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Lee K, Etherton-Beer C, Johnson J, Lobo E, Wang K, Ailabouni N, Mavaddat N, Clifford RM, Page AT. Utilising a ' Community of Practice' to support pharmacists to work in residential aged care: protocol for a longitudinal evaluation. BMJ Open 2024; 14:e076856. [PMID: 38740504 PMCID: PMC11097797 DOI: 10.1136/bmjopen-2023-076856] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 04/26/2024] [Indexed: 05/16/2024] Open
Abstract
INTRODUCTION A Community of Practice is briefly defined as a group of people with a shared interest in a given area of practice who work collaboratively to grow collective knowledge. Communities of Practice have been used to facilitate knowledge exchange and improve evidence-based practice. Knowledge translation within the residential aged care sector is lacking, with barriers such as inadequate staffing and knowledge gaps commonly cited. In Australia, a Federal inquiry into residential aged care practices led to a recommendation to embed pharmacists within residential aged care facilities. Onsite practice in aged care is a new role for pharmacists in Australia. Thus, support is needed to enable pharmacists to practice in this role.The primary aim is to evaluate the processes and outcomes of a Community of Practice designed to support pharmacists to work in aged care. METHODS AND ANALYSIS A longitudinal, single-group, pretest-post-test design in which the intervention is a Community of Practice. The Community of Practice will be established and made available for 3 years to all Australian pharmacists interested in, new to or established in aged care roles. The Community of Practice will be hosted on online discussion platforms, with additional virtual meetings and annual symposia. The following data will be collected from all members of the Community of Practice: self-evaluation of the processes and outcomes of the Community of Practice (via the CoPeval scale) and confidence in evidence-based practice (EPIC scale), collected via online questionnaires annually; and discussion platform usage statistics and discussion transcripts. A subset of members will be invited to participate in annual semi-structured individual interviews.Data from the online questionnaire will be analysed descriptively. Discussion transcripts will be analysed using topic modelling and content analysis to identify the common topics discussed and their frequencies. Qualitative data from individual interviews will be thematically analysed to explore perceptions and experiences with the intervention for information/knowledge exchange, impact on practice, and sharing/promoting/implementing evidence-based practice. ETHICS AND DISSEMINATION Human ethics approval has been granted by the University of Western Australia's Human Ethics Committee (2023/ET000000). No personal information will be included in any publications and reports to funding bodies.Findings will be disseminated to all members of the Community of Practice, professional organisations, social and mass media, peer-review journals, research and professional conferences and annual reports to the funding body.
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Affiliation(s)
- Kenneth Lee
- Pharmacy, School of Allied Health, University of Western Australia, Crawley, Western Australia, Australia
| | - Christopher Etherton-Beer
- School of Medicine, University of Western Australia, Crawley, Western Australia, Australia
- WA Centre for Health & Ageing, University of Western Australia, Perth, Western Australia, Australia
| | - Jacinta Johnson
- UniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia
- SA Pharmacy, SA Health, Adelaide, South Australia, Australia
| | - Elton Lobo
- School of Pharmacy, University of Queensland, Brisbane, Queensland, Australia
| | - Kate Wang
- School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia
| | - Nagham Ailabouni
- School of Pharmacy, University of Queensland, Brisbane, Queensland, Australia
| | - Nahal Mavaddat
- School of Medicine, The University of Western Australia, Perth, Western Australia, Australia
| | - Rhonda Marise Clifford
- School of Allied Health, Univeristy of Western Australia, Perth, Western Australia, Australia
| | - Amy Theresa Page
- School of Allied Health, Univeristy of Western Australia, Perth, Western Australia, Australia
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Nixon P, Broccatelli C, Moss P, Baggio S, Young A, Newcomb D. Healthcare social network research and the ECHO model™: Exploring a community of practice to support cultural brokers and transfer cultural knowledge. BMC Health Serv Res 2024; 24:558. [PMID: 38693520 PMCID: PMC11062014 DOI: 10.1186/s12913-024-11024-w] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 04/22/2024] [Indexed: 05/03/2024] Open
Abstract
BACKGROUND Project ECHO® networks at Children's Health Queensland Hospital and Health Service (CHQHHS) are communities of practice designed to mitigate services and systems fragmentation by building collaborative partnerships addressing priority child and youth health needs. Aboriginal and Torres Strait Islander people experience the negative impacts of fragmentation in addition to historical challenges of absent or culturally inappropriate health services. Access to culturally safe and responsive services can be improved by engaging Aboriginal and Torres Strait Islander Health Workers and similar roles in an online community of practice, supporting the integration of cultural and clinical knowledge and self-determination of Aboriginal and Torres Strait Islander consumers in decisions affecting their health. Analysing professional support networks and knowledge sharing patterns helps identify enablers and barriers to partnerships. Using social network research, the multilevel network inclusive of ECHO network members and their colleagues was studied to identify interdisciplinary and cross-sector advice exchange patterns, explore the position of cultural brokers and identify common relational tendencies. METHODS Social network theories and methods informed the collection of network data and analysis of advice-seeking relationships among ECHO network members and their nominees. Registered members from two ECHO networks were invited to complete the Qualtrics survey. Networks analysed comprised 398 professionals from mainstream health, Aboriginal and Torres Strait Islander Community Controlled Health Organisation, education, disability and child safety service settings. RESULTS Brokers were well represented, both those who hold knowledge brokerage positions as well as cultural brokers who incorporate clinical and cultural knowledge enabling holistic care for Aboriginal and Torres Strait Islander patients (38 individuals, 17% of network). Professionals who occupy brokerage positions outside the ECHO network tend to be more connected with co-members within the network. CONCLUSIONS This study is the first application of contemporary social network theories and methods to investigate an ECHO network. The findings highlight the connectivity afforded by brokers, enabling the coordination and collaboration necessary for effective care integration. Inclusion of cultural brokers in an ECHO network provides sustained peer group support while also cultivating relationships that facilitate the integration of cultural and clinical knowledge.
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Affiliation(s)
- Phil Nixon
- Integrated Care, Children's Health Queensland Hospital and Health Service, 501 Stanley Street, South Brisbane, QLD, 4101, Australia.
| | - Chiara Broccatelli
- Department of Social and Cultural Anthropology, Universitat Autònoma de Barcelona, Barcelona, 08193, Spain
- Institute for Social Science Research, The University of Queensland, Indooroopilly, QLD, 4068, Australia
| | - Perrin Moss
- Integrated Care, Children's Health Queensland Hospital and Health Service, 501 Stanley Street, South Brisbane, QLD, 4101, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, Saint Lucia, QLD, 4072, Australia
| | - Sarah Baggio
- Integrated Care, Children's Health Queensland Hospital and Health Service, 501 Stanley Street, South Brisbane, QLD, 4101, Australia
| | - Angela Young
- Integrated Care, Children's Health Queensland Hospital and Health Service, 501 Stanley Street, South Brisbane, QLD, 4101, Australia
| | - Dana Newcomb
- Integrated Care, Children's Health Queensland Hospital and Health Service, 501 Stanley Street, South Brisbane, QLD, 4101, Australia
- General Practice Clinical Unit, The University of Queensland, Herston, QLD, 4029, Australia
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Eschiti VS. Writing Community of Practice for Faculty: Support to Foster Publication. Nurse Educ 2024; 49:E170-E171. [PMID: 37782943 DOI: 10.1097/nne.0000000000001546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Affiliation(s)
- Valerie S Eschiti
- Author Affiliation: Associate Professor, The University of Oklahoma Health Sciences Center, Fran and Earl Ziegler College of Nursing, Lawton Campus, Lawton
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Raatz M, Ward EC, Moss P, Reilly C, Frederiksen N, Dickinson C, Clarke S, Beak K, Marshall J. Examining the Outcomes of Project ECHO ® as an Interprofessional Community of Practice for Pediatric Feeding Clinicians. Dysphagia 2024; 39:208-222. [PMID: 37454335 PMCID: PMC10957606 DOI: 10.1007/s00455-023-10603-z] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 07/03/2023] [Indexed: 07/18/2023]
Abstract
Project ECHO® is a virtual, interprofessional, cased-based peer-learning model. To date, no studies have explored ECHO as a model for pediatric feeding education. This study examined the outcomes of establishing a pediatric feeding ECHO network. Using a prospective, mixed-methods design, two cohorts of allied health professionals were recruited. Each cohort participated in eight, 90-min videoconference sessions incorporating a didactic presentation and clinical case presentation. The case was presented by a participant, with questions and recommendations provided by the ECHO network. Participants completed: (1) a learning needs analysis before the ECHO series, (2) a self-reported confidence questionnaire pre, post, and 3-month post, (3) a satisfaction questionnaire after each session, and (4) an overall satisfaction questionnaire post-ECHO series. Time spent by hospital allied health clinicians providing impromptu phone/email feeding support to external clinicians was recorded for 8 weeks prior to and 8 weeks during the ECHO series. Forty-seven participants were included in the study, attending an average of 5.8 sessions. Significant improvements in self-reported confidence were observed across the three time points (p < 0.01) with less experienced participants demonstrating greater improvements. Participants reported high satisfaction with ECHO, with 93% (40/43) wanting continued access to ECHO in future. The multidisciplinary format, interactivity, structure, and case-based nature of ECHO were considered beneficial. A 75% reduction in requests for support from clinicians in the same catchment area was noted during the ECHO series. Results demonstrated that Project ECHO is a viable model for pediatric feeding education for clinicians working in the field. Further research is needed to investigate the long-term effects and impacts on clinical care.
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Affiliation(s)
- Madeline Raatz
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Elizabeth C Ward
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
- Centre for Functioning and Health Research (CFAHR), Metro South Hospital and Health Service, Brisbane, QLD, Australia
| | - Perrin Moss
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Claire Reilly
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Nadine Frederiksen
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Corrine Dickinson
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Sally Clarke
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Kelly Beak
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Jeanne Marshall
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia.
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.
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Porter-O'Grady T, Malloch K, Scott K. Renewing the Nursing Culture: Sustaining the Professional Community of Practice Through the Role of the Preceptor. Nurs Adm Q 2024; 48:87-96. [PMID: 38564719 DOI: 10.1097/naq.0000000000000639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Culture is the driving frame within which all human action takes form. This article explores the elements and characteristics of culture and applies them to the nursing professional community of practice. As it drills down to the work in the cultural context, it argues for the central role of the preceptor in evidencing the influence of culture. For onboarding nurses and the nursing community, the preceptor becomes the carrier of culture, demonstrating the impact of culture in a way that exhibits its influence and impact on nursing practice and patient care.
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Affiliation(s)
- Tim Porter-O'Grady
- Author Affiliations: Senior Partner, Tim Porter-O'Grady Associates, Atlanta, Georgia (Dr Porter-O'Grady); Consultant, The Ohio State University, College of Nursing, Columbus, Ohio (Dr Malloch); and Partner, L3 Fusion, LLC. Phoenix, Arizona (Dr Scott)
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Nguyen D, Ssebunya RN, Hirani K, Mandalakas A, Benjamin J, Ligon BL, Thammasitboon S. Using starling murmuration as a model for creating a global health community of practice to advance equity in scholarship. Med Teach 2024; 46:537-544. [PMID: 37756416 DOI: 10.1080/0142159x.2023.2260083] [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] [Indexed: 09/29/2023]
Abstract
BACKGROUND Disparities in scholarship exist between authors in low- or middle-income countries (LMIC) and high-income countries. Recognizing these disparities in our global network providing pediatric, adolescent, and maternal healthcare to vulnerable populations in LMIC, we sought to improve access and provide resources to address educational needs and ultimately impact the broader scholarship disparity. METHODS We created a virtual community of practice (CoP) program underpinned by principles from starling murmuration to promote interdisciplinary scholarship. We developed guiding principles- autonomy, mastery and purpose- to direct the Global Health Scholarship Community of Practice Program. Program components included a continuing professional development (CPD) program, an online platform and resource center, a symposium for scholarship showcase, and peer coaching. RESULTS From February 2021 to October 2022, 277 individuals joined. Eighty-seven percent came from LMIC, with 69% from Africa, 6% from South America, and 13% from other LMIC regions. An average of 30 members attended each of the 21 CPD sessions. Thirty-nine authors submitted nine manuscripts for publication. The symposium increased participation of individuals from LMIC and enhanced scholarly skills and capacity. Early outcomes indicate that members learned, shared, and collaborated as scholars using the online platform. CONCLUSION Sharing of knowledge and collaboration globally are feasible through a virtual CoP and offer a benchmark for future sustainable solutions in healthcare capacity building. We recommend such model and virtual platform to promote healthcare education and mentoring across disciplines.
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Affiliation(s)
- Diane Nguyen
- Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
- Department of Education, Innovation, and Technology, Baylor College of Medicine, Houston, TX, USA
- Center for Research, Innovation and Scholarship in Health Professions Education, Texas Children's Hospital, Houston, TX, USA
| | - Rogers N Ssebunya
- Directorate of Research and Knowledge Management, Baylor College of Medicine Children's Foundation-Uganda, Kampala, Uganda
| | - Kajal Hirani
- Baylor International Pediatric AIDS Initiative (BIPAI), Baylor College of Medicine Children's Foundation-Malawi, Lilongwe, Malawi
| | - Anna Mandalakas
- Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
| | - Jennifer Benjamin
- Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
- Department of Education, Innovation, and Technology, Baylor College of Medicine, Houston, TX, USA
- Center for Research, Innovation and Scholarship in Health Professions Education, Texas Children's Hospital, Houston, TX, USA
| | - B Lee Ligon
- Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
- Center for Research, Innovation and Scholarship in Health Professions Education, Texas Children's Hospital, Houston, TX, USA
| | - Satid Thammasitboon
- Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
- Center for Research, Innovation and Scholarship in Health Professions Education, Texas Children's Hospital, Houston, TX, USA
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Vaccari E, Moonen-van Loon J, Van der Vleuten C, Hunt P, McManus B. Marking parties for marking written assessments: A spontaneous community of practice. Med Teach 2024; 46:573-579. [PMID: 37783205 DOI: 10.1080/0142159x.2023.2262102] [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] [Indexed: 10/04/2023]
Abstract
In programmes of assessment with both high and low-stakes assessments, the inclusion of open-ended long answer questions in the high-stakes examination can contribute to driving deeper learning among students. However, in larger institutions, this would generate a seemingly insurmountable marking workload. In this study, we use a focused ethnographic approach to explore how such a marking endeavour can be tackled efficiently and pragmatically. In marking parties, examiners come together to individually mark student papers. This study focuses on marking parties for two separate tasks assessing written clinical communication in medical school finals at Southampton, UK. Data collected included field notes from 21.3 h of marking parties, details of demographics and clinical and educational experience of examiners, examiners' written answers to an open-ended post-marking party questionnaire, an in-depth interview and details of the actual marks assigned during the marking parties. In a landscape of examiners who are busy clinicians and rarely interact with each other educationally, marking parties represent a spontaneous and sustainable community of practice, with functions extending beyond the mere marking of exams. These include benchmarking, learning, managing biases and exam development. Despite the intensity of the work, marking parties built camaraderie and were considered fun and motivating.
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Affiliation(s)
- Emma Vaccari
- Faculty of Medicine, University of Southampton, Southampton, UK
| | - Joyce Moonen-van Loon
- School of Health Professions Education, Maastricht University, Maastricht, The Netherlands
| | - Cees Van der Vleuten
- School of Health Professions Education, Maastricht University, Maastricht, The Netherlands
| | - Paula Hunt
- Faculty of Medicine, University of Southampton, Southampton, UK
| | - Bruce McManus
- Faculty of Medicine, University of Southampton, Southampton, UK
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Carley C, Jackson J. It Takes a Village: Benefits of an Online Community of Practice for Nurse Educators Teaching Large Enrollment Classes. Nurse Educ 2024; 49:101. [PMID: 37348073 DOI: 10.1097/nne.0000000000001475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2023]
Affiliation(s)
- Cameron Carley
- By Cameron Carley , MA, Taylor Institute for Teaching & Learning, and Jennifer Jackson , PhD, RN, Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada,
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Hawes M, Werners A. The veterinary educators in pharmacology special interest group: A thriving community of practice. J Vet Pharmacol Ther 2024; 47:154-155. [PMID: 38287489 DOI: 10.1111/jvp.13428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Accepted: 01/17/2024] [Indexed: 01/31/2024]
Affiliation(s)
- Martin Hawes
- Department of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, UK
| | - Arno Werners
- Department of Anatomy, Physiology and Pharmacology, School of Veterinary Medicine, St. George's University, St. George's, Grenada
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Koatz D, Torres-Castaño A, Salrach-Arnau C, Perestelo-Pérez L, Ramos-García V, González-González AI, Pacheco-Huergo V, Toledo-Chávarri A, González-Pacheco H, Orrego C. Exploring value creation in a virtual community of practice: a framework analysis for knowledge and skills development among primary care professionals. BMC Med Educ 2024; 24:121. [PMID: 38326814 PMCID: PMC10848396 DOI: 10.1186/s12909-024-05061-6] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 01/15/2024] [Indexed: 02/09/2024]
Abstract
BACKGROUND Healthcare professionals traditional education reflects constraints to face the complex needs of people with chronic diseases in primary care settings. Since more innovative and practical solutions are required, Virtual Community of Practices (vCoP) seem to better respond to learning updates, improving professional and organizational knowledge. However, little is known about the value created in vCoPs as social learning environments. The objective of this project was to explore the value creation process of a gamified vCoP ("e-mpodera vCoP") aimed at improving the knowledge and attitudes of primary healthcare professionals (PCPs) (nurses and general practitioners) to the empowerment of people with chronic conditions. METHODS A framework analysis assessed the value creation process using a mixed methods approach. The framework provided awareness about knowledge and usefulness in a learning community through five cycles: (1) immediate value, (2) potential value, (3) applied value, (4) realized value, and (5) reframing value. Quantitative data included vCoP analytics such as logins, contributions, points, badges, and performance metrics. Qualitative data consisted of PCPs' forum contributions from Madrid, Catalonia, and Canary Islands over 14 months. RESULTS A total of 185 PCPs had access to the e-mpodera vCoPs. The vCoP showed the dynamic participation of 146 PCPs, along 63 content activities posted, including a total of 3,571 contributions (including text, images, links to webpages, and other files). Regarding the value creation process, the e-mpodera vCoP seems to encompass a broad spectrum of value cycles, with indicators mostly related to cycle 1 (immediate value - activities and interactions) and cycle 2 (potential value - knowledge capital); and to a lesser extent for cycle 3 (applied value - changes in practice) and for cycle 4 (realized value - performance improvement). The presence of indicators related to cycle 5 (reframing value), was minimal, due to few individual redefinitions of success. CONCLUSION To reach a wider range of value possibilities, a combination of learning objectives, competence framework, challenged-based gamified platform, and pathway model of skill development seems crucial. However, additional research is required to gain clearer insights into organizational values, professionals' lifelong educational needs in healthcare, and the long-term sustainability of performance improvement. TRIAL REGISTRATION ClinicalTrials.gov, NCT02757781. Registered on 02/05/2016.
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Affiliation(s)
- Débora Koatz
- Avedis Donabedian Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain.
| | - Alezandra Torres-Castaño
- Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain
- Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
| | - Cristina Salrach-Arnau
- Avedis Donabedian Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
| | - Lilisbeth Perestelo-Pérez
- Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
| | - Vanesa Ramos-García
- Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain
- Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
| | - Ana Isabel González-González
- Innovation and International Research Unit, Directorate-General for Research and Education, Madrid Health Ministry, Madrid, Spain
- Research Institute of University Hospital Gregorio Marañón, Madrid, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
| | - Valeria Pacheco-Huergo
- Avedis Donabedian Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
- Centro de Atención Primaria Turó-Vilapicina, Instituto Catalán de la Salud, Barcelona, Spain
| | - Ana Toledo-Chávarri
- Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain
- Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
| | - Himar González-Pacheco
- Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain
- Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
| | - Carola Orrego
- Avedis Donabedian Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
- Chronicity, Primary Care and Health Promotion Research Network (RICAPPS-RICORS), Madrid, Spain
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Ong E, Frost D, Kuliga S, Layton N, Liddle J. Creating a consumer-driven global community of practice to support action within environmental design with people living with dementia: assistive technology challenges and opportunities. BRAIN IMPAIR 2023; 24:219-228. [PMID: 38167199 DOI: 10.1017/brimp.2023.4] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
The environment, and assistive technologies as part of this, can play an important role in supporting the participation and wellbeing of people living with dementia. If not considered, environments can be overwhelming and disempowering. Disability approaches including environmental considerations and assistive technology were often not offered routinely with people living with dementia. Concerned by this, dementia advocates aimed to create change in this area. The Environmental Design-Special Interest Group (ED-SiG) of Dementia Alliance International was developed as an international consumer-driven community of practice bringing together people with different relevant expertise including living experience (people living with dementia, care partners), architecture and design, occupational therapy, rehabilitation and care provision. This practice opinion piece provides an overview of dementia, the need for collaborative practices within practice with people living with dementia, and the considerations of assistive technology, environmental design and the global context. The reflection provides insights into this international community of practice, with personal reflections of members with living experience of dementia, and benefits and opportunities in considering environmental design and assistive technology from the perspectives of members. This work demonstrates and advocates collaborations that centre the perspectives and expertise of people living with dementia.
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Affiliation(s)
- Emily Ong
- Dementia Alliance International: Environmental Design Special Interest Group, TX, USA
| | - Dennis Frost
- Dementia Australia: Dementia Australia's Advisory Committee, Sydney, NSW, Australia
- Dementia Friendly Kiama Advocacy Group, Kiama, NSW, Australia
| | - Saskia Kuliga
- German Centre for Neurodegenerative Diseases (DZNE), Witten, Germany
- University of Witten/Herdecken, Department of Nursing Science, Faculty of Health, Witten, Germany
| | - Natasha Layton
- Australian Rehabilitation and Assistive Technology Association, Beaumaris, VIC, Australia
- Monash University: Rehabilitation Ageing and Independent Living (RAIL) Research Centre, Frankston, VIC, Australia
- Swinburne University of Technology, Hawthorn, VIC, Australia
| | - Jacki Liddle
- School of Information Technology and Electrical Engineering, and School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia
- Princess Alexandra Hospital: Occupational Therapy Department and Centre for Functioning and Health Research, Queensland Health, Woolloongabba, QLD, Australia
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Taube-Schiff M, Larkin P, Fibiger E, Lin E, Wiljer D, Sockalingam S. Understanding Quality Improvement and Continuing Professional Mentorship: A Needs Assessment Study to Inform the Development of a Community of Practice. J Contin Educ Health Prof 2023; 44:11-17. [PMID: 37341577 DOI: 10.1097/ceh.0000000000000499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/22/2023]
Abstract
INTRODUCTION Quality improvement (QI) programming attempts to bridge the gap between patient care and standards of care. Mentorship could be a means through which QI is fostered, developed, and incorporated into continuing professional development (CPD) programs. The current study examined (1) models of implementation for mentorship within the Department of Psychiatry of a large Canadian academic center; (2) mentorship as a potential vehicle for alignment of QI practices and CPD; and (3) needs for the implementation of QI and CPD mentorship programs. METHODS Qualitative interviews were conducted with 14 individuals associated with the university's Department of Psychiatry. The data were analyzed through thematic analyses with two independent coders using COREQ guidelines. RESULTS Our results identified uncertainty among the participants regarding the conceptualization of QI and CPD, illustrating difficulties in determining whether mentorship could be used to align these practices. Three major themes were identified in our analyses: sharing of QI work through communities of practices; the need for organizational support; and relational experiences of QI mentoring. DISCUSSION A greater understanding of QI is necessary before psychiatry departments can implement mentorship to enhance QI practices. However, models of mentorship and needs for mentorship have been made clear and include a good mentorship fit, organizational support, and opportunities for both formal and informal mentorship. Changing organizational culture and providing appropriate training is necessary for enhancing QI.
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Affiliation(s)
- Marlene Taube-Schiff
- Dr. Taube-Schiff: Frederick W. Thompson Anxiety Disorders Center, Sunnybrook Health Care Sciences, Toronto, Canada, and Department of Psychiatry, University of Toronto, Canada. Ms. Larkin: Center for Collaborative Research on Hoarding, University of British Columbia, Department of Psychology, Canada. Ms. Fibiger: Frederick W. Thompson Anxiety Disorders Center, Sunnybrook Health Care Sciences, Toronto, Canada, and University of Toronto Scarborough, Canada. Dr. Lin: Department of Psychiatry, University of Toronto, Canada, Center for Addiction and Mental Health, Canada, and ICES, University of Toronto, Canada. Dr. Wiljer: Department of Psychiatry, University of Toronto, Canada, and University Health Network, Canada. Dr. Sockalingam: Department of Psychiatry, University of Toronto, Canada, and Center for Addiction and Mental Health, Canada
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Nguyen D, Tupas KD, Thammasitboon S. Evolution of a Continuing Professional Development Program Based on a Community of Practice Model for Health Care Professionals in Resource-Limited Settings. J Contin Educ Health Prof 2023; 44:58-63. [PMID: 37141179 DOI: 10.1097/ceh.0000000000000505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
INTRODUCTION The Baylor International Pediatric AIDS Initiative (BIPAI) Network supports a network of independent nongovernmental organizations providing health care for children and families in low- and middle-income countries (LMIC). Using a community of practice (CoP) framework, a continuing professional development (CPD) program was created for health professionals to enhance knowledge and exchange best practices. METHODS An online learning platform (Moodle), videoconferencing (Zoom), instant messaging systems (Whatsapp), and email listserv facilitated learning and interaction between program participants. Target participants initially included pharmacy staff and expanded to include other health professionals. Learning modules included asynchronous assignments and review of materials, live discussion sessions, and module pretests and posttests. Evaluation included participants' activities, changes in knowledge, and assignment completion. Participants provided feedback on program quality via surveys and interviews. RESULTS Five of 11 participants in Year 1 earned a certificate of completion, and 17 of 45 participants earned a certificate in Year 2. Most modules showed an increase in module pretest and posttest scores. Ninety-seven percent of participants indicated that the relevance and usefulness of modules were good or outstanding. Ongoing evaluation indicated changes in Year 2 for program improvement, and notable outcomes indicated how CoP added value in developing a true community. DISCUSSION Using a CoP framework allowed participants to improve their personal knowledge and become part of a learning community and network of interdisciplinary health care professionals. Lessons learned included expanding program evaluation to capture potential value creation of the community of practice in addition to individual-level development; providing briefer, more focused programs to better serve busy working professionals; and optimizing use of technological platforms to improve participant engagement.
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Affiliation(s)
- Diane Nguyen
- Dr. Nguyen: Director of Global Programs, BIPAI Baylor College of Medicine International Pediatrics AIDS Initiative (BIPAI) at Texas Children's Hospital, and Assistant Professor, Department of Pediatrics Department of Education, Innovation and Technology, Baylor College of Medicine, TX. Dr. Tupas: Assistant Professor of Clinical Sciences, IL. Dr. Thammasitboon: Associate Professor of Pediatrics, Critical Care Medicine Division, Director, Center for Research, Innovation and Scholarship in Medical Education (CRIS), Texas Children's Hospital, Baylor College of Medicine, TX
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Afun NEE, Aye GE, Yevoo LL, Godt S, Binka C, Okine V, Agyepong IA. Establishing communities of practice to improve health policy, systems and reproductive, maternal, newborn, child and adolescent health in West Africa. Ghana Med J 2022; 56:32-42. [PMID: 38322735 PMCID: PMC10630036 DOI: 10.4314/gmj.v56i3s.5] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2024] Open
Abstract
Objectives To explore and analyse factors that facilitate and inhibit the initiation and functioning of a national and transnational Community of Practice (CoP) for health policy and systems (HPS) and Reproductive, Maternal, New-born, Child and Adolescent Health (RMNCAH) in West Africa and to identify lessons for CoP interventions in similar multilingual low and middle-income contexts. Design A case study, with the case defined as processes, enablers and barriers to the initiation and functioning of a national and transnational CoP for HSP and RMNCAH in West Africa and drawing on a review and analysis of secondary data from the program, workshop, country team and project reports, and training sessions. Setting The Economic Community of West African States (ECOWAS). Participants Professionals from two Anglophone (Ghana and Sierra Leone) and four Francophone (Burkina Faso, Cote d'Ivoire, Niger e Senegal) ECOWAS countries. Interventions Training and mentoring of multi-disciplinary country teams supported by small research grants to undertake formative evaluation and advocacy of priority HPS and RMNCAH issues; support for CoP development within and across country teams. Results The desire to learn from peers and mentors was a major enabler of the process. Human and financial resource availability, competing demands for time, communication in the context of a Francophone-Anglophone official language divide and the arrival of COVID-19 were all constraints. Conclusions This study highlights the processes, achievements, and challenges of establishing country-level and transnational CoPs in West Africa. CoPs require sustained human and financial resource investments, communication and medium-to-long-term implementation support for sustainability and impact. Funding None declared.
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Affiliation(s)
- Nana Efua E Afun
- Dodowa Health Research Centre, Research and Development Division, Ghana Health Service. PO Box DD1, Dodowa
- Ghana College of Physicians and Surgeons, 54 Independence Avenue Accra
| | - Grace E Aye
- Dodowa Health Research Centre, Research and Development Division, Ghana Health Service. PO Box DD1, Dodowa
- Ghana College of Physicians and Surgeons, 54 Independence Avenue Accra
| | - Linda L Yevoo
- Dodowa Health Research Centre, Research and Development Division, Ghana Health Service. PO Box DD1, Dodowa
| | - Sue Godt
- Retired, Independent Consultant, 1608 Cheevers Crescent, Ottawa K4A 2J7, Ontario, Canada
| | - Charity Binka
- Women, Media and Change (WOMEC), 29 Garden Road, East Legon, Accra
| | - Vicky Okine
- Alliance for Reproductive Health Rights (ARHR), 9, Apple Street, East Legon.P. O. Box KD 1012, Kanda, Accra
| | - Irene A Agyepong
- Dodowa Health Research Centre, Research and Development Division, Ghana Health Service. PO Box DD1, Dodowa
- Ghana College of Physicians and Surgeons, 54 Independence Avenue Accra
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