Looking Through the Eyes of Families
Transcription
Looking Through the Eyes of Families
Issue # 13 | April 2015 In This Issue Looking Through the Eyes of Families: Insights and Tips Mercy Consultation in the Midwest Successful PERCS - Radiology Reaches National Audience "Masterfully Executed!" Evanston Hospital Nurses Provide Feedback Patient & Provider Videos Filmed for the Advancing Relational Learning Worldwide Project IPEP Spotlight: Serena Barello Receives her PhD in Psychology IPEP Spotlight: Kelsey Mills Runs the 38th New Bedford Half Marathon Faculty Education Fellowship in Medical Humanism and Professionalism Applications Open Difficult Conversations in Healthcare: Teaching & Practice - Register Now! Our Mission To promote relational learning for health care professionals that integrates patient and family perspectives, professionalism, and the Dear Reader, We have had lots of activity at the Institute community within the past month that we are happy to share. Looking Through the Eyes of Families: Insights and Tips Responding to a request from BCH Vice President Patricia Hickey, PhD, MBA, RN, FAAN, we are pleased to announce a new collaboration between IPEP and the Cardiovascular and Critical Care Services. Elaine Meyer, PhD, RN and Dave Browning, MSW, LICSW, working closely with Nurse Managers Michelle Hurtig, MSN, RN, NE-BC, Cheryl O'Connell, MBA, RN, NE-BC, CPHQ and Jason Thornton, RN, MSN, CCRN, CPHQ, NE-BC, developed a one-hour workshop aimed at refreshing staff communication skills, enhancing empathy, and improving the patient and family experience. Entitled "Looking Through the Eyes of Families: Insights and Tips," the one-hour program includes video triggers, evocative quotes and poetry, and guidance from parents for hospital caregivers. A robust cross-section of staff attended a pilot workshop on Monday, March 16. The session received very positive feedback from participants, and several useful revisions were made to the curriculum based on the group's input. The workshop will be rolled out and adapted as necessary for staff throughout the Cardiovascular and Critical Care Services units in the coming weeks, with the Nurse Managers taking the lead in teaching their staff. Thank you to the IPEP leadership group for their initial feedback, and special thanks to Family Faculty Facilitator, Meg Comeau, MHA for her thoughtful and specific suggestions for improving the program. Mercy Consultation in the Midwest Successful everyday ethics of clinical practice. PERCS This Month Rounds 4/15 - Navigating the Challenges of Everyday Practice Topic: "Respecting Patient Confidentiality in Shared Spaces: Challenges and Solutions" 4/23 - NICU (Day & Night) Topic: "Shared Decision Making: Can We Find Common Ground?" Workshops 4/1 PERCS - Neurology: Challenges in Supervision 4/9 PERCS - Supporting Families at the Bedside 4/14 PERCS Cardiovascular & Critical Care: Children with Special Healthcare Needs 4/15 PERCS - Neurology: Neonatology Introducing Eugenia Ursino We congratulate Giulia Lamiani and her husband, Giovanni, on the arrival of their beautiful baby girl. Eugenia was born on March 20, 2015 at 5am. Eugenia is home doing well with her loving parents. Welcome to the world baby Eugenia! IPEP's educational consultation team, led by Elizabeth Rider, MSW, MD, IPEP's Director of Academic Programs and member of the Department of Medicine, with Pamela Varrin, PhD, Tamara Vesel, MD, and Brigid O'Connor, recently returned from presenting a full-day pilot program and training in Springfield, Missouri for the Mercy Health system. The pilot, Necessary Conversations: Enhancing Communication with Patients and Families, focused on palliative care and advance directives training for Mercy's clinician-educators and clinical leaders. Program participants learned about PERCS pedagogy and a variety of relational teaching strategies for enhancing and teaching communication skills and promoting relationshipcentered care. The training is closely adapted from IPEP's international faculty development course, Difficult Conversations in Healthcare: Teaching and Practice. Course participants attended from across Mercy's large, non-profit, healthcare system. The course was enthusiastically received and highly rated. Later this month, IPEP's team will travel to St. Louis, MO, Oklahoma City, and Springfield, MO to teach clinician-educators and clinical leaders from a number of Mercy's 46 hospitals and 700 clinics and outpatient facilities in that extend across seven states. PERCS - Radiology Reaches National Audience In their recent email news, The Society for Pediatric Radiology (SPR) announced our upcoming PERCS - Radiology workshop. PERCS - Radiology will be offering its first national CME workshop on Saturday, May 30. The daylong workshop has been approved for 5.25 AMA PRA Category 1 Credits™ and three hours of risk management credits. The workshop cost will be $495 for practicing radiologists and $295 for radiologists in training, technologists, nurses, and other allied professionals. The course will remain complimentary to members of the Radiology Department at Boston Children's Hospital, in gratitude and recognition of the department's long-standing support of this program although spaces may be limited. We will continue to hold annual workshops for the Boston Children's Hospital radiology fellows, which are scheduled to be held in Spring 2016. Please help spread the word! "Masterfully Executed!" Evanston Hospital Nurses Provide Feedback News & Announcements The Center for Bioethics at Harvard Medical School, directed by Dr. Robert Truog, is now accepting applications for a Master of Bioethics Degree ******* Melanie McLaughlin who is enrolled in the Institute's Family Faculty Apprenticeship program, and David Waisel, MD are completing their submission for the special ethics edition of International Anesthesiology Clinics, a quarterly hardback publication. Entitled "What a Patient / Parent wants to Tell a Doctor," from miscarriage to C-section and pediatric heart surgery, the McLaughlin family shares their remarkable life-affirming story and their experience(s) with a variety of doctors over several years. Conferences of Interest 7th International Pediatric Simulation Symposia & Workshops On March 31st, four nurses from Evanston Hospital (NorthShore University HealthSystem) outside of Chicago joined IPEP to attend our PERCS - NICU workshop. The group collectively described the workshop as "masterfully executed!" Tarren Prange, MS, RN, and her fellow colleagues described their experience: "The PERCS-NICU workshop provided a unique opportunity to engage in interdisciplinary communication From left: Elaine Meyer, PhD, RN, regarding difficult conversations in Erin Ward, MsEd, the NICU setting. The use of CAS, Magdalena professional actors enhanced the Gnatek, BS, Katie Michalak, BSN, Tarren Prange, MS, RN, and experience far more than Marguerite Schoenbeck, BSN anticipated. Each scenario felt like a real-life interaction, and the subsequent debriefing and reflection provided valuable insight into family perspectives and possibilities for improvement or modification on the part of the healthcare team. Healthcare professionals naturally lack such opportunities to receive real-time feedback from families following difficult, yet necessary, conversations. PERCS programs certainly have the potential to benefit patients and healthcare organizations around the world." Patient & Provider Videos Filmed for the Advancing Relational Learning Worldwide Project Filming for the Advancing Relational Learning Worldwide project continued in March, with the recording of patient and provider videos that will be part of the Disclosure and Apology online course. Working again with Spy Pond Productions, on March 3rd we filmed several providers telling about their experience with Disclosure and Apology, including stories from Robert Truog, MD, and Paul Hickey, MD, whom also shared his personal experience as a patient who experienced a medical error, offering an important perspective as both a patient and provider for our curriculum. We filmed two other patient/family experiences, including May 4-6, 2015 Vancouver, Canada Enriching Relationships in Communication and Healthcare June 18-21, 2015 Philadelphia, PA 13th International Conference on Communication in Healthcare October 25-28, 2015 New Orleans, LA Abstracts Due: April 24th Events of Interest: ******* Paul S. Russell Museum 2 North Grove Street Boston, MA 02114 Articles of Interest Linda Kenney, the founder of the Medically Induced Trauma Support Services, (MITSS) and a parent from the BCH Family Advisory Council. We are grateful to these providers and patients for their willingness to share their personal stories with us. Filming also continued in March with OPENPediatrics filmmakers who recorded several expert speaker films for the self-guided pathways within our online course. These experts included: Patricia Folcarelli, RN, PhD, Senior Director for Patient Safety at the Beth Israel Deaconess Medical Center, who spoke to the need for a just decision-making culture for clinicians involved in errors and adverse events; Jo Shapiro, MD, Chief, Division of Otolaryngology and Director, Center for Professionalism and Peer Support at Brigham and Women's Hospital, on the importance of peer support for clinicians; and Dr. Rick van Pelt, who was instrumental in the development of MITSS. IPEP Spotlight: Serena Barello Receives her PhD in Psychology Serena Barello (pictured at center), who was IPEP's visiting scholar in September 2014, recently earned her PhD in Psychology from the Catholic University of the Sacred Heart (Italy). Her research project, entitled "Patient engagement in healthcare: Redefining ethical and medical professionalism in the era of participatory medicine" was aimed at discussing the concept of patient engagement and its implications for future healthcare practice and professionalism. Serena has always been interested in the study of effective patient-doctor relationships as an essential cornerstone of quality care and the patients' health and wellbeing. A special section of her doctoral dissertation is the result of the collaboration between Serena and Elaine Meyer, IPEP's Director, and discusses an innovative proposal for future PERCS-style educational workshops devoted to training health professionals in communication and relational strategies to effectively engage patients in their medical care. The hope is that the partnership between the Faculty of Psychology of the Catholic University and IPEP will continue to grow and flourish. For more information about Serena's research project, please email her at [email protected] or click here. Teaching doctors how to engage more and lecture less SG Boodman Improving patient recall of information: Harnessing the power of structure W Langewitz et al. Hearing Others' Perspectives When We Hear, "Do Everything!" K Himi & B Carter Time Will Tell B Sisk Ethical Implications of Patients and Families Secretly Recording Conversations with Physicians M Rodriguez, J Morrow, & A Seifi The Expanded Four Habits Model - A teachable consultation for encounters with patients in emotional distress T Lundeby, P Gulbrandsen, A Finset Co-debriefing for Simulation-based Education A Cheng et al. The Importance of Sitting with Patients D Khullar Quick Links IPEP Spotlight: Kelsey Mills Runs the 38th New Bedford Half Marathon On March 15, 2015 Kelsey Mills, IPEP intern from Simmons College, was fortunate enough to complete her fourth half marathon with her mother. She had completed her first at the 36th New Bedford Half Marathon. The half marathon has always been near and dear to Kelsey and her mother, and has become a tradition for them. However, this year was extraordinarily special as they ran to honor their favorite three year old - Christian, who is undergoing his second round of chemotherapy treatment here at Boston Children's Hospital. Christian and his amazing parents have been big-time supporters of Kelsey and her mother at the marathons. Kelsey expresses that "Running 13.1 miles has always been challenging, but this time was different with the motivation and inspiration of Christian Strong. Being able to dedicate this year's race to him and his immense strength was a feeling like no other." Faculty Education Fellowship in Medical Humanism and Professionalism - Applications Open We are pleased to invite applications for the Faculty Education Fellowship in Humanism and Professionalism: Fostering Tomorrow's Leaders Dr. Carmon Davis; Dr. William Branch presented by the Institute Fellowship Visiting Professor, Jr; Dr. Emily for Professionalism & Davidson; and Dr. Elizabeth Rider, Fellowship Director Ethical Practice, in collaboration with the Office of Faculty Development, Office of Graduate Medical Education, and the Academy for Innovation in Education at Boston Children's Hospital. The Fellowship began in 2013, and ten outstanding Faculty Education Fellows from across a number of Children's departments and divisions participated in the first cohort (2013 - 2014). The fellowship curriculum includes advanced teaching skills with focus on humanism and professionalism topics, and provides an opportunity for faculty to enhance their teaching effectiveness. Fellows meet twice a month. Curricular topics IPEP Website Contact Us Workshop Information Workshop Registration Upcoming Conferences Where We'll Be include: Appreciative Inquiry Narratives and Reflection, Active Role Modeling, Bedside Teaching, Feedback / Difficult Feedback, After the Error, Highly Functioning Teams, Boundary Transgressions, Teaching Caring Attitudes, WellBeing and Renewal, Mindfulness, Learner-Centered Skills Sessions, Strengthening Core Values, Appreciative Inquiry for Teaching & Change, and others. Completed applications are due by April 30, 2015. For more information about applying for a fellowship, please click here. Please visit the Faculty Education Fellowship webpages here. Difficult Conversations in Healthcare: Teaching & Practice - Register Now! This one-day interprofessional faculty development course offers the opportunity to learn about a variety of innovative methods for teaching and enhancing relational capacities, communication skills, attention to values and 'everyday ethics', Actors and workshop participants role professionalism, and playing a case scenario during a realistic enactment interprofessional collaboration and care. The course will be offered on both Saturdays, May 16th and June 6th at BCH Waltham in Conference Room A from 9:30am to 5pm. The course is designed for physicians in all specialties, residency and clerkship directors, medical/healthcare education leaders, clinicians/practitioners who work with patients of any age across the lifespan, multidisciplinary healthcare professionals (nurses, psychologists, social workers, and others), patient safety and quality staff, and others interested in and/or involved in teaching the course topics. CME/CEU credits are available for physicians, psychologists, social workers, and nurses. Participants will experience and learn about a variety educational strategies including: the Program to Enhance Relational and Communication Skills (PERCS) model, use of narratives, appreciative inquiry, values and everyday ethics, small group team-based learning, interprofessional collaboration and teamwork, videotape/discussion, interactive didactic, large group discussion, and facilitated reflections. To view the course brochure, click here. For more course information and to register, please click here. We thank each of you for your enthusiasm, efforts and contributions to the Institute. As we know, "none of us is as smart as all of us" and we are pleased that you are a part of the Institute community. Please let Donnah (Dee) Gallett know if you have any special news or accomplishments that you would like to share. Best, Elaine Elaine C. Meyer, Ph.D., R.N. Director, Institute for Professionalism & Ethical Practice Boston Children's Hospital Associate Professor of Psychology Harvard Medical School