Interprofessional Education to Improve Collaboration and Quality of Care Hugh Barr May 2013.

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Presentation transcript:

Interprofessional Education to Improve Collaboration and Quality of Care Hugh Barr May 2013

Multiprofessional Education Interprofessional Education

Multiprofessional Education Occasions when professions learn side by side

Interprofessional Education Occasions when professions learn with, from, and about each other, to improve collaboration and the quality of care

Interprofessional Education Expectations Outcomes Evidence

Five Expectations Repairing relationships Developing teamwork Improving care & services Safeguarding patients Deploying human resources optimally

Teamwork Relationships Safety Workforce Improvement

Teamwork Safety Relationships Workforce Improvement

Teamwork Relationships Safety Workforce Improvement

Teamwork Relationships Safety Workforce Improvement

Teamwork Relationships Workforce Safety Improvement

Teamwork Relationships Safety Improvement Workforce

Formulating Outcomes United Kingdom: Sheffield Hallam University (2010) Interprofessional Capability Framework. Mini-guide Canada: Canadian Interprofessional Health Collaborative (2010) A national competency framework for interprofessional collaboration. United States: Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice: report of an expert panel. Washington D.C.: Interprofessional collaborative

A Digest Curtin University Interprofessional Capability Framework Brewer & Jones, ons.cfm

Assembling the Evidence Evidence from whom? Evidence of what?

Triangulating the evidence base for IPE IPE Programme External Evaluative Research Internal Approval & Review External Approval & Review Commissioning & Monitoring

The Naïve Question Does IPE Work?

What types of IPE under what conditions result in what types of outcome? The Smart Question

Systematic Reviews 1 Cochrane: Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Hammick, M. & Koppel, I. (2011) Interprofessional education: effects on professional practice and health care outcomes. The Cochrane Database of Systematic Reviews

Systematic Reviews 2 Barr, H., Koppel, I., Reeves, S., Hammick, M. and Freeth, D. (August 2005) Effective Interprofessional Education: Argument, Assumption and Evidence. Oxford: Blackwell Hammick, M., Freeth, D., Reeves, S., Koppel, I., & Barr, H. (2007). A best evidence systematic review of interprofessional education. Dundee: Best Evidence Medical Education. Guide no. 9. Medical Teacher 29,

JET The Interprofessional Education Joint Evaluation Team

Modified Kirkpatrick Scale Level 1 – Reaction Learners’ views on the learning experience and its interprofessional nature. Level 2a – Modification of attitudes / perceptions Changes in reciprocal attitudes or perceptions between participant groups. Changes in perception or attitude towards the value and/or use of team approaches to caring for a specific client group. Level 2b - Acquisition of knowledge/skills Including knowledge and skills linked to interprofessional collaboration. Level 3 - Behavioural change Identifies individuals’ transfer of interprofessional learning to their practice setting and their changed professional practice. Level 4a – Change in organisational practice Wider changes in the organisation and delivery of care. Level 4b – Benefits to patients/clients Improvements in health or well being of patients/ clients.