Building virtual communities of practice for health

Struminger, Bruce; Arora, Sanjeev; Zalud-Cerrato, Sarah; Lowrance, David; Ellerbrock, Tedd V.

doi:10.1016/s0140-6736(17)31666-5

Cited by 62 publications

(58 citation statements)

References 11 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since its inception in 2003, Project ECHO has been employed to increase the knowledge, confidence, and selfefficacy of PCPs in managing and comanaging subspecialty conditions globally across several medical conditions. 17 The Epilepsy ECHO replicated these successes, with participants reporting improvement in knowledge, skills, and confidence in caring for CYE. Other telementoring programs using the ECHO framework usually provide a case-based learning environment for participants and provide CME credits to F I G U R E 3 ECHO participant statistical process charts.…”

Section: Discussionmentioning

confidence: 87%

Integrating quality improvement into the ECHO model to improve care for children and youth with epilepsy

Joshi

Gali

Radecki³

et al. 2020

Epilepsia

View full text Add to dashboard Cite

ementoring program, utilizes lectures, case-based learning, and an "all teach-all learn" approach to increase primary care provider (PCP) knowledge/confidence in managing chronic health conditions. The American Academy of Pediatrics (AAP) Epilepsy and Comorbidities ECHO incorporated quality improvement (QI) methodology to create meaningful practice change, while increasing PCP knowledge/selfefficacy in epilepsy management using the ECHO model. Methods: Monthly ECHO sessions (May 2018 to December 2018) included lectures, case presentations/discussion, and QI review. Pediatric practices were recruited through the AAP. Practices engaged in ECHO sessions and improvement activities including monthly Plan-Do-Study-Act cycles, team huddles, chart reviews, and QI coaching calls to facilitate practice change. They were provided resource toolkits with documentation templates, safety handouts, and medication side effects sheets. QI measures were selected from the American Academy of Neurology Measurement Set for Epilepsy. The AAP Quality Improvement Data Aggregator was used for data entry, run chart development, and tracking outcomes. Participants completed retrospective surveys to assess changes in knowledge and self-efficacy. Results: Seven practices participated across five states. Average session attendance was 14 health professionals (range = 13-17). A total of 479 chart reviews demonstrated improvement in six of seven measures: health care transition (45.3%, P = .005), safety education (41.6%, P = .036), mental/behavioral health screening (32.2% P = .027), tertiary center referral (26.7%, not significant [n.s.]), antiseizure therapy side effects (23%, n.s.), and documenting seizure frequency (7.1%, n.s.); counseling for women of childbearing age decreased by 7.8%. Significance: This project demonstrated that integrating QI into an ECHO model results in practice change and increases PCP knowledge/confidence/self-efficacy in managing epilepsy. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

show abstract

Section: Discussionmentioning

confidence: 87%

Integrating quality improvement into the ECHO model to improve care for children and youth with epilepsy

Joshi

Gali

Radecki³

et al. 2020

Epilepsia

View full text Add to dashboard Cite

show abstract

“…In Namibia, the Project ECHO model has successfully promoted distance learning through virtual communities of practice, while reducing professional isolation and increasing self-efficacy in healthcare workers. By helping achieve the goal of delivering the right knowledge to the right place at the right time for those who need it most, the Project ECHO model has proven to be a powerful tool for helping achieve successful decentralization of HIV clinical services across Namibia [40].…”

Section: Discussionmentioning

confidence: 99%

Implementation and evaluation of a Project ECHO telementoring program for the Namibian HIV workforce

Bikinesi

O’Bryan

Roscoe³

et al. 2020

Hum Resour Health

Self Cite

View full text Add to dashboard Cite

Background: The Namibian Ministry of Health and Social Services (MoHSS) piloted the first HIV Project ECHO (Extension for Community Health Outcomes) in Africa at 10 clinical sites between 2015 and 2016. Goals of Project ECHO implementation included strengthening clinical capacity, improving professional satisfaction, and reducing isolation while addressing HIV service challenges during decentralization of antiretroviral therapy. Methods: MoHSS conducted a mixed-methods evaluation to assess the pilot. Methods included pre/post program assessments of healthcare worker knowledge, self-efficacy, and professional satisfaction; assessment of continuing professional development (CPD) credit acquisition; and focus group discussions and in-depth interviews. Analysis compared the differences between pre/post scores descriptively. Qualitative transcripts were analyzed to extract themes and representative quotes. Results: Knowledge of clinical HIV improved 17.8% overall (95% confidence interval 12.2-23.5%) and 22.3% (95% confidence interval 13.2-31.5%) for nurses. Professional satisfaction increased 30 percentage points. Most participants experienced reduced professional isolation (66%) and improved CPD credit access (57%). Qualitative findings reinforced quantitative results. Following the pilot, the Namibia MoHSS Project ECHO expanded to over 40 clinical sites by May 2019 serving more than 140 000 people living with HIV. Conclusions: Similar to other Project ECHO evaluation results in the United States of America, Namibia's Project ECHO led to the development of ongoing virtual communities of practice. The evaluation demonstrated the ability of the Namibia HIV Project ECHO to improve healthcare worker knowledge and satisfaction and decrease professional isolation.

show abstract

“…Na área da saúde estudos tem descrito o êxito da utilização dessa modalidade de ensino. O projeto ECHO, presente em 23 países nos seis continentes, trabalha com assuntos como saúde materno-infantil, saúde pública, epidemiologia, cuidados paliativos, entre outros, produzido por profissionais qualificados de forma a atingir as parcelas da população que possuem acesso restrito à informação quebrando a barreira da distância física (Struminger, Arora, Zalud-Cerrato, Lowrance, & Ellerbrock, 2017). Outra iniciativa de utilização de MOOC foi desenvolvida no México, trabalhando medidas de contenção frente ao surto de cólera junto aos profissionais de saúde, considerando tal metodologia uma estratégia eficiente em casos de emergência epidemiológica (Magaña-Valladares et al, 2018).…”

Section: Introductionunclassified

Avaliação de estudantes de Enfermagem e enfermeiros de um curso online, aberto e massivo (MOOC)

Parulla

Cogo

Pai

2020

RSD

View full text Add to dashboard Cite

Objetivo: O objetivo do estudo foi analisar a avaliação realizada por estudantes de graduação em Enfermagem e de enfermeiros sobre o curso online, aberto e massivo (MOOC) ‘Avaliação de Enfermagem’. Métodos: Pesquisa do tipo exploratória com abordagem quantitativa. O MOOC ‘Avaliação de Enfermagem’ abordou a temática de introdução ao processo de Enfermagem. A população do estudo foi constituída pelos participantes do MOOC que realizaram o curso na primeira edição de outubro de 2016 a janeiro de 2017. Aplicados os critérios de inclusão e exclusão a amostra final foi composta por 118 participantes. A coleta de dados foi composta por dados de caracterização, a percepção de presença por meio do Community of Inquiry Survey e duas questões abertas. Resultados: A modalidade MOOC não era conhecida por 62 (53%) dos participantes e 69 (58,5%) não realizaram esse tipo de curso previamente. O curso atendeu as expectativas de 94,9% dos participantes. Quando comparados os escores médios das três dimensões de percepção de presença, houve diferença significativa (p<0,001), sendo a presença de ensino a dimensão melhor avaliada. As pontuações mais baixas se concentraram na presença social. Conclusão: A presença de ensino apresentou a pontuação média mais alta dentre as três presenças avaliadas, refletindo a qualidade do planejamento e o desenvolvimento de materiais digitais atrativos e de qualidade.

show abstract

Building virtual communities of practice for health

Cited by 62 publications

References 11 publications

Integrating quality improvement into the ECHO model to improve care for children and youth with epilepsy

Integrating quality improvement into the ECHO model to improve care for children and youth with epilepsy

Implementation and evaluation of a Project ECHO telementoring program for the Namibian HIV workforce

Avaliação de estudantes de Enfermagem e enfermeiros de um curso online, aberto e massivo (MOOC)

Contact Info

Product

Resources

About