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Dublin Core
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Title
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May 2021 List
Text
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May 2021 List
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2021.02.014" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2021.02.014</a>
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We're performing improvisational jazz: Interprofessional pediatric palliative care fellowship prepares trainees for team-based collaborative practice
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Journal of Pain and Symptom Management
Date
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2021
Subject
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graduate medical education; pediatric palliative care; Interprofessional education; interprofessional competencies
Creator
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Liaw SN; Sullivan A; Snaman J; Joselow M; Duncan J; Wolfe J
Description
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CONTEXT: Interprofessional education (IPE) prepares clinicians for collaborative practice, yet little is known about the effectiveness of postgraduate IPE. OBJECTIVE(S): This is the first study to describe educational outcomes of an interprofessional fellowship in pediatric palliative care. Objectives were to understand the experiences of postgraduate trainees in an interprofessional, clinical environment and to evaluate program effect on interprofessional competencies. METHOD(S): In this mixed-methodology study, we surveyed former fellows from 2002 to 2018 about their fellowship experience and perceived change in interprofessional skills. We performed qualitative semantic content analysis of fellows' responses about learning in an interprofessional context. We compared fellows' self-rated ability (5-point Likert scale), before and after fellowship, in 10 interprofessional competencies selected from the Interprofessional Education Collaborative's core competencies. RESULT(S): Response rate was 87% (41/47). 51% of respondents were physicians, 29% were social workers, and 20% were nurse practitioners. Respondents reported significant improvement in all 10 competencies, with summed mean scores of 2.8+/-0.6 pre-fellowship ("not very well prepared") and 4.4+/-0.4 post-fellowship ("very well" to "extremely well prepared") (t =15.6, p<.0001). Effect size for each competency was greater than 1.9 (strong positive impact). The fellowship experience was characterized by dynamic educational relationships: peer relationships with interprofessional co-fellows, mentoring relationships with faculty, clinical relationships with patients and families, and collaborative relationships with the healthcare system. Benefits and challenges of IPE were associated with interprofessional roles, teamwork, patient care, and educational needs. CONCLUSION(S): This study demonstrates the feasibility and effectiveness of an interprofessional postgraduate fellowship in preparing clinicians for collaborative practice. Copyright © 2021. Published by Elsevier Inc.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2021.02.014" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2021.02.014</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
Duncan J
graduate medical education
interprofessional competencies
Interprofessional education
Joselow M
Journal of Pain and Symptom Management
Liaw SN
May 2021 List
Pediatric Palliative Care
Snaman J
Sullivan A
Wolfe J
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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November 2022 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
November 2022 List
URL Address
<a href="http://doi.org/10.1016/j.jpeds.2022.09.003" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1016/j.jpeds.2022.09.003</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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A Qualitative Study of Parental Perspectives on Prenatal Counseling at Extreme Prematurity
Publisher
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The Journal of Pediatrics
Date
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2022
Subject
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Antenatal Consultation; Language; Periviability; Shared Decision Making
Creator
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Sullivan A; Arzuaga B; Luff D; Young V; Schnur M; Williams D; Cummings C
Description
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OBJECTIVE: To determine parental preferred language, terminology and approach after prenatal counseling for an anticipated extremely preterm delivery. STUDY DESIGN: Pregnant persons (and their partners) admitted at 22 0/7-25 6/7 weeks' estimated gestation participated in post antenatal-counseling semi-structured interviews to explore preferred language and decision-making approaches of their antenatal counseling session. Interviews were audio-recorded and transcribed, and thematic analysis of the data was performed. RESULTS: Thirty-nine interviews were conducted representing 28 total prenatal consults. Analysis identified two overarching themes impacting the whole counseling experience: the need for reassurance and compassionate communication, while parents traveled along a dynamic decision-making journey they described as fluid and ever-changing. Related themes included: 1) Finding Balance: parents reported the importance of balancing positivity and negativity as well as tailoring the amount of information, 2) The Unspoken: parents described assumptions and inferences surrounding language, resuscitation options and values that can cloud the counseling process, 3) Making the Intangible Tangible: parents reported the importance of varied communication strategies, for example visuals to better anticipate and prepare, and 4) Team Synergism: Parents expressed desire for communication and consistency among and between teams which increased trust. CONCLUSIONS: parents facing extremely premature delivery generally did not report remembering specific terminology used during prenatal consultation, but rather how the language and counseling approach made them feel and affected the decision-making process. These findings have implications for further research and educational intervention design to improve clinicians' counseling practices to better reflect parental preferences and ultimately improve counseling outcomes.
Identifier
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<a href="http://doi.org/10.1016/j.jpeds.2022.09.003" target="_blank" rel="noreferrer noopener">10.1016/j.jpeds.2022.09.003</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Shared Decision Making
2022
antenatal consultation
Arzuaga B
Cummings C
Language
Luff D
November 2022 List
periviability
Schnur M
Sullivan A
The Journal Of Pediatrics
Williams D
Young V