GeriWard: An Interprofessional Curriculum for Health Professions Student Teams on Systems-Based Care of the Hospitalized Older Adult

Rennke, Stephanie; Mackin, Lynda; Wallhagen, Margaret; Tam, Eunice; Jue, Vicki; Smoot, Betty; Lai, Cindy J.

doi:10.15766/mep_2374-8265.9533

Cited by 2 publications

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“…[12][13][14][15][16] In Rennke and colleagues' GeriWard and Larson and colleagues' GeriWard Falls curricula, IP student teams work with actual hospitalized older adults, but these shortlived (2 hours) experiences occur in an acute care rather than outpatient or longitudinal environment, which limits patient and team continuity for students. 17,18 Skilled nursing facilities (SNFs), unlike the inpatient wards, care for complex geriatric populations and offer real-world clinical environments focused on longer-term patient care with intrinsic and authentic IP team practice.…”

Section: Introductionmentioning

confidence: 99%

Fostering Interprofessional Geriatric Patient Care Skills for Health Professions Students Through a Nursing Facility–Based Immersion Rotation

2020

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Introduction: Interprofessional (IP) clinical care is ideally taught in authentic environments; however, training programs often lack authentic opportunities for health professions students to practice IP patient care. Skilled nursing facilities (SNFs) can offer such opportunities, particularly for geriatric patient care, but are underutilized as training sites. We present an IP nursing facility rotation (IP-SNF) in which medical, pharmacy, and physical therapy students provided collaborative geriatric patient care. Methods: Our 10-day immersion rotation focused on four geriatric competencies common to all three professions: appropriate/hazardous medications, patient self-care capacity, evaluating and treating falls, and IP collaboration. Activities included conducting medication reviews, quarterly care planning, evaluating functional status/fall risk, and presenting team recommendations at SNF meetings. Facility faculty/staff provided preceptorship and assessed team presentations. Course evaluations included students' pre/post objective-based self-assessment, as well as facility faculty/staff evaluations of interactions with students. Results: Thirty-two students (15 medical, 12 pharmacy, five physical therapy) participated in the first 2 years. Evaluations (n = 31) suggested IP-SNF filled gaps in students' geriatrics and IP education. Pre/post self-assessment showed significant improvement (p < .001) in self-confidence related to course objectives. Faculty/staff indicated students added value to SNF patient care. Challenges included maximizing patient care experiences while allowing adequate team work time. Discussion: IP-SNF showcases the feasibility of, and potential for, engaging learners in real-world IP geriatric patient care in a SNF. Activities and materials must be carefully designed and implemented to engage all levels/types of IP learners and ensure valuable learning experiences.

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Section: Introductionmentioning

confidence: 99%

Fostering Interprofessional Geriatric Patient Care Skills for Health Professions Students Through a Nursing Facility–Based Immersion Rotation

2020

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“…This innovative curriculum expands on the existing GeriWard curriculum that addresses competencies in skin breakdown, restraints, and Foley catheter use by addressing new educational content related to falls with a bedside clinical evaluation and utilizing students' evaluations to directly impact patient care. 4…”

Section: Introductionmentioning

confidence: 99%

GeriWard Falls: An Interprofessional Team-Based Curriculum on Falls in the Hospitalized Older Adult

2016

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Introduction Interprofessional (IP) collaboration is key in caring for older adults and a critical part of health professions education. Falls are a source of significant morbidity and mortality in older adults. GeriWard, an innovative curriculum, emphasizes IP collaboration during a clinical encounter with a hospitalized older adult. GeriWard Falls expands on the existing GeriWard curriculum, allowing medical, pharmacy, physical therapy, and nursing students to conduct a comprehensive falls risk evaluation at the bedside. Methods The 2-hour exercise consists of participation in a team-based falls risk assessment at the bedside of a hospitalized older adult, development of a falls care plan and communication with the patient and primary inpatient physicians, and completion of clinical questions focused on systems-based interventions to reduce fall risk. Results A total of 39 students participated in two sessions. Ninety-seven percent of students were likely to change their clinical activities as a result of the session. Faculty facilitators cited the students' ability to effectively collaborate, identify risk factors for falls, and propose systems-based interventions to reduce falls risk. Seventy-eight percent of primary inpatient physicians planned to implement at least one of the IP team recommendations; 89% agreed that the IP team recommendations were helpful. Discussion The activity was engaging for students and helped them achieve competency with fall risk assessment. Communication of the students' assessment to the primary medical team not only was useful to the primary team but also helped students understand how systems can affect patient care.

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GeriWard: An Interprofessional Curriculum for Health Professions Student Teams on Systems-Based Care of the Hospitalized Older Adult

Cited by 2 publications

References 0 publications

Fostering Interprofessional Geriatric Patient Care Skills for Health Professions Students Through a Nursing Facility–Based Immersion Rotation

Fostering Interprofessional Geriatric Patient Care Skills for Health Professions Students Through a Nursing Facility–Based Immersion Rotation

GeriWard Falls: An Interprofessional Team-Based Curriculum on Falls in the Hospitalized Older Adult

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