Inter-Professional Education for Collaborative Practice in Health Care

Main Article Content

Tesfamicael Ghebrehiwet

Abstract

Today’s health care delivery is increasingly complex and the complex needs of patients demand that health professionals communicate and collaborate to deliver the best care. Governments around the world are looking for innovative solutions that will ensure the appropriate supply, mix and distribution of the health workforce. One of the most promising solutions can be found in inter-professional education (IPE) and collaboration. IPE occurs when students from different professions learn together at some point during their training in order to prepare them to work together in health teams. Unfortunately most health professional training institutions provide little or no opportunity for IPE. Effective inter-professional education (IPE) fosters respect among the health professions, eliminates negative stereotypes, and fosters a team approach in health care. At the same time quality of care is improved when health professionals learn together.  These considerations mean that the approach and content of medical, nursing and other curricula must adapt to adequately prepare health professionals to practice within the health team model. This will require the implementation of well-planned educational strategies; so that health professionals learn together in order to work together in coordinated manner to deliver person-centred and team-based health care. The paper highlights key issues in IPE and its benefits in the delivery of quality health care and improved patient safety through collaborative practice.

Article Details

Section
Regular Articles
Author Biography

Tesfamicael Ghebrehiwet, International Council of Nurses (ICN)

Tesfamicael (Tesfa) Ghebrehiwet, PhD, RN, is Consultant, Nursing and Health Policy, International Council of Nurses (ICN). He joined ICN in 1994. At ICN he is responsible for a number of programme areas including primary health care, HIV/AIDS, research and evidence-based practice, nursing ethics, and mental health. He is also Director of the ICN/MSD Mobile Library Project that delivers books to nurses in developing countries.   From 2004-2007 Dr. Ghebrehiwet directed ICN TB/MDR-TB Project and conducted training in six countries. He is the ICN representative to the World Health Organisation. Dr. Ghebrehiwet started his professional experience in Eritrea and Ethiopia where he held various positions including a staff nurse, nursing supervisor and nurse educator where he led a national training programme for nurses and primary health care workers. Prior to joining ICN, Dr. Ghebrehiwet served as Senior Lecturer and Head, Community Health Nursing Programme, College of Health Sciences, Kingdom of Bahrain. In this capacity he provided leadership in establishing a post-basic community health nursing programme and led the Programme for several years. In addition he thought in the associate degree, post-basic and bachelor of nursing programmes of the College of Health Sciences. He is a native of Eritrea and holds a citizenship of Canada.  Dr. Ghebrehiwet received his Bachelor of Science in Nursing degree from Indiana University (USA); Master of Public Health (MPH), Liverpool School of Tropical Medicine (UK); and PhD in public health from the University of Southampton (UK). He is the recipient of scholarships and awards including a USAID scholarship to Indiana University and an Award from the Vice-Chancellors and Deans of the UK. He was awarded the top prize for academic excellence during his MPH studies. Dr. Ghebrehiwet has served on a number of WHO consultations including Situational Analysis of the Advanced Nursing Practice Role in Primary Health Care in Oman, Global Outbreak Alert and Response, Patient Safety and HIV/AIDS. He has contributed widely to international journals including the Lancet, International Nursing Review, the World Health Bulletin, Building Quality in Health Care and Nursing Ethics. Dr. Ghebrehiwet is featured in the 2009 Who’s Who in Medicine and Health Care.

References

. Blue, A.V. Mitcham, M. Smith, T. Raymond, J. & Greenberg, R. (2010). Changing the future of health professions:embedding interprofessional education within and academic health centre. Acad Med. 85 (8): 1290-1295

World Health Organization (2010). Framework for Action on Interprofessional Education & Collaborative Practice. http://www.who.int/hrh/resources/framework_action/en/

.Gierman-Ribbon, C.M. & Salkoway, S.(2013). Teaching interprofessionalism to nursing students: A learning experience based on Allport’s intergroup contact theory. Nurs Educ Perspect, 34(1): 59-62.

. Mcpherson, K. Headrick, L, & Moss, F. (2001). Working and learning together: good quality care depends on it, but how can we achieve it? Qual Health Care, 10(suppl2): ii46-ii53.

. Kyamstrom, S. (2008). Difficulties in collaboration: A critical incident study of interprofessional healthcare team work. J Interprof Care, 22: 191-203.

. Barr H, Koppel I, Reeves S, Hammick M, Freeth D. (2005). Effective interprofessional education: argument, assumption and evidence. Oxford: Blackwell Publishing.

. Karim R, Ross C. (2008). Interprofessional education and chiropractic. J Can Chiropr Assoc. 52:766–78.

. World Health Organization (1978). Learning together to work together. Technical Report Series, 769. Geneva: WHO.

. Institute of Medicine Committee on Quality of Health Care in America (2001). Crossing the Quality Chasm: a new health system for the 21st century. Washington, DC: National Academy Press.

Health Canada (2007): Interprofessional Education on Patient Centered Collaborative Practice (IECPCP). Cited in the Canadian Interprofessional Collaborative. http://www.cihc.ca/files/publications/CIHC_IPE-LitReview_May07.pdf

. Horder, J. (2004). Interprofessional collaboration and interprofessional education. British Journal of General Practice, April 2004: 243-244.

. Drinka, T.J.K. Clark, P.G. (2000). Health Care Teamwork: Interdisciplinary Practice and Teaching. Connecticut: Auburn House.

. Frenk, J et al. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376:1923–1958)

. Lee, T. (2010). Turning doctors into leaders. Harvard Business Review, pp.50-58.

Institute of Medicine (2003). Health professions education: A bridge to quality. Washington, D.C., National Academy Press.

. Wheelan, S.A., Burchill, C.N., & Tilin, F. ( 2003). The link between teamwork and patients’ outcomes in intensive care units. American Journal of Critical Care, 12: 527-534.

. Jansen, L. (2008). Collaborative and Interdisciplinary Health 24 (4):218-227.

Department of Health, United Kingdom (2000). A Health Service for all the talents: developing the NHS workforce. London: Department of Health.

. Oandasan, I., Reeves, S. Key elements for interprofessional education (2005). Part 1: The learner, the educator and the learning context. Journal of Interprofessional Care, 19(2): 21 – 38)

. Reeves S et al.(2008). Interprofessional education: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews, 2008, Issue 1.

World Health Organization (2013). Transforming and scaling up health professionals’ education and training. World Health Organization Guidelines 2013. http://apps.who.int/iris/bitstream/10665/93635/1/9789241506502_eng.pdf)

. International Council of Nurses (2004). ICN monograph: Collaborative Practice in the 21st Century. Geneva: ICN.

. Mickan, S.M.(2005). Evaluating the effectiveness of health care teams. Australian Health Review, 29(2): 211-217.

Lemieux-Charles, L et l (2006). What do we know about health care team effectiveness? A review of the literature. Medical Care Research and Review, 63: 263–300.

Hughes, SL et al.(1992). A randomized trial of the cost-effectiveness of VA hospital-based home care for the terminally ill. Health ServicesResearch, 26:801–817

Jansson, A, Isacsson A, Lindholm L.H.(1992). Organisation of health care teams and the population’s contacts with primary care. Scandinavian Journal of Health Care, 10:257–265.

Naylor, C.J, Griffiths, R.D, Fernandez, R.S.(2004) Does a multidisciplinary total parenteral nutrition team improve outcomes? A systematic review. Journal of Parenteral and Enteral Nutrition, 28:251–258.

McAlister, F.A. et al.(2004) Multidisciplinary strategies for the management of heart failure patients at high risk for admission. Journal of the American College of Cardiology, 44:810–819.

Holland, R. et al. Systematic review of multidisciplinary interventions in heart failure.(2005). Heart, 91:899–906.

Sommers, L.S. et al. Physician, nurse, and social worker collaboration in primary care for chronically ill seniors.(2000). Archives of Internal Medicine, 160: 1825–1833.

. Loxley, A.(1997). Collaboration in health and welfare. London: Jessica Kingsley Publishers.