Download or read book Evaluating Interprofessional Collaboration Normalisation and Implementation Fidelity of an On site Pharmacist Intervention Within Australian Residential Aged Care Facilities written by Miranda Batten and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Australian population is ageing with residents living in residential aged care facilities (RACFs) continuing to be at higher risk of, and more likely to experience medication-related harm. Reducing medication-related harm in older people is an important health priority internationally and in Australia. RACF medication management is complex and current efforts to improve medication management are inadequate. There have been recently accelerated efforts to improve RACF medication management with one suggested approach relating to integrated pharmacists working within Australian RACFs i.e. an on-site pharmacist (OSP) intervention. This research was undertaken to evaluate interprofessional collaboration, normalisation and implementation fidelity of an OSP intervention within Australian RACFs. Evaluation of these key components of the OSP intervention have supported an expanded knowledge and understanding of the OSP role as well as the perceived (or potential) benefits of OSPs working within RACFs to help improve medication management. This research was nested within the Pharmacists in Residential Aged Care Facilities (PiRACF) study wherein a part-time OSP was directly employed by a RACF to improve medication management. The PiRACF study was conducted as a cluster randomised controlled trial which commenced in 2020. The first study of this thesis was a scoping review which explored the evaluation approaches, tools and aspects of implementation employed in the current Australian and international evaluated peer-reviewed pharmacist RACF intervention literature. This scoping review identified potential gaps in the current literature which informed this thesis's subsequent research questions and overall aim. The second study was a mixed methods study which was underpinned by an existing collaboration model (McDonough and Doucette's conceptual model for the development of pharmacist-physician collaborative working relationship). It explored the extent and nature of interprofessional collaborative relationships between OSPs and prescribers, managers and nursing staff (health care team members). The third study was a mixed method study which was underpinned by an existing theory (Normalisation process theory). It evaluated the extent to which OSPs became part of routine practice (i.e. normalised) from the perspective of health care team members, OSPs, residents and family members. The final mixed methods study was underpinned by an existing framework (Hasson's conceptual framework for implementation fidelity). It also assessed the implementation fidelity of OSP intervention delivery and identified moderating factors which influenced delivery of the intervention. The scoping review identified three potential research gaps, namely, limited evaluation of interprofessional collaboration, sparse use of theory to guide evaluation and limited consideration of implementation fidelity in the current evaluated peer-reviewed pharmacist intervention in RACF literature. The OSP role is relatively new in Australia and this thesis contains the first studies that have evaluated interprofessional collaboration, normalisation and implementation fidelity of an OSP intervention within Australian RACFs. The second study concluded that OSPs were able to establish and maintain positive interprofessional collaborative relationships with health care team members based on the findings of semi-structured interviews (n=33) and an adapted survey which was distributed at two time points (T1: n=33; T2: n=19). These promising findings suggested that further exploration of the OSP intervention was warranted. The third study indicated that OSPs were generally considered to be part of routine practice within their respective RACFs based on the findings of semi-structured interviews (n=47) and an adapted survey (n=16). The findings of this study could help inform the future role of OSPs working within RACFs, particularly in relation to supporting residents and their family members to have increased medication knowledge and thereby feel more confident and empowered when discussing medication management decisions with health care team members e.g. prescribers. The fourth study evaluated the overall fidelity of each intervention RACF as being of medium fidelity. That is, the OSP intervention was generally delivered as intended based on three quantitative data sets relating to the range of OSP intervention activities delivered, a random sample of medication reviews assessed for quality, and the proportion of residents who received at least one medication review as part of the OSP intervention. A range of moderating factors contributed to the overall medium fidelity across the intervention RACFs with a number of potential barriers and facilitators to optimal delivery of the OSP intervention identified from the semi-structured interviews (n=14). The identified potential barriers and facilitators may help or hinder OSPs working in real-world RACFs, and would likely impact the extent to which the OSP intervention is delivered as intended. Medication-related harm experienced by residents living in Australian RACFs remains a problem. To date, efforts to improve medication management within RACFs have been inadequate. Integrated pharmacists working within RACFs i.e. an OSP intervention, is a recent approach which has been suggested which may help improve RACF medication management. This research found that OSPs can positively contribute to interprofessional collaborative care within RACFs, that OSPs can become part of routine RACF practice and that the OSP intervention can generally be delivered as intended in real-world RACFs. The findings of this research constitute an original contribution to knowledge and are timely. Based upon these promising findings, recommendations for further OSP research have been made. Moreover, this research has identified some important policy and practice implications for the roll out of OSPs within Australian RACFs commencing from 2023.

Download or read book Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes written by Institute of Medicine and published by National Academies Press. This book was released on 2015-12-15 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interprofessional teamwork and collaborative practice are emerging as key elements of efficient and productive work in promoting health and treating patients. The vision for these collaborations is one where different health and/or social professionals share a team identity and work closely together to solve problems and improve delivery of care. Although the value of interprofessional education (IPE) has been embraced around the world - particularly for its impact on learning - many in leadership positions have questioned how IPE affects patent, population, and health system outcomes. This question cannot be fully answered without well-designed studies, and these studies cannot be conducted without an understanding of the methods and measurements needed to conduct such an analysis. This Institute of Medicine report examines ways to measure the impacts of IPE on collaborative practice and health and system outcomes. According to this report, it is possible to link the learning process with downstream person or population directed outcomes through thoughtful, well-designed studies of the association between IPE and collaborative behavior. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes describes the research needed to strengthen the evidence base for IPE outcomes. Additionally, this report presents a conceptual model for evaluating IPE that could be adapted to particular settings in which it is applied. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes addresses the current lack of broadly applicable measures of collaborative behavior and makes recommendations for resource commitments from interprofessional stakeholders, funders, and policy makers to advance the study of IPE.

Download or read book Proximity and Partnerships written by Nicole McDerby and published by . This book was released on 2020 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: "Background Australia's population is ageing, and the population entering residential aged care homes (RACH) are increasingly complex, frail, multimorbid, cognitively impaired, and have high levels of care dependency. RACH residents are at high risk of medication-related harm which result in adverse outcomes including avoidable hospital admission. Preventing medicationrelated harm in the high-risk RACH population is an important public health issue. The primary pharmacist-led medication review role in Australian RACH is the consultancy-based biennial residential medication management review (RMMR) service. This research was undertaken to explore whether Australian pharmacy practice can be diversified to reduce the risk of harm associated with medication use in RACH, by evaluating current pharmacy practice and exploring the feasibility of a residential care pharmacist (RCP) model. Methods Three individual studies were conducted to address the objectives of this thesis. The first study was a systematic review of the literature to narratively synthesise the current evidence reporting outcomes associated with pharmacist-led medication reviews in RACH residents with dementia. The second study was a cross-sectional survey design to obtain qualitative and quantitative data informing perspectives of Australian pharmacists, general practitioners (GPs) and nurses on the suitability and delivery of RMMRs for residents with dementia. The third study was a pilot non-randomised controlled study to explore RCP feasibility through stakeholder acceptability, demand and limited-efficacy testing. A part-time pharmacist was embedded into a RACH located in the Australian Capital Territory for six months in 2017. A similar RACH under the same organisation was used as the control site and received usual services. Data were obtained from RCP activities records, resident health records, incident reports, observation of staff practice, communication records, surveys and semi-structured interviews. Quantitative data underwent parametric and non-parametric analyses, depending on distribution. Qualitative data underwent inductive thematic analysis. Results In Study 1, five observational studies and one randomised controlled trial were identified from 3387 evaluated references during the systematic review. Pharmacist-led medication reviews, which involve multi-disciplinary collaboration may reduce polypharmacy and inappropriate psychotropic medication use. Study 2 surveys exploring stakeholder perspectives on the RMMR service for RACH residents with dementia were completed by 15 GPs, 15 pharmacists and 13 nurses. Participants were more likely to use written forms of communication than verbal communication (p

Download or read book Guiding Principles for Medication Management in Residential Aged Care Facilities written by Department of Health and Ageing Staff and published by . This book was released on 2012 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Best Practice Framework for Collaborative Residential Medication Management Reviews written by and published by . This book was released on 2002 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Medication Management Review Implementation Steering Group (MMR ISG) was convened in August 2000 to develop and define models of collaborative best practice for the development and/or further refinement of medication management services. The MMR ISG was convened in response to the 3rd Community Pharmacy Agreement to inform the Commonwealth and the Agreement Management Committee about appropriate models for collaborative medication management ... A major task for the MMR ISG was to develop a best practice framework for collaborative medication management review in Residential Aged Care Facilities (RACFs)."--Introduction.

Download or read book Evaluation of General Practice Pharmacists in Australia written by Thilini Sudeshika Salpahewage and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the expansion of pharmacists' roles, pharmacists have been included in primary healthcare teams to provide collaborative patient care. The general practice pharmacist service model has increasingly gained prominence since the early 2010s in Australia. However, Australia still lags in widening the services of general practice pharmacists across the country compared to other countries, such as Canada and the UK. This research aimed to evaluate the inclusion of pharmacists into general practice teams in Australia. The research included a systematic review, a prospective observational study, a multiphase mixed methods study, a cross-national survey, and a cross-sectional survey study. The research summarised the literature on various aspects of the general practice pharmacist service model in Australia and identified the knowledge deficits. The findings have shown that pharmacist-led activities had the potential to enhance the quality of care in general practice by improving clinical outcomes, reducing healthcare costs, and strengthening interprofessional collaboration. The research findings further demonstrated that patients were highly satisfied with the services of pharmacists in general practice. This research has suggested that utilisation of pharmacists' skills in the general practice setting should be further expanded to improve medication safety and patient health outcomes across Australia.

Download or read book Integrated Best Practice Model for Medication Management in Residential Aged Care Facilities written by Australian Pharmaceutical Advisory Council and published by . This book was released on 2000 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated best practice model for medication management in residential aged care facilities.

Download or read book Interprofessional Teamwork for Health and Social Care written by Scott Reeves and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROMOTING PARTNERSHIP FOR HEALTH This book forms part of a series entitled Promoting Partnership for Health publishedin association with the UK Centre for the Advancement of Interprofessional Education (CAIPE). The series explores partnership for health from policy, practice and educational perspectives. Whilst strongly advocating the imperative driving collaboration in healthcare, it adopts a pragmatic approach. Far from accepting established ideas and approaches, the series alerts readers to the pitfalls and ways to avoid them. DESCRIPTION Interprofessional Teamwork for Health and Social Care is an invaluable guide for clinicians, academics, managers and policymakers who need to understand, implement and evaluate interprofessional teamwork. It will give them a fuller understanding of how teams function, of the issues relating to the evaluation of teamwork, and of approaches to creating and implementing interventions (e.g. team training, quality improvement initiatives) within health and social care settings. It will also raise awareness of the wide range of theories that can inform interprofessional teamwork. The book is divided into nine chapters. The first 'sets the scene' by outlining some common issues which underpin interprofessional teamwork, while the second discusses current teamwork developments around the globe. Chapter 3 explores a range of team concepts, and Chapter 4 offers a new framework for understanding interprofessional teamwork. The next three chapters discuss how a range of range of social science theories, interventions and evaluation approaches can be employed to advance this field. Chapter 8 presents a synthesis of research into teams the authors have undertaken in Canada, South Africa and the UK, while the final chapter draws together key threads and offers ideas for future of teamwork. The book also provides a range of resources for designing, implementing and evaluating interprofessional teamwork activities.

Download or read book Handbook on Implementation Science written by Per Nilsen and published by Edward Elgar Publishing. This book was released on 2020-05-29 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook on Implementation Science provides an overview of the field’s multidisciplinary history, theoretical approaches, key concepts, perspectives, and methods. By drawing on knowledge concerning learning, habits, organizational theory, improvement science, and policy research, the Handbook offers novel perspectives from a broad group of international experts in the field representing diverse disciplines. The editors seek to advance implementation science through careful consideration of current thinking and recommendations for future directions.

Download or read book The Handbook of Behavior Change written by Martin S. Hagger and published by Cambridge University Press. This book was released on 2020-07-15 with total page 730 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social problems in many domains, including health, education, social relationships, and the workplace, have their origins in human behavior. The documented links between behavior and social problems have compelled governments and organizations to prioritize and mobilize efforts to develop effective, evidence-based means to promote adaptive behavior change. In recognition of this impetus, The Handbook of Behavior Change provides comprehensive coverage of contemporary theory, research, and practice on behavior change. It summarizes current evidence-based approaches to behavior change in chapters authored by leading theorists, researchers, and practitioners from multiple disciplines, including psychology, sociology, behavioral science, economics, philosophy, and implementation science. It is the go-to resource for researchers, students, practitioners, and policy makers looking for current knowledge on behavior change and guidance on how to develop effective interventions to change behavior.

Download or read book Quality Management in Intensive Care written by Bertrand Guidet and published by Cambridge University Press. This book was released on 2016-02-15 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is one of the first to comprehensively summarise the latest thinking and research in the rapidly evolving field of quality management in intensive care. Quality indicators and outcome measures are discussed with a practical focus on patient-centred, evidence-based implementation for safer and more effective clinical practice. Chapters on topics such as teambuilding, patient satisfaction, mortality and morbidity, and electronic management systems are organised into three sections, covering quality management at the scale of the individual patient, the intensive care unit, and the national and international level. Written by a team of over forty international experts in the specialty, with editors who have been heavily involved for many years with the European Society of Intensive Care Medicine, the book reflects commonly accepted goals and guidelines for best practice, and will be valuable for practitioners worldwide. The ideal one-stop resource for intensive care physicians as well as ICU and hospital managers.

Download or read book Principles and Practice of College Health written by John A. Vaughn and published by Springer Nature. This book was released on 2020-12-04 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique and comprehensive title offers state-of-the-art guidance on all of the clinical principles and practices needed in providing optimal health and well-being services for college students. Designed for college health professionals and administrators, this highly practical title is comprised of 24 chapters organized in three sections: Common Clinical Problems in College Health, Organizational and Administrative Considerations for College Health, and Population and Public Health Management on a College Campus. Section I topics include travel health services, tuberculosis, eating disorders in college health, and attention deficit hyperactivity disorder among college students, along with several other chapters. Subsequent chapters in Section II then delve into topics such as supporting the health and well-being of a diverse student population, student veterans, health science students, student safety in the clinical setting, and campus management of infectious disease outbreaks, among other topics. The book concludes with organizational considerations such as unique issues in the practice of medicine in the institutional context, situating healthcare within the broader context of wellness on campus, organizational structures of student health, funding student health services, and delivery of innovative healthcare services in college health. Developed by a renowned, multidisciplinary authorship of leaders in college health theory and practice, and coinciding with the founding of the American College Health Association 100 years ago, Principles and Practice of College Health will be of great interest to college health and well-being professionals as well as college administrators.

Download or read book Encyclopedia of Pharmacy Practice and Clinical Pharmacy written by and published by Academic Press. This book was released on 2019-06-28 with total page 2370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Encyclopedia of Pharmacy Practice and Clinical Pharmacy, Three Volume Set covers definitions, concepts, methods, theories and applications of clinical pharmacy and pharmacy practice. It highlights why and how this field has a significant impact on healthcare. The work brings baseline knowledge, along with the latest, most cutting-edge research. In addition, new treatments, algorithms, standard treatment guidelines, and pharmacotherapies regarding diseases and disorders are also covered. The book's main focus lies on the pharmacy practice side, covering pharmacy practice research, pharmacovigilance, pharmacoeconomics, social and administrative pharmacy, public health pharmacy, pharmaceutical systems research, the future of pharmacy, and new interventional models of pharmaceutical care. By providing concise expositions on a broad range of topics, this book is an excellent resource for those seeking information beyond their specific areas of expertise. This outstanding reference is essential for anyone involved in the study of pharmacy practice. Provides a ‘one-stop’ resource for access to information written by world-leading scholars in the field Meticulously organized, with articles split into three clear sections, it is the ideal resource for students, researchers and professionals to find relevant information Contains concise and accessible chapters that are ideal as an authoritative introduction for non-specialists and readers from the undergraduate level upwards Includes multimedia options, such as hyperlinked references and further readings, cross-references and videos

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book The Kawa Model written by Michael K. Iwama and published by Elsevier Health Sciences. This book was released on 2006-07-28 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: A landmark publication in occupational therapy and a significant contribution to the rehabilitation theory literature! The Kawa Model presents a new conceptual model of practice that differs from contemporary theories in regard to: origin (East Asia), underlying philosophical base (East Asia), being heavily infused with a natural-ecological, holistic world view, and relational structure. The model is based on the metaphor of nature (a river) that stands for the meanings of life. Because of the familiarity of the metaphor, to both therapists and clients alike, the Kawa Model is relatively easy to comprehend, remarkably simple, yet comprehensive and effective. Unlike other models, it was raised from clinical practice, by practitioners, through a process of qualitative research methods. It is the first conceptual model and substantial theoretical work of occupational therapy from outside of the Western world. A 'must-read' for all students of occupational therapy The first substantial work in occupational therapy from outside of the Western world Introduces an Eastern perspective on matters of theory and culture in occupational therapy Eight case studies, four from Western practice contexts and four from the East Developed by clinicians and practitioners for their peers Questions the cultural boundaries of occupational therapy, its knowledge (epistemiology), theory and practice. It puts the reader in touch with the cultural nature of self, client and profession Enables readers to develop critical analysis skills for examining matters of theory and culture, as opposed to learning theory as 'recipes'

Download or read book Implementing Evidence Based Practice in Healthcare written by Gill Harvey and published by Routledge. This book was released on 2015-03-24 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: The successful implementation of evidence into practice is dependent on aligning the available evidence to the particular context through the active ingredient of facilitation. Designed to support the widely recognised PARIHS framework, which works as a guide to plan, action and evaluate the implementation of evidence into practice, this book provides a very practical ‘how-to’ guide for facilitating the whole process. This text discusses: undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented; how to link the research evidence with clinical and patients’ experience and local information in the form of audit data or patient and staff feedback; the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful; a description of facilitator roles and facilitation methods, tools and techniques; some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.

Download or read book The Changing Role of the Hospital in European Health Systems written by Martin McKee and published by Cambridge University Press. This book was released on 2020-08-13 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: A team of world-leading policy experts and clinicians analyse the changing role of the hospital across Europe.