Financial Incentives: Only One Piece of the Workplace Wellness Puzzle; Comment on “Corporate Wellness Programs: Implementation Challenges in the Modern American Workplace”

In this commentary, we argue that financial incentives are only one of many key components that employers should consider when designing and implementing a workplace wellness program. Strategies such as social encouragement and providing token rewards may also be effective in improving awareness and engagement. Should employers choose to utilize financial incentives, they should tailor them to the goals for the program as well as the targeted behaviors and health outcomes

Interprofessional simulated learning: short-term associations between simulation and interprofessional collaboration

<p>Abstract</p> <p>Background</p> <p>Health professions education programs use simulation for teaching and maintaining clinical procedural skills. Simulated learning activities are also becoming useful methods of instruction for interprofessional education. The simulation environment for interprofessional training allows participants to explore collaborative ways of improving communicative aspects of clinical care. Simulation has shown communication improvement within and between health care professions, but the impacts of teamwork simulation on perceptions of others' interprofessional practices and one's own attitudes toward teamwork are largely unknown.</p> <p>Methods</p> <p>A single-arm intervention study tested the association between simulated team practice and measures of interprofessional collaboration, nurse-physician relationships, and attitudes toward health care teams. Participants were 154 post-licensure nurses, allied health professionals, and physicians. Self- and proxy-report survey measurements were taken before simulation training and two and six weeks after.</p> <p>Results</p> <p>Multilevel modeling revealed little change over the study period. Variation in interprofessional collaboration and attitudes was largely attributable to between-person characteristics. A constructed categorical variable indexing 'leadership capacity' found that participants with highest and lowest values were more likely to endorse shared team leadership over physician centrality.</p> <p>Conclusion</p> <p>Results from this study indicate that focusing interprofessional simulation education on shared leadership may provide the most leverage to improve interprofessional care.</p

Health professionals' and patients' perceptions of patient-centered care : a comparison

Rationale, aims and objectives: This study aimed to compare health professionals’ and patients’ perceptions of patient-centered care (PCC) practice. Methods: PCC was operationalized into three components: (i) holistic, (ii) collaborative and (iii) responsive care. In a cross-sectional design, a sample of 401 health professionals and 500 patients in acute care settings in Ontario, Canada completed a valid and reliable measure of PCC. Results: The results showed that patients had lower ratings of PCC than health professionals, indicating that patients viewed their care as holistic, collaborative and responsive to a low-moderate extent; this contrasted with a more positive view by health professionals, suggesting a high level of PCC enactment (all p’s 0.05; effect sizes range: 0.38 to 0.88). Discussion and Conclusion: Although methodological, clinical and contextual factors have been suggested, additional research is needed to further explore the mechanisms underlying these differences. Collaboration among management, professionals and patients would promote a collective development of guidelines to deliver PCC

Financial Incentives: Only One Piece of the Workplace Wellness Puzzle Comment on “Corporate Wellness Programs: Implementation Challenges in the Modern American Workplace”

In this commentary, we argue that financial incentives are only one of many key components that employers should consider when designing and implementing a workplace wellness program. Strategies such as social encouragement and providing token rewards may also be effective in improving awareness and engagement. Should employers choose to utilize financial incentives, they should tailor them to the goals for the program as well as the targeted behaviors and health outcome

Hubble Tarantula Treasury Project. IV. The extinction law

We report on the study of interstellar extinction across the Tarantula nebula (30 Doradus), in the Large Magellanic Cloud, using observations from the Hubble Tarantula Treasury Project in the 0.3 - 1.6 micron range. The considerable and patchy extinction inside the nebula causes about 3500 red clump stars to be scattered along the reddening vector in the colour-magnitude diagrams, thereby allowing an accurate determination of the reddening slope in all bands. The measured slope of the reddening vector is remarkably steeper in all bands than in the the Galactic diffuse interstellar medium. At optical wavelengths, the larger ratio of total-to-selective extinction, namely Rv = 4.5 +/- 0.2, implies the presence of a grey component in the extinction law, due to a larger fraction of large grains. The extra large grains are most likely ices from supernova ejecta and will significantly alter the extinction properties of the region until they sublimate in 50 - 100 Myr. We discuss the implications of this extinction law for the Tarantula nebula and in general for regions of massive star formation in galaxies. Our results suggest that fluxes of strongly star forming regions are likely to be underestimated by a factor of about 2 in the optical.Comment: 15 pages, 10 figures, accepted for publication in MNRAS; Updated references, corrected typos in Table

Nurse practitioner interactions in acute and long-term care : an exploration of the role of knotworking in supporting interprofessional collaboration

BACKGROUND: Interprofessional care ensures high quality healthcare. Effective interprofessional collaboration is required to enable interprofessional care, although within the acute care hospital setting interprofessional collaboration is considered suboptimal. The integration of nurse practitioner roles into the acute and long-term care settings is influencing enhanced care. What remains unknown is how the nurse practitioner role enacts interprofessional collaboration or enables interprofessional care to promote high quality care. The study aim was to understand how nurse practitioners employed in acute and long-term care settings enable interprofessional collaboration and care. METHOD: Nurse practitioner interactions with other healthcare professionals were observed throughout the work day. These interactions were explored within the context of "knotworking" to create an understanding of their social practices and processes supporting interprofessional collaboration. Healthcare professionals who worked with nurse practitioners were invited to share their perceptions of valued role attributes and impacts. RESULTS: Twenty-four nurse practitioners employed at six hospitals participated. 384 hours of observation provided 1,284 observed interactions for analysis. Two types of observed interactions are comparable to knotworking. Rapid interactions resemble the traditional knotworking described in earlier studies, while brief interactions are a new form of knotworking with enhanced qualities that more consistently result in interprofessional care. Nurse practitioners were the most common initiators of brief interactions. CONCLUSIONS: Brief interactions reveal new qualities of knotworking with more consistent interprofessional care results. A general process used by nurse practitioners, where they practice a combination of both traditional (rapid) knotworking and brief knotworking to enable interprofessional care within acute and long-term care settings, is revealed

Organic RFID Tags

status: publishe

An interprofessional day of hi-fi simulation of Family and Domestic Violence with midwifery students and social work students

An interprofessional simulated learning day with standardized patients (hired actors) was held for student midwives and student social workers in a simulated hospital ward in response to a situation involving Family and Domestic Violence (FDV). Two scenes were pre-written and an unplanned scene was also improvised. Initial evaluation of the session was conducted by questionnaire, with capacity for quantitative responses using a five point Likert Scale and qualitative replies to questions via textbox. A focus group with the six midwifery students offered an opportunity to provide feedback the following week. Overall findings suggest that students found the simulation a realistic, valuable and safe experience. Student midwives felt less prepared than the social work students and some were confronted by the realism when faced with a scene of FDV; all valued the interprofessional experience and found it useful to discover the role of their professional counterparts in responding to FDV