P.093 Implementation of virtual interdisciplinary bedside rounds on an acute stroke unit

Background: The novel corona virus pandemic presented the Saskatoon Stroke Program with challenges related to patient- and caregiver-centered communication. Keeping all parties informed of a patient’s health status and plan of care in the setting of extreme visitation restrictions was difficult. Virtual interdisciplinary bedside rounds (VIDR) were introduced to enhance communication for stroke patients. Methods: A video conferencing application was adopted by the Saskatchewan Health Authority. Consent to participate was obtained by a social worker. Bedside nurses facilitated patient participation in VIDR on either a tablet or workstation on wheels, while caregivers were able to attend virtually. Each team member accessed the VIDR from an individual device to maintain social distancing. A structured questionnaire has been initiated to capture participant reported experiences and satisfaction with VIDR (data collection ongoing). Results: Most patients and caregivers were amiable to participate in VIDR. Challenges included: accessing appropriate technology for both family and staff members; rural and remote internet reliability; and maintaining a reasonable duration of rounds. There was overwhelming anecdotal positive feedback from participants. Conclusions: We implemented VIDR to enhance communication during the pandemic. Caregivers felt connected to the care team and up-to-date in the plan of care.

Self-documentary in the emergency department: Perspectives on patients recording their own procedures

ABSTRACTObjectivesPatients often bring their smartphones to the emergency department (ED) and want to record their procedures. There was no clear ED recording policy in the Saskatoon Health Region nor is there in the new Saskatchewan Health Authority. With limited literature on the subject, clinicians currently make the decision to allow/deny the request to record independently. The purpose of this study was to examine and compare patient and clinician perspectives concerning patients recording, in general, and recording their own procedures in the ED.MethodsSurveys were developed for patients and clinicians with respect to history and opinions about recording/being recorded. ED physicians and nurses, and patients>17 years old who entered the ED with a laceration requiring stitches were recruited to participate; 110 patients and 156 staff responded.ResultsThere was a significant difference between the proportion of patients (61.7% [66/107]) and clinicians (28.1% [41/146]) who believed that patients should be allowed to video record their procedure. There was also a significant difference between clinicians and patients with regard to audio recording, but not “selfies” (pictures). However, with no current policy, 47.8% (66/138) of clinicians said that they would allow videos if asked, with caveats about staff and patient privacy, prior consent, and procedure/patient care.ConclusionContrary to patients’ views, clinicians were not in favour of allowing audio or video recordings in the ED. Concerns around consent, staff and patient privacy, and legal issues warrant the development of a detailed policy if the decision is made in favour of recording.

Using Two-Eyed Seeing to Explore Interagency Collaboration

Background Health-care environments influence service delivery; approaches need to be more wholistic and culturally competent requiring effective interagency collaboration to bridge traditional Indigenous and mainstream health services. Despite considerable research on collaboration, the concept remains misunderstood, at worst, and formative, at best. Within the nexus of these two diverse health services, there is limited information on how collaborations could be created and sustained effectively. Purpose To explore the perspectives/experiences of collaboration of select Saskatchewan health professionals practicing across these diverse services to understand the concept from their perspectives. Methods This qualitative study explored collaboration through observation and interviews to elicit perspectives (two-eyed seeing) of health professionals working within the context of a traditional–mainstream health services partnership. Results Individual- and system-level factors and accountabilities are needed for successful cross-cultural collaboration and can be enabled by embedding the virtues of Indigenous and values of mainstream health services along with building and maintaining relationships, valuing difference, creating supportive environments and wholistic approaches, having the right people at the table, and making a change for impactful outcomes. Conclusion Findings support the need for implementing contextually relevant collaborative practice models for productive, wholistic health services. Two-eyed seeing provides the ability to capture and catalyze the tremendous value and strengths of both worlds, potentiating complementary aspects to meet the needs of clients and communities.

From Partnership to Program: the Evolution of SHIRP

Created to license a subset of the University of Saskatchewan Library’s electronic resources for access by health care practitioners in the province, the Saskatchewan Health Information Resources Program (SHIRP) has undergone substantive organizational and administrative changes in its first decade of existence. Although its mandate remains the same, the transition of SHIRP from a partnership to a program and its subsequent integration into the University Library’s operations, has streamlined processes, increased the visibility and understanding of SHIRP across the province, and enhanced SHIRP’s ability to provide electronic resources and library services to practitioners working alongside Saskatchewan health sciences students.

“We want it now and we want it easy”: Usability testing of an online health library for healthcare practitioners

Introduction – The purpose of this study was to undertake website usability testing of the Saskatchewan Health Information Resources Partnership (SHIRP) online library website,. a digital library for healthcare providers working in the province of Saskatchewan, to determine whether the SHIRP website is intuitive for healthcare practitioners to use. Methods: Thirteen volunteers from four locations in the province participated in a usability test that included a portion devoted to the completion of tasks, as well as a series of semi-structured interview questions. Data were analyzed and themes were identified that were used to redesign the SHIRP website. Results – Nine out of the 13 main menu terms on the SHIRP website were problematic. A relatively low number of participants completed the assigned tasks on the first try. The SHIRP website was determined to be unwieldy and not completely intuitive. Conclusions – Asking front line healthcare providers what they need and want in an online library website should be the first step in creating or redesigning such a site. The time available to healthcare providers for doing library research is often limited, so the site needs to be simple, clean, and fast to use.