Interdisciplinary Health Education Partnership
Five partners, eleven simulations, one massive event:
healthteameducation.ca
How we walked the talk to build
unlimited interprofessional education opportunities
Sharla King1, Elaine Greidanus1, Dawn Ansell2, Sam Magus3, Colette Foisy-Doll4, Andrew Reid5 University of Alberta, Health Sciences Education and Research Commons, 2NorQuest College, 3 Northern Alberta Institute of Technology, 4MacEwan University, 5Alberta Health Services 1
Partnership
Interdisciplinary Health Education Partnership (IHEP), is a collaboration among University of Alberta, NAIT, NorQuest College, MacEwan University and Alberta Health Services to develop, implement and evaluate interprofessional (IP) simulation-based modules for mannequin, standardized patient and virtual world learning environments.
Goal
• to prepare students to work in a collaborative team environment • focus on developing IP competencies (communication, collaboration and role clarification) • IP simulation scenarios Table 1. Student Participants emphasize transitions in care Combined Med Lab/X-ray 2 and patient safety Health Care Aide 1
IP Simulation Event
• piloted a day long IP teambased simulations for prelicensure students • debriefings focused on IP competencies, rather than clinical skills • workshops on debriefing to faculty
Simulations
Big Sims (~1hour) • Hospital to Homecare • Post-op Teamwork and Communication • Biopsy Team Communication • Balancing Pharmacy Priorities
Medicine Medical Laboratory Assistants Medical Laboratory Sciences Medical Laboratory Technicians Nursing Nutrition Occupational Therapy Pharmacy Pharmacy Technicians Physical Therapy Practical Nursing Recreation Therapy Respiratory Therapy Social Work Speech Language Pathology Therapist Assistant X-Ray Tech Sonography Total Students
11 5 3 2 25 3 2 8 2 1 13 5 15 8 12 3 6 127
• ER Mash-up • Palliative Care Communication Mini Sims (10-20 minutes) • Save Stan in Second Life – EMT and ER hand-off • E-charting • Interdisciplinary Issues • Help my baby! • Team interviews On Call Room – room for students to relax in between simulations.
Methods
• assessed pre/post change in student self-evaluation of IP communication and teamwork confidence with Interprofessional Questionnaire (IPQ) (Pollard, Miers, & Gilchrist, 2005) • Only reporting the Communication and Teamwork subscale (CTS) results • 6 month follow-up, participants contacted to determine the longer-term impact of the simulations
Results
• perceptions of their communication and teamwork skills increased • increased confidence in a team environment
6 month follow-up telephone surveys
Students reported learning: • Sharing information – “You really have to do your assessments and verbalize with everybody. For example, if you observe a rash, tell everyone on the team about it, so that everyone can piece together the puzzle. Share your findings to help the patient.” Nursing, 4th year • Increased confidence – “I felt ready to go to clinical afterwards. The confidence was there a little bit more going into clinical because of participating in Save Stan Saturday.” Physiotherapy Assistant, 2nd year
Table 2. Item and total CTS Repeated Measures Results IPQ pre-post Save Stan Saturday
Mean Pre Scores 3.640
1. I feel comfortable justifying recommendations/advice face to face with more senior people. 2. I feel comfortable explaining an issue to people 3.940 who are unfamiliar with the topic. 3. I have difficulty in adapting my communication 3.582 style (oral and written) to particular situations and audiences. (R) 4. I prefer to stay quiet when other people in a group 3.508 express opinions that I don’t agree with. (R) 5. I feel comfortable working in a group. 4.130 6. I feel uncomfortable putting forward my personal 3.574 opinions in a group. (R) 7. I feel uncomfortable taking the lead in a group. (R) 3.271 8. I am able to become quickly involved in new teams 3.790 and groups. 9. I am comfortable expressing my own opinions in 3.620 a group, even when I know that other people don’t agree with them. CTS Total Score 33.058
Mean P Effect Post Value Size Scores 3.940 0.000* -0.381 4.210
0.000* -0.370
3.361
0.050
0.179
3.566
0.501
-0.061
4.270 3.311
0.017 0.023
-0.219 0.208
3.418 4.110
0.161 -0.128 0.000* -0.429
3.870
0.000* -0.375
34.025 0.005* -0.264
Item scores range from 1-5. R indicates item’s reverse score is reported. *Significant at p<0.005 (*10 =alpha 0.05)
Conclusion
A full day of IP team-based simulation experiences delivered by multiple institutions was able to increase pre-licensure students’ confidence in IP communication and collaboration. At 6 months, students expressed increased confidence in approaching other disciplines, sharing information and readiness for practice.