Professional Documents
Culture Documents
| BSMT4-C |
Module 1 - Lesson 1: Interprofessional Education and ● In April 1996, after a contentious debate, the FDA agreed to
Interprofessional Collaborative Practice approve the drug, pending a one-year trial. Almost
immediately, reports of grave side effects started pouring in
IMPROPER MEDICAL PRACTICES
● The Mayo Clinic said that 24 women taking fen-phen had
1. Snake Oil--Salesmen and Doctors
developed serious heart valve abnormalities. Hundreds of
● SOURCED FROM CHINESE IMMIGRANTS WHO WORKED
more cases were reported, and by September 1997 the FDA
ON THE TRANSCONTINENTAL RAILWAY IN THE US
had officially pulled fen-phen. In 1999, the
● Snake oil was used to reduce inflammation and treat arthritis
● American Home Products Corporation (the producers of
and was rubbed on workers joints
fen-phen) agreed to pay a $3.75 billion settlement to those
● Was fraudulent when certain unscrupulous doctors cut
injured by taking the drug.
snakes and used their blood as snake oil
5. Heroin -The Cure for a Cough
2. COCAINE - THE WONDER DRUG
● in the late 1880s, heroin was introduced as a safe and
● In the 1880s, Erythroxylon coca the active ingredient of coca
non-addictive substitute for morphine
leaf was isolated. It later became known as cocaine
● Finding it to be five times more effective--and supposedly
● Cocaine was used as a solution to be put on the patient's
less addictive--than morphine, they marketed towards
eye making it immobile and desensitized to pain (anesthesia)
children suffering from sore throats, coughs, and cold. Some
and was later used in a lot of eye and sinus surgeries
bottles depicted children eagerly reaching for the medicine,
● Marketed as a treatment for toothaches, depression,
with moms giving their sick kids heroin on a spoon.
sinusitis, lethargy, alcoholism, and impotence, cocaine was
● market and production of heroin was until 1913. Eleven
soon being sold as a tonic, lozenge, powder and even used
years later, the FDA banned heroin altogether.
in cigarettes
● Popular home remedies, such as Allen's Cocaine Tablets,
6. Lobotomies--Hacking Away Troubled Brains
could be purchased for just 50 cents a box and offered relief
● Walter Freeman developed his procedure, which became
for everything from hay fever, throat troubles, nervousness,
known as a prefrontal lobotomy to alleviate mental and
headaches, and sleeplessness. In reality, the side effects of
emotional illness
cocaine actually caused many of the ailments it claimed to
● Early versions of Freeman's "cure" involved drilling holes in
cure -causing lack of sleep, eating problems, depression,
the top of his patients' skulls, and later evolved into
and even hallucinations.
hammering an ice pick-like instrument through their eye
3. Vibrators--Cure Your Hysteria sockets, to sever the connections between the frontal lobes
● was first advertised as a cure for a catch-all, female and the thalamus, which he believed to be the part of the
"disease" known as hysteria. brain that dealt with human emotion
● Hysteria was believed to cause any number of maladies, ● Patients were often left in a vegetative state, experienced
including anxiety, irritability, sexual desire, insomnia, relapses, and regressed physically and emotionally. As many
faintness, and a bloated stomach-so almost every woman as 15 percent died.
showed some symptoms. ● One of the most infamous victims was Rosemary Kennedy,
● Dr. Joseph Mortimer Granville created a steam-powered, the sister of future President John F. Kennedy, who was left
"electromechanical medical instrument." Nicknamed the incapacitated and spent the rest of her life needing full-time
"Manipulator," the device allowed women to give themselves care.
home massages, allowing them to cure their "wandering
7. Shock Treatments--The Cure for Impotence
wombs."
● Doctors introduced "galvanic baths," or bathtubs filled with
4. Fen-Phen-A Miracle Pill for Weight Loss electrodes, which were supposed to restore sexual desire in
● Originally released into the market as two separate just six sessions.
drugs-the appetite suppressant Fenfluramine and the ● Others took an even more localized approach, where rods
amphetamine Phentermine-they were marketed as with currents running through them were placed inside the
short-term diet aids, but proved largely ineffective on their man's urethra. The treatment would last for five to eight
own. minutes and would be repeated once or twice a week.
● In the late 1970s, however, the two products were combined ● By the late 1800s ads were running for "electropathic belts"
by Dr. Michael Weintraub to create what became known as or "electric belts" aimed at "weak men." They claimed to
Fen-Phen. Weintraub conducted a single study with 121 help cure kidney pains, sciatic nerve issues, backaches,
patients over the course of four years. headaches, and nervous exhaustion--but the underlying
● The patients, two-thirds of which were women, lost an message was they could cure men's sexual problems.
average of 30 pounds with seemingly no side effects--but
Weintraub's study didn't monitor the patients' hearts. The Healthcare Professional Education: A call for
new miracle drug was first introduced into the market in CHANGE
1992, and people could not get enough of it.
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● 1910 - reported about the education of healthcare ● Approach to care must be explicitly shared by all members
professionals led by Flexner to transform the nature and of the team to avoid the traditional, more provider-centric
process of medical education in the US with the interpretation of IPCP in which only the professionals
establishment of the biomedical model of education as the collaborate to provide what they believe to be the best care
gold standard. for the patient. Nevertheless, patients and nonprofessionals
● 2010 - the educational transformation was recognized to the can and should be conceptualized as experts by experience.
doubling of the life span.
● 2011 - The reform in education was not limited to
physicians, it was spread to all areas in the healthcare Interprofessional Education (IPE) and
professions.
Interprofessional Collaborative Practice (IPCP):
GLOBAL PERSPECTIVE
WRONG PRACTICES DURING THE EARLY 1800S TO 1900s ● The Institute of Medicine (IM) created the Global Forum on
Healthcare systems were struggling to cope with challenges Health Professions Education in 2012.
brought on the advances in science and technology, new and ● The activities of National Academies of Science, Engineering
changing sources of infection, inequities of health care delivery, and Medicine brought together stakeholders from multiple
and rising healthcare costs. nations and profession to network, discuss and illuminate
issues and within healthcare professional education
CHALLENGES WITH INCREASING IMPROVEMENTS
● The forum routinely convenes organizations focused on IPE
IN SCIENCE AND HEALTHCARE
and IPVP to accelerate national change as part of ongoing
○ Accelerated cost savings
worldwide initiatives.
○ Personal healthcare
● IPE has been acknowledged internationally as being an
○ Big data
essential component of educating healthcare professionals
○ Social media, patient power, mobile health and education
for IPCP.
○ Dramatic, transformational integration of technologies
● Various organizations in different countries working on IPE
○ Security, privacy and monitoring
and IPCP such as:
○ Hacking and open health
■ United Kingdom
Interprofessional Education (IPE) ■ United States
● Defined by the WHO as the type of education that occurs ■ Canada
when students or members of two or more professions learn Module 1 - Lesson 2: Benefits of Interprofessional
with, from, and about each other to improve collaboration Collaboration in Healthcare and Frameworks of
and the quality of care they can give to patients. Wellness and Patient Centered Care
● Concern about both the quality of healthcare and the quality 5 Benefits of Interprofessional Collaboration
of education programs preparing healthcare professionals in in Healthcare
the US were raised in series of report from the Institute of 1. Reduce inefficiencies and healthcare costs
Medicine (IOM). Interprofessional collaboration in healthcare helps to prevent
● Educational programs for healthcare professions has been medication errors, improve the patient experience, and deliver
discipline-specific in nature. Students preparing for the better patient outcomes — all of which can reduce healthcare
same profession were educated exclusively with others costs. It also helps hospitals save money by shoring up
preparing for the same professional scope of practice, in workflow redundancies and operational inefficiencies
isolation from those preparing for other professions.
2. Improve staff relationships and job satisfaction
Example: Interprofessional collaboration levels the playing field and
1. Future nurses were educated in "nursing programs" acknowledges that everyone plays a vital role on the care team.
2. Future physicians were educated in "physicians That sense of community and camaraderie can also boost staff
programs" retention and recruitment.
3. Future Medical Technologists were educated in
3. Improve patient care and outcomes
"Medical Technology programs"
Along with care team meetings, many hospitals now encourage
Interprofessional Collaborative Practice (IPCP) team-based, patient-centered rounds that include the primary
● Defined as, "when multiple health workers from different doctor, bedside nurse, specialized physicians, and any other
professional backgrounds work together with patients, relevant team members. This helps to foster both
families, care givers, and communities to deliver the highest patient-centered care and interprofessional collaboration in
quality of care" healthcare.
● Collaborative patients-centered care is a specific practice 4. Reduce medical errors
orientation in which healthcare professionals work in Studies have shown that interprofessional collaboration in
partnership with patients. healthcare can help to reduce preventable adverse drug
● Active participation of patients, their families and/or their reactions, decrease mortality rates, and optimize medication
communities as members of the healthcare team is clearly dosages
among the goals, valves and vision of interprofessional
5. Start treatment faster
collaboration.
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Again, interprofessional collaboration bridges the gaps. So does
clinical communication technology. It keeps care team ○ The Institute of Medicine defines patient-centered care
members connected (so they can reach out to that physician as “Providing care that is respectful of, and
who hasn’t entered notes into the EHR) and automates alerts responsive to, individual patient preferences, needs
(so they receive text messages when critical lab results come and values, and ensuring that patient values guide all
in). Overall a care team collaboration platform delivers the right clinical decisions.” This approach requires a true
information to the right people at the right time via secure partnership between individuals and their healthcare
messaging, voice, or video. providers, one where the individual’s needs and
aspirations drive both healthcare decisions and how
outcomes are measured.
PATIENT–CENTERED CARE
Professional Role - The expected function of a member of a
○ Patient-centered care is about treating a person receiving particular profession
healthcare with dignity and respect and involving them in
all decisions about their health. This type of care is also
Professional Standards - are a set of practices, ethics, and
called 'person-centered care'. It is an approach that is
behaviors that members of a particular professional group must
linked to a person's healthcare rights
adhere to.
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Professional standards include:
TABLE 7.2 Strategies to Develop Self-Reflection Skills
❖ Accountability
❖ Confidentiality Supervised The most common strategy you will
❖ Fiduciary duty clinical experience to develop your
❖ Honesty experiences self-reflection skills, as a student or a
❖ Integrity trainee, is some kind of supervised
❖ Law-abiding clinical experience. In this context, you
can reflect on your clinical practice with
❖ Loyalty
guidance and feedback from your
❖ Objectivity clinical supervisor, usually an
❖ Transparency experienced clinician. In some
healthcare professions this experience
Scope of Practice - activities that are allowed to do as is more formal and structured than in
others.
members of a specific profession.
Interprofessional Collaborative Practice and the Collaborative In this strategy, a team of experienced
relationship of scope of practice to overlapping roles reflective healthcare professionals (ie.,
and responsibilities: training supervisors) would observe you
engaging in some kind of intervention,
● Collaboration between healthcare providers should be
often a simulation. After the intervention
the professional norm (NCSBN, 2009, p.10). is over, the team of supervisors will
● No single profession owns a specific skill or activity; debrief the experience in front of you.
● No professional has enough skills or knowledge to This provides you with the
perform all aspects of the profession's scope of opportunity to observe how experienced
practice. For instance, physicians' scope of practice is healthcare professionals reflect on a
clinical situation and allows you to see
"medicine" but no physician has the skill and
your clinical performance from their
knowledge to perform every aspect of medical care"
point of view. This approach minimizes
(NCSBN, 2009) the power differential between you and
your supervisors and gives you the
Professional Identity opportunity to reflect on the feedback
● One's professional self-concept based on attributes, without being required to respond (Kim
et al. 2016).
beliefs, values, motives and experiences (Ibarra, 1999;
Schein, 1978). Reflection These tend to be small groups
● Development of a professional identity is important in groups facilitated by an experienced supervisor,
the formation of new healthcare professionals (Gibson in which trainees can share their
et al.,2010; Johnson et al., 2012; Trede et al.,2012). emotional reaction to their clinical
practice (Pololi et al, 2001). The
Three Phases of Professional Identity Development structure of these groups is similar to
(Gibson et al.,2010) the clinical group supervision that
★ Identity of the students is held externally by authority mental health workers in training e.g.
figures and experts psychology, social work, and
★ Students start to internalize the professional identity counseling) would have; however, the
groups tend to focus.
through feedback from supervisors and other
professionals Structured These models tend to provide a series
★ The new professional is able to self-evaluate, reflective models of questions that will guide your
integrating experience with theory to merge personal reflection. For example, Turner (2015)
and professional identities (Gibson et al.,2010). described a structured reflective model
Self-reflection is a desired outcome of a successfully for paramedics. This model has eight
questions in a specific sequence that
integrated professional identity (Trede et al.,2012).
lead you to identify the best solution for
a specific clinical problem.
Self-Reflection as Learning Tool
A way of assessing yourself, how you work and thinking back Reflective This technique works by providing you
on what has happened; desire to learn, grow and change journaling with the opportunity to reflect on your
something about oneself. practice. The journaling can be
structured in many ways; for example,
Skills Needed for Self-Reflection the reflective journaling described by
★ Awareness Brathovde et al. (2013) uses Watson's
★ Description science of caring theory. In another
★ Critical analysis example, Pololi et al. (2001) asked
★ Synthesis students to focus their journaling by
reflecting on a problem that they had in
★ Evaluation (Bulman & Schutz, 2014)
clinical practice and their personal
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Characteristics of Collaboration
reaction to that problem.
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9/13/22, 11:41 AM Lesson 3. SBAR Communication Tool: Interprofessional Education and Practice-PVSAMONTE
(https://www.youtube.com/watch?v=k1M93SuBVF0)
https://ceu.instructure.com/courses/22537/pages/lesson-3-sbar-communication-tool?module_item_id=1636760 1/1
9/13/22, 11:41 AM Lesson 2. Types of Communication: Interprofessional Education and Practice-PVSAMONTE
Verbal Communication
vocabulary and language can affect the receiver's understanding of the message. Healthcare
professional when communicating with patients, families or even co-healthcare workers
should speak with confidence and authority. Speech that is too fast or too slow may be difficult
to understand. Also, the tone of the voice, volume and clarity may also affect the message
you want to convey to the receiver.
Nonverbal Communication
these nonverbal forms of communication has a strong effect on communication. It is important
that your nonverbal communication is congruent with your verbal communication (Halter,
2014).
Personal/Professional appearance can help develop trust and therapeutic relationship.
Every effort must be put on to create trusting relationship with the patient.
https://ceu.instructure.com/courses/22537/pages/lesson-2-types-of-communication?module_item_id=1636759 1/3
9/13/22, 11:41 AM Lesson 2. Types of Communication: Interprofessional Education and Practice-PVSAMONTE
https://ceu.instructure.com/courses/22537/pages/lesson-2-types-of-communication?module_item_id=1636759 2/3
9/13/22, 11:41 AM Lesson 2. Types of Communication: Interprofessional Education and Practice-PVSAMONTE
Using silence
Accepting
Restating
Reflecting
Focusing
Exploring
Seeking clarification
Verbalizing
Summarizing
https://ceu.instructure.com/courses/22537/pages/lesson-2-types-of-communication?module_item_id=1636759 3/3
9/13/22, 11:41 AM Lesson 1. Basis of Interprofessional Communication: Interprofessional Education and Practice-PVSAMONTE
Recognizing the value of contributions from all team members is essential; role clarification, role
valuing, and power sharing within the interprofessional team are important for effective
communication and collaboration (Dufour et al.,2010).
https://ceu.instructure.com/courses/22537/pages/lesson-1-basis-of-interprofessional-communication?module_item_id=1636758 1/2
9/13/22, 11:41 AM Lesson 1. Basis of Interprofessional Communication: Interprofessional Education and Practice-PVSAMONTE
Personal factors
emotional state
mood
response to stress (Halter,2014)
age and developmental levels of the patient
physical factors
Relationship factors
social or professional factors
cultural differences
lack of respect
https://ceu.instructure.com/courses/22537/pages/lesson-1-basis-of-interprofessional-communication?module_item_id=1636758 2/2
Module 4 – Lesson 1
Foundations of Teams
and Teamwork
Team – is a group with specific tasks to accomplish
of which requires the interdependent and
collaborative efforts of its members.
The Healthcare Team Interdisciplinary Team
A team work together with shared Involves collaboration among team
responsibility for making decisions, members toward achieving a common
planning and delivering care. goal
a sense of shared commitment and Possess mutual trust and respect in
mutual accountability also which each member understands and
characterized team values the contribution and
Characteristics of a team are: perspective of other professions.
TeamSTEPPS is a teamwork
system developed jointly by
the Department of Defense
(DoD) and the Agency for
Healthcare Research and
Quality (AHRQ) to improve
institutional collaboration
and communication relating
to patient safety.
Healthcare Team Behaviors
5. Resource management
PDSA
Team building starts at the
base of the pyramid and seeks to
How Team Building Can Help???
build trust among your team
members. Presented in a fun and
creative way, team building
exercises challenge your
group to step out of their comfort
zones and encourage them to
work together to solve certain
tasks. These simple exercises
help break down communication
barriers and foster trust, which
will, in turn, help drive
productivity and promote
Module 4- Lesson 2
Competencies of Teams
and Teamwork
The core competency of Teams and
teamwork, it is important to clearly identify
characteristics of effective healthcare teams
and strategies to coordinate care, so that
gaps, redundancies and errors are avoided.
GeneralCore Competency of
values/ethics
Core Competencies of Interprofessional
Collaborative Practice With Specific Sub-
competencies (IPEC)
General
Core Competency of Roles and
Responsibilities
Core Competencies of Interprofessional
Collaborative Practice With Specific Sub-
competencies (IPEC)
GeneralCore Competency of
Interprofessional Communication
Core Competencies of Interprofessional
Collaborative Practice With Specific Sub-
competencies (IPEC)
General
Competency of Teams and
Teamwork