Brenda Flood

Goals

1. Describe interprofessional collaborative practice.

2. Identify what makes a team interprofessional.

3. Consider some of the evidence on interprofessional collaboration and teamwork.

4. Identify some of the challenges and opportunities of interprofessional teamwork.

Collaborative Continuum: Types of teams

Uni-disciplinary

Multi-disciplinary

Inter-professional

Trans-disciplinary

Inter disciplinary

Interprofessional Collaborative Practice

Two or more different professional’s work in an interdependent and

integrated way to problem solve and provide services.

• high level of collaboration

• active and ongoing partnership

(Freeth et al., 2005).

Evidence

Improves: • Access to care • Health outcomes for people with chronic conditions • Quality of care • Patient safety • Provider satisfaction (Borril et al, 2000; Hughes et al, 1992; Lemieux-Charles &

McGuire, 2006; Mickan, 2005; Suter & Deutschlander, 2010 ; Jones & Jones, 2011; W.H.O., 2010)

Decreases: • Cost of patient care • Clinical errors • Length hospital stay • Mortality rates (Suter & Deutschlander, 2010; W.H.O, 2010)

(W.H.O., 2010 , p. 9)

Interprofessional Education (IPE)

“....the World Health Organization and its partners acknowledge that there is sufficient evidence to indicate

that effective interprofessional education enables effective collaborative practice”

(W.H.O., 2010, p.7).

Interprofessional Placement

“ The opportunity to live and learn together with other students was

amazing, I now understand what the other disciplines do and offer”

(Student)

“... I have become more

open minded and realise

that the more people

working towards a clients

goal, the more likely

success will be achieved”.

(Student , 2012)

Interprofessional Education Workshop

Challenges and Strategies

Understanding Roles

Communication

Power & Status

Professional Differences

Organisational Structures

Team Dynamics

Summary

Interprofessional education enables:

• health professionals to work collaboratively in teams.

Interprofessional collaboration improves:

• health systems and outcomes.

• patient safety.

• job satisfaction.

Bibliography • Bainbridge, L., Nasmith, L., Orchard, C., & Wood, V. (2010). Competencies for

Interprofessional Collaboration. Journal of Physical Therapy Education, 24(1), 6-11. • Baxter, S., & Brumfitt , S. (2008).Professional differences in interprofessional

working. Journal of Interprofessional Care, 22(3), 239 – 251. • Canadian Interprofessional Health Collaborative (2009). National interprofessional

competency framework. Canadian Interprofessional Health Collaborative: Vancouver, BC. (Draft for Discussion, October).

• D’Amour, D., Ferrada-Videla, M., Rodriguez, L., & Beaulieu, M.D. (2005). The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks. Journal of Interprofessional Care, 1, 116-131.

• Freeth, D., Hammick, M., Reeves, S., Koppel, I., & Barr, H. (2005). Effective interprofessional education: Development, delivery and evaluation. Oxford: Blackwell Publishing.

• Hart, C. (2011). The ëlephant in the room”: using emotional management to uncover hidden discourses in interprofessional collaboration and teamwork. Journal of Interprofessional Care, 25, 373-374.

• Hubbard, G., & Themessl-Huber, M. (2005). Professional perceptions of joint working in primary care and social care services for older people in Scotland. Journal of Interprofessional Care, 19(4), 371–385.

• Lapkin, S., Levett-Jones, T., & Gilligan, C. (2012). A cross-sectional survey examining the extent to which interprofessional education is used to teach nursing, pharmacy and medical students in Australian and new Zealand Universities. Journal of Interprofessional Care, 26, 390-396.

Bibliography

• Lemieux-Charles, L., & McGuire, W. (2006). What d o we know about healthcare team effectiveness? A review of the literature. Medical care Research and Review, 63, 263-300.

• Hughes, S., Cummings, J., & Weaver, P. (1992). A randomized trial of the cost effectiveness of VA hospital-based home care for the terminally ill. Health Services Research, 26, 801-817.

• Jansson, A., Isacsson, A., & Lindholm, L. (1992). Organisation of health care teams and the population’s contacts with primary care. Scandinavian Journal of Health Care, 10, 257–265.

• Mickan, S. (2005). Evaluating the effectiveness of health care teams. Australian Health Review, 29(2), 211-217.

Bibliography

• McCallin, A., & Mccallin, M. (2009). Factors influencing team working and strategies to facilitate successful collaborative teamwork. NZ Journal of Physiotherapy, 37(2), 61-67.

• Pullon, S., McKinlay, E., & Dew, K. (2009). Primary health care in New Zealand: the impact of organisational factors on teamwork. British Journal of General practice, 59, 191-197.

• Sargent, J., Loney, E., & Murphy, G. (2008). Effective interprofessional teams: “Contact is not enough” to build a team. Journal of Continuing Education in The Health Professions, 28(4), 228-234.

• Suter, E., & Deutschlander, S. (2010). Can Interprofessional Collaboration provide Health Human Resources Solutions? Western Canadian Interprofessional Health Collaborative. Report available at http://www.wcihc.ca

• World Health Organisation (2010). Interprofessional Education and Collaborative Practice. Technical Report. Geneva, Switzerland: World Health Organisation.

• Zwarenstein, M,. Goldman, J,. & Reeves, S. (2009). Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes (Review). Toronto: The Cochrane Collaboration. Wiley & Sons, Ltd.