Implementation of Curriculum-wide IPE for
Pharmacy and Nursing Students at a Small
Private College Based on TeamSTEPPS®
Melanie Symoniak, Pharm.D., BCPS
Kylene Abraham, DNP, APRN, RNC-OB
Acknowledgements
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•
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Anthony Corigliano, RPh
Jill Lavigne, Ph.D., MS, MPH
Karen Parker, DNP, RN, FNP-C
Tammy Roman, Ed.D, MSN, RN, CNE
Charlene Smith, DNS, MSEd, WHNP, RN-BC, CNE, ANEF
Learning Objectives
• Discuss accreditation standards or recommendations
for IPE within pharmacy and nursing programs
• Describe advantages of using TeamSTEPPS® for
IPE
• Identify barriers to implementing IPE via
TeamSTEPPS® across the curriculum
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Pharmacy Curriculum Standards
• Accreditation Council for Pharmacy Education
– Standard 11: Interprofessional Education (IPE). The
curriculum prepares all students to provide entry-level,
patient-centered care in a variety of practice settings
as a contributing member of an interprofessional team.
In the aggregate, team exposure includes prescribers
as well as other healthcare professionals.
– Key elements:
• Interprofessional team dynamics
• Interprofessional team education
• Interprofessional team practice
ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
Pharmacy Curriculum Standards
• Interprofessional team dynamics – “…articulating the
values and ethics that underpin interprofessional
practice, engaging in effective interprofessional
communication, including conflict resolution and
documentation skills, and honoring interprofessional
roles and responsibilities.”
ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
Pharmacy Curriculum Standards
• Interprofessional team education – “… opportunities
to learn about, from, and with other members of the
interprofessional healthcare team.” “…students gain
an understanding of the abilities, competencies, and
scope of practice of team members.”
ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
Pharmacy Curriculum Standards
• Interprofessional team practice – “… participate as
healthcare team member in providing direct patient
care and engaging in shared therapeutic decisionmaking.” “…including face-to-face interactions that
are designed to advance interprofessional team
effectiveness”
ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
Pharmacy Curriculum Standards
• Accreditation Council for Pharmacy Education
– Standard 18: Faculty and Staff – Quantitative Factors
• 18.1 Sufficient faculty – “the college or school has a
sufficient number of faculty members to effectively
address the following programmatic needs:
– Intraprofessional and interprofessional
collaboration…”
ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
Nursing Curriculum Recommendations
• American Association of colleges of Nursing (ACCN)
– Essential VI Interprofessional Communication and
Collaboration for Improving Patient Health Outcomes.
The baccalaureate program prepares the graduate to:
• Compare/contrast the roles and perspectives of
the nursing profession with other care
professionals on the healthcare team (i.e.,
scope of discipline, education and licensure
requirements).
AACN. http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials. 2008.
Nursing Curriculum Recommendations
• Use inter and intraprofessional communication
and collaborative skills to deliver evidencebased, patient-centered care.
• Incorporate effective communication
techniques, including negotiation and conflict
resolution to produce positive professional
working relationships.
AACN. http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials. 2008.
Nursing Curriculum Recommendations
• Contribute the unique nursing perspective to
interprofessional teams to optimize patient
outcomes.
• Demonstrate appropriate teambuilding and
collaborative strategies when working with
interprofessional teams.
• Advocate for high quality and safe patient care
as a member of the interprofessional team.
AACN. http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials. 2008.
Other Professional Standards & IPE
IPE Themes
Health Professional Schools
IP communication
X
Appreciation
of others’
roles
X
X
Collaboration
and
teamwork
X
X
IP learning
X
• What are
the standards/recommendations
for yourSocial
Dentistry
Medicine Nursing Pharmacy Public
program?
Health
Work
X
X
X
X
X
X
X
X
X
X
Resources that Support IPE
• Institute of Medicine (IOM)
– To Err is Human: Building A Safer Health System, 1999
– Health Professions Education, A Bridge to Quality, 2003
– The Future of Nursing: Leading Change, Advancing
Health, 2010
– Global Forum on Innovation in Health Professional
Education, 2012
Resources that Support IPE
• World Health Organization (WHO): Framework for
action on interprofessional education and collaborative
practice, 2010
• Lancet Commission Report, Health Professionals for a
New Century: Transforming Education to Strengthen
Health Systems in an Interdependent World, 2010
• Interprofessional Education Collaborative: Core
Competencies for Interprofessional Collaborative
Practice, 2011
Our Timeline
• Established an interprofessional faculty committee
• Set goals
– Based on standards/recommendations
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Brainstormed IPE opportunities
Obtained administrative approval
Trained our faculty
Integrated TeamSTEPPS® into curricula
Collected outcomes
– Revise as needed
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Joint Goals Based on Standards
• Incorporate IPE into the pre-experiential curriculum
so that students will be able to
– Identify the impact of using teamwork on patient safety
– Improve communication using effective strategies and
tools
– Improve ability to deal effectively with conflict
– Increase understanding of interprofessional team skills
and responsibilities
TeamSTEPPS®
• Agency for Healthcare Research
and Quality (AHRQ) program
• Developed with the
Department of Defense’s
Patient Safety Program
teamstepps.ahrq.gov
TeamSTEPPS® & IPE
• “An evidence-based teamwork system to improve
communication and teamwork skills among health
care professionals”
• “A source for ready-to-use materials and a training
curriculum to successfully integrate teamwork
principles into all areas of your health care system”
teamstepps.ahrq.gov
TeamSTEPPS®
• http://www.ahrq.gov/professionals/education/curriculumtools/teamstepps/instructor/videos/ts_Huddle_ER/huddleE
R-400-300.html
teamstepps.ahrq.gov
Incorporation into the Curriculum
• Doctorate of Pharmacy program
– Graduation requirement
– Not associated with a particular course
– Required for all practice faculty
• Bachelors of Science in Nursing program
– Program requirement
– Associated with a particular course
– Requirement for clinical adjunct faculty
• Online prep work
• 4-hour on site
training
– Learning side-byside in groups
– Co-presented
modules
– Summary video
– Friday/Satruday
• Online post work
Activity Sessions
Use of Technology
• Online learning platform
– Prework module
• Embedded survey of TeamSTEPPS® Learning
Benchmarks and Teamwork Attitudes
Questionnaire tools
– Faculty biographies
– Postwork module
• Embedded survey of above
• Course evaluation
Student Feedback
• First session
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Better communication
Use of tools in practice
More likely to speak up
Improved comfort in
working with teams
– Repetition from other
coursework
– Scheduling
• Second session
– Effective communication
– Use of tools in practice
– More prepared to deal with
conflict
– Improved self-awareness
– Improved team awareness
– Scheduling
– Not enough small group
activities
Why TeamSTEPPS®?
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Curriculum supports IPE standards/recommendations
Master Training is free and convenient
Complete program that is customizable and FREE!
Interactive
Clinically focused
Materials appeal to different learning styles
Students get continuing education credit
Community partner requirement for employment
Challenges We Faced
• Logistical challenges
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–
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Scheduling
Space/location
100% participation
Place into a course
Level of student
Budget
• Faculty challenges
– Scheduling
– Funding to travel for
training
– Non-credit teaching
– Duplication of content
from other courses
• Student challenges
– Scheduling
– Place in curriculum
Strategies &Tips for Success
• Administrative support
– Use the professional standards/recommendations
• Involve passionate faculty
– Model interprofessional collaboration
• Ready and relevant curriculum
– Consider TeamSTEPPS®
• Continuous quality improvement
– Brief, huddle, and debrief!
Our Team
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Dr. Abraham
Professor Corigliano
Dr. Lavigne
Dr. Parker
Dr. Roman
Dr. Smith
Dr. Symoniak
Questions?
Implementation of Curriculum-wide IPE for
Pharmacy and Nursing Students at a Small
Private College Based on TeamSTEPPS®
Melanie Symoniak, Pharm.D., BCPS
Kylene Abraham, DNP, APRN, RNC-OB
References
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Accreditation Council for Pharmacy Education. Standards 2016.
https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf. Accessed
5 Mar 2015.
American Association of Colleges of Nursing. The essentials of
baccalaureate education for professional nursing practice.
http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf.
Accessed 5 Mar 2015.
Agency for Healthcare Research and Quality. TeamSTEPPS®:
National Implementation. http://teamstepps.ahrq.gov/about-2cl_3.htm.
Accessed 9 Mar 2015.
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