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Article
Publication date: 1 August 2004

Frances Gordon, Claire Walsh, Michelle Marshall, Fiona Wilson and Tim Hunt

The modernisation agenda in health and social care is concerned with providing an integrated service for patients/clients and their carers. This paper focuses on the nature of…

Abstract

The modernisation agenda in health and social care is concerned with providing an integrated service for patients/clients and their carers. This paper focuses on the nature of practice‐based learning environments that support the development of students as effective interprofessional practitioners for the modernised health and social care services.

Details

Journal of Integrated Care, vol. 12 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 June 2005

Frances Gordon and Claire Walsh

Modernised health and social care services require that qualifying practitioners have the necessary skills for them to practise collaboratively. The nature of interprofessional

Abstract

Modernised health and social care services require that qualifying practitioners have the necessary skills for them to practise collaboratively. The nature of interprofessional working is, however, poorly understood. This article describes the development of learning outcomes regarding interprofessional working that are relevant to all professions.

Details

Journal of Integrated Care, vol. 13 no. 3
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 April 2005

Michelle Marshall and Frances Gordon

The current emphasis on the development of an interprofessional workforce in health and social care puts interprofessional learning at the heart of undergraduate curricula. This…

Abstract

The current emphasis on the development of an interprofessional workforce in health and social care puts interprofessional learning at the heart of undergraduate curricula. This paper explores the concept of interprofessional mentorship and considers how this role might be developed in order to facilitate interprofessional learning in the practice placement.

Details

Journal of Integrated Care, vol. 13 no. 2
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 April 2003

Kenda Crozier

There is a general agreement that the potential of shared learning is great in terms of interprofessional working and client care. Despite the fact that interprofessional

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Abstract

There is a general agreement that the potential of shared learning is great in terms of interprofessional working and client care. Despite the fact that interprofessional education has been a key area of professional education and practice policies for the last decade there is a dearth of evidence of its successful implementation in maternity care. Doctors and midwives are often educated in separate faculties within universities and rarely given the opportunity for shared learning activities, particularly at postgraduate level. Barriers to implementing interprofessional learning are identified within the literature and these include a difference in perception of the status each profession holds and different ways of working and learning which impedes the development of interprofessional relationships. It is argued that through interprofessional education, doctors and midwives should be enabled to develop skills of collaborative working, thus making referrals between professionals more effective. The exploration of the differences of professional cultures in a shared learning environment will enable professionals to formulate agreement on best practice in the clinical areas, based on current best evidence. Thus, interprofessional education aims to dispel the stereotypes and prejudice which often act as a barrier to effective collaborative working. The implications of interprofessional education on three main areas of practice are explored using a review of the literature: professional roles; conflict and collaboration between professions; and the sharing of knowledge and skills. Recommendations are made for the development of post‐registration shared learning that address these key areas.

Details

International Journal of Sociology and Social Policy, vol. 23 no. 4/5
Type: Research Article
ISSN: 0144-333X

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Article
Publication date: 1 October 2005

Frances Gordon and Katie Ward

This article discusses the practice‐based teaching strategies required to assist students to develop interprofessional working capability. A role‐play session is presented as an…

Abstract

This article discusses the practice‐based teaching strategies required to assist students to develop interprofessional working capability. A role‐play session is presented as an exemplar, but the teaching strategies described can be equally employed in facilitating reflections on practice in real‐life multiprofessional teams.

Details

Journal of Integrated Care, vol. 13 no. 5
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 18 November 2013

Monica Nandan and Manuel London

The purpose of this paper is to provide a rationale for developing interprofessional competencies among graduates from professional and graduate programs, so that they are well…

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Abstract

Purpose

The purpose of this paper is to provide a rationale for developing interprofessional competencies among graduates from professional and graduate programs, so that they are well prepared to participate in local, national and global social change strategies.

Design/methodology/approach

After reviewing the literature on strategic social change initiatives the authors briefly describe two such initiatives: corporate social responsibility initiatives and social entrepreneurial ventures. After reviewing the interprofessional literature from various disciplines and professions, the authors categorized them into “competencies,” “rationale,” “conceptual framework,” “principles” and “challenges.” An examination of exemplar pedagogy from this body of literature suggests ways to prepare students to lead and actively participate in innovative, collaborative social change initiatives.

Findings

Interdisciplinary competencies include teamwork, communication, contextual understanding, negotiation, critical thinking, leadership, openness and adaptability. Interprofessional educational models are difficult to implement, however, ethical responsibility of educators to prepare students for complex realities trumps the challenges.

Practical implications

Interprofessional educational experiences can enable students to engage in generative and transformational learning which can later facilitate in creation of innovative solutions for society's recalcitrant physical, social and environmental issues.

Originality/value

Based on the system's perspective, the paper provides guidelines and strategies for implementing interprofessional pedagogical initiative.

Details

Education + Training, vol. 55 no. 8/9
Type: Research Article
ISSN: 0040-0912

Keywords

Article
Publication date: 20 June 2023

Zana Khan, Sophie Park and Georgia Black

This article aims to present a systematic review and synthesis of evidence on the experiences, role and use of IPE in IH fields by using a meta-ethnographic approach including key…

Abstract

Purpose

This article aims to present a systematic review and synthesis of evidence on the experiences, role and use of IPE in IH fields by using a meta-ethnographic approach including key concepts, reciprocal and refutational translation and lines of argument. Inclusion health (IH) practice suggests that the needs of excluded groups are more effectively addressed through collaborative working. Interprofessional education (IPE) occurs when two or more professions engage in shared practice and learning, resulting in improved collaboration and quality of care. Studies on IPE to train staff in fields relating to IH exist, but without a settled consensus on the best approaches/activities to foster inclusive practice.

Design/methodology/approach

This synthesis is underpinned by a meta-ethnographic approach. It provides explicit stages of data collection and interpretation, while providing space to engage with emerging themes and concepts iteratively (reflecting on author experiences) and inductively (reasoning and interpretation). This study made use of electronic databases and journals for English language peer reviewed articles between 2000 and 2020. Of the 2217 articles, 19 papers were included. The lead author and reviewer completed the review process and a second reviewer reviewed 10% at each stage. The quality was assessed using a modified CASP checklist. Iterative analysis involved PPI and staff stakeholders.

Findings

A total of 16 concepts embedded in 19 papers provide insight into the nature of IPE in IH (IH) for staff. It was found that IPE in IH covers a broad group of practitioners and is a complex activity involving individual and organisation readiness, practical and pedagogical factors, influenced by setting, method, curriculum, lived experience, reflection and a learner-driven approach. Barriers to design, implementation and translation into practice were also found to exist.

Practical implications

Most studies used a combination of core learning and group work. Educational modes include mentoring or coaching, reflective practice, immersive learning and people lived experience of exclusion involved in or facilitation thematically centred in trauma-informed informed care, cultural competence, communities of practice and service learning. The aim of these methods was to promote collaboration through identifying shared experiences, problems and tensions and critical reflection of services and organisations. Such transformative learning is reported to challenge stigma, discrimination and misinformation and promote collective empowerment to address social injustice through human connection. Effective models of IPE re-instated the therapeutic relationship and alliances between patients and staff.

Social implications

This review also calls for the development of health and care workers’ professionalism in relation to their own reflexivity, establishing anti-racist curricula, challenge stigma and ensuring clinicians are aware of and able to negotiate tension and difference identified within the consultation and between themselves. Apart from developing generalist skills, this analysis suggests that IPE in IH may be able to challenge stigma and discrimination towards IH groups by destabilising existing norms and siloed working with the aim of achieving robust interprofessional practice.

Originality/value

IPE in IH is a complex activity affected by individual and organisation readiness, setting, experiential, practical and pedagogical factors. Models of teaching are focused on re-instating the therapeutic relationship. There are no systematic reviews in this field and previously there was no settled consensus on the best approaches and learning activities to foster inclusive and collaborative practice.

Details

Journal of Integrated Care, vol. 31 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 August 2002

Rhiannon Billingsley and Linda Lang

The agenda for change in health and social care calls for an integrated approach with interprofessional working around care pathways. At the same time there is a shift towards a…

212

Abstract

The agenda for change in health and social care calls for an integrated approach with interprofessional working around care pathways. At the same time there is a shift towards a more user‐centred service. Where does this leave the professions and what is the role of higher education? Interprofessional learning (IPL) is sometimes seen as a threat to professional integrity and identity. However, it may be the key to not only enhancing the patients'/clients' experience of care, but also enriching professional fulfilment. What are the arguments around IPL and what might be the benefits?

Details

Journal of Integrated Care, vol. 10 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 14 September 2015

Lisa DeMarco, Karen Panzarella, Heather Ferro, Lynn Pownall, Andrew Case, Patricia Nowakowski, Maxine Stewart, Alice Duszkiewicz, Christine Verni, Mary Catherine Kennedy, Nicole Cieri, Colleen Dowd and Denise Dunford

Interprofessional education (IPE) is a method to create an environment that fosters interprofessional communication, understanding the roles and responsibilities of each…

Abstract

Purpose

Interprofessional education (IPE) is a method to create an environment that fosters interprofessional communication, understanding the roles and responsibilities of each profession, learning the skills to organize and communicate information for patients, families and members of the health care team. Providing IPE to health professional students can prepare them in the workforce to have the necessary skills to function in a collaborative practice ready environment. The purpose of this paper is to demonstrate the methods used in developing IPE curriculum, faculty training as debriefers/facilitators, identify learning objectives and outcomes.

Design/methodology/approach

The faculty and student surveys utilized a Likert scale. Learning objectives for the student survey assessed learning objective including communication of roles and responsibilities, communication and organization of information, engagement of other health professions (HP) in shared patient-centered problem solving, interprofessional assessment of patient status, and preparation of patients from transition of care to home. The faculty survey assessed faculty experience levels in IPE, role as facilitator/debriefer, and future needs for sustainability of the program.

Findings

Student evaluation of IPE simulation experience revealed students believed they improved their interprofessional communication skills and had a better understanding of health professional roles and responsibilities. Faculty feedback indicated that HP students achieved learning objectives and their continued commitment to IPE however additional training and development were identified as areas of need.

Practical implications

This paper can assist other educational institutions in developing IPE and structuring IPE assessment particularly in the HPs.

Social implications

The public health care will be impacted positively by having health care providers specifically trained to work in teams and understand collaborative care. Student graduates in the HPs will be better prepared to function as a team in real clinical care following their participation in interprofessional simulation.

Originality/value

This interprofessional simulation curriculum involves student learners from eight different HPs and participation of over 30 faculty from differing professions. This curriculum is unique in its bread and depth of collaboration and true teamwork across disciplines.

Details

Journal of Applied Research in Higher Education, vol. 7 no. 2
Type: Research Article
ISSN: 2050-7003

Keywords

Article
Publication date: 8 April 2014

Margaret McAllister, Dixie Statham, Florin Oprescu, Nigel Barr, Teressa Schmidt, Christine Boulter, Penny Taylor, Jo McMillan, Shauna Jackson and Lisa Raith

Government-run mental health services in Australia run predominantly on a multidisciplinary team (MDT) model. Literature and observation from practice shows that interprofessional

Abstract

Purpose

Government-run mental health services in Australia run predominantly on a multidisciplinary team (MDT) model. Literature and observation from practice shows that interprofessional tertiary sector training is absent, ad hoc or not documented, leaving students inadequately prepared for disciplinary differences in opinions and practices. Learning in interprofessional educational settings provides one way of overcoming the difficulties. The purpose of this paper is to describe the outcomes of an interprofessional learning experience targeting final year Australian students enroled in health promotion, registered nursing, enroled nursing, paramedic science, psychology, social work and occupational therapy who are intending to work in mental health teams.

Design/methodology/approach

Using a mixed method, pre- and post-test design (four time intervals), with data collected from three scales and open-ended questions, this study measured participant changes in knowledge and attitudes towards interprofessional education and mental health. The study also examined students’ and educators’ perceptions of the value of an interprofessional teaching and learning model.

Findings

There was a significant increase in clinical confidence at each time interval, suggesting that the intervention effects were maintained up to three months post-training. Themes about the value of interprofessional learning in mental health were extracted from student data: learning expanded students’ appreciation for difference; this in turn expanded students’ cross-disciplinary communication skills; growing appreciation for diverse world views was seen to be relevant to person-centred mental healthcare; and practice articulating one's own disciplinary views clarified professional identity.

Research limitations/implications

Generalisability of the outcomes beyond the disciplines sampled in this research is limited. MDTs typically include doctors, but we were unable to include medical students because the university did not offer a medical programme. The readiness for participation in a collaborative MDT approach may differ among students groups, disciplines and universities and technical and further educations. There may also be differences not accounted for in these findings between undergraduate students and established healthcare professionals. Further research needs to establish whether the findings are applicable to other student groups and to professionals who already work within MDTs.

Originality/value

These results demonstrate that intensive interprofessional learning experiences in tertiary education can be effective means of increasing students’ awareness of the role of other professionals in MDT.

Details

The Journal of Mental Health Training, Education and Practice, vol. 9 no. 1
Type: Research Article
ISSN: 1755-6228

Keywords

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