Interprofessional Learning Research Articles

Mitigating Misinformation Toolkit: Addressing COVID-19 Misinformation Through Interprofessional Learning and Collaboration Using a Standardized Patient-Based Educational Module.

Medical mis- and disinformation are on the rise and impact patient health outcomes. The complexity of modern medicine and health care delivery necessitates that care be delivered by an interprofessional team of providers well versed in addressing this increased prevalence of medical misinformation. Health professions educational curricula often lack opportunities for students to learn how to address medical misinformation, employ advanced communication techniques, and work collaboratively. Based on literature and our previous qualitative research, we created a module offering prework learning on COVID-19 and addressing misinformation through advanced communication techniques and interprofessional collaboration. After completing prework, students participated in a standardized patient encounter addressing COVID misinformation. Health professions student dyads completed a preencounter planning huddle and together interviewed a standardized patient. Students received global and checklist-based feedback from standardized patients and completed pre- and postsession self-assessments. Twenty students participated (10 third-year medical, nine third-year pharmacy, one fourth-year pharmacy). Key findings included the following: Nine of 15 survey questions demonstrated statistically significant improvement, including all three questions assessing readiness to have difficult conversations and six of 10 questions assessing interprofessional collaboration and team function. Students participating in this novel curriculum advanced their readiness to address medical misinformation, including COVID-19 vaccine disinformation, with patients and coworkers to improve health decision-making and patient care. These curricular methods can be customized for use with a range of health professions learners.

Meeting social welfare legal needs in end-of-life care: co-creation of a system-wide research partnership.

Social welfare legal needs (matters of daily life, such as finances, housing and employment with legal rights, entitlements or protections) are prevalent towards end of life, creating significant difficulties for both patients and carers. Most people do not know where to go, although a range of services provide advice and support for addressing social welfare legal problems. Navigating this complex and fragmented system across health, social care and social welfare legal support is very challenging. Healthcare professionals are often the first contact for social welfare legal needs, although these are often overlooked and their impact on health and well-being unrecognised. Interprofessional learning can increase awareness of social welfare legal needs and build connections between service providers, offering a more holistic and cohesive multiagency response to the complex needs around end of life. The aim of the research was to co-create a robust foundation for cross-agency research investigating the impact of interprofessional learning on social welfare legal needs towards end of life in the North East England region. Convene a research partnership group across academics, multiagency service providers and members of the public with lived experience. Consider and agree key issues for successful place-based multiagency research in this area. Co-create a complexity-appropriate research proposal with interprofessional learning as an intervention. A series of research activities was implemented to convene a multiagency partnership group and consider the key issues for successful place-based multiagency research. Data were collected from two online workshops, an optional reflective workbook, and a modified Delphi technique. Initial participants were selectively recruited from our established stakeholder and patient and public involvement groups. Increasing diversity of the partnership continued throughout the project, using contacts provided by group members. Representation of services supporting underserved groups was a priority. All invited participants were recruited to the partnership, although contribution to research activities was variable. The partnership bridged knowledge gaps between services and united diverse perspectives, expertise and experience. A greater understanding of the barriers and opportunities for place-based multiagency working was generated, such as considering the importance of language in facilitating collaboration and responding to concerns around capacity. A non-hierarchical partnership was meaningful, with both personal and professional insights viewed as equally important. Facilitators to engagement with interprofessional learning were identified including the need for leadership endorsement. A non-traditional, mixed-method approach to interprofessional learning evaluation was favoured, with both qualitative and quantitative measures at three levels: patient and carer, professional learners and organisations. Important outcomes included raising awareness, connectedness and space to reflect. The partnership group expanded throughout the course of the project. While this extended diversity, variable participation hindered depth of discussion, with participants engaging at different points and with different understanding levels of the project. Supplementary materials provided some mitigation. Capacity and funding constraints limited engagement for some participants. Convening a multiagency partnership generated insights into the benefits, barriers and facilitators to research co-design and potential measures of success of interprofessional learning. Learning from this project has informed a complexity-appropriate research proposal to evaluate the impact of interprofessional learning as an intervention across different stakeholders. This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme as award number NIHR135276.

Percepciones sobre educación interprofesional en estudiantes y docentes de primer año en carreras de Ciencias de la Salud a través de Aprendizaje-Servicio en contexto de COVID-19: un análisis mixto

IntroductionInterprofessional education (IPE) is crucial for the training of future health professionals, promoting collaboration and teamwork between disciplines. This study analyzes the perceptions about IPE of students and teachers in first year health sciences courses, using a Service Learning (S-L) methodology, which was conducted online during the COVID-19 pandemic. MethodologyA sequential mixed-method approach was implemented involving 88 students and 12 faculty members from Occupational Therapy, Physiotherapy, Nutrition and Dietetics, and Speech Therapy. ResultsThe findings revealed significant differences in the disposition towards interprofessional learning and interprofessional education after the intervention, especially in Nutrition and Dietetics students. Furthermore, the qualitative analysis highlighted the favorable perception of students and teachers towards IPE in virtual mode. Key skills such as interaction, communication, commitment, respect, and empathy were highlighted. The triangulation of qualitative and quantitative data showed convergence in “teamwork” and “patient-centeredness”. ConclusionThis study supports the importance of IPE in the undergraduate training of health professionals, even in virtual environments like the present. Students demonstrated an excellent disposition and patient-centered approach. These findings underscore the need to continue developing undergraduate IPE programs, equipping students with skills and competencies for their future professional careers.

A Case Study for Training Interprofessional Teams in Addressing the Social Determinants of Health in Older Adults.

This case study addresses the interwoven nature of the social determinants of health, fall prevention, older adults, and home healthcare as a topic for teaching interprofessional education across professional development or academic settings. The case study challenges interprofessional learners to dissect and discuss the profile of the patient and other stakeholders, care team decisions, evidence-based research, and the considerations of significant variables on the implications for clinical reasoning and practice. Interprofessional education that includes case studies leads to the development of better skills related to clinical assessments and problem-solving. Sample facilitation questions and extensive research and resources are provided to assist those preparing to implement and facilitate the case study during an interprofessional education training session. We concluded our article by encouraging practitioners to share teaching strategies through publication so we can strengthen interprofessional education learning, as this contributes to stronger, more effective interprofessional education experiences, a need highlighted in the literature.

Focused Team Engagements to Enhance Interprofessional Collaboration and Safety Behaviors among Novice Nurses and Medical Residents.

Team communication remains a challenge in hospital settings. Hospital-based teams are diverse, team composition changes daily, and team members are frequently not co-located. Novice nurses and medical residents entering the workforce during the coronavirus 2019 pandemic experienced higher communication challenges than before and lacked adequate opportunities for interprofessional learning and communication. We evaluated perceptions of safety and communication among novice nurses and medical residents after a 1-hour focused team engagement consisting of an interprofessional virtual simulation and debrief. We conducted a retrospective pre/post survey to measure perceptions of interprofessional collaboration using the Interprofessional Socialization and Valuing Scale. Sixty-eight pediatric nurse residents and medical residents participated in the survey. Overall, the focused team engagements significantly improve participants' perceptions of interprofessional collaboration, with participants showing statistically significant improvement in seven of nine retrospective pre/post survey questions. When analyzing by discipline, nurse residents show stronger gains than medical residents. The interprofessional structured debriefings encourage nurses and medical residents to collaborate and discuss important safety topics away from bedside stressors. After completing the virtual simulation, the outcomes show improved perceptions of interprofessional collaboration and enhanced knowledge of safety techniques.

Exploring Veterinary Students' Perceptions of Teamwork and Learning from an Interprofessional Community-based Experience.

The COVID-19 pandemic provided insight into the gaps provided by health care systems that could benefit from collaborative practice across the nexus of the animal and human health professions. The platform of Interprofessional Education (IPE), recognized as a pedagogical platform for delivering the principles of One Health, embodies the benefits of collaboration to address critical emerging public health issues, including the emergence of vector-borne zoonoses, antimicrobial resistance, food security and defense and the impacts of climatic change. A phenomenological methodology, which is used to understand individuals lived experience, elicited veterinary students' perceptions of the benefits of interprofessional learning. Veterinary students indicated that the interprofessional learning experience facilitated their development of critical skills, including adaptability, communication, mutual support and an awareness of the social determinants of health, which are critical for readying them for practice in a postpandemic world.

Development and Evaluation of Interprofessional High-Fidelity Simulation Course on Medication Therapy Consultation for German Pharmacy and Medical Students-A Randomized Controlled Study.

Recently, there has been a remarkable move towards interprofessional collaboration in response to the COVID-19 pandemic and the care of comorbidities. In Germany, there has been a gradual increase in interprofessional learning in medical and pharmacy education, aiming to enhance patient care. To adapt the pharmacy curriculum for collaborative practice between pharmacy and medical students, we developed an immersive interprofessional collaboration course for pharmacy students using adult and pediatric high-fidelity simulators (HFS) to assess and train medication consultation skills. In a randomized controlled trial, we investigated whether interprofessional training between pharmacy and medical students results in differences in pharmacy students' performance of medication therapy consultation compared to the case of mono-professional training of pharmacy students only. Before and after inter/mono-professional training, each pharmacy student performed an objective structured clinical examination (OSCE) and completed a self-assessment questionnaire. Additionally, an attitude survey towards interprofessional learning was completed by pharmacy and medical students at the end of the training. As expected, interprofessional as well as mono-professional training showed a statistically significant increase in medication consultation skills. Of importance, the performance in the interprofessional training group was significantly better than in the mono-professional group, particularly in drug therapy counselling and consultation behaviors. There was a significant difference between the intervention and control groups in self-assessment scores, and all study participants had positive attitudes toward interprofessional collaboration and training. Therefore, interprofessional training using HFS has been shown to appropriately train pharmacy students for collaborative practice and consultation skills.

Exploring Structures and Processes Supporting Interprofessional Education During Experiential Learning Placements for Student Pharmacists

ObjectiveTo explore stakeholder views on the structures and processes supporting planned and unplanned interprofessional education (IPE) during experiential learning (EL) placements for student pharmacists in Scotland. MethodsOnline semistructured group interviews were conducted with academic staff, practice educators, and EL facilitators (preceptors). Recordings were transcribed verbatim and analyzed thematically. Systems theory underpinned the study. Ethical approval was granted by the School of Pharmacy and Life Sciences Ethics Review Committee at Robert Gordon University. ResultsThree main themes were identified: current IPE delivery and context, factors affecting IPE delivery and student pharmacist learning, and rethinking current IPE provision. Stakeholder views provided valuable insights into presage factors relating to contextual elements (cultural, logistical, regulatory) and their influence on IPE delivery and interprofessional learning. EL facilitator and student pharmacist characteristics were also highlighted as influencing factors; process factors included examples of planned and unplanned IPE experiences on offer in community, hospital, primary care, and specialist areas of pharmacy practice; product factors highlighted the importance of IPE to support the development of collaborative competencies. Future developments need to focus on a continuum of IPE learning and a coordinated approach between higher education institutions and placement providers and interprofessional practice teams. ConclusionCurricular development and implementation of new IPE is not without its challenges. This study has provided a strong foundation that will inform future developments to ensure new initiatives are conducive to supporting effective interprofessional learning during placements.

Student Perception and Knowledge of Team Science Following an Interprofessional Learning Module

Student Perception and Knowledge of Team Science Following an Interprofessional Learning Module

Ideas on how educators facilitate interprofessional learning through controversies

ABSTRACT Constructive controversies, where team members discuss their different opinions openly and politely, can stimulate interprofessional learning (IPL): the learning that occurs in the interactions between two or more different professions. However, in science-based controversies where members compete to be the expert learning becomes complicated. This paper constructs a model for a procedure of a science-based controversy and describes the conditions for IPL in such a setting. The basis for the model is an empirical study. Firstly, we describe how constructive controversies are conceptualised in the literature. We include literature on dialogic teaching and learning. Secondly, we describe how science-based controversies are conceptualised. Thirdly, we present the empirical study. Fourthly, we construct the model which focuses on mental health care professionals but is also applicable to other professionals. The findings suggest a model with three contextual factors which are connected to the use of power strategies and learning strategies. The model gives ideas for educators on why and how to use science-based controversies to facilitate IPL in teamwork. Indirectly a theory is introduced of how to strengthen IPL through controversies. The model is relevant in teaching how controversies which often concern what is best for the users/patients can be handled constructively.

Decoding the disciplines: creating mutual understanding in multiprofessional education

Decoding the disciplines as a pedagogical approach to overcome threshold concepts in student learning. The method focuses on a process of making discipline-specific thinking and acting more accessible to students in order to enhance their learning process. Students of any discipline have difficulties with discipline-specific contents, methods or ways of thinking or acting, the so-called bottlenecks. In addition, there are bottlenecks specific to each discipline, such as topics related to scientific work. Findings from a Scholarship of Teaching and Learning approach in a multi-professional group of students in an online seminar session during the corona pandemic are presented. A decoding process on how to find a theoretical approach to one’s research question was conducted. The implementation of the decoding method took place either in face-to-face decoding expert interviews or in a writing process using predetermined guiding questions. Students’ reflections on the use of the method were analyzed using normalization process theory to identify facilitating and inhibiting aspects for the face-to-face and written implementation of the method in interprofessional learning groups. The results show that students could experience a role change or a new role when the decoding topic changes. With the interview method in particular, students can take on the role of experts or novices depending on the topic and thus actively participate. Whether a role change happens or not always depends on the dynamics and the communicative exchange of the group. Decoding takes a lot of time, especially for reflective writing.

A qualitative exploration of nursing and social work university students’ experiences of sexual and reproductive health and rights education in Australia and Hong Kong

ABSTRACT Nursing and social work professionals often exhibit avoidance or a lack of competence in delivering sexual and reproductive health and rights (SRHR) care to service users. When such care is provided, it tends to be heteronormative and deficit focus. Thus, understanding how university education prepares professionals in the field is essential. This study is the first to qualitatively explore SRHR attitudes, learning experiences and educational needs of nursing and social work students in Australia and Hong Kong. Using focus groups, insights were gathered from 19 nursing and 21 social work students across two Australian and three Hong Kong universities. Thematic analysis of the data revealed that, despite regional and disciplinary differences, students’ SRHR educational needs in both regions and disciplines were not being adequately met. This negatively influenced their practical training and the quality of care provided. The study highlights the need to enhance SRHR knowledge and skills in nursing and social work curricula, thereby improving person-centred care. Recommended curriculum enhancements include promoting diversity and inclusivity, adopting a positive framing of sexuality, enhancing critical self-reflection and communication skills, fostering interprofessional learning, developing educators and mentors as role models, and creating safe and inclusive classroom and placement environments.

Using an interprofessional decision-making model to determine the level of collaborative decision-making in a virtual learning environment

Medicine and pharmacy students benefit from interprofessional education that supports the learning of collaboration skills for medicines management decision-making. However, if and how students undertake collaborative decision-making processes in interprofessional student teams has not been investigated. The aim of this study was to determine the level to which pharmacy and medical students collaborate to make medicines management decisions in a learning activity. Eight pharmacy and 13 medical students completed a 9-item survey to evaluate a interprofessional learning activity. A secondary analysis of survey data using a deductive approach, according to the Model of Interprofessional Decision-Making was undertaken. Different levels of collaboration were identified in the students’ responses ranging from the first and lowest level in the model, Individual Decision Making, to the fourth and highest level, Shared Decision. Most student responses were categorised as level three-Deliberation. Findings from this study indicate that pharmacy and medical students collaborate to different levels with each other to make patient care decisions. Further examination is required to see if this is usual variation or related to the design of the learning activity.

Interprofessional Education in Allied Health Professions: A Collaborative Approach to a Simulation Lab Experience

Abstract Date Presented 03/22/24 This study examined the effects of a simulated interprofessional learning activity on students’ knowledge of feeding and swallowing disorders and attitudes and beliefs toward interprofessional collaboration among OT and speech-language pathology students. Primary Author and Speaker: Marie-Claude Touchette Additional Authors and Speakers: Ruiying Ding, Michelle Zemsky Dineen

Development of a framework for community health workers to contribute to interprofessional learning teams

Background. Community health workers’ knowledge, skills and training seem to affect their contribution to 4th-year health sciences student teams who are following an interprofessional learning programme aimed at improving two South African rural communities’ health outcomes related to diabetes. Objective. To develop a framework for community health workers to contribute to interprofessional learning teams. Methods. The framework development forms part of previous phases of a multi-method study. The theory of change logic model guided the development of the draft framework, informed by data from two ecogram sessions, five nominal group technique discussions and a scoping review. The final framework was validated by experts during a workshop using forward and backward mapping. Results. The framework addresses the need for community health workers to gain knowledge, skills and training related to diabetes to effectively contribute to interprofessional learning teams. The theory of change process identified community needs and assets, desired results, influential factors, evidence-based strategies and assumptions required to address the problem. Conclusion. The framework focuses on a problem within specific interprofessional learning teams. Collaboration with stakeholders contributed to a rigorous research process, and the validation, refinement and future implementation of the framework. The framework eventually led to the development of an evidence-based training programme comprising knowledge, skills and training strategies related to diabetes. It is predicted that once community health workers have completed this training programme, they will be able to contribute effectively to the interprofessional learning teams.

The Role of Interprofessional Education in Optimizing Laparoscopic Skills Training: A Randomized Controlled Trial.

Background: This investigation evaluates the utility and benefits of integrating interprofessional education (IPE) into laparoscopic training, aiming to enrich medical education and skill acquisition methodologies. Methods: The study randomly allocated 36 participants of a 2023 laparoscopic training course into experimental and control groups, each comprising 18 individuals. The control group underwent traditional theory and practical training, whereas the experimental group additionally engaged in interdisciplinary instruction with nursing educators and participated in simulated laparoscopic surgery exercises. The effectiveness of this interdisciplinary approach was assessed by comparing laparoscopic theory and simulation performance, Objective Structured Assessment of Technical Skills (OSATS) scores in animal-based training, and course satisfaction between the groups. Moreover, the impact on interdisciplinary collaborative competencies was measured through pre- and post-training self-evaluations using the Interprofessional Collaborative Competency Attainment Survey (ICCAS) in the experimental group. Results: The experimental group demonstrated superior performance in laparoscopic theory and simulation, as well as higher OSATS scores, compared with the control group. Satisfaction ratings regarding the skills practice mode, effects, and instructional quality were also significantly better in the experimental group (P < .05, P < .01). Furthermore, participants in the experimental group reported significant pre-to-post training enhancements in interprofessional communication, team collaboration, role perception, conflict management, and learning and feedback marked by statistically significant differences (P < .05, P < .01). Conclusion: The introduction of an IPE framework significantly boosts laparoscopic training efficiency and promotes team collaboration awareness. This model effectively bridges gaps between disciplines, illustrating substantial applicative value and expansion potential within medical education and skill training arenas.

Making family medicine work: Rural community-based and interprofessional medical education.

At the University of the Free State, the 5-year MBChB curriculum had to be complemented with community-based education exposure to meet the requirements of the Health Professions Council of South Africa. Following the faculty leadership's vision, an interprofessional training experience was conceptualised and implemented by a project team from the three schools in the Faculty of Health Sciences (Medicine, Nursing, and Health and Rehabilitation Sciences). For the past decade, 4th-year medical students participated in the 2-week rotation in the rural southern Free State province, of which 1 week is spent with students from other health professions programmes in a structured interprofessional learning experience. The other week focuses on the realities of nurse-driven primary healthcare services in a resource-deprived area, including exposure to the programme-guided care for patients with tuberculosis (TB) or chronic diseases, care for pregnant women and for babies, including vaccinations.

Advancing interprofessional workplace learning: Successful implementation of the ‘WILD Series©’ hybrid professional development model

BackgroundThe 2021 NCICLE Pathways to Excellence framework highlights the need for professional development opportunities promoting interprofessional learning to optimize healthcare provider and learner teaming in the clinical learning environment. Despite this priority, research shows some clinicians are not developing their collaborative practice skills. PurposeThis article describes the hybrid Workplace Interprofessional Learning and Development (WILD) Series, which was developed to promote interprofessional preceptor development through workplace learning. MethodThe WILD Series© includes four unique six-week offerings, each dedicated to one Interprofessional Education Collaborative (IPEC) competency area. Each six-week session includes five weeks of one topical, actionable independent email engagement and concludes with a structured, facilitated synchronous debriefing session. DiscussionThe WILD Series© is the first IPE program designed for independently practicing clinicians and preceptors that includes synchronous and asynchronous components. Initial feedback was positive regarding the series format, content, and outcomes. ConclusionThe WILD Series© demonstrates that workplace learning can be an effective strategy for addressing gaps in interprofessional preceptor development.

Qualitative evaluation of a multidisciplinary master of cancer sciences: impacts on graduates and influencing curricular factors

BackgroundEvaluations of continuing professional development programs typically focus on short-term knowledge and skill acquisition. There is a need for more comprehensive program evaluation methods that assess a broader range of impacts and can elicit how and why these outcomes occurred. We conducted a qualitative study to investigate the impacts of a multidisciplinary, online health professional postgraduate degree and to gain insights into the factors that led to these impacts.MethodsParticipants were graduates of the University of Melbourne’s Master of Cancer Sciences who could participate in an online interview. Semi-structured, qualitative interviews were conducted exploring a broad range of impacts, including changes in professional practice and career trajectory since graduation, and how the degree influenced these impacts. Data were analysed inductively.ResultsFifteen participants (female: 80%, 31–50 years old: 67%) from a range of professions were interviewed. A number of major themes were uncovered. Impacts on career trajectory included expanded career horizons (e.g. increased role diversity and complexity), and increased confidence in their professional identity. Impacts on professional practice included individual improvements in patient care and research, as well as changes in organisational practice. Factors identified as leading to these impacts were: (i) active, interactive and interprofessional learning; (ii) networking, informal mentoring, and role-modelling; and (iii) support at multiple levels.ConclusionThis study provides preliminary evidence of the positive impact of a Master of Cancer Sciences on graduate career trajectory and professional practice. In addition, the inductive methodology enabled identification of the curricular features (both planned and emergent) that influenced these impacts, facilitating potential transferability of learnings to other teaching programs.

Validation of an IPE checklist developed to guide the design and evaluation of interprofessional learning activities

Despite Interprofessional Education (IPE) being integrated in most healthcare curricula with proven outcomes, barriers to implementation remain, including inconsistency in the quality of IPE activities and lack of high-quality instruments to evaluate the merit of planned and existing IPE activities. To mitigate these barriers, an interprofessional, multi-institutional team gathered data on the utility of an IPE checklist designed to assist educators evaluate the quality, value, and relevance of interprofessional resources and educational materials. A convergent, mixed method design was used to collect and analyze quantitative and qualitative data in parallel. Findings demonstrate the IPE checklist has real-world application and substantive evidence for evaluating IPE activities regardless of experience and expertise and the practical issues encountered. In conclusion, the IPE checklist can contribute to the evaluation of the quality of IPE activities and enhance the education of trainees who will ultimately deliver care to patients and populations.