interprofessional teams and culture in health care · interprofessional teams and culture in health...

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

http://creativecommons.org/licenses/by-nc/3.0/�

https://www.mededportal.org/icollaborative/resource/700�

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



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




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)




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)




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




IPEC Competency Domains

1. Values and Ethics for Interprofessional Practice

2. Roles and Responsibilities

3. Interprofessional Communication

4. Teams and Teamwork




Overview of Existing Interprofessional Education

• Large lectures • ½ day classes • Weekend activities • Courses




Overview of Existing Interprofessional Education

• Student-community partnerships • Clinical activities • Student run clinic • Simulation




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




•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




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



Education Programs

• Interprofessional Courses • 3 degree programs designed to be IP • Excellence in Interprofessionalism • First Year IP Experience




Interprofessional Courses

• Clinical Anatomy – summer and fall quarters • Leadership in the Health Care Environment • Neuroscience • Pharmacology




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




Excellence in Interprofessionalism

Requirements: • Successfully complete 1st Year IP Experience • Complete 4 projects:

Service Education Research Clinical Practice Bench ↔ Beside: Translational Biomedical Research




First Year IP Experience

Population: • All first year clinical on-campus students • Advanced clinical students • Faculty • Staff • Administration • Community





Interprofessional Teams and Culture in

Health Care course

Logistics:

• IP groups of no more than 15 students

• Program curriculum committees





Logistics:

• Faculty or administrative facilitators

• Classrooms

• Schedule

• Community sites

• Cultural Events





Strategies:

• Standardized sessions

• Primarily small groups

• Presentations

• Experiential learning





Strategies:

• Online materials

• Discussions

• Projects

• Case Studies

• Reflection papers




First Year Interprofessional Experience

Culture in Health Care Clinical Experience

IP Health Care Teams Service Learning Project




Interprofessional Teams

Topics • Intro to IP Health Care • IP Teams • Information Literacy • Prevention Education




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





IP Health Care Teams Service Learning Project Service Learning Project




Service Learning Projects

• Prevention Education Model Prevention Screening Nutrition Education Physical Fitness Making Healthy Choices





• Interprofessional groups • Student driven • Community partners • Poster and Reflection





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







Culture in Health Care




Topics

•Generational Communication

•Working with an Interpreter

•Health Care Disparities

•Cross Cultural Communication






Attendance at one cultural event • Required • Approved events are posted in on line

course • Reflection paper completion for credit




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




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




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




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


Medical Spanish Crash Course




Panel discussion with panel members that

identify as Hispanic and/or serve this population most

– Community members – Faculty/Staff – Practicing Physician


Treating the Hispanic Patient Population




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







Clinical Experience




Clinical Experience

• Scholl Foot and Ankle Clinic • Orthopedic Clinic • Case Studies • Interprofessional experiences in a

uniprofessional placement (University of Toronto)




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.




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)




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



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




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 .




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




Questions ?????




interprofessional teams and culture in health care · interprofessional teams and culture in health...

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