Developing New Models of Interprofessional

Health Care – New and Old Evaluation

Professor Dawn Forman

Curtin University is a trademark of Curtin University of Technology

CRICOS Provider Code 00301J

Interprofessional Education Capability Framework – and the ICAT

Doctors for the Future

Now - Interprofessional first year workshops, 23 interprofessional placement opportunities Soon – medical program, refurbished clinic, more clinic spokes, IP simulation,

Curtin Interprofessional – Hub and Spoke Health and Wellness Clinics

The Aged Care Medical Centre

Allied Health

Service

GP

Care plan

Sign off

Specialist IPE service

e.g. Obesity

Medicines review

Holistic Health Lifestyle Review

by two or more students under

supervision

Client

Self referral

Referral from: GP, Community Nurse

Practice Nurse, Allied Health Profession

The Aged Care Medical Centre

Program piloted for 6 weeks. Final structure:

9.11.2012

Orientation and IPE introduction

•by IPE facilitator

Reviewing resident’s notes

•Students assisted by accredited pharmacists and/or Aged Care staff

Visiting the resident

•Students supervised by a Aged care staff (occupational therapist, RN or physiotherapist)

Consulting health professionals

•Accredited pharmacists, registered nurse, physiotherapist, occupational therapist

IPE discussion, care plan design

•Group presentation of IPE care plan to peers and supervisors

Data analysis • SPSS® vs. 19

• Summary of ISVS pre- and post- placement questionnaires scores and IPE DSMMR data collection form information

• Three ISVS sub-factors analysed

– ability to collaborate

– value in collaboration

– comfort in collaboration

• One-Way ANOVA and Chi-square tests

• Open ended responses analysed thematically

9.11.2012

Results

• 72 students reviewed 26 residents

9.11.2012

Variable Category N (% or SD)

Gender male 16 (61.5)

female 10 (38.5)

Mean age 87.5 ± 7.3

Wellness check urinary

incontinence

24 (92.3)

risk of falls 24 (92.3)

history of falls 19 (73.1)

cognitive

impairment

24 (92.3)

Mean number of active medical

conditions

6.1 ± 2.5

Mean number of regular

medications

8.38 ± 4.2

Mean number of ‘when

required’ medications

2.54 ± 1.5

Results cont’d • Significant improvement in students’ scores in post-placement ISVS questionnaire

sub-factors.

9.11.2012

0

5

10

15

20

25

30

35

40

45

50

ability to

collaborate

(p<0.0001)

value in

collaboration

(p<0.0001)

comfort in

collaboration

(p<0.0001)

44.6(0.7)

37.7 (0.6) 35.4 (0.6)

48.1(0.6)

41.4 (0.6) 39.4 (0.5)

Pre-placement

Post-placement

Mean and standard error values for students’ attitudes

towards ability to collaborate, value in collaboration and comfort

in collaboration pre and post placement

Clinical complexity as expressed by number of their medical conditions and number of medications did not affect these attitudes (p>0.05)

Thank you