DO, PsyD and nursing students learn together as a healthcare team during simulations.
Photo credit Villanova University M. Louise Fitzpatrick College of Nursing.
The healthcare industry鈥檚 move towards a more collaborative, patient-centered approach to care is driving the trend of interprofessional education (IPE), which provides learning opportunities for students from across healthcare disciplines to learn together, and to learn about one another鈥檚 role in the healthcare team.
The Institute of Medicine (now known as the National Academies of Sciences, Engineering, and Medicine) has endorsed IPE as 鈥渁 mechanism to improve the overall quality of health care,鈥 and says that 鈥減atients received safer, high quality care when healthcare professionals worked effectively in a team, communicated productively, and understood each other's roles.鈥
To that end, 色中色 (PCOM) has partnered with the Villanova University M. Louise Fitzpatrick College of Nursing on a series of mock-code simulations, during which osteopathic medicine (DO) and clinical psychology (PsyD) students work alongside students in Villanova鈥檚 graduate program in nursing anesthesia and undergraduate program in nursing to learn of the dangers of medication errors among patients with Parkinson鈥檚 disease (PD) during transitions of care and also learn interprofessional communication and collaboration between practitioners.
During the simulations, the students practice in their respective roles while a 鈥減atient鈥 experiences cardiopulmonary arrest due to missed medication. A simulated debrief, led by a PsyD student, follows the exercise.
鈥淧COM was more than happy to collaborate with Villanova and its nursing students on this important initiative addressing a high-risk population, while also learning how to work together to put the patient鈥檚 needs first,鈥 said Michael Becker, DO 鈥87, MS, assistant dean of clerkship education. 鈥淭his person-centric thinking has been a main tenet of the osteopathic profession since its founding.鈥
"Clinical psychologists are broadening their roles to be included as health service providers,鈥 said Stephanie Felgoise, PhD, associate dean, academic integration, and Clinical PsyD program director. That program, she says has 鈥渢raditionally focused on holistic care alongside of the osteopathic medical school, and this new initiative further enhances the IPE at PCOM by having students learning from, with, and about nurses' education.
The faculty, students, and staff at Villanova鈥檚 College of Nursing have become valued colleagues and friends throughout this experience,鈥 she added.
These simulations are part of a larger research project at Villanova, led by Diane M. Ellis, MSN, RN, CCRN, clinical assistant professor of nursing, to create a body of research to prevent missed or delayed medication in this population. Existing research shows that up to 75 percent of hospitalized patients with Parkinson鈥檚 have not received doses on time or in some instances, not at all, and complications can range from difficulty communicating to aspiration to death.
鈥淚t was our aim to create innovative case studies for simulation to improve care for this vulnerable population by increasing awareness of the impact of errors with patients鈥 PD medications,鈥 said Ellis, adding that her goal is to reach more than 600 health care professionals from across the field with this project by the end of the year.
鈥淲hile technology and medication make resuscitation possible, it is the nexus of highly educated health care professionals and their effective communication and coordinated action that count as much as the seconds that tick by. That human interaction and intervention is critical to saving lives,鈥 notes Donna S. Havens, PhD, RN, FAAN, Connelly Endowed Dean. 鈥淲e are proud of the model created by our PD research team here which weaves safety in care transitions throughout and is building much needed science; we are equally proud of our collaboration with PCOM which has further strengthened students鈥 experiences.鈥
Carlene McLaughlin, PhD, CRNA, co-investigator and nurse anesthesia program faculty member, agrees, noting, 鈥淣urse anesthesia students encounter many high-risk patients during their clinical education. This experience has allowed them the opportunity to utilize and share their educational background and experiences, while collaborating with other health care providers in the care of a vulnerable high-risk patient.鈥
In addition to collaborating with Villanova, Dr. Becker noted that PCOM continues to explore ways to expand its own IPE offerings.
鈥淚PE is woven into the curricula of many of our academic programs, and working with Villanova provides our medical and psychology students a unique, real-world opportunity to work alongside future nurses and nurse anesthetists,鈥 he said. 鈥淭hat experience will be invaluable to all of the students once they begin clinical practice.鈥
Myriad positive outcomes for IPE have been reported; a 2018 study in BMC Nursing listed several advantages including increased mutual respect and trust among healthcare professionals; improved understanding of professional roles and responsibilities; effective communication; increased job satisfaction; and positive impact on patient outcomes.
Learn more about IPE at PCOM and PCOM Georgia.
Established in 1899, 色中色 (PCOM) has trained thousands of highly competent, caring physicians, health practitioners and behavioral scientists who practice a 鈥渨hole person鈥 approach to care鈥攖reating people, not just symptoms. PCOM, a private, not-for-profit accredited institution of higher education, operates three campuses (PCOM, PCOM Georgia and PCOM South Georgia) and offers doctoral degrees in clinical psychology, educational psychology, osteopathic medicine, pharmacy, physical therapy, and school psychology. The college also offers graduate degrees in applied behavior analysis, applied positive psychology, biomedical sciences, forensic medicine, medical laboratory science, mental health counseling, physician assistant studies, and school psychology. PCOM students learn the importance of health promotion, research, education and service to the community. Through its community-based Healthcare Centers, PCOM provides care to medically underserved populations. For more information, visit pcom.edu or call 215-871-6100.
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