Interprofessional Collaborative Assessment. and Management of. Illness Related Anxiety (icamira) Facilitator s Resource Manual

Transcription

1 Interprofessional Collaborative Assessment and Management of Illness Related Anxiety (icamira) Facilitator s Resource Manual

2 Project Team Ms. Mary Agnes Beduz, RN, MN, PhD (student) Director, Nursing Education and Development Mount Sinai Hospital Dr. Robert Maunder, MD Staff Psychiatrist Mount Sinai Hospital Nathalie Peladeau, RN, MScN Clinical Nurse Specialist Mount Sinai Hospital Partners Standardized Patient Program, Faculty of Medicine, University of Toronto Nancy McNaughton, Associate Director, Research Lorena Dobbie, Session Educator Cameron MacLennan, Education Media Specialist Standardized Patients Enette Pauzé, Health Service Excellence Group Valerie Gust, VG Communications This project is funded by the Ministry of Health and Long Term Care (MOHLTC) and sponsored by HealthForceOntario. The views expressed are those of the project team and do not necessarily reflect those of the MOHLTC or the Agency. Acknowledgments The project team would like to acknowledge the individuals whose work contributed to the success of the Interprofessional Collaborative Assessment and Management of Illness Related Anxiety Project, and the creation of this Resource Manual. Their comprehensive insights were invaluable throughout this project; this guide would not have been possible without them. We would like to thank Barbara Duffey-Rosenstein, Maricel Teodoro, Inger Tai and Judith Healey for their work on the development of the electronic version of the Anxiety Measurement Assessment Tool. Appreciation goes to Micheline Lang, for her work on the development of the elearning Module. We would like to thank our team of clinical experts (Penny Dooks, Christina Fabbruzzo, Monica Frecea, Carnett Howell, Elaheh Sarvi, and Liandi Zhang) whose experience and knowledge was essential to the development and implementation of a new practice standard. We would also like to express our gratitude to our patient and family advisors who generously shared with us their realities, insights and wisdom and gave voice to the creation of the patient scenarios; they confirmed for us the fundamental need for this work. Special appreciation is owed to Leslie Vincent, Senior Vice President Patient Care and Chief Nursing Executive for her support of this initiative. Finally we would like to recognize the dedication and commitment of the healthcare providers who enthusiastically participated in this initiative and have embraced the new practice standard with the hope of better meeting the emotional needs of our patients.

3 Interprofessional Collaborative Assessment and Management of Illness Related Anxiety (icamira) Facilitator s Resource Manual August 2010

4 Publication Information Individuals may photocopy these materials for their use provided that proper attribution is given to the source. The recommended citation of this toolkit is: Peladeau, N., Beduz, MA. and Maunder, R. (2010). Facilitator s Resource Manual. Interprofessional Collaborative Assessment and Management of Illness Related Anxiety (icamira) Project, HealthForceOntario. Contact Information Ms. Mary Agnes Beduz, RN, MN, PhD (student) Director, Nursing Education and Development Mount Sinai Hospital mbeduz@mtsinai.on.ca Tel: (416) x 2351 Website: ISBN: Copyright 2010 Mount Sinai Hospital, Toronto, Canada

5 References R eferences 1. Sherbourne, C.D., et al. (1994). Prevalence of comorbid anxiety disorders in primary care outpatients. Archives of Family Medicine, 5(1), Stoudemire, A. (1996). Psychiatry in medical practice. Implications for the education of primary care physicians in the era of managed care: Part 1. Psychosomatics, 37(6), Bohachick, P. (1984). Progressive relaxation training in cardiac rehabilitation: Effect on perceptions of challenges, control, competition and collaboration in Ontario s evolving healthcare system. Healthc Q., 8(3), Lawlis, G.F., et al. ( 1985). Reduction of postoperative pain parameters by pre-surgical relaxation instructions for spinal pain patients. Spine, 10(7), Frazier, S.K., et al. (2002). Management of anxiety after acute myocardial infarction. Heart and Lung: The Journal of Acute and Critical Care, 31(6), Saravay, S., et al. (1996). Four-year follow-up of the influence of psychological comorbidity on medical rehospitalisation. American Journal of Psychiatry, 153(3), Walker, F.B., et al. (1987). Anxiety and depression among medical and surgical patients nearing hospital discharge. Journal of General Internal Medicine, 2(2): Simon, E.P., et al. (1995). Delivery of home care services after discharge: what really happens. Health and Social Work, 20(1): Creed, F., et al. (2002). Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients. Psychosomatics, 43(4): Moser, D.K. (2002). Psychosocial factors and their association with clinical outcomes in patients with heart failure: Why clinicians do not seem to care. European Journal of Cardiovascular Nursing, 1(3): Burman, M.E., et al. (2005). Treatment practices and barriers for depression and anxiety by primary care advanced practice nurses in Wyoming. Journal of the American Academy of Nurse Practitioners, 17(9): , Mount Sinai Hospital, Toronto, Canada 37

6 icamira Facilitator s Resource Manual 12. Sheldon, L.K., et al. (2008). Putting evidence into practice: evidence-based interventions for anxiety. Clinical Journal of Oncology Nursing, 12(5): Brown, A.D., et al. (2008). Comparing patient reports about hospital care across a Canadian-US border. International Journal of Quality in Healthcare, 20(2), Maunder, R.G. (2009). [Observer Rating Scale for Patient Anxiety]. Unpublished raw data. 15. Hamilton, M. (1959). The measurement of anxiety states by rating. British Journal of Medical Psychology, 32, Gaba, D.M. (2004). The future vision of simulation in healthcare. Quality Safe Healthcare, 13 (Suppl 1);i2-i Nishisaki, A., et al. (2007). Does patient simulation improve patient safety, self-efficacy, operational performance and patient safety. Anesthesiology Clinics, 25: Johnson, J.A., et al. (1996). Effectiveness of standardized patient instruction. Journal of Dentistry Education, 60(3): Estrada, C.A., et al. (1997). Positive affect facilitates integration of information and decreases anchoring in reasoning among physicians, Organizational Behaviour and Human Performance, 72: Blue, A.V., et al. (1998). The effectiveness of the structured clinical instruction module. American Journal of Surgery, 176(1): Madan, A.K., et al. (1998). Comparison of simulated patient and didactic methods of teaching HIV risk assessment to medical residents. American Journal of Prevention Medicine, 15(2): Aspegren, K. (1999). How to get the best physicians? Admission procedure and education must cooperate. Lakartidningen, 96(36): Isenberg, S.B., et al. (2005). Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Medical Teacher, 27: , Mount Sinai Hospital, Toronto, Canada

7 Within the complexity of our current healthcare system, meeting the emotional needs of patients is a challenge for all healthcare professionals. The extent to which different healthcare professionals work well together can affect the quality of the healthcare that they provide. If there are problems in how healthcare professionals communicate and interact with each other, then problems in patient care can occur. Interprofessional educational strategies focused on giving healthcare professionals a common language and understanding of patient needs can be effective in achieving patient centred care goals. Mary Agnes Beduz Director of Nursing Education and Development Principle Investigator, icamira Project

8 Copyright 2010 Mount Sinai Hospital, Toronto, Canada ISBN: