EXPANDING THE SCOPE OF INTERPROFESSIONAL DIALOGUE IN OCCUPATIONAL THERAPY



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EXPANDING THE SCOPE OF INTERPROFESSIONAL DIALOGUE IN OCCUPATIONAL THERAPY Sarah Jean Barton, MTS, MS, OTR/L Duke University Medical Center Duke University Divinity School 2015 AOTA Annual Conference, Nashville, TN

COURSE ABSTRACT This session will explore current trends in interprofessional collaboration and offer examples of collaboration with innovative perspectives, such as the humanities. Potential clinical and research benefits of diverse interprofessional collaboration will be illustrated. 2

INTRODUCTION Who Am I? Central Questions Social Determinants of Health Spirituality We envision that occupational therapy is a powerful, widely recognized, science-driven, and evidence-based profession with a globally connected and diverse workforce meeting society s occupational needs. (The American Occupational Therapy Association, AOTA s Centennial Vision, Corporate Files, January 20, 2006) 3

COURSE ROADMAP 1. Learning Objectives and Methodology 2. Literature Summary: Interprofessional Collaboration 3. Literature Summary: Interprofessional Education 4. Evidence-Based Ways Forward 5. New Collaborative Partner: The Health Humanities 6. New Collaborative Partner: Theology 7. Conclusion 8. Questions 4

LEARNING OBJECTIVES 1. At the conclusion of this session, participants will demonstrate an understanding of current research and trends in interprofessional collaboration within occupational therapy. 2. At the conclusion of this session, participants will identify at least one approach to integrating interprofessional dialogue and collaboration into their clinical, academic, and/or research work within occupational therapy. 3. At the conclusion of this session, participants will identify at least three potential benefits of engagement with interprofessional collaboration between occupational therapy and the humanities. 5

METHODOLOGY Literature Review Fall 2014 Inclusion Criteria Keywords Health Humanities and Theology Collaborative Material Selection 6

OVERVIEW OF CURRENT RESEARCH AND TRENDS IN INTERPROFESSIONAL COLLABORATION 7

DEFINING INTERPROFESSIONAL COLLABORATION Interprofessional collaboration in health care is a partnership among different professionals for the purpose of providing quality health care to individuals and communities. Collaboration occurs when a group of individuals with diverse backgrounds work together as a unit to solve patient problems, set up mutual goals, work interdependently to define and treat patient problems, accept and capitalize on disciplinary differences, share leadership, and communicate effectively with each other. (Careau, et. al. (2014), 374) 8

TRADITIONAL EXAMPLES OF INTERPROFESSIONAL COLLABORATION St. Jude Children s Research Hospital [Photography]. Retrieved from: http://www.stjude.org/vgn-ext-templating/v/index.jsp?vgnextoid = ecb9d3ce38e70110vgnvcm1000001e0215ac RCRD&vgnextchannel=288f6721888ee210VgnVCM1000001e0215acRCRD 9

INTERPROFESSIONAL COLLABORATION AS A MENU Joseph, Simeon Warren. Curry chicken [Illustration]. Retrieved from: http:// simeonwarrenjoseph.blogspot.com/ 10

CURRENT RESEARCH AND TRENDS Interprofessional Collaboration Knowledge Translation Ethics Care Coordination Routledge. [Book Cover]. Retrieved from: http://www.routledge.com/books/details/ 9780789019035/ 11

CURRENT RESEARCH AND TRENDS Benefits of Interprofessional Collaboration Improved Patient Care and Patient Outcomes Lower Healthcare Cost Improved Safety Partnership Barriers to Interprofessional Collaboration Territorial Attitudes Gender and Social Disparities Difficulties with Shared Goal-Setting Professional Identity 12

CURRENT RESEARCH AND TRENDS Defining Interprofessional Education Interprofessional Education Models IMPACT Interprofessional Rounds IPDEU Interprofessional Collaborative Learning Series (IP-CLS) Health Mentor Program Pre-Curricular Seminar on Interprofessional Education 13

CURRENT RESEARCH AND TRENDS Interprofessional Education Evaluation Tools Interdisciplinary Education Perception Scale Readiness for Interprofessional Learning Scale Benefits to Interprofessional Education Student Cooperation Curricular Efficiency Cost-Effective for Fieldwork Training 14

EXPANDING THE SCOPE OF INTERPROFESSIONAL COLLABORATION 15

WAYS FORWARD IN INTERPROFESSIONAL COLLABORATION Interprofessional Education Curriculum Redesign Academic Health Education Centers Interprofessional Collaboration Program Evaluation or Needs Assessment Professional Description Documents Evidence-Based Practice New Interprofessional Partners AOTA Documents 16

NEW AREAS FOR INTERPROFESSIONAL COLLABORATION 17

COLLABORATIVE PARTNERS Disability Studies (DS) Professional Artists Anthropology Sociology Attorneys 18

THE HEALTH HUMANITIES Defining Health Humanities Finding Collaborators Local Community Groups Local Educational Communities Colleagues Rutgers University Press. [Book Cover]. Retrieved from http://www.ucdenver.edu/ academics/colleges/medicalschool/centers/bioethicshumanities/artshumanities/ PublishingImages/HHR.jpg 19

THE HEALTH HUMANITIES: SMALL GROUP DISCUSSION Do you have any examples of engaging the humanities in your clinical work? Films, music, stories, or authors that have shaped who you are as a practitioner? What do you consider the primary barriers in your practice context to utilizing the health humanities as an interprofessional partner? Are there any solutions to address these barriers? What do you think the primary benefits of collaborating with people involved in the humanities would be for your practice? Can you think of any specific questions or problems for which collaboration with the health humanities would be of help? 20

THE HEALTH HUMANITIES: BENEFITS FOR PRACTICE 1. Collaboration with the health humanities opens up new perspectives on our clients experiences of disability, illness, and rehabilitation. 2. Collaboration with the health humanities can provide creative paths of connection with our clients, facilitated by areas such as literature, music, film, or non-fiction narrative accounts of disability. 3. Collaboration with the health humanities can help us ask more holistic questions about our client s occupational participation and in turn provide more holistic and client-centered care. 21

THEOLOGICAL PERSPECTIVES Defining Theology Finding Collaborators Abingdon Press. [Book Cover]. Retrieved from http://nihilobstat.info/2009/04/01/ a-theology-of-disability/ 22

THEOLOGICAL PERSPECTIVES: SMALL GROUP DISCUSSION Do you have any examples of engaging theological perspectives in your clinical work? If so, how have these perspectives shaped who you are as a practitioner? What do you consider the primary barriers in your practice context to utilizing theology as an interprofessional partner? Are there any solutions to these barriers? What do you think the primary benefits of collaborating with professionals involved in theology would be for your practice? Can you think of any specific questions or problems for which collaboration with the individuals in theology would be of help? 23

THEOLOGICAL PERSPECTIVES: BENEFITS FOR PRACTICE 1. Collaboration with professionals in theology can enhance rapport-building between OT practitioners and clients, even with minimal collaborative effort. 2. Collaboration with professionals in theology can help OT practitioners more holistically understand their clients beliefs about their disability, and in turn, influence clinical reasoning and collaborative goalsetting. 3. Collaboration with professionals in theology can facilitate OT practitioners understanding of clients sources of hope and assist OT practitioners in providing more holistic and client-centered sources of motivation for clients. 24

CONCLUSION 25

IN CONCLUSION Interprofessional collaboration in health care is a partnership among different professionals for the purpose of providing quality health care to individuals and communities. Collaboration occurs when a group of individuals with diverse backgrounds work together as a unit to solve patient problems, set up mutual goals, work interdependently to define and treat patient problems, accept and capitalize on disciplinary differences, share leadership, and communicate effectively with each other. (Careau, et. al. (2014), 374) 26

SPEAKER CONTACT INFORMATION Sarah Jean Barton, MTS, MS, OTR/L Duke University Medical Center Duke University Divinity School Thank You! Email: sarah.j.barton@duke.edu Phone: 919.684.6750 27

WORKS CITED The American Occupational Therapy Association, AOTA s Centennial Vision, Corporate Files, January 20, 2006. Bell, A. V., Michelac, B. & Arenson, C. (2014). The (stalled) progress of interprofessional collaboration: The role of gender in Journal of Interprofessional Care, 28 (2), 98-102. Bethea, D. P., Holland, C. A., & Reddick, B. K. (2014). Storming the gates of interprofessional collaboration in Nursing Management, 45 (9), 40-45. Broers, T., Poth, C., & Medves, J. (2009). What s in a word? Understanding interprofessional collaboration from the students perspective in Interprofessional Practice and Education, 1, 3-9. Careau, E., Briere, N., Houle, N., Dumont, S., Vincent, C., & Swaine, B. (2014). Interprofessional collaboration: Development of a tool to enhance knowledge translation, in Disability and Rehabilitation, 37 (4), 372-378. 28

WORKS CITED Crawford, P., Brown, B., Tischler, V., & Baker, C. (2010). Health humanities: The future of medical humanities? in Mental Health Review Journal, 15 (3), 4-10. Creamer, D. B. (2009). Disability and Christian theology. New York, NY: Oxford University Press. Doherty, R. F., & Evenson, M. E. (2014). Incorporating active learning into interprofessional education. Poster presentation for the AOTA National Conference. Interprofessional Education. British Association of Occupational Therapists and College of Occupational Therapists, Position Statement. Retrieved from https:// www.cot.co.uk/position-statements/interprofessional-education Jensen, G. M., Royeen, C. B., & Purtilo, R. B. (2010). Interprofessional ethics in rehabilitation: The dreamcatcher journey in The Journal of Allied Health, 39 (Supplement 1), 246-250. 29

WORKS CITED Kenaszchuk, C., Rykhoff, M., McPhail S., & van Soeren, M. (2012). Positive and null effects of interprofessional education on attitudes toward interprofessional learning and collaboration in Advances in Health Science Education, 17 (5), 651-659. Jones, T., Wear, D., & Friedman, L. D. (Eds.) (2014). Health humanities reader. New Brunswick, NJ: Rutgers University Press. Newton, C., Wood, V., & Nasmith, L. (2012). Building capacity for interprofessional practice in The Clinical Teacher, 9 (2), 94-98. Moyers, P. A., Finch Guthrie, P. L., Swan, A. R., & Sathe, L. A. (2014). Interprofessional evidence-based clinical scholar program: Learning to work together in The American Journal of Occupational Therapy Supplement, 2, S23-31. 30

WORKS CITED Magasi, S. (2008). Infusing disability studies into the rehabilitation sciences. Topics in Stroke Rehabilitation, 15, 283-287. Magasi, Susan. (2008). Disability Studies in Practice: A Work in Progress. Topics in Stroke Rehabilitation, 15, 611-617. McKenna, T. (2013). AOTA forum on interprofessional team-cased care: Identifying new roles for OT in primary care, The American Occupational Therapy Association, Inc. Retrieved from http://www.aota.org/advocacy-policy/health-care-reform/news/2013/ primarycareforum.aspx McNeil, K. A., Mitchell, R. J., & Parker, V. Interprofessional practice and professional identity threat in Health Sociology Review, 22 (3), 291-307. 31

WORKS CITED Moyers, P. A. & Metzler, C. A. (2014). Interprofessional collaborative practice in care coordination in The American Journal of Occupational Therapy, 68 (5), 500-505. Mu, K., & Royeen, C. B. (2004). Interprofessional vs. interdisciplinary services in schoolbased occupational therapy practice, in Occupational Therapy International, 11 (4), 244-247. Occupational Therapy Practice Framework: Domain and Process, 3rd Edition. (2014). The American Journal of Occupational Therapy, 68, S1-S48. Office of Disease Prevention and Health Promotion, Social Determinants of Health, 2020 Topics & Objectives, HealthyPeople.gov, retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinantshealth Paul, S. & Peterson, C. Q. (Eds.). (2001). Interprofessional collaboration in occupational therapy. New York, NY: The Haworth Press, Inc. 32

WORKS CITED Rose, M. A., Smith, K., Veloski, J. J., Lyons, K. J., Umland, E., & Arenson, C. A. (2009). Attitudes of students in medicine, nursing, occupational therapy, and physical therapy toward interprofessional education in Journal of Allied Health, 38 (4), 196-200. Smith, S., Molineux, M., Rowe, N., & Larkinson, L. (2013). Integrating medical humanities into physiotherapy and occupational therapy education in International Journal of Therapy and Rehabilitation, 13 (9), 421-430. Stichler, J, F. (2014). Interprofessional practice: Magic at the intersection in Health Environments Research and Design Journal, 7 (3), 9-14. Theology. (n.d.). In Merriam-Webster Dictionary online. Retrieved fromhttp://www.merriamwebster.com/dictionary/theology World Health Organization. Framework for action on interprofessional education & collaborative practice. Geneva: WHO; 2010. 33