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      Evaluation of team communication in an interprofessional inpatient transition of care simulation

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          Abstract

          Background

          Interprofessional education (IPE) provides unique opportunities for students to better understand their roles, roles of other healthcare professionals, and prepare for teamwork for patient benefit. Interprofessional team education is recognized as a key element in the 2016 ACPE standards.

          Objective

          Assess student self-perceived competence in four IPEC domains after an inpatient simulation activity.

          Methods

          Pre/post-test design used the Interprofessional Education Collaborative Competency Survey. The activity included medical, nursing, social work, and pharmacy students working in healthcare teams to develop collaborative treatment plans for simulated patients with altered mental status.

          Results

          Ninety-seven health profession students completed the activity, while 49 second-year (P2) student pharmacists participated in the study. All completed a pre-test and 47/49 (96%) completed a post-test. At pre-test, students ranked themselves highest in abilities to respect patient privacy (100% strongly agree) and acting with honesty and integrity in relationships (100% strongly agree). They reported lower ability in describing team development process. At post-test, significant increases were seen in managing ethical dilemmas ( p < .002) and respect ( p = .49), though decreases were seen in using appropriate or respectful language ( p < .02).

          Conclusion

          Significant differences in student perceptions of ethics and communication were observed after participation in a transition of care inpatient IPE simulation.

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          Most cited references9

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          An Interprofessional Simulation Using the SBAR Communication Tool

          Objective. To determine the impact of an interprofessional simulation using the SBAR (situation-background-assessment-recommendation/request) communication tool on pharmacy students’ self-perception of interprofessional competence and reactions towards interprofessional collaboration. Design. Ninety-six pharmacy students participated in an interprofessional simulation within a required applications-based capstone course. Pharmacy students collaborated with nursing students on multiple patient cases in various settings using the SBAR communication tool over the telephone. Assessment. Pharmacy students’ responses to all 20 items on the Interprofessional Collaborative Competency Attainment Survey (ICCAS) completed after participating in the simulation indicated significant positive changes. The themes identified in students’ reflection papers indicated the simulation was beneficial and student responses on satisfaction surveys were positive with a mean score of 4.2 on a 5-point Likert scale. Conclusion. Implementation of an interprofessional simulation using the SBAR communication tool improved pharmacy students’ self-perception of interprofessional competence and attitudes toward interprofessional collaboration.
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            "Just working in a team was a great experience…" - Student perspectives on the learning experiences of an interprofessional education program.

            Interprofessional education (IPE) programs aim to improve collaboration between health- and social-care professionals and to optimize clinical outcomes. Such programs are complex to design, and evaluation of effectiveness is difficult. Combining qualitative and quantitative data may provide greater understanding of how a program affects participants and what aspects are influential on attitudes and behavior. This qualitative study used semi-structured interviews and interpretative phenomenological analysis to explore undergraduate student perspectives on what attributes of a 4-week IPE program they considered contributed to a successful learning experience. Due to the fact that the students were not formally assessed, the realistic context of the activities and the quality of the facilitators created an environment where the students felt empowered to interact freely without fear of reproach. Learning the roles of other professions and their contribution to a healthcare team broadened the students' perspectives on healthcare and increased their sense of self-worth and pride in their professions. In addition, being able to identify the relevance of the learning experience to their future practice motivated the students. This information can be used to create optimal learning environments for facilitating the development of successful future healthcare teams.
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              An exploratory study of an assessment tool derived from the competencies of the interprofessional education collaborative.

              Linking the outcomes from interprofessional education to improvements in patient care has been hampered by educational assessments that primarily measure the short-term benefits of specific curricular interventions. Competencies, recently published by the Interprofessional Education Collaborative (IPEC), elaborate overarching goals for interprofessional education by specifying desired outcomes for graduating health professions students. The competencies define a transition point between the prescribed and structured educational experience of a professional degree program and the more self-directed, patient-oriented learning associated with professional practice. Drawing on the IPEC competencies for validity, we created a 42-item questionnaire to assess outcomes related to collaborative practice at the degree program level. To establish the usability and psychometric properties of the questionnaire, it was administered to all the students on a health science campus at a large urban university in the mid-Atlantic of the United States. The student responses (n = 481) defined four components aligned in part with the four domains of the IPEC competencies. In addition, the results demonstrated differences in scores by domain that can be used to structure future curricula. These findings suggest a questionnaire based on the IPEC competencies might provide a measure to assess programmatic outcomes related to interprofessional education. We discuss directions for future research, such as a comparison of results within and between institutions, and how these results could provide valuable insights about the effect of different curricular approaches to interprofessional education and the success of various educational programs at preparing students for collaborative practice.
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                Author and article information

                Contributors
                Journal
                Explor Res Clin Soc Pharm
                Explor Res Clin Soc Pharm
                Exploratory Research in Clinical and Social Pharmacy
                Elsevier
                2667-2766
                11 August 2021
                September 2021
                11 August 2021
                : 3
                : 100059
                Affiliations
                [a ]Department of Pharmaceutical Sciences, University of Wyoming, School of Pharmacy, 1000 E. University Ave, Laramie, WY 82071, United States of America
                [b ]Department of Pharmacy Practice, University of Wyoming, School of Pharmacy, 1000 E. University Ave, Laramie, WY 82071, United States of America
                Author notes
                []Corresponding author at: Department of Pharmacy Pratice, University of Wyoming, School of Pharmacy, 1000 E. University Ave, Laramie, WY 82071, United States of America. lbiehle@ 123456uwyo.edu
                Article
                S2667-2766(21)00059-7 100059
                10.1016/j.rcsop.2021.100059
                9030718
                a20dac0a-18e2-4d4e-a369-238b14ff99f6
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 26 February 2021
                : 17 June 2021
                : 6 August 2021
                Categories
                Article

                transition of care,interprofessional education,simulation evaluation,communication,student pharmacists

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