Can Workshops Provide a Way to Enhance Patient/Client Centered Collaborative Teams?: Evidence of Outcomes from TEAMc Online Facilitator Training and Team Workshops
The movement towards collaborative interprofessional teamwork for improving patient care has sometimes been impeded by health providers who have a desire to work together, but are unsure how to move towards such models of care delivery. The situation can be complicated by some reluctance on the part of health care institutions to release staff from normal duties to participate in team building training. The purpose of this study was to report on a collaborative team building process supported by the hospital administration in northern Ontario, Canada, and to provide evaluation results for the Toolkit for Enhancing and Maintaining Team Collaboration (TEAMc) using measurements before the start, at the end of the workshop series and at eight months post-series. Participants were from two teams (Acute Care and Rehabilitation) in a northern Ontario, Canada, hospital. TEAMc was comprised of six, 3-hour workshops offered over six months in 2014/15. A total of 77 health providers completed the pre-intervention Interprofessional Socialization & Valuing Scale (ISVS) and the Assessment of Interprofessional Team Collaboration Scale (AITCS), 50 health providers completed the post-intervention instruments and 32 and at the eight month follow-up. The study found that TEAMc can result in changes in team members’ socialization towards wanting to participate in interprofessional teams and in the team’s ability to emulate interprofessional client-centered collaborative practice. The greatest learning gained by participants was around their role clarification and understanding of each other’s roles and expertise, as well as developing their capacity to use a process to resolve interprofessional conflicts.
Adams, T.L., Orchard, C., Houghton, P., and Ogrin, R. (2014) ‘The metamorphosis of a collaborative team: From creation to operation.’ Journal of Interprofessional Care, 28 (4), 339–344 http://dx.doi.org/10.3109/13561820.2014.891571
Baker, D.P., Amodeo, A.M., Krokos, K.J., Slonim, A., and Herrera, H. (2010) ‘Assessing teamwork attitudes in healthcare: Development of the TeamSTEPPS teamwork attitudes questionnaire.’ Quality and Safety in Health Care, 19 (e49), 1–4 http://dx.doi.org/10.1136/qshc.2009.036129
Bonello, R.S., Fletcher, C.E., Becker, W.K., Clutter, K.L. Arjes, S.L., Cook, J.J., and Petzel, R.A. (2008) ‘An intensive care unit quality improvement collaborative in nine Department of Veterans Affairs Hospitals: Reducing ventilator-associated pneumonia and catheter-related bloodstream infection rates.’ Joint Commission on Accreditation of Healthcare Organization, 34 (11), 639–645
Canadian Interprofessional Health Collaborative (CIHC) (2010) A national interprofessional competency framework. Available from http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf [1 August 2016]
Centre for the Advancement of Interprofessional Education (CAIPE) (2002) Defining Interprofessional Education. Available from http://caipe.org.uk/resources/defining-ipe/ [1 August 2016]
Cooperrider, D.L. and Whitney, D. (2005) Appreciative Inquiry: A Positive Revolution in Change. San Francisco, CA: Berrett-Koehler
D’Amour, D. and Oandason, I. (2005) ‘Interprofessionality as the field of interprofessional practice and interprofessional education: An emerging concept.’ Journal of Interprofessional Care, 19 (Suppl.1), 8–20 http://dx.doi.org/10.1080/13561820500081604
Global Air Training (n.d.) Crew Resource Management. Available from http://www.globalairtraining.com/crew-resource-management.php?gclid=CJb63_nfltACFUY8GwodQ64B_A [7 November 2016]
Hammick, M. (ed.) (2005) ‘Interprofessional education for collaborative patient-centred care: Canada as a case study. [Special issue]’ Journal of Interprofessional Care [online] 19 (Suppl.1). available from http://www.tandfonline.com/toc/ijic20/19/sup1
Hansen, T.B., Jacobsen, F., and Larsen, K. (2009) ‘Cost effective interprofessional training: An evaluation of a training unit in Denmark.’ Journal of Interprofessional Care, 23 (3), 234–241 http://dx.doi.org/10.1080/13561820802602420
King, G., Shaw, L, Orchard, C.A., and Miller, S. (2010) ‘The interprofessional socialization and valuing scale: A tool for evaluating the shift toward collaborative care approaches in health care settings.’ Work: A Journal of Prevention, Assessment and Rehabilitation. 35, 77–85 doi: 10.3233/WOR-2010-0959
Kohn, L.T., Corrigan, J.M., and Donaldson, M.S. (eds.) (2000) To Err is Human: Building a Safer Health System. Washington, DC: Institute of Medicine (IOM) National Academies Press
Orchard, C.A., Curran, V., and Kabene, S. (2005) ‘Creating a culture for interdisciplinary collaborative practice.’ Medical Education Online, 10 (11), 1–13. available from http://www.med-ed-online.net/index.php/meo/article/viewFile/4387/4569
Orchard, C., King, G., Khalili, H. and Bezzina, M.B. (2012) ‘Assessment of Interprofessional Team Collaborative Scale (AITCS): Development and testing of the instrument.’ Journal of Continuing Education in the Health Professions, 32 (1), 58–67 http://dx.doi.org/10.1002/chp.21123
Pettigrew, T.F. (1998) ‘Intergroup contact theory.’ Annual Review of Psychology, 49, 65–85 http://dx.doi.org/10.1146/annurev.psych.49.1.65
Pettigrew, T.F. and Tropp, L.R. (2008) ‘How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators.’ European Journal of Social Psychology, 38, 922–934 http://dx.doi.org/10.1002/ejsp.504
Salas, E., DiazGranados, D., Weaver, S. J. and King, H. (2008) ‘Does team training work? Principles for health care.’ Academic Emergency Medicine, 15, 1002–1009 doi:10.1111/j.1553-2712.2008.00254.x
Salas, E., Gregory, M.E., and King, H.B. (2011) ‘Team training can enhance patient safety – the data, the challenge ahead.’ Journal on Quality and Patient Safety, 37 (8), 339–384
Salas, E. and Rosen, M.A. (2013) ‘Building high reliability teams: Progress and some reflections on teamwork training.’ BMJ Quality and Safety, 22, 369–373 http://dx.doi.org/10.1136/bmjqs-2013-002015
Sexton, M. and Orchard, C. (2016) ‘Understanding healthcare professionals’ self-efficacy to resolve interprofessional conflict.’ Journal of Interprofessional Care, 30 (3), 316–323 http://dx.doi.org/10.3109/13561820.2016.1147021
Suter, E., Deutschlander, S., Michelson, G., Nursani, Z., Liat, J., Harrison, L… Grymonpre, R. (2012) ‘Can interprofessional collaboration provide health human resources solutions? A knowledge synthesis.’ Journal of Interprofessional Care, 26 (4), 261–268 http://dx.doi.org/10.3109/13561820.2012.663014
TEAMc (2016) Toolkit for Educating a New Generation Of Patient-Centred Collaborative Teams. [online] available from http://www.teamc.ca [7 November 2016]
World Health Organization (WHO) (2005) Preparing a Health Care Workforce for the 21st Century: The Challenge of Chronic Conditions. Geneva, Switzerland: WHO. available from http://apps.who.int/iris/bitstream/10665/43044/1/9241562803.pdf [7 November 2016]
World Health Organization (WHO) (2010). Framework for Action on Interprofessional Education and Collaborative Practice. Geneva, Switzerland: WHO. available from http://www.who.int/hrh/resources/framework_action/en/ [5 September 2016]
Zwarenstein, M., Goldman, J., and Reeves, S. (2009) ‘Interprofessional collaboration: Effects of practice-based interventions on professional practice and healthcare outcomes’ Cochrane Database of Systematic Reviews, 3. available from http://dx.doi.org/10.1002/14651858.cd000072.pub2 [7 November 2016]
Copyright (c) 2016 Carole Orchard, Susan Bursey, Linda Peterson, Susan Verrilli
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