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Weedon, Jennifer Louise. "Multidisciplinary team members' experiences of team formulation : a thematic analysis." Thesis, University of Leicester, 2017. http://hdl.handle.net/2381/39887.
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Part 1: Literature Review - It is well-known that burnout is high in Community Mental Health Nurses. This has been associated with the workplace environment and tasks. Despite this, Community Mental Health Nurses are often based within multidisciplinary teams. In order to provide support for fellow team members, as well as offer an ‘alternative’ perspective, Clinical Psychologists have been offering ‘team formulation’. This is of particular interest within the clinical field of ‘psychosis’ where there continues to be uncertainty about using a diagnostic or formulation-based approach; it remains a highly contested area. Part 2: Research Report - The review of the literature aimed to examine quantitative studies and determine correlates and predictors of stress and burnout within Community Mental Health Nurses. Nine papers met the inclusion criteria, all of them cross-sectional studies. A narrative synthesis of the findings is presented using a framework of ‘individual’ and ‘situational’ factors. There was strong evidence to suggest that situational factors are highly associated with stress and burnout, however factors intrinsic to the individual were not routinely reported. Whilst burnout is operationalised within research by the use of a well-known measure, the relationship to other phenomena, such as stress and distress, is ill-defined. Part 3: Critical Appraisal - The research aim was to explore the experiences of multidisciplinary team members who have attended Team Formulation sessions within Early Intervention services. A thematic analysis was undertaken on the eleven interviews and three main themes were generated: team formulation offers a different perspective; the difference is valuable; and connection within the collective. These findings are considered within the evidence base for psychological formulation, as well as reflective practice and self-care. A reflective account of the research process is contained within the critical appraisal.
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Housley, William. "Theory's work in text and talk within multidisciplinary social work practice." Thesis, Bangor University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263595.
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Gibbon, Wayne William. "Imaging in inflammatory arthritis : a multidisciplinary team approach /." [St. Lucia, Qld.], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18870.pdf.
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Atwal, Anita. "The battlefield : discharge planning and multidisciplinary team work." Thesis, Middlesex University, 1999. http://eprints.mdx.ac.uk/6428/.
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Discharge planning is remarkable in that despite government legislation and research which stretches back over twenty years it remains problematic. Furthermore it is an activity which requires collaboration between health and social care agencies. Indeed many researchers have highlighted problems associated with collaboration and joint working, which remain problematic. The aim of this thesis is to explore whether teamwork and discharge planning are compatible concepts and whether the team process influences the outcome of discharge decision making. The research design encompasses a case study approach which focuses on three individual cases within medicine, orthopaedics and elder care. It was necessary to combine both qualitative and quantitative techniques which included structured observation (Bales Interaction Analysis), in-depth interviews (critical incident approach) and a national discharge survey. The data from the research found that the social aspects of the discharge process are often ignored or neglected and that assessments are rarely coordinated. There was considerable cynicism surrounding multidisciplinary team work and that lack of time was reported to be the biggest barrier which effected interprofessional working. Non decision making frequently occurs in teams as professionals are reluctant to voice their opinions as its members choose not to participate. This is referred to as the 'multidisciplinary orchestration game.' Research is of little value if it does not make an impact on clinical practice or on health and social care policy thus the data from the research study was used to formulate a new model of practice in orthopaedics with fractured neck of femurs using a Delphi survey (postal questionnaire method) and action research. Despite the implementation of the interprofessional discharge model, professionals are failing to place the needs of the patient first the 'multidisciplinary orchestration game' continued. Thus discharge planning will remain problematic unless many of the problems identified in the study are resolved.
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Shah, Sujay Mansukhlal. "An evaluation of Colorectal Cancer multidisciplinary team meetings." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/55171.
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The management of Colorectal Cancer has evolved, and in many parts of the world is provided by multidisciplinary teams (MDTs). In the UK all patients with colorectal cancer have their management discussed at MDTs. This thesis presents a series of mixed method studies aimed at developing and utilising methods to evaluate and assess the functioning of Colorectal Cancer MDTs. The introduction presents an overview Colorectal Cancer and the role of MDTs. Chapter 2 presents a systematic review and meta-analysis of studies on Colorectal Cancer MDTs. Chapter 3 explores the views of core members of Colorectal Cancer MDTs on potential assessment tools. Chapter 4 concludes this section with an analysis of the costs involved with these teams. In Chapter 5 I describe the development and validation of an observational tool for evaluation of Colorectal Cancer MDTs, followed by an evaluation of the relationships between decision making within the team and the various aspects of the tool described in Chapter 6. Chapter 7 presents the feasibility of reliably using this tool for video based assessments of Colorectal Cancer MDTs. I conclude this thesis with a general discussion – focussing on relevant findings, clinical implications of my work and directions for future research.
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Stone, Emily Clare Ackary. "Clinical Data Science in Lung Cancer Multidisciplinary Team Care." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/23716.
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Lung cancer remains a major cause of cancer morbidity and mortality around the world. It is the most common cause of cancer in men worldwide, there were nearly 2.1 million new cases globally in 2018 according to GLOBOCAN data and in Australia, lung cancer is the commonest cause of cancer death in both men and women. The practice of lung cancer care within multidisciplinary teams (MDTs) has become progressively more common around the world and in many countries is regarded as best practice and standard of care. As MDTs have evolved, the methods of data collection and reporting have also changed, evolving from informal settings with minimal data collection to highly organised prospective recording of clinical information, regular audit and data integration as for example in the National Lung Cancer Audit in the United Kingdom. The work presented in this thesis aims to explore the use of clinical data by lung cancer multidisciplinary teams, to identify gaps in routine data organisation and use by clinicians and to develop datasets and feedback strategies that can lead to better clinical outcomes. Chapter 1 explores the background to multidisciplinary team care, outlines the methodology and provides the context for this body of work. Chapter 2 reviews the current literature on data use by multidisciplinary lung cancer teams across a range of settings (established teams, comprehensive cancer centres, emerging MDT services) and in different countries (Australia, UK, USA in particular). Chapter 3 explores the use of local MDT and cancer registry data to compare a range of clinical outcomes between lung cancer patients managed with and without MDT input. Chapter 4 develops optimal datasets (AMDAT datasets, Australian MDT Data) for lung cancer MDT collection, resulting from a modified Delphi consensus process involving MDT clinicians across Australia. Chapter 5 presents the results of a pilot data feedback study, based on the AMDAT datasets, to 3 separate lung cancer MDTs. Chapter 6 is a discussion chapter linking the results from Chapters 2 to 5, which summarizes the findings of the thesis, relates them to current understanding of lung cancer MDT use of data and develops concepts for future research into the best use of clinical data to optimize lung cancer MDT outcomes.
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Aghanasiri, Maliheh. "User Experience Designer+ Multidisciplinary Team: Guideline to an Efficient Collaboration." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1490352781463361.
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Gallach, Gallach Marta. "Avaluació del treball en equip multidisciplinari en el tractament de pacientes amb hepatitis crònica per virus C." Doctoral thesis, Universitat Autònoma de Barcelona, 2021. http://hdl.handle.net/10803/671116.
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La hepatitis C és una de les principals causes de malaltia hepàtica crònica al món. La lesió hepàtica pot anar des de mínims canvis histològics a cirrosi i les seves complicacions i hepatocarcinoma. Actualment, la incidència i prevalença de la malaltia hepàtica pel virus de la hepatitis C (VHC) va disminuint donada la eficàcia dels nous agents antivirals d’acció directa (AAD).
Fins l’any 2015, l’hepatitis crònica per VHC es tractava amb interferó pegilat i ribavirina. S’associava a una elevada taxa d’efectes adversos i una disminució de la qualitat de vida, per la qual cosa estava contraindicat en molts pacients. Precisava de molts controls, pel que, el seguiment dins d’un equip multidisciplinari podia millorar els efectes indesitjables, i és per això que es va fer el primer estudi de la tesi. No obstant, a partir del 2015 es van poder utilitzar els AAD, els quals tenen molt pocs efectes secundaris. Els estudis pivotals suggerien que eren segurs per a pacients amb patologia psiquiàtrica, no obstant, els seus efectes sobre l’ansietat i la depressió no s’havien analitzat específicament pel que vam voler analitzar aquests efectes en la pràctica clínica.
Objectiu del primer estudi: si implementar un equip multidisciplinari millorava els resultats del tractament de la hepatitis crònica per VHC. Objectiu segon estudi: analitzar l’ansietat i la depressió en pacients amb hepatitis crònica per VHC tractats amb AAD.
Primer estudi: es van analitzar els pacients tractats amb interferó pegilat més ribavirina entre l’agost de 2001 i el desembre de 2011. Es van comparar pacients tractats abans i després de l’equip multidisciplinari el 2007. Es van comparar les característiques demogràfiques i clíniques i els resultats de laboratori entre un grup control i un grup d’intervenció amb maneig per un equip multidisciplinari. Per avaluar l’efecte de l’equip multidisciplinari, es va utilitzar un model de regressió logística multivariant. Segon estudi: es van incloure tots els pacients que van iniciar tractament amb AAD entre l’1 de novembre del 2014 i el 31 d’octubre del 2015. Van omplir el qüestionari HADS en diferents moments durant el tractament i a l’assolir la RVS. Els resultats es van avaluar mitjançant un model de regressió lineal amb mesures repetides.
Primer estudi: es van incloure 514 pacients (228 (44,4%) al grup control- sense intervenció de l’equip multidisciplinari-). Els factors pronòstics de RVS van ser l’edat, el genotip, el tractament previ, l’AST, la ferritina i els triglicèrids. Després d’ajustar per factors pronòstics, la RVS va ser més alta a la cohort d’intervenció (amb l’equip multidisciplinari) respecte del grup control (58% vs. 48%, p = 0,038). La taxa d’abandonament va ser del 2,2% en el grup d’intervenció vs. 4,9% en el grup control p = 0,107 malgrat haver-hi major comorbilitat psiquiàtrica al grup d’intervenció. Segon estudi: es van incloure 145 pacients tractats amb AAD (11% d’ells amb trastorns psiquiàtrics severs; 32% amb tractament psiquiàtric). La RVS va ser del 97,3%. Les puntuacions en ansietat i depressió no van diferir durant el tractament ni el seguiment posterior. A l’analitzar els diferents subgrups (fibrosi significativa o cirrosi, trastorn psiquiàtric major, associació de ribavirina) no es van trobar tampoc diferències significatives.
El maneig amb equip multidisciplinari dels pacient amb hepatitis crònica per VHC millora la RVS i disminueix la taxa d’abandonament del tractament amb interferó pegilat i ribavirina. El tractament amb AAD no tenen cap impacte en l’ansietat o la depressió durant o després del tractament, fins i tot en pacients d’alt risc amb trastorns psiquiàtrics severs.La hepatitis C es una de las principales causas de enfermedad hepática crónica en el mundo. La lesión hepática puede ir desde mínimos cambios histológicos a cirrosis y sus complicaciones y hepatocarcinoma. Actualmente, la incidencia y prevalencia de la hepatitis C va disminuyendo dada la eficacia de los nuevos agentes antivirales de acción directa (AAD). Hasta el año 2015, la hepatitis crónica por virus C (VHC) se trataba con interferón pegilado y ribavirina. Se asociaba a una elevada tasa de efectos adversos y una disminución de la calidad de vida, por lo que estaba contraindicado en muchos pacientes. Precisaba de muchos controles, por lo que, el seguimiento dentro de un equipo multidisciplinar podía mejorar los efectos indeseables, y es por eso que se hizo el primer estudio de la tesis. Sin embargo, a partir de 2015 se pudieron utilizar los AAD, que tienen muy pocos efectos secundarios. Los estudios pivotales sugerían que eran seguros para pacientes con patología psiquiátrica, sin embargo, sus efectos sobre la ansiedad y la depresión no se habían analizado específicamente por lo que quisimos analizar estos efectos en la práctica clínica. El objetivo del primer estudio fue determinar si implementar un equipo multidisciplinar mejoraba los resultados del tratamiento de la hepatitis crónica por VHC. En el segundo estudio el objetivo principal fue analizar la ansiedad y la depresión en pacientes con hepatitis crónica por VHC tratados con AAD durante el período de tratamiento y hasta la obtención de la respuesta viral sostenida (RVS). En el primer estudio se analizaron los pacientes tratados con interferón pegilado más ribavirina entre agosto de 2001 y diciembre de 2011. Se compararon pacientes tratados antes y después del equipo multidisciplinar en 2007. Se compararon las características demográficas y clínicas y los resultados de laboratorio entre un grupo control y un grupo de intervención con manejo por un equipo multidisciplinar. Para evaluar el efecto del equipo multidisciplinar, se utilizó un modelo de regresión logística multivariante. En el segundo estudio se incluyeron todos los pacientes que iniciaron tratamiento con AAD entre el 1 de noviembre de 2014 y el 31 de octubre de 2015. Rellenaron el cuestionario HADS en diferentes momentos durante el tratamiento y al alcanzar la RVS. Los resultados se evaluaron mediante un modelo de regresión lineal con medidas repetidas. En el primer estudio se incluyeron 514 pacientes (228 (44,4%) al grupo control- sin intervención del equipo multidisciplinar-). Los factores pronósticos de RVS fueron la edad, el genotipo, el tratamiento previo, la AST, la ferritina y los triglicéridos. Después de ajustar por factores pronósticos, la RVS fue más alta en la cohorte de intervención (con el equipo multidisciplinar) respecto del grupo control (58% vs. 48%, p = 0,038). La tasa de abandono fue del 2,2% en el grupo de intervención vs. 4,9% en el grupo control p = 0,107 pesar haber mayor comorbilidad psiquiátrica al grupo de intervención. En el segundo estudio se incluyeron 145 pacientes tratados con AAD (11% de ellos con trastornos psiquiátricos severos; 32% con tratamiento psiquiátrico). La RVS fue del 97,3%. Las puntuaciones en ansiedad y depresión no difirieron durante el tratamiento ni el seguimiento posterior. Al analizar los diferentes subgrupos (fibrosis significativa o cirrosis, trastorno psiquiátrico mayor, asociación de ribavirina) no se encontraron tampoco diferencias significativas. El manejo con equipo multidisciplinar de los pacientes con hepatitis crónica por VHC mejora la RVS y disminuye la tasa de abandono del tratamiento con interferón pegilado y ribavirina. El tratamiento con AAD no tienen ningún impacto en la ansiedad o la depresión durante o después del tratamiento, incluso en pacientes de alto riesgo con trastornos psiquiátricos severos.
Hepatitis C is one of the leading causes of chronic liver disease in the world. Liver injury can range from minimal histological changes to cirrhosis and its complications and hepatocellular carcinoma. Currently, the incidence and prevalence of liver disease due to the hepatitis C virus (HCV) is declining due to the efficacy of the new direct-acting antiviral agents (DAA). Until 2015, chronic HCV hepatitis was treated with pegylated interferon and ribavirin. It was associated with a high rate of adverse effects and a decreased quality of life, so it was contraindicated in many patients. It required a lot of controls, so monitoring within a multidisciplinary team could improve the undesirable effects, which is why the first study of the thesis was done. However, from 2015 onwards, DAA could be used, which have very few side effects. Pivotal studies suggested that they were safe for patients with psychiatric pathology, however, their effects on anxiety and depression had not been specifically analyzed so we wanted to analyze these effects in clinical practice. The aim of the first study was to determine whether implementing a multidisciplinary team improved the outcomes of the treatment of chronic HCV hepatitis. In the second study, the main objective was to analyze anxiety and depression in patients with chronic HCV hepatitis treated with DAA during the treatment period and until a sustained viral response (SVR) was obtained. The first study analyzed patients treated with pegylated interferon plus ribavirin between August 2001 and December 2011. Patients treated before and after the multidisciplinary team in 2007 were compared. Demographic and clinical characteristics and laboratory outcomes were compared between a control group and an intervention group managed by a multidisciplinary team. A multivariate logistic regression model was used to evaluate the effect of the multidisciplinary team. The second study included all patients who began treatment with DAA between November 1, 2014 and October 31, 2015. They filled out the HADS questionnaire at different times during treatment and upon reaching the SVR. The results were evaluated using a linear regression model with repeated measurements. The first study included 514 patients (228 (44.4%) in the control group -without the intervention of the multidisciplinary team-). Prognostic factors for SVR were age, genotype, pretreatment, AST, ferritin, and triglycerides. After adjusting for prognostic factors, SVR was higher in the intervention cohort (with the multidisciplinary team) than in the control group (58% vs. 48%, p = 0.038). The dropout rate was 2.2% in the intervention group vs. 4.9% in the control group p = 0.107 despite greater psychiatric comorbidity in the intervention group. The second study included 145 patients treated with DAA (11% of them with severe psychiatric disorders; 32% with psychiatric treatment). The SVR was 97.3%. Anxiety and depression scores did not differ during treatment or follow-up. No significant differences were found in the analysis of the different subgroups (significant fibrosis or cirrhosis, major psychiatric disorder, ribavirin association). Multidisciplinary team management of patients with chronic HCV hepatitis improves SVR and decreases the rate of discontinuation of treatment with pegylated interferon and ribavirin. DAA treatment has no impact on anxiety or depression during or after treatment, even in high-risk patients with severe psychiatric disorders.
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Shore, Danielle. "Collaboration among professionals in the educational setting| A multidisciplinary team perspective." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10239905.
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As the push for inclusion continues to grow, professionals are encouraged to collaborate with one another in order to support the students on their caseloads (IDEA, 2004). Despite the need for collaboration, there continue to be barriers that impede the successful use of this service delivery model. This study aimed to investigate the possible barriers to collaboration among educators and specialists in the educational setting. Ways to improve collaborative interactions among educators and specialists on a regular basis was also explored as they relate to the common core state standards.
Three classroom teachers, three special education teachers, and three speech and language pathologists were surveyed in order to further investigate their knowledge and views of collaboration and the common core state standards. All of the professionals surveyed had a positive view of what collaboration could accomplish. As a result, positive trends are anticipated for the future of collaboration.
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Dempsey, Jessica Ann. "Analysis of Nurses’ Perceptions of Their Role in a Multidisciplinary Team." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7630.
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A better understanding of task allocation for the registered nurse (RN) within the scope of the multidisciplinary care team model is required. Patients, healthcare staff, and medical facilities that utilize RNs in multidisciplinary care teams will benefit from improved role identification. A multidisciplinary care team consists of a variety of health care professionals and without role identification, confusion, miscommunication, and negative patient outcomes can occur. A literature review demonstrated that a gap in knowledge existed related to task allocation and role identification of RNs within a multidisciplinary care team. The purpose of this study was to evaluate RNs’ scope of practice within a multidisciplinary care team of an acute care medical center and identify a new theory regarding RNs’ perceptions of their role. A grounded theory approach was used to explore and reveal these perceived role identifications through the lens of the accountability theory. The research questions and the guided interview explored RNs’ self-perceived role identifications that have shaped RNs’ expectations of their scope within the multidisciplinary care team model. The results found nurses to be experts of patient care and that the nursing role has a 24/7 responsibility while being the closest, most personal role to the patient, thus, the RN feels accountable for all the needs to the patient, even if the needs or actions are outside of the nursing assigned role or tasks. From these results emerged a new theory, the perpetual accountability theory. Identified recommendations regarding RNs’ roles and their utilization within the multidisciplinary care teams allow a positive social change of greater success at delivering best practices and optimum patient outcomes.
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Wood, K. M. "Clinical psychologists' experiences of moving towards using team formulation in multidisciplinary settings." Thesis, University of Surrey, 2016. http://epubs.surrey.ac.uk/812175/.
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Purpose: To gain a better understanding of clinical psychologists’ experiences of embedding team formulation meetings in multidisciplinary (MDT) settings and make recommendations for how best to conduct this work. Design: Thematic analysis of semi-structured interviews with 11 clinical psychologists working in NHS adult mental health settings including community mental health teams (7), rehabilitation and recovery units (2) and outreach and recovery teams (2). One participant worked in a privately owned rehab and recovery unit. Findings: Two main themes were identified ‘Implementing team formulation can be challenging’ and ‘Team formulation creates space to broaden thinking’. Participants reported difficulties embedding team formulation in services and developing it as a shared practice, and made suggestions for how to overcome these. Facilitating was a complex task, which required training and supervision. The value of team formulation to teams included creating space to reflect and discuss different perspectives, as well as increasing the role of psychosocial perspectives within teams. These were thought to increase understanding and empathy, as well as spread psychological knowledge and improve care. Research limitations: Themes were based on a small sample and may not apply to other settings. Participants were self-selected and the author had an interest in this topic, which may have impacted on results. Practical implications: A number of recommendations were highlighted, many of which reinforce suggestions from theoretical literature and practice examples, as well as providing further points to consider. Value: Recommendations are offered based on clinical psychologists’ experiences of implementing team formulation meetings.
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Austin, Mark. "Information Integration and Decision Support for Multidisciplinary Team Meetings on Colorectal Cancer." Thesis, University of Oxford, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.525259.
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Costa, Leandro Fabiano Alves da. "Caracterização do serviço de odontologia hospitalar em um hospital de ensino." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/17/17157/tde-25072018-095032/.
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A prestação do serviço de Odontologia dentro do ambiente hospitalar teve início devido aos benefícios observados com o trabalho de equipes multidisciplinares no cuidado com a saúde. De modo geral, os pacientes são atendidos pelos cirurgiõesdentistas dentro dos hospitais terciários porque sua condição de saúde impede a realização dos procedimentos em consultórios ou unidades de saúde, devido, entre outros, à dificuldade de locomoção ou falta de equipe treinada para atender portadores de enfermidades sistêmicas. Estudos que enfocam esse tema têm observado benefícios importantes na condição de saúde do paciente. Dessa forma, o presente trabalho teve como objetivos: Caracterizar o Serviço de Odontologia Hospitalar no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP, nos seguintes aspectos: 1) assistencial: relacionar as atividades quanto ao número de atendimentos por tipo, procedência do paciente (internado ou ambulatorial), patologias de base e enfermaria específica; 2) financeiro: identificar a receita SUS dos procedimentos odontológicos realizados e identificar os custos do Serviço de Odontologia Hospitalar, e 3) percepção dos profissionais cirurgiõesdentistas e Chefes das especialidades médicas usuárias dos serviços de odontologia hospitalar, quanto aos serviços prestados, e a satisfação dos usuários pacientes. Foi realizada uma pesquisa exploratória descritiva com dados relativos ao ano de 2016, através de um estudo de caso. Para identificar a percepção dos profissionais e satisfação dos pacientes com os serviços odontológicos prestados pelo Hospital foram aplicados (em 2017) questionários específicos. Os resultados demonstraram prevalência de atendimentos ambulatoriais, sendo que os principais procedimentos realizados foram tratamentos periodontais, cirurgias e laserterapia. Quanto ao aspecto financeiro, observou-se que nem todos os procedimentos são reembolsados pelo SUS e seus custos ultrapassam o valor recebido. A receita media SUS e o custo por atendimentos foram R$ 59,91 e R$ 5,36 respectivamente. O estudo permitiu também concluir que a percepção / satisfação nas três esferas analisadas é positiva em relação do serviço prestado. Espera-se que as informações encontradas forneçam subsídios para a melhoria contínua do serviço existente dentro do hospital, bem como para outros gestores que desejam implantar a Odontologia Hospitalar em outros centros de referência.The provision of Dentistry service within the hospital environment began due to the benefits observed with multidisciplinary healthcare providers working together. In general, patients are attended by dentists at tertiary referral hospitals because their health condition which prevents the procedures to be performed in the clinic or health units, due, among others, to the difficulty of locomotion or lack of trained personnel to attend patients with systemic diseases. Studies that focus on this theme have observed important benefits in patient\'s health condition. Thus, the present study aimed to characterize the activities and procedures performed by the team of dental surgeons at Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP in 2016 under the following aspects: 1) assistential: to relate the activities regarding the number of attendances according to the patient origin (ambulatory or nursery) and base pathology; 2) financial: identify the oral care procedures SUS revenues obtained and the costs incurred providing the service, and 3) stakeholders perception / satisfaction: evaluate the perception / satisfaction regarding the contribution of the service in the three mains spheres that comprise it: the dentists who provides care, the physician who works together with the dentistry staff and the patient. To meet these objectives, the descriptive exploratory research was chosen through case reports. To measure the perception / satisfaction specific questionnaires were applied for each group in 2017. The results demonstrated the prevalence of ambulatory care and the main procedures performed were periodontal treatments, surgeries and laser therapy. As for the financial aspect, it was observed that the service is deficient, since not all procedures are reimbursed by SUS and the costs exceed the amount received. In average, SUS reimbursed R$5,36 per procedure while the calculated costs were R$ 59,91. The study also concluded that the perception / satisfaction in the three spheres analyzed are positive in relation to the service provided. It is expected the results obtained will provide subsidies for the continuous improvement of the existing service within the hospital, as well for other managers who wish to implement Oral Service Medicine in other referral hospitals.
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O’Shannassy, Sarah Julia. "The crucial role of the pelvic exenteration multidisciplinary team meeting in surgical decision making and patient selection." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/24305.
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Multidisciplinary team (MDT) meetings have been widely adopted in cancer care, however, there is limited evidence available to demonstrate their influence on surgical and patient outcomes. MDT meetings are resource intensive, requiring meticulous planning and coordination. In our continually changing health care climate, where resources are limited and we are frequently being asked to assess the efficiency and effectiveness of our patient care, it is vital that we assess the value of MDT meetings, especially in complex cancer patients. Pelvic exenteration (PE) surgery is performed for locally advanced primary and recurrent cancers of the pelvis. It is radical and complex surgery that involves extensive pre-operative planning and workup with multiple medical and surgical specialists involved. Patients are discussed at MDT and a recommendation is formulated as to whether the patient is suitable for surgery and what the surgery will involve. The main aims of this thesis are to investigate the importance of a dedicated MDT meeting to PE patients care pathway and the potential impact on surgical decision making and patient selection. A retrospective cohort study was completed assessing referral patterns and outcomes of a dedicated PE MDT meeting. This study demonstrated several important elements which may impact on MDT recommendation. Patients referred by a surgeon and from a rural location were more likely to be recommended to surgery, which may reflect clinician’s selective referral patterns and ability to access to specialist services. Importantly, patients who were reviewed by one of the unit’s PE surgeons did not impact on MDT recommendation, suggesting that the MDT process involves critical decision making and is not merely a “rubber stamping” exercise. These findings support the view that PE MDT meetings appear to be essential forums for patient assessment, surgical decision making and patient selection and has raised several interesting findings which warrant further investigation.
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Briers, Maria Aletta Magdalena. "Identifisering van rolle van die multidissiplinêre span tydens 'n ondersoek na die seksuele misbruik van 'n kind / Mandie Briers." Thesis, North-West University, 2009. http://hdl.handle.net/10394/4751.
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For years social workers have been involved in the investigation of sexual abuse of children. This involvement of social workers is therefore no new concept. In the involvement of social workers in this field there has been a close relationship between social workers and especially the judiciary for several years.
Apart from the legal profession other professional role players are also involved in the investigation of the sexually molested child. This research focuses particularly on the different roles of the members of the multidisciplinary team during the investigation of sexual abuse of children.
A multidisciplinary team approach brings together different role players in this way to make use of the knowledge and strengths of all to the benefit of the victim so that effective service can be rendered. The researcher is of the opinion that if the multidisciplinary team acts in a more efficient way, more prosecution of sexual crimes committed against children could be brought about.Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2010.
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Manuel, Naomi Pheona. "A grounded theory study of multidisciplinary staff views on participating in team formulation." Thesis, Cardiff University, 2016. http://orca.cf.ac.uk/94381/.
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Background: The use of psychological formulation within teams is steadily growing in popularity, although research surrounding its use is limited. This study aimed to explore the experience of multidisciplinary professionals outside of psychology in participating in team formulation sessions. Method: Constructivist Grounded Theory was used to analyse semi-structured interviews conducted with ten members of staff from a variety of professional backgrounds working within two adult mental health teams, one within community settings and the other inpatient. Interviews were transcribed and then subjected to line-by-line coding, from which categories were derived.
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Lamb, Benjamin Wilfrid. "Understanding, measuring and improving clinical decision-making in urological cancer multidisciplinary team meetings." Thesis, Imperial College London, 2012. http://hdl.handle.net/10044/1/11747.
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Cancer care in many countries is delivered by healthcare professionals working together as multidisciplinary teams (MDTs). In the UK the delivery of care by MDTs is mandatory. The aims of the research reported here were to investigate the factors that affect the quality of clinical decision-making in MDT meetings, to develop and evaluate tools to measure this process, and to use these tools to evaluate interventions designed to improve the quality of such decisions. The introduction presents an overview of the evidence for clinical decision-making in MDT meetings, before Chapter 2 provides a critical appraisal of existing evidence, focussing on specific factors that affect decision-making by MDTs. My first empirical Chapters have explored the attitudes and experiences of MDT members and patients. Chapters 3 and 4 present analyses of national survey data that explore the views of MDT members from different professional groups across a range of tumour types. Chapters 5 and 6 present data from in-depth exploration of the views of urology MDT members and cancer patients respectively. Chapters 8 and 9 present data from studies that develop and cross-validate an observational tool for the assessment of decision-making in MDT meetings (MDT-MODe). I have used this tool in Chapter 10 to assess the relationship between organisational factors, information use, teamworking and decision-making in urology MDT meetings. Having built up a picture of the factors that are important for good decision-making, Chapter 11 reports a study that uses MDT-MODe to evaluate a multistage intervention to improve the quality of decision-making in urological MDT meetings. Finally, my general discussion reflects on the findings and the wider evidence base, explores the limitations and presents implications of my work for clinical practice, patient care, future research and policy.
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Ogita, Mihoko. "Indications and practice for tube feeding in Japanese geriatricians:Implications of multidisciplinary team approach." 京都大学 (Kyoto University), 2013. http://hdl.handle.net/2433/174996.
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O'Neil, Molly O'Neil. "Evaluating an Organization's Response to Vicarious Trauma in Staff and Multidisciplinary Team Members." Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1463340871.
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Muhic, Elizabet. "Hälsosam vikt på sikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-24952.
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Randen, Frida, and Hanna Agnarsson. "Patientens upplevelse av det multiprofessionella teamets arbete inom primärvård och somatisk vård." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-444745.
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Bakgrund: Multiprofessionellt teamarbete används inom somatisk vård och primärvård. Attsamverka i team ingår i sjuksköterskans profession och är en av de sex kärnkompetensernainom professionen. Ett team samverkar gemensamt för att skapa en bättre vårdkvalité och högpatientsäkerhet. Det finns idag en del svårigheter med multiprofessionellt teamarbete enligtteammedlemmar.Syfte: Syftet med denna studie var att beskriva patienters upplevelse av detmultiprofessionella teamets arbete inom primärvård och somatisk vård, samt hur dettapåverkade dem.Metod: En litteraturöversikt baserad på tio kvalitativa artiklar hämtade från databasernaPubMed och CINAHL. Samtliga artiklar har kvalitetsgranskats och bedömts vara avmedelhög till hög kvalitet. En modifierad version av Graneheim och Lundmansinnehållsanalys har använts som stöd i vid analys av resultat.Resultat: I litteraturöversikten identifierades tre huvudgrupper: Teamets kommunikation,bemötande och begränsningar. Teamets kommunikation innefattar patienterna upplevelse avteamets interna kommunikation, teamets kommunikation med patienten och teametsinformationsöverföring till patienten, samt hur patienten påverkades av detta. Teametsbemötande innefattar patienternas upplevelse av hur teamet arbetade med personcentreringoch delaktighet samt vårdrelationen mellan teamet och patient, samt hur detta påverkadepatienten. Teamets begränsningar innefattar patienters upplevelse av teamet vidmultisjuklighet och tidsbrist, samt hur detta påverkade patienter.Slutsats: Resultat tyder på att multiprofessionellt teamarbete enligt patienter, har både bristeroch styrkor beroende på hur sammansvetsat teamet är samt vilka personer som ingår iteamet. Resultat visar att ett sammansvetsat team har en fungerande kommunikation ochupplever mindre stress, men svårare att samarbeta med hälso- och sjukvårdspersonal utanförteamet. Resultat visar även att personen bakom profession är avgörande för hurpersoncentrerad vården ärBackground: Multidisciplinary teams are commonly utilized in hospitals. Team cooperationis an essential part of the nurse profession and one of the six core competencies for nurses. Ateam cooperates in order to create high quality health service and ensure patient safety. Todaythere exists some difficulties regarding teams working multidisciplinary, according to teammembers.Aim: The aim of this study was to investigate patients’ experience of a multidisciplinaryteam work in primary care and somatic care, and how it affected the patients.Method: A literature review based on ten qualitative articles retrieved from the databasesPubMed and CINAHL. All articles have been quality reviewed and received medium to highquality grade. A modified version of Graneheim och Lundmans content analysis was usedwhen analysing the results.Result: The literature review identified three categories and seven subcategories. The team'scommunication includes the patients' experience of the team's internal communication, theteam's communication with the patient and information to the patient, as well as how thepatient was affected by everything previously mentioned. The team's response is about thepatients' experience of how the team worked with a person-centered and participation-basedapproach, as well as the care relationship between the team and the patient, and how thisaffected the patient. The teams limmitations describes the patients' experience on how theteam handles of problems arising from multiple illnesses and lack of time, as well as how thisaffected patients.Conclusion: Results indicate that multi-professional teamwork, according to patients, hasboth shortcomings and strengths depending on the cohesiveness of the team, and on theindividuals taking part. A cohesive team has functioning comunication and experience lessstress, but have a harder time coworking with health care professionals outside of the team.Results also show that the person behind the profession is determining for the degree care isperson centered.
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LIMA, Antônio José Araújo. "PERCEPÇÕES DE PROFISSIONAIS DA EQUIPE MULTIDISCIPLINAR DE SAÚDE EM RELAÇÃO ÀS ATIVIDADES LÚDICAS EM HOSPITAIS PÚBLICOS PEDIÁTRICOS DE SÃO LUÍS DO MARANHÃO." Universidade Federal do Maranhão, 2017. http://tedebc.ufma.br:8080/jspui/handle/tede/1792.
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Child hospitalization is a difficult process for the child's development in a hostile and indifferent environment with resistance to adapt to the new reality. The playful care helps to make the stay in the hospital easier, favors the child's development and healing. The feeling of finitude of life afflicts the child, the family those who accompany him in the hospital, during hospitalization. The imminent fear of death, the homesickness of the home makes difficult the relationship with: nurses, doctors, psychologists, physiotherapists, among others. In the context, we investigated the perceptions of professionals of the multidisciplinary health team in relation to the development of play activities in 2 pediatric public hospitals of São Luís/MA. An exploratory, descriptive research was developed. The participants were 8 professionals belonging to the health area, among them, 2 are doctors, 2 nurses, 2 psychologists and 2 occupational therapists, 6 of which are female and 2 are male, with an average of 6 years of professional experience in hospitals. The data were collected through semi-structured interviews. The results indicate that play activities developed with children are relevant in the processes of socialization and integration of the child to the reality of hospitalization. The professionals of the multidisciplinary health team emphasize that the play activities developed in pediatric hospitals contribute to the recovery process of the child's health, adding to the treatment of the pathology.
O atendimento lúdico contribui para tornar a permanência no hospital, mais fácil, favorece o desenvolvimento da criança e cura. O sentimento de finitude da vida aflige a criança, a família os que a acompanham no hospital, durante a internação. O medo iminente de morte, a saudade do lar dificulta o relacionamento com: enfermeiros, médicos, psicólogos, fisioterapeutas, entre outros. No contexto, investigaram-se as percepções de profissionais da equipe multidisciplinar de saúde em relação ao desenvolvimento de atividades lúdicas em 2 hospitais públicos pediátricos de São Luís/MA. Desenvolveu-se uma pesquisa exploratória, descritiva. Os participantes foram 8 profissionais pertencentes à área da saúde, dentre esses, 2 são médicos, 2 enfermeiros, 2 psicólogos e 2 terapeutas ocupacionais, sendo 6 pertencentes ao sexo feminino e 2 ao sexo masculino, possuindo em média 6 anos de experiências profissionais em hospitais pediátricos. Os dados foram coletados por meio de entrevistas semiestruturadas. Os resultados sinalizam que as atividades lúdicas desenvolvidas com crianças são relevantes nos processos de socialização e integração da criança à realidade da internação. Os profissionais da equipe muldisciplinar de saúde, enfatizam que as atividades lúdicas desenvolvidas nos hospitais pediátricos contribuem no processo de recuperação da saúde da criança, somando no tratamento da patologia.
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Koutsikouri, Dina. "Individual and collective success : the social dynamics of multidisciplinary design teamwork." Thesis, Loughborough University, 2010. https://dspace.lboro.ac.uk/2134/6383.
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Effective team working across disciplines is essential to solve the technological and managerial problems associated with construction projects. However, while it is widely accepted that this method of working is critical to the achievement organisational goals, it is a poorly understood process. Generic best practice recipes on how to improve team work in collaborative projects appears to have had limited impact on performance. Unless the realities of implementing and managing such joint endeavours are conceptualised and articulated in a manner that reflects the actual processes and patterns of behaviour, multi-disciplinary team working will remain a poorly understood working model. The goal of this work was to develop a conceptual framework that visualises the real success factors of multi-disciplinary working so that practitioners can apply a new understanding of predictable processes and patterns of behaviours to improve collaborative project outcomes. To achieve this, the project started with an exploration of critical success factors in multi-disciplinary design projects, encompassing extensive interviewing, workshops and a survey followed by a grounded theory (GT) study of collaborative working in six multi-disciplinary design projects. The switch to GT methodology offered possibilities to further probe into the dynamics of multi-disciplinary team working from the perspective of the team members. The findings show that team working in multi-disciplinary design projects can be explained through the social process of informalising. Informalising refers to the strategies practitioners use to cope with the multiple pressures and unforeseen demands that pervade the collaborative design environments. It portrays the relevance of managing of expectations and value-judging to remain effective and efficient in the face of change and uncertainty. These are critical factors that influence the project trajectory and experience of those involved. Alongside these results the work also demonstrates the importance of so called super soft factors such as shared values, creativity and innovation and passion and enthusiasm to achieve positive project outcomes. Overall, recognising that the process of informalising forms an essential part of cultivating collaboration, and hence getting the work done, more attention should be given to understand such activity in today s turbulent and transient project organisations. Knowledge and understanding of this form of emergent and improvisational strategy may enable managers to predict and control patterns of behaviour inherent in the management of collaborative design projects, and positively influence project outcomes in terms of perceived value and profit.
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Frykholm, Oscar. "Case-based presentation in medical multidisciplinary team meetings : Applied research in CSCW and IxD." Doctoral thesis, KTH, Medieteknik och interaktionsdesign, MID, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-119810.
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Advanced medical technology is widely used in modern healthcare, as more and more specialised examinations and treatments are performed on patients. In the case of particularly complex diseases, a number of medical specialists, each an expert in their own field, must collaboratively make diagnoses and plan for treatment. In multidisciplinary team meetings (MDTM), the medical specialists present their pieces of the puzzle, stitch them together and in consensus make a decision. A large amount of information from several sources must be taken into account, but the digital tools to support this decision-making are lacking. This thesis describes research in which engineers and medical specialists have cooperatively developed such a tool. The main research question concerns improving patient information visualisation to support the collaborative work in MDTMs; a secondary question concerns the role of interaction design in medical work. Several design activities have been conducted together with the medical specialists by utilising research methods derived from computer- supported cooperative work (CSCW) and interaction design (IxD). The new tool has been evaluated in two simulated MDTMs and even though it was developed with the users, the results cut both ways. Case-based presentation of patients in MDTMs has a positive effect, as more information can be displayed during discussions. It helps the participants keep a shared focus on the patient, her medical history, results from examinations, and decisions made in the meeting. It is a new and aggregated view of the patient and an example of how patient information visualisation can be improved. On the other hand introducing new technology and new ways of interacting with information, in the meetings was not considered entirely positive. The participants have different roles and tasks in the meeting, and the tools should support these without distracting the shared focus. This practical way of working (conducting field studies, design activities and evaluations) together with ingenious medical specialists can make a difference. By exploring and concretising stakeholders’ needs and making long-term commitments, the interaction designer can take a central position in the deve- lopment of digital, collaborative tools for medical work.QC 20130326
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Oborn, Eivor Marianne Debora. "Processes of knowing in multidisciplinary team practice : a study of specialist cancer care in England." Thesis, University of Cambridge, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.614007.
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Hamilton, David Winston. "Patient involvement in multidisciplinary team decision making in head and neck cancer : an ethnographic study." Thesis, University of Newcastle upon Tyne, 2014. http://hdl.handle.net/10443/2694.
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Head and neck cancer (HNC) confers a poor prognosis and patients face complex treatment decisions. As with every cancer in the UK, recommendations for treatment are made through a multidisciplinary team (MDT). This thesis critically analyses the working of the MDT: data are presented from an ethnographic study across three head and neck cancer treatment centres. Data collection comprised non-participant observation of 35 MDT meetings and 37 MDT clinic appointments and semi-structured interviews with 19 patients pre- and post-treatment and nine staff members of the MDT. Data generated were analysed using a Constructionist Grounded Theory approach, drawing on symbolic interactionism and dramaturgical analysis. This thesis provides an in depth account of the backstage behaviour of the MDT members. Although an assessment of which treatment is considered ‘best’ drives their discussion, there is often disagreement or uncertainty surrounding this assessment. On delivering the recommendation to the patient, this backstage work often remains hidden, contributing to problems when offering treatment choice. Even when a choice of treatment is acknowledged, the MDT faces barriers in delivering and supporting this in the MDT clinic. For the patient, the majority of the work of decision making takes place away from the MDT clinic, a process which is not always supported by the MDT The difficulties of actively involving patients in the MDT decision process have never been explored, but the complexities of offering treatment choice in the MDT need to be recognised to support patients in this setting. The guiding principles, purpose and limitations of the MDT meeting and the resultant treatment recommendation need to be iii clear. A process of collaborative MDT decision making should allow effective communication of treatment risk and uncertainty, structured elicitation of patient preferences and support for patients to make decisions in line with their preferences and values.
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Tempest, Stephanie Elaine. "Using the International Classification of Functioning, Disability and Health (ICF) to enhance healthcare communication : an action research project with an acute stroke service." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/10558.
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Background: Effective communication is key to team working in healthcare. It can be negatively impacted upon by existing cultures, logistical challenges, role confusion, and a lack of collaborative approaches to practice. Clinical guidelines recommend using the International Classification of Functioning, Disability and Health (ICF) to aid communication within stroke teams. Yet no empirical evidence exists on the process or outcomes of such implementation. Aims: This project aimed to explore ways the ICF could be used with an acute stroke service and identify key learning from the implementation process. Methods: Using an action research framework, iterative cycles were used within exploratory, innovatory and reflective phases. Content analysis was used to map patient notes’ entries to ICF categories. Thematic analysis was undertaken, using a model of immersion and crystallisation, on data generated via interview and focus group, e-mail communications, minutes from meetings, field notes and a reflective diary. Descriptive statistics were used to analyse quantitative questionnaire data. Data from all sources were combined to determine key findings. Findings: Participants chose to develop an ICF-based team transfer of care report with an ICF glossary to aid completion. Five overall themes were determined; the need to: (1) adopt the ICF in ways that met local service needs; and (2) adapt the ICF language and format. Once implemented, the ICF: (3) fostered communication within and beyond the stroke team; (4) promoted holistic thinking; and (5) helped to clarify team roles. Conclusions: These are the first empirical findings within stroke services that demonstrate how to make the ICF a clinical reality. Participants needed to adapt and own the ICF to adopt it. When implemented, it enabled specific team communication challenges to be overcome. The use of action research to implement the ICF has facilitated sustained change and improvements to communication, thus benefiting patient care.
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Forssell, Ingrid, and Anette Nyström. "Sjuksköterskans upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3942.
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Bakgrund Varje år insjuknar 25 000-30 000 personer i Sverige med stroke. Stroke är ett samlingsbegrepp för hjärninfarkt och hjärnblödning som leder till syrebrist eller direkt skada i hjärnan. Hjärnskadorna kan leda till bestående eller övergående funktionsnedsättningar i varierande grad. Patienterna tas om hand av multidisciplinära team där sjuksköterskan ingår i alla leden i vårdkedjan. Sjuksköterskan utför omvårdnad för att stödja patienterna i deras återhämtning, vilket kan bidra till att förbättra prognosen för dessa patienter. Syfte Syftet med litteraturöversikten var att belysa sjuksköterskans upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke. Metod Studiedesignen var en icke-systematisk litteraturöversikt. Studien baserades på 15 artiklar av både kvalitativ och kvantitativ design. Artikelsökningarna genomfördes i databaserna PubMed och CINAHL. Vidare gjordes en kvalitetsgranskning av de 15 vetenskapliga artiklarnas kvalitet och trovärdighet. Slutligen användes en integrerad översiktsmetod som dataanalysmetod för att färdigställa resultatet. Resultat Litteraturöversikten sammanfattade sjuksköterskans upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke. Betydelsefulla aspekter och förhållningssätt som identifierades var att känna ett yrkesansvar, arbeta i multidisciplinära team, arbeta utifrån personcentrerad vård och sjuksköterskans relation med patientens närstående. Förbättringsområden inom strokevård var enligt sjuksköterskorna mer strokeutbildning, bättre samarbete i det multidisciplinära stroketeamet och med patientens närstående. Återkommande problem var tidsbrist och underbemanning. Slutsats Genom att studera och sammanfatta sjuksköterskors upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke kan betydelsefulla aspekter, förhållningssätt och förbättringsområden inom strokevården förstås.Background Every year 25,000-30,000 people in Sweden take ill with stroke. Stroke is a collective term for cerebral infarction and cerebral hemorrhage that leads to a lack of oxygen or direct damage in the brain. Brain damage can lead to permanent or transient disabilities of varying degrees. Patients are cared for by multidisciplinary teams where the nurse is part of all stages of the care. The nurse performs nursing care to support patients in their recovery and can help improve prognosis for these patients. Aim The purpose of the literature review was to describe the nurse's experiences in caring for patients taken ill with stroke. Method The design of the study was a non-systematic literature review. The study was based on 15 articles of both qualitative and quantitative design. The article searches were made in the databases PubMed and CINAHL. Furthermore, a quality review was made of the quality and credibility of the 15 articles. Finally, an integrated overview was used as a data analysis method to complete the result. Results The literature review summarized the nurse's experiences of caring for stroke patients. Identified significant aspects and attitudes were as follows, to feel a professional responsibility, to work in multidisciplinary teams, to practice person-centered care, and the nurses' relationship with the patient's relatives. According to the nurses, areas for improvement in stroke care were more stroke training, and better collaboration in multidisciplinary stroke teams and with the patient's relatives. Recurring problems were lack of time and understaffing. Conclusions By studying and summarizing the nurse's experiences in caring for patients taken ill with stroke significant aspects, attitudes and areas for improvement in stroke care can be understood.
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Lowry, Jonathan E. "The Language of Team: Building a lexicon integrating multiple disciplines for effective project management." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1306499898.
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Dipura, Rufaro. "Challenges in Multidisciplinary team work in the mental health unit at Windhoek Central Hospital in Namibia." Diss., University of Pretoria, 2019. http://hdl.handle.net/2263/76608.
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Namibia has only one mental health unit with a full Multidisciplinary team which caters for the whole country. The unit is regarded as a ward or department as it is attached to the main referral hospital of Namibia, Windhoek Central Hospital in the capital city of Namibia. Namibia has a total of fourteen regions with different tribes (more than eleven).It is also a multilingual country with more than sixteen different languages.
The goal of the study was to explore and describe the challenges of the multi-disciplinary team in the mental health unit service delivery at Windhoek Central Hospital.
The study adopted a qualitative research approach. It was exploratory and applied. It utilized a case study design. Purposive sampling was used to obtain the study’s sample size. A sample size of twelve (12) multi-disciplinary team members was selected. Each discipline namely, social workers, psychologists, occupational therapists, nurses, doctors and psychologists was represented by two members of the chosen sample.
The findings show the gravity of the work that needs to be done at the mental health unit. The challenges faced have existed for years and the Management of the mental health unit has not addressed them. The multidisciplinary team is facing lots of challenges. The Act that is currently in use, Act No. 18 of 1973, is very old. . The Ministry of Health and Social Services (2005: 3) in Namibia states that government must ensure good and adequate service delivery reforms for the health of the nation. However, the government is not doing much for the mental health unit.
The study concludes that the mental health multidisciplinary team needs to be heard and their challenges addressed for the team to deliver quality service to patients. The challenges included a heavy workload and a critical shortage of mental health trained staff. Even the ones not trained are not enough. There is always a shortage of medicine and the equipment is inadequate. The infrastructure itself is not conducive for the whole country and office space is not enough. The unit does not have its own budget hence many programs cannot be conducted because of lack of funds.
Recommendations include; development of policies and guidelines on the multidisciplinary team, decentralization of mental health services, training the mental health staff, a separate budget from the main hospital one and improving the infrastructure.Mini Dissertation (MSW)--University of Pretoria, 2019.
Social Work and Criminology
MSW Healthcare
Unrestricted
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Khumalo, Akhona Cikizwa. "Progressing towards effective record-keeping in Multidisciplinary Team Meetings : Possibilities of achieving structured, standardized, electronic records." Thesis, Karlstads universitet, Handelshögskolan (from 2013), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-82431.
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Hagemeier, Nicholas E., and Daniel Ventricelli. "Pharmacists and Prescribers as a Team." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1413.
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Controlled substance stewardship, much in the same vein as antimicrobial stewardship, is a professional obligation for prescribers and pharmacists alike in today’s practice environment. This presentation will introduce this concept and present a model for pharmacist-led controlled substance prescribing interventions in a primary care clinic. The Controlled Substances Initiative (CSI) at Penobscot Community Health Care in Bangor, Maine, was implemented in 2013. The interprofessional CSI Committee meets weekly to review patient cases involving controlled substances and communicate best practice recommendations to prescribers. All committee operations are sustained by pharmacists participating in a postgraduate residency training program. To assess the organization-wide impact of the initiative, presenters will share data on controlled substance dose reductions and mortality trends. They will offer pearls for application of this model to other practice settings, including community pharmacies.
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Laverdière-Ranger, Lynn. "A Multidisciplinary Team versus Single Practitioners: Parental Satisfaction and Wait in the Autism Spectrum Disorder Diagnostic Experience." Thesis, Laurentian University of Sudbury, 2014. https://zone.biblio.laurentian.ca/dspace/handle/10219/2192.
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This is a mixed-methods study investigating parental satisfaction and wait times as parents
inquire about an autism spectrum disorder diagnosis for their child in a Northern Ontario
community. Satisfaction and wait times of those diagnosed with an autism spectrum disorder
(ASD) by a single practitioner were compared to satisfaction and wait times of those
diagnosed by the multidisciplinary assessment team in the Sudbury/Manitoulin region (the
Autism Diagnostic Team; ADT). No significant differences were noted between groups on
satisfaction or wait times. However, ADT group received much more consistent service, with
less variation in wait times between clients, and more consistent provision of comprehensive
services prior to the diagnostic meeting. Points of interest are noted for practitioners
including increased wait times for parents of children with milder forms of ASD and for girls.
No differences in wait time or satisfaction were noted between language groups. Content
analysis of the qualitative interviews representing mainly single practitioners saw the
emergence of themes including difficulty activating the assessment process, concerns
regarding the wait, and appointment demands. The importance of professional expertise,
empathy, and respectful communication also emerged. Parents felt the experience was
deeply distressing and they often experienced abandonment following the diagnostic process.
Additionally, parents whose children did not receive a diagnosis often felt confusion about
what to do next. Reducing wait times, increasing professional expertise, completing
comprehensive assessments, and using truly interdisciplinary teams should continue to be the
focus of service improvements that may translate into improved satisfaction.
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Nic, a. Bháird C. "Multidisciplinary team meetings in community mental health care : a mixed-methods investigation of their functions and organisation." Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1471491/.
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Background Community mental health teams are a central means of delivering specialist mental health care in England. Weekly multidisciplinary team (MDT) meetings are assumed to improve the quality of care by incorporating diverse professional perspectives into care planning. However, these meetings are resource-intensive and there has been little investigation of their operational procedures or their impact. Aim The aim of this PhD is to examine the functions and organisation of MDT meetings in community mental health care, and to identify current challenges to effectiveness and opportunities for improvement. Method A mixed-methods investigation was conducted to examine current practice and stakeholder views in six community-based mental health teams: three general community mental health teams, two memory clinics and one early intervention psychosis service. This involved non-participant observation of 109 MDT meetings; quantitative data on 3,213 MDT case discussions from 181 MDT meetings; and semi-structured interviews with 35 practitioners and patients. Results MDT meetings were perceived to serve a wide variety of functions, ranging from care planning to peer support. However, many practitioners believed that their meetings were poorly managed and lacked clarity of purpose. Teams varied in terms of which patients were discussed, the time dedicated to each discussion, multidisciplinary representation, and operational procedures. Several challenges made it difficult for teams to capitalise on their multidisciplinary diversity, including conflicting models of care, ambiguous leadership, and a struggle to balance profession-specific and generic keyworker roles. Practitioners' ability to implement agreed MDT care plans was limited by a lack of patient involvement, inadequate resources, administrative requirements, and organisational instability. Conclusions A wide range of factors mediate the potential for MDT meetings to benefit patients. The findings highlight the importance of critical reflection on the purpose and organisation of MDT meetings to ensure that they are a valuable use of practitioner time.
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Nikman, Samira. "Multidisciplinärt trakeostomiteam : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1862.
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SAMMANFATTNING Trakeotomi är ett operativt ingrepp och innebär att man gör ett strupsnitt på halsens framsida för att skapa fri luftväg. Denna öppning, trakeostoma, som skapats på halsen hålls öppen av en trakealkanyl. Trakealkanylen sitter i luftstrupen och skapar patientens artificiella andningsväg. Trakeostomi är ett ingrepp som ökar i Sverige och görs när sjukdomar eller skador i luftvägarna eller i centrala nervsystemet försämrar eller hindrar patienten från att andas genom näsan och munnen. Ingreppet genomförs också på patienter som behöver långvarig respiratorbehandling. Komplikationer av olika allvarlighetsgrad förekommer hos trakeostomerade patienter. Vård av trakeostomerade patienter är komplext och kräver ibland fördjupad förståelse och specialistkunskap av varje enskilt aspekt och därför kan samverkan i team mellan olika professioner behövas för professionellt omhändertagande. Syftet med denna studie var att beskriva vilken effekt multidisciplinärt trakeostomiteam har på vården av trakeostomerade patienter. Studien är en litteraturöversikt och sökning av de 15 inkluderade artiklarna genomfördes i PubMed och CINAHL. Majoriteten av de inkluderade artiklarna är baserade på observationsstudier där data insamlades retrospektivt. Litteraturöversikten resulterade i följande beskrivna effekter av multidisciplinärt trakeostomiteam på vården av trakeostomerade patienter, minskade komplikationer av olika allvarlighetsgrad. De minskade vårdtiden, den totala längden på sjukhusvistelse, vistelsetid efter utskrivning från intensivvårdsavdelningen och den totala tiden på intensivvårdsavdelningen. Teamet bidrog även till snabbare handläggning och beslut om dekanylering, förbättrade kommunikationsmöjligheter för patienten men även bättre kommunikation inom teamet. Utöver detta utarbetade och implementerade teamet kliniska riktlinjer och ansvarade för utbildning av personal, patienter och anhöriga. Några få studier visade även på kostnadseffektivitet. Resultatet av denna litteraturöversikt visade att multidisciplinärt trakeostomiteam har positiva effekter i vården av trakeostomerade patienter framförallt i form av minskade komplikationer och reducerad vårdtid. Teamet bidrar även till effektivare dekanyleringsprocess och snabbare initiering av talventil. Men dessa effekter måste tolkas med stor försiktighet pga. de inkluderade studiernas metodologiska svaghet och för att resultaten inte rakt av går att generalisera och överföra till svenska förhållanden och sjukvård.
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Mattsson, Anna. "Risk för undernäring bland äldre personer på särskilt boende : relation med fallrisk, trycksår och nedsatt munhälsa samt kartläggning av erbjudna preventiva åtgärder mot undernäring." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13779.
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Bakgrund: Undernäring förekommer hos uppemot 30 % av äldre personer på särskilda boenden (SÄBO). Det är ett av distriktssköterskans ansvarsområden att upprätthålla en god nutritionsvård. Syfte: Syftet var att undersöka förekomst av undernäring bland äldre personer (65 år och äldre) på särskilt boende samt relationer mellan undernäring och fallrisk, risk för trycksår respektive nedsatt munhälsa. Vidare var syftet att undersöka vilka preventiva åtgärder distriktssköterskan erbjöd för att förbygga alternativt behandla undernäring hos äldre personer. Metod: Studien hade en kvantitativ ansats. Antalet studiedeltagare var 436 personer som bodde på SÄBO. Gruppjämförelser gjordes mellan tre oberoende grupper (ej risk för undernäring, risk för undernäring och undernärd) avseende fallrisk, risk för trycksår samt nedsatt munhälsa. Vidare gjordes logistisk regressionsanalys för att undersöka relationen mellan risk för undernäring/undernärd och fallrisk, risk för trycksår samt nedsatt munhälsa. Deskriptiv statistik användes för att beskriva preventiva och behandlande åtgärder. Resultat: Undernäring relaterar starkt till risk för trycksår. Relation kunde inte påvisas mellan undernäring och fallrisk samt munhälsa. Preventiva åtgärder användes i låg utsträckning. Slutsats: Nutritionsomvårdnad är ett komplext område vilket kräver att distriktssköterskan arbetar i ett multidisciplinärt team med riskbedömningar, utredningar, åtgärder och uppföljningar. Nutritionsåtgärder bör erbjudas i högre utsträckning till personer med risk för undernäring eller som är undernärda.Background: Undernutrition occurs in up to 30 % of older people in special accommodation (SA). It is one of the district nurse's responsibility areas to maintain good nutritional care. Purpose: The purpose was to investigate the prevalence of undernutrition among older people (65 years and older) in special accommodation and relationships between undernutrition and fall risk, risk of pressure ulcers and impaired oral health. A further aim was to investigate the preventive measures district nurse’s offered to prevent alternatively treat undernutrition in older people. Method: The study had a quantitative approach. The number of study participants was 436 people who lived in SA. Group comparisons were made between three independent groups (not at risk of undernutrition, risk of undernutrition and undernourished) regarding fall risk, risk of pressure ulcers and impaired oral health. Furthermore, logistic regression analysis was conducted to examine the relationship between risk of undernutrition/undernourished and fall risk, risk of pressure ulcers and impaired oral health. Descriptive statistics were used to describe the preventive and treatment measures. Results: Undernutrition relate strongly to the risk of pressure ulcers. No relationship was detected between undernutrition and risk of falling and impaired oral health. Preventive measures was used to a low extent. Conclusion: Nutritional care is a complex area that requires that the district nurse work in a multidisciplinary team with risk assessments, investigations, actions and follow up. Nutritional measures should be offered to a greater extent to persons at risk of undernutrition or with manifest undernutrition.
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Hutchinson, Deanna K. "Assessment of Parental Satisfaction with Management of a Child’s Nonsyndromic Cleft Lip and/or Cleft Palate." University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1123868325.
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Nowicki, Blake A., Andie McDowell, Amanda Murr, Alexandria Staples, Sarah Widy, Elisha Reed, Sanjana Vyda, Andrea Bisceglia, Emily Bradley, and Brenda Louw. "YOUNG ADULTS WITH CLEFT LIP AND PALATE: ARE THEY RECEIVING TEAM SERVICES?" Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/122.
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It is widely acknowledged that a team approach is preferred practice and contributes to optimizing the surgical, dental, speech and psychosocial outcomes for individuals with cleft lip and palate (CLP).Young adulthood often marks the transition from child-centered interdisciplinary care to adult-centered care. There is a paucity in literature relating to the transition of care for young adults with CLP. The purpose of this survey research is therefore to explore the CLP team practices regarding young adults with CLP. An exploratory, descriptive design with quantitative analysis was used to explore what services are provided by CLP teams to young adults with CLP. An exploratory design was deemed appropriate due tolimited research available on the provision of team services for young adults with CLP. An online survey was used as the method of data collection to determine the number of teams providing services to this population, the types of services provided, and the perceived needs of young adults receiving CLP team services. 71 participants of (18.4%) responded to the survey. The low response rate is typical of survey research, despite three invitations to participate. However, the topic elicited global responses, from North America, South America, Europe, Asia and Australia, which is indicative of the importance of transition of care for young adults with CLP. 46 Participants responded to the question regarding their perceived needs of young adults with CLP. It appears that the characteristics of young adults with CLP (i.e., appearance, self-acceptance, social attitudes, social experiences, employment, starting a family, hearing and speech) are perceived to occur universally and that concerns about appearance is most frequent, followed by speech were important needs recognized by the teams. 56% of teams that responded to that they discharge young adults between 18-22 years, which confirms the expected results. However, an unexpected finding is that 37% of team’s complete treatment or never discharge patients. 35.5% of the respondents described the services provided, which existed of plastic and reconstructive surgery (98%), oral and maxilla facial surgery (86%), orthodontics (90%) and speech therapy (78%) with 50% indicating that they also provided other services. This confirms the perceptions of the needs of young adults with CLP since the high frequency of surgery and orthodontics address the concerns regarding appearance and speech therapy addresses the frequently perceived concern regarding speech. Continued team care is crucial for young adults with CLP to address their adult needs and improve their QoL.The results from this survey research will increase awareness of the importance of the transition from child to adult team care. Recommendations for further research will be discussed.
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Chwartzmann, Guilherme. "Capacitação de cirurgiões-dentistas e da equipe multidisciplinar na atenção odontológica de pacientes oncológicos pediátricos." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/178622.
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O tratamento antineoplásico está associado a efeitos adversos sendo inúmeros na cavidade bucal que podem aumentar a morbidade e mortalidade nos pacientes. O suporte odontológico ao paciente com câncer se faz necessário, porém ainda não é uma realidade em vários centros de tratamento oncológicos. O objetivo do presente estudo foi capacitar as equipes de odontologia e equipe multidisciplinar dos centros oncológicos pediátricos da capital e interior do RS, a fim de gerar conhecimento técnico-científico sobre as complicações bucais do tratamento oncológico para melhorias no manejo do paciente infanto-juvenil com câncer. Foi realizado um curso de capacitação de profissionais da área de saúde no manejo de pacientes em tratamento oncológico com carga horária de 3 horas/aula. Os participantes responderam um questionário pré e pós-aula (19 questões). Foi realizada análise descritiva, teste não paramétrico de Wilcoxon para a avaliação do resultado geral préteste/ pós-teste e o teste não paramétrico de McNemar para avaliação das questões de forma individualizada O nível de significância de 5% de probabilidade ou o p-valor correspondente foi considerado. Foram realizadas 11 capacitações contabilizando na amostra final 270 participantes. Os participantes foram 215 (92,3%) do gênero feminino, principalmente dentistas/estudantes de odontologia (24,5%) e técnicos de enfermagem (23,6%) com experiência de até 5 anos (50,7%). A média de acertos no préteste foi de 9,85 (51,89%) e no pós-teste 14,35 (75,57%) sendo esta diferença estatisticamente significante (p>0.001). O aumento médio de acertos após a realização da intervenção foi de 68,66%. Conclui-se que a capacitação foi eficiente para disseminar e aprofundar os conhecimentos sobre o manejo odontológico do paciente em tratamento oncológico e atingiu os principais centros de referência de tratamento do câncer infanto-juvenil do estado.The antineoplastic treatment is associated with side effects being several of them observed in the oral cavity contributing for patient’s morbidity and mortality. Oral care in cancer patients is necessary, but it is not yet a reality in several cancer treatment centers. The aim of the present study was to perform a training course to dental and multidisciplinary teams in the pediatric cancer centers in southern Brazil, in order to improve knowledge about oral complications in pediatric and juvenile cancer treatment. The training course for health professionals involved the management of patients undergoing oncological treatment with a 3 hours class. Participants answered a pre and post-test (19 questions). Descriptive analysis, non-parametric Wilcoxon test (for overall pre-test / post-test) and McNemar's non-parametric test (questions individually) were performed. The significance level of 5% probability or the corresponding p-value was considered. Eleven trainings were carried out and involved 270 participants. The sample was composed by 215 (92.3%) female, mainly dentists / dental students (24.5%) and nursing technicians (23.6%) with experience of up to 5 years (50.7%). The mean accuracy in the pre-test was 9.85 (51.89%) and in the post-test was 14.35 (75.57%), and this difference was statistically significant (p> 0.001). The average of correct answers after the intervention was 68.66%. It is concluded that the training was efficient to disseminate and improve the knowledge about the oral care of the patients submitted to cancer treatment. Also, we can reached the main centers of reference for pediatric and juvenile cancer in southern Brazil state.
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Crockett, Lisa. "Palliative care needs of pediatric patients & their families : a phenomenological study of multidisciplinary pediatric palliative care team experiences." Thesis, University of Liverpool, 2015. http://livrepository.liverpool.ac.uk/2008831/.
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In the United States, more than 1 million children may be suffering from a life-limiting condition (Ruston and Catlin, 2002, p. 57) for which there is no reasonable hope for cure or long-term survival (Fraser et al, 2012, p. 923). However, less than one percent of these children and their families benefit from the provision of pediatric palliative care (Stayer, 2012, p. 350), which is an innovative health care model designed to address their physical, emotional, psychosocial and spiritual needs from diagnosis through end-of-life. During the last decade, pediatric palliative care has begun to secure a foothold as an emerging health care specialty (Crozier and Hancock, 2012, p. 198), but a dearth of literature has left the lived experience of children and their families poorly understood. Therefore, the Pediatric Palliative Care Study is a qualitative research study that utilizes interpretative phenomenological analysis to address two objectives: (1) understand and articulate the comprehensive lived experience of caring for children with life-limiting conditions and their families and (2) delineate how the collective experiences provide insights into needs that can be addressed by pediatric palliative care. The study was conducted at four research sites within Providence Health & Services. In total, nine major themes emerged from the experiences of 27 multidisciplinary care team providers who participated in the study. The themes have been framed from the perspective of the child and family: 1) Develop an innovative approach to caring for me, (2) Place me at the center of care, (3) Care for me as a whole person, (4) Be my guide, (5) Educate and prepare me for what I need to know, (6) Come alongside me, (7) Cultivate the plan and purpose for my life, (8) Be my voice and help me find my own and (9) Help me thrive. The analysis also contributed to an overarching statement about the experience that articulates the interconnectedness between the themes and creates a story of the phenomenon. The study presents seven implications for future practice related to (1) balancing matters of health care design with the human experience, (2) addressing the aims of health care reform legislation, (3) developing care models for home-based settings, (4) customizing care and developing solutions from the perspective of families, (5) educating about palliative care, (6) understanding the skills needed for palliative care providers and (7) improving data reporting for palliative care. Moreover, the study offers three contributions to extant literature, including: (1) validating and refining the WHO definition of palliative care, (2) completing an assessment of the adult versus pediatric palliative care literature from 2011-2014 and (3) addressing a known gap in the literature by offering the first IPA study to articulate the comprehensive lived experience. Limitations of the study and implications for future research are delineated as a research agenda for those seeking to build upon the study findings.
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Žiniauskaitė, Agnė. "Specialistų komandos formavimo reikalingumas onkologijos ligoninėje gydytojų ir slaugytojų požiūriu." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130605_114736-22513.
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Darbo tikslas: Nustatyti specialistų komandos formavimo reikalingumą gydytojų ir slaugytojų, dirbančių LSMUL VšĮ Kauno klinikų filialo onkologijos ligoninėje, požiūriu.
Uždaviniai:
1. Ištirti onkologijos ligoninėje dirbančių gydytojų ir slaugytojų požiūrį į multidisciplinines specialistų komandas;
2. Nustatyti gydytojų ir slaugytojų požiūrį į tai, kokių specialistų pagalbos reikėtų onkologine liga sergantiesiems;
3. Palyginti gydytojų ir slaugytojų nuomones apie specialistų komandos reikalingumą.
Tyrimo metodika: Tyrimas atliktas 2012 m. liepos – rugpjūčio mėnesiais, naudojant anoniminę anketinę apklausą. Apklausos metu anketos buvo išdalintos keturiuose onkologijos ligoninės skyriuose (konservatyviosios onkologijos, paliatyviosios onkologijos, chirurgijos, anesteziologijos ir intensyvios terapijos) dirbantiems gydytojams ir slaugytojams. Iš viso išdalintos 127 anketos, iš kurių grįžo 114 (atsako dažnis 89,8 proc.). Statistinė duomenų analizė atlikta SPSS 17.0 ir MS Excel programomis. Statistinis duomenų reikšmingumas tikrintas pagal statistinį reikšmingumą (p < 0,05), chi kvadrato (χ2) kriterijų, laisvės laipsnių skaičių ir z kriterijų.
Rezultatai: Atlikus tyrimo duomenų analizę nustatyta, kad tyrimo dalyviai žino apie komandinio darbo svarbą ir privalumus gydymo įstaigoje. 48,2 proc. teigė, kad ligoninėje vyrauja individualus ir komandinis darbas. 48,6 proc. apklaustųjų nurodė, kad konfliktai daugiausiai kyla dėl bendravimo problemų ir hierarchinių santykių, o sprendimai... [toliau žr. visą tekstą]The aim of the study: To assess the need of multidisciplinary team formation from a perspective of doctors and nurses working in oncological hospital of Lithuanian University of Health Sciences Kaunas Clinics. Objectives: 1) To find out the attitude of doctors and nurses towards the need of multidisciplinary team; 2) To set the view on what kind of specialists are required for oncological patients according to doctors and nurses; 3) To compare opinions among doctors and nurses about the necessity of the multidisciplinary team. Research methodology: The research was carried out during July and August 2012 using an anonymous questionnaire method. Questionnaires were distributed among doctors and nurses working in four units of the oncological hospital. They were the following therapy units: conservative oncology, palliative oncology, surgery, anaesthetic and intensive therapy units. In total were distributed 127 questionnaires from which 114 questionnaires were returned (with a response rate of 89.8%). Statistical analysis of the data was done using SPSS 17.0 and MS Excel software. Statistical significance of the data was verified using statistical significance p value (p<0,05), chi-squared test, degrees of freedom and z value. Results: It was found that respondents are aware of significance and advantages of teamwork. 48.2% of the respondents stated that the most prevalent kind of work at the hospital was individual work and teamwork. 48.6% of the questioned noted that... [to full text]
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Eriksson, Anna, and Helene Lindqvist. "Att möjliggöra aktivitet och delaktighet till livets slut." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-79080.
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Syfte: Syftet med denna studie var att beskriva arbetsterapeuters erfarenheter inom specialiserad palliativ vård. Metod: En kvalitativ studie genomfördes. Deltagarna bestod av elva arbetsterapeuter yrkesverksamma inom specialiserad palliativ vård. Datainsamlingen skedde med semistrukturerade intervjuer per telefon och datan analyserades med en kvalitativ innehållsanalys. Resultat: Analysen resulterade i ett övergripande tema; Att möjliggöra aktivitet och delaktighet till livets slut med tre kategorier; Flexibilitet och följsamhet, Interventioner med livskvalité som mål och Teamet fyller flera funktioner. Resultatet visar att arbetsterapeuternas erfarenheter är att samtal och följsamhet utgör grunden för den terapeutiska relation som behövs för att stödja klienten i sin process och genomföra interventioner som bygger på klientens egna behov och önskemål. Resultatet visar att det krävs framförhållning och flexibilitet eftersom det sker snabba förändringar hos klienterna. Interventioner som utförs syftar till att klienten skall uppleva livskvalité till livets slut vilket bland annat görs med kompensatoriska åtgärder, handledning, anpassning av aktiviteter och miljö samt symtomlindring. Att arbeta i ett multiprofessionellt team utgör grunden för att möta klientens fysiska, psykiska, sociala och existentiella behov där teamet även utgör ett emotionellt och kunskapsmässigt stöd för arbetsterapeuten. Slutsats: Resultatet kan bidra med förståelse och kunskap för det förhållningssätt och arbetssätt som arbetsterapeuten använder sig av inom palliativ vård för att möta klientens behov och möjliggöra aktivitet och delaktighet till livets slut. Studien kan även bidra till en förståelse för betydelsen av ett fungerande teamarbete, samt varför arbetsterapeuten som profession inom de palliativa teamen behövs. Ytterligare forskning behövs för att beskriva arbetsterapeutens unika kompetens i den palliativa vården samt hur den kompetensen förvärvas. Vidare behövs forskning om arbetsterapi inom olika palliativa vårdformer för att belysa och tydliggöra arbetsterapi inom palliativ vård och skapa en gemensam teoretisk grund.Aim: The aim of this study was to describe occupational therapists’ experiences of specialized palliative care. Method: A qualitative study was conducted. The participants consisted of eleven occupational therapists working in specialized palliative care. The data collection was conducted with semi-structured interviews using telephone and the data was analyzed with a qualitative content analysis. Result: The analysis resulted in an overall theme; To enable occupation and participation until the end of life with three categories; Flexibility and compliance, The goal of interventions is quality of life, The multifunctional team. The result shows that the occupational therapists experiences is that conversation and compliance form the basis of the therapeutic relationship required to support clients in their process and implement interventions based on the clients individual needs and requests. The result shows that it takes foresight and flexibility to meet the clients rapid changes. The aim with interventions is that clients shall experience quality of life till the end of life. This is for instance made with compensatory interventions, guidance, adapting activities and environment and symptomatic relief. Working in a multi-professional team is the basis for meeting the client's physical, mental, social and existential needs, where the team also stands for knowledge exchange and as an emotional support. Conclusion: The result can contribute with understanding and knowledge of the approach and working method used by the occupational therapist in palliative care to meet the client's needs and enable activity and participation towards the end of life. The study can also contribute to an understanding of the importance of teamwork in palliative care and why the occupational therapist is needed in the palliative care teams. Further research is needed on the occupational therapists unique competence and how it is acquired. Further research is needed on occupational therapy in various palliative care forms to clarify occupational therapy in palliative care and to create a common theoretical basis.
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Vasconcelos, Diva Helena Frazão de. "Dislexia e escola: um olhar crítico sobre a equipe multidisciplinar e sua relação com as práticas pedagógicas tendo como foco o professor." Universidade Federal da Paraíba, 2011. http://tede.biblioteca.ufpb.br:8080/handle/tede/6391.
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Previous issue date: 2011-11-22Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This work aimed to identify what 5th grade teachers from private and public schools of João Pessoa, PB, knew about dyslexia, besides the pedagogic practices developed with the teachers to help dyslexics and the interaction between schools staff and the professionals specialized in treating this learning disorder. We focused the 5th grade teachers because it is supposed that students have already got over the expected difficulties of reading and writing acquisition at this time. Dyslexia is a social serious and numerous problem, according to Brazilian Dyslexia Association (ABD), but has not received a proper attention from health and education public offices and has even been excluded from the assistance program ruled by the Secretaria de Educação Especial of Brazilian Ministério de Educação e Cultura. The research was based on Vygotsky s social-interactive theory and on some other researchers of equal importance and scientific orientation, such as Kleiman (2007), Perrenoud (2001), Ong (1998) and Marcuschi (2004). The data were collected from bibliographic sources, interviews and questionnaires applied to twenty 5th grade teachers, ten public and private school technicians and eight professionals of the multidisciplinary team of dyslexia diagnosis and treatment. Surveys about the importance of teachers help to dyslexics hardly exists, in spite of the emphasis and information coming from cognition studies that point to the relevance of teacher s mediation to students get over reading and writing difficulties. This research pointed to little knowledge about this learning disorder among teachers, due mostly to inadequate academic and continuous formation course curriculum. It also showed that there is intense communication between health professionals and private schools what does not happen between them and public schools.
Esta pesquisa objetivou identificar o nível de conhecimento entre profissionais docentes do 5º ano, de Escolas Privadas e Públicas Municipais, de João Pessoa, PB, acerca da Dislexia, como também trabalho realizado pela escola com professores para o atendimento de alunos disléxicos e a relação mantida entre a escola e os profissionais de saúde que tratam desse distúrbio. Detivemo-nos aos professores de 5° ano, quando já se supõe a criança ter superado as dificuldades iniciais, próprias do processo de aquisição da lectoescrita. A dislexia é um problema social grave, de alta incidência, segundo a Associação Brasileira de Dislexia, mas não tem recebido a merecida atenção da escola e órgãos públicos de saúde e educação, chegando a ser excluída do Atendimento Educacional Especializado (AEE), definido pela Secretaria de Educação Especial, do Ministério da Educação e Cultura. Teoricamente a pesquisa teve como fundamentação a teoria sóciointeracionista de Vygostky e pesquisadores de mesmo posicionamento e relevância, como Kleiman (2007), Perrenoud (2001), Ong (1998) e Marcuschi (2004). Como dados, foram utilizados fontes bibliográficas e entrevistas realizadas entre três grupos de participantes, sendo o Grupo I composto por vinte professoras de 5º do Ensino Fundamental I, de escolas públicas e privadas; o Grupo II, por dez técnicos de escolas públicas e privadas, e o Grupo III, formado pelos membros da equipe multidisciplinar de tratamento da dislexia. Pesquisas sobre a importância da atuação do professor no acompanhamento de disléxicos são praticamente inexistentes, apesar de toda a ênfase e informação advindas de estudos sobre cognição apontarem para a importância da mediação docente na superação de problemas no processo de aquisição da lectoescrita. A pesquisa apontou para um nível de conhecimento deficitário sobre este distúrbio entre esse segmento docente, motivado, principalmente, por inadequação curricular nos cursos de formação acadêmica e continuada; para uma relação estreita entre profissionais de saúde e a escola privada e sua ausência entre aqueles e a escola pública.
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Hudson, Paul E. "Defining the role of a genetic counselor within comprehensive care teams: perspectives of the provider team and patients." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1523712470448464.
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Murphy, Margaret. "Investigating the Redesign Implementation Strategy of Simulated Multidisciplinary Trauma Team Training (TTT) on Health Service and Patient Outcomes: An Embedded Experimental Mixed-methods Study." Thesis, The University of Sydney, 2019. http://hdl.handle.net/2123/20820.
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Introduction: In an emergency, trauma teams must form quickly and function effectively. Simulation is used to teach teamwork skills. It is not known about how training is used in clinical practice. Aim: (1) to evaluate the effects of a simulated multidisciplinary TTT program on patient outcomes and team members’ experiences of teamwork in real-world trauma resuscitations, and (2) to inform the future design of TTT programs and translate learnings to clinical practice. Methods: An embedded experimental mixed-method study was used. First, a retrospective review of 2,389 trauma patients was conducted, with 1,116 patients in the four years preceding TTT, and 1,273 patients in the subsequent four years. Second, 86 trauma team members who attended training completed a questionnaire to identify factors affecting teamwork in clinical practice. Third, interviews were used to explore team members’ experiences and perspectives of the effect of TTT on team performance. Results: Patient outcomes data showed a reduction in the time to critical operations in major trauma patients following TTT. The survey identified 16 facilitators and 12 barriers to teamwork in real-life resuscitations. The interviews illustrated that training should focus on developing teamwork skills specific to ‘flash teams’—that is, trauma teams with unstable membership, that form quickly. Integration of the quantitative and qualitative results demonstrated why training helped ‘flash teams’ in time-critical situations, and identified the content to be included in TTT programs. Conclusion: Educational efficiency and contextualised local implementation strategies were key to improving the training’s influence on multidisciplinary team performance in resuscitation events. Teaching teamwork within the context of a dynamically changing team is recommended.
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Nardi, Liciê Helena Ribeiro. "Inclusão dos estudantes com renda inferior na UFRGS : práticas mobilizadas por uma equipe multidisciplinar." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/163495.
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Esta pesquisa abordou o tema da Política de Ações Afirmativas, nos processos de in/exclusão dos alunos com renda inferior, a partir da análise das práticas institucionais mobilizadas pela equipe multidisciplinar da Divisão de Seleção e Acompanhamento Pedagógico, Psicológico e Social (DSS), que pertence a Pró-Reitoria de Assuntos Estudantis (PRAE), da Universidade Federal do Rio Grande do Sul (UFRGS). Por meio desta pesquisa foi possível: a) discutir os processos de in/exclusão, especialmente no que diz respeito à renda inferior e à inclusão como um imperativo de Estado; b) relatar brevemente como ocorreu o processo de democratização do Ensino Superior no Brasil, buscando identificar pontos relevantes do processo de implantação das ações afirmativas; c) construir um breve histórico do processo de implantação das Ações Afirmativas na UFRGS e algumas mudanças que ocorreram no decorrer deste percurso; d) compreender as práticas desenvolvidas pela DSS a partir do conjunto de políticas que a mobiliza, nos processos de in/exclusão dos estudantes com renda inferior; e) buscar alternativas para o seu melhor funcionamento através do levantamento de questões e f) propor reflexões que digam respeito às práticas postas em funcionamento por esta equipe no contexto institucional. Foram utilizados como procedimentos metodológicos entrevistas semiestruturadas com os servidores da DSS e ex-gestores da PRAE. As categorias de análise foram construídas a partir das recorrências dos excertos analisados. Nas análises, foi possível evidenciar a necessidade de uma gestão mais qualificada e engajada para buscar atender a esses novos compromissos assumidos pela Universidade, fortalecendo o importante trabalho realizado pela equipe multidisciplinar da DSS. Assim, esta dissertação traz pistas que podem nortear a (re) construção do setor a partir dos seguintes pressupostos: 1) retomada do histórico do setor no contexto institucional, reconstituída na dissertação; 2) reorganização da gestão do setor a partir: a) da visão da DSS como um espaço de estudo e de elaboração de propostas de trabalho conjuntas: b) da elaboração de um cronograma de trabalho que mescle momentos de estudo e de planejamento do trabalho da equipe; c) da discussão e da organização do trabalho de acompanhamento dos alunos (ingresso, permanência e sucesso acadêmico), tendo em vista as atribuições de cada uma das áreas dos profissionais que atuam no setor; d) da necessidade de avançar na discussão com outros setores da UFRGS – no caso das ações de acompanhamento, o diálogo com as COMGRAD’s e a elaboração de ações conjuntas será essencial; e) da avaliação do tipo de acompanhamento que será realizado; e) da criação de mecanismos que possibilitem a avaliação processual do trabalho desenvolvido, bem como a sistematização e o registro permanente dos dados coletados.This research addressed the topic of Affirmative Action Policy in the processes of in / exclusion of lower income students, based on the analysis of the institutional practices mobilized by the Multidisciplinary Team of the Pedagogical, Psychological and Social Selection and Monitoring Division (DSS), which Belongs to Pro-Rectory of Student Affairs (PRAE), Federal University of Rio Grande do Sul (UFRGS).Through this research it was possible to: a) discuss the processes of in / exclusion, especially with regard to lower income and inclusion as a state imperative; B) to report briefly how the process of democratization of Higher Education in Brazil occurred, seeking to identify relevant points of the process of implementation of affirmative actions; C) construct a brief history of the implementation process of Affirmative Actions in UFRGS and some changes that occurred during this course; D) understand the practices developed by the DSS from the set of policies that mobilize it, in the processes of in / exclusion of students with lower incomes; E) seek alternatives for its better functioning through the survey of issues and f) propose reflections regarding the practices put in place by this team in the institutional context. Semi-structured interviews were used as methodological procedures with the DSS servers and former PRAE managers. The categories of analysis were constructed from the recurrences of the excerpts analyzed. In the analyzes, it was possible to highlight the need for a more qualified and engaged management to seek to meet these new commitments assumed by the University, strengthening the important work carried out by the DSS multidisciplinary team. This dissertation presents clues that can guide the (re) construction of the sector from the following assumptions: 1) resumption of the history of the sector in the institutional context, reconstituted in the dissertation; 2) reorganization of the management of the sector from: a) the vision of the DSS as a space for study and preparation of joint work proposals; b) the preparation of a work schedule that combines moments of study and planning of the work of the team; C) discussion and organization of student follow-up work (admission, permanence and academic success), considering the responsibilities of each of the areas of professionals working in the sector; D) the need to advance the discussion with other sectors of UFRGS - in the case of follow-up actions, dialogue with COMGRAD's and the elaboration of joint actions will be essential; E) the evaluation of the type of follow-up to be carried out; F) the creation of mechanisms that allow the process evaluation of the work developed, as well as the systematization and permanent recording of the data collected.
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Durbin, Nicholas Jeremy. "Promoting mental health and psychological wellbeing in children : a socio-cultural activity theory analysis of professional contributions and learning in a multidisciplinary team." Thesis, University of Birmingham, 2010. http://etheses.bham.ac.uk//id/eprint/976/.
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This research explores professional contributions and learning in a multidisciplinary team whose purpose is to promote mental health and psychological well being in children within family and community settings. It brings together three current priorities of policy and practice, namely, promoting mental health and psychological wellbeing in children and young people, multidisciplinary teamwork, and professional learning and development. The study examined a multidisciplinary child behaviour team of educational psychologists, family support workers and primary mental health workers working within a culturally diverse urban community. Activity theory was used as a theoretical framework and methodology to examine the sociocultural processes involved in multidisciplinary work. Individual interviews, focus group discussion and developmental work research were employed to identify and compare activity systems, and to surface and then work on contradictions. The exploratory findings arising from the analysis of the activity systems are discussed against the cultural and historical background of professional and multidisciplinary work. The implications for professional practice, multidisciplinary work and future research are also considered. Conclusions drawn emphasise the complex multilayered nature of professionals’ work within multidisciplinary teams and the value of sociocultural activity theory as a method for analysing work and promoting learning in multidisciplinary teams.
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Ferreira, Luiz Alberto dos Santos. "O trabalho da educação física na composição de equipe de saúde mental especializada em álcool e outras drogas." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/99039.
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Esta dissertação trata de analisar, de um modo geral, os processos de trabalho dos trabalhadores em Saúde Mental e, de modo específico, como os trabalhadores de Educação Física se incorporam (ou são incorporados) no cotidiano de trabalho nos Centros de Atenção Psicossocial (Caps). A temática é tratada nesta dissertação com base nas formulações teóricas produzidas a partir do movimento antimanicomial e da Reforma Sanitária Brasileira. A metodologia adotada foi o estudo de caso qualitativo em um Caps especializado na atenção a usuários de álcool e outras drogas, localizado na região metropolitana de Porto Alegre. Por meio de um roteiro de entrevista semiestruturada, principal instrumento de produção dos dados empíricos, oito trabalhadores de diversos núcleos profissionais da equipe colaboraram com a pesquisa. Do material levantado, três categorias de análise emergiram: 1) a tensão entre público e privado na organização dos processos coletivos de trabalho para a produção do cuidado em serviços de Saúde Mental; 2) as expectativas e demandas da equipe relativa ao trabalho da Educação Física em um Caps AD; e 3) a produção de saberes sem fronteiras disciplinares/profissionais em meio aos afazeres que se misturam na composição do trabalho em Saúde Mental. A análise resultante desta categorização levou às seguintes considerações: a terceirização dos serviços e a precarização dos vínculos empregatícios interfere na organização de processos coletivos de trabalho e na efetiva integração das equipes em Saúde Mental; o trabalho da Educação Física em um Caps Ad transita tanto entre as expectativas de tarefas clássicas do núcleo quanto à composição do trabalho coletivo voltado para as demandas do campo; as equipes multiprofissionais de Saúde Mental que funcionam de forma efetivamente integrada rasuram as fronteiras dos saberes dos núcleos e convocam os trabalhadores a desenvolverem projetos terapêuticos pautados, sobretudo, na produção de vida.This dissertation is to examine, in general, the working processes of professionals involved in Mental Health and, specifically, how the professionals of Physical Education incorporate (or are embedded) in the daily work at the Centers for Psychosocial Care (CAPS). The topic is treated in this dissertation based on theoretical formulations produced from anti-asylum movement and from Brazilian Sanitary Reform. The adopted methodology was a qualitative case study based on CAPS, who is specialized in caring for users of alcohol and other drugs, located in the metropolitan area of Porto Alegre. Through a guide of semi-structured interviews, the main instrument of production of empirical data, eight professionals from the multidisciplinary core team collaborated with the research. From the collected material, three categories of analysis emerged: 1) the tension between public and private in the organization of the collective bargaining process for the production of care in mental health services, 2) the expectations and demands of the team concerned the Physical Education in a Caps, and 3) the production of knowledge without borders disciplinary/professionals during their duties that mixtures in the composition of the work in Mental Health. The resulting analysis of this categorization led to the following considerations: the outsourcing of services and the casualization of employment relationships interfere in the organization of collective bargaining processes and the effective integration of the Mental Health teams, the duty of Physical Education in a Caps transitions even between expectations from classical tasks of the core team about the composition of the collective work facing the demands on the field, than the multidisciplinary teams of Mental Health that works effectively integrated erasure the frontiers of knowledge of the core teams and summon professionals to develop therapeutic projects guided mainly in the production of life.
Esta tesis intenta analizar, de modo general, los procesos de trabajo de los trabajadores en Salud Mental y, de modo puntual, como los trabajadores de Educación Física se adhieren (o son adheridos) en el cotidiano laboral de los Centros de Atención Psicosocial (Caps). La temática es abordada en esta tesis con base las diferentes formulaciones teóricas generadas a partir del movimiento Antimanicomial y la Reforma Sanitaria Brasilera. La metodología empleada fue el estudio de caso cualitativo en un Caps especializado en la atención a los usuarios de alcohol e drogas , ubicado en la región metropolitana de la ciudad de Porto Alegre. A partir de una entrevista semi-estructurada, principal instrumento de producción de datos empíricos, ocho trabajadores de diferentes equipos profesionales colaboraron con la investigación. En el material recogido surgieron tres categorías de análisis: 1) la tensión entre lo público y privado en la organización de procesos colectivos de trabajo para la atención en los servicios de Salud Mental. 2) las expectativas y exigencias del trabajo de la Educación Física en un Caps Ad, y 3) la producción de conocimiento sin barreras disciplinarias/profesionales en medio a los quehaceres que se mezclan en la configuración del trabajo en Salud Mental. El análisis resultante de esta clasificación llevó a las siguientes consideraciones: la tercerización de los servicios y la precarización de los vínculos laborales interfieren en la organización de los procesos de trabajo colectivo y en la integración efectiva de los equipos de trabajadores en Salud Mental; el trabajo de la Educación Física en un Caps Ad transita tanto en la expectativas de las tareas clásicas del núcleo como en la composición del trabajo colectivo dirigido a las demandas del campo; los equipos multiprofesionales de Salud Mental que funcionan de forma efectivamente integrada, rasuran las fronteras de los saberes de los núcleos y convocan a los trabajadores a desarrollar proyectos terapéuticos pautados, sobre todo en la producción de la vida. El análisis resultante de esta clasificación llevó a las siguientes consideraciones: el trabajo de Educación Física en un CAPS Ad ambas transiciones entre expectativas de las tareas clásicas del núcleo y la composición de la obra colectiva frente a las demandas del campo, los equipos multidisciplinarios de Salud Mental que trabajan rasuram efectivamente integrada de las fronteras del conocimiento de los núcleos y convocan a los trabajadores a desarrollar proyectos terapéuticos guiados principalmente en la producción de la vida.
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Rönning, Helén. "Follow-up of adults with congenitally malformed hearts with focus on individualised and computer-based education and psychosocial support : A descriptive and interventional study." Doctoral thesis, Linköpings universitet, Omvårdnad, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-68677.
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Background and aims: Many adults with congenitally malformed hearts are at risk for complications such as decreased function and capacity of the heart due to the heart defect and previously surgery. This advocates self-management behaviours related to medical treatments, physical activity, preventions of endocarditis, some restrictions regarding suitable employment and spare time activities, birth control and pregnancy, but also lifestyle concerns such as refraining from smoking and healthy eating. Sufficient knowledge and support are requirements for successful self-management. The overall aim of this thesis was to describe educational needs, develop a tool for assessing knowledge and to evaluate the effects of a follow-up model providing education and psychosocial support to adults with congenitally malformed hearts. Subjects and methods: Adults (≥18 years of age) with the ten most common heart defects namely ventricular septal defect, atrial septal defect, coarctation of the aortae, aortic valve stenosis (defined as uncomplicated heart defects) and tetralogy of Fallot, complete transposition of the great arteries, congenitally corrected transposition of the great arteries, Ebstein anomaly and Eisenmenger syndrome (defined as complicated heart defects) were included in the studies. To apprehend the educational needs (I), sixteen adults with heart malformations, ranging from 19-55 years of age, were interviewed and data were analysed qualitatively using phenomenographic method. As a tool to evaluate knowledge, an instrument named Knowledge scale for adults with Congenital Malformed Hearts (KnoCoMH) was developed and psychometrically evaluated (II) in 19 + 114 adults with the ten most common heart defects average age 34 ± 13.5. A model for follow-up was described and initially evaluated (III) by 55 adults with the most common heart defects and finally tested in a randomised controlled trial (IV) with a total of 114 adults with congenitally malformed hearts (56 participants in intervention group and 58 in control group with average age 34 ± 13.5). The intervention group recived a model for follow-up with individualise and computer-based eduction and psychosocial support by a multidisciplinary team. Results: Two-way communication when given information was found to be crucial in order to enhance knowledge (I). Knowledge was seen as a tool for managing important areas in life. The KnoCoMH (II) was found to be a valid and reliable scale and can now be used to estimate knowledge in adults with congenitally malformed hearts. The model for follow-up (III) was effective in improving and maintaining knowledge (IV) about self-management in adults with heart malformation.
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Zanardo, Fernanda de Cassia. "Diabetes Mellitus tipo 2: caracterização da assistência à saúde, parâmetros clínicos e estado nutricional de idosos em uma Unidade Básica de Saúde, em dois períodos de acompanhamento." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/17/17139/tde-07012016-154616/.
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INTRODUÇÃO: Observado inicialmente em países desenvolvidos, o envelhecimento populacional atualmente é uma realidade presente também em países em desenvolvimento. O diabetes mellitus consiste em uma doença de caráter crônico, envolve acompanhamento e tratamento por toda a vida, e apresenta dificuldades no monitoramento e na garantia de uma boa adesão dos pacientes às orientações das equipes de saúde. OBJETIVO: Estudar as características dos idosos com diagnóstico de diabetes mellitus tipo 2, cadastrados em uma unidade de saúde da família, em relação à assistência à saúde, parâmetros clínicos de monitoramento e estado nutricional, a partir da avaliação dos prontuários clínicos destes pacientes. MÉTODO: O estudo é descritivo, com abordagem quantitativa, com fonte de dados secundários. O grupo de estudo é composto por usuários atendidos em uma unidade de saúde da família de Ribeirão Preto-SP, com diagnóstico confirmado de diabetes mellitus tipo 2, cadastrados no Sistema de Informação da Atenção Básica (SIAB), com idade igual ou superior a 60 anos, apresentando ao menos uma consulta de acompanhamento no último ano. Foram compilados dados referentes aos hábitos de vida, assistência à saúde e estado nutricional no primeiro ano de acompanhamento na unidade e no ano da coleta da dados. As informações referentes aos dois períodos estudados foram comparadas por meio de estatística descritiva. Para a comparação de médias das variáveis foi usado o teste t de Student para dados pareados. RESULTADOS: Foram analisados os prontuários de 60 idosos, com média de 9 anos de acompanhamento no serviço. Os diagnósticos das comorbidades mais frequentes foram hipertensão arterial sistêmica, dislipidemias e obesidade. Entre os parâmetros bioquímicos, houve redução de hemoglobina glicada (HbA1C), glicemia de jejum e lipídios para homens e redução de colesterol total, HDL colesterol e LDL colesterol entre as mulheres. Ocorreu redução na frequência dos registros de orientação alimentar no segundo período, com orientação específica de nutricionista em apenas 15% dos prontuários. A orientação mais frequente relatada referiu-se ao fracionamento das refeições. Além do nutricionista, o farmacêutico e fisioterapeuta foram os profissionais com maior frequência de visitas domiciliares. Os registros de participação em grupos de educação em saúde representaram apenas 5% da amostra. CONCLUSÃO: Os resultados encontrados evidenciam atendimento clínico eficiente no monitoramento e controle do diabetes mellitus, porém reforçam a necessidade de estímulo às práticas de promoção e prevenção da saúde no âmbito da atenção básica, com o objetivo de prevenção de complicações relacionadas ao envelhecimento e ao diabetes mellitus, contribuindo para melhora da qualidade de vida dos usuários do serviço, aumento da resolutividade da atenção básica e redução dos custos para o Sistema Único de Saúde.INTRODUCTION: Initially observed in developed countries, the aging population is now present in developing countries. The diabetes mellitus consists in a chronic disease that involves monitoring and treatment for a lifetime, with difficulties to monitoring and to assurance a patient compliance to health team recommendations. OBJECTIVE: To study type 2 diabetes mellitus aged characters, registered in a family health unit, in relation to de health care, medical parameter and nutritional assessment, from medical records of them. METHODS: It\'s a descriptive study, with quantitative approach and secondary data source. The study group is compose of patients treated in a family health unit in Ribeirão Preto - SP, with confirmed type 2 diabetes mellitus diagnosis, register in the Primary Care Information System, aged over 60 years, presenting at least one follow-up visit last year. Data were compiled relating to lifestyle, health care and nutritional status in the first and last year of the monitoring unit. Two periods information were compared using descriptive statistics. To compare the means of the variables we used the Student t test for paired data. RESULTS: The elderly medical records were analyzed with average of nine years in follow-up service. The most common comorbidities diagnosis were hypertension, dyslipidemia and obesity. Among the biochemical parameters, glycated hemoglobin (HbA1c), fasting plasma glucose and blood lipids decreased among men and total cholesterol, HDL cholesterol and LDL cholesterol decreased among women. The frequency of dietary guidance recording decreased in the second period, with specific nutritionist guidance in only 15% of the records.! Fractionation meal is the most frequent orientation reported. In addition to the nutritionist, pharmacist and physiotherapist were professionals with higher frequency of home visits. Records of participation in health education groups accounted for only 5% of the sample. CONCLUSION: The results show efficient medical care in monitoring and control of diabetes mellitus, but reinforce the need for stimulus to promotion and prevention health practices in the scope of primary care, in order to prevent complications related to aging and diabetes mellitus, contributing to improved quality of life for service users, increasing resoluteness of primary care and reducing costs for the Unified Health System.