Classification of the intensity of interprofessional learning in the context of clinical placements: a proposal based on theoretical foundations in interprofessional education and the results of a narrative review
DOI:
https://doi.org/10.36834/cmej.76460Abstract
Context: In terms of interprofessional education (IPE), clinical internships are an interesting opportunity to anchor theoretical knowledge of interprofessionalism in an authentic context. However, even if there is a diversity of experiences described in the scientific literature regarding placement contexts, objectives, and modalities, no taxonomy is adapted to interprofessional internships.
Purpose: This article, therefore, proposes an original classification of the intensity of experiences and learning in the context of interprofessional internship experiences based on the modality of learning offered, the degree of experience with patients, the predictability and complexity of tasks required, the focus of learning and the duration of the internship. This classification is grounded in the theoretical foundations of IPE and on data from a narrative review analysis on this subject.
Method: A narrative literature review was conducted to target articles on interprofessional internship experiences in health and social services. The analysis process unfolded through iterations between data collection from the articles and analysis based on the theoretical foundations of IPE and expertise of research team members. In accordance with the instructional design research specifications, this process led to the proposal, then to the validation, of a classification of the intensity of interprofessional learning in clinical placements.
Results: This classification is composed of four levels suggesting an evolution of the intensity of the educational experience according to the modality and focus of learning, the degree of exposure to patients; the predictability and complexity of the tasks and the duration of the internship.
Conclusion: This type of classification will help future instigators of internships to plan, rigorously, and coherently, the progression of learners' knowledge and skills development in IPE based on their program context and goals.
References
1. Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century : Transforming education to strengthen health systems in an interdependent world. The Lancet, 2010; 376(9756): 1923‑1958. https://doi.org/10.1016/S0140-6736(10)61854-5
2. World Health Organization [WHO]. Framework for action on Interprofessional Education et Collaborative Practice. 2010 Geneva: WHO
3. Goldman J, Zwarenstein M, Bhattacharyya O, Reeves S. Improving the clarity of the interprofessional field: implications for research and continuing interprofessional education. J Contin Educ Health Prof. 2009; 29(3): 151-156. https://doi.org/10.1002/chp.20028.
4. Hammick M, Freeth D, Koppel I, Reeves S, Barr H. A best evidence systematic review of interprofessional education: BEME Guide no. 9. Med Teach. 2007; 29(8): 735-751. https://doi.org/10.1080/01421590701682576.
5. Oandasan I, Reeves S. Key elements of interprofessional education. Part 2 : Factors, processes and outcomes. J Interprof Care, 2005;19(sup1): 39‑48. https://doi.org/10.1080/13561820500081703
6. Jensen CB, Norbye B, Dahlgren MA, Iversen A. Getting real in interprofessional clinical placements: patient-centeredness in student teams’ collaborative learning. Adv Health Sci Educ. 2023; 28(3), 687-703. https://doi.org/10.1007/s10459-022-10182-y
7. Ford M, Martin P, Sy M. Twelve tips to support healthcare teams to incorporate interprofessional education and collaborative practice into day-to-day workplace practices, 2023; J Pract Teach Learn. 19(3), 67-84. https://doi.org/10.1921/jpts.v19i3.1835
8. Itzhaki M, Katz Leurer M, Warshawski S, Avrech Bar M. Preparedness of health professions students for interprofessional collaboration: a mixed method study, 2023; Teach High Educ. 28(1), 66-84. https://doi.org/10.1080/13562517.2020.1769057
9. Mattiazzi S, Cottrell N, Ng N, Beckman E. The impact of interprofessional education interventions in health professional student clinical training: a systematic review. 2023; J Interprofess Educ Pract. 30, 100596. https://doi.org/10.1016/j.xjep.2022.100596
10. Brewer ML, Barr H. Interprofessional education and practice Guide No. 8: Team-based interprofessional practice placements. J Interprof Care, 2016; 30(6): 747-753. https://doi.org/10.1080/13561820.2016.1220930
11. Bogossian F, New K, George K, et al. The implementation of interprofessional education: a scoping review. Adv Health Sci Educ. 2023; 28(1), 243-277. https://doi.org/10.1007/s10459-022-10128-4
12. Bainbridge L, Wood VI. The power of prepositions: a taxonomy for interprofessional education. J Interprof Care. 2013; 27(2): 131‑136. https://doi.org/10.3109/13561820.2012.725231
13. Charles G, Bainbridge L, Gilbert J. The University of British Columbia model of interprofessional education. J Interprof Care. 2010; 24(1): 9‑18. https://doi.org/10.3109/13561820903294549
14. O’Leary N, Salmon N, O’Donnell M, Murphy S, Mannion J. Interprofessional education and practice guide: profiling readiness for practice-based IPE. J Interprof Care. 2023; 37(1), 150-155. https://doi.org/10.1080/13561820.2022.2038551
15. Wang F, Hannafin MJ. Design-based research and technology-enhanced learning environments. Educ Tech Res Dev. 2005; 53(4): 5-23. https://doi.org/10.1007/BF02504682
16. Baumeister RF, Leary MR. Writing narrative literature reviews. Rev Gen Psychol. 1997;1(3), 311-320. https://doi.org/10.1037//1089-2680.1.3.311
17. Cooper H, Braye S, Geyer R. Complexity and interprofessional education. Learn Health Soc Care, 2004; 3(4), 179-189. https://doi.org/10.1111/j.1473-6861.2004.00076.x
18. Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009; 6(7): e1000100. https://doi.org/10.1371/journal.pmed.1000100
19. Stoll CRT, Izadi S, Fowler S, Green P, Suls J, Colditz GA. The value of a second reviewer for study selection in systematic reviews. Res Synth Methods, 2019; 10(4):539-545. https://doi.org/10.1002/jrsm.1369
20. Saunders B, Sim J, Kingstone T, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893-1907. https://doi.org/10.1007/s11135-017-0574-8
21. Anderson E, Manek N, Davidson, A. Evaluation of a model for maximizing interprofessional education in an acute hospital. J Interprof Care. 2006; 20(2): 182-194. https://doi.org/10.1080/13561820600625300
22. O'Carroll, V., Braid, M., Ker, J., & Jackson, C. How can student experience enhance the development of a model of interprofessional clinical skills education in the practice placement setting? J Interprof Care. 2012; 26(6), 508-510. https://doi.org/10.3109/13561820.2012.709202
23. Fairchild A, Watanabe S, Chambers C, Yurick J, Lem L, Tachynski P. Initiation of a multidisciplinary summer studentship in palliative and supportive care in oncology. J Multidis Healthc. 2012; 5: 231. https://doi.org/10.2147/JMDH.S34527
24. Cragg B, Hirsh M, Jelley W, Barnes P. An interprofessional rural clinical placement pilot project. J Interprof Care. 2010; 24(2): 207-209. https://doi.org/10.1080/13561820902886311
25. Brewer ML, Stewart-Wynne EG. An Australian hospital-based student training ward delivering safe, client-centred care while developing students’ interprofessional practice capabilities. J Interprof Care, 2013; 27(6): 482-488. https://doi.org/10.3109/13561820.2013.811639
26. Battistone MJ, Barker AM, Grotzke MP, et al. Effectiveness of an interprofessional and multidisciplinary musculoskeletal training program. JGME. 2016; 8(3), 398-404. https://doi.org/10.4300/JGME-D-15-00391.1
27. World Health Organization. Global competency and outcomes framework for universal health coverage. 2022, WHO. 116 p
28. Savard I, Richard, A, Careau, E, Perreault K, Pinard, AM. Démarche de design pédagogique pour outiller l’évaluation, l’enseignement et l’apprentissage de la collaboration interprofessionnelle en situation authentique. Dionne, Éric; Renaud, Jean-Sébastien et Loye, Nathalie (dir.), Sous presse. Les environnements d’apprentissage et d’évaluation en éducation médicale. Québec, Canada : Presses de l’Université du Québec.
29. Péladeau N, Forget J, Gagné F. Le transfert des apprentissages et la réforme de l’éducation au Québec : Quelques mises au point. Revue des sciences de l’éducation, 2005; 31(1) : 187‑209. https://doi.org/10.7202/012364ar
30. Savard I, Gagné N. Considérer la diversité de contextes et de cultures dans les environnements numériques d’apprentissage, dans G. Paquette, J.Basque et F. Henri (Dir.), 2022; Apprendre et enseigner sur le web : Quelle ingénierie pédagogique ?, Université TÉLUQ.
31. Reeves S, Boet S, Zierler B, Kitto S. Interprofessional Education and Practice Guide No. 3: Evaluating interprofessional education. J Interprof Care. 2015; 29(4): 305-312. https://doi.org/10.3109/13561820.2014.1003637
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