Removing the Silos: Interprofessional Education to Support Hospital-to-Home Integrated Care
Notice bibliographique
Résumé
Backgrround: Interprofessional education (IPE) and collaborative practice competencies are foundational for students and professionals working in integrated care teams. Key informants descriptions of IPE training in Ontario hospital-to-home integrated care programs are presented. Study findings offer implications for health professions education in academic programs and continuing professional development in practice settings. Approach: A qualitative descriptive approach was used to interview 3 leaders in integrated care programs across Ontario. Participants were asked about how and what forms of interprofessional education are currently used to train health professionals to work within the current hospital-to-home integrated care programs. Participants described facilitators and barriers to implementing IPE within their programs and offered recommendations to support such initiatives in current practice environments. Thematic analysis was used to elucidate key findings which were interpreted through the lens of an interprofessional learning continuum model and competencies for integrated care. Results: Both formal and informal interprofessional education (IPE) within hospital-to-home integrated care programs can support competency development (e.g. role clarity, communication, teamwork) for interprofessional practice across health sectors. Key Informants acknowledged the importance of cross sector IPE to understand patient care trajectories, and healthcare provider roles more fully. IPE in academic and practice settings should include content about fundamentals of integrated care, teamwork competencies, and principles of collaborative practice. Implications: It cannot be assumed that all health and social care professionals understand the fundamentals of integrated care nor how to work effectively in teams. Developing these competencies should begin in formal academic programs and must continue to the practice setting where teams can continue to develop and grow together with the populations to whom they provide care and service. Next StepsFindings from the present study have informed new undergraduate and graduate curricula - more indepth content about integrated care as been embedded within two professional practice courses. The findings have also informed a new project. We are currently embarking on the development of a co-designed teaching learning initiative to inform an experiential teaching and learning curriculum for community-based integrated stroke care. We are engaging stroke community members including stroke patients, family caregivers, undergraduate and graduate students in co-developing both the content, pedagogical and evaluation approaches.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,006 | 0,003 |
| Communication savante | 0,003 | 0,003 |
| Science ouverte | 0,001 | 0,010 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,006 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».