interprofessional education and practice: creating leaders and opportunities for clinical learning...
TRANSCRIPT
Interprofessional Education and Practice: Creating Leaders and Opportunities
for Clinical Learning
MODULE 2Setting the Scene
Funded by the Australian Government Office for Learning and Teaching
Learning outcomes
• Define both interprofessional education and interprofessional practice
• Demonstrate an understanding of the education/practice continuum
• Examine the evidence for interprofessional education
Advancing interprofessional education and practice in Australia
(© University of Toronto ehpic™, 2013)
Interprofessional Education
Interdependent Interprofessional Practice
Romanow (2002)
“If health care providers are expected to work together and share expertise in a team environment, it makes sense that their education and training should prepare them for this type of working arrangement.”
The cartoon “CIHC Campus: How can they work together if they don’t learn together?” (CIHC, 2008)
Framework for action on interprofessional education and collaborative practice
Local Context
Health & Education Systems
Improved Health
Outcomes
Interprofessional Education
Collaborative Practice
Strengthened Health
Systems
Optimal Health
Services
Fragmented Health Systems
Local Health Needs
Present & Future Health
WorkforceHealth Workforce
Collaborative Practice-Ready
(WHO, 2010)
Interprofessional education (IPE)
“…occurs when two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes...”
(WHO, 2010)
Interprofessional practice (IPP)
“…occurs when multiple health workers from different professional backgrounds provide comprehensive health services by working with patients, their families, carers & communities to deliver the highest quality of care across settings...”
and,
“…partnership between a team of health providers and a client in a participatory, collaborative and coordinated approach to shared decision making around health and social issues…”
(WHO, 2010)
Practice spectrum
How do multiprofessional, interprofessional and transprofessional practice differ from each other?
Uniprofessional Multiprofessional Interprofessional Transprofessional
Education spectrum
How do multiprofessional and interprofessional education differ from each other?
Uniprofessional Multiprofessional Interprofessional
Why now?
Shortage of 4.3 million health workers
world-wide
(Framework for Action on Interprofessional Education & Collaborative Practice. WHO, 2010)
Global networks
Canadian Interprofessional Health
Collaborative
AIPPEN Australiasian
Interprofessional Practice and Education Network
American Interprofessional Health Collaborative
Centre For The Advancement of Interprofessional Education (UK)
European Interprofessional Education Network in Health & Social
Care
Nordic Interprofessional
Network
The Network Toward Unity for
Health
INTERED The International Association
for Interprofessional Education & Collaboration
Japanese Association for
Interprofessional Education
Interprofessional practice (IPP)
“…occurs when multiple health workers from different professional backgrounds provide comprehensive health services by working with patients, their families, carers & communities to deliver the highest quality of care across settings…”
(WHO, 2010)
Rehabilitation Care
Primary Care
Acute Care
…across all settings…(© University of Toronto ehpic ™, 2013)
IPE & IPP Evidence
Evidence for interprofessionaleducation
• Increased understanding of others role, skills &
responsibilities, overlap in knowledge & skills
• Altered stereotypical views
• Enhanced team working skills
• Better sense of how interprofessional collaboration &
communication skills grow & develop
(Cooper et al., 2001, Reeves et al., 2008)
Evidence for interprofessional practice
• Greater continuity of care (less fragmented services)
• Better access to services & shorter waiting times
• Collaborative decision-making with patients and family
• Better patient outcomes, safety and satisfaction
• More appropriate referrals
• Improved safety and quality in health care delivery
• Increased level of critical thinking among health professions
• Higher levels of well-being amongst staff, greater retention
• Better communication
• Reduction in duplicity of service, procedures and assessment
• Reduced hospital admissions
(WHO, 2010)
Quality healthcare
• Safe - avoiding injuries to patients
• Effective - providing services based on scientific knowledge
• Patient-centered - providing care that is respectful of, and
responsive to, individual patient preferences, needs, and values
• Timely - reducing waits and sometimes harmful delays
• Efficient - avoiding waste
• Equitable - providing care that does not vary in quality because
of personal characteristics
(Crossing the Quality Chasm. IOM, 2001)
Example from Canada
http://www.youtube.com/watch?v=JBQIW1xiSO0
National Chronic Disease Strategy
“Integrated care means that health services
work collaboratively with each other, and
with patients and their families and carers,
to provide person centred optimal care”
The report Framework for Action on Interprofessional Education & Collaborative Practice (WHO, 2010)
The report National Health Workforce Innovation and Reform Strategic Framework for Action 2011-2015 (HWA, 2011)
The report National Chronic Disease Strategy (NHPAC, 2006)
Reality in Australia
Client, student & facilitator stories
Support for the production of this resource has been provided by the Australian Government Office for Learning and Teaching. The views expressed in this Power Point do not necessarily reflect the views of the Australian Government Office for Learning and Teaching.
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