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Developing and implementing transdisciplinary rehabilitation competencies.

Carol M Browner1, Gary D Bessire

  • 1Barrow Neurological Rehabilitation, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.

SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
|March 30, 2005
PubMed
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Staff competency training for brain and spinal cord injury (SCI) programs improved interdisciplinary understanding and patient care. This initiative met accreditation standards and empowered staff, fostering a collaborative approach to rehabilitation.

Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Healthcare Quality Improvement

Background:

  • The Commission on Accreditation of Rehabilitation Facilities (CARF) mandates competency standards for brain and spinal cord injury (SCI) specialty programs.
  • Ensuring consistent, high-quality care requires robust staff training across all rehabilitation disciplines.
  • A transdisciplinary approach is crucial for comprehensive patient recovery in SCI settings.

Purpose of the Study:

  • To develop and implement a staff competency training program for brain and spinal cord injury (SCI) rehabilitation.
  • To meet CARF accreditation standards for staff competency.
  • To enhance interdisciplinary collaboration and understanding within the rehabilitation team.

Main Methods:

  • A Competency Fair was developed using a transdisciplinary model, incorporating reading materials, competency tests, and practical demonstrations.

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  • Training modules covered critical topics such as dysphagia, skin care, cognition, and emergency management.
  • 95 out of 110 staff members completed the 4-day training, with additional support provided for those who did not pass initial assessments.

    • Main Results:

    • The Competency Fair successfully met CARF standards for staff training.
    • Participants reported increased appreciation for colleagues' roles and felt empowered to share their expertise.
    • Observable improvements included greater duty crossover among disciplines and a deeper understanding of the transdisciplinary care model.
    • Staff noted enhancements in patient care quality and a broadened knowledge base.

    Conclusions:

    • The transdisciplinary Competency Fair is an effective method for meeting accreditation requirements in SCI rehabilitation.
    • This training model fosters improved interdisciplinary communication, collaboration, and role understanding.
    • Enhanced staff competency and collaboration positively impact patient care outcomes and professional development.