Interprofessional learning: an international perspective

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Inter-professional learning an international
perspective

• A/Professor Jeffrey Braithwaite
• Ms Jo Travaglia
• Centre for Clinical Governance Research,
  University of New South Wales
• 31 January 2006

• For participating members of the Executive
  Management Group of the IPL project, ACT Health
• Ms Karen Murphy
• Adjunct Professor Jenny Beutel
• Ms Belinda OSullivan
• Dr Mary-Ann Ryall
• A/Professor Ruth Foxwell

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Agenda for this morning
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To begin

• Inter-professional learning is defined as a
  collaborative, interdisciplinary education and
  learning process designed to produce effective,
  multidisciplinary patient centred care.
• It emerges from work, particularly in Canada, the
  United Kingdom eg, at Universities of
  Southampton and Portsmouth, with Prof Debra
  Humphris

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To begin

• ACT Healths IPL project aims to
• Engage with key stakeholders
• Present emerging findings from the project
• Obtain input into the IPL framework
• Identify the concept of the IPL network to carry
  the project forward

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To begin

• What are the problems that IPL is designed to
  solve?
• Workforce shortages
• Professional sub-cultures and silos
• Barriers to teamwork
• Increasingly complex patient groups requiring
  inter-and multi-disciplinary responses
• Pressure for new models of care

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Where we started - literature review

• Total of 62,436 references
• Refined to 37,812 useful references
• Available as a document Inter-professional
  learning and clinical education 1990-2005 an
  annotated list of the literature
• Beware its 10,945 pages of 10pt text

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Literature review

• Further reduced to 3,765 key documents aiming
  at the most important and valuable research-based
  literature
• Literature analysed by researchers
  Inter-professional Learning Project Reference
  Group Leximancer content analysis software tool

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Literature review

• Main document produced Inter-professional
  learning and clinical education an overview of
  the literature
• Four background discussion documents on the ACT
  Health website
• 1 the governance and value of
  inter-professional learning and practice
• 2 inter-professional practice
• 3 inter-professional relations
• 4 clinical education and placements.

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Key themes from the literature

• Governance and value of IPL
• IPL an emerging issue, and becoming increasingly
  important
• Widely supported internationally
• Multiple benefits communication, patient
  outcomes improved
• Disadvantages identity of professionals, lack of
  evidence of effectiveness, governance difficult

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Key themes from the literature

• Inter-professional practice
• IPL related to increasing competence beyond
  individual professions
• Expands range of ideas, practices, issues,
  perspectives professionals are exposed to
• Teaches team skills
• Helps translate learning into practice

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Key themes from the literature

• Inter-professional relations
• IPL an antidote to working in silos
• Improves the capacity and actuality of
  collaboration
• Leads to more emphasis on teams
• Collaboration and teams in turn are seen as
  important ingredients in creating safer, higher
  quality care

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Key themes from the literature

• Clinical education and placements
• IPL bolsters clinical education in many ways
• It can bridge the twin areas responsible for
  delivering well trained clinical professionals
  the education and health sectors
• IPL placements help create more collaborative
  workforces

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A broad timeframe for the future

• Short term to enhance teamwork and collaboration
  amongst educational faculty and learners
  associated with ACT Health, and teams, units and
  services within the jurisdiction of ACT Health
• Medium term to encourage widespread
  collaborative practices and patient centred care
  throughout ACT Health
• Long term to contribute to improved safety,
  quality, morale and outcomes for patients, staff
  and students across ACT Health facilities and
  services

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Discussion

• IPL seems destined to emerge and rightly so, as
  the benefits outweigh the disadvantages for most
  commentators
• ACT Health is leading Australia in this
  initiative
• The next stage is to operationalise this project,
  ie, fund and institute it

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Discussion

• As well as doing a literature analysis we have
  produced a Framework document and an
  Implementation Plan
• These are documents which chart the course for
  IPL across ACT in the future
• They are also on the ACT Health website

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Discussion

• The Framework document and Implementation Plan
  cover the following details
• A statement of principles about IPL
• Specifications of IPLs purpose and importance
• A mission statement for IPL across ACT
• A stakeholder analysis

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Discussion

• Continued
• The major goals of IPL for ACT Health
• Some high-level performance indicators across
  time
• An analysis of barriers to progress
• Ways to overcome these
• Some discussion of change management models and
  enablers to chart the journey from now to a more
  IPL-oriented ACT

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Next steps

• We are also developing an ARC Linkage grant
  application
• This will help us undertake prospective,
  evidence-based analysis of our progress with IPL
• And provide strong data along the way to support
  implementation

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Conclusion where to from here?

• How it might end up

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Conclusion where to from here?

• How we want it to end up

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Audience discussion

• General questions?
• Questions to reflect on What
• (a) might be the implications for the College and
  its members?
• (b) are the implications for ACT Health and the
  ACT Tertiary education providers?
• (c) input into the next stages would participants
  care to provide?

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Closure

• We are at the dawn of a new era