Evaluation of interprofessional student teams in the emergency department : opportunities and challenges
- Hood, Kerry, Cross, Wendy, Cant, Robyn
- Authors: Hood, Kerry , Cross, Wendy , Cant, Robyn
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Medical Education Vol. 22, no. 1 (2022), p.
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- Description: Background: Interprofessional education opportunities are commonly university-based and require further development during clinical practice. Many clinical contexts offer the potential for meaningful learning of both collaborative and discipline-specific practice. The emergency department (ED) demands efficient teamwork, so presents a logical location for interprofessional learning. Methods: An interprofessional clinical placement program was implemented with the aim to enhance students’ capacity and self-efficacy for collaborative practice. Fifty-five medical and nursing students participated as interdisciplinary pairs in a two-week clinical placement in the ED. Students’ perceptions of the learning environment were measured pre- and post-placement with the Self-efficacy for Interprofessional Experiential Learning Scale and the Interprofessional Clinical Placement Learning Inventory was completed post-placement. Non-parametric tests were used to establish change differences. Results: The Placement Learning Inventory revealed positive outcomes; the majority (16/19) agreed/agreed strongly that the placement provided sufficient learning opportunities, was interesting, and made them feel as if they belonged and most (14/19) reported they achieved the discipline specific learning objectives set by the university. Self-efficacy improved significantly (p = 0.017), showing promise for future use of the placement model Challenges were identified in the organisation and supervision of students. In the absence of additional dedicated student supervision, this model of interprofessional student pairs in the ED was challenging. Conclusions: Interprofessional clinical placements in ED are an effective clinical learning approach for final year undergraduate medicine and nursing students. Recommendations for improvements for students’ clinical supervision are proposed for the placement model. © 2022, The Author(s).
- Authors: Hood, Kerry , Cross, Wendy , Cant, Robyn
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Medical Education Vol. 22, no. 1 (2022), p.
- Full Text:
- Reviewed:
- Description: Background: Interprofessional education opportunities are commonly university-based and require further development during clinical practice. Many clinical contexts offer the potential for meaningful learning of both collaborative and discipline-specific practice. The emergency department (ED) demands efficient teamwork, so presents a logical location for interprofessional learning. Methods: An interprofessional clinical placement program was implemented with the aim to enhance students’ capacity and self-efficacy for collaborative practice. Fifty-five medical and nursing students participated as interdisciplinary pairs in a two-week clinical placement in the ED. Students’ perceptions of the learning environment were measured pre- and post-placement with the Self-efficacy for Interprofessional Experiential Learning Scale and the Interprofessional Clinical Placement Learning Inventory was completed post-placement. Non-parametric tests were used to establish change differences. Results: The Placement Learning Inventory revealed positive outcomes; the majority (16/19) agreed/agreed strongly that the placement provided sufficient learning opportunities, was interesting, and made them feel as if they belonged and most (14/19) reported they achieved the discipline specific learning objectives set by the university. Self-efficacy improved significantly (p = 0.017), showing promise for future use of the placement model Challenges were identified in the organisation and supervision of students. In the absence of additional dedicated student supervision, this model of interprofessional student pairs in the ED was challenging. Conclusions: Interprofessional clinical placements in ED are an effective clinical learning approach for final year undergraduate medicine and nursing students. Recommendations for improvements for students’ clinical supervision are proposed for the placement model. © 2022, The Author(s).
Exploring interprofessional clinical placements to understand perceptions and outcomes for pre-registration healthcare students
- Authors: Hood, Kerry
- Date: 2021
- Type: Text , Thesis , PhD
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- Description: Background There is an ongoing need for preregistration healthcare students to acquire skills that equip them to collaborate with others for patient-centred care and outcomes. Traditional models of university learning and clinical placement seldom offer students the opportunities to experience interprofessional learning or to ‘test the waters’ of collaborative practice. Aims A range of interprofessional learning opportunities were offered to preregistration healthcare students while on clinical placement in a large metropolitan health service. This research evaluated interprofessional learning opportunities for preregistration healthcare students as preparation for collaborative practice. It also explored the perceived value for student learning of these activities and examined the challenges and opportunities accompanying the design and implementation of the student-led beds model. Methods A mixed methods approach was undertaken. In particular, there was a focus on the experiences of students in an immersive two-week interprofessional placement in which interprofessional student teams worked together to lead the care of inpatients in a variety of clinical settings. This experience enabled students to experience authentic collaborative practice in a real clinical setting. The Theory of Planned Behaviour was used to retrospectively evaluate the findings presented in the published papers. Outcomes This research reflects a journey of student experience of clinical interprofessional learning (IPL), from understanding attitudes to IPL to perceptions of clinical workshops and culminating in the experience of an immersive clinical placement. Outcomes included positive learning experiences and a sense of clarity of professional and interprofessional identity. The model of placement was informed by the international literature, most notably the ‘student-led bed’ model pioneered at Karolinska Institute in Sweden. Despite solid evidence of the usefulness and efficacy of this model, it is yet to be embedded in clinical environments across the world. This research demonstrated that the model can be successfully implemented in a metropolitan health service and may contribute to real behavioural change of our future health professionals
- Description: Doctor of Philosophy
- Authors: Hood, Kerry
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: Background There is an ongoing need for preregistration healthcare students to acquire skills that equip them to collaborate with others for patient-centred care and outcomes. Traditional models of university learning and clinical placement seldom offer students the opportunities to experience interprofessional learning or to ‘test the waters’ of collaborative practice. Aims A range of interprofessional learning opportunities were offered to preregistration healthcare students while on clinical placement in a large metropolitan health service. This research evaluated interprofessional learning opportunities for preregistration healthcare students as preparation for collaborative practice. It also explored the perceived value for student learning of these activities and examined the challenges and opportunities accompanying the design and implementation of the student-led beds model. Methods A mixed methods approach was undertaken. In particular, there was a focus on the experiences of students in an immersive two-week interprofessional placement in which interprofessional student teams worked together to lead the care of inpatients in a variety of clinical settings. This experience enabled students to experience authentic collaborative practice in a real clinical setting. The Theory of Planned Behaviour was used to retrospectively evaluate the findings presented in the published papers. Outcomes This research reflects a journey of student experience of clinical interprofessional learning (IPL), from understanding attitudes to IPL to perceptions of clinical workshops and culminating in the experience of an immersive clinical placement. Outcomes included positive learning experiences and a sense of clarity of professional and interprofessional identity. The model of placement was informed by the international literature, most notably the ‘student-led bed’ model pioneered at Karolinska Institute in Sweden. Despite solid evidence of the usefulness and efficacy of this model, it is yet to be embedded in clinical environments across the world. This research demonstrated that the model can be successfully implemented in a metropolitan health service and may contribute to real behavioural change of our future health professionals
- Description: Doctor of Philosophy
Measuring the quality of nursing clinical placements and the development of the Placement Evaluation Tool (PET) in a mixed methods co-design project
- Cooper, Simon J., Cant, Robyn, Waters, Donna, Luders, Elise, Henderson, Amanda, Willetts, Georgina, Tower, Marion, Reid-Searl, Kerry, Ryan, Colleen, Hood, Kerry
- Authors: Cooper, Simon J. , Cant, Robyn , Waters, Donna , Luders, Elise , Henderson, Amanda , Willetts, Georgina , Tower, Marion , Reid-Searl, Kerry , Ryan, Colleen , Hood, Kerry
- Date: 2020
- Type: Text , Journal article
- Relation: BMC Nursing Vol. 19, no. 1 (2020), p.
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- Description: Background: The quality of nursing clinical placements has been found to vary. Placement evaluation tools for nursing students are available but lack contemporary reviews of clinical settings. Therefore, the aim of this study was to develop a feasible, valid and reliable clinical placement evaluation tool applicable to nursing student placements in Australia. Methods: An exploratory mixed methods co-design project. Phase 1 included a literature review; expert rating of potential question items and Nominal Group Technique meetings with a range of stakeholders for item development. Phase 2 included on-line pilot testing of the Placement Evaluation Tool (PET) with 1263 nursing students, across all year levels at six Australian Universities and one further education college in 2019–20, to confirm validity, reliability and feasibility. Results: The PET included 19-items (rated on a 5-point agreement scale) and one global satisfaction rating (a 10-point scale). Placements were generally positively rated. The total scale score (19 items) revealed a median student rating of 81 points from a maximum of 95 and a median global satisfaction rating of 9/10. Criterion validity was confirmed by item correlation: Intra-class Correlation Co-efficient ICC =.709; scale total to global score r =.722; and items to total score ranging from.609 to.832. Strong concurrent validity was demonstrated with the Clinical Learning Environment and Supervision Scale (r =.834). Internal reliability was identified and confirmed in two subscale factors: Clinical Environment (Cronbach’s alpha =.94) and Learning Support (alpha =.96). Based on the short time taken to complete the survey (median 3.5 min) and students’ comments, the tool was deemed applicable and feasible. Conclusions: The PET was found to be valid, reliable and feasible. Use of the tool as a quality assurance measure is likely to improve education and practice in clinical environments. Further international evaluation of the instrument is required to fully determine its psychometric properties. © 2020, The Author(s).
- Description: This work was funded by the Council of Deans of Nursing and Midwifery (Australia and New Zealand) – 2019. The funding body had no role in the design of the study and collection, analysis, and interpretation of data, or in writing the manuscript.
- Authors: Cooper, Simon J. , Cant, Robyn , Waters, Donna , Luders, Elise , Henderson, Amanda , Willetts, Georgina , Tower, Marion , Reid-Searl, Kerry , Ryan, Colleen , Hood, Kerry
- Date: 2020
- Type: Text , Journal article
- Relation: BMC Nursing Vol. 19, no. 1 (2020), p.
- Full Text:
- Reviewed:
- Description: Background: The quality of nursing clinical placements has been found to vary. Placement evaluation tools for nursing students are available but lack contemporary reviews of clinical settings. Therefore, the aim of this study was to develop a feasible, valid and reliable clinical placement evaluation tool applicable to nursing student placements in Australia. Methods: An exploratory mixed methods co-design project. Phase 1 included a literature review; expert rating of potential question items and Nominal Group Technique meetings with a range of stakeholders for item development. Phase 2 included on-line pilot testing of the Placement Evaluation Tool (PET) with 1263 nursing students, across all year levels at six Australian Universities and one further education college in 2019–20, to confirm validity, reliability and feasibility. Results: The PET included 19-items (rated on a 5-point agreement scale) and one global satisfaction rating (a 10-point scale). Placements were generally positively rated. The total scale score (19 items) revealed a median student rating of 81 points from a maximum of 95 and a median global satisfaction rating of 9/10. Criterion validity was confirmed by item correlation: Intra-class Correlation Co-efficient ICC =.709; scale total to global score r =.722; and items to total score ranging from.609 to.832. Strong concurrent validity was demonstrated with the Clinical Learning Environment and Supervision Scale (r =.834). Internal reliability was identified and confirmed in two subscale factors: Clinical Environment (Cronbach’s alpha =.94) and Learning Support (alpha =.96). Based on the short time taken to complete the survey (median 3.5 min) and students’ comments, the tool was deemed applicable and feasible. Conclusions: The PET was found to be valid, reliable and feasible. Use of the tool as a quality assurance measure is likely to improve education and practice in clinical environments. Further international evaluation of the instrument is required to fully determine its psychometric properties. © 2020, The Author(s).
- Description: This work was funded by the Council of Deans of Nursing and Midwifery (Australia and New Zealand) – 2019. The funding body had no role in the design of the study and collection, analysis, and interpretation of data, or in writing the manuscript.
Understanding students' and clinicians' experiences of informal interprofessional workplace learning: An Australian qualitative study
- Rees, Charlotte, Crampton, Paul, Kent, Fiona, Brown, Ted, Hood, Kerry
- Authors: Rees, Charlotte , Crampton, Paul , Kent, Fiona , Brown, Ted , Hood, Kerry
- Date: 2018
- Type: Text , Journal article
- Relation: BMJ Open Vol. 8, no. 4 (2018), p.
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- Description: Objectives While postgraduate studies have begun to shed light on informal interprofessional workplace learning, studies with preregistration learners have typically focused on formal and structured work-based learning. The current study investigated preregistration students' informal interprofessional workplace learning by exploring students' and clinicians' experiences of interprofessional student-clinician (IPSC) interactions. Design A qualitative interview study using narrative techniques was conducted. Setting Student placements across multiple clinical sites in Victoria, Australia. Participants Through maximum variation sampling, 61 participants (38 students and 23 clinicians) were recruited from six professions (medicine, midwifery, nursing, occupational therapy, paramedicine and physiotherapy). Methods We conducted 12 group and 10 individual semistructured interviews. Themes were identified through framework analysis, and the similarities and differences in subthemes by participant group were interrogated. Results Six themes relating to four research questions were identified: (1) conceptualisations of IPSC interactions; (2) context for interaction experiences; (3) the nature of interaction experiences; (4) factors contributing to positive or negative interactions; (5) positive or negative consequences of interactions and (6) suggested improvements for IPSC interactions. Seven noteworthy differences in subthemes between students and clinicians and across the professions were identified. Conclusions Despite the results largely supporting previous postgraduate research, the findings illustrate greater breadth and depth of understandings, experiences and suggestions for preregistration education. Educators and students are encouraged to seek opportunities for informal interprofessional learning afforded by the workplace. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Kerry Hood” is provided in this record**
- Authors: Rees, Charlotte , Crampton, Paul , Kent, Fiona , Brown, Ted , Hood, Kerry
- Date: 2018
- Type: Text , Journal article
- Relation: BMJ Open Vol. 8, no. 4 (2018), p.
- Full Text:
- Reviewed:
- Description: Objectives While postgraduate studies have begun to shed light on informal interprofessional workplace learning, studies with preregistration learners have typically focused on formal and structured work-based learning. The current study investigated preregistration students' informal interprofessional workplace learning by exploring students' and clinicians' experiences of interprofessional student-clinician (IPSC) interactions. Design A qualitative interview study using narrative techniques was conducted. Setting Student placements across multiple clinical sites in Victoria, Australia. Participants Through maximum variation sampling, 61 participants (38 students and 23 clinicians) were recruited from six professions (medicine, midwifery, nursing, occupational therapy, paramedicine and physiotherapy). Methods We conducted 12 group and 10 individual semistructured interviews. Themes were identified through framework analysis, and the similarities and differences in subthemes by participant group were interrogated. Results Six themes relating to four research questions were identified: (1) conceptualisations of IPSC interactions; (2) context for interaction experiences; (3) the nature of interaction experiences; (4) factors contributing to positive or negative interactions; (5) positive or negative consequences of interactions and (6) suggested improvements for IPSC interactions. Seven noteworthy differences in subthemes between students and clinicians and across the professions were identified. Conclusions Despite the results largely supporting previous postgraduate research, the findings illustrate greater breadth and depth of understandings, experiences and suggestions for preregistration education. Educators and students are encouraged to seek opportunities for informal interprofessional learning afforded by the workplace. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Kerry Hood” is provided in this record**
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