1
|
Ganjitsuda K, Tagawa M, Tomihara K, Saiki T, Kikukawa M, Takamura A, Okazaki H, Matsuyama Y, Moriya R, Chiba H, Takagi Y, Setoyama H, Tokushige A, Yokoh H. Long-term clinical clerkship improves medical students' attitudes toward team collaboration. Int J Med Educ 2022; 13:274-286. [PMID: 36327444 PMCID: PMC9911282 DOI: 10.5116/ijme.633f.e97a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 10/07/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVES To examine the related factors associated with medical students' attitudes toward team collaboration. METHODS This cross-sectional study targeted medical students, residents, and doctors. A survey was conducted from 2016 to 2017 using the Japanese version of the Jefferson Scale of Attitudes Toward Interprofessional Collaboration (JeffSATIC-J), which evaluated "working relationship" and "accountability." We analyzed 2409 questionnaire responses with JeffSATIC-J items and the gender item. Analysis of variance was used for factors associated with the JeffSATIC-J score and Spearman's rank correlation coefficient for the relationship between educational intervention and the JeffSATIC-J score. RESULTS First-year students' scores were the highest (F(2, 2045) = 13.42 to 18.87, p < .001), and female students' scores were significantly higher than those of male students (F(1, 2045) = 21.16 to 31.10, p < .001). For residents' scores, the institution was not a significant variable. Female "accountability" scores were significantly higher than those of males (F (1,108) = 4.95, p = .03). Gender was not a significant variable for doctors' scores. Sixth-year students' scores were significantly correlated with the length of clinical clerkship (r(5)=.78 to .96, p<.05), with the exception of females' "working relationship" scores. The medical school with the highest JeffSATIC-J scores had the longest clinical clerkship in the community. CONCLUSIONS These results indicate that long-term clinical clerkship in the community at higher grades is important in improving medical students' attitudes toward team collaboration. A qualitative study is required to confirm our findings.
Collapse
Affiliation(s)
- Kazunori Ganjitsuda
- Center for Innovation in Medical and Dental Education, Graduate School of Medical and Dental Sciences, Kagoshima University, Japan
| | - Masami Tagawa
- Center for Innovation in Medical and Dental Education, Graduate School of Medical and Dental Sciences, Kagoshima University, Japan
| | - Kazuya Tomihara
- Department of Psychology, Faculty of Law, Economics, and Humanities, Kagoshima University, Japan
| | - Takuya Saiki
- Medical Education Development Center, Gifu University, Japan
| | | | | | | | | | - Rika Moriya
- Department of Medical Education, Research and Development Center for Medical Education, Kitasato University, Japan
| | - Hiroki Chiba
- Department of Medical Education, Research and Development Center for Medical Education, Kitasato University, Japan
| | | | | | - Akihiro Tokushige
- Center for Innovation in Medical and Dental Education, Graduate School of Medical and Dental Sciences, Kagoshima University, Japan
| | - Hidetaka Yokoh
- Center for Innovation in Medical and Dental Education, Graduate School of Medical and Dental Sciences, Kagoshima University, Japan
| |
Collapse
|
2
|
Groves E, Collinson R, Hegarty A, Hamad E, Asadi TD, Ejara A, Kudsia L, Shah S. Schwartz Centre Rounds: qualitative exploration of panel members' experiences within a forensic mental health service. BJPsych Bull 2022; 47:77-82. [PMID: 35012698 PMCID: PMC10063991 DOI: 10.1192/bjb.2021.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Schwartz Centre Rounds (SCRs) provide a structured forum for staff from all disciplines to meet and discuss the difficult emotional and social challenges that arise in caring for patients. Research into the implementation of SCRs has shown that staff who attend report increased insight into the emotional and social aspects of care; greater understanding of the roles of their colleagues; improved teamworking and decreased feelings of isolation and stress. However, little research has explored the implementation of SCRs within forensic settings, and no research has focused solely on the experiences of panel members. Three focus groups were facilitated with participants who had participated in a SCR panel within a forensic mental health service. Semi-structured interviews were carried out, audio-recorded and subsequently transcribed. Interpretive phenomenological analysis was utilised to analyse the transcripts, and four key themes were identified. These themes were: feeling vulnerable, the importance of validation, exposure to intense emotional experiences and improved understanding and connection. We conclude that SCRs can be an emotionally challenging but rewarding experience, with the potential to enhance teamworking and general well-being. Limitations and recommendations for future research are also discussed.
Collapse
Affiliation(s)
- Emma Groves
- Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | | | - Amy Hegarty
- Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | | | | | - Abebe Ejara
- Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | - Lubna Kudsia
- Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | - Shivali Shah
- Tees, Esk and Wear Valleys NHS Foundation Trust, UK.,Secure Inpatient Services, Roseberry Park Hospital, UK
| |
Collapse
|
3
|
Abstract
Anyone in England over 18 whose health or wellbeing suddenly deteriorates at home will have access to an urgent community response (UCR) team within 2 hours by April 2022. Community nursing services are providing the core service model to provide these crisis response services. Nurse leads from three UCR accelerator sites (Kirklees, Warrington and Bromley) elaborate on how they are making waves of change for the better, using their clinical skills and building key relationships with other health services. Acutely unwell patients are being seen by practitioners with advanced assessment skills, which keeps eight out of 10 patients at home safe, avoiding hospital admission.
Collapse
Affiliation(s)
- Kirsty Robb
- Nurse leads at urgent community response accelerator sites in Kirklees, Warrington and Bromley
| | - Gemma Barber
- Nurse leads at urgent community response accelerator sites in Kirklees, Warrington and Bromley
| | - Fay Mohedeen
- Nurse leads at urgent community response accelerator sites in Kirklees, Warrington and Bromley
| |
Collapse
|
4
|
Abstract
This study presents a framework for the leadership of integrated, interprofessional health, and social-care teams (IgTs) based on a previous literature review and a qualitative study. The theoretical framework for Integrated Team Leadership (IgTL) is based on contributions from 15 professional and nonprofessional staff, in 8 community teams in the United Kingdom. Participants shared their perceptions of IgT's good practice in relation to patient outcomes. There were two clear elements, Person-focused and Task-focused leadership behaviors with particular emphasis on the facilitation of shared professional practices. Person-focused leadership skills include: inspiring and motivating; walking the talk; change and innovation; consideration; empowerment, teambuilding and team maintenance; and emotional intelligence. Task-focused leadership behaviors included: setting team direction; managing performance; and managing external relationships. Team members felt that the IgTL should be: a Health or Social Care (HSC) professional; engaged in professional practice; and have worked in an IgT before leading one. Technical and cultural issues were identified that differentiate IgTL from usual leadership practice; in particular the ability to facilitate or create barriers to effective integrated teamworking within the organizational context. In common with other OECD countries, there are policy imperatives in England for further integration of health and social care, needed to improve the quality and effectiveness of care for older people with multiple conditions. Further attention is needed to support the development of effective IgTs and leadership will be a pre-requisite to achieve this vision. The research advances the understanding of the need for skilled interprofessional leadership practice.
Collapse
Affiliation(s)
- Tony Smith
- Centre for Leadership in Health and Social Care, Sheffield Hallam University, Sheffield, UK
| | - Sally Fowler Davis
- Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK
| | - Susan Nancarrow
- School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia
| | - Steven Ariss
- School of Health and Related Research, University of Sheffield Regent Court, Sheffield, UK
| | - Pam Enderby
- School of Health and Related Research, University of Sheffield Regent Court, Sheffield, UK
| |
Collapse
|
5
|
Tissington P, Senior C. Research Activity and the New Pedagogy: Why Carrying Out Research Is Essential for Effective Learning. Front Psychol 2017; 8:1838. [PMID: 29097990 PMCID: PMC5654386 DOI: 10.3389/fpsyg.2017.01838] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 10/03/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Patrick Tissington
- Department of Organizational Psychology, Birkbeck, University of London, London, United Kingdom
| | - Carl Senior
- Department of Psychology, School of Life and Health Sciences, Aston University, Birmingham, United Kingdom.,University of Gibraltar, Gibraltar
| |
Collapse
|
6
|
Draycott TJ, Collins KJ, Crofts JF, Siassakos D, Winter C, Weiner CP, Donald F. Myths and realities of training in obstetric emergencies. Best Pract Res Clin Obstet Gynaecol 2015; 29:1067-76. [PMID: 26254842 DOI: 10.1016/j.bpobgyn.2015.07.003] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Accepted: 07/09/2015] [Indexed: 01/21/2023]
Abstract
Training for intrapartum emergencies is a promising strategy to reduce preventable harm during birth; however, not all training is clinically effective. Many myths have developed around such training. These principally derive from misinformed beliefs that all training must be effective, cheap, independent of context and sustainable. The current evidence base for effective training supports local, unit-based and multi-professional training, with appropriate mannequins, and practice-based tools to support the best care. Training programmes based on these principles are associated with improved clinical outcomes, but we need to understand how and why that is, and also why some training is associated with no improvements, or even deterioration in outcomes. Effective training is not cheap, but it can be cost-effective. Insurers have the fiscal power to incentivise training, but they should demand the evidence of clinical effect; aspiration and proxies alone should no longer be sufficient for funding, in any resource setting.
Collapse
|
7
|
Bliss J, While AE. Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services. London J Prim Care (Abingdon) 2015; 6:149-53. [PMID: 25949736 DOI: 10.1080/17571472.2014.11494366] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
General practitioners and district nurses have a long history of providing care outside the hospital setting. With health care increasingly moving out of the hospital setting, there are more opportunities for general practitioners and district nurses to work together to meet the health needs of the local population. However, the reduction in qualified specialist practitioner district nurses over the last decade is concerning. The need for an effective district nursing service has been recognised by the Department of Health in their own model - the nature of district nursing work, often over a long period, enables relationships to develop with the patient, family and informal carers as a basis for anticipatory care to manage long-term conditions. Communication and understanding of the role are central to enhance effective working between general practitioners and district nurses, which can be fostered by engagement in community-oriented integrated care and case management.
Collapse
Affiliation(s)
- Julie Bliss
- Senior Lecturer and Member, The Association of District Nurse Educators
| | - Alison E While
- Emeritus Professor of Community Nursing, King's College London, UK
| |
Collapse
|