Patients’ and parents’ perception of care on a paediatric interprofessional training ward

Abstract

Background Interprofessional training wards (ITWs) have been established in different fields of adult medicine to promote interprofessional learning and interprofessional collaboration of health care profession students. High patient satisfaction rates have been reported for ITWs. No data of parents’ and especially patients’ evaluation of care on a paediatric ITW have been reported so far. This study aims to evaluate parents’ and patients’ perceptions of medical and nursing care on a paediatric ITW. Methods In 2017 we established and started an interprofessional training ward in the setting of a general paediatric ward (IPAPAED). Medical students and nurse trainees care for 4–6 patients under supervision of registered nurses and certified physicians. All parents and all patients older than 8 years were invited to evaluate different aspect of their care on the IPAPAED. Results Since November 2017 until February 2019 parents (n = 109) rated the overall care of their children on the IPAPAED ward with m = 1.21 (SD ± .43) (1 = “excellent”, 4 = “poor”). Patients (n = 56) rated their overall care with m = 1.29 (SD ± 0.5). Other aspects of care and interprofessional collaboration were rated equally well. Analysis of the (limited) free-text commentaries revealed that perceived quality of care, friendliness and communication were especially valued by patients and parents. Discussion & conclusion On a paediatric ITW, in the view of parents and patients in our sample, a high level of care is delivered and satisfaction rates are excellent. An ITW seems, from a patient and parent point of view, feasible, even in paediatrics.

How do former medical and nursing undergraduates describe their learning on an interprofessional training Ward 12–18 months later? – A retrospective qualitative analysis

“…This can be provided on student-led clinics or interprofessional training wards, which are in-patient wards in clinical settings where undergraduates of various health care professions are responsible for collaborative patient care during their vocational training [ 3 ]. Interprofessional training wards (IPTWs) have shown to exhibit high quality of patient care [ 4 , 5 ], improve patient satisfaction [ 6 ] and are considered to be an effective educational method to develop interprofessional competencies among health professionals [ 3 , 7 ]. Pre- post-evaluations of the first IPTWs in Germany, with implementation as of 2017 [ 8 , 9 ], show that learners’ competencies in teamwork and collaboration, as well as attitudes towards interprofessional learning and interprofessional interaction improved significantly at the end of a placement on an IPTW [ 10 – 12 ].…”

SIESTA: a quick interprofessional learning activity fostering collaboration and communication between paediatric nursing trainees and medical students

“…SIESTA was implemented in the framework of IPAPAED. The characteristics of this training ward have been published previously [ 35 , 36 ]. Paediatric nursing trainees (NT) in the final year of a three year training and medical students (MS) in the 6th and final year of studies (two years pre-clinical, 4 years clinical) participated in the project and hence in the SIESTA study.…”

Evaluating the impact of interprofessional training wards on patient satisfaction and clinical outcomes: a mixed-methods analysis

“…Research specifically investigating patient outcomes within interprofessional training units remains limited ( 13 , 16 , 35 , 55–65 ), primarily emanating from Europe ( 13 , 35 , 38 , 39 , 55–59 , 61 , 62 , 66 ) and Australia ( 16 , 60 ). Predominantly located in surgical ( 13 , 58 ) and orthopedic departments ( 35 , 55–57 , 61 , 66 ), interprofessional training wards in other specialties like general medicine ( 16 ), emergency medicine ( 60 ), pediatrics ( 62 ), and rheumatology ( 35 , 61 ) are underexplored.…”

“…Research specifically investigating patient outcomes within interprofessional training units remains limited ( 13 , 16 , 35 , 55–65 ), primarily emanating from Europe ( 13 , 35 , 38 , 39 , 55–59 , 61 , 62 , 66 ) and Australia ( 16 , 60 ). Predominantly located in surgical ( 13 , 58 ) and orthopedic departments ( 35 , 55–57 , 61 , 66 ), interprofessional training wards in other specialties like general medicine ( 16 ), emergency medicine ( 60 ), pediatrics ( 62 ), and rheumatology ( 35 , 61 ) are underexplored. Existing studies often prioritize qualitative evaluations of patient satisfaction ( 13 , 16 , 19 , 35 , 56 , 57 , 59–62 , 66 , 67 ), with quantitative research typically focusing on complications ( 19 , 38–41 , 55 , 57 , 58 ) and sparingly on mortality ( 55 , 58 ).…”