Embracing Cultural Humility in Collaborative Practice: An Interprofessional Simulation


TTUHSC Interprofessional Practice and Education (IPE) Experience


Title of the Interprofessional Practice and Education Experience

Embracing Cultural Humility in Collaborative Practice: An Interprofessional Simulation


Experience Status

Approved


Approval Date Range

12/13/2020 - 8/30/2024


Criteria for Registering the IPE Experience

  • Involvement of two or more professions.
  • Opportunities to learn about, from, and with one another.
  • Significant interactivity between participants.
  • Teaching and/or learning about interprofessional practice and education is intentionally integrated into the activity. Interprofessional practice and education constructs are targeted with IPE learning objectives are also discussed, trained, reviewed, and/or assessed as part of the learning activity.

Type of IPE Experience

  • Case-based and/or problem-based learning
  • Simulation learning
  • Telehealth

IPEC Core Competencies Targeted by this IPE Experience

  • Roles and Responsibilities: Use the knowledge of one’s own role and team members’ expertise to address individual and population health outcomes.
  • Teams and Teamwork: Apply values and principles of the science of teamwork to adapt one's own role in a variety of team settings.

Quintuple Aim Strategic Goals Discussed in this IPE Experience

  • Advancing health equity
  • Enhancing the experience of care
  • Improving patient and/or population health outcomes

Detailed Description and Purpose of the IPE Experience

Numerous studies have shown that when organizations provide an opportunity that fosters collaboration and interprofessional education, then team cohesiveness improves. What has not been widely explored is the impact of those same exercises and their potential influence on learning and understanding social determinants of health and cultural humility. The purpose of the interprofessional (IP) simulation is to immerse interprofessional teams of students in “a day in the life” of a healthcare professional working on a medical-surgical floor or Federally Qualified Health Center (FQHC). Students from TTUHSC nursing and pharmacy as well as social work, occupational therapy, and speech therapy students from Abilene Christian University collaborate to deliver high-quality and safe patient-centered care as members of an interprofessional team. The simulation design includes 22 evidence-based scenarios ranging in acuity level from "walk-in" clinic diagnoses such as hypertension to med-surg diagnoses such as breast cancer. The simulation scenarios focus on social determinants of health and cultural humility. First and second-semester junior nursing students are assigned to work together in teams and are allocated to either the med-surg floor or the FQHC to collaborate with other professionals on all aspects of patient care. Standardized patients and high-fidelity manikins depict the roles of patients and family members. A structured, one-hour debrief session follows the simulation. Huddles and debriefs are also provided throughout the scenarios, as needed. During huddle and debrief sessions, interprofessional education discussion topics include values/ethics, roles/responsibilities, teamwork, and interprofessional communication tools.

Feedback and survey: Prior to and following the event, students complete a feedback sheet and complete an interprofessional education survey related to interprofessional practice and education.

Objectives:
1. Understand the roles and responsibilities of a variety of healthcare professionals participating in a community engagement event.
2. Participate as a team member in an interprofessional event.


Level of IPE Integration

  • Immersion Level: Consists of development learning activities that provide learners with the opportunity to learn about, with, and from other professional learners in an active learning situation where they are applying learning during the activity. The desired outcome for activities offered at the immersion level is that learners will develop critical thinking skills as part of an interprofessional view that incorporates multiple perspectives, and acknowledges and encourages diversity in providing quality health and human services.

Attendance or Participation in the IPE Experience

  • Certificate credit
  • Course requirement - NURS3511 Applied Concepts of Pharmacology NURS3604 Core Concepts of Nursing Care NURS3512 COMPLEX CONCEPTS OF NURSING CARE I NURS3212 INTEGRATED LEARNING II NURS3450 CONCEPTS OF COMMUNITY AND PUBLIC HEALTH NURSING NURS3502 MENTAL & BEHAVIORAL HEALTH NURSING
  • TTUHSC Pharmacy; ACU: Speech Language Pathology, Social Work, OT

Frequency of the IPE Experience

  • 02. Semesterly
  • Biannual Spring and Fall semesters

Duration and/or Timeline of the IPE Experience

  • 03. 4 to 5 hours
  • 4.5 hours for students

Campus and/or Location of the IPE Experience

  • Abilene

Average Number of Learners Participating in the IPE Experience

  • 03. 101 to 150
  • 130

Target Audiences

Graduate School of Biomedical Sciences Audiences


School of Health Professions Audiences


School of Medicine Audiences


School of Nursing Audiences

  • Traditional BSN

School of Pharmacy Audiences

  • P3
  • P4

School of Population and Public Health Audiences


Other

Abilene Christian University: Occupational Therapy; Speech Language Pathology; Social Work

IPE Learning Objectives for the Experience

Values and Ethics

  • VE04. Value diversity, identities, cultures, and differences.
  • VE01. Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives.
  • VE06. Collaborate with honesty and integrity while striving for health equity and improvements in health outcomes.
  • VE03. Uphold the dignity, privacy, identity, and autonomy of persons while maintaining confidentiality in the delivery of team-based care.
  • VE07. Practice trust, empathy, respect, and compassion with persons, caregivers, health professionals, and populations.
  • VE10. Contribute to a just culture that fosters self-fulfillment, collegiality, and civility across the team.

Roles and Responsibilities

  • RR03. Incorporate complementary expertise to meet health needs including the determinants of health.
  • RR01. Include the full scope of knowledge, skills, and attitudes of team members to provide care that is person-centered, safe, cost-effective, timely, efficient, effective, and equitable.

Communication

  • C05. Practice active listening that encourages ideas and opinions of other team members.

Teams and Teamwork

  • TT03. Practice team reasoning, problem-solving, and decision-making.
  • TT06. Reflect on self and team performance to inform and improve team effectiveness.

Type of Learner Assessment Administered

  • Attitudinal and/or perceptions survey

Formal Assessment Protocol used, if Applicable

University of Washington Pre/Post Assessment: Interprofessional Team Simulation Training

Type of Program Evaluation Administered

  • Facilitated debrief with planning committee

Provide Details on the Potential Sustainability of the IPE Experience

  • Integrated into program curriculum
  • IPE Activity can be offered on an annual basis

Provide Dedicated Funding Sources:

  • Decentralized school or program funding
  • Fees (e.g., student or program fees)
  • In-kind contributions

Roles of Faculty/Staff in the IPE Experience:

  • Facilitators
  • Planning committee members
  • School of Nursing Level 1 and 2 Faculty, Pharmacy Faculty, and ACU Social Work, Occupational Therapy, and Speech Language Pathology Faculty will help write 22 scenarios with a focus on each of the discipline's objectives. These faculty members will guide students throughout the experience. School of Nursing Level 1 and 2 Faculty will facilitate debrief with Abilene Christian University (ACU) Social Work Faculty. TTUHSC Pharmacy faculty, ACU Occupational Therapy and Speech Language Pathology faculty members will assist in debrief facilitation.

Additional Information About the IPE Experience, if Necessary


IPE Experience Organizer

  • School of Nursing
  • School of Pharmacy
  • Simulation Program

Contact Person(s) and Contact Information for the IPE Experience

Heather Guest MSN, RN, CNE
Assistant Professor
Traditional Undergraduate Program
1674 Pine Street • Abilene TX 79601
325.696.0551
heather.guest@ttuhsc.edu


Donna Paris, MSN, RN, CCRN-K
Faculty
Texas Tech University Health Sciences Center School of Nursing
1674 Pine Street
Abilene, TX 79601
Office: (325) 696-0519