Interprofessional Collaboration on Practice Placements

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Interprofessional Collaboration on Practice
Placements

• Kirsty Hyndes MMedSci MCSP
• University of Nottingham

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Aim

• To encourage the student to participate
  effectively in interprofessional approaches to
  health and social care and recognise scope of
  practice in all health and social care
  professions.

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IPL in the classroom
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IPL in clinical practice
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Why Clinical Practice?

• Real situation (Bond, 1993 Hilton Morris,
  2001)
• Patient centred care (Rehgehr Norman, 1996)
• Experiential learning (Bond, 1993)
• Peer learning mutual problem-solving (Lincoln
  McAllister, 1993 Ladyshewsky, 2000 Bond et al,
  2001)
• Adult learners (Knowles, 1980)

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Clinical practice
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Methodology 1

• Reflective document developed (2003)
• Piloted
• Amended
• Final document
• All physiotherapy students (n360)
• Potential 2800 documents

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The document

• Case study
• Management plan
• Profession specific differences discussed
• What did you learn from the other professional?
• How will this change your clinical reasoning in
  the future?
• Signed dated by both

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Methodology 2

• Documents placed in portfolio (confidential)
• Some were presented for summative assessment
  (public)
• Qualitative data
• documentary
• content analysis
• Initial findings

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Professions involved

• Speech and Language Therapist
• Occupational Therapist
• Orthotist
• Physiotherapist
• Medical student
• Nurse
• Social Worker

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Initial findings

• 6 themes are emerging
• communication
• respect
• partnership
• increased knowledge understanding
• patient benefit

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Communication issues
I have learnt the huge importance of MDT
meetings and interprofessional communication.
The SALT made a book that was specific to him,
it contained photographs of his family and
represented his life.It was an aid to help S
communicate improve his speech, but it also
demonstrated something about him. The speech
therapist made this patient a person.
There is a range of basic aids that could
ameliorate communication problems for lots of
therapists, and more importantly, patients.
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Communication issues
I feel more confident in liaising and working
with PT in future understanding their
perspective more.
We came across some difficult situations with
the patients wife regarding discharge planning
the OT handled these carefully and
professionally. Through this I learnt more about
how to handle awkward situations with family
members.
They (the MDT) should liaise closely and should
disclose relevant information to each other..to
improve patient care and reduce overlap.
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Respect
The success was made possible by the mutual
respect and good communication between
professionals the acknowledgement of shared Rx
goals.
I had no idea that they had so much knowledge
and understanding of the condition. It has
changed my view and I now have greater respect.
It has increased my knowledge and admiration for
the important part that OT play in providing
holistic care.
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Partnership
This has made me see that working in partnership
actually works because of the interlinks with
other professionals.
I learnt that by working together more, in
partnership, that we can use the same Ax to save
time improve the outcome. I learnt more about
the pt. this way.
it has helped me to realise how closely related
the roles of PT OT are, and has enabled me to
clearly see the benefit of working in partnership
in situations where a patient is receiving care
from both.
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Knowledge understanding
I gained a deeper knowledge of the pts social
life and this helped me to see how they could
achieve their goals.
I have increased awareness of how although a
plan is necessary, it may counteract another
treatment.
I realised how important it is in a patients
life to speak understand language as it can
affect impair rehab.
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Patient benefits
Encompassing both ideas into one treatment
programme has aided the patients development.
Knowing that referral will be of more benefit to
the patient and will ensure they receive the best
possible rehabilitation.
By combining the 2 treatments, and sharing
knowledge of the patients abilities, the patient
was able to achieve her goal prepare herself a
cold drink by the end of her stay.
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The importance of MDT working has been
emphasised to me when doing this exercise,
because of the results that I got from working
with others to facilitate progress in my
patients rehab discharge planning. I believe
that I will more readily consult discuss
patient progress with other professionals in
future will value their opinion as a health
care professionals.
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Thank you