Interprofessional education through shadowing experiences in multi-disciplinary clinical settings

Riva, John J.; Lam, Jessica M.S.; Stanford, Elizabeth C.; Moore, Ainsley; Endicott, Andrea R; Krawchenko, Iris

doi:10.1186/1746-1340-18-31

Cited by 34 publications

(32 citation statements)

References 14 publications

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“…Recent studies suggested that the value of prior experience with IPL in the workplace lies in improved professional identities and attitudes towards teamwork [5–8]. At the present time, the didactic educational component of each professional course is specific to that discipline with minimal interdisciplinary exposure until students enter clinical training [9].…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Readiness of Students of Healthcare Professions towards Interprofessional Learning

et al. 2017

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ObjectivesTo evaluate the attitudes and readiness of students of healthcare professions towards interprofessional learning.MethodologyA cross-sectional study design was used. Two different scales were used to measure the readiness for and perception of interprofessional learning; these were the 'Readiness for Interprofessional Learning Scale' and the 'Interdisciplinary Education Perception Scale'. A convenience sampling method was employed. The sample was drawn from undergraduate students enrolled in years 1 to 5 of medical, dental, pharmacy and health sciences programme. Descriptive and inferential statistics were used to analyse the data.ResultsThe overall response rate was 83%. The students mentioned that shared learning with other healthcare professional students will increase their ability to understand clinical problems. The students also mentioned that such shared learning will help them to communicate better with patients and other professionals. The students preferred to work with individuals from their own profession. Participants from medical, dental, pharmacy, and health sciences had a difference in opinion about 'negative professional identity', a domain of the Readiness for Interprofessional Learning Scale. Based on the different year of study of the students, 'team work and collaboration', 'negative professional identity' and 'roles and responsibility' were the Interdisciplinary Education Perception Scale domains where students had a difference in opinion.ConclusionsAttitudes and readiness towards interprofessional learning showed significant differences among students of various healthcare professions; these differences also depended on the students' year of study. Interprofessional learning should be incorporated in the curriculum of all healthcare professional programs, which may foster students to become competent healthcare providers and understand each profession's role.

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Section: Introductionmentioning

confidence: 99%

Attitudes and Readiness of Students of Healthcare Professions towards Interprofessional Learning

et al. 2017

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“…Interprofessional collaboration is an essential component for moving toward integrated health care [ 116 , 117 ]. Findings from this scoping review indicate that chiropractic is actively engaged in interprofessional primary care research in the area of musculoskeletal disorders.…”

Section: Discussionmentioning

confidence: 99%

Evidence-based practice, research utilization, and knowledge translation in chiropractic: a scoping review

Bussières

Zoubi

Stuber

et al. 2016

BMC Complement Altern Med

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BackgroundEvidence-based practice (EBP) gaps are widespread across health disciplines. Understanding factors supporting the uptake of evidence can inform the design of strategies to narrow these EBP gaps. Although research utilization (RU) and the factors associated with EBP have been reported in several health disciplines, to date this area has not been reviewed comprehensively in the chiropractic profession. The purpose of this review was to report on the current state of knowledge on EBP, RU, and knowledge translation (KT) in chiropractic.MethodsA scoping review using the Arksey and O’Malley framework was used to systematically select and summarize existing literature. Searches were conducted using a combination of keywords and MeSH terms from the earliest date available in each database to May 2015. Quantitative and thematic analyses of the selected literature were conducted.ResultsNearly 85 % (56/67) of the included studies were conducted in Canada, USA, UK or Australia. Thematic analysis for the three categories (EBP, RU, KT) revealed two themes related to EBP (attitudes and beliefs of chiropractors; implementation of EBP), three related to RU (guideline adherence; frequency and sources of information accessed; and perceived value of websites and search engines), and three related to KT (knowledge practice gaps; barriers and facilitators to knowledge use; and selection, tailoring, and implementation of interventions). EBP gaps were noted in the areas of assessment of activity limitation, determination of psychosocial factors influencing pain, general health indicators, establishing a prognosis, and exercise prescription. While most practitioners believed EBP and research to be important and a few studies suggested that traditional and online educational strategies could improve patient care, use of EBP and guideline adherence varied widely.ConclusionFindings suggest that the majority of chiropractors hold favourable attitudes and beliefs toward EBP. However, much remains to be done for chiropractors to routinely apply evidence into clinical practice. Educational strategies aimed at practicing chiropractors can lead to more EBP and improved patient care. The chiropractic profession requires more robust dissemination and implementation research to improve guideline adherence and patient health outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12906-016-1175-0) contains supplementary material, which is available to authorized users.

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“…All Shared Care clinicians also completed a half-day site visit at the partner clinic to job shadow one or more doctors during a typical day treating patients to develop interprofessional collaborative relationships [90]. When time allowed, GFMC doctors joined a case review session for clinical trials currently in progress at the PCCR to observe how BL2 evaluations would support the eligibility determination process.…”

Section: Methods and Designmentioning

confidence: 99%

Collaborative Care for Older Adults with low back pain by family medicine physicians and doctors of chiropractic (COCOA): study protocol for a randomized controlled trial

Goertz

Salsbury

Vining

et al. 2013

Trials

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BackgroundLow back pain is a prevalent and debilitating condition that affects the health and quality of life of older adults. Older people often consult primary care physicians about back pain, with many also receiving concurrent care from complementary and alternative medicine providers, most commonly doctors of chiropractic. However, a collaborative model of treatment coordination between these two provider groups has yet to be tested. The primary aim of the Collaborative Care for Older Adults Clinical Trial is to develop and evaluate the clinical effectiveness and feasibility of a patient-centered, collaborative care model with family medicine physicians and doctors of chiropractic for the treatment of low back pain in older adults.Methods/designThis pragmatic, pilot randomized controlled trial will enroll 120 participants, age 65 years or older with subacute or chronic low back pain lasting at least one month, from a community-based sample in the Quad-Cities, Iowa/Illinois, USA. Eligible participants are allocated in a 1:1:1 ratio to receive 12 weeks of medical care, concurrent medical and chiropractic care, or collaborative medical and chiropractic care. Primary outcomes are self-rated back pain and disability. Secondary outcomes include general and functional health status, symptom bothersomeness, expectations for treatment effectiveness and improvement, fear avoidance behaviors, depression, anxiety, satisfaction, medication use and health care utilization. Treatment safety and adverse events also are monitored. Participant-rated outcome measures are collected via self-reported questionnaires and computer-assisted telephone interviews at baseline, and at 4, 8, 12, 24, 36 and 52 weeks post-randomization. Provider-rated expectations for treatment effectiveness and participant improvement also are evaluated. Process outcomes are assessed through qualitative interviews with study participants and research clinicians, chart audits of progress notes and content analysis of clinical trial notes.DiscussionThis pragmatic, pilot randomized controlled trial uses a mixed method approach to evaluate the clinical effectiveness, feasibility, and participant and provider perceptions of collaborative care between medical doctors and doctors of chiropractic in the treatment of older adults with low back pain.Trial registrationThis trial registered in ClinicalTrials.gov on 04 March 2011 with the ID number of NCT01312233.

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Interprofessional education through shadowing experiences in multi-disciplinary clinical settings

Cited by 34 publications

References 14 publications

Attitudes and Readiness of Students of Healthcare Professions towards Interprofessional Learning

Attitudes and Readiness of Students of Healthcare Professions towards Interprofessional Learning

Evidence-based practice, research utilization, and knowledge translation in chiropractic: a scoping review

Collaborative Care for Older Adults with low back pain by family medicine physicians and doctors of chiropractic (COCOA): study protocol for a randomized controlled trial

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