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Results for “Interdisciplinary Communication”

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PubMed2001

[The late referral of diabetic patients with kidney insufficiency to nephrologists has a high human and financial cost: interdisciplinary communication is urgently needed].

The "late referral to nephrologist" (LRN) phenomenon has been described recently, first in Europe and subsequently in every country where dialysis and transplantation are offered without restriction. Definition of LRN is based on an arbitrary date of referral which is three months before the first dialysis session. LRN patients suffer much more morbidities and consequently more hospitalizations, particularly in intensive care units. They have less access to home and self dialysis, to peritoneal dialysis and to renal transplantation than their "on time" referred counterparts. Even if mortality is more important in late referred patients, the additional cost of LRN phenomenon is substantial; it has been evaluated from 16 800 to 30 500 euros for the first year of treatment. Every kind of patients are concerned, including diabetics. Explanation of the LRN phenomenon is complex and needs a multidisciplinary approach.

Costs and Cost Analysis↗
PubMedDate not supplied

[Interdisciplinary communication in neonatology].

An efficient and rational neonatal intensive care should be regionalized. Interdepartmental communication among obstetricians, neonatologists, pediatricians, neurologists should be planned and stirred between the reference centre and the outside hospitals, as well as in the catchment area. In this way only, such important goals as in-utero and neonatal transfer, training of obstetric neonatal teams, regionalized epidemiology and care evaluation can be achieved. In the same way, communication inside the hospital among doctors, nurses and parents is basic to humanize medical care.

Communication↗
PubMed2006

Communication in interdisciplinary team meetings: what are we talking about?

Interdisciplinary teams are central to the care of the older patient in long-term care settings. Critical to the success of caring for these patients is the communication between providers about patient care. This study examines professional communication practices in interdisciplinary team meetings, a common forum for discussing patient care. Two teams at a long-term care facility specializing in patients with Alzheimer's participated in this qualitative exploratory study. All team members participated in semi-structured interviews. In addition, seven team meetings in which 31 patients were discussed were audio and video taped. Team members discussed the importance of team meetings to help coordinate care provided to patients, while also expressing concern about the effectiveness of the meetings to reach this goal. Through detailed discourse analyses of transcripts of the meetings, we identified three different communication practices in team meetings: giving report, writing report, and collaborative discussion. Only the latter practice met the goals indicated by the team members to coordinate and make joint decisions about patient care and allowed for team members to collaboratively solve problems. We discuss one case study to exemplify how the use of these communication practices results in the omission of information central to making decisions regarding patient care.

Aged↗
PubMed2004

Participatory design and infrastructures for coordination and communication in interdisciplinary mobile health teams.

This paper reports on a current project that explores how wireless and mobile technologies, in this case Personal Digital Assistants (PDAs) and Tablet PCs, may be useful in clinical practices. In particular the support and practices for just-in-time coordination and communication among members in highly mobile health teams are focused. Their practice is related to just-in-time access to information for coordination of care and treatment related to, but different from, information traditionally stored in the patients' health records and clinical information systems (CIS). To facilitate discussion and participation among various stakeholders, and between organizational contexts and responsibilities, we developed four video scenarios. The paper describes how these scenarios can be used in an organizational development setting to facilitate analysis and design of tools mindful of the relationships between complex and interwoven infrastructures of communication on one hand and just-in-time aspects of a mobile clinical practice on the other.

Computers, Handheld↗
PubMed1991

[Computerized graphic techniques in the interdisciplinary information communication in geriatrics].

Geriatric research shows that multidimensional assessment (MA) is the best method of approaching the complex functional problems of elderly subjects which are characterized by a close interdependence of clinical, social and mental factors. A correct and standardized communication of the results and the indications deriving from this complex interdisciplinary system is essential to enable the operators, despite their different professional backgrounds, to become involved in ensuring the health and welfare of their patients using integration and coordination criteria which are appropriate to the patient's individual situation. In this context, a computerized MA programme, known as "Senior", has been designed. The programme provides two communication sheets of data with different professional orientations: I) geriatric assessment sheet for doctors and other medical staff; II) graphic geriatric assessment sheet for non-medical operators. In practice, these assessment sheets are a useful backup in providing continuity between in- and out-patient programmes.

Aged↗
PubMed2005

Journey across the disciplines: a foundation for scientific communication in bioastronomy.

As an increasing number of fascinating discoveries within the realm of bioastronomy appear in media headlines, participating scientists continue to pursue ways of insuring the long-term success of the scientific discipline. In an effort to foster cross-disciplinary collaboration, communication, and training for scientists involved in bioastronomy research, a team of scientists and science education professionals have developed a survey to assess (1) the degree to which scientists in bioastronomy define themselves as interdisciplinary scientists, (2) the extent to which scientists identify their needs for professional development opportunities to become more effective interdisciplinary collaborators, and (3) what services and infrastructure the bioastronomy community needs to develop for long-term productive interdisciplinary communication, collaboration, research and training. The results of a survey, distributed at the 2004 Astrobiology Science Conference (held at Moffett Field, CA), serve the bioastronomy science community by providing a sound research baseline that informs decisions and targeted efforts to increase cross-disciplinary communication, gathering information about needed professional development opportunities for scientists, and generating insights for training of the next generation of astrobiologists. Results indicate that members of the community feel that interdisciplinary communication and collaboration can best be supported by (1) increased funding opportunities, (2) scheduled time for collaboration at professional meetings, (3) reduction of concurrent sessions at professional meetings, and (4) creation of professional development opportunities for scientists.

Astronomical Phenomena↗
PubMed2005

[Evaluation of gastroenterology procedures by general practitioners in the Czech Republic--contribution to interdisciplinary cooperation].

BACKGROUND: The understanding of different management strategies in primary and secondary care is important for cooperation between specialists and general practitioners in clinical practice. The Institut of General Practice at First Faculty of Medicine carried out a survey for gastroenterologists concerning their opinions on general practitioners and their current knowledge, competence and management of GI disorders as a contribution to interdisciplinary communication. METHODS AND RESULTS: Questionnaires were sent to 552 gastroenterologists in the country. There was a response rate of 31% without any reminder, 170 questionnaires were included in a study. The most of gastroenterologists (92%) support practical guidelines development. There is an insufficient confidence that these guidelines are implemented in practice. Four from five gastroenterologists consider knowledge of their colleagues GPs in gastroenterology as average. In particular cases (irritable bowel syndrome, step up and step down approach) are specialists rather sceptic. There is a low support for the increase of GP competence in gastroenterology, as for urea breath test availibility, particularly in private gastroenterologists (p=0,04). CONCLUSIONS: Results of the survey could facilitate the interdisciplinary communication in gastroenterology, contribute to CME programs development and may serve as an example for other specialities.

Adult↗
PubMed2003

Multidisciplinary communication in the Irish public health nursing service: a study.

Public health nurses (PHNs) in the Republic of Ireland work as part of a multidisciplinary team in the delivery of community care services. Good interdisciplinary communication is therefore vital to enable them to offer the best possible care to their clients. This article reports on one section of a national survey of PHNs who work with families with infants. The findings suggest that although in general, PHNs reported good working relationships with other professionals - particularly with speech therapists, area medical officers and community welfare officers - the same could not be said for hearing and eye specialists. Feedback also varied according to professional groups, with less than one third of PHNs reporting they always received feedback from GPs, eye specialists or social workers. A significant statistical correlation was found between reported working relationships and the frequency that feedback was received. These findings have implications for communication and teamworking in primary care in the Republic of Ireland and elsewhere.

Community Health Nursing↗
PubMed2005

Voices from the floor: Nurses' perceptions of the medical emergency team.

Nurses are the main group of clinicians who activate the medical emergency team (MET), placing them in an excellent position to provide valuable insights regarding the effectiveness of this system. This descriptive study aimed to explore nurses' satisfaction with the MET, perceived benefits and suggestions for improvement. The study also sought to examine the characteristics of nurses who were more likely to activate the MET. Using a survey design, descriptive statistics as well as content analysis were used to analyse the data. Seventy-three nurses (79% response rate) returned their completed surveys. A positive and significant relationship was found between years of nursing experience and MET activation (p = 0.018). Overall, nurses were satisfied with the MET, with suggestions for improvement including more education on medical emergencies for both ward and MET staff. Whilst the MET system is meeting the expectations of the majority of ward nurses, there is room for improvement, which includes a more positive attitude of the MET when summoned for 'borderline' cases. Investment in ongoing education of clinicians and interdisciplinary communication is likely to encourage less experienced nurses to utilise this system, whilst decreasing the reticence of some nurses to call the MET.

Attitude of Health Personnel↗
PubMedDate not supplied

[Interdisciplinary relationships and humanization in intensive care units].

OBJECTIVE: To analyze those aspects of the relationship between the health care team of an ICU that may be decisive in the construction of humanized care. METHOD DESIGN: phenomenology: descriptive and exploratory. ANALYSIS and observation unit: Polyvalent 23-bed adult ICU. DATA COLLECTION: nine extensive interviews. POPULATION: healthcare professionals in interaction in the ICU that is being studied. ANALYSIS: assigning of data to emergent categories. Contrasting with existing theories. RESULTS: Identification of guideline values circumspect to the humanistic paradigm. The value of professional role is accepted as emergency factor of certain attitudes. All the professional groups detect lack of independence situations, which are not always attributable to hierarchical reasons. Systematic interdisciplinary communication is evaluated positively. Humanization requires time, resources, and intergroup relationships and explicit commitment by the institution. CONCLUSIONS: Relief of great suffering situations is the main reason for interdisciplinary disagreement. Construction of a tolerant setting and institutional recognition as factors favoring humanized care. Lack of time and resources as obstacles to the humanization of care.

Allied Health Personnel↗
PubMedDate not supplied

Factors influencing ethical decision making in the home setting.

The process of ethical decision making does not differ according to the patient care setting. However, various factors in home care affect the way in which decisions are made. The factors to consider are the amount of time needed to make a decision, the involvement of the patient and family, the need for support systems, the difficulties with interdisciplinary communication, and the lack of an ethics committee. Recognizing the ways in which these variables affect the decision making can help home healthcare nurses resolve the ethical dilemmas they face. In addition, staff education programs, the use of consultants, and the development of ethics committees are possible strategies to facilitate ethical decision making.

Aged↗
PubMed2004

[Interdisciplinarity in reconstructive surgery of the extremities].

From the perspective of trauma and orthopedic surgery interdisciplinary reconstructive surgery of the extremities encompasses different indications ranging from IIIB/Copen fractures with major segmental loss of bone and soft tissue, to arterial vessel in-jury necessitating vascular repair and to biological, plastic reconstructions following resections of musculoskeletal tumors. The interdisciplinary treatment concept including trauma-orthopedic surgery combined with vascular, plastic and neuro- as well as microsurgery has significantly decreased amputation rates and functional deficits thereby improving quality of life and long-term oncological outcome The multisdisciplinary management of both complex trauma and malignant bone/ soft tissue sarcoma of the extremity is an integral task of the surgical trauma or tumor center. Close interdisciplinary communication and expierence are the precondition for performance of a priority-adapted therapeutic strategy, low complication rates and improvement of overall prognosis.

Extremities↗