Interprofessional Education and Practice // Carolina Digital Repository

Works (86)

31. Nutrition Competencies in Health Professionals' Education and Training: A New Paradigm

Title Tesim:: Nutrition Competencies in Health Professionals' Education and Training: A New Paradigm
Creator:: Seidner, Douglas L., Pratt, Charlotte A., Ray, Sumantra, Saltzman, Edward, Levy, Matthew D., Lenders, Carine M., Kohlmeier, Martin, Kris-Etherton, Penny M., Laur, Celia, Nowson, Caryl, Douglas, Pauline, and Akabas, Sharon R.
Date of publication:: 2015
Abstract Tesim:: Most health care professionals are not adequately trained to address diet and nutrition-related issues with their patients, thus missing important opportunities to ameliorate chronic diseases and improve outcomes in acute illness. In this symposium, the speakers reviewed the status of nutrition education for health care professionals in the United States, United Kingdom, and Australia. Nutrition education is not required for educating and training physicians in many countries. Nutrition education for the spectrum of health care professionals is uncoordinated, which runs contrary to the current theme of interprofessional education. The central role of competencies in guiding medical education was emphasized and the urgent need to establish competencies in nutrition-related patient care was presented. The importance of additional strategies to improve nutrition education of health care professionals was highlighted. Public health legislation such as the Patient Protection and Affordable Care Act recognizes the role of nutrition, however, to capitalize on this increasing momentum, health care professionals must be trained to deliver needed services. Thus, there is a pressing need to garner support from stakeholders to achieve this goal. Promoting a research agenda that provides outcome-based evidence on individual and public health levels is needed to improve and sustain effective interprofessional nutrition education.
Resource type:: Article
Affiliation Label Tesim:: School of Medicine
Deposit Record:: http://windsor.libint.unc.edu:8181/fcrepo/rest/prod/f8/ca/d5/63/f8cad563-9b67-4053-a6f6-f544764d92b7
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/rsq1-ed71
Identifier:: PMCID: PMC4288283, PMID: 25593146, Publisher DOI: https://doi.org/10.3945/an.114.006734, and Onescience id: 7c2bb8fbdd86ef4ae6af603b1980b8894f0ded66
ISSN:: 2156-5376 and 2161-8313
Journal Issue:: 1
Journal Title:: Advances in Nutrition (Bethesda, MD)
Journal Volume:: 6
Keyword:: Health Personnel, health professional, Nutritional Sciences, Australia, Disease Management, United States, competency-based education, United Kingdom, Nutrition Therapy, inter-professional, health policy, Education, Medical, nutrition education, Humans, Clinical Competence, and nutrition
Language Label:: English
ORCID:
Other Affiliation:: Vanderbilt University Medical Center, National Institutes of Health (NIH), Medical Research Council, Tufts University, Bipartisan Policy Center, Boston University School of Medicine, Pennsylvania State University, Deakin University, Ulster University, and Columbia University in the City of New York
Page End:: 87
Page Start:: 83
Person:: Seidner, Douglas L., Pratt, Charlotte A., Ray, Sumantra, Saltzman, Edward, Levy, Matthew D., Lenders, Carine M., Kohlmeier, Martin, Kris-Etherton, Penny M., Laur, Celia, Nowson, Caryl, Douglas, Pauline, and Akabas, Sharon R.
Rights Statement Label:: In Copyright
Source:: g158bp92r

32. Teaching Population Health: A Competency Map Approach to Education

Title Tesim:: Teaching Population Health: A Competency Map Approach to Education
Creator:: Tilson, Hugh H., McDonald, Mary Anne, Sheline, Barbara L., Hull, Sharon K., Kaprielian, Victoria S., Silberberg, Mina, Michener, J. Lloyd, Oliveira, Justine Strand De, Weigle, Nancy J., Scutchfield, F. Douglas, Copeland, Joyce, Tran, Anh N., Koo, Denise, Halstater, Brian, Martinez-Bianchi, Viviana, Murphy, Gwen, and Sangvai, Devdutta
Date of publication:: 2013
Abstract Tesim:: A 2012 Institute of Medicine report is the latest in the growing number of calls to incorporate a population health approach in health professionals’ training. Over the last decade, Duke University, particularly its Department of Community and Family Medicine, has been heavily involved with community partners in Durham, North Carolina to improve the local community’s health. Based on these initiatives, a group of interprofessional faculty began tackling the need to fill the curriculum gap to train future health professionals in public health practice, community engagement, critical thinking, and team skills to improve population health effectively in Durham and elsewhere.
Resource type:: Article
Affiliation Label Tesim:: University of North Carolina at Chapel Hill
Deposit Record:: http://windsor.libint.unc.edu:8181/fcrepo/rest/prod/f8/ca/d5/63/f8cad563-9b67-4053-a6f6-f544764d92b7
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/pwam-nh03
Identifier:: PMCID: PMC3636155, Publisher DOI: https://doi.org/10.1097/ACM.0b013e31828acf27, Onescience id: d141cf5f0b85b65716b7b6c06ebf922cd1ae1615, and PMID: 23524919
ISSN:: 1040-2446 and 1938-808X
Journal Issue:: 5
Journal Title:: Academic Medicine
Journal Volume:: 88
Keyword:: Program Evaluation, Clinical Competence, Community Participation, Humans, Internship and Residency, Program Development, North Carolina, Curriculum, Physician Assistants, Family Practice, Community Medicine, Health Promotion, Faculty, Medical, and Education, Medical, Undergraduate
Language Label:: English
ORCID:
Other Affiliation:: Duke University School of Medicine, Northeast Ohio Medical University (NEOMED), Campbell University, College of Public Health, and Centers for Disease Control and Prevention
Page End:: 637
Page Start:: 626
Person:: Tilson, Hugh H., McDonald, Mary Anne, Sheline, Barbara L., Hull, Sharon K., Kaprielian, Victoria S., Silberberg, Mina, Michener, J. Lloyd, Oliveira, Justine Strand De, Weigle, Nancy J., Scutchfield, F. Douglas, Copeland, Joyce, Tran, Anh N., Koo, Denise, Halstater, Brian, Martinez-Bianchi, Viviana, Murphy, Gwen, and Sangvai, Devdutta
Rights Statement Label:: In Copyright
Source:: 7w62ff78r

33. Preparing Medical Students to Address Health Disparities through Longitudinally Integrated Social Justice Curricula: a Systematic Review of Undergraduate Medical Education Program Evaluations

Title Tesim:: Preparing Medical Students to Address Health Disparities through Longitudinally Integrated Social Justice Curricula: a Systematic Review of Undergraduate Medical Education Program Evaluations
Creator:: Draper, Julia
Date of publication:: July 14, 2020
Abstract Tesim:: Purpose: Despite advances in medical technology, health disparities persist and even worsen over time. The education of health care professionals is a contributing factor to this phenomenon. Though students are expected to understand the social and structural determinants of health (SDH) contributing to health disparities, like racism and classism, there is substantial uncertainty regarding standardization and best practices in teaching these concepts. To address this, medical schools have begun adopting social justice curricula (SJC), or courses of study that prioritize health equity as they teach students to recognize SDH and prepare them to address the consequent health disparities. This systematic review sought to evaluate how schools are integrating SJC, what criteria they use to measure success, and to what extent these criteria are being met. Method: Eligible studies reported on longitudinally integrated SJC at U.S. medical schools that comprise more than a single-day training and are intended for all students. Quantitative and qualitative outcomes were synthesized and summarized. Results: Searches of 7 databases identified 3,137 articles; 11 met inclusion criteria. Results demonstrated schools use a variety of teaching methods over a range of 7 to 600 didactic hours to teach SJC concepts. Surveys and objective tests suggest students in SJC are generally satisfied and demonstrate an improvement in knowledge and skills, though changes in attitudes had equivocal findings. Evaluations at graduation and in residency demonstrate students who experienced SJC are more prepared than their peers to work with underserved populations. Conclusions: Overall, these findings suggest SJC are a promising strategy to prepare students to address the root causes of health disparities. Best practices in implementing SJC include addressing the hidden curriculum, considering medical mistrust, and using trained faculty. Future research should consider the long-term influences of these curricula on students, patients, and the community.
Resource type:: Masters Paper
Affiliation Label Tesim:: Gillings School of Global Public Health and School of Medicine
Degree:: Master of Public Health
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/nmem-m989
Graduation Year:: 2020
Language Label:: English
ORCID:
Other Affiliation:: UNC School of Medicine and
Person:: Feltner, Cynthia, Steiner, Beat, and Draper, Julia
Rights Statement Label:: In Copyright

34. DEVELOPING A NURSE-LED HOME HEALTH PROTOCOL TO REDUCE HEART FAILURE READMISSIONS

Title Tesim:: DEVELOPING A NURSE-LED HOME HEALTH PROTOCOL TO REDUCE HEART FAILURE READMISSIONS
Creator:: Askew, Naomi Christine
Date of publication:: 2020
Abstract Tesim:: ABSTRACT Naomi Christine Askew: Developing a Nurse-Led Home Health Protocol to Reduce Heart Failure Readmissions (Under the direction of Meg Zomorodi) Background: There is a changing the mindset of practitioners and healthcare administrators alike to focus on a more preventative approach in the delivery of health care services that includes addressing the social determinants of health (SDOH). This emphasis on prevention, along with the implementation of the Hospital Readmission Reduction Program (HRRP) by the ACA has resulted in the need for healthcare organizations to strategize methods to reduce costs and prevent readmissions. Purpose: To develop a protocol for a nursing led intervention to reduce heart failure (HF) readmissions in a home health setting. Methods: Using quality improvement (QI) methodology to improve care provided to HF patients within a home health setting using telehealth monitoring, proactive HF management and outpatient follow-up to increase access to care. Results: During the pilot study time frame, a total of 140 patients were admitted with primary or secondary diagnosis of HF. Of these 140 patients admitted, 67 patients were admitted to the partnering cardiology service. Of the 67, only three were qualified to receive home health services and were screened for inclusion for the pilot protocol. However, barriers identified limited the protocol initiation. Therefore, data collection ceased with the focus shifting from patient outcomes to recognition of system based implementation.
Resource type:: Dissertation
Affiliation Label Tesim:: School of Nursing
Degree:: Doctor of Nursing Practice
Degree Granting Institution:: University of North Carolina at Chapel Hill Graduate School
Deposit Record:: 6782d697-5cdc-4c4f-998d-bef8d37d6087
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/axzc-ch06
Graduation Year:: 2020
Keyword:: diuretic protocol, home health, heart failure, readmissions, nurse practitioner, and Nursing
Language Label:: English
Person:: Long, Zac, Zomorodi, Meg , Alderman, Jennifer, and Askew, Naomi Christine

35. The Use of an Innovative, Game-Based Educational Simulation to Promote Interprofessional Collaboration Between Nurses and Women’s Health Providers

Title Tesim:: The Use of an Innovative, Game-Based Educational Simulation to Promote Interprofessional Collaboration Between Nurses and Women’s Health Providers
Creator:: Kritzer, Morenike Ashley
Date of publication:: 2020
Abstract Tesim:: Interprofessional collaboration occurs when multiple health workers from different professional backgrounds work together with patients, families, caregivers, and communities to deliver the highest quality of care (World Health Organization [WHO], 2010). Interprofessional collaboration is important because it leads to better patient outcomes and more efficient use of resources (Bosch et al., 2009; Lemieux-Charles & McGuire, 2006; Zwarenstein, Goldman, & Reeves, 2009). Multiple healthcare associations support national quality and safety goals related to interprofessional collaboration (National Academy of Medicine [NAM], 2011). The primary purpose of this Doctor of Nursing Practice (DNP) project was to promote interprofessional collaboration by creating an evidence-based intervention for an interprofessional group of registered nurses, certified nurse midwives, and physicians and measuring effectiveness of the intervention by assessing interprofessional collaboration competency attainment. A secondary purpose was to determine the acceptability, appropriateness, feasibility, reach, and participant satisfaction of the intervention itself. The DNP student developed, planned, implemented, and evaluated an interprofessional practice initiative in the form of an “escape room,” a game where people are locked into a room as a group and have to find a way to escape by finding various clues and solving puzzles to unlock the room. Results derived from valid, reliable tools support the use an escape room to promote interprofessional collaboration and indicate that an escape room is an acceptable, appropriate, feasible intervention with high participant satisfaction. Improvements for future interprofessional healthcare escape rooms include an interprofessional development team, the use of a tool that specifically addresses satisfaction with an interprofessional activity, a larger sample size, a patient- and family-centered focus, and frequent offerings of the escape room.
Resource type:: Dissertation
Affiliation Label Tesim:: School of Nursing
Degree:: Doctor of Nursing Practice
Degree Granting Institution:: University of North Carolina at Chapel Hill Graduate School
Deposit Record:: 55833517-8f7a-458b-aafc-6b79dd8f46ba
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/hqpy-pb80
Graduation Year:: 2020
Keyword:: Nursing, interprofesssional, nursing, collaboration, Obstetrics, and gamification
Language Label:: English
Person:: Lanning, Rhonda , Wilson, Lorraine, Waldrop, Julee, and Kritzer, Morenike Ashley

36. Utilizing Doulas to Improve Nursing Student Preparation and Self-Confidence in Providing Labor and Birth Support

Title Tesim:: Utilizing Doulas to Improve Nursing Student Preparation and Self-Confidence in Providing Labor and Birth Support
Creator:: Hinde, Tori
Date of publication:: April 15, 2020
Abstract Tesim:: Undergraduate nursing students generally have very limited opportunities to provide care to patients and families during labor and birth. This article explores a strategy to prepare nursing students for their first hospital clinical in labor and delivery (L&D) by utilizing birth doulas to teach labor support through interactive learning techniques. Continuous labor support is an evidence-based practice and is recommended by professional organizations including the Association of Women’s Health, Obstetric and Neonatal Nurses and the American College of Obstetricians and Gynecologists. BSN students in their second semester of nursing school were asked to evaluate their level of comfort in the L&D setting and their confidence in providing labor support prior to their first clinical. Post-intervention survey responses (n= 102) indicated an increase in comfort with beginning clinical in the L&D setting. Prior to the labor support training, 21.5% of students reported feeling comfortable or extremely comfortable beginning clinical on L&D. After the training, 82.4% of students reported feeling comfortable or extremely comfortable. Students also reported increased confidence in all five areas of labor support: introducing themselves to patients, discussing birth preferences, recommending safe and appropriate positions for labor, using touch to support a patient in labor, and confidence in providing emotional support in labor. Working in small groups with experienced doulas as facilitators substantially improved students’ confidence and comfort in providing labor support prior to their first obstetric clinical.
Resource type:: Honors Thesis
Affiliation Label Tesim:: School of Nursing
Degree:: Bachelor of Science
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/5qwg-2r19
Graduation Year:: 2020
Language Label:: English
ORCID:
Other Affiliation:
Person:: Lanning, Rhonda and Hinde, Tori
Rights Statement Label:: In Copyright

37. The Ethicality of Patient-Targeted Googling

Title Tesim:: The Ethicality of Patient-Targeted Googling
Creator:: Fitz, Morgan
Date of publication:: April 27, 2020
Abstract Tesim:: As technology and internet usage continues to expand in our society, the health professions need to consider possible implications on ethical practice. A relatively new term, patient-targeted googling, or PTG, is described as the use of social media or search engines to discover patient information. This practice is not explicitly prohibited by HIPAA, which focuses on the sharing of private health information, but this may be because HIPAA guidelines were established before widespread internet searches were commonplace. Currently there are no established universal guidelines to govern PTG, which leaves the topic open to considerable debate. The researchers used 3 means to obtain information on PTG. First, a literature review revealed arguments both for and against PTG use, and the need for guidelines. Secondly, the researchers used the common themes found in the literature review to guide an interview with experts and tapped members of the UNC Ethics Committee. The ethics committee argued wholly against the practice and strongly supported the need for guidelines so that health care providers could be more aware of PTG as an ethical violation. The literature and the interview helped shape a 19-item questionnaire that was to be administered to 106 undergraduate nursing students at UNC Chapel Hill. The intention of the survey was to measure the prevalence of PTG amongst nursing students. However, due to COVID-19 and the switch to online classes, the survey was not administered. Even without the survey data, this project clearly identifies the need for interprofessional guidelines on PTG.
Resource type:: Honors Thesis
Affiliation Label Tesim:: School of Nursing
Degree:: Bachelor of Science
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/f733-hs68
Graduation Year:: 2020
Language Label:: English
ORCID:
Other Affiliation:
Person:: Raphael-Grimm, Theresa and Fitz, Morgan
Rights Statement Label:: In Copyright

38. Can a simulation-based training program impact the use of evidence based routine practices at birth? Results of a hospital-based cluster randomized trial in Mexico

Title Tesim:: Can a simulation-based training program impact the use of evidence based routine practices at birth? Results of a hospital-based cluster randomized trial in Mexico
Creator:: Angeles, Gustavo, Lamadrid-Figueroa, Hector, Cohen, Susanna, Walker, Dilys M., and Fritz, Jimena
Date of publication:: 2017
Abstract Tesim:: In Mexico, although the majority of births are attended in hospitals, reports have emerged of obstetric violence, use of unsafe practices, and failure to employ evidence-based practices (EBP). Recent attention has refocused global efforts towards provision of quality care that is both patient-centered and evidence-based. Scaling up of local interventions should rely on strong evidence of effectiveness.
Resource type:: Article
Affiliation Label Tesim:: Department of Maternal and Child Health
Deposit Record:: http://windsor.libint.unc.edu:8181/fcrepo/rest/prod/e2/82/bb/5c/e282bb5c-ecfc-4dd2-8603-2a46b5cc8e4b
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/jrb3-5n18
Identifier:: PMID: 28319122, Publisher DOI: https://doi.org/10.1371/journal.pone.0172623, Onescience id: 9a07a23a46c134c89b68b7b7e3f935a8b5706993, and PMCID: PMC5358738
ISSN:: 1932-6203
Journal Issue:: 3
Journal Title:: PloS One
Journal Volume:: 12
Keyword:: Mexico, Hospitals, Autonomic Fibers, Preganglionic, Delivery, Obstetric, Evidence-Based Practice, Quality Improvement, Patient Care Team, Humans, Intensive Care, Neonatal, Emergency Medical Services, and Health Personnel
Language Label:: English
ORCID:
Other Affiliation:: Division of Reproductive Health; Research Center for Population Health; National Institute of Public Health (INSP), College of Nursing; University of Utah, and Department of Obstetrics; Gynecology and Reproductive Sciences; Bixby Center for Global Reproductive Health; University of California in San Francisco (UCSF)
Page Start:: e0172623
Person:: Angeles, Gustavo, Lamadrid-Figueroa, Hector, Cohen, Susanna, Walker, Dilys M., and Fritz, Jimena
Rights Statement Label:: In Copyright
Source:: p8418t357

39. The Profiles of Students With Significant Cognitive Disabilities and Known Hearing Loss

Title Tesim:: The Profiles of Students With Significant Cognitive Disabilities and Known Hearing Loss
Creator:: Erickson, Karen and Quick, Nancy
Date of publication:: 2017
Abstract Tesim:: The present study describes the characteristics of students in Grades 3-12 with significant cognitive disabilities (SCD) and known hearing loss. The study analyzed results of a survey of teachers of students with SCD (n = 38,367) who were slated to participate in an alternate assessment based on alternate achievement standards in 14 states in the United States. Analysis revealed similar profiles in academic achievement and symbolic language use combined with an increased incidence of additional sensory impairments among students with SCD and known hearing loss compared to their peers without known hearing loss. Results suggest that hearing loss may be underidentified and underserved among students with SCD and point to the need for improved hearing screenings and evaluations combined with services delivered by teams that follow a model of interprofessional practice.
Resource type:: Article
Affiliation Label Tesim:: University of North Carolina at Chapel Hill
Deposit Record:: http://windsor.libint.unc.edu:8181/fcrepo/rest/prod/e2/82/bb/5c/e282bb5c-ecfc-4dd2-8603-2a46b5cc8e4b
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/zd5t-mk48
Identifier:: Onescience id: 844c6259809236972fdd9e6d44f072b46021d45f and Publisher DOI: https://doi.org/10.1093/deafed/enw052
ISSN:: 1081-4159 and 1465-7325
Journal Issue:: 1
Journal Title:: Journal of Deaf Studies and Deaf Education
Journal Volume:: 22
Keyword:: Teacher Surveys, Grade 4, Grade 3, Grade 8, Grade 7, Grade 10, Grade 5, Grade 9, Grade 12, Intellectual Disability, Grade 11, Profiles, Hearing Impairments, and Grade 6
Language Label:: English
ORCID:
Page End:: 48
Page Start:: 35
Person:: Erickson, Karen and Quick, Nancy
Rights Statement Label:: In Copyright
Source:: j098zh13k

40. Exploring the Requisite Skills and Competencies of Pharmacists Needed for Success in an Evolving Health Care Environment

Title Tesim:: Exploring the Requisite Skills and Competencies of Pharmacists Needed for Success in an Evolving Health Care Environment
Creator:: Scott, Mollie Ashe, Roth, Mary T., Rodgers, Philip T., Pinelli, Nicole R., McLaughlin, Jacqueline E., Zomorodi, Meg, and Bush, Antonio A.
Date of publication:: 2017
Abstract Tesim:: Objective. To identify and describe the core competencies and skills considered essential for success of pharmacists in today’s rapidly evolving health care environment.
Resource type:: Article
Affiliation Label Tesim:: University of North Carolina at Chapel Hill
Deposit Record:: http://windsor.libint.unc.edu:8181/fcrepo/rest/prod/e2/82/bb/5c/e282bb5c-ecfc-4dd2-8603-2a46b5cc8e4b
Type:: http://purl.org/dc/dcmitype/Text
DOI:: https://doi.org/10.17615/dq28-bd98
Identifier:: Onescience id: bdf5e4d87eef08ca1c88489e75072c4f3bdb9004, PMID: 28970617, PMCID: PMC5607726, and Publisher DOI: https://doi.org/10.5688/ajpe816116
ISSN:: 1553-6467 and 0002-9459
Journal Issue:: 6
Journal Title:: American Journal of Pharmaceutical Education
Journal Volume:: 81
Keyword:: jobs-to-be-done, Male, Female, Delivery of Health Care, Pharmacists, Communication, Self Concept, competencies, Problem Solving, communication, adaptability, Thinking, Clinical Competence, Imagination, Pharmaceutical Services, Cooperative Behavior, Leadership, Entrepreneurship, Health Care Sector, collaboration, and Humans
Language Label:: English
ORCID:
Person:: Scott, Mollie Ashe, Roth, Mary T., Rodgers, Philip T., Pinelli, Nicole R., McLaughlin, Jacqueline E., Zomorodi, Meg, and Bush, Antonio A.
Rights Statement Label:: In Copyright
Source:: sb397d77b

« Previous
Next »
1
2
3
4
5
6
7
8
9