Tanner B, Metcalf M, Rossie K. Development of a Novel Pain Management Simulator to Enhance Skills of Medical and other Health Professional Students. Poster presented at the 2015 American Academy of Pain Medicine, May 20, 2015, National Harbor, MD.
The document discusses the development of a mobile app called "Kicking the Habit" to address substance use disorders among veterans with post-traumatic stress disorder. Co-occurring PTSD and substance use is common in veterans and associated with poor health outcomes and high suicide risk. Existing treatments have limited reach due to lack of access and stigma. The app aims to increase treatment by providing information on VA services and acting as a standalone substance use intervention over 22 days, including education on options, encouraging engagement, and tools for managing cravings and cessation.
This document discusses several studies and guidelines related to improving communication and patient education during triage in emergency rooms. It proposes an innovation to implement frequent communication and education with patients in triage and the emergency waiting room. The innovation would add policies to the triage procedures requiring nurses and staff to communicate with and educate patients every 60 minutes. It also outlines how to implement the changes using Kotter's model of organizational change management.
Realizing the Promise of P4 Medicine by changing relationships presented by Catherine Lucey, MD, FACP; Interim Dean, The Ohio State University College of Medicine; Associate Vice President for HealthSciences Education, The Ohio State University
Compassion fatigue and burnout are significant issues for nurses that can lead to negative consequences if left unaddressed. Both result from the stress of caring for patients, though burnout has a gradual onset due to work environment stressors, while compassion fatigue occurs acutely from caring for suffering clients. Clinical manifestations are similar and include desensitization, increased medical errors, and lack of attention to detail. Hospitals can decrease these issues by improving communication, providing education on coping mechanisms, encouraging work-life balance, instituting debriefing sessions, and promoting an accepting work environment as per Jean Watson's Humanbecoming Theory.
This document discusses the benefits of implementing bedside shift reporting compared to reporting at the nurse's station. It identifies increased patient and nurse satisfaction as key outcomes of bedside reporting. Benefits for patients include feeling more involved in their care, safer, and more comfortable. Benefits for nurses include improved accountability, communication, and teamwork. The literature review found evidence that bedside reporting improves satisfaction scores, reduces errors and costs, and improves the nurse-patient relationship. Recommendations are made for hospitals to adopt standardized bedside reporting formats to realize these benefits.
Standardized nursing language powerpointZulie Dorsan
Standardized Nursing Language refers to approved vocabularies used to describe nursing care related to diagnosis, interventions, and outcomes. This ensures consistent communication among nurses globally. Popular standardized languages include NANDA (nursing diagnoses), NIC (interventions), and NOC (outcomes). Using standardized language enhances data collection and evaluation of nursing care outcomes, and improves communication between healthcare professionals by facilitating consistent documentation and patient-centered care.
Bedside shift report involves nurses providing report at the patient's bedside in order to improve safety, communication, and patient satisfaction. Statistics show that poor communication contributes to many medical errors, yet traditional shift report away from the bedside risks missing critical information and distractions. Bedside report gives patients and families an opportunity to participate in the discussion of their care plan and ensures a safe handoff between nurses. While some nurses are initially uncomfortable or concerned with confidentiality, studies demonstrate that bedside report improves outcomes for both patients and nurses.
The document discusses the use of SBAR (Situation, Background, Assessment, Recommendation) as a communication tool for nurse shift reports. Research shows that using SBAR improves nurse-to-nurse communication, decreases report time, and improves patient outcomes by reducing errors and deaths. The document recommends expanding the use of SBAR for all nurse shift reports and providing training to ensure effective implementation.
The document discusses the development of a mobile app called "Kicking the Habit" to address substance use disorders among veterans with post-traumatic stress disorder. Co-occurring PTSD and substance use is common in veterans and associated with poor health outcomes and high suicide risk. Existing treatments have limited reach due to lack of access and stigma. The app aims to increase treatment by providing information on VA services and acting as a standalone substance use intervention over 22 days, including education on options, encouraging engagement, and tools for managing cravings and cessation.
This document discusses several studies and guidelines related to improving communication and patient education during triage in emergency rooms. It proposes an innovation to implement frequent communication and education with patients in triage and the emergency waiting room. The innovation would add policies to the triage procedures requiring nurses and staff to communicate with and educate patients every 60 minutes. It also outlines how to implement the changes using Kotter's model of organizational change management.
Realizing the Promise of P4 Medicine by changing relationships presented by Catherine Lucey, MD, FACP; Interim Dean, The Ohio State University College of Medicine; Associate Vice President for HealthSciences Education, The Ohio State University
Compassion fatigue and burnout are significant issues for nurses that can lead to negative consequences if left unaddressed. Both result from the stress of caring for patients, though burnout has a gradual onset due to work environment stressors, while compassion fatigue occurs acutely from caring for suffering clients. Clinical manifestations are similar and include desensitization, increased medical errors, and lack of attention to detail. Hospitals can decrease these issues by improving communication, providing education on coping mechanisms, encouraging work-life balance, instituting debriefing sessions, and promoting an accepting work environment as per Jean Watson's Humanbecoming Theory.
This document discusses the benefits of implementing bedside shift reporting compared to reporting at the nurse's station. It identifies increased patient and nurse satisfaction as key outcomes of bedside reporting. Benefits for patients include feeling more involved in their care, safer, and more comfortable. Benefits for nurses include improved accountability, communication, and teamwork. The literature review found evidence that bedside reporting improves satisfaction scores, reduces errors and costs, and improves the nurse-patient relationship. Recommendations are made for hospitals to adopt standardized bedside reporting formats to realize these benefits.
Standardized nursing language powerpointZulie Dorsan
Standardized Nursing Language refers to approved vocabularies used to describe nursing care related to diagnosis, interventions, and outcomes. This ensures consistent communication among nurses globally. Popular standardized languages include NANDA (nursing diagnoses), NIC (interventions), and NOC (outcomes). Using standardized language enhances data collection and evaluation of nursing care outcomes, and improves communication between healthcare professionals by facilitating consistent documentation and patient-centered care.
Bedside shift report involves nurses providing report at the patient's bedside in order to improve safety, communication, and patient satisfaction. Statistics show that poor communication contributes to many medical errors, yet traditional shift report away from the bedside risks missing critical information and distractions. Bedside report gives patients and families an opportunity to participate in the discussion of their care plan and ensures a safe handoff between nurses. While some nurses are initially uncomfortable or concerned with confidentiality, studies demonstrate that bedside report improves outcomes for both patients and nurses.
The document discusses the use of SBAR (Situation, Background, Assessment, Recommendation) as a communication tool for nurse shift reports. Research shows that using SBAR improves nurse-to-nurse communication, decreases report time, and improves patient outcomes by reducing errors and deaths. The document recommends expanding the use of SBAR for all nurse shift reports and providing training to ensure effective implementation.
Bedside report involves the off-going nurse handing off report to the on-coming nurse at the patient's bedside. Research shows this provides safer patient care by improving identification accuracy and communication among caregivers while also increasing patient satisfaction and involvement in their own care. Bedside report meets three National Patient Safety Goals. Advantages include building teamwork, ownership, brief assessments, and allowing patient involvement and questions. Obstacles can be overcome through techniques like role playing and using SBAR(T) communication structure.
This document summarizes evidence on the impact of bedside nursing handoffs on patient satisfaction. It finds that 9 out of 10 studies reported increased patient satisfaction when bedside handoffs were implemented instead of handoffs outside the patient room. Bedside handoffs also improved nurse satisfaction in some studies and reduced handoff time in others, though the type of handoff tool used did not impact outcomes. Successful implementation of bedside handoffs depended on leadership strategy across all studies.
This document discusses the nursing process and its key components. It describes the benefits of using the nursing process as providing orderly care, enhancing efficiency, facilitating documentation, and increasing quality. The main steps are identified as assessment, nursing diagnosis, planning, implementation, and evaluation. Planning involves prioritizing problems, setting goals, selecting interventions, and documenting the care plan. Evaluation determines if goals were met and identifies factors impacting outcomes. The nursing process provides a framework for delivering individualized, collaborative, and evidence-based patient care.
The document discusses nursing diagnosis. It begins by defining nursing diagnosis as a clinical judgment about an individual's response to actual or potential health problems. Nursing diagnosis provides the basis for selecting nursing interventions. The document then discusses the purpose of nursing diagnosis, how it is developed and classified. It compares nursing diagnosis to medical diagnosis and outlines the components and process of developing a nursing diagnostic statement.
Bedside reporting involves including the patient in shift change reports between nurses. It has benefits like increased patient empowerment and safety due to improved communication of the patient's status and care plan. Implementing bedside reporting has shown positive results like higher patient and staff satisfaction, improved accuracy of information, and encouragement of teamwork. However, challenges include the time it takes and engaging reluctant patients. Studies have found that encouraging patient participation, using plain language, and allowing more time can help address these challenges.
The TAP project is developing a program at UCSF to facilitate the transition of adolescent patients with chronic health needs from pediatric to adult care. This includes resident training in transitional care competencies and a transition handbook for patients to teach self-management skills.
The IPR project at the Medical College of Georgia will initiate patient- and family-centered rounds on adult medical and surgical units, initially evaluating one team for satisfaction, costs, efficiency and quality/safety.
The Resident Performance project at Carilion Clinic intends to adapt an evaluation tool for patients to assess resident performance on ACGME competencies, comparing feedback and coaching to attending-only feedback.
Standardized Nursing Language (SNL) is a concept in nursing that uses commonly accepted terminology to describe patient care. The American Nurses Association recognizes 12 SNLs and data elements. SNLs are important for enhancing documentation of care, describing unique nursing care, and communicating outcomes. They also impact competency evaluation, reimbursement, and curriculum design by improving quality of care, guiding policy, and articulating how nursing actions impact health outcomes. Integrating SNLs into electronic health records ensures nursing data can be captured, stored, retrieved, and transferred easily for effective management and measurement of nursing care's effects.
The study examined strategies used by physicians to ration limited outpatient appointment slots for subspecialty pediatric care covered by Medicaid. Through interviews with primary care and specialty providers, the study identified six categories of factors that influence appointment assignment decisions: severity of the patient's condition, responsibility for patients who lack alternatives, geographic proximity, hospital affiliation, personal connections, and informal exchange arrangements. Physicians indicated prioritizing Medicaid patients from nearby areas or who receive primary care within their organizational network. The findings suggest how accountable care organizations could help improve access to subspecialty care for publicly insured children.
CJAL Diabetes Social Media Quad Chart 110115David Donohue
This document proposes a pilot research project to use social media (blog, Twitter, YouTube, and Facebook) to increase participation and understanding of diabetes self-management education among high-risk diabetic patients at VA hospitals. The goal is to build online tools to engage these patients, measure results through medical records, and improve compliance with treatment regimens. It aims to test if social media can create new communication channels between patients and providers and enhance access to healthcare. The technical approach involves using these digital platforms for education and analyzing patient data to measure the impact on health outcomes over time.
The document summarizes a health information literacy pilot project conducted from April to June 2008. The project gathered data from administrators and healthcare providers on their perceived value of consumer health resources and librarians' roles in promoting health literacy. Nine sites in the US and Canada participated that did not currently offer consumer health services. The project implemented training sessions and distributed literature at one site to approximately 150 healthcare providers to raise awareness of libraries' roles in patient education and the benefits of health information literacy. Overall, the project had positive outcomes in raising such awareness at the participating medical library and clinic.
The University of Cincinnati created an ambulatory long block program where residents spend one year in continuous ambulatory care during their second year of residency. This program aims to improve resident education and patient care in the outpatient setting. Results showed the long block was associated with improved clinical quality measures, higher patient and resident satisfaction, lower no-show rates, and an effective evaluation process that identified performance levels among residents. Overall, the long block appears to address prior deficiencies in ambulatory training and results in better outcomes.
2011/2012 Always Event℠ Challenge Grant Recipient Project OverviewsPicker Institute, Inc.
This document describes grant recipients for the 2011/2012 Picker Institute Always Events Challenge. It provides summaries of 6 recipient organizations and their proposed projects:
1) Quality Partners of Rhode Island will use PictureRx software to provide visual medication schedules to patients before discharge from nursing homes.
2) Massachusetts General Hospital aims to ensure patients always know their care team and receive timely responses through strategies like welcome videos and identification boards.
3) Planetree/Griffin Hospital will utilize an online patient assessment tool and care partners to ensure alignment between patients, caregivers and providers across healthcare settings.
4) St. Jude Children's Research Hospital will implement a parent mentor program to support newly diagnosed families through treatment and beyond
This document discusses strategies for standardizing handoff processes throughout healthcare organizations. It explains that standardizing handoffs is challenging but important for patient safety, as ineffective handoffs can lead to medical errors and other issues. The document outlines some key steps for organizations to take, such as developing and implementing a standardized process, obtaining leadership and staff buy-in, and addressing hierarchical relationships among staff that can hinder communication. Standardizing handoffs requires significant cultural change across an entire organization.
The document summarizes research on physician assistants' use of clinical information for patient care decision-making. It provides background on physician assistants as a profession and describes two studies examining how clinical librarians and literature searching impacted physicians' and other practitioners' patient care. The document also outlines preliminary results of a current study surveying physician assistants, nurses and physicians at rural hospitals on their information needs and use of resources for clinical decision-making. Key findings suggest rural practitioners want improved access to online journals and databases to inform direct patient care and education.
Physician Characteristics - EHRs and Meaningful Uselindseylarue
Research assessing the characteristics of physicians who use electronic health record systems and how these characteristics affect meaningful use of electronic systems.
Standardized nursing language refers to commonly accepted terminology used by nurses to describe patient care. Some standard nursing languages used today include NANDA-I for nursing diagnoses, NOC for nursing outcomes, and NIC for nursing interventions. When nurses document using standardized language, patient care can be better described and outcomes more clearly communicated. Standardized language also improves communication between nurses and other professionals, provides continuity of care, and can lead to better patient outcomes.
A team of nurses at an adult acute medicine unit conducted a quality improvement project to improve patients' pain management experiences and satisfaction scores. They assessed nurses' knowledge and attitudes around pain management and found gaps. The team implemented strategies like providing education to nurses, creating a Comfort Menu for patients, and involving patients in their pain plans. Patient surveys showed these interventions helped patients feel included in their care and had their pain needs met at higher rates. The unit's patient satisfaction scores on pain control increased from 81.4 to 85.2 over 12 months.
This document discusses nursing diagnosis, including its evolution, purpose, definition, components, types, prioritization, case studies, errors to avoid, limitations, and overcoming barriers. Specifically, it outlines how nursing diagnosis evolved from Fry's identification in 1953 as a tool for individualized care to NANDA developing new diagnoses in 1998. The purpose is to identify areas nurses can resolve, demonstrate professional judgment, and promote accountability. A nursing diagnosis is a clinical judgment about an individual's response to health problems.
This document discusses the benefits of implementing bedside shift reporting compared to reporting at the nurse's station. It identifies increased patient and nurse satisfaction as key outcomes of bedside reporting. Benefits for patients include feeling more involved in their care, safer, and more comfortable. Benefits for nurses include improved accountability, communication, and teamwork. The literature review found bedside reporting can reduce errors, lengths of stay, and readmission rates while improving satisfaction scores. The recommendations are for hospitals to adopt standardized bedside reporting formats to realize these benefits.
This document discusses the implementation of a psychosocial distress screening program at the Robert H. Lurie Comprehensive Cancer Center. It describes barriers to screening, the use of a computerized adaptive testing system to efficiently measure multiple domains of distress, and lessons learned from piloting the program. Screening results are integrated into patients' electronic health records and trigger messages to clinicians if severe distress is reported, in order to better manage patients' psychosocial needs. The goal is to systematically identify and address sources of distress throughout the cancer care process.
The document discusses a PICOT project focused on enhancing pain management through nurse education. It aims to reduce hospitalization rates by providing more frequent educational opportunities for nurses to improve patient outcomes. The training will target technology-based pain management and communication approaches. A literature review found that organizational leadership, adequate staffing and resources are key to effective pain management. Barriers like gaps in education and communication must be addressed. The project will use Lewin's change model and a knowledge-to-action framework to provide topic-specific education, assess gaps, collect data, and support continuous learning to improve clinical practices long-term. The goal is a 5% reduction in cancer-related hospitalizations in the local area.
- Staff at an oncology unit received TeamSTEPPS training to improve teamwork and communication.
- Surveys before and after training found statistically significant improvements in perceptions of team structure, communication, and teamwork. Knowledge increased slightly but not significantly.
- Focus groups identified facilitators like huddle times and barriers like attitudes, and suggested continuing education and orientation integration to sustain improvements.
Bedside report involves the off-going nurse handing off report to the on-coming nurse at the patient's bedside. Research shows this provides safer patient care by improving identification accuracy and communication among caregivers while also increasing patient satisfaction and involvement in their own care. Bedside report meets three National Patient Safety Goals. Advantages include building teamwork, ownership, brief assessments, and allowing patient involvement and questions. Obstacles can be overcome through techniques like role playing and using SBAR(T) communication structure.
This document summarizes evidence on the impact of bedside nursing handoffs on patient satisfaction. It finds that 9 out of 10 studies reported increased patient satisfaction when bedside handoffs were implemented instead of handoffs outside the patient room. Bedside handoffs also improved nurse satisfaction in some studies and reduced handoff time in others, though the type of handoff tool used did not impact outcomes. Successful implementation of bedside handoffs depended on leadership strategy across all studies.
This document discusses the nursing process and its key components. It describes the benefits of using the nursing process as providing orderly care, enhancing efficiency, facilitating documentation, and increasing quality. The main steps are identified as assessment, nursing diagnosis, planning, implementation, and evaluation. Planning involves prioritizing problems, setting goals, selecting interventions, and documenting the care plan. Evaluation determines if goals were met and identifies factors impacting outcomes. The nursing process provides a framework for delivering individualized, collaborative, and evidence-based patient care.
The document discusses nursing diagnosis. It begins by defining nursing diagnosis as a clinical judgment about an individual's response to actual or potential health problems. Nursing diagnosis provides the basis for selecting nursing interventions. The document then discusses the purpose of nursing diagnosis, how it is developed and classified. It compares nursing diagnosis to medical diagnosis and outlines the components and process of developing a nursing diagnostic statement.
Bedside reporting involves including the patient in shift change reports between nurses. It has benefits like increased patient empowerment and safety due to improved communication of the patient's status and care plan. Implementing bedside reporting has shown positive results like higher patient and staff satisfaction, improved accuracy of information, and encouragement of teamwork. However, challenges include the time it takes and engaging reluctant patients. Studies have found that encouraging patient participation, using plain language, and allowing more time can help address these challenges.
The TAP project is developing a program at UCSF to facilitate the transition of adolescent patients with chronic health needs from pediatric to adult care. This includes resident training in transitional care competencies and a transition handbook for patients to teach self-management skills.
The IPR project at the Medical College of Georgia will initiate patient- and family-centered rounds on adult medical and surgical units, initially evaluating one team for satisfaction, costs, efficiency and quality/safety.
The Resident Performance project at Carilion Clinic intends to adapt an evaluation tool for patients to assess resident performance on ACGME competencies, comparing feedback and coaching to attending-only feedback.
Standardized Nursing Language (SNL) is a concept in nursing that uses commonly accepted terminology to describe patient care. The American Nurses Association recognizes 12 SNLs and data elements. SNLs are important for enhancing documentation of care, describing unique nursing care, and communicating outcomes. They also impact competency evaluation, reimbursement, and curriculum design by improving quality of care, guiding policy, and articulating how nursing actions impact health outcomes. Integrating SNLs into electronic health records ensures nursing data can be captured, stored, retrieved, and transferred easily for effective management and measurement of nursing care's effects.
The study examined strategies used by physicians to ration limited outpatient appointment slots for subspecialty pediatric care covered by Medicaid. Through interviews with primary care and specialty providers, the study identified six categories of factors that influence appointment assignment decisions: severity of the patient's condition, responsibility for patients who lack alternatives, geographic proximity, hospital affiliation, personal connections, and informal exchange arrangements. Physicians indicated prioritizing Medicaid patients from nearby areas or who receive primary care within their organizational network. The findings suggest how accountable care organizations could help improve access to subspecialty care for publicly insured children.
CJAL Diabetes Social Media Quad Chart 110115David Donohue
This document proposes a pilot research project to use social media (blog, Twitter, YouTube, and Facebook) to increase participation and understanding of diabetes self-management education among high-risk diabetic patients at VA hospitals. The goal is to build online tools to engage these patients, measure results through medical records, and improve compliance with treatment regimens. It aims to test if social media can create new communication channels between patients and providers and enhance access to healthcare. The technical approach involves using these digital platforms for education and analyzing patient data to measure the impact on health outcomes over time.
The document summarizes a health information literacy pilot project conducted from April to June 2008. The project gathered data from administrators and healthcare providers on their perceived value of consumer health resources and librarians' roles in promoting health literacy. Nine sites in the US and Canada participated that did not currently offer consumer health services. The project implemented training sessions and distributed literature at one site to approximately 150 healthcare providers to raise awareness of libraries' roles in patient education and the benefits of health information literacy. Overall, the project had positive outcomes in raising such awareness at the participating medical library and clinic.
The University of Cincinnati created an ambulatory long block program where residents spend one year in continuous ambulatory care during their second year of residency. This program aims to improve resident education and patient care in the outpatient setting. Results showed the long block was associated with improved clinical quality measures, higher patient and resident satisfaction, lower no-show rates, and an effective evaluation process that identified performance levels among residents. Overall, the long block appears to address prior deficiencies in ambulatory training and results in better outcomes.
2011/2012 Always Event℠ Challenge Grant Recipient Project OverviewsPicker Institute, Inc.
This document describes grant recipients for the 2011/2012 Picker Institute Always Events Challenge. It provides summaries of 6 recipient organizations and their proposed projects:
1) Quality Partners of Rhode Island will use PictureRx software to provide visual medication schedules to patients before discharge from nursing homes.
2) Massachusetts General Hospital aims to ensure patients always know their care team and receive timely responses through strategies like welcome videos and identification boards.
3) Planetree/Griffin Hospital will utilize an online patient assessment tool and care partners to ensure alignment between patients, caregivers and providers across healthcare settings.
4) St. Jude Children's Research Hospital will implement a parent mentor program to support newly diagnosed families through treatment and beyond
This document discusses strategies for standardizing handoff processes throughout healthcare organizations. It explains that standardizing handoffs is challenging but important for patient safety, as ineffective handoffs can lead to medical errors and other issues. The document outlines some key steps for organizations to take, such as developing and implementing a standardized process, obtaining leadership and staff buy-in, and addressing hierarchical relationships among staff that can hinder communication. Standardizing handoffs requires significant cultural change across an entire organization.
The document summarizes research on physician assistants' use of clinical information for patient care decision-making. It provides background on physician assistants as a profession and describes two studies examining how clinical librarians and literature searching impacted physicians' and other practitioners' patient care. The document also outlines preliminary results of a current study surveying physician assistants, nurses and physicians at rural hospitals on their information needs and use of resources for clinical decision-making. Key findings suggest rural practitioners want improved access to online journals and databases to inform direct patient care and education.
Physician Characteristics - EHRs and Meaningful Uselindseylarue
Research assessing the characteristics of physicians who use electronic health record systems and how these characteristics affect meaningful use of electronic systems.
Standardized nursing language refers to commonly accepted terminology used by nurses to describe patient care. Some standard nursing languages used today include NANDA-I for nursing diagnoses, NOC for nursing outcomes, and NIC for nursing interventions. When nurses document using standardized language, patient care can be better described and outcomes more clearly communicated. Standardized language also improves communication between nurses and other professionals, provides continuity of care, and can lead to better patient outcomes.
A team of nurses at an adult acute medicine unit conducted a quality improvement project to improve patients' pain management experiences and satisfaction scores. They assessed nurses' knowledge and attitudes around pain management and found gaps. The team implemented strategies like providing education to nurses, creating a Comfort Menu for patients, and involving patients in their pain plans. Patient surveys showed these interventions helped patients feel included in their care and had their pain needs met at higher rates. The unit's patient satisfaction scores on pain control increased from 81.4 to 85.2 over 12 months.
This document discusses nursing diagnosis, including its evolution, purpose, definition, components, types, prioritization, case studies, errors to avoid, limitations, and overcoming barriers. Specifically, it outlines how nursing diagnosis evolved from Fry's identification in 1953 as a tool for individualized care to NANDA developing new diagnoses in 1998. The purpose is to identify areas nurses can resolve, demonstrate professional judgment, and promote accountability. A nursing diagnosis is a clinical judgment about an individual's response to health problems.
This document discusses the benefits of implementing bedside shift reporting compared to reporting at the nurse's station. It identifies increased patient and nurse satisfaction as key outcomes of bedside reporting. Benefits for patients include feeling more involved in their care, safer, and more comfortable. Benefits for nurses include improved accountability, communication, and teamwork. The literature review found bedside reporting can reduce errors, lengths of stay, and readmission rates while improving satisfaction scores. The recommendations are for hospitals to adopt standardized bedside reporting formats to realize these benefits.
This document discusses the implementation of a psychosocial distress screening program at the Robert H. Lurie Comprehensive Cancer Center. It describes barriers to screening, the use of a computerized adaptive testing system to efficiently measure multiple domains of distress, and lessons learned from piloting the program. Screening results are integrated into patients' electronic health records and trigger messages to clinicians if severe distress is reported, in order to better manage patients' psychosocial needs. The goal is to systematically identify and address sources of distress throughout the cancer care process.
The document discusses a PICOT project focused on enhancing pain management through nurse education. It aims to reduce hospitalization rates by providing more frequent educational opportunities for nurses to improve patient outcomes. The training will target technology-based pain management and communication approaches. A literature review found that organizational leadership, adequate staffing and resources are key to effective pain management. Barriers like gaps in education and communication must be addressed. The project will use Lewin's change model and a knowledge-to-action framework to provide topic-specific education, assess gaps, collect data, and support continuous learning to improve clinical practices long-term. The goal is a 5% reduction in cancer-related hospitalizations in the local area.
- Staff at an oncology unit received TeamSTEPPS training to improve teamwork and communication.
- Surveys before and after training found statistically significant improvements in perceptions of team structure, communication, and teamwork. Knowledge increased slightly but not significantly.
- Focus groups identified facilitators like huddle times and barriers like attitudes, and suggested continuing education and orientation integration to sustain improvements.
The document discusses essential components for transforming healthcare delivery systems. It identifies leadership, collaboration, balancing regulation and creativity, health information systems, and research as key elements. It provides examples of research studying the adoption of evidence-based practices and the impact of interventions on outcomes like costs, falls, and pain management.
This document summarizes a transitional care workgroup meeting held on July 12, 2013. The meeting included introductions and presentations on transitional care evidence and measuring patient-centered outcomes. Participants discussed a vignette about a patient being discharged from the hospital to identify questions patients would have about participating in a new transitional care program. The group's objectives were to understand transitional care broadly and narrow the topic by prioritizing important questions from multiple stakeholder perspectives. Breakout sessions allowed for submitted questions and discussion of proposed research topics. The meeting concluded with recapping next steps and welcoming further input.
Health Psychology: Chronic Pain Rotation and Training Syllabus Michael Changaris
According to NIH data, Chronic Pain Clinic affects more than 24 million Americans. Pain is often untreated in mental health settings due to a lack of clinical skills. The combination of opiate use disorder and chronic pain have reduced the life expectancy nationwide. The 2016 national pain strategy has indicated that integrated behavioral psychology into pain management is a central goal, but current plans have shown no changes in access. Developing chronic pain and opiate risk clinical rotation provides ways to reduce the training to treatment pipeline issues. Pain management is needed both in health and mental health settings.
Leaders with pain psychology skills can provide a high level of care and address public health needs. Most psychologists are trained in a single professional siloed context. This training rotation is a collaborative care approach to treatment that supports work with medical professionals at a high level of embedded clinical skills growing interprofessional skills in internship year that can be foundational in the development of clinical professionals.
This training rotation was established to develop skills in assessment, treatment, and interdisciplinary treatment of chronic pain. Interns in this rotation will be assigned to a weekly chronic pain clinic paired with a medical provider who is a specialist in chronic pain management and develop integrated treatment plans to address patient care needs.
There are four components to the training rotation in chronic pain; these are a. precepted clinic rotation with monthly or more direct supervision of clinical consultation and intervention in a high-risk pain management clinic, b. Weekly group supervision and didactic training, c. Supervised individual pain treatment post-mid-year, d. Orientation training on the clinic and chronic pain.
Running head PICOT STATEMENT 1PICOT STATEMENT 2.docxjeanettehully
Running head: PICOT STATEMENT 1
PICOT STATEMENT 2
PICOT Statement
Anna Uka
Grand Canyon University- NRS490
December 1st , 2019
P: Adults on an Acute Care floor
I: Required education on the Braden Scale
C: Standard Practice
O: Decrease in Hospital-Acquired Pressure Ulcers
PICOT QUESTION: Does the required education on the Braden scale increase nursing interventions for Adult patients on an acute care floor at risk of developing pressure ulcers during hospitalization?
Currently, most hospitals are faced with a clinical problem of acquired pressure ulcers. According to Pittman et al (2015), hospital-acquired pressure ulcers remain one of the persistent and relevant issues that need to be addressed in long-term hospital stay patients. Health care is attempting to implement evidence-based protocols, though patients continue to suffer from this prevalent and preventable injury. Health care institutions are facing a big challenge for the patients with this acquired condition because hospital bills continue to balloon and at the same time insurance companies stopped paying for this condition. Research shows that pressure ulcer is preventable; though, in spite of hospitals striving to integrate evidence-based approaches to curb the issue, it continues to remain a serious issue for long-term hospital stay patients. This PICOT statement this research paper is proposing to use is a Braden Scale which can be used by nurses in their practice to reduce hospital-acquired pressure injuries which will reduce the patient stay in the hospital as well as the bills burden in the hospital.
Evidence-Based
Solution
According to Engels et al (2016), “the importance of using evidence-based practice in long-term care hospitals to reduce prevalent pressure ulcers is to promote a safe cost-effective outcome for our patients, families, and the healthcare group. Research needs to be conducted and qualitative data collected when designing an evidence-based solution to hospital-acquired injuries”. Despite a lot of research being conducted from the past years concerning acquired pressure ulcers, many patients continue to get the disease. Evidence-based practice allows the nurse to get pooled in a team of experts where interdisciplinary collaboration becomes the ultimate objective for nurses to practice autonomy that enhances change in the nursing field based on data. “The nursing research utilizes qualitative and quantitative logical methods and an EBP approach aimed at around the study and change of patient consideration, understanding consideration frameworks, and patient results” (Mervis & Phillips, 2019). This PICOT question will effectively apply the Braden Scale to see how it can positively impact long-term hospital in reducing pressure ulcers injuries.
Nursing Intervention
When starting a nursing research project, ...
113DNP Prospectus Comment by Cynthia Fletcher Th.docxherminaprocter
1
13
DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
The document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on the topic. The articles found that clinical information systems can improve workflow and reduce medical errors. However, challenges remain around data integration and sharing patient data across healthcare systems. The document concludes that clinical systems provide opportunities to improve care if effectively implemented and regularly updated to support nurses.
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...Clinical Tools, Inc
Tanner, B. Needs Analysis of Primary Care Physicians and
Other Providers in Terms of Obesity Training. Poster
presented Overcoming Obesity: Diagnose. Personalize.
Treat. Conference of the American Society of Bariatric
Physicians, September 12, 2014 Austin Texas.
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
This document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on this topic. The articles found that clinical information systems can help reduce medical errors, improve care quality by enhancing workflow and access to patient information, and engage patients more in their care when interactive technology is used. However, challenges remain around data integration across healthcare systems and technical, human, and organizational constraints. The document concludes that clinical information systems provide opportunities to improve care but must be effectively implemented and upgraded so nurses can benefit from these technologies.
Improving practice through evidence not only helps lower healthcare improve.docxwrite4
- Improving healthcare practices through evidence-based research can help lower costs, improve outcomes and safety, and increase job satisfaction for medical professionals.
- It is important to disseminate information about evidence-based practices in order to advance the healthcare system, though it often takes years for research results to be implemented in practice.
- Strategies for disseminating evidence-based practice information include unit-level education, posters, and champions to help reinforce positive results.
Description1 Tolerable, will not affect the attainment of ob.docxrobert345678
This document describes a risk assessment matrix that is used to analyze risks. It provides definitions for key terms used in risk analysis including risk, impact, likelihood, and risk score. It also includes tables to determine impact and likelihood scores based on levels of almost certain, likely, possible, unlikely and rare. The risk score is then automatically computed based on the impact and likelihood scores input. The risk rating is also automatically determined based on the risk score in a risk matrix. The risk matrix scores risks from 1-25 and categorizes them into priority levels of 1-3 to determine the level of response and actions needed.
This qualitative systematic review synthesized 77 papers reporting on 60 studies to understand patients' experiences of chronic non-malignant musculoskeletal pain. The key finding was that patients experience chronic pain as an adversarial struggle on multiple levels, including affirming their identity, reconstructing their identity over time, explaining their suffering, navigating the healthcare system, and proving the legitimacy of their pain. However, some patients also expressed a sense of moving forward alongside their pain. The review provides insight for improving the patient experience by better understanding their pain and forming collaborative partnerships to help patients manage their condition.
Running Head VAH PLAN REDUCTION OF VETERANS WAIT TIME .docxtoltonkendal
Running Head: VAH PLAN: REDUCTION OF VETERANS WAIT TIME 1
VAH PLAN: REDUCTION OF VETERANS WAIT TIME 3
Stakeholders
Stakeholder Analysis and Communication Plan
It will be important to partner with the organizations stakeholders for the development of a comprehensive patient care with no delays in treatment. The organization has a variety of stakeholders and partners e.g. Association of American Medical Colleges, Centers for Medicare and Medicaid Services Office of Minority Health and Human Rights Campaign just to name a few ( U.S Department of Veterans Affairs, 2017).The government, employees, lenders and interest groups among others are also key stakeholders who will impact positively on the project. Stakeholders such as interest groups, government agencies, lenders, and employees have the power to influence the quality care and experience for veterans. A thorough evaluation of the project will be required to enhance in the identification of the motivation and expectations of the key stakeholders before communication is done. The current situation at VAH is alarming due to increased death rates and therefore the project basis hopes to get positive feedback and support from the key and concerned stakeholders (Thompson, 2016). Upon understanding the main aims of the project and identifying the key aspects to be communicated to stakeholders, passing of the information will be done mainly in writing where the key issues will be addressed, desired approach to problem-solving and the expected outcomes.
References
U.S Department of Veterans Affairs. (2017). Partners and Stakeholders. Retrieved 02 28, 2018, from Office of Health Equity: https://www.va.gov/HEALTHEQUITY/Partners_Stakeholders.asp
Thompson, R. (2016). Stakeholder Analysis. Retrieved 02 28, 2018, from MindTools.com: https://www.mindtools.com/pages/article/newPPM_07.htm#Interactive
please look at the Mind Tool I posted in the Main Forum. That was what you were supposed to use for this assignment per the Business Plan paper. Be sure to complete it for your final business plan.
Part 3: Stakeholder Analysis and Communication Plan
Complete a stakeholder analysis to identify and prioritize the various stakeholders. Refer to the "Stakeholder Analysis - Winning Support for Your Projects," resource (located on the Mind Tools website) and complete all steps.
(https://www.mindtools.com/pages/article/newPPM_07.htm#Interactive
Include a communication plan for disseminating your action plan for all of the stakeholders. Which strategies do you plan to utilize and why? Your plan should demonstrate how you plan to use various types of communication channels to implement the plan.
In addition, explain how the communication plan addresses what you are hoping to achieve with your strategic goal.
While APA format is not required for the body of this assignment, solid academic writing is expe ...
This guide provides program managers with information and tools to plan, implement, and evaluate HIV testing and linkage programs in non-clinical settings. It emphasizes the importance of such programs in identifying undiagnosed individuals and linking them to care. The guide was developed with input from experts in health departments and community-based organizations. It covers topics such as targeting high-risk groups, implementing testing strategies, ensuring quality assurance, and evaluating programs. Appendices include a glossary, list of resources, and templates to support non-clinical HIV testing and linkage efforts.
Evidence-Based Practices & Nursing
Introduction
Normally, PICOT format is helpful in formulation of questions in an evidenced based clinical practice. PICOT generated questions generally fall under for main categories of clinical practices. These include; therapy, prevention, diagnosis, etiology as well as Prognosis. The essential elements in PICOT questions. The PICOT format is valuable in addressing research questions comprehensively. Five elements are normally addressed including; population, intervention, comparison, outcome and time as well (Riva, Malik, Burnie, Endicott, & Busse, 2012).
Summary of Case Study
The ever increasingly high incidence of breast cancer conditions has posed serious challenges in the nursing profession. Provision of appropriate healthcare to the cancer patients has been lacking leading to adverse effects of the proliferation of cancerous cells which further worsen the conditions of the patients. As primary care, clinicians have the responsibility to stressing providing healthcare services within healthcare facilities as well as monitoring treatment in home based facilities to help manage cancer condition. Most cancer patient need clinicians who practice evidence-based clinical practices (Riva, Malik, Burnie, Endicott, & Busse, 2012).
Research Question
In cancer patients receiving chemotherapy, will they have better white blood cell count monitoring with a follow-up at home versus follow-up at a health care facility during their treatment?
PICOT Format
1) P-Population: Patients aged 18-60 years-old, breast cancer who have not received chemotherapy in the past six months are subjected to the treatment. Patients with other serious health conditions such as heart diseases were excluded in the study. 30 patients, with 15patients stationed at the healthcare facility while the other 15 patients receiving home-based care, are expected to take part in the study.
2) I -Intervention: The patients will receive dosage based on the age, sex and health general body health as well as the stage of cancer cells proliferation in the body. The patients are required take the prescribed drugs at regular intervals. The subjects will be subjected to treatment under the same during the research study.
3) C-Comparison: All the subject regardless of variations in their level of dose requirement will be subjected to the same treatment for the same duration, 3months. Standardized treatment will be given to subjects with no extreme variations in their level of dose requirement and would be used as an active control group. Using this strategy, it will be possible to minimize the non-specific effects due to a group of the patient receiving treatment within the healthcare.
4) O-Outcome: The response in chemotherapy treatments will be check by examining the numbers of defective cancerous cells in the body tissues. The patients will report to the theatre in order to be examined by an oncologist. The results will be recorded i ...
Team-Based Care 101 for Health Professions Students CHC Connecticut
This webinar provided an overview of team-based care for health professions students. Speakers from Community Health Center, Inc. and the National Nurse-Led Care Consortium discussed key components of effective teams, including clear roles and communication. Specific tools for communication, such as SBAR and huddles, were reviewed. The webinar aimed to describe high-performing teams, effective communication strategies, and how to optimize team roles.
1) The document discusses a student's reflective journal entries for their capstone practicum project over 10 weeks.
2) In early weeks, the student assessed their healthcare setting's needs and identified potential project topics, focusing on reducing health disparities.
3) For one topic on implementing negative pressure wound therapy, the student created objectives to improve outcomes and safety through new approaches.
4) Later weeks discuss exploring telehealth nursing and considering new policies, technologies, and how they can ethically benefit patients while maintaining standards of care.
I need between 100-120 words for each assignment, and I want ind.docxflorriezhamphrey3065
I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work
Module 1
DQ 1
Outcome measures are significant in showing the worth of the Doctor of Nursing Practice's role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.
DQ 2
In this week's readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project's intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.
Resources
Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes.
American Journal of Critical Care
,
26
(4), 272–277. doi:10.4037/ajcc2017812
Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.
BMC Health Services Research
,
17,
1-9. doi:10.1186/s12913-017-2078-6
Module 2
DQ 1
Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.
DQ 2
Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.
Resources
Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations.
International Journal of Lean Six Sigma
,
9
(3), 351-373. doi:10.1108/IJLSS-05-2017-0049
Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive?
HERD: Health Environments Research & Design Journal
,
9
(1), 10-33. doi:10.1177/1937586715593552
Allen, B. (2016). Effective design, implementation and management of change in healthcare.
Nursing Standard
,
31
(3), 58. doi:10.7748/ns.2016.e10375
Module 3
DQ 1
New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions.
Running head HEALTH CAMPAIGN 1CULTURAL PRACTIC.docxwlynn1
Running head: HEALTH CAMPAIGN 1
CULTURAL PRACTICES 5
Health Communication Campaign Outline
Group names
Arizona State University
Authors’ Note
Student names, College of Nursing and Health Innovation (your college), HCR 406, Arizona State University
Health Communication Campaign Outline
I) Introduction (Examples of what can be covered) (student name)
A) Brief background on the public health problem (topic- explain and give examples)
a) Subtopic (e.g., Statistics)
b) Subtopic (Subgroups within the population most affected)
c) Subtopic (the evidence to support the need for this project (e.g. research evidence/statistics on your target population and the issue being addressed).
B) Target Population (Identify and provide rationale for the targeted population segment)
a) Demographics of a target audience (including age, gender, literacy level)
b) Language, information needs, learning abilities, and culture of your intended audience
c) Rational
II) Objectives: (need 3-5) (examples)- make your objectives SMART (Specific, Measurable, Attainable, Realistic and Time limited).
A) After completing this campaign the audience will be able to:
a) Objective 1
b) Objective 2
c) Objective 3
III) Conceptual Framework (Examples of what can be covered)
A) Brief description of the theory
a) Name of the theory
b) Main propositions
c) Subtopic
B) Rational of choosing this theory
a) Guidance to develop a message
b) Effectiveness
IV) Communication Channels/ Vehicles
A) Introduce the most appropriate channels and vehicles for your communication campaign
a) Evidence (Provide a rational)
b) Strengths
c) Weakness
V) Message (Define the message elements and approach based on decisions made in previous steps and evidence, and determine the appropriate approach for the message strategy)
A) What? (Identify the key information/message)
B) So what? (Address the reasons or benefits for action that are relevant for the audience)
VI) Communication Strategies
A) Rational
B) Strengths / limitations of your chosen health communication strategy
C) Timeline
VII) Campaign materials (please see a detailed instruction for campaign materials).
A) Describe the campaign materials that will be using (determine whether campaign materials are relevant, understandable and acceptable to intended audiences)
VIII) Conclusion
Describe the expected results (Aim, Reach, Effectiveness etc.).
References
You need a reference page APA style with the 7-10 sources in your outline and will use in your final paper. You need to be sure to use all your references in citations in your outline. Cite all quotes and paraphrases.
Instruction for the Group Health Communication Campaign Project (including outline and final report).
· You must use Google Docs to create your group health communication campaign project. If you have never used Google docs please view this Google Docs tutorial. You will chose one member of your team to create the Google doc and share it with the.
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Teaching Neuroscience Concepts Related to Hunger via a Tower Defense GameClinical Tools, Inc
The document describes a virtual reality defense game being developed to teach students about neuroscience concepts related to hunger and weight control. In the game, students attempt to regulate hormones and neurotransmitters that impact hunger pathways in the brain of a simulated patient. Playing the game helps students understand how different hormones, neuropeptides, and brain regions interact in systems that control eating behavior and body weight. An evaluation study will compare the educational impact of the VR version to a 2D version in improving neuroanatomical knowledge, interest in learning more, and attitudes about the scientific basis of obesity. The goal is for students to gain a 3D conceptual understanding of the complex biological factors involved in weight regulation.
Training Future Clinicians through Clinical Encounters in NeuroscienceClinical Tools, Inc
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
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- Link to NephroTube website: www.NephroTube.com
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
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6. Describe the flow of current around the heart during the cardiac cycle
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8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Development of a Novel Pain Management Simulator to Enhance Skills of Medical and other Health Professional Students
1. Methods: Students completed one pain
management case and fill out a knowledge quiz before
and after the experience (N=38).
Discussion: The experience was well-received and input is
guiding the further enhancement of a complete online training
experience, including 6 additional cases. Expanded clinical
functionality will include:
1) simulated consultation with and referral to pain treatment experts
2) follow-up visits,
3) urine drug testing and other laboratory tests, and
4) scenarios involving diversion, addiction to opioids, and pseudo
addiction.
Development of a Novel Pain Management SimulatorDevelopment of a Novel Pain Management Simulator
to Enhance Skills of Medical and other Health Professional Studentsto Enhance Skills of Medical and other Health Professional Students
Bradley Tanner, MD, Mary Metcalf Ph.D, MPH, Karen Rossie, DDS, PhD, Clinical Tools, Inc., Chapel Hill, NCBradley Tanner, MD, Mary Metcalf Ph.D, MPH, Karen Rossie, DDS, PhD, Clinical Tools, Inc., Chapel Hill, NC
Acknowledgments/Disclosure
Future Directions: We are currently recruiting sites to complete a
longitudinal study to assess the effectiveness of the training program on target
professional and clinical skills. The study measures impact on competence and
performance via a randomized, cross-over design with at least 60 participants per
site and a wait-list control.
Purpose: With support from NIH/NCATS
[Grant #R44TR000576-03] we are creating
web and tablet-based environments to
challenge health professional students to
enhance their skills in diagnosing and treating
patients with pain, while decreasing the
chance of opioid misuse and diversion.
In each EHR-coordinated simulated pain
management case, health professional
students collect data, examine the patient,
choose the appropriate course of action,
outline a treatment plan, and receive
feedback.
The online curriculum can also be used to
assess students' clinical competence and
skills, and guide additional training.
Suggested Citation and Communication
Relevance: Existing pain management training is not adequately preparing
health professionals to address the needs of patients with pain.
Tanner B, Metcalf M, Rossie K. Development of a Novel Pain Management Simulator to Enhance
Skills of Medical and other Health Professional Students. Poster presented at the 2015 American
Academy of Pain Medicine, May 20, 2015, National Harbor, MD.
Contact author: bradtanner@gmail.com
Funding for this project was provided by the NIH/NCATS [National Center for
Advancing Translational Sciences] (NIH Grant #R44TR000576-03) to Clinical Tools,
Inc. TB Tanner, MD, Principal Investigator. Clinical Tools, Inc is 100% owned by T.
Bradley Tanner, MD and he serves as President of Clinical Tools, Inc.
References
1) Mezei L, Murinson B, et al. Pain education in North American medical schools. Journal of Pain: Elsevier. 2011 12(12):1199-208
http://www.ncbi.nlm.nih.gov/pubmed/21945594. Accessed on: 8/27/2011.
2) Institute of Medicine. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. The National Academies Press. 2011.
http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx. Accessed on: 7/25/2011.
3) Murinson BB, Nenortas E, Mayer RS, et al. A new program in pain medicine for medical students: integrating core curriculum knowledge with emotional and
reflective development. Pain Medicine: 2011 12(2):186-95. http://onlinelibrary.wiley.com/doi/10.1111/j.1526-4637.2010.01050.x/full. Accessed on: 8/27/2011.
4) ACGME. ACGME Program Requirements for Graduate Medical Education in Pain Medicine. Accreditation Council for Graduate Medical Education. 2007.
http://www.acgme.org/acWebsite/downloads/RRC_progReq/sh_multiPainPR707.pdf. Accessed on: 2/26/2011.
5) Gallagher RM. Physician variability in pain management: are the JCAHO standards enough?. Pain Medicine: . 2003.4(1):1-3
http://onlinelibrary.wiley.com/doi/10.1046/j.1526-4637.2003.00012.x/abstract. Accessed on: 7/25/2011.
Results: In a pilot test of one pain management
case (n=38), knowledge quiz scores improved
significantly pre- to post-training from a mean of 67.8
(SD=17) to a mean of 98.9 (SD=4.7) (p<0.001).