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Geriatrics, interprofessional practice, and interorganizational collaboration: A knowledge-to-practice intervention for primary care teams

机译:老年病学,专业间实践和组织间合作:基层医疗团队的知识实践干预

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Introduction: Caring for frail seniors requires health professionals with skills and knowledge in 3 core competencies: geriatrics, interprofessional practice, and interorganizational collaboration. Despite a growing population of frail seniors in all developed countries, significant gaps exist in preparation of health professionals in these skills. To help close these gaps, a knowledge-to-practice (KTP) process was undertaken to increase the capacity of newly created family health teams and longer standing Community Health Centers in the Province of Ontario, Canada. Methods: Each team identified a staff member to become its facilitator in the 3 core skill sets. Guided by a KTP framework, a set of training modules were created, compiled into a digital toolkit for transfer into practice, translated in a multimethods workshop, and implemented using a variety of strategies to optimize practice change. Results: Staff from 82% of the targeted primary care teams learned to use the toolkit in a train-the-facilitator process that was highly valued, and prompted a range of changes in personal and team practice. A digital toolkit for primary care teams remains an enduring and often used resource. Discussion: Closing the knowledge gap in the core competencies for frailty focused care is complex. A KTP framework helped guide a staged multimethod process that produced both individual and team practice change and on online toolkit that has a continuing influence.
机译:简介:照顾年老体弱的老年人需要具有3种核心能力的技能和知识的卫生专业人员:老年医学,专业间实践和组织间合作。尽管在所有发达国家中,衰弱的老年人口的数量都在增加,但是在保健专业人员对这些技能的准备方面仍然存在巨大差距。为了帮助弥合这些差距,已开展了一项知识实践(KTP)流程,以提高加拿大安大略省新成立的家庭保健团队和历史悠久的社区保健中心的能力。方法:每个团队在3种核心技能中都确定了一名工作人员来担任其促进者。在KTP框架的指导下,创建了一组培训模块,将其编译为数字工具包以转化为实践,在多方法研讨会中进行翻译,并使用各种策略来实施以优化实践变更。结果:82%的目标基层医疗团队的员工学会了在高度重视的培训促进者过程中使用该工具包,并促使个人和团队实践发生了一系列变化。用于初级保健团队的数字工具包仍然是持久且经常使用的资源。讨论:弥合以弱点为重点的护理的核心能力中的知识鸿沟是复杂的。 KTP框架帮助指导了分阶段的多方法过程,该过程导致了个人和团队实践的改变以及在线工具包上的持续影响。

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