Group items tagged

For fifty years, health care teams have been a misunderstood, undervalued, and neglected part of health care. Yet, as Drinka and Clark make clear, well functioning interdisciplinary health care teams (IHCTs) have the potential to help the health care system face its demons--financial constraints and comprehensive error-free care. Because of misunderstandings, administrators, funders, and policy makers keep the potential for interdisciplinary teams hidden. IHCTs have characteristics and problems that are unique to health care settings and the health providers who work in them. Drinka and Clark present a groundbreaking attempt to develop a comprehensive framework for IHCTs.

Article showing an application of teamwork in a primary care setting to develop a behavior health intervention. See the abstract below! J Am Board Fam Med. 2015 Sep-Oct;28 Suppl 1:S21-31. doi: 10.3122/jabfm.2015.S1.150042. Abstract PURPOSE: This paper sought to describe how clinicians from different backgrounds interact to deliver integrated behavioral and primary health care, and the contextual factors that shape such interactions. METHODS: This was a comparative case study in which a multidisciplinary team used an immersion-crystallization approach to analyze data from observations of practice operations, interviews with practice members, and implementation diaries. The observed practices were drawn from 2 studies: Advancing Care Together, a demonstration project of 11 practices located in Colorado; and the Integration Workforce Study, consisting of 8 practices located across the United States. RESULTS: Primary care and behavioral health clinicians used 3 interpersonal strategies to work together in integrated settings: consulting, coordinating, and collaborating (3Cs). Consulting occurred when clinicians sought advice, validated care plans, or corroborated perceptions of a patient's needs with another professional. Coordinating involved 2 professionals working in a parallel or in a back-and-forth fashion to achieve a common patient care goal, while delivering care separately. Collaborating involved 2 or more professionals interacting in real time to discuss a patient's presenting symptoms, describe their views on treatment, and jointly develop a care plan. Collaborative behavior emerged when a patient's care or situation was complex or novel. We identified contextual factors shaping use of the 3Cs, including: time to plan patient care, staffing, employing brief therapeutic approaches, proximity of clinical team members, and electronic health record documenting behavior. CONCLUSION: Primary care and behavioral health clinicians, through their interactions, c

This article reviewed several different studies on interdisciplinary care and looked for ways that we can improve on health care and implement better teamwork. What I found most interesting is that the article talks about how educating staff on the benefits of teamwork is seriously lacking. Two issues are emerging in health care as clinicians face the complexities of current patient care: the need for specialized health professionals, and the need for these professionals to collaborate. Interdisciplinary health care teams with members from many professions answer the call by working together, collaborating and communicating closely to optimize patient care.

This article finds two emerging issues that must be addressed to optimize patient care: "the need for specialized health professionals, and the need for these professionals to collaborate." In nursing we talk a lot about "continuity of care" and that a seamless transition between PCPs, specialists, in-patient, and out-patient services is not only good-practice but vital for thorough health care delivery and improving long term outcomes.

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This article details the researchers' efforts to describe the ability of nurse practitioners to reduce health disparities. By reviewing the literature, the researchers were able to create a "Nurse Practitioner Health Disparities Model" that outlines the many factors that influence a NP's ability to reduce health disparities. Outside actors, such as policymakers and insurance companies, can also influence the ability of nurse practitioners to reduce health disparities. Thus, the model is a useful tool in promoting full practice for APRNs.

A great article detailing APRN and Women's Health.

This article was interesting! It talks about the role of Community Health Centers and Public Health response during emergencies.

This article discusses the evolution of the WHNP. While I am in the FNP program, I plan to specialize in women's health which is why I picked this article. The conclusion of this article notes that the WHNP is moving to becoming a focus area in a FNP or ANP curriculum (or at least that was the author's opinion in 2009). I have found programs which allow for a specialty in women's and gender-related health care such as the following at Columbia and University of Pennsylvania. (Columbia: http://nursing.columbia.edu/course-list/Womens-Health ; U Penn: http://www.nursing.upenn.edu/whcs/Pages/WHCNPProgram.aspx)

This website provides an interactive map in which health trends can be explored at a county level. It provides trends in life expectancy, obesity, hypertension, diabetes, etc.

The Mayo clinic offers a form of residency for new grads. Mayo School of Health Sciences educates and prepares allied health professionals. The school enrolls students who excel in academic achievement to become providers of the best care to patients.

Created October 28, 2007 by Sarah M. Lawrence and Michael O'Brien Health care is an increasingly diverse field where many specialties interact to provide patient care. The team approach to caring for patients includes many professionals performing a variety of specialized functions designed to meet the physical, emotional and psychological needs of the patient.

womens health opportunity

This 2015 article, written in the Journal of Pediatric Health Care, discusses the critical importance of intervening and advocating for APRNs to have full practice authority as opposed to the current varying state-by-state practice laws. The author explains the primary reasons for states retaining restrictions on APRN practice are outdated and include lack of awareness of the current scope of practice of APRNs and organized medicine's persistent opposition to expanding the authority of other providers to practice and receive the full amount for their rendered services. The author supports her argument by including the IOM Committee's view; removing APRN practice restrictions would assist in addressing health care access, high-quality care, and an overall healthier population.

This article explores how restrictions on CNM scope of practice affect health outcomes. Scope of practice laws were found to be neither helpful nor harmful regarding health outcomes. However, states without scope of practice barriers for CNMs had lower rates of induced labor and cesarean deliveries.

The APRN role is one that is continually evolving globally due to health care provider needs. This article looks specifically at barriers APRNs face that hinder them from practicing to the full extent of their scope and how to face these barriers to promote full scope of practice and address healthcare needs.

This article discusses the limitations in scope-of-practice caused by state regulation of health professions. It also stresses the importance of allowing APRNs to practice within their full-scope as supported by various research and defined by national regulating organizations in order to improve primary care.

This article gives a great glimpse into the need for ENP programs in order to support our health system in emergency care. It was written in 2011, so before ENP certification was approved by the ANCC.