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      Multiprofessional education to stimulate collaboration: a circular argument and its consequences

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      Author(s): * , 1
      Publication date (Electronic):
      Journal: GMS Zeitschrift für medizinische Ausbildung
      Publisher: German Medical Science GMS Publishing House

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          Abstract

          The current developments in healthcare are unprecedented. The organization of health care is complex. Collaboration is essential to meet all the healthcare needs of patients and to achieve coordinated and unambiguous information. Multiprofessional education (MPE) or multidisciplinary training (MDT) seems a logical step to stimulate teamwork. However, collaboration and MPE are wrestling with the same problems: social identity and acceptance.

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          Most cited references25

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          Lower Medicare mortality among a set of hospitals known for good nursing care.

          Jeffrey Smith, L Aiken, Jordan Lake (1994)
          The objective of this study is to investigate whether hospitals known to be good places to practice nursing have lower Medicare mortality than hospitals that are otherwise similar with respect to a variety of non-nursing organizational characteristics. Research to date on determinants of hospital mortality has not focused on the organization of nursing. We capitalize on the existence of a set of studies of 39 hospitals that, for reasons other than patient outcomes, have been singled out as hospitals known for good nursing care. We match these "magnet" hospitals with 195 control hospitals, selected from all nonmagnet U.S. hospitals with over 100 Medicare discharges, using a multivariate matched sampling procedure that controls for hospital characteristics. Medicare mortality rates of magnet versus control hospitals are compared using variance components models, which pool information on the five matches per magnet hospital, and adjust for differences in patient composition as measured by predicted mortality. The magnet hospitals' observed mortality rates are 7.7% lower (9 fewer deaths per 1,000 Medicare discharges) than the matched control hospitals (P = .011). After adjusting for differences in predicted mortality, the magnet hospitals have a 4.6% lower mortality rate (P = .026 [95% confidence interval 0.9 to 9.4 fewer deaths per 1,000]). The same factors that lead hospitals to be identified as effective from the standpoint of the organization of nursing care are associated with lower mortality among Medicare patients.
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            Interprofessional education and teamworking: a view from the education providers.

            Andrew J. Finch (2000)
            Article 0 comments Cited 17 times – based on 0 reviews     Review now
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              Multiprofessional education in the medical curriculum.

              Katherine Hammar, I Sandén, O Wahlström (1997)
              The aim of this project was to design a programme for the students at the Faculty of Health Sciences (FHS) which has long fostered multiprofessional education, and encourages development of positive attitudes and skills related to collaboration with other health professionals. This should be characterized by mutual respect and understanding and should also provide students with insight into the various professional roles and competencies involved in collaboration within the health care system. A multi-professional training ward, and since January 1996 a student-manned training ward, has been in operation at the Department of Orthopaedics, University Hospital, Linköping. The care, treatment and rehabilitation of patients is performed by students from all the education programmes at the FHS. While the supervisors are medically responsible, they generally only observe and provide guidance without taking too much active part in the practical work. The students are recruited during one of their last two semesters when they have attained fairly good insight into their future professional roles. Experience thus far has shown that a training ward seems to be a very efficient way of improving the ability to work as a team with real patients, and is an inspiring and efficient means for obtaining these skills which, in turn, are essential in future professional work. This paper reports the implementation and first experiences of the training ward. A detailed evaluation of the effects of an educational ward, taking into account the opinions and attitudes of students, teachers and patients, is in progress.
              Article 0 comments Cited 13 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): GMS Z Med Ausbild
                Journal ID (publisher-id): GMS Z Med Ausbild
                Title: GMS Zeitschrift für medizinische Ausbildung
                Publisher: German Medical Science GMS Publishing House
                ISSN (Print): 1860-7446
                ISSN (Electronic): 1860-3572
                Publication date (Electronic): 22 April 2010
                Publication date Collection: 2010
                Volume: 27
                Issue: 2 , Gemeinsames Themenheft mit Tijdschrift voor Medisch Onderwijs
                Electronic Location Identifier: Doc28
                Affiliations
                [1 ]University Medical Center Groningen, Wenckebach Institute, Groningen, Netherland
                Author notes
                *To whom correspondence should be addressed: Petrie F. Roodbol, University Medical Center Groningen, Wenckebach Institute, Hanzeplein 1, P.O.Box 300001, 9700 RB Groningen, Netherland, Tel.: 0031 50 3614 345, E-mail: r.f.roodbol@ 123456wenckebach.umcg.nl
                Article
                Publisher ID: zma000665 Publisher Item ID: Doc28 Other ID: urn:nbn:de:0183-zma0006656
                DOI: 10.3205/zma000665
                PMC ID: 3140349
                PubMed ID: 21818197
                SO-VID: dcfd78a2-caf4-4c07-b350-9e9f9926842c
                Copyright © Copyright © 2010 Roodbol
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free to copy, distribute and transmit the work, provided the original author and source are credited.

                History
                Date received : 24 September 2009
                Date accepted : 21 January 2010
                Date revision received : 09 December 2009
                Categories
                Subject: Article

                ScienceOpen disciplines: Medicine
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                ScienceOpen disciplines: Medicine

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