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Stockert B1, MacLeod TD1
1California State University, Physical Therapy, Sacramento, United States
Background: Healthcare professionals practicing collaboratively, enhanced functioning of healthcare teams and improved patient outcomes are associated. However, the development of healthcare professionals capable of collaborative practice requires interprofessional education [IPE] and experiences during professional training. While the presence of IPE and experiences are profoundly important to the professional development of students in healthcare, the reality is that our understanding of the effect of IPE & experiences on physical therapy [PT] students' attitudes towards interprofessionalism is not well understood.
Purpose: The purpose of this study was to assess the impact of a simulated resuscitation experience using an interprofessional team on PT student attitudes towards interprofessionalism. We hypothesized the experience would increase survey scores demonstrating an improvement in interprofessional attitudes consistent with the four core competencies from the Interprofessional Education Collaborative; i.e.
1) values & ethics;
2) roles & responsibilities;
3) communication; and
4) teams & teamwork.
Methods: We administered surveys to 32 second year PT students during Fall 2016 & 2017. We received 61 useable surveys from the 64 students. We used the Interdisciplinary Education Perception Scale [IEPS] and the Attitudes toward Healthcare Teams [ATHT] surveys before & after the simulation lab experience. During simulation lab PT students worked with a patient that became unresponsive. The PT students were required to initiate cardiopulmonary resuscitation; i.e., call a code, which they coordinated with nursing students. The simulation was followed by a debriefing session using an interprofessional team of PT and Nursing faculty. All survey data were entered into a spreadsheet and analyzed using Statistical Package for the Social Sciences (version 25, Chicago, Il) to conduct a repeated multiple analysis of variance [ANOVA] with individual follow-up tests using one-way repeated ANOVAs, to examine each individual item as well as subscales for the two surveys over the two time points for potential differences. Significance was set at an alpha level of 0.05.
Results: The interprofessional simulated resuscitation experience had a significant impact on the results of the IEPS and the ATHT surveys. Six of 12 items on the IEPS improved significantly as well as the subscales for: Perception of Cooperation and Competency & Autonomy. The subscale for Perceived Need for Cooperation did not change. Sixteen of 21 items on the ATHT increased along with the subscales for Team Value and Team Efficiency. The subscale for Physician's Shared Role did not change.
Conclusion(s): The simulated interprofessional resuscitation experience had a significant impact on the interprofessional attitudes and perceptions of the PT students as demonstrated by two surveys: the IEPS and the ATHT. The improvement in 22 of the 33 items on the two surveys as well as the subscales for Perception of Cooperation, Competency & Autonomy, Team Value and Team Efficiency demonstrate an improvement in interprofessional attitudes consistent with the four core competencies from the Interprofessional Education Collaborative; i.e.
1) values & ethics;
2) roles & responsibilities;
3) communication; and
4) teams & teamwork.
Implications: Interprofessional simulation experiences can be used to promote and develop interprofessional attitudes and skills as well as enhance teamwork and promote collaborative practice.
Keywords: interprofessional education, collaborative practice, simulation
Funding acknowledgements: This study received intramural support from California State University, Sacramento through the College of Health and Human Services.
Purpose: The purpose of this study was to assess the impact of a simulated resuscitation experience using an interprofessional team on PT student attitudes towards interprofessionalism. We hypothesized the experience would increase survey scores demonstrating an improvement in interprofessional attitudes consistent with the four core competencies from the Interprofessional Education Collaborative; i.e.
1) values & ethics;
2) roles & responsibilities;
3) communication; and
4) teams & teamwork.
Methods: We administered surveys to 32 second year PT students during Fall 2016 & 2017. We received 61 useable surveys from the 64 students. We used the Interdisciplinary Education Perception Scale [IEPS] and the Attitudes toward Healthcare Teams [ATHT] surveys before & after the simulation lab experience. During simulation lab PT students worked with a patient that became unresponsive. The PT students were required to initiate cardiopulmonary resuscitation; i.e., call a code, which they coordinated with nursing students. The simulation was followed by a debriefing session using an interprofessional team of PT and Nursing faculty. All survey data were entered into a spreadsheet and analyzed using Statistical Package for the Social Sciences (version 25, Chicago, Il) to conduct a repeated multiple analysis of variance [ANOVA] with individual follow-up tests using one-way repeated ANOVAs, to examine each individual item as well as subscales for the two surveys over the two time points for potential differences. Significance was set at an alpha level of 0.05.
Results: The interprofessional simulated resuscitation experience had a significant impact on the results of the IEPS and the ATHT surveys. Six of 12 items on the IEPS improved significantly as well as the subscales for: Perception of Cooperation and Competency & Autonomy. The subscale for Perceived Need for Cooperation did not change. Sixteen of 21 items on the ATHT increased along with the subscales for Team Value and Team Efficiency. The subscale for Physician's Shared Role did not change.
Conclusion(s): The simulated interprofessional resuscitation experience had a significant impact on the interprofessional attitudes and perceptions of the PT students as demonstrated by two surveys: the IEPS and the ATHT. The improvement in 22 of the 33 items on the two surveys as well as the subscales for Perception of Cooperation, Competency & Autonomy, Team Value and Team Efficiency demonstrate an improvement in interprofessional attitudes consistent with the four core competencies from the Interprofessional Education Collaborative; i.e.
1) values & ethics;
2) roles & responsibilities;
3) communication; and
4) teams & teamwork.
Implications: Interprofessional simulation experiences can be used to promote and develop interprofessional attitudes and skills as well as enhance teamwork and promote collaborative practice.
Keywords: interprofessional education, collaborative practice, simulation
Funding acknowledgements: This study received intramural support from California State University, Sacramento through the College of Health and Human Services.
Topic: Education; Professionalism & ethics
Ethics approval required: Yes
Institution: California State University, Sacramento
Ethics committee: Institutional Review Board
Ethics number: 16-17-96
All authors, affiliations and abstracts have been published as submitted.
