Interprofessional Oral-Systemic Health Standardized … Oral-Systemic Health Standardized Patient...

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Item type Presentation

Format Text-based Document

Title Interprofessional Oral-Systemic Health StandardizedPatient and Case Study Experience

Authors Hartnett, Erin; Haber, Judith

Downloaded 1-Jun-2018 05:53:51

Link to item http://hdl.handle.net/10755/621703

Interprofessional Oral-Systemic Health

Standardized Patient

and

Case Study Experience

Erin Hartnett, DNP, APRN-BC, CPNP

Program Director

Oral Health Nursing Education and Practice (OHNEP)

Teaching Oral-Systemic Health (TOSH)

NYU Rory Meyers College of Nursing

Surgeon General (2000)

IOM Reports (2011-13)

IPEC Competencies (2011-16)

HRSA Report (2014)

➢ HEENOT

➢ Health History

➢ Oral-Systemic Risk Assessment

➢ Physical Health Exam

➢ Action Plan (preventive

interventions, management

within scope of practice)

➢ Collaboration

➢ Referral

HEENOT Article

http://ajph.aphapublications.org/doi/abs/

10.2105/AJPH.2014.302495

www.smilesforlifeoralhealth.org

Smiles for Life: A National Oral Health Curriculum

Interprofessional Oral-Systemic Health

Experience at NYSIM

Aims:

1) Develop interprofessional oral health competencies by

using simulation as a tool to bridge the education-to-

practice gap

2) Produce a primary care oral health workforce that is

collaborative-practice ready

IP Oral-Systemic

Standardized Patient Experience

I. Brief (5 min):

I. Introductions

II.Goals of IP experience

III.Directions

II.History and physical exam

(45 min)

III.Debriefing (10 min)

IP Oral-Systemic

Case Study Discussion

I. Brief (5 min)

I. Introductions

II. Goals of IP

experience

III. Directions

II. Case Study Discussion

(40 min)

III. Debriefing (15 min)

4.914.71

4.56

5.62 5.515.34

1.00

2.00

3.00

4.00

5.00

6.00

Nursing (n=225) Dentistry (n=233) Medicine (n=445)

Me

an

IC

CA

SS

co

re

Pre

Post

TOSH IP Experience: ICCAS Mean Pre and Post

Scores by Student Type (2013-2015)

(p<0.001, two-tailed)

5.46

5.54

5.41

5.45

5.49

5.42

4.58

4.87

4.61

4.65

4.63

4.71

0.00 1.00 2.00 3.00 4.00 5.00 6.00

Mean ICCAS Score

Post

Pre

Communication

Collaboration

Responsibilities

Patient-Centered

Conflict Management

Team Functioning

TOSH IP Experience: ICCAS Mean Pre and Post

Scores by Topic Area (2013-2015)

(n=874-898) (p<0.001, two-tailed)

Percentage of Faculty Who Agree

IPE Increases these Characteristics (2013 n=49; 2014 n=32; 2015=24)

90%86%

77% 75%

97%

84%

75%

81%83%

71%

79%83%

0

10

20

30

40

50

60

70

80

90

100

InterprofessionalCommunication

InterprofessionalCollaboration

PatientCommunication

Understanding

Pe

rc

en

tag

e (

%)

2013

2014

2015

Percentage of Faculty Who Agree

on Value of the TOSH IPE Experience (2013 n=49; 2014 n=32; 2015 n=22-24)

92%86%

90%88%

78%

90%96%

68%

88%

0

10

20

30

40

50

60

70

80

90

100

Valuable forstudents

Valuable forfaculty

Wouldrecommend

Pe

rc

en

tag

e (

%)

2013

2014

2015

Interprofessional Oral Health Clinical

Curriculum Integration

• Collaborative courses

• IP Clinical Rotations

• Nursing/Dental

• Nursing/Dental/Medical

• Simulation

• Virtual Cases • Service Learning

The Role of the IPE Facilitator

• Ensure introductions

• Be professionally neutral

• Provide direction and focus

• Establish learning climate

• Encourage collaboration

• Focus the group

• Address conflicts

• Give and receive feedback

(Freeman, Wright, & Lindqvist, 2010)(University of Toronto, 2011)

• Create an interprofessionaladvisory council

• Establish formal communication mechanisms

• Involve external communities of interest

• Designate IPE champions

• Measure outcomes

Tips for Building an IPE Program

CHALLENGES

Obtaining “Buy-In”

Scheduling

Scope of Practice Myths

Sustainable Resources

Funding

Evaluation

Evaluating IPE

• Surveys

• Attitudes

• Behavior

• Knowledge, Skills, Ability

• Organizational Practice

• Patient Satisfaction

• Provider Satisfaction

• Faculty Satisfaction

• Smiles for Life Utilization

• Graduate Follow-Up

Knowledge, Trust, Respect, Collaboration