摘要:

The article describes the evolution of collaborative practice across the continuum of care of nurse members of two psychiatric interdisciplinary treatment teams in an inpatient mental health care unit and a psychiatric partial hospital program. The benefits and difficulties of the process are examined in the context of Bowen's family systems theory and a patient case study. There is evidence that patients on these two units have benefited from the improved communication and coordinated care arising from collaborative practice. The sharing of expertise, insights, and knowledge has led to individual professional and personal growth for members of the treatment teams.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Clinical decision making and, broadly speaking, patient care are increasingly collaborative endeavors dependent on the integration of the profession-specific knowledge, skills, and perspectives of physicians and nurses. Conflicts over the ethical dimensions of clinical decision making often arise from these differing but complementary perspectives. Neither medical nor nursing education adequately prepares future clinicians for these realities of practice. At Georgetown University, students and faculty in medicine and nursing have developed an interdisciplinary curriculum in clinical ethics. The curriculum will bring together medical students and graduate nursing students with the aim of educating and training them to analyze and resolve dilemmas in clinical ethics critically and collaboratively.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

In the last 40 years, allogeneic bone marrow transplantation (BMT) has progressed from the laboratory and animal models to benefit humans with life-threatening illnesses. Therapeutic outcomes have continued to improve, as has long-term survival. The advent of this advanced technology in medicine has produced survivors of serious illness, patients who otherwise would have died years earlier. The challenge for nursing in this rapidly growing field is to provide comprehensive, quality care to a sick population. The article attempts to develop Watson's concept of human care through the role of the nurse practitioner. Allogeneic BMT is explained, and Watson's theory and its application to BMT are explored.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The article describes a study that addressed perceptions of unilateral and egalitarian role functions for nurses, physicians, and consumers in a long-term, 345-bed psychiatric facility in the western United States. Findings indicated that physicians desired to retain authority for health care decisions and that nurses, social workers, and hospital administrators preferred collaborative practice. Support for shared responsibility increased among psychiatric technicians with years of experience. Experience did not alter the attitudes of physicians, occupational therapists, and recreational therapists for physician dominance. With experience, nurses increased their belief in nurse responsibility. Despite evidence for collaborative decision making, results of this study indicate that attitudes of health care providers may prevent this tenet from being actualized.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The perceptions of physicians and nurses vary in a number of respects, including the extent to which collaboration and joint decision making are valued, the definition of what constitutes adequate and appropriate interprofessional communication, the quality of nurse-physician interactions, and the understanding of respective areas of responsibility as well as patient goals. Reasons for these differences have been attributed to gender, historical origins of the two professions, and disparities between physicians and nurses with regard to socioeconomic status, education, and socialization. Failure of physicians and nurses to interact in a coordinated and positive fashion results in unhealthy work environments and poor patient outcomes. Both professions must examine their will to improve interprofessional interactions.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Multidisciplinary teams of nurses, physicians, and other professionals may have difficulty communicating because of inconsistent theoretical underpinnings. A theoretical base that spans both clinical outcomes and professional boundaries is needed. The web of causation is a theoretical framework that provides a platform of communication connecting issues related to infant mortality among various health-related professions. It includes professional, community, and institutional issues relevant to pregnant women and new mothers as infant caregivers. The article discusses how the web was used for interdisciplinary health care professional interaction and how it was used to develop a series of research protocols that will affect the care of mothers and infants in the District of Columbia.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Collaboration, when viewed as a nonhierarchic endeavor based on a sharing of power and authority, may not be an ideal model for interdisciplinary research. A cooperative venture in which participants willingly join in planning, making decisions about, and implementing a project supervised by a principal investigator is historically the successful structure for interdisciplinary research. A holistic model of mutually respectful cooperation in a hierarchic team is a more realistic goal for interdisciplinary research efforts.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

It is estimated that 3 million persons in the United States have congestive heart failure. This diagnosis accounts for more than 5% of total health expenditures. A method to decrease the costs of health care was initiated through the partners-in-care model of collaborative practice. A research study exploring the use of nurse case managers in collaboration with cardiologists and primary care physicians is being conducted with persons older than 65 years. This care encompasses both inpatient and outpatient care. The intervention comprises nurse visits in the hospital and in the home as well as telephone support for 6 months after the index hospitalization. The outcomes of quality of life, functional status, mortality, morbidity, and costs are being examined. Collaborative health care partnerships may be an effective strategy to decrease health care costs and improve quality of life and functional status of older persons with congestive heart failure.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

To meet the health needs of communities today, health professionals need to be trained in working with persons from various cultural backgrounds, practicing disease prevention and health promotion in community-based settings, and working in teams with other professionals. The article focuses on interdisciplinary teaming for education and practice. In this model, medical and nursing students partner with communities to plan and deliver health promotion education programs and activities. Four service learning projects providing collaborative teaming opportunities as part of the Health Professions Schools in Service to the Nation Program are described. Interdisciplinary service learning has benefits for the community, students, and faculty and will prepare nurses and physicians to have a positive impact on care through future interdisciplinary collaboration in community-based settings.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Managed care has dramatically transformed mental health care. The solo physician practice, once the dominant mode of delivery of care, has almost disappeared. Multidisciplinary, collaborative practices have emerged as flexible, cost-effective alternatives. The article describes a holistic, collaborative model of mental health care. A holistic model includes the professionals, administrative staff, patients, and families in the treatment plan and maximizes collaboration. Cooperation and trust among all the individuals involved are essential to ensure a comprehensive plan to restore health.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID