interprofessional education to improve collaboration and quality of care hugh barr may 2013
TRANSCRIPT
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Interprofessional Education to Improve Collaboration and
Quality of Care
Hugh Barr
May 2013
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Multiprofessional Education
Interprofessional
Education
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Multiprofessional Education
Occasions when professions learn side by side
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Interprofessional Education
Occasions when professions learn with, from, and about each other, to improve collaboration and the quality of care
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Interprofessional Education
Expectations
Outcomes
Evidence
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Five Expectations
• Repairing relationships• Developing teamwork• Improving care & services• Safeguarding patients• Deploying human resources optimally
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Teamwork
Relationships
Safety
Workforce
Improvement
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Teamwork
Safety
Relationships
Workforce
Improvement
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Teamwork
Relationships
Safety
Workforce
Improvement
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Teamwork
Relationships
Safety
Workforce
Improvement
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Teamwork
Relationships
Workforce
Safety
Improvement
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Teamwork
Relationships
Safety
Improvement
Workforce
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Formulating Outcomes
United Kingdom: Sheffield Hallam University (2010) Interprofessional Capability Framework. Mini-guide
Canada: Canadian Interprofessional Health Collaborative (2010) A national competency framework for interprofessional collaboration.
United States: Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice: report of an expert panel. Washington D.C.: Interprofessional collaborative
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A Digest
Curtin University
Interprofessional Capability Framework
Brewer & Jones, 2013
http://healthsciences.curtin.edu.au/faculty/ipe_publications.cfm
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Assembling the Evidence
• Evidence from whom?
• Evidence of what?
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Triangulating the evidence base for IPE
IPE ProgrammeIPE Programme
ExternalEvaluativeResearch
InternalApproval& Review
ExternalApproval& Review
Commissioning& Monitoring
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The Naïve Question
•Does IPE Work?
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What types of IPE under what conditionsresult inwhat types of outcome?
The Smart Question
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Systematic Reviews 1
Cochrane: Reeves, S., Zwarenstein, M., Goldman, J.,
Barr, H., Freeth, D., Hammick, M. & Koppel, I. (2011) Interprofessional education: effects on professional practice and health care outcomes. The Cochrane Database of Systematic Reviews
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Systematic Reviews 2• Barr, H., Koppel, I., Reeves, S., Hammick, M. and
Freeth, D. (August 2005) Effective Interprofessional Education: Argument, Assumption and Evidence. Oxford: Blackwell
• Hammick, M., Freeth, D., Reeves, S., Koppel, I., & Barr, H. (2007). A best evidence systematic review of interprofessional education. Dundee: Best Evidence Medical Education. Guide no. 9. Medical Teacher 29, 735-751.
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JETThe
Interprofessional EducationJoint
EvaluationTeam
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Modified Kirkpatrick ScaleLevel 1 – Reaction
Learners’ views on the learning experience and its interprofessional nature.
Level 2a – Modification of attitudes / perceptions
Changes in reciprocal attitudes or perceptions between participant groups. Changes in perception or attitude towards the value and/or use of team approaches to caring for a specific client group.
Level 2b - Acquisition of knowledge/skills
Including knowledge and skills linked to interprofessional collaboration.
Level 3 - Behavioural change
Identifies individuals’ transfer of interprofessional learning to their practice setting and their changed professional practice.
Level 4a – Change in organisational practice
Wider changes in the organisation and delivery of care.
Level 4b – Benefits to patients/clients
Improvements in health or well being of patients/ clients.
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