06/02/2017
Our Plan
Interprofessional Education
04 IP Communication Basics, Tips, Techniques
An Introduction
03 Our IPE Model Design, Policies
02 IPE Impact Competencies, Benefits
01 Introduction IPE Philosophy, Definition, Themes, Rationale
Presentation & Conclusion
Mohamed Issa, PhD (Uppsala, Sweden) Assistant Professor of Pharmaceutics Pharmacy Practice Department (PPD) Faculty of Pharmacy, Beirut Arab University (BAU)
Mohamed Issa, PhD 2017
A Smart Question!
IPE: Philosophy Students of different health professions learn: • About each other • From each other • With each other
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IPE: Definition
IPE: Common Themes
Students and learners from two or more health professions jointly create and foster a collaborative learning environment.
Ethics and Ethical Dilemmas
Evidence-based Patient Care
Health Promotion
Mohamed Issa, PhD 2017
Mohamed Issa, PhD 2017
Patient Safety: Rationale
What Is Patient Safety?
• Patient safety is not specific to one health profession • All health professional learning includes patient safety competencies
• The prevention of errors and adverse effects to patients associated with health care. • While health care has become more effective it has also become more complex, with greater use of new technologies, medicines and treatments.
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Patient Safety: IPE as safeguard?
IPE and WHO
• Poor IP communication and lack of collaboration between healthcare team are linked to medical errors that affect patients’ safety & increase mortality in hospitals. (Shrader S,2015) • Primary root cause in over 70% of medical errors is communication failure, (JCHA - USA)
Mohamed Issa, PhD 2017
IPE: Improving
Mohamed Issa, PhD 2017
IPE: Benefits
? Perceptions
Attitudes
Skills
Patient Health Outcomes
• Students engaged in collaborative learning • Students Acquire IPE competencies
Knowledge
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• • • •
Improved Patient’s satisfaction, safety Improved job satisfaction Reduced medical errors Efficient use of resources
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IPE competencies
Competencies: What are they?
01 Interprofessional Communication
06 Patientcentered Care
• A competency is a wonderful blend of knowledge, skills, values and attitudes (think, say and behave) that is essential for the successful practice of any profession. • Can be developed. • Has to be measured: Assessment (formal or self).
02 05 Collaborative leadership
IPE competencies highlight the knowledge, skills, attitudes and values for collaborative practice .
04 Interprofessional Conflict Management
03 Team Functioning
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Effective Collaboration: The Key?
Role Clarification
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Creating A Culture of Trust Collaborative trust Building Trust: The Cornerstone to Successful Collaborative Arrangements
Sharing responsibilities, power, philosophies of health care and perspectives such as commitment to patientcentered care.
Seeking input from one another
Emotional intelligence
Interdependency
Consistent Behaviour over time
professionals depend on one another as they work together toward meeting patient needs.
Mutual respect and Understanding
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Open discussions on success and failure
Common goals or vision
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IPE: Our Educational Model Mastery
04
Does
03
IPE: Exposure Phase
Integration of judgements, attitudes & Values
Exposure Phase: (knows) Initial stage of IPE/knowledgebased Didactic lectures + Activities
Shows how
Immersion
02
Knows how
01
Cognition & Knowledge
Knows
Exposure
Mohamed Issa, PhD 2017
IPE: Immersion Phase
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Teaching Schedule
Simulation –based IPE
Case-based IPE
Student teams practice the management of a patient case as a simulated scenario in the simulation lab.
Students teams in roundtables explore, discuss, and develop a management plan for a given paper-based clinical scenario in classrooms
Mohamed Issa, PhD 2017
Place: Auditorium – Hariri Building - B1 Time: 8.00 am
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Teaching Schedule
Place: Simulation Lab 5th f – Conference Room 4th f Time: 8.00 am
Grading Policy
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Mohamed Issa, PhD 2017
Communication: Definition A process of: • Sharing • Exchanging • Delivering • A message: information, idea, opinion, feeling,…. • Within certain time frame!
Communication Basics Mohamed Issa, PhD 2017
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Communication: Types
Communication Types: Impact
Verbal • •
Selection of words Clear, focused, inspiring, consistent, convincing
• •
Body language, outfit, place, time, haptics Facial expression, eye contact, gestures, posture, distance
Voice 38%
Nonverbal
Paraverbal • •
It is not just what you say…. It is how you sound and how people see you….
Vocal characteristics Tone, volume, pace, emphasis, silence
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Communication: Process
Body language 55%
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Communication: Styles
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Communication: Barriers 01
03
Physical
02
Relatively easy to eliminate
Emotional
Perceptual Stereotyping, Bias, Prejudice
04
Emotional intelligence
Cultural
Interprofessional (IP) Communication Tips
Language, cultural norms
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IP Communication: Characteristics
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IP Communication: Techniques Call Out
Constructive Feedback
• Communicate critical information during an emergent event. • It helps the team anticipate and prepare for next steps in patient care. • Benefits a recorder when present during emergent events. .
• Do it for right reasons at right place and time • Be specific, objective, concludes with a solution or an action plan • Watch words, voice, body language • Have open ears, eyes, heart • Make it a culture for self-development
Check-back
Respectful
Assertive
• A closed-loop communication strategy used to verify and validate information exchanged. • Sender-Receiver-Sender.
SBAR An easy-to-remember, concrete mechanism that is useful for framing any conversation, often a critical one requiring a clinician's immediate attention and action.
Effective
Simple, clear, logic, Mohamed Issa, PhD 2017
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SBAR: IP Communication Activity • Please watch and listen carefully in teams to the following two scenarios. • For Scenario 1: Identify communication pitfalls, outcomes • For Scenario 2: Comment on the used communication technique, outcomes. • List the differences between both scenarios (verbal, nonverbal, paraverbal and styles).
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