Experiences of Patient-Centered Medical Home Staff Team Members Working in Interprofessional Training Environments
| Autor: | Rebecca Brienza, Maya Dulay, Anna Strewler, Summer Newell, Jennifer K. Manuel, Anais Tuepker, Bridget C. O’Brien |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Medical home
education Pharmacy Shared leadership 01 natural sciences Ambulatory Care Facilities 03 medical and health sciences 0302 clinical medicine Patient-Centered Care Health care Internal Medicine Medicine Interprofessional teamwork Humans 030212 general & internal medicine 0101 mathematics Original Research Patient Care Team Medical education business.industry 010102 general mathematics Interprofessional education Leadership business Delivery of Health Care Patient centered Qualitative research |
| Zdroj: | J Gen Intern Med |
| Popis: | BACKGROUND: Evidence is growing that interprofessional team-based models benefit providers, trainees, and patients, but less is understood about the experiences of staff who work beside trainees learning these models. OBJECTIVE: To understand the experiences of staff in five VA training clinics participating in an interprofessional team-based learning initiative. DESIGN: Individual semi-structured interviews with staff were conducted during site visits, qualitatively coded, and analyzed for themes across sites and participant groups. PARTICIPANTS: Patient-centered medical home (PCMH) staff members (n = 32; RNs, Clinical and Clerical Associates) in non-primary care provider (PCP) roles working on teams with trainees from medicine, nursing, pharmacy, and psychology. APPROACH: Benefits and challenges of working in an interprofessional, academic clinic were coded by the primary author using a hybrid inductive/directed thematic analytic approach, with review and iterative theme development by the interprofessional author team. KEY RESULTS: Efforts to improve interprofessional collaboration among trainees and providers, such as increased shared leadership, have positive spillover effects for PCMH staff members. These staff members perceive themselves playing an educational role for trainees that is not always acknowledged. Playing this role, learning from the “fresh” knowledge imparted by trainees, and contributing to the future of health care all bring satisfaction to staff members. Some constraints exist for full participation in the educational efforts of the clinic. CONCLUSIONS: Increased recognition of and expanded support for PCMH staff members to participate in educational endeavors is essential as interprofessional training clinics grow. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11606-020-06055-y) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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