Navigating Interprofessional Spaces: Experiences of Clients Living with Parkinson’s Disease, Students and Clinical Educators

Abstract

When students in interprofessional education and practice programmes partner with clients living with a long-term condition, the potential for a better client and educational experience is enhanced when the focus is on client self-management and empowerment. This paper reports the findings from a phenomenological study into the experiences of five clients, six speech language therapy students, eight physiotherapy students, and two clinical educators participating in a university clinic-based interprofessional programme for clients living in the community with Parkinson's Disease. Collaborative hermeneutic analysis was conducted to interpret the texts from client interviews and student and clinical educator focus groups held immediately after the programme. The overarching narratives emerging from the texts were: "client-centredness"; "who am I/why am I here?"; "understanding interprofessional collaboration and development"; "personal and professional development, awareness of self and others"; "the environment - safety and support". These narratives and the meanings within them were drawn together to develop a tentative metaphor-based framework of "navigating interprofessional spaces" showing how the narratives and meanings are connected. The framework identifies a temporal journey toward interprofessional collaboration impacted by diverse identities and understandings of self and others, varying expectations and interpretations of the programme, intra- and interpersonal, cultural and contextual spaces, and uncertainty. Shifts in being and doing and uncertainty appear to characterise client-driven, self-management focused interprofessional teamwork for all participants. These findings indicate that students need ongoing opportunities to share explicit understandings of interprofessional teamwork and dispel assumptions, since isolated interprofessional experiences may only begin to address these temporal processes.

‘Bumping along’: a qualitative metasynthesis of challenges to interprofessional placements

“…A total of 41 studies were included in the final synthesis . Study characteristics are summarised in Tables .…”

“…Educators on IPPs typically considered interprofessional contact and proximity sufficient:

We were bumping alongside each other … that bumping and rubbing … smoothes out the edges. (Educator, profession unspecified, university clinic)

…”

“…We were bumping alongside each other … that bumping and rubbing … smoothes out the edges. (Educator, profession unspecified, university clinic)…”

“…Educators and service users echoed this uncertainty, with one service user comparing participation in interprofessional goal setting with:

Deciding what I'm going to eat when I'm in a restaurant but I don't have a menu. (Service user, university clinic)

…”

“…Deciding what I'm going to eat when I'm in a restaurant but I don't have a menu. (Service user, university clinic)…”