interprofessional teams and culture in health care · interprofessional teams and culture in health...
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Interprofessional Teams and Culture in Health Care
Rosalind Franklin University Of Medicine and Science
Cilvia Henderson MS
Susan Tappert PT, DPT Source: https://www.mededportal.org/icollaborative/resource/700
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Objectives
• Promote best practices of Interprofessional Healthcare • Design a culture and climate that embraces diversity and inclusion within the organizational culture and beyond • Provide leadership approaches that empower diversity and inclusion officers and strengthen their effectiveness within their organization.
Source: https://www.mededportal.org/icollaborative/resource/700
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Rosalind Franklin University
The Chicago Medical School
Scholl College of Podiatric Medicine
College of Health Professions
School of Graduate and Postdoctoral Studies
College of Pharmacy
Biomedical Sciences Health Administration
Health Professions Education Interprofessional Studies
Nurse Anesthesia Nutrition
Pathologists’ Assistant Physical Therapy
Physician Assistant Psychology
Women’s Health
Source: https://www.mededportal.org/icollaborative/resource/700
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Definitions • Definition of IPE
• “occasions when (students) from two or more professions learn about,
from and with each other to enable effective collaboration and improve health outcomes” (WHO, 2010)
• Definition of IPCP
• “when multiple health workers from different professional backgrounds
work together with patients, families and communities to deliver the highest quality of care” (WHO, 2010)
Source: https://www.mededportal.org/icollaborative/resource/700
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Definitions Team “At least two people working together in some fashion” (NAP 2011) Coordinated Team Formalized structure in which members share and communicate about
specific patients. (Boon et al, 2004) Multidisciplinary Team Different disciplines, each practitioner making independent decisions, with a
team leader appointed to integrate various decisions (Boon et al, 2004) Interdisciplinary Team Multidisciplinary group that makes group decisions, usually based on a
consensus model, face-to-face meetings common (Boon et al, 2004)
Source: https://www.mededportal.org/icollaborative/resource/700
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Institute of Medicine
Multidisciplinary summit of leaders Vision: All health professionals should be educated
in five core competencies: Patient-Centered Care Interdisciplinary Teams Evidence-Based Practice Quality Improvement Informatics
Source: https://www.mededportal.org/icollaborative/resource/700
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IPEC Competency Domains
1. Values and Ethics for Interprofessional Practice
2. Roles and Responsibilities
3. Interprofessional Communication
4. Teams and Teamwork
Source: https://www.mededportal.org/icollaborative/resource/700
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Overview of Existing Interprofessional Education
• Large lectures • ½ day classes • Weekend activities • Courses
Source: https://www.mededportal.org/icollaborative/resource/700
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Overview of Existing Interprofessional Education
• Student-community partnerships • Clinical activities • Student run clinic • Simulation
Source: https://www.mededportal.org/icollaborative/resource/700
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Simulation Hammick et al (2007)- IPE can improve learner attitude but work-based
interventions that promote true IPP behaviors are lacking Simulation- recommended as training modality capable of improving
individual and teamwork behavior TeamSTEPPS Developed with Department of Defense and AHRQ for medical team
training. Simulation is used 5 areas of teamwork- leadership, team structure, situation
monitoring, mutual support and communication Simulation has been shown to improve teamwork
Source: https://www.mededportal.org/icollaborative/resource/700
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•Recognition •Assessment •Evaluation
•Recognition •Assessment •Evaluation
University Calendar
IP Teams Course
Interprofessional Curriculum Committee (university-wide)
Years 5-9 Years 1-4 Years 0-1
•Space •Resources •Mentors •Logistics
Dept of Interprofessional
Healthcare Studies
Vision •Strategic Plan •Budget •Buy-in
Institutional Culture of Interprofessionalism
•Governance •Admissions •Orientation •IP Seminars •MP to IP Committee •Strategic Plan
Institute for Interprofessional
Education
•Research •Education •Policy
ssg/wr/js/st 10/2012 Copyright © RFUMS
RFUMS IP Student Outcomes
Adopted IPEC IP Competencies
Rosalind Franklin University Interprofessional Education Timeline
First Year IP Experience • Interprofessional Teams
and Culture in Health Care Course
•Service Learning Project •Clinical Experience
•Space •Resources •Mentors •Logistics
•Space •Resources
More Students More Champions Champions
Source: https://www.mededportal.org/icollaborative/resource/700
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Culture of Interprofessionalism at Rosalind Franklin University
• Strategic Plan • Shared Leadership • Shared Calendar for on campus programs • Universal Integrity Policy • Interprofessional Academic Committee • Diversity and Inclusion Committee Source: https://www.mededportal.org/icollaborative/resource/700
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Education Programs
• Interprofessional Courses • 3 degree programs designed to be IP • Excellence in Interprofessionalism • First Year IP Experience
Source: https://www.mededportal.org/icollaborative/resource/700
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Interprofessional Courses
• Clinical Anatomy – summer and fall quarters • Leadership in the Health Care Environment • Neuroscience • Pharmacology
Source: https://www.mededportal.org/icollaborative/resource/700
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Degree programs designed to be IP
• Doctorate in Interprofessional Studies • Master of Science in Health Administration • Master of Science in Health Professions
Education • Certificate in Women’s Health
Source: https://www.mededportal.org/icollaborative/resource/700
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Excellence in Interprofessionalism
Requirements: • Successfully complete 1st Year IP Experience • Complete 4 projects:
Service Education Research Clinical Practice Bench ↔ Beside: Translational Biomedical Research
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year IP Experience
Population: • All first year clinical on-campus students • Advanced clinical students • Faculty • Staff • Administration • Community
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year IP Experience
Interprofessional Teams and Culture in
Health Care course
Logistics:
• IP groups of no more than 15 students
• Program curriculum committees
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year IP Experience
Logistics:
• Faculty or administrative facilitators
• Classrooms
• Schedule
• Community sites
• Cultural Events
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year IP Experience
Strategies:
• Standardized sessions
• Primarily small groups
• Presentations
• Experiential learning
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year IP Experience
Strategies:
• Online materials
• Discussions
• Projects
• Case Studies
• Reflection papers
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year Interprofessional Experience
Culture in Health Care Clinical Experience
IP Health Care Teams Service Learning Project
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year Interprofessional Experience
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Interprofessional Teams
Topics • Intro to IP Health Care • IP Teams • Information Literacy • Prevention Education
Source: https://www.mededportal.org/icollaborative/resource/700
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Interprofessional Teams
• Professions (X2) • Patient Interviewing in an IP Team • Quality Improvement • Health Care Policies and Barriers to IP
Collaborative Care Source: https://www.mededportal.org/icollaborative/resource/700
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First Year Interprofessional Experience
Culture in Health Care Clinical Experience
IP Health Care Teams Service Learning Project Service Learning Project
Source: https://www.mededportal.org/icollaborative/resource/700
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Service Learning Projects
• Prevention Education Model Prevention Screening Nutrition Education Physical Fitness Making Healthy Choices
Source: https://www.mededportal.org/icollaborative/resource/700
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Service Learning Projects
• Interprofessional groups • Student driven • Community partners • Poster and Reflection
Source: https://www.mededportal.org/icollaborative/resource/700
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Service Learning Projects
Examples of Projects • Health Fairs at Churches, Malls, Nursing Homes
and Shelters for Abused Women and Children • Making Healthy Choices Through the TAR WARS Program
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year Interprofessional Experience
Culture in Health Care Clinical Experience
IP Health Care Teams Service Learning Project
Culture in Health Care
Source: https://www.mededportal.org/icollaborative/resource/700
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Topics
•Generational Communication
•Working with an Interpreter
•Health Care Disparities
•Cross Cultural Communication
Culture in Health Care
Source: https://www.mededportal.org/icollaborative/resource/700
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Culture in Health Care
Attendance at one cultural event • Required • Approved events are posted in on line
course • Reflection paper completion for credit
Source: https://www.mededportal.org/icollaborative/resource/700
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Cultural Event Topics
• Gender Identity in Healthcare • Cultural Issues in International Healthcare • Serving Non English Speaking Patients • Medical Spanish Crash Course • Treating the Hispanic Patient Population • LGBT Nutrition Considerations
Source: https://www.mededportal.org/icollaborative/resource/700
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Documentary film – Featured 13 transgender & genderqueer
discussing the impact and implications of the Gender Identity Disorder
• Scholars • Artists • Activists
Cultural Event Topics Gender Identity in Healthcare
Source: https://www.mededportal.org/icollaborative/resource/700
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Student leaders on campus shared their international volunteer experiences – Places Traveled
– Learning Points
• Little resources available, infectious diseases outbreak, patient education, prescription disbursement
Cultural Event Topics Cultural Issues in International Healthcare
Source: https://www.mededportal.org/icollaborative/resource/700
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Guest Speaker – Staff from Admissions Office
• Degree in Spanish as well as previous EMT experience • Students learned
– Interpersonal decorum – Spanish medical terms – The value of learning a second language in relation to health
care disparities
Cultural Event Topics
Medical Spanish Crash Course
Source: https://www.mededportal.org/icollaborative/resource/700
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Panel discussion with panel members that
identify as Hispanic and/or serve this population most
– Community members – Faculty/Staff – Practicing Physician
Cultural Event Topics
Treating the Hispanic Patient Population
Source: https://www.mededportal.org/icollaborative/resource/700
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Guest Speaker Nutritionist
– Faculty member • Specialty Area
– Addressing stereotypes (e.g. White male with healthy BMI, you should not assume he is not a candidate for an eating disorder)
Cultural Event Topics LGBT Nutrition Considerations
Source: https://www.mededportal.org/icollaborative/resource/700
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First Year Interprofessional Experience
Culture in Health Care Clinical Experience
IP Health Care Teams Service Learning Project
Clinical Experience
Source: https://www.mededportal.org/icollaborative/resource/700
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Clinical Experience
• Scholl Foot and Ankle Clinic • Orthopedic Clinic • Case Studies • Interprofessional experiences in a
uniprofessional placement (University of Toronto)
Source: https://www.mededportal.org/icollaborative/resource/700
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Assessment Educational Mission Rosalind Franklin University of Medicine and
Science provides a competency-based, assessment-validated interprofessional learning environment empowering students to achieve the learning outcomes necessary to be exceptional healthcare, biomedical and research professionals.
Source: https://www.mededportal.org/icollaborative/resource/700
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Assessment Instruments
• Most widely used Attitudinal Scales
Readiness for Interprofessional Learning Scale (RIPLS)
Interprofessional Educational Perception Scale (IEPS)
Attitudes toward Health Care Teams Scale (ATHCTS)
Source: https://www.mededportal.org/icollaborative/resource/700
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Assessment Readiness for Interprofessional Learning Scale (RIPLS)
• Parsell and Bligh designed 1999 in UK for student assessment • Widely utilized Attitudinal scale • 19 item ordinal scale • 3 component areas: teamwork and collaboration; professional identity; and
professional roles • Example Statements:
A. Learning with other students will help me become a more effective member of a health care team
B. I have to acquire much more knowledge and skill than other health care students C. The function of nurses and therapist is mainly to provide support for doctors
• Reid et al validated for post graduate (professional) staff adding a patient-centeredness factor Source: https://www.mededportal.org/icollaborative/resource/700
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Assessment Interprofessional Educational Perception Scale
• Luecht et al designed a scale to measure student perceptions of exposure to interprofessional settings 1990
• Widely utilized Attitudinal scale • 18 item ordinal scale • 4 component areas: competence and autonomy; perceived need for
cooperation; perceived cooperation across disciplines; perceived value of other professionals
• Example statements: A. Individuals in my profession are well trained B. Individuals in my profession must depend upon the work of people in other professions C. Individuals in my profession are willing to share information and resources
Source: https://www.mededportal.org/icollaborative/resource/700
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Assessment Attitudes toward Working on Interdisciplinary Health
Care Teams
• Heinemann et al designed a scale to measure student’s attitudes to the value of interdisciplinary teamwork and physician’s role
• Widely utilized scale • 21 item ordinal scale 1 to 6 • 3 subscales: Team Value, Team efficiency and Physician Centrality • Example statements:
A. The team approach improve the quality of care to patients. B. Working in teams unnecessarily complicates things most of the time. C. Physicians have the right to alter patient care plans developed by the team .
Source: https://www.mededportal.org/icollaborative/resource/700
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Challenges
• “Buy in”- top down with faculty commitment • Academic calendar • Physical layout of university • Classroom space • Community partner sites • Engaging faculty and staff • Engaging students • Funds
Source: https://www.mededportal.org/icollaborative/resource/700
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Questions ?????
Source: https://www.mededportal.org/icollaborative/resource/700