interdisciplinary teamwork. · 2018. 10. 17. · educational powerpoint ! follow-up survey ....
TRANSCRIPT
Interdisciplinary Teamwork.
Interdisciplinary Teamwork: Educational tools can improve understanding
of members’ roles between interdisciplinary team members.
Sarah Joyner, BS Dietetics
Introduction
� Interdisciplinary (ITD) teams have been shown to shorten length of stays within the hospital setting, which in turn can increase recovery time and success of recovery. 1
� Approximately one third of patients may become malnourished during the hospital stay for a variety of reasons. 2
� The prevention of malnutrition is made most efficient when not only a dietitian is looking for the signs and symptoms of malnutrition but the nursing team, physicians and other caretakers within the hospital are looking as well.
Introduction (cont)
� Educational interventions have the potential to provide the tools needed for professionals to increase patient involvement as well as the confidence in the decisions practitioners make.3
� Continuing professional development (CPD) for teams is a requirement in many healthcare settings.
� CPD can help to foster the development of teamwork among not just one discipline but within many disciplines for the improvement of care.
Introduction (cont)
� A model provided in a study conducted in three ICU centers with 98 caregivers of many disciplines, revealed positive results when using multidisciplinary training in conjunction with a pre and posttest 4
� Providing an interdisciplinary education allowed for a positive increase in knowledge and confidence when taking the posttest following the education session
Methods
� Evaluation Method � Implementation (pre-test) � Intervention (powerpoint)
� Evaluation (post-test)
� Steps for study � Initial survey � Educational Powerpoint
� Follow-Up survey
Results
� Initial Survey: 16 Respondents
� Follow-Up Survey: 10 respondents � Follow-Up survey asked if participants had completed both
initial survey and educational PowerPoint � 6 respondents
Results (cont)
Initial
� 5 of 6 respondents believed they understood the role of the RD in the interdisciplinary team (improvement)
� 4 respondents believe the RD is important or extremely important when a patient is on enteral or parenteral nutrition (No change)
Follow-Up
� 6 of 6 respondents indicating they understood the role of the RD in the interdisciplinary team (improvement)
� 4 respondents believe the RD is important or extremely important when a patient is on enteral or parenteral nutrition (No change)
Results (cont)
Results (cont) Initial Survey
Follow-Up Survey
Discussion
� The findings supported the proposed outcome � educational intervention can improve opinions of the role
of the Registered Dietitian within the interdisciplinary care team.
� The follow-up survey showed that the education improved knowledge � contact the Registered Dietitian assigned to the ICU � number of respondents that feel they understand the role
of the Registered Dietitian within the ITD team
Conclusion
� Further Research � Include more units � Include other ITD team members (physicians, residents,
SLP) � Study behavior before and after an educational
intervention, not just opinions.
References
1. Yoo J W, Kim S, Seol H, et al. Effects of an internal medicine floor interdisciplinary team on hospital and clinical outcomes of seniors with acute medical illness. Geriatrics and Gerontology International. 2013; 13: 942-948. DOI: 10.1111/ggi.12035.
2. Tappenden K, Quatrara B, Parkhurst M, Malone A, Ganjiang G, Ziegler T. Critical Role of Nutrition in Improving Quality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition. Journal of Parenteral and Enteral Nutrition. 2013; 37: 482. DOI: 10.1177/0148607113484066.
3. Lown, B A, Kryworuchko J, Bieber C, et al. Continuing professional development for interprofessional teams supporting patients in healthcare decision making. Journal of Interprofessional Care. 2011;25(6): 401-408. DOI: 10.3109/13561820.2011.584563.
4. Shaw D, Davidson J, Smilde R, Sondoozi T, Agan D. Multidisciplinary Team Training to Enhance Family Communication in the ICU. Critical Care Medicine. 2014; 42(1). DOI: 10.1097/CCM.0b013e3182a26ea5
Questions?