Recommendations for the design of interprofessional education: Findings from a narrative scoping review
DOI:
https://doi.org/10.11157/fohpe.v23i4.608Keywords:
interprofessional, interprofessional education, interprofessional collaboration, education design, health professionsAbstract
Introduction: Evidence-based teaching and learning strategies should underpin any educational activity. This is particularly important for interprofessional education (IPE) activities, where there is an expectation that healthcare professions are taught using best available evidence. There is a research–practice gap that this review aims to address by using the current evidence to develop recommendations regarding optimal design components to better inform faculty who design IPE.
Methods: A five-stage scoping review was conducted. Methodological characteristics and IPE design components of primary and review studies were extracted. Three important components of design—participants (level and stage of progression, discipline type and number, group size and ratios), learning constructs (theories, frameworks, learning objectives) and learning approaches (exchange, observation, action, simulation and practice)—were reviewed to develop recommendations regarding effective design.
Results: A total of 41 papers were eligible for inclusion, 24 primary and 17 review studies. The primary studies were predominantly descriptive case studies with 31 disciplines involved in IPE activities across the studies. There was inconsistent reporting of learning constructs utilised in design, and the most reported learning approach was exchange. There was significant variability in the aims and design of the 17 review studies, ranging from systematic reviews to realist reviews, with the number of included studies ranging from six to 104.
Conclusions: There was a lack of detailed reporting regarding design components, which limits the evidence base to inform IPE design. Reported components from the primary studies were augmented by findings from the review studies and the wider literature, which enabled the development of recommendations to assist faculty in the design of IPE programs and activities.
References
Abu-Rish, E., Kim, S., Choe, L., Varpio, L., Malik, E., White, A. A., Craddick, K., Blondon, K., Robins, L., Nagawasa, P., Thigpen, A., Chen, L.-L., Rich, J., & Zierler, B. (2012). Current trends in interprofessional education of health sciences students: A literature review. Journal of Interprofessional Care, 26(6), 444–451. https://doi.org/10.3109/13561820.2012.715604
Acquavita, S. P., Lewis, M. A., Aparicio, E., & Pecukonis, E. (2014). Student perspectives on interprofessional education and experiences. Journal of Allied Health, 43(2), e31–e36.
Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Barr, H. (1996). Ends and means in interprofessional education: Towards a typology. Education for Health, 9(3), 341–352.
Barr, H. (2002). Interprofessional education: Today, yesterday and tomorrow. Learning and Teaching Support Network for Health Sciences and Practice. https://www.unmc.edu/bhecn/_documents/ipe-today-yesterday-tmmw-barr.pdf
Barr, H. (2013). Toward a theoretical framework for interprofessional education. Journal of Interprofessional Care, 27(1), 4–9. https://doi.org/10.3109/13561820.2012.698328
Bogossian, F., New, K., George, K., Barr, N., Dodd, N., Hamilton, A., Nash, G., Masters, N., Pelly, F., Reid, C., Shakhovskoy, R., & Taylor, J. (2022). The implementation of interprofessional education: A scoping review. Advances in Health Sciences Education. Advance online publication. https://doi.org/10.1007/s10459-022-10128-4
Brewer, M. (2013). Interprofessional capability framework: Faculty of Health Sciences. Curtin University. https://resources.curtin.edu.au/file/faculty/hs/interprofessional_A5_broch_1-29072015.pdf
Canadian Interprofessional Health Collaborative (CIHC). (2010). A national interprofessional competency framework. https://phabc.org/wp-content/uploads/2015/07/CIHC-National-Interprofessional-Competency-Framework.pdf
Charles, G., Bainbridge, L., & Gilbert, J. (2010). The University of British Columbia model of interprofessional education. Journal of Interprofessional Care, 24(1), 9–18. https://doi.org/10.3109/13561820903294549
Cooper, S., Cant, R., Kelly, M., Levett-Jones, T., McKenna, L., Seaton, P., & Bogossian, F. (2021). An evidence-based checklist for improving scoping review quality. Clinical Nursing Research, 30(3), 230–240. https://doi.org/10.1177/1054773819846024
Curran, V., Reid, A., Reis, P., Doucet, S., Price, S., Alcock, L., & Fitzgerald, S. (2015). The use of information and communications technologies in the delivery of interprofessional education: A review of evaluation outcome levels. Journal of Interprofessional Care, 29(6), 541–550. https://doi.org/10.3109/13561820.2015.1021002
Cusack, T., & O'Donoghue, G. (2012). The introduction of an interprofessional education module: Students' perceptions. Quality in Primary Care, 20(3), 231–238.
Dando, N., D'Avray, L., Colman, J., Hoy, A., & Todd, J. (2012). Evaluation of an interprofessional practice placement in a UK in-patient palliative care unit. Palliative Medicine, 26(2), 178–184. https://doi.org/10.1177/0269216311400479
Danielson, J., & Willgerodt, M. (2018). Building a theoretically grounded curricular framework for successful interprofessional education. American Journal of Pharmaceutical Education, 82(10), 7075–7075. https://doi.org/10.5688/ajpe7075
Dean, H. J., MacDonald, L., Alessi-Severini, S., Halipchuk, J. A. C., Sellers, E. A. C., & Grymonpre, R. E. (2014). Elements and enablers for interprofessional education clinical placements in diabetes teams. Canadian Journal of Diabetes, 38(4), 273–278. https://doi.org/10.1016/j.jcjd.2014.02.024
Deutschlander, S., Suter, E., & Lait, J. (2012). Models in interprofessional education: The IP enhancement approach as effective alternative. Work, 41(3), 253–260. https://doi.org/10.3233/WOR-2012-1293
Di Prospero, L., & Shimji-Hewitt, S. (2011). Learning is in the facilitation: Faculty perspectives with facilitated teaching and learning—recommendations from informal discussions. Journal of Allied Health, 40(4), e61–e65.
Djukic, M., Fulmer, T., Adams, J. G., Lee, S., & Triola, M. M. (2012). NYU3T: Teaching, technology, teamwork. A model for interprofessional education scalability and sustainability. Nursing Clinics of North America, 47(3), 333–346. https://doi.org/10.1016/j.cnur.2012.05.003
Dunston, R., Forman, D., Moran, M., Rogers, G., Thistlethwaite, J., & Steketee, C. (2016). Curriculum renewal in interprofessional education in health: Establishing leadership and capacity. Report to the Office for Learning and Teaching 2016. Australian Government Office for Learning and Teaching. https://nla.gov.au/nla.obj-343770391/view
Evans, C. H., Cashman, S. B., Page, D. A., & Garr, D. R. (2011). Model approaches for advancing interprofessional prevention education. American Journal of Preventive Medicine, 40(2), 245–260. https://doi.org/10.1016/j.amepre.2010.10.014
Fox, L., Onders, R., Hermansen-Kobulnicky, C. J., Nguyen, T. N., Myran, L., Linn, B., & Hornecker, J. (2018). Teaching interprofessional teamwork skills to health professional students: A scoping review. Journal of Interprofessional Care, 32(2), 127–135. https://doi.org/10.1080/13561820.2017.1399868
Freeth, D., & Reeves, S. (2004). Learning to work together: Using presage, process, product (3P) model to highlight decisions and possiblities. Journal of Interprofessional Care, 18(1), 43–56. https://doi.org/10.1080/13561820310001608221
Furr, S. B., Lane, S. H., Serafica, R. C., & Hodge, M. A. (2015). Service-learning and interprofessional education in nursing: A critical need. Journal of Christian Nursing, 32(3), 162–167. https://doi.org/10.1097/CNJ.0000000000000178
Galbraith, A., Harder, N., Macomber, C. A., Roe, E., & Roethlisberger, K. S. (2014). Design and implementation of an interprofessional death notification simulation. Clinical Simulation in Nursing, 10(2), e95–e102. https://doi.org/10.1016/j.ecns.2013.08.003
Granheim, B. M., Shaw, J. M., & Mansah, M. (2018). The use of interprofessional learning and simulation in undergraduate nursing programs to address interprofessional communication and collaboration: An integrative review of the literature. Nurse Education Today, 62, 118–127. https://doi.org/10.1016/j.nedt.2017.12.021
Grant, L., McKay, L. K., Rogers, L. G., Wiesenthal, S., Cherney, S. L., & Betts, L. A. (2011). An interprofessional education initiative between students of dental hygiene and Bachelor of Science in Nursing. Canadian Journal of Dental Hygiene, 45(1), 36–44.
Grant, M., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26(2), 91–108. https://doi.org/10.1111/j.1471-1842.2009.00848.x
Gruppen, L. D., Mangrulkar, R. S., & Kolars, J. C. (2012). The promise of competency-based education in the health professions for improving global health. Human Resources for Health, 10(1), Article 43. https://doi.org/10.1186/1478-4491-10-43
Gummesson, C., Sunden, A., & Fex, A. (2018). Clinical reasoning as a conceptual framework for interprofessional learning: A literature review and a case study. Physical Therapy Reviews, 23(1), 29–34. https://doi.org/10.1080/10833196.2018.1450327
Hall, L. W., & Zierler, B. K. (2015). Interprofessional education and practice guide No. 1: Developing faculty to effectively facilitate interprofessional education. Journal of Interprofessional Care, 29(1), 3–7. https://doi.org/10.3109/13561820.2014.937483
Hean, S., Craddock, D., & Hammick, M. (2012). Theoretical insights into interprofessional education: AMEE Guide No. 62. Medical Teacher, 32(2), e78–e101. https://doi.org/10.3109/0142159X.2012.650740
Horsley, T. L., O'Rourke, J., Mariani, B., Doolen, J., & Pariseault, C. (2018). An integrative review of interprofessional simulation in nursing education. Clinical Simulation in Nursing, 22, 5–12. https://doi.org/10.1016/j.ecns.2018.06.001
The Interprofessional Curriculum Renewal Consortium, Australia (2013). Interprofessional Education: A national audit: Report to Health Workforce Australia. https://sifproject.com/wp-content/uploads/2018/09/ipe_national_audit_report_australia_2013-7.pdf
Interprofessional Education Collaborative (IPEC). (2016). Core competencies for interprofessional collaborative practice: 2016 update. https://ipec.memberclicks.net/assets/2016-Update.pdf
Kaplan, R., Shaw-Battista, J., & Stotland, N. E. (2015). Incorporating nurse-midwifery students into graduate medical education: Lessons learned in interprofessional education. Journal of Midwifery and Women's Health, 60(6), 718–726. https://doi.org/10.1111/jmwh.12315
Kent, F., Hayes, J., Glass, S., & Rees, C. E. (2017). Pre-registration interprofessional clinical education in the workplace: A realist review. Medical Education, 51(9), 903–917. https://doi.org/10.1111/medu.13346
Kent, F., & Keating, J. L. (2015). Interprofessional education in primary health care for entry level students: A systematic literature review. Nurse Education Today, 35(12), 1221–1231. https://doi.org/10.1016/j.nedt.2015.05.005
Khan, N. S., Shahnaz, S. I., & Gomathi, K. G. (2016). Currently available tools and teaching strategies for the interprofessional education of students in health professions: Literature review. Sultan Qaboos University Medical Journal, 16(3), e277–e285. https://doi.org/10.18295/squmj.2016.16.03.003
Krystallidou, D., Van De Walle, C., Deveugele, M., Dougali, E., Mertens, F., Truwant, A., Van Praet, E., & Pype, P. (2018). Training “doctor-minded” interpreters and “interpreter-minded” doctors: The benefits of collaborative practice in interpreter training. Interpreting, 20(1), 126–144. https://doi.org/10.1075/intp.00005.kry
Lapkin, S., Levett-Jones, T., & Gilligan, C. (2012). A cross-sectional survey examining the extent to which interprofessional education is used to teach nursing, pharmacy and medical students in Australian and New Zealand universities. Journal of Interprofessional Care, 26(5), 390–396. https://doi.org/10.3109/13561820.2012.690009
Lee, C. A., Pais, K., Kelling, S., & Anderson, O. S. (2018). A scoping review to understand simulation used in interprofessional education. Journal of Interprofessional Education and Practice, 13, 15–23. https://doi.org/10.1016/j.xjep.2018.08.003
Levac, D., Colquhoun, H., & O'Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), Article 69. https://doi.org/10.1186/1748-5908-5-69
Masters, C., O'Toole Baker, V., & Jodon, H. (2013). Multidisciplinary, team-based learning: The Simulated Interdisciplinary to Multidisciplinary Progressive-Level Education (SIMPLE©) approach. Clinical Simulation in Nursing, 9(5), e171–e178. https://doi.org/10.1016/j.ecns.2011.11.007
Mayer, R., & Moreno, R. (2003). Nine ways to reduce cognitive load in multimedia learning. Educational Psychologist, 38(1), 43–52. https://doi.org/10.1207/S15326985EP3801_6
McNaughton, S. (2018). The long-term impact of undergraduate interprofessional education on graduate interprofessional practice: A scoping review. Journal of Interprofessional Care, 32(4), 426–435. https://doi.org/10.1080/13561820.2017.1417239
Mendel, S., Curtis, D., & Page, J. C. (2015). Interprofessional podiatric surgical simulation: A pilot study. Journal of the American Podiatric Medical Association, 105(4), 331–337. https://doi.org/10.7547/13-164.1
Neville, C. C., Petro, R., Mitchell, G. K., & Brady, S. (2013). Team decision making: Design, implementation and evaluation of an interprofessional education activity for undergraduate health science students. Journal of Interprofessional Care, 27(6), 523–525. https://doi.org/10.3109/13561820.2013.784731
Niederriter, J., Hovland, C., Hazelett, S., Whitford, M., Drost, J., Brown, D., Morgan, A., Kropp, D., Sanders, M., Gareri, M., Fosnight, S., Radwany, S., McQuown, C., & Ahmed, R. (2020). Using the constructivist/active learning theoretical framework to develop and test a simulation-based interprofessional geriatric training curriculum. Journal of Interprofessional Education & Practice, 19, Article 100322. https://doi.org/10.1016/j.xjep.2020.100322
Owen, J. A. (2014). Interprofessional curriculum renewal consortium, Australia. Journal of Interprofessional Care, 28(4), 385. https://doi.org/10.3109/13561820.2014.907701
Packard, K., Doll, J., Beran-Shepler, K., Stewart, N. H., & Maio, A. (2018). Design and implementation of the interprofessional education passport curriculum in a multi-campus university with distance learners. Medical Science Educator, 28(4), 749–755. https://doi.org/10.1007/s40670-018-0589-3
Palaganas, J. C., Brunette, V., & Winslow, B. (2016). Prelicensure simulation-enhanced interprofessional education: A critical review of the research literature. Simulation in Healthcare, 11(6), 404–418. https://doi.org/10.1097/sih.0000000000000175
Ranganathan, P., & Aggarwal, R. (2018). Study designs: Part 1—An overview and classification. Perspectives in Clinical Research, 9(4), 184–186.
Ratka, A., Zorek, J. A., & Meyer, S. M. (2017). Overview of faculty development programs for interprofessional education. American Journal of Pharmaceutical Education, 81(5), Article 96. https://doi.org/10.5688/ajpe81596
Reeves, S., Goldman, J., Gilbert, J., Tepper, J., Silver, I., Suter, E., & Zwarenstein, M. (2011). A scoping review to improve conceptual clarity of interprofessional interventions. Journal of Interprofessional Care, 25(3), 167–174. https://doi.org/10.3109/13561820.2010.529960
Reeves, S., Perrier, L., Goldman, J., Freeth, D., & Zwarenstein, M. (2013). Interprofessional education: Effects on professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2013(3), Article 2213. https://doi.org/10.1002/14651858.CD002213.pub3
Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Koppel, I., & Hammick, M. (2010). The effectiveness of interprofessional education: Key findings from a new systematic review. Journal of Interprofessional Care, 24(3), 230–241. https://doi.org/10.3109/13561820903163405
Reis, P. J., Faser, K., & Davis, M. (2015). A framework for web-based interprofessional education for midwifery and medical students. Journal of Midwifery and Women's Health, 60(6), 713–717. https://doi.org/10.1111/jmwh.12331
Sargeant, J., Curran, V., Allen, M., Jarvis-Selinger, S., & Ho, K. (2006). Facilitating interpersonal interaction and learning online: Linking theory and practice. Journal of Continuing Education in the Health Professions, 26(2), 128–136. https://doi.org/10.1002/chp.61
Shaw-Battista, J., Belew, C., Anderson, D., & van Schaik, S. (2015). Successes and challenges of interprofessional physiologic birth and obstetric emergency simulations in a nurse-midwifery education program. Journal of Midwifery and Women's Health, 60(6), 735–743. https://doi.org/10.1111/jmwh.12393
Snell, R., Fyfe, S., Fyfe, G., Blackwood, D., & Itsiopoulos, C. (2020). Development of professional identity and professional socialisation in allied health students: A scoping review. Focus on Health Professional Education, 21(1), 29–56. https://doi.org/10.11157/fohpe.v21i1.322
Tanner, D., & Tanner, L. (2007). Curriculum development: Theory into practice (4th ed.). Pearson Merrill Prentice Hall.
Tartavoulle, T. M., English, R., Gunaldo, T. P., Garbee, D., Mercante, D. E., Andrieu, S. C., & Johnson, J. L. (2016). Using the IDEA framework in an interprofessional didactic elective course to facilitate positive changes in the roles and responsibility competency. Journal of Interprofessional Education and Practice, 2, 21–24. https://doi.org/10.1016/j.xjep.2016.03.003
Thistlethwaite, J. (2012). Interprofessional education: A review of context, learning and the research agenda. Medical Education, 46(1), 58–70. https://doi.org/10.1111/j.1365-2923.2011.04143.x
Thistlethwaite, J., & Moran, M. (2010). Learning outcomes for interprofessional education (IPE): Literature review and synthesis. Journal of Interprofessional Care, 24(5), 503–513. https://doi.org/10.3109/13561820.2010.483366
Thistlethwaite, J. E., Forman, D., Matthews, L. R., Rogers, G. D., Steketee, C., & Yassine, T. (2014). Competencies and frameworks in interprofessional education: A comparative analysis. Academic Medicine, 89(6), 869–875. https://doi.org/10.1097/acm.0000000000000249
Topping, D. (2015). An interprofessional education Russian cultural competence course: Implementation and follow-up perspectives. Journal of Interprofessional Care, 29(5), 501–503. https://doi.org/10.3109/13561820.2015.1012582
Tricco, A., Lillie, E., Zarin, W., O'Brien, K., Colquhoun, H., Levac, D., Moher, D., Peters, M., Horsley, T., Weeks, L., Hempel, S., Akl, E., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M., Garritty, C., & Straus, S. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
van Diggele, C., Roberts, C., Burgess, A., & Mellis, C. (2020). Interprofessional education: Tips for design and implementation. BMC Medical Education, 20(2), Article 455. https://doi.org/10.1186/s12909-020-02286-z
Van Soeren, M., Devlin-Cop, S., MacMillan, K., Baker, L., Egan-Lee, E., & Reeves, S. (2011). Simulated interprofessional education: An analysis of teaching and learning processes. Journal of Interprofessional Care, 25(6), 434–440. https://doi.org/10.3109/13561820.2011.592229
Vanderzalm, J., Hall, M. D., McFarlane, L. A., Rutherford, L., & Patterson, S. K. (2013). Fostering interprofessional learning in a rehabilitation setting: Development of an interprofessional clinical learning unit. Rehabilitation Nursing, 38(4), 178–185. https://doi.org/10.1002/rnj.78
VanKuiken, D. M., Schaefer, J. K., Flaum Hall, M., & Browne, F. R. (2016). Integrating interprofessional education into the curriculum: Challenges and solutions for a university without a medical center. Journal of Interprofessional Education and Practice, 2, 5–11. https://doi.org/10.1016/j.xjep.2015.12.002
Vuurberg, G., Vos, J. A. M., Christoph, L. H., & de Vos, R. (2019). The effectiveness of interprofessional classroom-based education in medical curricula: A systematic review. Journal of Interprofessional Education and Practice, 15, 157–167. https://doi.org/10.1016/j.xjep.2019.01.007
Ward, W., Zagoloff, A., Rieck, C., & Robiner, W. (2018). Interprofessional education: Opportunities and challenges for psychology. Journal of Clinical Psychology in Medical Settings, 25(3), 250–266. https://doi.org/10.1007/s10880-017-9538-3
Watts, P., Langston, S. B., Brown, M., Prince, C., Belle, A., Skipper, M. W., King, J. P., Jr., & Moss, J. (2014). Interprofessional education: A multi-patient, team-based intensive care unit simulation. Clinical Simulation in Nursing, 10(10), 521–528. https://doi.org/10.1016/j.ecns.2014.05.004
Welsch, L. A., Hoch, J., Poston, R. D., Parodi, V. A., & Akpinar-Elci, M. (2018). Interprofessional education involving didactic TeamSTEPPS® and interactive healthcare simulation: A systematic review. Journal of Interprofessional Care, 32(6), 657–665. https://doi.org/10.1080/13561820.2018.1472069
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