Phelpsbyskov7730

nities to tease out nuances that would otherwise be unavailable in a typical attitudes survey. see more We noted a individualistic view of healthcare in both the causes and solutions to medical errors. We view these results as an opportunity for interprofessional education in systems-level approaches to improve patient safety. Curricular efforts in interprofessional education, collaborative practice, and patient safety should be driven by these results.OBJECTIVES In an adverse event investigation, the patients have the potential to add a unique perspective because they can identify contributing factors that providers may miss. However, patients are rarely included in patient safety investigations. We aimed to identify the barriers to patient involvement in patient safety investigations and propose strategies to overcome them. METHODS We reviewed literature on active participation by patients in safety investigations to construct a framework for healthcare institutions to use in approaching patients about a potential role in investigating an error in their care. We searched 3 electronic databases (PubMed, PSNet, Web of Science) for the years 1990 to 2018, without restrictions to language. Search terms included "patient empowerment, "patient involvement," "patient participation," "patient safety investigation," "root cause analysis," "error analysis." We also examined reference lists of relevant studies to identify additional articles. RESULTS Our electronic search produced 10,624 records with 30 potentially eligible articles. However, we identified only 6 relevant published articles. We used these as the basis for a proposed framework that is predicated on the thoughtful disclosure of adverse events and has 3 main levels (i.e., patient, clinician, and institutional level). For each level, we identify barriers to patient participation and potential strategies to overcome them. CONCLUSIONS The proposed framework can be used as a starting point to promote patient involvement in error investigations. Involving patients in patient safety investigations could increase patient centeredness, patient autonomy, and transparency and make analyses more effective by adding unique and potentially actionable information.BACKGROUND A contributing factor in the provision of suboptimal mental health care is the presence of stigmatizing attitudes among health care providers. Although numerous studies have investigated stigmatizing attitudes among physicians, nurses in psychiatric settings, and various populations of students, mental health stigma among nurse practitioners (NPs) has not yet been addressed. PURPOSE The purpose of this study was to assess NPs' attitudes and beliefs regarding working with individuals with a mental health disorder. METHODS A cross-sectional descriptive design was used. Nurse practitioners attending a national practice conference completed a survey for demographic and practice information and a standardized measure for assessing stigmatizing attitudes regarding three mental health conditions (a) anxiety/depression, (b) attention deficit hyperactivity disorder, and (c) substance use disorders (SUDs). RESULTS A total of 141 NPs participated in this study. The most favorable attitudes were reported for working with individuals with anxiety/depression, and the least favorable attitudes were reported for working with those with an SUD. IMPLICATIONS FOR PRACTICE Stigmatizing attitudes are present among practicing NPs. Effective bias-reducing interventions are indicated to improve the patient-centered care NPs provide to individuals with mental health disorders.BACKGROUND Despite the possibility of adversely affecting the mental health of children, sibling aggression, the most common form of family violence, is often dismissed as normal or less harmful than other types of violence. Currently, there is no easily administered screening method for sibling aggression. PURPOSE The goal of this project was to develop and test a brief sibling aggression screening tool for use in pediatric primary care. METHODS The project was implemented in four phases phase I reviewed the literature for adolescent and child aggression screening tools and to create a draft for expert content analysis. Phase II used a focus group of family mental health providers to modify draft items for the screening tool (N = 5). In phase III, the first draft of a screening tool was critiqued by individual pediatric providers (N = 8) for clarity and feasibility of use in pediatric primary care. In phase IV, the screening tool was piloted by one provider in pediatric clinical practice, who used the tool with six children over 3 weeks. RESULTS All providers in phase II (N = 13) identified sibling aggression as an underassessed area of pediatric care. All providers in phase III found the revised questions to be clearly stated and child friendly; 75% (N = 6) agreed they could incorporate the questions into their current assessment, 25% disagreed citing limited time and resources. Pilot testing with six children demonstrated feasibility for use in pediatric primary care. IMPLICATIONS FOR PRACTICE Utilization of a brief screening tool to assess for sibling aggression may help providers to identify and therapeutically respond to the most common type of childhood violence.BACKGROUND Larger patient caseloads and increased workplace responsibility for nurse practitioners (NPs) may exacerbate factors leading to compassion fatigue (CF). PURPOSE The purpose of this study is to analyze the rate of burnout in practicing NPs by looking at contributing factors that play a role in CF and compassion satisfaction (CS). METHODS A NP social media platform was used to distribute a survey to a convenience sample of 208 NPs. Data included the Professional Quality of Life Scale V (ProQOL V) tool, demographic data, and protective factor questions. The data were dissected for CF and protective factors of CS. RESULTS The relationship of mindfulness practices and levels of CS was statistically significant. The relationship between support from family, coworkers, and administration and levels of CS was also found statistically significant. A large association was found between the correlation of burnout and support from coworkers. IMPLICATIONS FOR PRACTICE Findings showed an average to high level of CS with a low-to-average burnout rate among the NPs surveyed.