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Biomedical subjects

M Hammick

Publications and source records attributed to M Hammick.

7 recordsLinked to original sources

Interprofessional education: effects on professional practice and health care outcomes.

BACKGROUND: As patient care becomes more complex, effective collaboration between health and social care professionals is required. However, evidence suggests that these professionals do not collaborate well together. Interprofessional education (IPE) offers a possible way forward in this area. OBJECTIVES: To assess the usefulness of IPE interventions compared to education in which the same professions were learning separately from one another. SEARCH STRATEGY: We searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE (1968 to 1998) and Cinahl (1982 to 1998). We also hand searched the Journal of Interprofessional Care (1992 to 1998), the Centre for the Advancement of Interprofessional Education Bulletin (1987 to 1998), conference proceedings, the 'grey literature' held by relevant organisations, and reference lists of articles. SELECTION CRITERIA: Randomised trials, controlled before and after studies and interrupted time series studies of IPE interventions designed to improve collaborative practice between health/social care practitioners and/or the health/well being of patients/clients. The participants included chiropodists/podiatrists, complementary therapists, dentists, dietitians, doctors/physicians, hygienists, psychologists, psychotherapists, midwives, nurses, pharmacists, physiotherapists, occupational therapists, radiographers, speech therapists and/or social workers. The outcomes included objectively measured or self reported (validated instrument) patient/client outcomes and reliable (objective or validated subjective) health care process measures. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed the eligibility of potentially relevant studies. MAIN RESULTS: The total yield from the search strategy was 1042, of which 89 were retained for further consideration. However none of these studies met the inclusion criteria. REVIEWER'S CONCLUSIONS: Despite finding a large body of literature on the evaluation of IPE, these studies lacked the methodological rigour needed to begin to convincingly understand the impact of IPE on professional practice and/or health care outcomes.

Attitude of Health Personnel↗

Collaboration and partnerships: developing the evidence base.

Despite the growing literature that collaboration is a 'good' thing, there are calls emphasising the need for evidence of its effectiveness. However, the nature of the evidence to assess effectiveness is less clear. This paper examines the components that contribute to the challenges that confront evidence on collaboration. It considers the differing interpretations that have been placed on evaluation and explores how ways of determining the outcomes of collaboration and the levels of outcome measurement to assess collaborative effectiveness are influenced by the multifactorial nature of the concept. Evidence on the impact of collaboration is influenced by the diversity of perspectives and conceptual facets, and difficulty in measurement of the notions involved. Other factors discussed are the choice of macro or micro evaluation, of proximal or distal indicators, of short and long-term effects, or of individual-level or collective community-level outcomes. The suitability of randomised controlled trials for the measurement of collaborative outcomes as well as the requirement of mixed methods evaluations are highlighted. An evaluation of five community partnerships in South Africa is employed as an example to link the evaluation concepts that are discussed to a real enquiry. If collaboration is to be successful in making a difference in the lives of people, then increasing the precision and context of appraising its effectiveness will reduce the nature of inconclusive evidence and is likely to improve the practice of partnerships, coalitions and joint working in health and social care.

Community Health Services↗

Knowledge and perception regarding radiotherapy and radiation in patients receiving radiotherapy: a qualitative study.

This study aimed to acquire information about the knowledge patients have about radiation and radiotherapy, and the sources and impact of this knowledge. Data collection was by semi-structured interviews with 30 randomly selected adult patients conducted during the first half of a course of radiotherapy. Data analysis used three major themes: language, understanding and sources of knowledge. Few interviewees had any idea of the physical characteristics of radiation treatment, or they found it difficult to explain. Knowledge about radiation use, other than for medical purposes, most commonly concerned the atom bomb. Patients understood radiotherapy in terms of its action on cancer. Almost all offered a sensible description of why radiotherapy was being used to treat their cancer. Most talked about radiation attacking their cancer in some way and many worried about its damaging effect. A third gave detailed information about what they had become aware of through the written press, or radio or television. The message taken from press reports was largely negative.

Adult↗

A research and journal club: a medium for teaching, professional development and networking.

The establishment of a monthly Radiography Research and Journal Club has helped to meet the educational and professional development needs of students and qualified staff in a changing teaching and learning environment. The introduction of degree education presented opportunities for new, student centred learning styles within the pre-registration therapeutic radiography course offered by The Royal Marsden NHS Trust and Kingston University. At the same time the need to provide a forum for academic and clinical staff to learn about the research process in general and current work in radiography and oncology in particular was recognized. A varied, and practitioner-led, programme for the Club and a flexible approach ensures maximum participation. The review of a journal article about telephone counselling for cancer patients and the ensuing discussion is given as an example of the value of one such meeting. The topic raised issues related to current practice and the research methods used provoked a number of questions. As the result of the discussion two of the participants are involved in a research project on a related issue.

Health Occupations↗