The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Dale C Strasser - One of the best experts on this subject based on the ideXlab platform.
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stroke inpatient Rehabilitation Team conferences leadership and structure improve patient outcomes
Journal of Stroke & Cerebrovascular Diseases, 2020Co-Authors: David S Kushner, Dale C StrasserAbstract:Consensus on how Rehabilitation Teamwork and services are optimally coordinated continues to be a work in progress. One area of recent research has been inpatient-Rehabilitation Team conferences in stroke. The prevalence of Americans living with stroke is expected to gradually increase as the U.S. population ages, as will the related direct and indirect costs. Effective interdisciplinary Team conferences during acute-stroke inpatient-Rehabilitation are key to managing long-term costs while improving functional outcomes. Effective Team conferences help to identify patients at risk for medical complications and institutionalization and help to determine interventions that will focus on patients' medical, physical, cognitive, emotional, and social barriers to recovery and barriers to a community/home disposition. This scoping review paper identifies and analyzes literature on theory and structure of effective Teams with the focus on stroke interdisciplinary Rehabilitation Team conferences and offers suggestions for improvement. Potential flaws of commonly used Team conference formats are described. Studies are outlined showing associations between stroke patient outcomes and better care coordination and leadership in medical Teamwork; and 2 examples of successful interdisciplinary Team conference models used in stroke inpatient-Rehabilitation are provided that support a case for a proactive, conscious structure to Team conferences. Given the complexity of many stroke patients' clinical care, greater attention to Team functioning, and especially Team conference leadership and structure, may be a promising area of focus to improve the quality of health care services for people with stroke.
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Team functioning and patient outcomes in stroke Rehabilitation
Archives of Physical Medicine and Rehabilitation, 2005Co-Authors: Dale C Strasser, Judith A Falconer, Jeph Herrin, Susan E Bowen, Alan B Stevens, Jay M UomotoAbstract:Abstract Strasser DC, Falconer JA, Herrin JS, Bowen SE, Stevens AB, Uomoto J. Team functioning and patient outcomes in stroke Rehabilitation. Objective To evaluate the relationship between Rehabilitation Team functioning and stroke patient outcomes. Design Prospective observational study. Setting Veterans Administration (VA) inpatient and subacute Rehabilitation units. Participants Forty-six VA Rehabilitation Teams, including 530 Rehabilitation Team members from 6 disciplines (medicine, nursing, social work, physical therapy, occupational therapy, speech language pathology) and 1688 stroke patients treated by the Teams. Interventions Not applicable. Main outcome measures Ten scales assessing Team member perceptions of Team functioning (communication, perceived effectiveness, physician involvement, physician support, Teamness, utility of quality information, innovation, interprofessional relationships, order and organization, task orientation) and 3 primary patient outcome variables—functional improvement, discharge home, and length of Rehabilitation stay (LOS). Results Three of the 10 measures of Team functioning were significantly associated with patient functional improvement ( P P Conclusions Characteristics of Team functioning predict selected Rehabilitation outcomes.
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patient focused Rehabilitation Team cohesiveness in veterans administration hospitals
Archives of Physical Medicine and Rehabilitation, 2003Co-Authors: Stanley J Smits, Dale C Strasser, Judith A Falconer, Jeph Herrin, Susan E BowenAbstract:Abstract Smits SJ, Falconer JA, Herrin J, Bowen SE, Strasser DC. Patient-focused Rehabilitation Team cohesiveness in Veterans Administration hospitals. Arch Phys Med Rehabil 2003;84:1332–8. Objective To quantify the relation of hospital culture, 3 levels of leadership (hospital-level administrators, discipline-specific supervisors, attending physician on the Team), and physician involvement to patient-focused Rehabilitation Team cohesiveness. Design Survey research. Setting 48 Veterans Administration hospitals (VAHs). Participants Six hundred fifty members of 50 Rehabilitation Teams. Interventions Not applicable. Main outcome measures Scales measuring hospital culture, administrative support, supervisor expectations, attending physician support, and physician involvement (independent variables), and patient-focused Rehabilitation Team cohesiveness (dependent variable). Associations between scales were examined by using a hierarchical linear regression model. Results Patient-focused Team Rehabilitation cohesiveness was significantly ( P 2 =1192.66, P R 2 =.6431). There was no statistically significant independent association with hospital culture. Conclusions Expectations of discipline-specific supervisors and hands-on Team leadership and involvement by the attending physician were associated to a significant degree with the extent to which Rehabilitation Teams in VAHs reported functioning in a cohesive manner. Higher functioning on patient-focused Team cohesion indicates that patient services were likely delivered with greater interprofessional communication and joint effort.
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the influence of hospital culture on Rehabilitation Team functioning in va hospitals
Journal of Rehabilitation Research and Development, 2002Co-Authors: Dale C Strasser, Judith A Falconer, Stanley J Smits, Jeph Herrin, Susan E BowenAbstract:A conceptual model of Rehabilitation effectiveness, in which Team functioning is influenced by hospital culture, has been previously suggested by several authors of this study. The current study tested the efficacy of the hospital culture portion of the model using survey data from 523 Rehabilitation Team members and 162 administrators from 50 participating Veterans Administration Hospitals (VAHs). We assessed four types of hospital culture (personal, dynamic, formal, and production-oriented) using an instrument developed originally for a Competing Values Model. Rehabilitation Team members and administrators perceived three of the four hospital cultures differently (p < 0.0001), agreeing only on production-oriented culture. With the use of VAH dominant culture as the independent variable, statistically significant differences were found among all nine measures of Team functioning (dependent variables). The major contrast was between personal versus formal hospital culture types.
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Rehabilitation Team process
Topics in Stroke Rehabilitation, 1997Co-Authors: Dale C Strasser, Judith A FalconerAbstract:Building on a conceptual model of Rehabilitation treatment effectiveness, this article presents a typology of the Team process. Process emerges from the latent structure (relations) and manifest functions (actions) of the inpatient Rehabilitation Team. Team relations form the backbone of process and arise from characteristics of the person and the profession. Team actions reveal the manner in which the Team does its work and is examined with respect to management and leadership activities. In this complex phenomenon of Team process, personal and professional orientations interact with managerial and leadership activities. The successful Team finds and creates a proper mix of these influences for desirable patient outcomes.
Judith A Falconer - One of the best experts on this subject based on the ideXlab platform.
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Team functioning and patient outcomes in stroke Rehabilitation
Archives of Physical Medicine and Rehabilitation, 2005Co-Authors: Dale C Strasser, Judith A Falconer, Jeph Herrin, Susan E Bowen, Alan B Stevens, Jay M UomotoAbstract:Abstract Strasser DC, Falconer JA, Herrin JS, Bowen SE, Stevens AB, Uomoto J. Team functioning and patient outcomes in stroke Rehabilitation. Objective To evaluate the relationship between Rehabilitation Team functioning and stroke patient outcomes. Design Prospective observational study. Setting Veterans Administration (VA) inpatient and subacute Rehabilitation units. Participants Forty-six VA Rehabilitation Teams, including 530 Rehabilitation Team members from 6 disciplines (medicine, nursing, social work, physical therapy, occupational therapy, speech language pathology) and 1688 stroke patients treated by the Teams. Interventions Not applicable. Main outcome measures Ten scales assessing Team member perceptions of Team functioning (communication, perceived effectiveness, physician involvement, physician support, Teamness, utility of quality information, innovation, interprofessional relationships, order and organization, task orientation) and 3 primary patient outcome variables—functional improvement, discharge home, and length of Rehabilitation stay (LOS). Results Three of the 10 measures of Team functioning were significantly associated with patient functional improvement ( P P Conclusions Characteristics of Team functioning predict selected Rehabilitation outcomes.
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patient focused Rehabilitation Team cohesiveness in veterans administration hospitals
Archives of Physical Medicine and Rehabilitation, 2003Co-Authors: Stanley J Smits, Dale C Strasser, Judith A Falconer, Jeph Herrin, Susan E BowenAbstract:Abstract Smits SJ, Falconer JA, Herrin J, Bowen SE, Strasser DC. Patient-focused Rehabilitation Team cohesiveness in Veterans Administration hospitals. Arch Phys Med Rehabil 2003;84:1332–8. Objective To quantify the relation of hospital culture, 3 levels of leadership (hospital-level administrators, discipline-specific supervisors, attending physician on the Team), and physician involvement to patient-focused Rehabilitation Team cohesiveness. Design Survey research. Setting 48 Veterans Administration hospitals (VAHs). Participants Six hundred fifty members of 50 Rehabilitation Teams. Interventions Not applicable. Main outcome measures Scales measuring hospital culture, administrative support, supervisor expectations, attending physician support, and physician involvement (independent variables), and patient-focused Rehabilitation Team cohesiveness (dependent variable). Associations between scales were examined by using a hierarchical linear regression model. Results Patient-focused Team Rehabilitation cohesiveness was significantly ( P 2 =1192.66, P R 2 =.6431). There was no statistically significant independent association with hospital culture. Conclusions Expectations of discipline-specific supervisors and hands-on Team leadership and involvement by the attending physician were associated to a significant degree with the extent to which Rehabilitation Teams in VAHs reported functioning in a cohesive manner. Higher functioning on patient-focused Team cohesion indicates that patient services were likely delivered with greater interprofessional communication and joint effort.
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the influence of hospital culture on Rehabilitation Team functioning in va hospitals
Journal of Rehabilitation Research and Development, 2002Co-Authors: Dale C Strasser, Judith A Falconer, Stanley J Smits, Jeph Herrin, Susan E BowenAbstract:A conceptual model of Rehabilitation effectiveness, in which Team functioning is influenced by hospital culture, has been previously suggested by several authors of this study. The current study tested the efficacy of the hospital culture portion of the model using survey data from 523 Rehabilitation Team members and 162 administrators from 50 participating Veterans Administration Hospitals (VAHs). We assessed four types of hospital culture (personal, dynamic, formal, and production-oriented) using an instrument developed originally for a Competing Values Model. Rehabilitation Team members and administrators perceived three of the four hospital cultures differently (p < 0.0001), agreeing only on production-oriented culture. With the use of VAH dominant culture as the independent variable, statistically significant differences were found among all nine measures of Team functioning (dependent variables). The major contrast was between personal versus formal hospital culture types.
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Rehabilitation Team process
Topics in Stroke Rehabilitation, 1997Co-Authors: Dale C Strasser, Judith A FalconerAbstract:Building on a conceptual model of Rehabilitation treatment effectiveness, this article presents a typology of the Team process. Process emerges from the latent structure (relations) and manifest functions (actions) of the inpatient Rehabilitation Team. Team relations form the backbone of process and arise from characteristics of the person and the profession. Team actions reveal the manner in which the Team does its work and is examined with respect to management and leadership activities. In this complex phenomenon of Team process, personal and professional orientations interact with managerial and leadership activities. The successful Team finds and creates a proper mix of these influences for desirable patient outcomes.
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the Rehabilitation Team staff perceptions of the hospital environment the interdisciplinary Team environment and interprofessional relations
Archives of Physical Medicine and Rehabilitation, 1994Co-Authors: Dale C Strasser, Judith A Falconer, David MartinosaltzmannAbstract:Although inpatient Rehabilitation is an interdisciplinary activity organized around a treatment Team, there is a limited understanding of the workings of the interdisciplinary process. To elucidate staff perceptions of key aspects of the Rehabilitation treatment process, we surveyed staff (n = 113) from selected inpatient Teams. The staff completed social psychological instruments that measure perceptions of the hospital environment (The Ward Atmosphere Scale [WAS]), the Team's environment (the Group Environment Scale [GES]), and interprofessional relations (Interprofessional Perception Scale [IPS]). Rehabilitation staff generally endorse the Team approach, but express concerns over professional boundaries. Interprofessional difficulties seemed to be independent of Team membership or professional training. Compared with published data from other settings, Rehabilitation Teams resembled task-oriented groups, but showed significant differences across Teams in their perceptions of the Team and hospital environments. The task-oriented character of Rehabilitation Teams, Team-specific characteristics, and discord in interprofessional relationships may need to be considered in studies of Rehabilitation Teams effectiveness.
Takehiko Yanagihara - One of the best experts on this subject based on the ideXlab platform.
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patients with severe stroke benefit most by interdisciplinary Rehabilitation Team approach
Cerebrovascular Diseases, 2005Co-Authors: Hajime Yagura, Ichiro Miyai, Tsunehiko Suzuki, Takehiko YanagiharaAbstract:Background: We evaluated the efficacy of a regular interdisciplinary stroke Team approach on Rehabilitation outcome. Methods: We compared a stroke Rehabilitation
Lori L. Grover - One of the best experts on this subject based on the ideXlab platform.
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Strategy for developing an evidence-based transdisciplinary vision Rehabilitation Team approach to treating vision impairment
Optometry - Journal of The American Optometric Association, 2008Co-Authors: Lori L. GroverAbstract:BACKGROUND: Many individuals with vision impairment experience significant loss of the ability to perform daily living activities, which often results in a further decline and loss of quality of life. Appropriate Rehabilitation of the population with vision impairment has the potential to both improve individual abilities for health and personal management as well as maximize utilization of available health care resources. METHODS: The case for an evidence-based model for the vision Rehabilitation health care Team as a medical Rehabilitation program is presented. The recommended strategy has 3 main components: development of a consensus Team clinical practice guideline leading to a future evidence-based Team guideline for vision Rehabilitation; evaluation and measurement of the knowledge, attitudes, and practices of the involved vision Rehabilitation professionals before and after implementation of the new paradigm; and measurement of outcomes that estimate the effects of the proposed paradigm on patient care by measuring both the improvement in visual ability of the patient and the economic impact of the model on optometric practice. CONCLUSIONS: Development of a state-of-the-art evidence-based transdisciplinary Team model guideline will facilitate improvement in the quality of life of individuals with diseases that result in chronic vision impairment.
Susan E Bowen - One of the best experts on this subject based on the ideXlab platform.
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Team functioning and patient outcomes in stroke Rehabilitation
Archives of Physical Medicine and Rehabilitation, 2005Co-Authors: Dale C Strasser, Judith A Falconer, Jeph Herrin, Susan E Bowen, Alan B Stevens, Jay M UomotoAbstract:Abstract Strasser DC, Falconer JA, Herrin JS, Bowen SE, Stevens AB, Uomoto J. Team functioning and patient outcomes in stroke Rehabilitation. Objective To evaluate the relationship between Rehabilitation Team functioning and stroke patient outcomes. Design Prospective observational study. Setting Veterans Administration (VA) inpatient and subacute Rehabilitation units. Participants Forty-six VA Rehabilitation Teams, including 530 Rehabilitation Team members from 6 disciplines (medicine, nursing, social work, physical therapy, occupational therapy, speech language pathology) and 1688 stroke patients treated by the Teams. Interventions Not applicable. Main outcome measures Ten scales assessing Team member perceptions of Team functioning (communication, perceived effectiveness, physician involvement, physician support, Teamness, utility of quality information, innovation, interprofessional relationships, order and organization, task orientation) and 3 primary patient outcome variables—functional improvement, discharge home, and length of Rehabilitation stay (LOS). Results Three of the 10 measures of Team functioning were significantly associated with patient functional improvement ( P P Conclusions Characteristics of Team functioning predict selected Rehabilitation outcomes.
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patient focused Rehabilitation Team cohesiveness in veterans administration hospitals
Archives of Physical Medicine and Rehabilitation, 2003Co-Authors: Stanley J Smits, Dale C Strasser, Judith A Falconer, Jeph Herrin, Susan E BowenAbstract:Abstract Smits SJ, Falconer JA, Herrin J, Bowen SE, Strasser DC. Patient-focused Rehabilitation Team cohesiveness in Veterans Administration hospitals. Arch Phys Med Rehabil 2003;84:1332–8. Objective To quantify the relation of hospital culture, 3 levels of leadership (hospital-level administrators, discipline-specific supervisors, attending physician on the Team), and physician involvement to patient-focused Rehabilitation Team cohesiveness. Design Survey research. Setting 48 Veterans Administration hospitals (VAHs). Participants Six hundred fifty members of 50 Rehabilitation Teams. Interventions Not applicable. Main outcome measures Scales measuring hospital culture, administrative support, supervisor expectations, attending physician support, and physician involvement (independent variables), and patient-focused Rehabilitation Team cohesiveness (dependent variable). Associations between scales were examined by using a hierarchical linear regression model. Results Patient-focused Team Rehabilitation cohesiveness was significantly ( P 2 =1192.66, P R 2 =.6431). There was no statistically significant independent association with hospital culture. Conclusions Expectations of discipline-specific supervisors and hands-on Team leadership and involvement by the attending physician were associated to a significant degree with the extent to which Rehabilitation Teams in VAHs reported functioning in a cohesive manner. Higher functioning on patient-focused Team cohesion indicates that patient services were likely delivered with greater interprofessional communication and joint effort.
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the influence of hospital culture on Rehabilitation Team functioning in va hospitals
Journal of Rehabilitation Research and Development, 2002Co-Authors: Dale C Strasser, Judith A Falconer, Stanley J Smits, Jeph Herrin, Susan E BowenAbstract:A conceptual model of Rehabilitation effectiveness, in which Team functioning is influenced by hospital culture, has been previously suggested by several authors of this study. The current study tested the efficacy of the hospital culture portion of the model using survey data from 523 Rehabilitation Team members and 162 administrators from 50 participating Veterans Administration Hospitals (VAHs). We assessed four types of hospital culture (personal, dynamic, formal, and production-oriented) using an instrument developed originally for a Competing Values Model. Rehabilitation Team members and administrators perceived three of the four hospital cultures differently (p < 0.0001), agreeing only on production-oriented culture. With the use of VAH dominant culture as the independent variable, statistically significant differences were found among all nine measures of Team functioning (dependent variables). The major contrast was between personal versus formal hospital culture types.
