scholarly journals Appraisal of the entrustable professional activities interprofessional team member domain performed by North Dakota pharmacists

2021 ◽  
Vol 19 (1) ◽  
pp. 2179
Author(s):  
David M. Scott ◽  
Michael P. Kelsch ◽  
Anqing Zhang ◽  
Daniel L. Friesner

Objective: To quantify the use of the interprofessional team member (ITM) domain of entrustable professional activities (EPAs) by North Dakota pharmacists across practice sites, roles in practice, and by preceptor status. Methods: Survey methods were used to characterize the self-reported frequency with which pharmacists undertake core EPAs and supporting tasks in the ITM domain. The survey was administered to registered pharmacists practicing in North Dakota (n=990) during the fall of 2018, of which 457 (46.1%) responded. After eliminating responses with incomplete or missing information, 119 responses were available for analysis. Results: For the overall EPA ITM domain, “Collaborate as a member of an interprofessional team population” pharmacists reported performing these activities an average (mean) of 3.3 times per month (SD=2.3). Within this domain, the highest reported example activity was “Use setting appropriate communication skills when interacting with others” (mean=4.1, SD 1.8), followed by “Communicate a patient’s medication-related problem(s) to another health professional” (mean=3.3, SD 2.0), and “Contribute medication-related expertise to the team’s work” (mean=3.1, SD=2.2). ITM domain and supporting example activities were performed at a greater rate in hospitals, community health centers and long-term-care facilities. For most items, preceptors reported a greater use of activities, than did non-preceptors. Conclusions: North Dakota pharmacists currently complete tasks outlined in the ITM domain of the EPAs, although their contributions are varied by task, role, and preceptor status.

SAGE Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 215824401988512 ◽  
Author(s):  
Stephanie A. Chamberlain ◽  
Wendy Duggleby ◽  
Janet Fast ◽  
Pamela B. Teaster ◽  
Carole A. Estabrooks

The objective of this study was to assess the prevalence of residents who are incapacitated and have no surrogate decision maker, known as the “unbefriended” in Alberta long-term care (LTC) homes. Using cross-sectional online survey methods, data were collected from 123 staff (i.e., directors of care/nursing, administrators) from Alberta LTC homes. Information was collected on survey respondents’ demographic characteristics, number of unbefriended residents, and on organizational characteristics. The overall prevalence of unbefriended residents in LTC homes was 4.14% in Alberta ( SD = 6.28%, range: 0%-34.6%). Homes with the highest prevalence (nearly 15%) of unbefriended residents had >135 beds and were public not-for-profit and located in large urban centers. Fifty-three percent of unbefriended residents were male. The highest prevalence of unbefriended residents lived in homes located in large urban centers and public not-for-profit operators. Population level and LTC home level prevalence data are needed to assess the scope of unmet needs.


Healthcare ◽  
2018 ◽  
Vol 6 (2) ◽  
pp. 59 ◽  
Author(s):  
Veronique Boscart ◽  
Meaghan Davey ◽  
Jenny Ploeg ◽  
George Heckman ◽  
Sherry Dupuis ◽  
...  

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 59-59
Author(s):  
Rajean Moone

Abstract The COVID-19 pandemic disproportionately impacted residents, families, and staff of nursing homes and senior care communities. Even with federally mandated emergency planning, the pandemic highlighted the lack of preparation to meet the daily challenges faced in senior care. In response, the federal CARES Act including funding for a nationwide network of nursing home cohorts led by academic health centers to disseminate clinical guidance in infection control and pandemic mitigation strategies. We present a case study of a successful diffusion model as implemented in Minnesota with seven cohorts comprised of 242 nursing homes and 544 employees. Experts in geriatric care, long term care regulatory management, and public health led ninety-minute sessions held over the span of sixteen weeks. The session format included foundational evidence-based practices in pandemic management (including infection control, social isolation, leadership, and other topics), individual case studies, peer to peer knowledge diffusion, and expert guidance.


2020 ◽  
Vol 9 (2) ◽  
pp. 840-847
Author(s):  
Iin Ernawati ◽  
Selly Septi Fandinata ◽  
Silfiana Nisa Permatasari

Hypertension is a chronic disease that requires long-term treatment, where it is very prone to non-adherence in taking antihypertensive drugs. This study aims to determine the effect of the number of drugs received by patients on the level of adherence to the consumption of antihypertensive drugs. This research is a cross-sectional observational study that was conducted in 4 community health centers in Surabaya City. The measurement of adherence in this study used the Indonesian version of the MGLS questionnaire. The number of subjects in this study was 143 which fit the inclusion criteria. The majority of the adherence levels of the study subjects were moderate (MGLS questionnaire). Based on statistical analysis, it is known that there is a significant effect (P = 0.035) of the number of drugs received by patients on the level of drug consumption adherence e as measured using the Indonesian version of the MGLS questionnaire.


2016 ◽  
Vol 81 (3) ◽  
pp. 533-549 ◽  
Author(s):  
Sara L. Gonzalez

As federally and non-federally recognized tribal communities assert control over the management of tribal heritage, there is a significant opportunity to work with these nations to further refine and develop approaches to archaeological practice that work for the long-term care and protection of tribal heritage. This article evaluates the methodological implications of integrating indigenous values and cultural protocols into archaeological practice and tribal historic preservation. Drawing upon the example of the Kashaya Pomo Interpretive Trail Project at Fort Ross State Historic Park, I examine how respectful, engaged, community-based dialogue with the Kashia Band of Pomo Indians led to the development of a lowimpact archaeological methodology that contributes to the capacity of the Kashia Tribal Historic Preservation Office (THPO) to employ archaeology as a tool of historic preservation. Although this methodology was developed with specific reference to the needs and cultural protocols of the Kashaya Pomo, it provides a salient model of a sovereignty-based approach to tribal historic preservation that may be relevant to other tribal heritage managers. The application of a suite of low-impact survey methods, including the catch-and-release surface collection strategy, also provides tribal and nontribal heritage professionals with additional tools for recovering data from cultural resources with minimal impact.


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