Brenda Mundy, RPN, RN, BScN. Students and Interprofessional Collaboration Building Experience Into Clinical Placements

Transcription

1 Brenda Mundy, RPN, RN, BScN Students and Interprofessional Collaboration Building Experience Into Clinical Placements

2 Local catchment 250, inpatient beds Regional programs: Cardiac Care Cancer Care Child and Adolescent Eating Disorders Child and Adolescent Mental Health Paediatric and Prenatal Care Thoracic Care Arthritis Program Our People Total staff Students 900+ Southlake in Context Our Vision: Shockingly Excellent Innovative Service

3 Characteristics of Team Collaboration? Your plane has crashed on the way to the conference this morning and you and the rest of the passengers are now stranded on a deserted island. If the you were to be stranded for a period of time, what team characteristics would need to be in present to ensure that you all survive as a harmonious group?

4 What would happen if these elements weren t present? Consider basic human needs

5 What is Interprofessional Collaboration (IPC)? Interprofessional- the active participation of several health care professionals of differing disciplines, who are comfortable working in roles rather than job descriptions. Team members coalesce around the client so professional paternalism and traditional methods of intervention can be minimized. Health care providers learn to work together, share problem solving and decision making in a fluid manner guided by the cues of the patient Canadian Alliance of Community Health Centre Associations, 2007

6 Important Components of IPC Trust Respect Open communication Shared decision making Conflict recognition and resolution Role clarity Understanding process Defining goals Leadership structure

7 Interprofessional Care What difference does it make? Breaks down the boundaries and silos between professions Increases team communication Ensures the patient and their family are participants in decision making.

8 IP Team Function: Top 10 Essentials 1. Shared and meaningful goals 2. Interaction, communication and involvement of all members 3. Self-esteem of individual members is maintained 4. Open/safe communication 5. Team empowered to make decisions

9 Top Essentials Continued 6. Role clarity (process and content) 7. Mutual trust 8. Respect for differences 9. Method for constructive resolution of necessary conflict 10. Leadership (shared, shifting)

10 Barriers to Interprofessional Care As professions we often: 1. Live in small groups based on common features 2. Defend our turf 3. Have more experience with hierarchical structures 4. Fear the other 5. Seek power

11 Interprofessional Care At its core interprofessional care hinges on two key concepts: 1. Collaboration. Knowing why to collaborate, when to collaborate, how to collaborate, and with whom to collaborate. 2. Patient Centred Care. Putting the patient at the center of care, and including them in the overall team

12 Why IPC is Important for Southlake? Effective and efficient use of resources Innovation to support sustainability within our health care system Improved staff/patient satisfaction Reduction in error, improvement in patient safety less risk of litigation Access broader range and greater access to service, shorter wait times, better coordination of care and more comprehensive care

13 Our Journey in Interprofessional Practice, Education, and Collaboration Transition from Professional Practice Advisory Committee and Nurse Educator Committee to Interprofessional Education and Collaboration Committee (IPEC) April 2009-Collaboration with University of British Columbia to provide interprofessional education based on UBC framework Spring 2011, Coordinator, Interprofessional Practice and Collaboration

14 Building a Culture One Step at a Time It s not progress I mind, it s the change I don t like Mark Twain

15 Our Commitment to Learners Southlake Regional Health Centre is committed to working collaboratively with our college/university partners to provide opportunities for Interprofessional Education (IPE) to its students and learners.

16 Interprofessional Education-defined Interprofessional Education (IPE) is defined as occurring when.two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. (WHO, 2008).

17 Why is IPE important for SRHC to include in the student experience? Students are learning about this in their professional training Hospitals can offer a living lab for IPE/C The opportunity to move from theory to practice IPE is one strategy to help support a change in our culture to IPC at Southlake

18 Opportunities for IPE available at Southlake Team rounds Team meetings Lunch and learns Educational Rounds Patient care on the floor Hallway conversations

19 Our People-An Interprofessional Team Nurses Physicians Orthotechs Kinesiologists MLT MRT Child and Youth Counselors Ultrasonographers Dietitians Spiritual Care Ethicist Pharmacists Occupational therapists Physiotherapists Recreation therapists Chiropodists Midwives Psychologists Social Workers Pharmacy Technicians OTA/PTAs

20

21 Teaching students early on about the roles of others on the healthcare team and how to recognize important team concepts, such as trust, communication, conflict, and respect will help students in creating the successful and collaborative teams of tomorrow, Lorna Bain, Interprofessional Collaboration and Education Coordinator.

22 Reaching Out To The Next Generation of Health Care Professionals Interprofessional community placements Interprofessional Education Series Role observation experience (ROE)

23 Interprofessional Education Series Case based learning experience Focused on the complexities and challenges inherent in patient care. Presented by members of SRHC Interprofessional Council Medical overview given by physician Interprofessional themes include: conflict resolution, defining roles and responsibilities with additional topics such as ethics, IPC, inclusivity and diversity, and spiritual care

24 Interprofessional Community Placements Based in outpatient programs including: Child and Adolescent Eating Disorders, The Arthritis program (TAP), Cardiac Rehab, Psychiatric outreach, Psychogeriatric outreach, Chonic Disease Management. Program may or may not include a nurse Preceptor support for interprofessional preceptoring

25 Role Observation Experience (ROE) An formal opportunity for learners to observe the role of other professionals. A ROE is a formal opportunity for learners shadow a professional working in a profession different from their own, to learn about that role within a clinical team. There are 3 parts to the ROE: the role observation, a reflective assignment, participation in a group debrief to talk about perceptions, misconceptions and stereotypes.

26 The Student Experience Nursing Student It is important to recognize that in healthcare it takes more than one person; it is the combined effort of all members that really impacts the care that a client can receive. I would recommend this opportunity to other Students, because as members of the healthcare team, it is important to be open to growth. This opportunity can help foster synergy among members to significantly improve client care.

27 "I have been impressed with the urgency of doing. Knowing is not enough; we must apply. Being willing is not enough; we must do." Leonardo da Vinci

28 From the Student Placement Evaluations The highlight of my placement was: Experiencing interprofessional collaboration in the vibrant South Lake community and experiencing the warmth which everyone working at South Lake who were full of enthusiasm and a personal touch. This placement was the first placement that I had were I experienced a team environment were people actually worked well together. I had witnessed it once before in emerge but I actually got to work in it. The most impressive fact for me was the level of team work amongst all the staff. It was amazing to see that all the staff were treated equally and there was no level of superiority

29 Questions?