Innovations in Access: ementorship

Transcription

1 Innovations in Access: ementorship Esther Green RN Msc(T), Provincial Head Nursing and Psychosocial Oncology At the: Canadian Partnership Against Cancer Momentum: Cancer Control in Action July 7-8,

2 ementorship: Intra- and Inter-professional Ontario Advanced Practice Nursing ementorship Initiative Family practice ementorship Initiative in Palliative care 2

3 Mentors are: Individuals who voluntarily nurture the growth of a mentee s career; are committed to sharing knowledge, offering support, linking with other resources or experts; and aim to guide the mentee to succeed. 3

4 Purpose To build regional supportive relationships between mentees and mentors that would result in increased knowledge and skills, and enhanced interprofessional and intraprofessional collaborative practice for all involved. 4

5 Purpose: To develop & evaluate an e-based interprofessional mentorship program for adult & pediatric oncology APNs Partners: APN-COP, CCO, McMaster University & provincial cancer centres Co-Leads: Dr. Denise Bryant-Lukosius, Grace Bradish Funders: MoHLTC & CCO Participants 76 interprofessional mentors from across Canada & 50 APN mentees from Ontario 79 Mentorship Workshop participants 33 matched mentors & mentees 5

6 Inter and intraprofessional care, education, mentorship and collaboration Phase 1 ( ): Ontario MOH-LTC Interprofessional, Mentoring, Preceptorship, Leadership, and Coaching Fund - Mentoring Primary Health Care Nurse Practitioner Family Physician Dyads in Collaborative Palliative Care Practice Phase 2 ( ) and 3 ( ): MOH-LTC HealthForceOntario - Mentoring Interprofessional Primary Health Care Teams in Collaborative Palliative Care Practice 6

7 Participants Mentees Interprofessional primary health care teams consisting of primary care physicians, primary health care nurse practitioners or a registered nurse, pharmacists, social workers, dietitians, etc. Mentors Interprofessional palliative care teams consisting of palliative care physicians, advanced practice nurses or a registered nurse with advanced palliative care training e.g., CHPCN(C) Number of participants Phase 1-50 Phase 2 95 Phase

8 Core Elements of ementorship Planning the process Selection and matching Education to develop mentors and mentees Use of electronic portals Sustainability 8

9 Mentor Planning and Process Close End Evaluate Summarize Impact Plan Mentoring Relationship Process for Identifying Determine Structure Launch Mentors mentee training Connecting Clarifying objectives Sustain Develop and maintain the Relationship Active Goals Roll Out Building the Relationship Building Trust Begin the Learning 9

10 _ Overview of Interactions The Mentors The Mentees Palliative Care Physicians APNs & RNs with Palliative Care Expertise Inter Professional Intra Professional Family Physicians Primary Health Care Nurse Practitioners 10

11 Mentorship Phase Time following mentee workshops Face-to-face meetings Shadowing opportunities Telephone consultation Electronic portal Online discussion forum Posting of resources Asynchronous online case studies On-line Discussion Forum Mentor or Mentee Shadowing Mentorship Cycle Apply Education Principles Case Conference (by phone or video) 11

12 e-mentorship User Document management Discussions Announcements Web meetings Forms, opinion polls Resource sharing Online calendar 12

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14 Overall Key Results of ementorship Most mentees had no/limited prior experience in mentorship Use of electronic resources was helpful for promoting effective mentorship and facilitating distance mentoring relationships ementorship Program increased knowledge, collaboration and confidence for both mentors and mentees Mentorship enhances the development of mentees and mentors Useful in retention and professional development 14

15 Lessons Learned: Oncology APN An e-based approach was found to be an appropriate, feasible, and an acceptable mode for providing oncology APN mentorship A balance between electronic and non-electronic approaches to providing mentorship was important Program evaluation results re-enforce the need to enhance the development of oncology APN roles and demonstrate the high demand for oncology APN mentorship The e-mentorship Program provides a model that may be relevant to APNs and other advanced health providers in various specialties 15

16 System Impact: Oncology APN Improvements in APN role development e.g., clinical practice, education, research, organizational leadership, scholarly/professional practice Improvement in APN job satisfaction related to professional, social and community interaction 16

17 APN Mentorship Mentorship Profile

18 Lessons Learned: Enhancing Cancer Care in Primary Practice Primary health care teams are eager to build skills in collaborative practice There is a genuine desire to increase palliative care knowledge and practice both inter- and intraprofessionally Requires time to develop mentorship relationships and translate learning into practice A variety of mentoring activities are required to meet the varied needs of the mentees; mentees would like to provide input on how best to be mentored 18

19 System Impacts: Enhancing Cancer Care in Primary Practice Improved collaboration among interprofessional primary health care teams and palliative care specialists Increased palliative care knowledge and skills e.g., symptom management for pain, nausea & vomiting, etc. Improved patient and family satisfaction Improved symptom management allowing patients to be managed closer to home Improvements in educational practice, attitudes and self-reported preparation to provide and teach end-oflife care 19

20 Relevance to cancer control Intra- inter-professional mentorship is critical for cancer health care professionals development, recruitment and retention Methodology supports the development of inter-sectoral relationships ementorship is transferable to all cancer professionals 20