Integrating Interprofessional Education and Simulation in Community Health: Evaluation of a Practice-based Student Clinic
DOI:
https://doi.org/10.18552/ijpblhsc.v3i1.210Keywords:
interprofessional, practice-based, rural, simulation, social careAbstract
There is an increasing need to deliver high quality integrated health services which address expanding numbers and increasing complexity of clients attending for health and social care. Despite demands to educate a future health care workforce with the capacity to deliver integrated team based services to meet these needs there is little in the literature about interprofessional education (IPE) in community health. We developed and evaluated a unique pilot simulated interprofessional student supervised clinic, integrated into the practice in a rural community health service. Pairs of students from two different disciplines interviewed a volunteer simulated client (SC) representing a real client case, and prepared a health care plan for the SC. Thematic analysis revealed overlap between the two groups. Both groups saw it as a positive experience. Students’ responses to a questionnaire revealed they increased their client focus, interacted more with the other disciplines and found it highly realistic and authentic. Analysis of phone interviews with SCs confirmed the realism. SCs also saw it as supporting students’ learning for the real world, and acknowledged the importance of support for themselves. This project confirms the perceived value of practice-based IPE with SCs from the perspectives of students and SCs in social care.
References
AIHW (2008) Rural, regional and remote health: indicators of health status and determinants of health. Canberra: Australian Institute of Health and Welfare
Angen, M. J. (2000) 'Evaluating interpretive inquiry: reviewing the validity debate and opening the dialogue'. Qualitative Health Research 10, 378-95
Barr, H. (2013) 'Toward a theoretical framework for interprofessional education'. Journal of Interprofessional Care 27, 4-9
Bodenheimer, T., Wagner, E. H., and Grumbach, K. (2002) 'Improving primary care for patients with chronic illness' JAMA 288, 1775-9
CAIPE (2002) Centre for the Advancement of Interprofessional Education [online] available from [18 February 2014]
Clark, P. G. (2006) 'What would a theory of interprofessional education look like? Some suggestions for developing a theoretical framework for teamwork training'. Journal of Interprofessional Care 20, 577-589
Clark, P. G. (2009) 'Reflecting on reflection in interprofessional education: Implications for theory and practice'. Journal of Interprofessional Care 23, 213-223
Cleland, J. A., Abe, K., and Rethans, J. (2009) 'The use of simulated clients in medical education: AMEE Guide No. 31'. Medical Teacher 42, 477-486
D'amour, D., Ferrada-Videla, M., San Martin Rodriguez, L., and Beaulieu, M. (2005) 'The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks'. Journal of Interprofessional Care 19, 116-131
Dunston, R., Forman, D., Rogers, G., and Thistlethwaite, J. (2013) Interprofessional Education: a National Audit. Report to Health Workforce Australia. The Interprofessional Curriculum Renewal Consortium Australia [online] available from <http://www.hwa.gov.au/sites/uploads/IPE%20Audit%20report%20Jan%202013.pdf> [28 May 2015]
Frakes, K., Tyack, Z.F., Miller, M., Davies, L., Swanston, A. and Brownie, S. (2011) The Capricornia Project: Developing and implementing an interprofessional student-assisted allied health clinic. Brisbane, Australia: Queensland Health
Garling, P. (2008) Final Report of the Special Commission of Inquiry. Acute Care Services in NSW Public Hospitals [online] available from <<http://www.dpc.nsw.gov.au/__data/assets/pdf_file/0003/34194/Overview_-_Special_Commission_Of_Inquiry_Into_Acute_Care_Services_In_New_South_Wales_Public_Hospitals.pdf> [28 May 2015]
Green, J., and Thorogood, N. (2004) Qualitiative Methods for Health Research. London: Sage.
Gum, L. F., Richards, J., Bradley, S. L., Lindeman, I., Ward, H. M. and Bennett, P. (2012) 'Preparing the interprofessional clinical learning sites: What the literature tells us'. Focus on Health Professional Education: A multidisciplinary Journal 13(3), 55-70
Hammick, M., Freeth, D., Copperman, J., and Goodman, D. (2009) Being Interprofessional. Cambridge: Polity Press
Hammick, M., Freeth, D., Koppel, I., Reeves, S. and Barr, H. (2007) 'A best evidence systematic review of interprofessional education: BEME Guide no. 9' Medical Teacher 29, 735-751
Hays, R. B. (2008) 'Interprofessional education in rural practice: how, when and where?' Rural & Remote Health 8, 939
Kilminster, S., Hale, C., Lascelles, M., Morris, P., Roberts, T., Stark, P., Sowter, J., and Thistlethwaite, J. (2004) 'Learning for real life: Patient-focused interprofessional workshops offer added value' Medical Education 38, 717-726
Kolb, D. and Fry, R. (1975) 'Toward an applied theory of experiential learning'. in Theories of Group Process. ed. by Cooper, C. London: John Wiley
Kyrkjebo, J. M., Brattebo, G. and Smith-Strom, H. (2006) 'Improving patient safety by using interprofessional simulation training in health professional education'. Journal of Interprofessional Care 20, 507-516
L-TIPP (2009) Interprofessional Education in Australia:The Way Forward. Sydney: Australian Learning and Teaching Council
Lave, J., and Wenger, E. (1991) Situated Learning: Legitimate peripheral participation. Cambridge: Cambridge University Press
LCHS (n. d.) Latrobe Community Health Service [online] available from [29 November 2014]
Mason, J. (2013) Review of Australian Government Health Workforce Programs. Australian Federal Government. [online] available from <http://www.health.gov.au/internet/main/publishing.nsf/Content/D26858F4B68834EACA257BF0001A8DDC/$File/Review%20of%20Health%20Workforce%20programs. pdf> [28 May 2015]
Matthews, L. R., Pockett, R. B., Nisbet, G., Thistlethwaite, J. E., Dunston, R., Lee, A., and White, J. F. (2011) 'Building capacity in Australian interprofessional health education: Perspectives from key health and higher education stakeholders'. Australian Health Review 35, 136-140
Mcnair, R., Stone, N., Sims, J., and Curtis, C. (2005) 'Australian evidence for interprofessional education contributing to effective teamwork preparation and interest in rural practice'. Journal of Interprofessional Care 19, 579-594
Miles, M. B. and Huberman, A. M. (1994) Qualitative Data Analysis: an Expanded Sourcebook. London: Sage
Mu, K., Chao, C., Jensen, G. M. and Royeen, C. B. (2004) 'Effects of Interprofessional Rural Training on Students' Perceptions of Interprofessional Health Care Services'. Journal of Allied Health 33, 125-131
MUDRIH (n.d.) Monash University Department of Rural and Indigenous Health [online] available from< http://www.med.monash.edu.au/srh/mudrih/> [30 November 2014]
Murdoch, N. L., Bottorff, J. L., and Mc Cullough, D. (2013) 'Simulation Education Approaches to Enhance Collaborative Health Care: A Best Practices Review' International Journal of Nursing Education Scholarship 10, 307-321
National Health and Hospitals Reform Commission (2009) A Healthier Future for all Australians- Final Report [online] available from <http://www.health.gov.au/internet/nhhrc/publishing.nsf/content/nhhrc-report> [28 May 2015]
Nisbet, G., Hendry, G. D., Nolls, G., and Field, M. J. (2008) 'Interprofessional Learning for prequalification health care students: an outcomes based evaluation' Journal of Interprofessional Care 22, 57-68
Ranmuthugala, G., Plumb, J., Cunningham, F., Georgiou, A., Westbrook, J., and Braithwaite, J. (2011) 'How and why are communities of practice established in the health care sector? A systematic review of the literature'. BioMedCentral 11, 1472-6963
Reeves, S., Goldman, J., Gilbert, J., Tepper, J., Silver, I., Suter, E., and Zwarenstein, M. (2011) 'A scoping review to improve conceptual clarity of interprofessional interventions'. Journal of Interprofessional Care 25, 167-174
Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Koppel, I., and Hammick, M. (2010) 'The effectiveness of interprofessional education: Key findings from a new systematic review'. Journal of Interprofessional Care 24, 230-241
Schon, D. (1987) Educating the Reflective Practitioner. San Francisco: Jossey-Bass
SHINE Youth Clinic (n.d.) Student Health Initiative for the Needs for Edmonton_SHINE Edmonton: University of Alberta. [online] available from<http://www.shineclinic.ca> [09 February 2014]
Shrader, S., Kern, D., Zoller, J., and Blue, A. (2013) 'Interprofessional teamwork skills as predictors of clinical outcomes in a simulated health care setting'. Journal of Allied Health 42(1), e1-6
Stewart, M., Brown, J., Weston, W., Mcwhinney, I., Mcwilliam, C., and Freeman, T. (1995) Patient-Centred Medicine. Transforming the Clinical Method. London: Sage
Stone, N. (2006) The Rural Interprofessional Education Project (RIPE). Journal of Interprofessional Care 20, 79-81
SWITCH (2005) Student Wellness Initiative Toward Community Health_SWITCH. Saskatchewan, Canada: University of Saskatchewan. [online] available from [09 February 2014]
Thistlethwaite, J. (2007) 'Interprofessional Education in Australasia'. Journal of Interprofessional Care 21(4), 369-372
Vyas, D., Mcculloh, R., Dyer, C., Gregory, G., and Higbee, D. (2012) 'An Interprofessional course using human patient simulation to teach patient safety and teamwork skills'. American Journal of Pharmaceutical Education 76(4), 71
Wamsley, M., Staves, J., Kroon, L. A., Topp, K., Hossaini, M., Newlin, B., Lindsay, C., and O'Brien, B. (2012) 'The impact of an interprofessional standardized patient exercise on attitudes towards working in interprofessional teams'. Journal of Interprofessional Care 26, 28-35
Wenger, E. (1998) Communities of Practice: Learning, meaning and identity. Cambridge: Cambridge University Press
Whelan, J. J., Spencer, J. F., and Rooney, K. (2008) 'A ‘RIPPER’ Project: advancing rural inter-professional health education at the University of Tasmania'. Rural and Remote Health 8, 1017
World Health Organisation (2010) 'Framework for action on interprofessional education and collaborative practice' [online] available from <http://www.who.int/hrh/resources/framework_action/en/> [28 May 2015]
Xyrichis, A., and Ream, E. (2008) 'Teamwork: a concept analysis'. Journal of Advanced Nursing 61, 232-241
Zwarenstein, M., Atkins, J., Barr, H., Hammick, R., Koppel, I., and Reeves, S. (1999) 'A systematic review of interprofessional education' Journal of Interprofessional Care 13, 417-424
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