interprofessional simulation: overcoming barriers … simulation: overcoming barriers to success...

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Interprofessional Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty Pamela Thomas, MSN, Faculty Mary Kay Arvin, OTD, Faculty Heather Schmuck, MS, Faculty Jody Delp, BS, Faculty Jennifer Titzer, DNP, Faculty Chris Thompson, BSN, Simulation Coordinator

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Page 1: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Interprofessional Simulation:

Overcoming Barriers to Success

Tracy J. Kinner, DNP, Faculty

Marilyn Ostendorf, DNP, Faculty

Pamela Thomas, MSN, Faculty

Mary Kay Arvin, OTD, Faculty

Heather Schmuck, MS, Faculty

Jody Delp, BS, Faculty

Jennifer Titzer, DNP, Faculty

Chris Thompson, BSN, Simulation Coordinator

Page 2: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Objectives

• Discuss the importance of faculty communication

and collaboration in the development and

implementation of an interprofessional (IPE)

simulation

• Describe how barriers to IPE simulation can be

overcome through implementation of team

concepts among faculty

• Discuss how to coordinate active participation and

eliminate passive observation in IPE simulation

activities

Page 3: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Introduction

• What is IPE and why do it?

• Quality and Safety Education for Nurses (QSEN)

Institute (2013)

• Institute of Medicine (IOM) (2001; 2011)

• The Joint Commission (2013)

• Interprofessional Education Collaborative Expert

Panel (IECEP) (2011)

• And many more

Page 4: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Background

• Previous IPE simulations showed faculty that

teamwork, collaboration, and communication

skills could be improved

• Previous simulation feedback about observer role

• Faculty commitment to active role

• Effective team members of whatever team they

are a member

Page 5: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

TeamSTEPPS

• What is TeamSTEPPS ™ ?

• Faculty training

• Consistent terminology and concepts

• Consensus on modules and concepts utilized

Page 6: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Facility Barriers

• IPE Support

• Scheduling and Time

• Physical Space

• Simulation Center

Page 7: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Clinical Simulation Center

Page 8: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Clinical Simulation Center

Page 9: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Clinical Simulation Center

Page 10: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Clinical Simulation Center

Page 11: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Faculty Barriers

• IPE Training

• Familiarity

• “Professional Centrism” or silos

• Lack of knowledge about other disciplines

• Faculty support

Page 12: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Faculty Barriers

• Other faculty support

• Faculty as a team

• Faculty workload

• Common goal

Page 13: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Faculty Barriers

• Think outside the box

• Flexibility

Page 14: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Student Barriers

• TeamSTEPPS and IPE training

• Familiarity

• “Professional Centrism” or silos

• Lack of knowledge about other disciplines

Page 15: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Meet and Greet

Page 16: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Student Barriers

• Scheduling and Time

• Time and Scheduling

• Scheduling and Time

• Time and Scheduling- see the theme?

Page 17: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Time Participants Time Participants

M 11-1130

S 1130-1200

D 1200-1230

1. Respiratory

2. Radiologic

Technology

3. OTA

4. OTA

5. Nursing Team

Leader

6. Nursing

Medication

7. Nursing

Defibrillator

8. Nursing

Recorder

9. Nursing Relief

CPR/Primary

Nurse

M 1130-1200

S 1200-1230

D 1230-1330

1. Respiratory

2. Radiologic

Technology

3. OTA

4. OTA

5. Nursing Team

Leader

6. Nursing

Medication

7. Nursing

Defibrillator

8. Nursing

Recorder

9. Nursing Relief

CPR/Primary

Nurse

Page 18: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Student Barriers: Student Skill Mix

Page 19: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Student Barriers: Student Skill Mix

Page 20: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Student Barriers: Student Skill Mix

Page 21: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Lessons Learned

• A lot of work!

• Flexibility is essential!

• Better faculty scheduling with increased

faculty numbers

• Start planning sooner

• Commitment

• Improved Meet and Greet

Page 22: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Conclusion

• IPE is essential to promote patient safety

and decrease errors in healthcare delivery

(IECEP, 2011; IOM, 2001, 2013; QSEN

Institute 2013; Joint Commission, 2013)

• Successful IPE is possible

• Teamwork between faculty and students is

imperative

• To hopefully provide improved outcomes

for children experiencing an anaphylactic

emergency, ARAM training should be

implemented in all childcare centers and

schools.

Page 23: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

One Student’s Perspective

“Each and every health professions student

walked into this building with a common goal-

to help people. Our interprofessional

simulation experience has given us the

foundation to be effective team members and

enables us to achieve our goal- helping

people.”

Page 24: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Thank You!

• Christine Thompson, Clinical Simulation

Center Coordinator and Photographer

Extraordinaire

• Mike Fetscher, Coordinator of Instructional

Broadcasting and Tech Guru

Page 25: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Questions?

Page 26: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

Contact Information

Tracy J. Kinner, DNP, RN, FNP-BC, NP-C

8600 University Boulevard

Evansville, Indiana 47712

Email: [email protected]

Phone: 812-461-5409

Page 27: Interprofessional Simulation: Overcoming Barriers … Simulation: Overcoming Barriers to Success Tracy J. Kinner, DNP, Faculty Marilyn Ostendorf, DNP, Faculty ... (IECEP, 2011; IOM,

References

• Institute of Medicine (2013). Interprofessional education for

collaboration: Learning how to improve health from interprofessional

models across the continuum of education to practice – workshop

summary. Retrieved from www.iom.edu.

• Interprofessional Education Collaborative Expert Panel. (2011). Core

competencies for interprofessional collaborative practice: Report of an

expert panel. Washington, DC: Interprofessional Education

Collaborative.

• Joint Commission on Accreditation of Health Care Organizations.

(2013). Facts about patient-centered communication. Oakbrook

Terrace, IL: Joint Commission Resources.

• Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds.). To err is

human: Building a safer health system. Washington, KC: National

Academies Press.

• QSEN Institute. (2013). Pre-licensure KSAS. Retrieved from

www.qsen.org.