Journal of Interprofessional Education and Practice最新文献

The current educational resource was developed to provide an interprofessional education (IPE) experience consisting of undergraduate and graduate students enrolled in nursing, nutrition, and communication sciences and disorders coursework. As a part of each course, students were required to participate in a remote, synchronous IPE experience to collaborate regarding a case-based patient scenario. As a part of this scenario, students were required to establish a treatment plan and problem-solve collaboratively with regard to each discipline's specific knowledge and role. Objectives of the curricular resource included increasing student self-efficacy ratings in each of the IPEC competencies (values/ethics, roles/responsibilities, interprofessional communication, and teams/teamwork). Instructors assessed the effectiveness of the resource by administering a pre-post survey to students as well as through voluntary interviews to obtain student perspectives of the IPE experience. Student self-efficacy ratings increased significantly for all four IPEC core competencies following the IPE experience. Qualitative data indicate participants perceived an improvement in all four IPEC competencies and reported benefits aligned to the core competencies. Authors present an IPE curricular resource to guide other educators in the development of similar IPE experiences.

Interprofessional education (IPE) is on the rise in healthcare fields for several reasons. IPE teaches the collaborative skills necessary for healthcare students to succeed in an increasingly diverse workforce. IPE also creates space for healthcare organizations to develop diversity, equity, and inclusion (DEI) objectives within curriculum and clinical practice. IPE's focus on diversity is important because recent research indicates a lag in DEI initiatives in healthcare. To better integrate DEI objectives into healthcare curricula, faculty from an OTD and MAT program developed an interprofessional assignment that could be implemented across multiple programs. The assignment was designed to improve DEI and IPE competence in OT and AT education.

An OTD and a MAT course were chosen to pilot the IPE assignment. These courses were selected for two reasons: curricular content and logistic feasibility. A virtual synchronous and asynchronous format was determined as the best structure for the assignment. Students were asked to complete assigned readings and review a video about culturally sensitive topics, meet as an interprofessional group to discuss a healthcare encounter between a clinical staff and a transgender individual, and participate in an intraprofessional discussion board activity.

The primary student learning outcomes for this assignment were threefold 1) Demonstrate use of interprofessional collaborative skills such as communication and roles responsibilities 2) Analyze how interprofessional collaborative skills might be utilized to care for diverse populations and 3) Integrate the use of DEI constructs within discussions of planned care. A rubric was used to assess students in each of these areas. Additionally, a thematic analysis was generated to understand how students’ use of interprofessional education skills and knowledge could enhance the care of diverse populations.

Both groups of students in the pilot scored well. The average overall grade for occupational students was 37.25/40 (93 %) and the average overall grade for the athletic training students was 36/40 (90 %). The assignment analysis identified three improvements in student understanding, specifically enhanced quality of care, decreased knowledge gaps, and greater ability to check biases and accountability.

Reflecting on one's personal narrative can expose language that unwittingly expresses bias. As healthcare providers, unpacking one's narrative can promote more equitable interprofessional communication and patient care. This article describes an interactive workshop at the 2023 National Academies of Practice (NAP) Annual Meeting and Forum, where participants wrote and reflected on their personal narratives to identify bias, hierarchies, and positionality. Use of equity-focused language to empower an inclusive interprofessional healthcare culture and strategies for promoting access, removing structural barriers to care, and enabling anti-racist behaviors were explored. Workshop synthesis occurred using an innovative “fishbowl” discussion to enable feedback and identify themes, barriers, and facilitators. Program evaluation showed high participant satisfaction (4.73/5). Used as a curricular resource, this approach outlines an effective framework for engaging participants in writing, reflection, and dialogue to promote equitable, accessible, and collaborative healthcare.

Existing research indicates that selected organizational characteristics are important to an institution’s successful Interprofessional education (IPE) effort. However, the relationship between those factors and successful IPE efforts are not completely described. The aim of this multi-case study is to explore particular IPE leaders' perceptions of the nature of these relationships at their respective academic institutions. Case descriptions of IPE efforts at seven large universities were analyzed through qualitative analysis and modified Delphi consensus building to explore these relationships. Our research suggests that a “holistic” approach to creating the proper organizational structure is needed. A centralized administrative structure managed by a strong leadership team with adequate resources is necessary at the beginning of the IPE effort to manage stakeholders and perform the strategic planning. This structure provides support to the leadership team’s subsequent development of programs needed to reach the faculty and learner participation levels necessary to create a successful, sustainable IPE outcome.

Peer facilitation during interprofessional simulation-based learning enables students from diverse professions and backgrounds to enrich each other's learning in small groups. Peer facilitators are interprofessional role models and serve to maintain neutrality, listen actively, and respond to group dynamics supporting interprofessional education (IPE). This paper will report the outcomes of an interprofessional peer facilitation program as part of a larger IPE curriculum in a graduate program in the health professions. The authors conducted a mixed methods evaluation of peer facilitators' development measured through a peer facilitator knowledge and self-efficacy tool. Results of qualitative and quantitative data from four years of the program are discussed, documenting the outcomes serving as a peer facilitator has on entry-level health professions learners.

We describe the development and implementation of a program to identify and address gaps in code response at Memorial Sloan Kettering Cancer Center (MSKCC), a tertiary cancer center in New York City. The program aimed to assess the challenges faced by Rapid Response Team (RRT) and Medical Code Team (MCT) members, classify these challenges into medical knowledge/skills or team functioning/communication categories, develop a plan to address the identified challenges, and evaluate its effectiveness within the RRT/MCT teams. Based on survey responses and ongoing quality assurance (QA) reviews the two main challenges identified were chaos or crowd control and role identification. A tailored simulation-based training session was designed and implemented, leading to improved crowd management and the establishment of an ongoing training program.

The COVID-19 pandemic prompted increased use of online education, including for interprofessional education (IPE). This study evaluates the comparative efficacy of two pedagogical approaches (i.e., flipped classroom, and 100 % online education) used to deliver a two semester long, IPE course offered at a large academic medical center. Through this quasi-experimental investigation of retrospective outcomes, this study compares the impact of these two pedological approaches on student learning outcomes. Pre- and post-course Interprofessional Collaborative Competencies Attainment Survey (ICCAS) student scores were collected across two academic years where either the flipped-classroom approach or online approach was utilized, 2019–2020 (n = 442) and 2020–2021 (n = 515) respectively. Using a general linear model, changes in total mean ICCAS scores were determined; then t-tests assessed for item level changes. Findings from this study reinforce the idea that 100 % online learning is not only possible for IPE but is a powerful way to engage learners from differing professions.

This interprofessional service-learning course focused on exploring how social determinants of health such as economic stability, education, social and community environment, and health and health care affect populations. Through reading narratives and eliciting stories from participants and students during their volunteer hours at a local hospital, students increased their understanding of social determinants and learned effective interprofessional communication and collaboration strategies. The paper outlines the process and steps to building a partnership with a health care institution and supporting students as they engaged in service learning. Reflections from the instructors, facilitators, and students are discussed.

Interprofessional education is a requirement for both medical and pharmacy graduate program accreditation and it prepares students to work as high functioning healthcare teams. Since patients with chronic diseases often require care from various providers across multiple healthcare settings, efficient care coordination directly correlates with improved clinical outcomes and cost savings based on prudent use of resources. This curricular resource describes outcomes from an interprofessional transitions of care simulation completed by third year medical (MD) and pharmacy (PharmD) students at the University of South Florida in 2021 and 2022. We evaluate changes in students' perceptions about working with interprofessional teams and changes in their clinical knowledge following the simulation. This simulation presented students with one of two clinical vignettes (a pediatric asthma exacerbation or an acute chest syndrome sickle cell crisis), and students progressed through patient management in the emergency room, intensive care unit, medical floor, and discharge planning. This activity was conducted via Microsoft Teams in 2021 secondary to the coronavirus pandemic, and implementation continued to be on Microsoft Teams thereafter due to its success. Student outcomes were measured with matched pre- and post-simulation surveys including nine questions regarding perceptions and knowledge. In total, 300 medical students and 261 pharmacy students participated in the surveys. Students showed statistically significant improvement in each domain, including perceived understanding of roles and abilities to work in an interprofessional environment. Cohorts benefited to similar extents both years, and interprofessional and clinical knowledge improved for both medical and pharmacy students, although not equally. This experience provides an interactive, efficient, and effective method to fulfill accreditation requirements while improving students’ perceptions of healthcare teams and their ability to clinically manage a patient. The evaluation methods used in this study are available in Tables 1–3 The clinical vignettes, preparation materials, standardized patient scripts, and faculty evaluation form to guide feedback can be found in a Box Drive link provided in section eight.