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Occupa'onal	
  Therapy	
  (MAOT)	
  
Physical	
  Therapy	
  (DPT)	
  
Nursing	
  (ADN,	
  BSN)	
  
Nurse	
  Prac''oner	
  (MS)	
  
Physician	
  Assistant	
  (MPA)	
  
Holis'c	
  Health	
  (MA)	
  
Exercise	
  Science	
  (BS)	
  
Spiritual	
  Direc'ons	
  (MA)	
  
Social	
  Work	
  (BSW,	
  MSW)	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
The Dip: Orchestrating a Clinical Immersion Experience
in Interprofessional Education
Karen M Sames OTD, OTR/L, FAOTA and Rebecca L. McGill, Ed.D, RN
Interdisciplinary	
  Educa1on	
  Percep1on	
  	
  
Scale	
  (IEPS)	
  
	
  
	
  
	
  
	
  
	
  
	
  
Readiness	
  for	
  Interprofessional	
  Learning	
  	
  
Scale	
  (RIPLS)	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Interprofessional	
  Educa1on	
  Experience	
  	
  
Ques1onnaire	
  (IEEQ)	
  
Students	
  Quotes:	
  
•  “I	
  am	
  more	
  open	
  to	
  communica'ng	
  with	
  other	
  healthcare	
  professions	
  and	
  sta'ng	
  my	
  opinion.”	
  
•  “It	
  has	
  been	
  great	
  to	
  figure	
  out	
  how	
  to	
  communicate	
  with	
  others	
  who	
  don’t	
  have	
  the	
  same	
  knowledge.”	
  
•  “My	
  thought	
  process	
  about	
  how	
  I	
  see	
  some	
  health	
  issues	
  has	
  changed	
  because	
  I	
  know	
  that	
  working	
  with	
  
other	
  professions	
  is	
  more	
  important	
  than	
  working	
  alone.”	
  
•  “Learned	
  a	
  lot	
  about	
  communica'on	
  and	
  importance	
  of	
  communica'ng	
  expecta'ons	
  to	
  team	
  members.”	
  
•  “I	
  have	
  learned	
  that	
  working	
  together	
  as	
  an	
  interprofessional	
  team	
  does	
  not	
  mean	
  that	
  you	
  lose	
  focus	
  on	
  
your	
  professional	
  self.”	
  
•  “I	
  feel	
  more	
  comfortable	
  talking	
  with	
  other	
  medical	
  professions	
  and	
  ac'ng	
  as	
  an	
  advocate	
  for	
  pts.”	
  
19	
  items	
  scored	
  from	
  1	
  (strongly	
  disagree)	
  to	
  5	
  
(strongly	
  agree)	
  
Average	
  student	
  scores	
  became	
  more	
  nega've	
  at	
  the	
  
6	
  week	
  mark,	
  but	
  improved	
  and	
  even	
  surpassed	
  
original	
  ra'ngs	
  by	
  the	
  end	
  of	
  the	
  course.	
  
The	
  item	
  that	
  showed	
  the	
  most	
  posi've	
  change	
  was	
  	
  
•  I	
  would	
  welcome	
  the	
  opportunity	
  to	
  work	
  on	
  small-­‐
group	
  projects	
  with	
  other	
  health-­‐care	
  students	
  
One	
  item	
  showed	
  a	
  slight	
  nega've	
  change	
  from	
  day	
  1	
  
to	
  the	
  last	
  day	
  of	
  the	
  project	
  
•  Pa9ents	
  would	
  ul9mately	
  benefit	
  if	
  health-­‐care	
  
students	
  worked	
  together	
  to	
  solve	
  pa9ent	
  
problems	
  
25.23
10.88
24.92
26.69
10.5
26.88
27.32
11.2
27.28
0
5
10
15
20
25
30
Competency and Autonomy Perceived Need for Cooperation Perception of Actual Cooperation
IEPSScores
Change in IEPS Scores
Initial
Week 6
Final
Elder	
  teachers	
  
Students	
  
Clinical	
  and	
  
Faculty	
  	
  
mentors	
  
Addi'onal	
  
facility	
  	
  
support	
  staff	
  
SETTING & BACKGROUND
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
OUTCOMES
SUMMARY
•  The	
  project	
  resulted	
  in	
  mutual	
  benefit	
  for	
  the	
  University	
  and	
  
Carondelet	
  Village.	
  
•  Per	
  CV	
  staff,	
  the	
  student	
  teams	
  posi'vely	
  affected	
  the	
  health	
  and	
  
vitality	
  of	
  the	
  elder	
  teachers.	
  
•  Students	
  experience	
  a	
  dip	
  in	
  confidence	
  part	
  way	
  into	
  the	
  
project	
  but	
  work	
  through	
  it	
  and	
  come	
  out	
  stronger	
  at	
  the	
  end.	
  
•  This	
  project	
  should	
  be	
  revised	
  and	
  replicated	
  so	
  more	
  students	
  
can	
  have	
  an	
  	
  interprofessional	
  team	
  experience.	
  
•  Answer	
  to	
  the	
  research	
  ques'on:	
  Yes,	
  they	
  do	
  report	
  improved	
  
teamwork	
  skills	
  
DESIGN & IMPLEMENTATION
RESEARCH QUESTION
	
  
Do	
  health	
  professions	
  students	
  who	
  par1cipate	
  
in	
  an	
  interprofessional	
  educa1on	
  experience	
  
report	
  improved	
  teamwork	
  skills?	
  
	
  
15	
  items	
  scored	
  from	
  1	
  (strongly	
  disagree)	
  to	
  6	
  
(strongly	
  agree)	
  
Two	
  subscales	
  showed	
  steady	
  improvement,	
  one	
  
showed	
  a	
  dip	
  at	
  6	
  weeks	
  
The	
  item	
  with	
  the	
  largest	
  posi've	
  change	
  was	
  
•  Individuals	
  in	
  other	
  professions	
  respect	
  the	
  work	
  
done	
  by	
  my	
  profession	
  
Every	
  item	
  showed	
  a	
  posi've	
  change	
  from	
  day	
  1	
  to	
  
the	
  last	
  day	
  of	
  the	
  project	
  
Two	
  campuses	
  –	
  	
  
St.	
  Paul	
  and	
  Minneapolis	
  
32	
  healthcare	
  programs	
  
from	
  cer'ficate	
  to	
  clinical	
  
doctorate
Independent	
  Living	
  
Assisted	
  Living	
  
Memory	
  Care	
  
Care	
  Center	
  
SAMPLE TEAMSTUDENT PARTICIPANTS
42.26
4.23
18.23
5.85
42.10
4.19
17.77
6.60
42.96
4.04
18.96
4.60
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
45.00
50.00
Teamwork and Collaboration Negative Professional
Identity
Positive Professional Identity Roles and Responsibilities
Subscalescore
Change in RIPLS scores
Initial
Week 6
Final
Possible	
  Explana1ons	
  
•  Students	
  overes'mate	
  their	
  
teamwork	
  skills	
  when	
  they	
  start	
  an	
  
IPE	
  experience	
  (Pollard,	
  Miers,	
  &	
  Gilchrist,	
  
2005).	
  They	
  discover	
  that	
  working	
  	
  
in	
  IPE	
  teams	
  is	
  not	
  the	
  same	
  as	
  
working	
  in	
  teams	
  with	
  their	
  
classmates	
  of	
  the	
  same	
  profession.	
  
•  Differences	
  in	
  the	
  vocabularies	
  of	
  
each	
  profession	
  may	
  have	
  made	
  
communica'on	
  within	
  the	
  team	
  
more	
  challenging	
  than	
  students	
  
expected	
  (Coleman,	
  Roberts,	
  Wulff,	
  VanZyl,	
  	
  
&	
  Newton,	
  (2008).	
  
•  Student	
  discomfort	
  with	
  role	
  
overlap	
  among	
  professions	
  may	
  
have	
  surfaced	
  early	
  and	
  then	
  
worked	
  through	
  as	
  the	
  team	
  
progressed.	
  
•  Students	
  may	
  have	
  had	
  stereotypes	
  
about	
  other	
  professions	
  that	
  began	
  
to	
  crack	
  as	
  the	
  teams	
  worked	
  
together,	
  crea'ng	
  doubt	
  in	
  their	
  
minds	
  about	
  what	
  they	
  thought	
  
they	
  knew	
  to	
  be	
  true	
  about	
  the	
  
other	
  	
  professions.	
  This	
  may	
  have	
  
lead	
  to	
  a	
  crisis	
  of	
  self-­‐confidence	
  
(Ateah	
  et	
  al.	
  2011;	
  Hean,	
  Macleod,	
  Adams,	
  &	
  
Humphries,	
  2006;	
  Tunstall-­‐Pedoe,	
  Rink,	
  &	
  Hilton,	
  
2003).	
  
	
  
References	
  available	
  on	
  handout	
  
St.	
  Catherine	
  University	
  
HenrieNa	
  Schmoll	
  	
  
School	
  of	
  Health	
  
	
  
Carondelet	
  
Village	
  
	
  
Ini1al	
  2	
  weeks	
  
•  Didac'c	
  	
  
por'on	
  	
  
of	
  course	
  
•  Form	
  teams	
  
•  Assign	
  mentors	
  	
  
and	
  elder	
  	
  
teachers	
  
	
  
	
  
Final	
  14	
  Weeks	
  
•  Observe	
  
•  Plan	
  
•  Implement	
  
•  Evaluate	
  
	
  
	
  
	
  
	
  
Evalua1ons	
  
•  Quan'ta've	
  
•  RIPLS	
  
•  IEPS	
  
•  Qualita've	
  	
  
•  IPEEQ	
  
•  Assignments,	
  
mee'ng	
  
summaries,	
  	
  
field	
  notes	
  
Study	
  was	
  conducted	
  over	
  two	
  terms	
  (J-­‐Term	
  and	
  Spring)	
  
for	
  	
  16	
  week	
  in	
  2013	
  and	
  2014.	
  
Elder	
  teacher:	
  	
  
•  Male	
  post	
  CVA	
  with	
  OCD	
  
•  Care	
  Center	
  	
  
•  Sits	
  in	
  wheelchair	
  parked	
  in	
  dining	
  room	
  	
  
from	
  6	
  am	
  to	
  7	
  pm	
  every	
  day	
  
•  Constantly	
  using	
  call	
  bumon	
  
Students:	
  
•  OT,	
  nursing,	
  	
  
physician	
  assistant,	
  	
  
and	
  PT	
  students	
  
Clinical	
  mentor:	
  	
  
•  nurse	
  
Team	
  2	
  

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  • 1.     Occupa'onal  Therapy  (MAOT)   Physical  Therapy  (DPT)   Nursing  (ADN,  BSN)   Nurse  Prac''oner  (MS)   Physician  Assistant  (MPA)   Holis'c  Health  (MA)   Exercise  Science  (BS)   Spiritual  Direc'ons  (MA)   Social  Work  (BSW,  MSW)                                             The Dip: Orchestrating a Clinical Immersion Experience in Interprofessional Education Karen M Sames OTD, OTR/L, FAOTA and Rebecca L. McGill, Ed.D, RN Interdisciplinary  Educa1on  Percep1on     Scale  (IEPS)               Readiness  for  Interprofessional  Learning     Scale  (RIPLS)                     Interprofessional  Educa1on  Experience     Ques1onnaire  (IEEQ)   Students  Quotes:   •  “I  am  more  open  to  communica'ng  with  other  healthcare  professions  and  sta'ng  my  opinion.”   •  “It  has  been  great  to  figure  out  how  to  communicate  with  others  who  don’t  have  the  same  knowledge.”   •  “My  thought  process  about  how  I  see  some  health  issues  has  changed  because  I  know  that  working  with   other  professions  is  more  important  than  working  alone.”   •  “Learned  a  lot  about  communica'on  and  importance  of  communica'ng  expecta'ons  to  team  members.”   •  “I  have  learned  that  working  together  as  an  interprofessional  team  does  not  mean  that  you  lose  focus  on   your  professional  self.”   •  “I  feel  more  comfortable  talking  with  other  medical  professions  and  ac'ng  as  an  advocate  for  pts.”   19  items  scored  from  1  (strongly  disagree)  to  5   (strongly  agree)   Average  student  scores  became  more  nega've  at  the   6  week  mark,  but  improved  and  even  surpassed   original  ra'ngs  by  the  end  of  the  course.   The  item  that  showed  the  most  posi've  change  was     •  I  would  welcome  the  opportunity  to  work  on  small-­‐ group  projects  with  other  health-­‐care  students   One  item  showed  a  slight  nega've  change  from  day  1   to  the  last  day  of  the  project   •  Pa9ents  would  ul9mately  benefit  if  health-­‐care   students  worked  together  to  solve  pa9ent   problems   25.23 10.88 24.92 26.69 10.5 26.88 27.32 11.2 27.28 0 5 10 15 20 25 30 Competency and Autonomy Perceived Need for Cooperation Perception of Actual Cooperation IEPSScores Change in IEPS Scores Initial Week 6 Final Elder  teachers   Students   Clinical  and   Faculty     mentors   Addi'onal   facility     support  staff   SETTING & BACKGROUND                                   OUTCOMES SUMMARY •  The  project  resulted  in  mutual  benefit  for  the  University  and   Carondelet  Village.   •  Per  CV  staff,  the  student  teams  posi'vely  affected  the  health  and   vitality  of  the  elder  teachers.   •  Students  experience  a  dip  in  confidence  part  way  into  the   project  but  work  through  it  and  come  out  stronger  at  the  end.   •  This  project  should  be  revised  and  replicated  so  more  students   can  have  an    interprofessional  team  experience.   •  Answer  to  the  research  ques'on:  Yes,  they  do  report  improved   teamwork  skills   DESIGN & IMPLEMENTATION RESEARCH QUESTION   Do  health  professions  students  who  par1cipate   in  an  interprofessional  educa1on  experience   report  improved  teamwork  skills?     15  items  scored  from  1  (strongly  disagree)  to  6   (strongly  agree)   Two  subscales  showed  steady  improvement,  one   showed  a  dip  at  6  weeks   The  item  with  the  largest  posi've  change  was   •  Individuals  in  other  professions  respect  the  work   done  by  my  profession   Every  item  showed  a  posi've  change  from  day  1  to   the  last  day  of  the  project   Two  campuses  –     St.  Paul  and  Minneapolis   32  healthcare  programs   from  cer'ficate  to  clinical   doctorate Independent  Living   Assisted  Living   Memory  Care   Care  Center   SAMPLE TEAMSTUDENT PARTICIPANTS 42.26 4.23 18.23 5.85 42.10 4.19 17.77 6.60 42.96 4.04 18.96 4.60 0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00 40.00 45.00 50.00 Teamwork and Collaboration Negative Professional Identity Positive Professional Identity Roles and Responsibilities Subscalescore Change in RIPLS scores Initial Week 6 Final Possible  Explana1ons   •  Students  overes'mate  their   teamwork  skills  when  they  start  an   IPE  experience  (Pollard,  Miers,  &  Gilchrist,   2005).  They  discover  that  working     in  IPE  teams  is  not  the  same  as   working  in  teams  with  their   classmates  of  the  same  profession.   •  Differences  in  the  vocabularies  of   each  profession  may  have  made   communica'on  within  the  team   more  challenging  than  students   expected  (Coleman,  Roberts,  Wulff,  VanZyl,     &  Newton,  (2008).   •  Student  discomfort  with  role   overlap  among  professions  may   have  surfaced  early  and  then   worked  through  as  the  team   progressed.   •  Students  may  have  had  stereotypes   about  other  professions  that  began   to  crack  as  the  teams  worked   together,  crea'ng  doubt  in  their   minds  about  what  they  thought   they  knew  to  be  true  about  the   other    professions.  This  may  have   lead  to  a  crisis  of  self-­‐confidence   (Ateah  et  al.  2011;  Hean,  Macleod,  Adams,  &   Humphries,  2006;  Tunstall-­‐Pedoe,  Rink,  &  Hilton,   2003).     References  available  on  handout   St.  Catherine  University   HenrieNa  Schmoll     School  of  Health     Carondelet   Village     Ini1al  2  weeks   •  Didac'c     por'on     of  course   •  Form  teams   •  Assign  mentors     and  elder     teachers       Final  14  Weeks   •  Observe   •  Plan   •  Implement   •  Evaluate           Evalua1ons   •  Quan'ta've   •  RIPLS   •  IEPS   •  Qualita've     •  IPEEQ   •  Assignments,   mee'ng   summaries,     field  notes   Study  was  conducted  over  two  terms  (J-­‐Term  and  Spring)   for    16  week  in  2013  and  2014.   Elder  teacher:     •  Male  post  CVA  with  OCD   •  Care  Center     •  Sits  in  wheelchair  parked  in  dining  room     from  6  am  to  7  pm  every  day   •  Constantly  using  call  bumon   Students:   •  OT,  nursing,     physician  assistant,     and  PT  students   Clinical  mentor:     •  nurse   Team  2