Journal of Research in Interprofessional Practice and Education (JRIPE)
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Template Analysis of a Longitudinal Interprofessional Survey: Making Sense of Free-Text Comments Collected Over Time
Get PDFSurveys are widely used in interprofessional education (IPE) research and these often collect free-text data. The potential contribution of free-text data to analysis and interpretation is often missed through separate reporting of qualitative and quantitative results, or free-text analyses being superficial or limited to subsets of data. There is little published guidance on how to maximize the use and integration of free-text comments with quantitative responses in large datasets collected over multiple years. Analysis of all qualitative comments, within the context of their related quantitative answers, enables exploration of changes in participants’ construction of meaning over time. This article describes how we used template analysis to analyze 3,626 free-text responses, collected as part of a five-year survey exploring the impact of an IPE program on health professionals’ attitudes to teamwork and early careers. We outline the main procedural steps undertaken by a team of researchers and we share our insights into the methodological challenges encountered. This article aims to inspire other researchers at the planning stage of research proposals, and assist them with practical ideas during data extraction, management, analysis, and reporting of large free-text datasets. We conclude that template analysis has methodologically sound, pragmatic utility in IPE longitudinal survey researc
Development of the Department of Veterans Affairs Centers of Excellence in Primary Care Education Trainee Participant Survey: Measuring Trainees’ Perceptions of an Interprofessional Education Curriculum
Get PDFBackground: The Trainee Participant Survey was developed for the evaluation of the Department of Veterans Affairs, Centers of Excellence in Primary Care Education (VA CoEPCE), which developed and delivered an interprofessional education (IPE) postgraduate curriculum to learners of multiple professions at seven geographically diverse VA facilities across the United States.Methods and findings: Perceptions of the curriculum by learners across professions were assessed to identify differences in curricular perceptions and unmet needs to inform programmatic changes. The comparison of responses by profession revealed no statistically significant differences across the core domains; precepting, supervising, mentoring; or program practices. Trainee professions differed significantly on satisfaction and system impacts.Conclusion: The Trainee Participant Survey has excellent psychometric properties and can serve as a model for evaluating future IPE programs
Achieving Consensus on the Values and Activities of all Healthcare Educators: A Mixed-Methods Study
Get PDFBackground: To facilitate a stronger recognition of the importance of the healthcare educator role and clearer communication regarding IPE, consensus is needed regardingn the values and areas of activity that all healthcare educators share, regardless of professional group.Methods and findings: A five-phase consensus process was used, consisting of a survey and search to identify guidance documents, a literature review and text analysis, a face-to-face consensus meeting, a novel workshop to develop organizing principles, and a two-stage Delphi consultation. This consensus process resulted in a nine-item list of shared values and 25 activities sorted into four domains.Conclusion: This article reports the development of a rigorous and collective consensus statement on the core values and activities shared by all healthcare educators. This is a necessary preliminary to establishing the groundwork on which interprofessional educational initiatives can be built
Preparedness for Interprofessional Learning: An Exploratory Study Among Health, Social Care, and Teacher Education Programs
Get PDFBackground: Interprofessional learning (IPL) research is mainly restricted to health students. The purpose of this study was to assess the IPL preparedness of students from health, social care, and teacher education programs.Methods and findings: This project comprised an exploratory cross-sectionalstudy and online questionnaire. Of the 221 students included, the majority hadlearned about their own future role. In contrast, less than 20 percent had learnedabout other roles.Conclusions: This study suggests that teacher education and health and social carestudents were not equally prepared for IPL. Future research should explore howeducators may balance an unequal understanding of roles among students
Development of a Longitudinal Curricular Evaluation Framework for Intra- and Interprofessional Teamwork
Get PDFObjectives: To describe the development and evaluation of a university-wide competency and evaluation framework for intra- and interprofessional education (IPE) teamwork.Methods: Development of the framework was based on existing literature and specific contexts of the schools within our university. Evaluation and program alignment regarding use of the framework were achieved through qualitative interviews with deans of the Schools of Medicine, Nursing, and Pharmacy, and focused on how they evaluated student progression towards the university-wide teamwork competency. Interview data were analyzed using classical content analysis.Results: Despite efforts to carefully design the framework, interviews revealed that significant variation exists regarding when and how both IPE and team-based care are taught and evaluated across schools. Common barriers to interprofessional education included variations in teamwork practices across disciplines, scheduling challenges, and lack of resources for implementation. Recommendations for how to align teaching and evaluation activities with the framework are posed.Conclusions: Longitudinally tracking the development of interprofessional competencies within/across health professions schools requires careful planning and collaboration among institutional leaders, interprofessional educators, program evaluators, and students. The information gained from this process provides insights toward implementing future high-quality IPE in teamwork and other inter- and intraprofessional competencies, which may be helpful to others
Large-scale Blended Learning Design in an Undergraduate Interprofessional Course in Norway: Students’ Perspectives from an Exploratory Study
Get PDFBackground: The purpose of this study was to assess learning outcomes and student satisfaction after participating in a large-scale interprofessional (IPL) blended learning course.Methods and findings: In this cross-sectional study, students from health, social care, and teacher education programs completed two questionnaires. The majority were satisfied with the blended learning approach. The IPL group discussions resulted in learning outcomes that were two times higher than those from traditional instruction, including lectures and assignments. Health and social care students reported lower learning outcomes and satisfaction than teacher education and child welfare students (p < 0.05).Conclusions: The study demonstrated the feasibility of the blended learningapproach. However, IPL activities that are explicitly inclusive for all studentsshould be created for future courses
The Acceptability of Physiotherapy Care in Emergency Departments: An Exploratory Survey of Emergency Department Physicians
Get PDFBackground: Interprofessional emergency department (ED) models of care, including physiotherapists, have emerged to answer growing demands for ED care. The purpose of this study was to assess the perceptions of ED physicians regarding ED physiotherapy.Methods and findings: Ninety-five ED physicians, members of one of two ED physicians’ associations in the province of Québec, completed a survey (response rate = 14.7%). Most had a positive perception of physiotherapists’ competencies (96.8%) and were confident that ED physiotherapy care is safe and efficient (96.8%).Conclusions: Based on responses from this limited sample, ED physicians have a positive perception of ED physiotherapy models of care.Keywords: Emergency department; Physiotherapy; Advanced practice physiotherapy;Acceptability; Models of car
The Methodological Development of an Interprofessional Educational Program to Provide Proactive Integrated Care for Elders
Get PDFBackground: Interprofessional collaboration in practice (IPCP) between professionals from the medical and social domain within primary care is desirable; however, it is also challenging due to fragmented healthcare. Little is known about the development of IPCP in primary care to fit the implementation context. This article describes the methodological development and the final content of an IPCP program.Methods and findings: The development process started with the identification of IPCP competencies in a literature review and a qualitative needs analysis with semi-structured interviews among eight elders and four health care professionals. The results were discussed during a first consultation with an expert team, which consisted of ten health care professionals. Consensus was reached on the themes role identity, communication, and shared vision development to form the basis of the program. A second consultation with the experts discussed the first version of the program. Then, consensus was reached on the final version of the program, which included a blended learning approach consisting of two face-to-face meetings, online learning, and on-the-job learning with a sixteen-hour time investment over a six-week period.Conclusions: The IPCP program was developed based on educational strategies and evidence, and with the support and knowledge of practice experts to fit the implementation context.
Providing Remote Students with Access to a Video-enabled Standardized Patient Simulation on Interprofessional Competencies and Late-life Depression Screening
Get PDFBackground Standardized patient (SP) simulation is used to teach geropsychiatry. This project tested feasibility and effectiveness of video-enabled SP simulation to teach interprofessional (IP) late-life depression screening.Methods and findings Nurse practitioner, pharmacy, and medical students (N=177) participated in remote (n = 27) and on-site (n = 150) SP simulation. Linear mixed-effect model determined the effects of time and setting on pretest and posttest Interprofessional Education Collaborative Competencies Attainment Survey (ICCAS) data. Overall, no significant difference was observed in degree of change on ICCAS domains, indicating both modalities produced equally beneficial outcomes. Small sample size and focus on late-life depression screening limits generalizing results.Conclusions Video-enabled SP simulations can be incorporated to prepare students with IP competencies for late-life depression screening
A Qualitative Evaluation of an Interprofessional Collaboration between an Academic Organization and Hospital Foundation Trust
Get PDFBackground: Research recognizes that collaborative working between academic organizations and clinical institutions may help realize the effective delivery of patient care. Yet, few studies report on the processes required to effect the necessary changes. Ths article reports on a research process that was delivered by a team of academics and clinicians that aimed to illuminate processes of interprofessional collaboration.Methods and findings: Semi-structured interviews were conducted with eight participants selected from both a university and a foundation trust. Data were analyzed using thematic analysis.Conclusions: The fruits of interprofessional practice and collaboration have beneficialeffects, especially for the patient. These are realized through the collegialefforts of stakeholders from each organization, where consistent effort, cooperativeand inclusive actions facilitate participative agency, resulting in rich relationships