DOCSLIB.ORG

Does Teamwork and Communication Improve with Simulation Training? an Evaluation of Simulation Training Videos in Bihar, India

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Does Teamwork and Communication Improve with Simulation Training? an Evaluation of Simulation Training Videos in Bihar, India Research Article 1 Does teamwork and communication improve with simulation training? An evaluation of simulation training videos in Bihar, India 1* 2 3 4 5 JESSICA D DYER , MELISSA C MORGAN , SUSANNA R COHEN , RAKESH GHOSH , JULIA RANEY , 4 6 1 7 HILARY SPINDLER , TANMAY MAHAPATRA , AMELIA CHRISTMAS , AND DILYS M WALKER 1PRONTO International, Seattle, WA, USA 2Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA 3College of Nursing, University of Utah, Salt Lake City, Utah 4Global Health Sciences, University of California San Francisco, San Francisco, CA, USA 5Yale School of Medicine, Yale University, New Haven, CT, USA 6CARE India Solutions for Sustainable Development, Patna, Bihar, India 7Department of Obstetrics and Gynecology and Reproductive Services, University of California San Francisco, San Francisco, CA, USA * Corresponding author: [email protected] BACKGROUND High rates of medical error – attributed to ineffective communication among health care providers – poses a threat to patient safety. We embedded Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS™) concepts within a simulation-based curriculum and trained clinical teams providing intrapartum care in low-income settings. We evaluated whether simulation can be used to improve teamwork and communication among clinical teams. METHODS Nurse mentors facilitated and video-recorded simulated clinical scenarios to give health care providers (mentees) the opportunity to practice both technical and non-technical skills. Independent evaluators reviewed video-recorded simulation scenarios at midpoint and endpoint to evaluate changes in use of technical and non-technical skills. Semi-structured interviews were also conducted with nurse mentors to explore their experiences teaching non-technical skills to clinical teams. RESULTS Five hundred and sixty-six simulated clinical scenarios were included in the final analysis. Adoption of techniques to improve communication and teamwork, such as the ‘SBAR’ technique and ‘think out loud’, increased from midpoint to endpoint in all simulated scenarios. CONCLUSION Incorporation of TeamSTEPPS™ concepts into a simulation training program for health care providers improved teamwork and communication in simulated scenarios and can potentially be extended to actual emergency cases. Key words: Simulation, Assessment, Nurse, Mentor, India, Maternal Health, Teamwork BACKGROUND mated that 45,000-98,000 patients die each year in Ameri- can hospitals due to medical errors (Kohn, Linda T.; Cor- The groundbreaking Institute of Medicine (1999) report, rigan, Janet; Donaldson, 2000). Subsequent medical error To Err is Human: Building a Safer Health System, esti- Research Article East African Journal of Applied Health Monitoring and Evaluation 2 and patient safety reports by the Institute of Medicine This study took place in primary health centers (2001) and other institutions have highlighted poor com- offering basic emergency obstetric and neonatal care munication, hierarchy, intimidation, and lack of team co- (BEmONC) in Bihar, India. Bihar is a resource-poor ordination as reasons for many of these medical errors (A. state with a reported maternal mortality ratio of 208 Wilson & Carr, n.d.). These reports shifted the emphasis (163-253) maternal deaths per 100,000 live births (MMR of medical education models from those that prioritize Bulletin Sample Registration System, 2013) and a neonatal individual knowledge, skill, and attitude to those that rec- mortality rate of 26 neonatal deaths per 1,000 live births ognize effective teamwork is a crucial component in the (Sample Registration System Statistical Report 2014, 2014), management of emergencies (D Siassakos et al., 2010). both higher than the national averages. These facilities Simulation is an effective strategy used to train offer maternal and child health services, including providers in emergency response and management (A. antenatal, intrapartum, and postnatal care. However, E. R. Merién, van de Ven, Mol, Houterman, & Oei, 2010; these sites often face challenges in service delivery due to Weinberg, Auerbach, & Shah, 2009). Simulations have shortage of health care providers and supplies. been shown to improve communication skills by pro- viding a safe environment where providers can prac- Intervention tice and receive feedback on technical and non-technical In 2014, the University of California San Fran- competencies ( a E. R. Merién, van de Ven, Mol, Houter- cisco (UCSF), PRONTO International (PRONTO) man, & Oei, 2010; Parsons, Zhou, Spurrier, & Makrides, (www.prontointernational.org) and the University of 2008). Following these initial studies, the U.S. Govern- Utah partnered with CARE India and the Government of ment Agency for Healthcare Research and Quality es- Bihar to adapt and integrate PRONTO’s highly-realistic tablished an evidence-based list of teamwork strategies simulation into the ’Apatkaleen Matritva evam Navjat (Baker, Gustafson, Beaubien, Salas, & Barach, 2003). Team Tatparta’ (AMANAT), translating to ’Emergency Obstet- Strategies and Tools to Enhance Performance and Patient rical and Neonatal Readiness’, a program to improve Safety (TeamSTEPPS™), a collaborative effort between the the quality of obstetric and neonatal services in Bihar, U.S. Department of Defense and Agency for Healthcare India. In order to address teamwork and communication Research and Quality, has become the standard curricu- between providers, PRONTO’s curriculum developers lum for medical team communication and has recently embedded TeamSTEPPS™ concepts within its simulation been combined with simulation in many programs (Clark, curriculum resulting in a curriculum which allowed Fisher, Arafeh, & Druzin, 2010; Daniels et al., 2010; Walker mentees to practice both technical and non-technical skills et al., 2012). Multiple studies conducted in high-resource in a scenario that felt like a real emergency. A cohort of 80 settings have demonstrated the efficacy of simulation to nurse mentors facilitated AMANAT to train health care improve communication within a clinical team, as well providers (mentees) at 320 designated BEmONC facilities as between providers and patients (Anderson, Murphy, in Bihar, India. The program was rolled out in four Boyle, Yaeger, & Halamek, 2006; Lane & Rollnick, 2007; phases between January 2015 and January 2017, with 80 Sleeper & Thompson, 2008). BEmONC facilities per phase. Prior to roll-out, PRONTO Less is known about the impact of simulation on master trainers trained nurse mentors to conduct and teamwork and communication in low-resource settings, video record simulations, facilitate video-guided debrief- such as the Indian state of Bihar. Because teamwork and ing sessions, introduce TeamSTEPPS™ concepts, and communication have been shown to be essential skills conduct post-event debriefing after live births. in emergency management (Baker et al., 2003) in high- The 80 nurse mentors worked in groups of two to form resource settings, it is important to understand providers’ 40 pairs. Each nurse mentor pair visited four assigned experiences learning TeamSTEPPS™ techniques and BEmONC facilities for one week each month over the practicing these techniques in resource-constrained course of six to eight months. During each visit, mentors settings. were instructed to facilitate simulations with mentees for at least three specified clinical scenarios, including normal METHODS spontaneous vaginal deliveries (NSVD), postpartum hemorrhage and neonatal resuscitation. Nurse mentors Study design were also instructed to introduce teamwork and commu- We used a quantitative approach to assess adoption nication techniques (Table 1) to mentees and to encourage of TeamSTEPPS™ techniques during video-recorded practice by selecting and facilitating activities related to simulations of emergency obstetric and neonatal situa- teamwork and communication (Table 2). Each teamwork tions in Bihar, India. We also conducted semi-structured and communication activity contains a structured debrief interviews with nurse mentors to understand their to guide the nurse mentor in a debrief that relates the experiences teaching teamwork and communication activity to clinical practice. The simulation and team skills. training activities provided mentees with opportunities to practice technical competencies for the management Study Setting of a variety of neonatal and obstetric emergency cases, and Research Article East African Journal of Applied Health Monitoring and Evaluation 3 Table 2. Teamwork and communication activities, learning objectives Table 1. Definitions of teamwork and communication techniques and frequency of use by Phase (each Phase contains 80 facilities). Communication Definition Name of Learning Objective Phase Phase Phase Skill Activity 2 3 4 Call for help When the primary provider asks for help or Animal Team building and non- 20 8 28 asks someone to go get help (this includes call- Line Up verbal communication ing for doctor). Back to Closed loop communication 20 9 29 Check back Using closed-loop communication to ensure Back (call-out and check-back) that information conveyed by the sender is un- derstood by the receiver, as intended. Balls in Air Situation monitoring and 15 8 23 mutual support SBAR SBAR is a brief communication technique that includes at least three of the following: Sit- Birthday Team building and non- 25 17 42 uation, Background, Assessment (diagnosis), Line Up verbal communication and Recommendation
Load more

Recommended publications
  • Agility Factors and Their Impact on Product Development Performance
    INTERNATIONAL DESIGN CONFERENCE - DESIGN 2018 https://doi.org/10.21278/idc.2018.0236 AGILITY FACTORS AND THEIR IMPACT ON PRODUCT DEVELOPMENT PERFORMANCE E. Rebentisch, E. C. Conforto, G. Schuh, M. Riesener, J. Kantelberg, D. C. Amaral and S. Januszek Abstract Agile product development is popular but still not well understood beyond its methodological implications. This paper reports an identification of agility factors enabling teams to make and communicate decisions more quickly in product development. On this basis, a quantitative System Dynamics (SD) model is developed and analyzed to explore the impact of the identified agility factors on the product development performance. The results show that both methodological and team factors do not only influence agility but can also significantly improve the project completion time and product quality. Keywords: product development, agile development, teamwork, system dynamics, collaborative design 1. Introduction Highly dynamic market opportunities and rising global competition have led to a shift from seller’s to buyer’s market. As a consequence, today’s companies and organizations need to be more flexible and reactive towards changes and perceptive towards new market opportunities to remain competitive and innovative (Schuh and Bender, 2012; Schwab et al., 2016). Product development organizations are also affected, as they are consistently exposed to a high degree of uncertainty in terms of changing customer requirements or other instable market conditions (Hull et al., 2017). That is why companies and their product development teams need to move from an anticipatory to adaptive style of developing new products, especially in a highly technological and innovative business world (Highsmith, 2010; MacCormack, 2013; Schuh et al., 2017).
    [Show full text]
  • Teamwork in the Service of Health HUGH R
    Officia Mth of PUBLIC HEALTH Official Monthly Publication of the American Public Health Association, Inc. Volume 44 November, 1954 Number II Teamwork in the Service of Health HUGH R. LEAVELL, M.D., Dr.P.H., F.A.P.H.A. We all realize that an organized ap- Here is a classic summary of what proach is needed to deal effectively with we mean by public health "team- work," and a very pertinent appli- the complex problems and the diverse cation to our own Association. population groups we meet in our daily work. We are concerned with the total community rather than placing our em- All of us have experience in team- phasis on the individual, as the private work and we know how important it is practitioner does. in getting a job done. As an introduc- We tend to stress the preventive tion to our discussion, may we consider rather than the curative aspects of total first some of the things we in public health service. At the same time we health have in common which provide recognize that it is impossible to draw the oneness of objective so essential to a sharp line dividing prevention from good teamwork. cure. Curing one phase of a disease All of us are involved in some type of may so interrupt its natural history that organized community activity. This is complications and aftereffects are pre- the essential element that differentiates vented. public health from other forms of pre- Though we come from many basic ventive medicine, according to Profes- professions, we tend to think of our- sor Winslow's world-famous definition, selves as members of the public health which I recently found to be just about profession-a sort of "E pluribus as well known in Latin America and unum"! As professional people, and be- in Asia as in North America.
    [Show full text]
  • Topic 4: Being an Effective Team Player
    Topic 4: Being an effective team player Why teamwork is an essential element Learning objectives: of patient safety 1 • understand the importance of teamwork in Effective teamwork in health-care delivery can health-care; have an immediate and positive impact on patient • know how to be an effective team player; safety [1]. The importance of effective teams in • recognize you will be a member of a number health care is increasing due to factors such as: (i) of health-care teams as a medical students. the increasing complexity and specialization of care; (ii) increasing co-morbidities; (iii) increasing Learning outcomes: knowledge and chronic disease; (iv) global workforce shortages; performance and (v) safe working hours initiatives. Paul M. Schyve, MD, senior vice president of the Joint What students need to know (knowledge Commission has observed, “Our challenge … is requirements) 3 4 not whether we will deliver care in teams but rather Knowledge requirements in this how well we will deliver care in teams.”[2] module include a general understanding of: • the different types of teams in health care; A typical example of complex care involving • the characteristics of effective teams; multiple teams would be a pregnant woman with • the role of the patient in the team. diabetes who develops a pulmonary embolus— her medical care team includes: an obstetrician, What students need to do (performance an endocrinologist and a respiratory physician. requirements) 5 The doctors and nurses looking after her will be Use the following teamwork principles to different during the day compared to at night and promote effective health care including: on the weekend.
    [Show full text]
  • Benefits of Multidisciplinary Teamwork in the Management of Breast Cancer
    Breast Cancer: Targets and Therapy Dovepress open access to scientific and medical research Open Access Full Text Article REVIEW Benefits of multidisciplinary teamwork in the management of breast cancer Cath Taylor1 Abstract: The widespread introduction of multidisciplinary team (MDT)-work for breast Amanda Shewbridge2 cancer management has in part evolved due to the increasing complexity of diagnostic and Jenny Harris1 treatment decision-making. An MDT approach aims to bring together the range of special- James S Green3,4 ists required to discuss and agree treatment recommendations and ongoing management for individual patients. MDTs are resource-intensive yet we lack strong (randomized controlled 1Florence Nightingale School of Nursing and Midwifery, King’s College trial) evidence of their effectiveness. Clinical consensus is generally favorable on the benefits London, London UK; 2Breast Cancer of effective specialist MDT-work. Many studies have shown the benefits of receiving treatment Services, Guy’s and St Thomas’ from a specialist center, and evidence continues to accrue from comparative studies of clinical NHS Foundation Trust, London, UK; 3Department of Urology, Barts Health benefits of an MDT approach, including improved survival. Patients’ views of the MDT model 4 For personal use only. NHS Trust, London, UK; Department of decision-making (and in particular its impact on involvement in decisions about their care) of Health and Social Care, London have been under-researched. Barriers to effective teamwork and poor decision-making include South Bank University, London, UK excessive caseload, low attendance at meetings, lack of leadership, poor communication, role ambiguity, and failure to consider patients’ holistic needs. Breast cancer nurses have a key role in relation to assessing holistic needs, and their specialist contribution has also been asso- ciated with improved patient experience and quality of life.
    [Show full text]
  • The Path to the Next Normal
    The path to the next normal Leading with resolve through the coronavirus pandemic May 2020 Cover image: © Cultura RF/Getty Images Copyright © 2020 McKinsey & Company. All rights reserved. This publication is not intended to be used as the basis for trading in the shares of any company or for undertaking any other complex or significant financial transaction without consulting appropriate professional advisers. No part of this publication may be copied or redistributed in any form without the prior written consent of McKinsey & Company. The path to the next normal Leading with resolve through the coronavirus pandemic May 2020 Introduction On March 11, 2020, the World Health Organization formally declared COVID-19 a pandemic, underscoring the precipitous global uncertainty that had plunged lives and livelihoods into a still-unfolding crisis. Just two months later, daily reports of outbreaks—and of waxing and waning infection and mortality rates— continue to heighten anxiety, stir grief, and cast into question the contours of our collective social and economic future. Never in modern history have countries had to ask citizens around the world to stay home, curb travel, and maintain physical distance to preserve the health of families, colleagues, neighbors, and friends. And never have we seen job loss spike so fast, nor the threat of economic distress loom so large. In this unprecedented reality, we are also witnessing the beginnings of a dramatic restructuring of the social and economic order—the emergence of a new era that we view as the “next normal.” Dialogue and debate have only just begun on the shape this next normal will take.
    [Show full text]
  • How Interdisciplinary Teamwork Contributes to Psychosocial Cancer Support
    CORECopyeditor: Timi S. Garduque Metadata, citation and similar papers at core.ac.uk Provided by Ghent University Academic Bibliography Copyright B 2018 Wolters Kluwer Health, Inc. All rights reserved. Michiel Daem, MSc, RN AQ1 Mathieu Verbrugghe, PhD, MSc Wim Schrauwen, MSc Silvian Leroux, MSc, RN Ann van Hecke, PhD, MSc, RN Maria Grypdonck, PhD, MSc, RN How Interdisciplinary Teamwork Contributes to Psychosocial Cancer Support KEY WORDS Background: The organization of psychosocial care is rather complex, and its Cancer provision diverse. Access is affected by the acceptance and attitude of patients and Collaboration professional caregivers toward psychosocial care. Objectives: The aims of this Distress study were to examine when patients with cancer experience quality psychosocial Help care and to identify circumstances in collaboration that contribute to Interdisciplinary patient-perceived positive psychosocial care. Methods: This study used a Multidisciplinary qualitative design in which semistructured interviews were conducted with patients, Nursing hospital workers, and primary health professionals. Results: Psychosocial care is Oncology often requested but also refused by patients with cancer. Based on this discrepancy, Psycho-oncology a distinction is made between psychosocial support and psychosocial interventions. Psychology Psychosocial support aims to reduce the chaos in patients " lives caused by cancer Psychosocial and is not shunned by patients. Psychosocial interventions comprise the formal care Qualitative research offered in response to psychosocial problems. Numerous patients are reluctant to use Support psychosocial interventions, which are often provided by psychologists. Teamwork Conclusion: Psychosocial care aims to assist patients in bearing the difficulties of cancer and its treatment. Patients prefer informal support, given often in conjunction with physical care.
    [Show full text]
  • 417 Copyright © 2020 by Academic Publishing House Researcher S.R.O
    European Journal of Contemporary Education, 2020, 9(2) Copyright © 2020 by Academic Publishing House Researcher s.r.o. All rights reserved. Published in the Slovak Republic European Journal of Contemporary Education E-ISSN 2305-6746 2020, 9(2): 417-433 DOI: 10.13187/ejced.2020.2.417 www.ejournal1.com WARNING! Article copyright. Copying, reproduction, distribution, republication (in whole or in part), or otherwise commercial use of the violation of the author(s) rights will be pursued on the basis of international legislation. Using the hyperlinks to the article is not considered a violation of copyright. Characteristics of the Project-Based Teamwork in the Case of Developing a Smart Application in a Digital Educational Environment Elena V. Soboleva a, Nikita L. Karavaev a , * a Vyatka State University, Kirov, Russian Federation Abstract The study is aimed at solving a problem generated by the necessity to change the organizational forms of digital learning to prepare graduates who meet the requirements of today’s labor market; who are equipped with teamwork skills and skills of project-management under uncertainty which are especially relevant nowadays. The purpose of the study is to provide a theoretical foundation for and experimentally verify the effectiveness of involving students in project teamwork on designing smart applications by means of modern digital technologies; project teamwork activities allow developing the skills and abilities characteristic of a strong research culture necessary for making future discoveries in science and technology. The research methods are the analysis and generalization of psychological and pedagogical literature, of development strategies and education theories; mathematical methods of statistics, psychodiagnostics and survey methods.
    [Show full text]
  • Achieving Quality Through Teamwork
    Achieving Quality Through Teamwork High value is manifested in the positive feelings Quality and Teamwork or pride one feels in owning that particular product or having experienced outstanding Over many years, the industrial world has created a service. This feeling is then transmitted to other lot of mystique around the concept of quality, how to consumers by “word of mouth.” achieve it, and how to maintain it. There have been many strategies, programs, and processes invented for • Quality is a mindset. In order for our many different industries on how to address this issue. customers to perceive our product or service as In order to attain the state of highest quality in our high quality, it must start with those who produce products, we must understand what quality really is: it. Each employee must understand both the • Quality is a perception more than a reality. process and the philosophy behind the product In order for a product or service to be ranked or service in order to consistently meet the high on quality surveys, it must be thought to be customer’s expectations. of high quality by a large number of people. Getting your employees to adopt a quality mindset is When this perception of quality is widely the real key to producing high quality products and accepted by others, it puts the product or service services. Employees must feel a sense of ownership. above its competition in such a way that the That is, they must feel responsible for the outcome of consumer will not only prefer it over similar anything connected with the product or service.
    [Show full text]
  • 9780802419149-TOC-CH1.Pdf
    CONTENTS Introduction 9 1. Building Kindness 15 2. Increasing Gratitude 31 3. Cultivating Love 45 4. Seeking Compromise 63 5. Choosing Forgiveness 81 6. Improving Communication 101 7. Enhancing Trust 117 8. Developing Compassion 133 9. Increasing Patience 151 10. Getting Organized 169 11. Creating Fun 183 12. Building Connection 197 Epilogue: Home Maintenance 215 Home Life Inspection Quiz 221 Acknowledgments 227 Notes 229 About the Authors 233 DIY Guide to Building a Family that Lasts F.indd 7 4/11/19 11:00 AM Home Improvement Goal: Demolish selfishness. Home Improvement Tool: Build kindness. DIY Guide to Building a Family that Lasts F.indd 14 4/11/19 11:00 AM Chapter 1 BUILDING KINDNESS Share the load . the laundry load, that is! #yougottalaugh GARY: Early on, I wasn’t SHANNON: My kids considerate enough of won’t let me not consider Karolyn’s needs. Thankfully, their needs. They’re sweet, she was (and is) persistent but very verbal . and in letting me know. very assertive. #Consider #Consider me way more me out for the count at considerate now than when bedtime! we started out! “THAT’S MINE!” “You’re in my space.” “We don’t ever do what I want to do.” Do you frequently hear comments like these around your home? Are they typically said with an angry or critical attitude? If you answered yes to these questions, you’re not alone! DIY Guide to Building a Family that Lasts F.indd 15 4/11/19 11:00 AM The DIY Guide to Building a Family That Lasts Comments and attitudes such as these suggest that your family, like many others, deals with selfishness.
    [Show full text]
  • Effective Teamwork Transcript Episode 7 – Startup Survival Podcast
    Effective Teamwork Transcript Episode 7 – Startup Survival Podcast By Peter Harrington July 2020 Speaker 1 (00:05): Hi and welcome to this startup survival podcast. All about effective teamwork. My name's Peter Harrington. And in this episode, I am joined by two startup entrepreneurs who will be sharing their recent experience of managing a team through this challenging crisis. Prepare yourself for some invaluable teamworking takeaways, lessons and insights. Speaker 1 (00:34): For startups who want to grow or scale, building an effective team is a critical part of the challenge. Whether employees or contractors, people must be recruited, selected, trained, managed, and placed within a team where they can hopefully maximize that promise and potential. It all sounds quite simple. Unfortunately, in practice, the simple can quickly turn complex, and that's why a dose of easy to digest theory is a welcome tonic. Grounded theory helps to straighten out the tangled threads that can often strangle effective teamwork. Meaningful theory makes the complex, simpler and shines a much needed light on key issues. Speaker 1 (01:22): Back in the early nineties, my first startup was growing and I remember asking a teamwork trainer to come and help us make sense of our brave new evolving world. Our team was made up of different people with different backgrounds and different personalities. Greetings over, the trainer Margaret, sat us in a circle and immediately introduced a four stage theoretical process for team productivity, namely forming, storming, norming, and performing. If you are unfamiliar with this process, let me shed some light because these catchy words are particularly pertinent at this moment in time.
    [Show full text]
  • Teamwork Secures Its First-Ever Investment of $70 Million from Bregal Milestone to Turbo-Charge Growth
    Teamwork secures its first-ever investment of $70 million from Bregal Milestone to turbo-charge growth Teamwork sets sights on becoming the world’s undisputed leading Project Management SaaS for Client Services companies Cork, Ireland; London, United Kingdom, 6 July 2021 – Teamwork, a leading global Project Management SaaS solution focused on Client Services companies, has today announced its first-ever fundraise of $70 million from Bregal Milestone, a leading European technology growth capital firm. Trusted by more than 20,000 teams across 170 countries, Teamwork has revolutionized how companies manage their daily workflows for improved automation, productivity, and profitability. Teamwork provides an intuitive SaaS platform for Client Services companies, helping them to track, manage, and invoice their projects as well as providing a full suite of tightly integrated solutions such as helpdesk, collaboration, knowledge sharing, and customer relationship management add-ons; enabling Teamwork to be the ‘one-stop-shop’ practice management solution for business owners. Teamwork has offices in 5 countries and a global team of 270 employees. Teamwork will work closely with Bregal Milestone’s in-house value creation team, Milestone Performance Partners, to further accelerate Teamwork’s growth and invest in various product development initiatives to delight even more customers globally. A privately-owned company that has never received any external funding from investors before today, Teamwork is a true Irish success story. Entrepreneurs Peter Coppinger and Daniel Mackey founded Teamwork in 2007 and grew the business profitably since its inception. The duo were also the recipients of the EY Entrepreneur of the Year award. Maples Group and Torch Partners advised Teamwork on the transaction and Matheson, PricewaterhouseCoopers and Code & Co.
    [Show full text]
  • Culturally Competent Practice and Teamwork Results in Positive
    June 2012 Newsletter Vol 12 A project funded through MPCWIC and developed by CYFD’s Protective Services Culturally Competent Practice and This month’s focus on Teamwork Results in Positive Out- Piñon values: Vision: Culturally Compe- comes for a Child in Taos County Children and youth tent Practice: in New Mexico live During the May 2012 Quality Assurance Review in in a family environ- Taos, a case was reviewed that provided an excellent We understand, respect ment free from example of culturally competent best practice, effec- and serve children, youth abuse and neglect. and families within the tive communication and teamwork. The efforts of the context of their own investigator, the permanency worker, placement, the children’s court attorney and the relative foster par- family rules, traditions, Mission: history and culture. ent have resulted in positive outcomes for the child, increased placement stability and improved cultural We serve children, connections. youth and fami- See story (right) lies by protecting to learn how this value was recently Upon the child’s entry into foster care, the assigned children and youth applied in Taos Co. investigator did a comprehensive assessment and from abuse and determined that the child was of Native American neglect; pursuing Next month’s ancestry and identified a maternal grandmother for timely permanency value: Trustworthy and placement. Agency staff coordinated across county and; promoting Accountable lines with the Sandoval office to complete an Initial well-being. Relative Assessment and placed the child with her grandmother as her first and only placement. Standards work- groups’ next task: Not only did this teamwork ensure that the child did not have to experience a change review policies/ in placement, it guaranteed that the child was placed in accordance with ICWA place- procedures ment preferences.
    [Show full text]