Creating a Robust Community of Practice as a Foundation for the Successful Development of a Pediatric Neurocritical Care Program.
Background: There has been a growing impetus for developing pediatric neurocritical care (PNCC) programs to improve care delivery for children with critical neurological conditions. We sought to develop a unique PNCC program using the concept of Community of Practice (CoP).Methods: This is a process...
| Publicado en: | Pediatric Neurology Vol. 136; pp. 1 - 8 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Elsevier B.V.
Nov2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159601176&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159601176 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08878994 JNS jtl: Pediatric Neurology issn: 08878994 maglogo: N pubinfo: dt: Nov2022 vid: 136 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 159601176 159601176 NLM36029730 10.1016/j.pediatrneurol.2022.07.014 NLM36029730 159601176 ppf: 1 ppct: 7 formats: tig: atl: Creating a Robust Community of Practice as a Foundation for the Successful Development of a Pediatric Neurocritical Care Program. aug: au: Erklauer, Jennifer C. Thammasitboon, Satid Shekerdemian, Lara S. Riviello, James J. Lai, Yi-Chen affil: Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas sug: subj: Nervous System Diseases Neurology Education Critical Care Hospitals, Pediatric Child Child: 6-12 years ab: Background: There has been a growing impetus for developing pediatric neurocritical care (PNCC) programs to improve care delivery for children with critical neurological conditions. We sought to develop a unique PNCC program using the concept of Community of Practice (CoP).Methods: This is a process improvement project in an academic Children's Hospital. Using CoP framework (domain, community, practice), we created a domain of PNCC with a stated vision and formal organizational structure, a core community of intensivists and neurologists interested in PNCC, and a standardized practice approach by establishing core competencies for PNCC and implementing practice guidelines.Results: We evaluated the program through the Four-Frame Model of Organizational Theory and Behavior (structural, human resource, political, symbolic) and by the Neurocritical Care Society's (NCS's) standards for a Level I Neurocritical Care Unit (Neuro-ICU). Structural frame included opening a pediatric Neuro-ICU, identifying PNCC leaders across specialties, and developing a multidisciplinary care delivery model. Human resource frame included forming physician and nurse groups with a primary role in PNCC and ongoing education through workshops, lecture series, and certification. Politically, program implementation was tailored to each department gaining institution-wide support for program initiatives. Symbolically, the PNCC program highlighted the vision to advance knowledge and best practices. Our program met 232 of 252 (92%) proposed NCS standards.Conclusions: The CoP as the foundation for program development has enabled us to achieve the majority of standards proposed by NCS for a Level I Neuro-ICU. The generalizability of these frameworks may facilitate the development of a PNCC program for other institutions. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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