2023-09-28 14:46:10 +00:00
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abstract: 'Background: There is a growing need for quality, community care models
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centered on the care of the child with medical complexity. This quality
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improvement project was conducted in a community-based medical daycare
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program within a large, metropolitan, pediatric hospital network of care
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location. A multi-disciplinary team, led by a clinical nurse specialist,
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occupational therapist, and early childhood special education teacher,
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addressed staff frustrations and low morale related to barriers to
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working at top of scope and feelings of a chaotic care and learning
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environment for children. Aims: To improve staff satisfaction through a
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decrease in perceived barriers to practicing at top of scope and to
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refocus each discipline''s role. A secondary aim was to improve child
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engagement through restructuring the ther-apeutic and learning
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environment and reducing distractions to better meet the unique needs of
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the children the program serves. Methods: This quality improvement (QI)
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project used multiple methods, including staff surveys, child
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observa-tions and timecard review, to measure the project''s impact on
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ability to work at top scope, child engagement and staff satisfaction.
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Results: The QI project resulted in positively impacting work culture
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and structure by increased time professional staff practiced at the top
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of scope, decreased perceived barriers to do so, improved overall job
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satisfaction and im -proved child engagement. Conclusion: Increased
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multidisciplinary collaboration and increased structure promoted an
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enhanced learning environment, healthier staff environment, and a more
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fiscally responsible program. There is little knowledge about medical
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daycares and further investigations in this setting is warranted. (c)
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2021 Elsevier Inc. All rights reserved.'
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affiliation: 'Colby, A (Corresponding Author), 860 N Potomac Circle,Box 295, Aurora,
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CO 80011 USA.
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Colby, Amy; Yanco, Abigail; Inson, Ann, Childrens Hosp Colorado, KidSt 3615 Martin
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Luther King Jr Blvd, Denver, CO 80205 USA.
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Gance-Cleveland, Bonnie, Univ Colorado, Coll Nursing, 13120 E 19th Ave, Aurora,
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CO 80045 USA.'
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author: Colby, Amy and Yanco, Abigail and Inson, Ann and Gance-Cleveland, Bonnie
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author-email: 'amy.colby@childrenscolorado.org
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ann.inson@childrenscolorado.org'
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author_list:
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- family: Colby
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given: Amy
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- family: Yanco
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given: Abigail
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- family: Inson
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given: Ann
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- family: Gance-Cleveland
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given: Bonnie
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da: '2023-09-28'
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doi: 10.1016/j.pedn.2021.02.023
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earlyaccessdate: MAR 2021
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files: []
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issn: 0882-5963
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journal: JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN \& FAMILIES
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keywords: 'Multidisciplinary; Staff satisfaction; Quality improvement; Medical
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daycare; Top of scope'
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keywords-plus: JOB; INTERVENTION; CHILDREN; NURSE
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language: English
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month: SEP-OCT
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number-of-cited-references: '17'
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pages: 92-99
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papis_id: 3a2267782df0f1bbd8fda60f523febdb
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ref: Colby2021reimaginemultidiscip
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times-cited: '0'
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title: 'ReImagine: A multi-disciplinary quality improvement plan to work at top of
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scope'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000703599100011
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '60'
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web-of-science-categories: Nursing; Pediatrics
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year: '2021'
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