Implementation of Curriculum-wide IPE for Pharmacy and Nursing Students at a Small Private College Based on TeamSTEPPS® Melanie Symoniak, Pharm.D., BCPS.

Implementation of Curriculum-wide IPE for Pharmacy and Nursing Students at a Small

Private College Based on TeamSTEPPS®Melanie Symoniak, Pharm.D., BCPS

Kylene Abraham, DNP, APRN, RNC-OB

Acknowledgements

• Anthony Corigliano, RPh• Jill Lavigne, Ph.D., MS, MPH• Karen Parker, DNP, RN, FNP-C• Tammy Roman, Ed.D, MSN, RN, CNE• Charlene Smith, DNS, MSEd, WHNP, RN-BC, CNE, ANEF

Learning Objectives

• Discuss accreditation standards or recommendations for IPE within pharmacy and nursing programs

• Describe advantages of using TeamSTEPPS® for IPE

• Identify barriers to implementing IPE via TeamSTEPPS® across the curriculum

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Pharmacy Curriculum Standards

• Accreditation Council for Pharmacy Education– Standard 11: Interprofessional Education (IPE). The

curriculum prepares all students to provide entry-level, patient-centered care in a variety of practice settings as a contributing member of an interprofessional team. In the aggregate, team exposure includes prescribers as well as other healthcare professionals.

– Key elements:

• Interprofessional team dynamics

• Interprofessional team education

• Interprofessional team practice

ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf


• Interprofessional team dynamics – “…articulating the values and ethics that underpin interprofessional practice, engaging in effective interprofessional communication, including conflict resolution and documentation skills, and honoring interprofessional roles and responsibilities.”



• Interprofessional team education – “… opportunities to learn about, from, and with other members of the interprofessional healthcare team.” “…students gain an understanding of the abilities, competencies, and scope of practice of team members.”



• Interprofessional team practice – “… participate as healthcare team member in providing direct patient care and engaging in shared therapeutic decision-making.” “…including face-to-face interactions that are designed to advance interprofessional team effectiveness”



• Accreditation Council for Pharmacy Education– Standard 18: Faculty and Staff – Quantitative Factors

• 18.1 Sufficient faculty – “the college or school has a sufficient number of faculty members to effectively address the following programmatic needs:

– Intraprofessional and interprofessional collaboration…”


Nursing Curriculum Recommendations

• American Association of colleges of Nursing (ACCN)– Essential VI Interprofessional Communication and

Collaboration for Improving Patient Health Outcomes. The baccalaureate program prepares the graduate to:

• Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e., scope of discipline, education and licensure requirements).

AACN. http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials. 2008.


• Use inter and intraprofessional communication and collaborative skills to deliver evidence-based, patient-centered care.

• Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.



• Contribute the unique nursing perspective to interprofessional teams to optimize patient outcomes.

• Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams.

• Advocate for high quality and safe patient care as a member of the interprofessional team.


Other Professional Standards & IPE

• What are the standards/recommendations for your program?

IPE Themes Health Professional Schools

Dentistry Medicine Nursing Pharmacy Public Health

Social Work

IP commun-ication

X X X X X X

Appreciation of others’ roles

X X

Collaboration and teamwork

X X X X X

IP learning X X X

Resources that Support IPE

• Institute of Medicine (IOM)– To Err is Human: Building A Safer Health System, 1999

– Health Professions Education, A Bridge to Quality, 2003

– The Future of Nursing: Leading Change, Advancing Health, 2010

– Global Forum on Innovation in Health Professional Education, 2012

Resources that Support IPE

• World Health Organization (WHO): Framework for action on interprofessional education and collaborative practice, 2010

• Lancet Commission Report, Health Professionals for a New Century: Transforming Education to Strengthen Health Systems in an Interdependent World, 2010

• Interprofessional Education Collaborative: Core Competencies for Interprofessional Collaborative Practice, 2011

Our Timeline

• Established an interprofessional faculty committee• Set goals

– Based on standards/recommendations

• Brainstormed IPE opportunities• Obtained administrative approval• Trained our faculty• Integrated TeamSTEPPS® into curricula• Collected outcomes

– Revise as needed

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Joint Goals Based on Standards

• Incorporate IPE into the pre-experiential curriculum so that students will be able to – Identify the impact of using teamwork on patient safety

– Improve communication using effective strategies and tools

– Improve ability to deal effectively with conflict

– Increase understanding of interprofessional team skills and responsibilities

TeamSTEPPS®

• Agency for Healthcare Research and Quality (AHRQ) program

• Developed with the Department of Defense’s Patient Safety Program

teamstepps.ahrq.gov

TeamSTEPPS® & IPE

• “An evidence-based teamwork system to improve communication and teamwork skills among health care professionals”

• “A source for ready-to-use materials and a training curriculum to successfully integrate teamwork principles into all areas of your health care system”

teamstepps.ahrq.gov

TeamSTEPPS®

• http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/videos/ts_Huddle_ER/huddleER-400-300.html

teamstepps.ahrq.gov

Incorporation into the Curriculum

• Doctorate of Pharmacy program– Graduation requirement

– Not associated with a particular course

– Required for all practice faculty

• Bachelors of Science in Nursing program– Program requirement

– Associated with a particular course

– Requirement for clinical adjunct faculty

• Online prep work• 4-hour on site

training– Learning side-by-

side in groups

– Co-presented modules

– Summary video

– Friday/Satruday

• Online post work

Activity Sessions

Use of Technology

• Online learning platform– Prework module

• Embedded survey of TeamSTEPPS® Learning Benchmarks and Teamwork Attitudes Questionnaire tools

– Faculty biographies

– Postwork module

• Embedded survey of above

• Course evaluation

Student Feedback

• First session– Better communication– Use of tools in practice– More likely to speak up– Improved comfort in

working with teams

– Repetition from other coursework

– Scheduling

• Second session– Effective communication– Use of tools in practice– More prepared to deal with

conflict– Improved self-awareness– Improved team awareness

– Scheduling– Not enough small group

activities

• Curriculum supports IPE standards/recommendations• Master Training is free and convenient• Complete program that is customizable and FREE!• Interactive• Clinically focused• Materials appeal to different learning styles• Students get continuing education credit • Community partner requirement for employment

Why TeamSTEPPS®?

Challenges We Faced

• Logistical challenges– Scheduling

– Space/location

– 100% participation

– Place into a course

– Level of student

– Budget

• Faculty challenges– Scheduling

– Funding to travel for training

– Non-credit teaching

– Duplication of content from other courses

• Student challenges– Scheduling

– Place in curriculum

Strategies &Tips for Success

• Administrative support– Use the professional standards/recommendations

• Involve passionate faculty– Model interprofessional collaboration

• Ready and relevant curriculum– Consider TeamSTEPPS®

• Continuous quality improvement– Brief, huddle, and debrief!

Our Team

• Dr. Abraham• Professor Corigliano• Dr. Lavigne• Dr. Parker• Dr. Roman• Dr. Smith• Dr. Symoniak

Implementation of Curriculum-wide IPE for Pharmacy and Nursing Students at a Small

Private College Based on TeamSTEPPS®Melanie Symoniak, Pharm.D., BCPS

Kylene Abraham, DNP, APRN, RNC-OB

Questions?

References

• Accreditation Council for Pharmacy Education. Standards 2016. https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf. Accessed 5 Mar 2015.

• American Association of Colleges of Nursing. The essentials of baccalaureate education for professional nursing practice. http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf. Accessed 5 Mar 2015.

• Agency for Healthcare Research and Quality. TeamSTEPPS®: National Implementation. http://teamstepps.ahrq.gov/about-2cl_3.htm. Accessed 9 Mar 2015.

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Implementation of Curriculum-wide IPE for Pharmacy and Nursing Students at a Small Private College Based on TeamSTEPPS® Melanie Symoniak, Pharm.D., BCPS.

Documents

interprofessional practice

team members

team exposure

accreditation standards

healthcare team member

pharmacy education standard

anef slide

implementation of curriculum