The Experts below are selected from a list of 41112 Experts worldwide ranked by ideXlab platform
Neill K J Adhikari - One of the best experts on this subject based on the ideXlab platform.
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the use of wireless e mail to improve Healthcare Team communication
Journal of the American Medical Informatics Association, 2009Co-Authors: Chris Oconnor, Jan O Friedrich, Damon C Scales, Neill K J AdhikariAbstract:Objective: To assess the impact of using wireless e-mail for clinical communication in an intensive care unit (ICU). Design: The authors implemented push wireless e-mail over a GSM cellular network in a 26-bed ICU during a 6-month study period. Daytime ICU staff (intensivists, nurses, respiratory therapists, pharmacists, clerical staff, and ICU leadership) used handheld devices (BlackBerry, Research in Motion, Waterloo, ON) without dedicated training. The authors recorded e-mail volume and used standard methods to develop a self-administered survey of ICU staff to measure wireless e-mail impact. Measurements: The survey assessed perceived impact of wireless e-mail on communication, Team relationships, staff satisfaction and patient care. Answers were recorded on a 7-point Likert scale; favorable responses were categorized as Likert responses 5, 6, and 7. Results: Staff sent 5.2 (1.9) and received 8.9 (2.1) messages (mean [SD]) per day during 5 months of the 6-month study period; usage decreased after study completion. Most (106/125 [85%]) staff completed the questionnaire. The majority reported that wireless e-mail improved speed (92%) and reliability (92%) of communication, improved coordination of ICU Team members (88%), reduced staff frustration (75%), and resulted in faster (90%) and safer (75%) patient care; Likert responses were significantly different from neutral (p < 0.001 for all). Staff infrequently (18%) reported negative effects on communication. There were no reports of radiofrequency interference with medical devices. Conclusions: Interdisciplinary ICU staff perceived wireless e-mail to improve communication, Team relationships, staff satisfaction, and patient care. Further research should address the impact of wireless e-mail on efficiency and timeliness of staff workflow and clinical outcomes.
Amelia Barwise - One of the best experts on this subject based on the ideXlab platform.
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consequences of suboptimal communication for patients with limited english proficiency in the intensive care unit and suggestions for a way forward a qualitative study of Healthcare Team perceptions
Journal of Critical Care, 2021Co-Authors: Nataly Espinoza R Suarez, Meritxell Urtecho, Christina Nyquist, Carolina Jaramillo, Meiean Yeow, Bjorg Thorsteinsdottir, Michael E Wilson, Amelia BarwiseAbstract:Abstract Purpose To understand the Healthcare Team's perceptions of the negative consequences of suboptimal communication and their recommendations to improve communication with patients and families who have Limited English Proficiency (LEP) in the Intensive Care Unit (ICU). Materials and methods We performed a qualitative study using semi-structured interviews of physicians, nurses, and interpreters from 3 ICUs at Mayo Clinic Rochester, between November 2017 and April 2018. Results We identified 5 consequences of suboptimal communication: 1) Suboptimal assessment and treatment of patient symptoms, 2) Unmet patient and family expectations, 3) Decreased patient autonomy, 4) Unmet end of life wishes and 5) Clinician Distress. Recommendations to improve communication include: 1) Education and training for patients,families, clinicians and interpreters, 4) Greater integration of interpreters into the ICU Team 5) Standardized timeline for goals of care conversations with patients and families with LEP. Conclusions Patients with LEP are at risk of experiencing suboptimal communication with the Healthcare Team in the ICU. There are several educational and quality improvement strategies that ICUs and institutions can take to mitigate these issues.
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end of life decision making for icu patients with limited english proficiency a qualitative study of Healthcare Team insights
Critical Care Medicine, 2019Co-Authors: Amelia Barwise, Nataly Espinoza R Suarez, Christina Nyquist, Carolina Jaramillo, Bjorg Thorsteinsdottir, Ognjen Gajic, Michael E WilsonAbstract:OBJECTIVES Research indicates that the increasing population of over 25 million people in the United States who have limited English proficiency experience differences in decision-making and subsequent care at end of life in the ICU when compared with the general population. The objective of this study was to assess the perceptions of Healthcare Team members about the factors that influence discussions and decision-making about end of life for patients and family members with limited English proficiency in the ICU. DESIGN Qualitative study using semistructured interviews with ICU physicians, nurses, and interpreters. SETTING Three ICUs at Mayo Clinic Rochester. SUBJECTS Sixteen ICU physicians, 12 ICU nurses, and 12 interpreters. INTERVENTION None. MEASUREMENTS AND MAIN RESULTS We conducted 40 semistructured interviews. We identified six key differences in end-of-life decision-making for patients with limited English proficiency compared with patients without limited English proficiency: 1) clinician communication is modified and less frequent; 2) clinician ability to assess patient and family understanding is impaired; 3) relationship building is impaired; 4) patient and family understanding of decision-making concepts (e.g., palliative care) is impaired; 5) treatment limitations are often perceived to be unacceptable due to faith-based and cultural beliefs; and 6) patient and family decision-making styles are different. Facilitators of high-quality decision-making in patients with limited English proficiency included: 1) premeeting between clinician and interpreter; 2) interpretation that communicates empathy and caring; 3) bidirectional communication of cultural perspectives; 4) interpretation that improves messaging including appropriate word choice; and 5) clinician cultural humility. CONCLUSIONS End-of-life decision-making is significantly different for ICU patients with limited English proficiency. Participants identified several barriers and facilitators to high-quality end-of-life decision-making for ICU patients and families with limited English proficiency. Awareness of these factors can facilitate interventions to improve high-quality, compassionate, and culturally sensitive decision-making for patients and families with limited English proficiency.
Wendy S. Zabava Ford - One of the best experts on this subject based on the ideXlab platform.
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Negotiating Status and Identity Tensions in Healthcare Team Interactions: An Exploration of Nurse Role Dialectics
Journal of Applied Communication Research, 2005Co-Authors: Julie Apker, Kathleen M. Propp, Wendy S. Zabava FordAbstract:As central figures in the Healthcare Team, nurses encounter a wide range of role expectations that increasingly require heightened interpersonal communication skills. Role dialectics, a construct integrating role theory and relational dialectics scholarship, is introduced to highlight the complexities of Healthcare Team communication and nurse professionalism. Specifically, researchers examined the role contradictions that emerged in Team communication and the discursive processes by which nurses manage role tensions. Analysis of interview transcripts with 50 Healthcare workers revealed three role dialectics that reflect over-arching issues of hierarchy, status, and professional identity that challenge nurses' communication in the Healthcare Team. Findings also identified the specific communication strategies nurses use to manage the role contradictions created in Team interactions. Pragmatic conclusions are drawn regarding the evolving role of nurses in Healthcare Teams.
Christos K. Nikopoulos - One of the best experts on this subject based on the ideXlab platform.
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The role of the occupational therapist in Jordan: a survey of the members of the Healthcare Team exploring their knowledge about occupational therapy in rehabilitation hospitals
Disability and rehabilitation, 2010Co-Authors: Rawan Alheresh, Christos K. NikopoulosAbstract:Purpose. Occupational therapy (OT) is a developing profession that has only been introduced to Jordanian hospitals 18 years ago. The main objective of this study was to explore the level of knowledge the Healthcare Team members in Jordanian rehabilitation hospitals have about OT. Method. Two hundred and fifty questionnaires were distributed to different members in the Healthcare Team in three major hospitals in Jordan. One hundred fifty-three questionnaires were returned and used for analysis. Results. Collectively, the results revealed a fair knowledge level about OT among the Healthcare Team members in rehabilitation, who stated that the main responsibilities of this profession were rehabilitation for activities of daily living, hand therapy and increasing the quality of life for disabled people. Furthermore, the majority of the respondents agreed that OT is a vital profession that plays an important role in rehabilitation Teams, and expressed their expectations of developing standards and regulations for this profession. Conclusion. Actions should be channelled towards educating members of the Team about OT through university curriculum. It is critical that the Jordanian Ministry of Health establishes specific statements and regulations which clarify the role of the OT within different settings of the Healthcare system.
Linda A. Evans - One of the best experts on this subject based on the ideXlab platform.
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Experiences of Healthcare Team members involved in facial transplant surgery and patient care.
Nursing research, 2013Co-Authors: Linda A. EvansAbstract:Background: Situations that highlight the Healthcare Team member vulnerability, present ethically laden questions, or are innovative in nature may have a long-term personal and professional impact on caregivers and, consequently, directly or indirectly affect patient care. The ethical experiences and perceptions of the Healthcare Team members involved in facial transplantation procedures and patient care have not been explored. Objective: The objective of this study was to explore Healthcare Team member experiences of caring for facial transplantation patients, using an ethical framework. Methods: This study used a qualitative descriptive design to explore the experiences of 26 multidisciplinary Healthcare Team members, including professional, ancillary, and support staff who have participated in facial transplantation procedures and patient care. Individual, private, semistructured interviews were conducted. Results: Two main themes emerged: individual sense of purpose and esprit de corps. Individual sense of purpose describes the meaning of the experience that involvement in facial transplantation had for the participants and comprises three subthemes: “getting it right, “transforming a life,” and “spirituality.” The theme esprit de corps conveys the morale of the Healthcare Team members involved in facial transplantation and was expressed through three subthemes: “leadership,” “Teamwork,” and “environment.” Discussion: Many potential ethical dilemmas were mitigated by an overwhelming sense of moral obligation to help patients with complex cosmetic, functional, and mechanical facial deficits. Participants in this study unanimously believed that the risk–benefit ratio of the procedure and subsequent treatment supported its implementation.
