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Presentation 9 - All Together Now!

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  • 1. 1 Right Start Forum All together now!An integrated inter-professional learning program for rural health students at the University of New England. . 27 February 2012 Team Health Right Start Program Showcase 27 February 2012
  • 2. 2Project Team Presenter/Project Leader: Associate Professor Penny Paliadelis, Deputy Head of School (Teaching & Learning),School of Health, University of New England. Project Team: Jackie Lea, (Nursing Lecturer, UNE) Anthea Fagan ( Clinical Coordinator, School of Health, UNE) Ieva Stupans (Professor of Pharmacy, UNE) Dr Maree Puxty (Clinical Dean, School of Rural Medicine, UNE) Linda Turner (Associate Professor of Social Work) Clinical Colleagues from Hunter New England Health and consumer representatives Team Health Right Start Program Showcase 27 February 2012
  • 3. 3Introduction & Background TheUniversity of New England offers a range of professional-entry health courses in nursing, medicine, social work and pharmacy. The Team Health Right Start funded program brought a number of these students together to work collaboratively to address two rurally-focused simulated case scenarios, during a 2-day workshop supported by an online learning space. Team Health Right Start Program Showcase 27 February 2012
  • 4. 4Aim & MethodsUpon completion of this program students were able to: Understand and articulate strategies that promote effective teamwork that can enhance staff satisfaction and consumer outcomes. Demonstrate enhanced effective teamwork in applying clinical judgment to range of simulated situations. Develop skills in applying reflection in and on practice. Integrate effective communication skills into practice situations using a variety of evidence-based frameworks. Integrate an enhanced understanding of the roles of each professional group within effective healthcare teams. Appreciate the influence of human factors in the provision of effective interprofessional safe, high quality patient-centered care. Team Health Right Start Program Showcase 27 February 2012
  • 5. 5Project outline Participating students were enrolled in an online site offered via the Moodle platform and then came together during the 2-day workshop held on 4-5 November 2011. They were guided to consider the care of two clients from a client journey perspective and reflect on their delivery of effective inter- professional care in a rural context. Team Health Right Start Program Showcase 27 February 2012
  • 6. 6Project Content The two simulated case scenarios were set in a rural context and developed by the project team in consultation with rural clinicians and consumer representatives. Scenario 1 was based around a Mr Boney, an indigenous male with a complex health and social history and renal dysfunction. Scenario 2 was an elderly woman, Mrs Johnson, who had a range of social, health, medication issues. Facilitator notes and complete scripts for both scenarios were developed and actors were used to simulate Mrs Johnson and Mr Boney’s relatives. Team Health Right Start Program Showcase 27 February 2012
  • 7. 7Evaluation processesIn total 28 students completed the program:  9 nursing students  8 pharmacy students  6 medical students  5 social work studentsA range of evaluations were conducted to capture consumer representative, student & project team impressions of the program: UNE developed pre and post program surveys were embedded in the Moodle activities Quantitative data about the value of the workshop activities for students and the project team was conducted via an audience response tool during the concluding session of the workshop. An evaluation tool prescribed by CETI was administered post-workshop Qualitative comments were sought from participating students, consumer representatives and project team members. Team Health Right Start Program Showcase 27 February 2012
  • 8. 8Pre and post workshop survey results The data suggests that while overall the  Post workshop results were very students were very receptive to the encouraging, as they indicate that the notion of inter-professional students found the program a positive learning/practice, fifty percent of them experience that provided then with felt that members of their profession insights into how inter-professional currently practice autonomously. learning and practice contributes to the delivery of quality patient care. Nearly half of them thought that inter- professional learning was hard to implement, although unanimously they  One hundred percent of students felt disagreed that inter-professional that the program was pitched at the right learning was a waste of time. level and 90% agreed that this program These results indicate that the students was valuable for their learning. came to this program with an enthusiasm to engage with clinical colleagues from across the discipline groups. Team Health Right Start Program Showcase 27 February 2012
  • 9. 9Audience response feedback Q. Did the workshop and panel Q. Did you gain a better working discussions aid in understanding knowledge of the roles of other health interprofessional teamwork? professionals? 10% 9.5% 90% 90.5% Yes No Yes No Team Health Right Start Program Showcase 27 February 2012
  • 10. 10Qualitative feedback I liked the fact that the inter-  The development and delivery of the professional learning activity gave program was rather rushed, due to the each profession a chance to short timeframes, however, despite this, the students gained a lot from it, and I understand other professions in personally delighted in networking with a relation to improving patient care range of academic and clinical and a chance to include the patient colleagues(project team member) themselves in that process  It was really interesting to see how (student) the doctors and nurses approached The contribution of the social worker to these cases, it gave me a new look assist with psychosocial, financial, at how these sort of teams really logistic, and domestic concerns, enables need to work together to provide the more clinical, pathophysiological issues best care for each patient (consumer to be addressed and hopefully resolved rep) by clinical staff such as doctors, nurses and pharmacists (student) Team Health Right Start Program Showcase 27 February 2012
  • 11. 11Conclusions & Lessons Learned This program provided students with the opportunity to work together in response to two complex clinical scenarios. The 2-day workshop was well received with students clearly engaging with the 2 scenarios and working as effective teams to provide holistic care for the simulated patients. What worked well: The use of actors as patients and relatives made the scenarios more ‘realistic’. The debrief sessions and panel discussions on the 2nd day allowed the students to reflect on their individual performances and the performances of the teams. What could have worked better: More student participants, longer debriefing sessions for each inter-professional group, pharmacy students provided with a full list of medications before the simulations. Team Health Right Start Program Showcase 27 February 2012
  • 12. 12Where to from here? This type of learning activity will continue to be used at UNE to engage groups of health students to provide patient-centered care and consider their role in inter- professional teams. The structure of the program lends itself to adaptation to meet the learning needs of students and practicing clinicians across a range of disciplines. Discussions are underway with local clinical colleagues to consider how to further develop this type of program for a variety of uses and learning needs. Team Health Right Start Program Showcase 27 February 2012
  • 13. 13Thank You Questions? Team Health Right Start Program Showcase 27 February 2012