Future of Healthcare - Crown Point - Interprofessional Teams

This document discusses shared governance in nursing. It provides background on shared governance, explaining that it is an organizational strategy that allows nurses greater professional autonomy and involvement in decisions that affect their practice. Shared governance aims to create partnerships between nurses and organizations through principles of equity, accountability, and ownership. The document outlines some advantages of shared governance, such as improved patient outcomes, better nurse satisfaction, and increased professional autonomy and accountability. It also notes some potential disadvantages, such as slowing decision-making. The document provides guidance on implementing shared governance through actions like educating staff and including them in council development.

The document discusses the International Classification of Functioning, Disability and Health (ICF) framework and its use in early intervention services. It provides an overview of the ICF components and history of its use in early intervention. Examples are given of how the ICF can be implemented, including developing a checklist, integrating different professional knowledge, focusing on resources, and systematically capturing information. Challenges and lessons learned from 11 years of using the ICF in early intervention are also summarized.

Given the universal concepts and language of the ICF, it is timely for clinicians, educators, researchers and everyone working with youth and adolescents with disabilities and chronic health conditions to incorporate its framework in transition practice and research. The ICF has potential to improve communication and collaboration among health professionals working within multidisciplinary teams to impact adult health outcomes that are meaningful to youth and families. The ICF also encourages a holistic approach to care by focusing on personal and environmental factors beyond health, thus professionals should embrace its theory, framework and applications in practice and research. We present the YouthKIT, a tool that uses concepts of the ICF to address transition needs of adolescents with chronic health conditions.

This document summarizes research on Magnet hospitals and environments that support professional nursing practice. Key points: 1) Early research in the 1980s identified characteristics of "Magnet hospitals" that were able to attract and retain nurses when others could not. These characteristics centered around strong nursing leadership, autonomy, and good relationships between nurses and physicians. 2) Further research developed tools to measure these "Magnet characteristics" and evaluated their relationship to nurse and patient outcomes. However, most studies had limitations like relying on self-reported surveys. 3) The Magnet Recognition Program evaluates healthcare organizations against criteria based on the original Magnet research. Over 200 organizations have received Magnet designation. Research continues to investigate the impact of Magnet and professional

The authors presented a formal theory called GEMS (General Effectiveness Multilevel Shared Governance) to accelerate the practice of nursing shared governance. GEMS defines critical inputs, processes, and outcomes of shared governance at individual, unit, department and organizational levels. It includes a measure of nursing practice council effectiveness and leadership competencies for empowerment. The authors validated measures of empowerment and examined outcomes. They proposed testing propositions that higher ratings of nursing practice council effectiveness using GEMS would lead to better patient outcomes, quality improvement and nurse satisfaction.

This document discusses the ethical, legal and economic foundations of patient education. It defines key ethical principles like autonomy, beneficence and justice. It also outlines the evolution of ethics in healthcare, from charitable immunity to the 1914 Cardozo decision establishing patients' rights to informed consent and self-determination. Government regulations and professional standards aim to protect patients' rights while ensuring quality care. The document also addresses the legal requirements and financial considerations of patient education, highlighting the need for cost-effective programs and the potential for cost savings through improved outcomes.

The document discusses using the International Classification of Functioning, Disability and Health (ICF) framework to guide interprofessional education and practice. It describes how assessing healthcare students' case presentations using the ICF framework: 1) Drove interprofessional practice among students and professionals by facilitating a biopsychosocial approach to patient-centered care. 2) Resulted in improved patient outcomes. 3) Strengthened health systems by fostering appreciation of different professions and commitment to teamwork between education and healthcare services.

This document discusses trends and issues in nursing. It outlines how nursing will shift from hospitals to homes and communities, with a focus on prevention and patient outcomes. Nurses will be primary care providers for diverse services. There will also be challenges relating to ethics, costs, access, and quality of care. Globalization will bring opportunities and challenges as the work environment emphasizes cost-effectiveness and quality. The roles and responsibilities of nurses are changing as health care transitions to more community-based, evidence-based, and interdisciplinary models of care.

This document defines microsystems as small clinical units composed of healthcare professionals and staff who work together to care for a specific patient population. Microsystems have distinct clinical and operational processes, a shared information environment, and aim to improve both patient care and staff experience. The benefits of the microsystem approach include enhanced patient safety, involvement of all staff in improvement efforts, and alignment of frontline work with organizational goals. Key aspects of effective microsystems are strong leadership, interdisciplinary teamwork, staff education, performance measurement, and process improvement focused on patient-centered care.

The University of Kansas Department of Health Information Management is featured in the Journal of the American Health Information Management Association.

This document discusses shared governance in healthcare. Shared governance is a management model that empowers all members of a healthcare organization to have a voice in decision-making through shared leadership and participative decision making. It traces the evolution of shared governance from concepts in ancient Greek philosophy to its adoption in healthcare in the late 1970s. The principles and benefits of shared governance for nurses include increased job satisfaction, nurse retention, and improved patient outcomes. Barriers to implementing shared governance include perceived loss of power by managers and difficulty finding time for staff participation. Successful shared governance requires leadership support, structural changes, and reinforcing new processes of interaction.

The document discusses current trends, issues, and challenges in nursing in India. Some key trends include the reduction in distance due to improved communication technologies, increased computerization of patient care records, an emphasis on quality assurance and continuing nursing education. Issues outlined are the need for renewal of nursing registration, debates around degree vs. diploma qualifications, specialization, and establishing nursing care standards. Challenges discussed relate to nursing education, administration, research, and ensuring an adequate future for the nursing profession in India amidst globalization and technological advancements.