Interprofessional team-based geriatric education and training: A review of interventions in Canada

Flores‐Sandoval, Cecilia; Sibbald, Shannon L.; Ryan, Bridget L.; Orange, J. B.

doi:10.1080/02701960.2020.1805320

Cited by 10 publications

(6 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, our findings also have important implications for interprofessional education in healthcare in general and particularly in the elderly context and in the area of oral health (Kossioni et al, 2018). Since geriatric healthcare teams add significant value to the healthcare system (Flores-Sandoval et al, 2021), opportunities to improve healthcare providers’ geriatric knowledge and ability to work in teams should be encouraged.…”

Section: Discussionmentioning

confidence: 99%

The Informal Champion’s Role in Promoting the Care of Inter-Professional Teams

Sheffer-Hilel

Drach‐Zahavy

Endevelt

2022

Small Group Research

View full text Add to dashboard Cite

This study aimed to examine how allied healthcare professionals as informal leaders can lead reforms to improve patient care on an interprofessional team. With 284 interprofessional team members working in 59 geriatric facilities, our findings demonstrated that informal leaders exhibiting more championship behaviors gained higher innovation success scores. In addition, the champion’s professional tenure and institutional size were both negatively associated with innovation success. We discuss important implications for this understudied issue in interprofessional team research: how a low-status informal leader can direct reform aimed at improving patient care within a healthcare organization.

show abstract

Section: Discussionmentioning

confidence: 99%

The Informal Champion’s Role in Promoting the Care of Inter-Professional Teams

Sheffer-Hilel

Drach‐Zahavy

Endevelt

2022

Small Group Research

View full text Add to dashboard Cite

show abstract

“…Exposure to older adults living with HIV can help to increase knowledge about HIV in older adults [15]. Additionally, further interprofessional education could help to increase trust and understanding of the unique role that individual practitioners can play in supporting collaborative models of care [58, 59]. A specific focus of future research should be on the role of attitudes and skills of various providers caring for older adults living with HIV, as well as the factors influencing uptake and sustainability of efforts to overcome behavioural change.…”

Section: Discussionmentioning

confidence: 99%

Exploring implementation considerations for geriatric‐HIV clinics: A secondary analysis from a scoping review on HIV models of geriatric care

Kokorelias,

Grosse,

Zhabokritsky

et al. 2023

HIV Medicine

View full text Add to dashboard Cite

ObjectivesThis review aimed to map the current state of knowledge regarding the implementation considerations of existing geriatric‐HIV models of care, to identify areas of further research and to inform the implementation of future geriatric‐HIV interventions that support older adults living with HIV.MethodsWe conducted a scoping review that was methodologically informed by the Arskey and O’Malley's 5 step framework and theoretically informed by the Consolidated Framework for Implementation Research (CFIR). A systematic search of six databases was conducted for peer‐reviewed literature. The grey literature was also searched. Article screening was performed in duplicate. Data was extracted for the purpose of this secondary analysis using a data extraction template informed by the CFIR. Data was inductively and deductively analyzed.ResultsIn total, 11 articles met the inclusion criteria. The models of care described varied in terms of their location and setting, the number and type of care providers involved, the mechanism of patient referral, the type of assessments and interventions performed and the methods of longitudinal patient follow‐up. Four key categories emerged to describe factors that influenced their implementation: care provider buy‐in, patient engagement, mechanisms of communication and collaboration, and available resources.ConclusionsThe findings from this scoping review provide an initial understanding of the key factors to consider when implementing geriatric‐HIV models of care. We recommend health system planners consider mechanisms of communication and collaboration, opportunities for care provider buy‐in, patient engagement and available resources. Future research should explore implementation in more diverse settings to understand the nuances that influence implementation and care delivery.

show abstract

“…Given that geriatrics is a relatively new specialty, some countries do not incorporate geriatrics into their medical school curriculum, which may account for this finding [63]. Our findings may reflect the concerted efforts undertaken in Canada [54] to identify core-training competencies for medical students and encourage the implementation of training opportunities in medical schools to support the better provision of geriatric care [55,[64][65][66][67]. This study highlights not only the importance of dedicated training to build residents' confidence in essential geriatric skills, but suggests that exposing trainees to formal geriatrics training early in their residencies may help them to more quickly master these skills.…”

Section: Discussionmentioning

confidence: 99%

Identifying the areas of low self-reported confidence of internal medicine residents in geriatrics: a descriptive study of findings from a structured geriatrics skills assessment survey

et al. 2022

View full text Add to dashboard Cite

Background Currently, no standardized methods exist to assess the geriatric skills and training needs of internal medicine trainees to enable them to become confident in caring for older patients. This study aimed to describe the self-reported confidence and training requirements in core geriatric skills amongst internal medicine residents in Toronto, Ontario using a standardized assessment tool. Methods This study used a novel self-rating instrument, known as the Geriatric Skills Assessment Tool (GSAT), among incoming and current internal medicine residents at the University of Toronto, to describe self-reported confidence in performing, teaching and interest in further training with regard to 15 core geriatric skills previously identified by the American Board of Internal Medicine. Results 190 (75.1%) out of 253 eligible incoming (Year 0) and current internal medicine residents (Years 1–3) completed the GSAT. Year 1–3 internal medicine residents who had completed a geriatric rotation reported being significantly more confident in performing 13/15 (P < 0.001 to P = 0.04) and in teaching 9/15 GSAT skills (P < 0.001 to P = 0.04). Overall, the residents surveyed identified their highest confidence in administering the Mini-Mental Status Examination and lowest confidence in assessing fall risk using a gait and balance tool, and in evaluating and managing chronic pain. Conclusion A structured needs assessment like the GSAT can be valuable in identifying the geriatric training needs of internal medicine trainees based on their reported levels of self-confidence. Residents in internal medicine could further benefit from completing a mandatory geriatric rotation early in their training, since this may improve their overall confidence in providing care for the mostly older patients they will work with during their residency and beyond.

show abstract

Interprofessional team-based geriatric education and training: A review of interventions in Canada

Cited by 10 publications

References 58 publications

The Informal Champion’s Role in Promoting the Care of Inter-Professional Teams

The Informal Champion’s Role in Promoting the Care of Inter-Professional Teams

Exploring implementation considerations for geriatric‐HIV clinics: A secondary analysis from a scoping review on HIV models of geriatric care

Identifying the areas of low self-reported confidence of internal medicine residents in geriatrics: a descriptive study of findings from a structured geriatrics skills assessment survey

Contact Info

Product

Resources

About