives set. Discussion & conclusion: From the perspective of the participants, the course teaches interprofessional competencies in an international setting and is seen as an informative course offer. The continuation or expansion of such courses as a supplement to purely single-country interprofessional courses is desirable.
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Affiliation(s)
- Franziska Krampe
- University of Freiburg, Center for Pediatrics, Department of general pediatrics, adolescent medicine, and neonatology, Medical Center, Freiburg im Breisgau, Germany
| | - Stephanie Peters
- University of Freiburg, Center for Pediatrics, Department of general pediatrics, adolescent medicine, and neonatology, Medical Center, Freiburg im Breisgau, Germany
| | - Christine Straub
- University of Freiburg, Center for Pediatrics, Department of general pediatrics, adolescent medicine, and neonatology, Medical Center, Freiburg im Breisgau, Germany
| | - Sebastian Bode
- University of Freiburg, Center for Pediatrics, Department of general pediatrics, adolescent medicine, and neonatology, Medical Center, Freiburg im Breisgau, Germany
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Bayoumi I, Parkin PC, Lebovic G, Patel R, Link K, Birken CS, Maguire JL, Borkhoff CM. Iron deficiency among low income Canadian toddlers: a cross-sectional feasibility study in a Community Health Centre and non-Community Health Centre sites. BMC FAMILY PRACTICE 2018; 19:161. [PMID: 30249193 PMCID: PMC6154825 DOI: 10.1186/s12875-018-0848-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 09/17/2018] [Indexed: 11/15/2022]
Abstract
BACKGROUND Iron deficiency in early childhood has been associated with poor developmental outcomes. Little is known about the nutritional health of young children receiving care at Canadian Community Health Centres (CHCs). Our objectives were to describe iron deficiency among toddlers at an Ontario CHC, to compare young children attending CHCs and non-CHCs, and assess the feasibility of conducting research on children in CHC settings. METHODS One CHC, Kingston Community Health Centres (CHC) with two clinical sites and one community programming site was added to the nine non-CHC pediatric and primary care clinics in the existing TARGet Kids! research network. A cross-sectional feasibilitystudy was conducted.and. Healthy children, ages 12-36 months were Enrolled. iron deficiency without inflammation (ferritin< 14 μg/L and CRP < 10 mg/L) and serum ferritin were assessed. Adjusted multivariable regression analyses were used to evaluate an association between CHC enrolment and iron status. RESULTS The CHC cohort (n = 31) was older, had lower household income, lower maternal education, higher nutrition risk scores, higher cow's milk intake, shorter breastfeeding duration and higher prevalence of unhealthy weights compared with the non-CHC cohort (n = 875). There was no association between CHC status and serum ferritin (difference in median serum ferritin 4.78 μg/L, 95% confidence interval [CI] -2.5, 14.3, p = 0.22) or iron deficiency (OR 0.55, 95% CI 0.11, - 2.73, p = 0.46) using multivariable linear and logistic regression, respectively. CONCLUSION Despite differences in sociodemographic variables, we did not detect a difference in iron status between toddlers enrolled at CHCs compared to non-CHC settings. Further research is needed to understand the health effects of poverty generally, and iron deficiency specifically among children receiving care at CHCs.
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Affiliation(s)
- Imaan Bayoumi
- Department of Family Medicine, Queen’s University, 220 Bagot St., P.O. Bag 8888, Kingston, ON K7L5E9 Canada
| | - Patricia C. Parkin
- Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON Canada
- Sick Kids Research Institute, Toronto, ON Canada
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON Canada
- Division of Paediatric Medicine, Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON Canada
| | - Gerald Lebovic
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON Canada
- Applied Health Research Centre (AHRC), Toronto, Canada
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON Canada
| | - Rupa Patel
- Department of Family Medicine, Queen’s University, 220 Bagot St., P.O. Bag 8888, Kingston, ON K7L5E9 Canada
- Kingston Community Health Centres, Kingston, Canada
| | - Kendra Link
- Kingston Community Health Centres, Kingston, Canada
| | - Catherine S. Birken
- Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON Canada
- Sick Kids Research Institute, Toronto, ON Canada
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON Canada
- Division of Paediatric Medicine, Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON Canada
| | - Jonathon L. Maguire
- Division of Paediatric Medicine, Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON Canada
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON Canada
- Department of Paediatrics, St. Michael’s Hospital, Toronto, ON Canada
- Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, ON Canada
| | - Cornelia M. Borkhoff
- Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON Canada
- Sick Kids Research Institute, Toronto, ON Canada
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON Canada
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Bode SFN, Giesler M, Heinzmann A, Krüger M, Straub C. Self-perceived attitudes toward interprofessional collaboration and interprofessional education among different health care professionals in pediatrics. GMS JOURNAL FOR MEDICAL EDUCATION 2016; 33:Doc17. [PMID: 27280128 PMCID: PMC4895846 DOI: 10.3205/zma001016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/13/2015] [Revised: 02/22/2016] [Accepted: 03/10/2016] [Indexed: 05/25/2023]
Abstract
Interprofessional education (IPE) is the basis for interprofessional collaboration (IPC) in health care systems. It has beneficial effects for both patients and health care professionals. IPC is paramount for adequate care of patients and their families, especially in pediatrics. To determine the attitudes of medical doctors (n=121), nurses (n=15), psychologists (n=14), and social workers (n=19) toward IPE and IPC in a tertiary pediatric university teaching hospital, as well as the inpatient and outpatient settings in pediatrics, we developed a questionnaire with 21 items in four categories based on established questionnaires. All participants worked as part of interprofessional teams, and the overwhelming majority valued IPC highly. Most competencies important for IPC were acquired on the job. There was a substantial lack of interprofessional education, especially for medical doctors and psychologists. IPE still needs to be established as part of the undergraduate curriculum at German universities.
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Affiliation(s)
| | - Marianne Giesler
- University Hospital Freiburg, Competency Centre for Evaluation in Medicine, Baden-Württemberg, Freiburg, Germany
| | - Andrea Heinzmann
- University Hospital Freiburg, Center for Pediatrics and Adolescent Medicine, Freiburg, Germany
| | - Marcus Krüger
- University Hospital Freiburg, Center for Pediatrics and Adolescent Medicine, Freiburg, Germany
| | - Christine Straub
- University Hospital Freiburg, Center for Pediatrics and Adolescent Medicine, Freiburg, Germany
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van den Heuvel M, Barozzino T, Milligan K, Ford-Jones E, Freeman S. We need psychologists! Paediatr Child Health 2016; 21:e1-3. [PMID: 26941561 DOI: 10.1093/pch/21.1.e1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Paediatricians are more likely than ever to encounter patients with mental health problems on a daily basis. There is a need for investment in proven treatments, such as psychology-based interventions, for children identified with mental health disorders. There are four main arguments supporting the engagement of psychologists for children with mental health problems: there is clear evidence that psychological interventions can effectively treat a wide range of mental health disorders; many parents and children are more open to exploring psychological therapies rather than medication for mental health problems; psychologists are trained and licensed to perform psychoeducational assessments, which can provide invaluable information about a child's learning profile, attention problems and overall intelligence; and behaviour problems in children can be prevented or improved through parent-based interventions. The authors' strongly advocate for the public funding of psychology services - both in collaborative primary care models and in the school setting.
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Affiliation(s)
- Meta van den Heuvel
- Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario;; Department of Paediatrics, University of Toronto, Toronto, Ontario;; Department of Paediatrics, St Michael's Hospital, Toronto, Ontario
| | - Tony Barozzino
- Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario;; Department of Paediatrics, University of Toronto, Toronto, Ontario;; Department of Paediatrics, St Michael's Hospital, Toronto, Ontario
| | - Karen Milligan
- Department of Psychology, Ryerson University, Toronto, Ontario
| | - Elizabeth Ford-Jones
- Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario;; Department of Paediatrics, University of Toronto, Toronto, Ontario
| | - Sloane Freeman
- Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario;; Department of Paediatrics, University of Toronto, Toronto, Ontario;; Department of Paediatrics, St Michael's Hospital, Toronto, Ontario
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