Using an interprofessional decision-making model to determine the level of collaborative decision-making in a virtual learning environment

Using an interprofessional decision-making model

Authors

DOI:

https://doi.org/10.1921/jpts.v21i3.2254

Keywords:

collaboration, decision-making, interprofessional education, interprofessional relations, medical students, pharmacy students, medicines management

Abstract

Medicine and pharmacy students benefit from interprofessional education that supports the learning of collaboration skills for medicines management decision-making. However, if and how students undertake collaborative decision-making processes in interprofessional student teams has not been investigated. The aim of this study was to determine the level to which pharmacy and medical students collaborate to make medicines management decisions in a learning activity.  

Eight pharmacy and 13 medical students completed a 9-item survey to evaluate a interprofessional learning activity. A secondary analysis of survey data using a deductive approach, according to the Model of Interprofessional Decision-Making was undertaken.

Different levels of collaboration were identified in the students’ responses ranging from the first and lowest level in the model, Individual Decision Making, to the fourth and highest level, Shared Decision. Most student responses were categorised as level three-Deliberation.

Findings from this study indicate that pharmacy and medical students collaborate to different levels with each other to make patient care decisions. Further examination is required to see if this is usual variation or related to the design of the learning activity.

Author Biographies

Louise Beckingsale, University of Otago, Education Advisor MbChB

Louise Beckingsale is an Education Adviser for the University of Otago MbChB. Her interests focus on faculty development, workplace learning, and interprofessional learning. She is also a registered dietitian with an interest in primary care dietetics.

Sonya Morgan, University of Otago, Research Fellow

Sonya Morgan is a Research Fellow at the Department of Primary Care and General Practice, University of Otago Wellington. Her current research focuses on the development of effective interprofessional education learning activities and interprofessional collaboration.

Stephen Duffull, Senior Scientific Advisor, Certara University, New Jersey, USA

Stephen Duffull is a Senior Scientific Advisor for Certara in the area of model informed drug development and holds an honorary appointment at the University of Otago as a professor of pharmacy where he is involved in research and teaching of undergraduate and postgraduate students.

Phil Hider, University of Otago, Associate Professor

Phil Hider is a Public Health Physician and Associate Professor of Clinical Epidemiology at the University of Otago.

Louise McDermott, University of Otago, New Zealand, Senior Professional Practice Fellow

Louise McDermott is an experienced pharmacist and educator working clinically as a paediatric pharmacist prescriber and as a regional tutor for 4th year pharmacy students on placement in Christchurch, New Zealand.

Aynsley Peterson , University of Otago, School of Pharmacy, Senior Professional Practice Fellow

Aynsley has been a registered pharmacist for over 30 years and has worked predominantly in hospital pharmacy in Aotearoa New Zealand, England and Australia. Her practice work has included oncology and aseptics, renal and general medicine, and pre-admission. Aynsley currently lives and works in both Dunedin and Balclutha, Aotearoa New Zealand. Her University roles include a senior professional practice appointment at the School of Pharmacy, University of Otago, and Deputy Director, Centre for Interprofessional Education, Division of Health Sciences Otago. Aynsley teaches in all years in the undergraduate pharmacy curriculum. Aynsley also works as a clinical pharmacist in a small rural hospital in Balclutha, Otago.

Eileen McKinlay, University of Otago, Associate Professor

Eileen McKinlay is Associate Professor and Director of the Centre for Interprofessional Education, Division of Health Sciences, University of Otago. She leads the delivery of IPE learning activities to health sciences students across their training programmes and campus sites.

References

Bardet, J.-D., Vo, T.-H., Bedouch, P., & Allenet, B. (2015). Physicians and community pharmacists collaboration in primary care: A review of specific models. Research in Social and Administrative Pharmacy, 11(5), 602–622. https://doi.org/10.1016/j.sapharm.2014.12.003

Cooke, C., Gormley, G. J., Haughey, S., & Barry, J. (2017). Tracing the prescription journey: a qualitative evaluation of an interprofessional simulation-based learning activity. Advances in Simulation, 2(1), 14. https://doi.org/10.1186/s41077-017-0047-0

Corti, L. (1993). Using diaries in social research. Social Research Update, 2. https://repository.essex.ac.uk/24606/1/Social%20Research%20Update%202_%20Using%20diaries%20in%20social%20research.pdf

Darlow, B., Brown, M., McKinlay, E., Gray, L., Purdie, G., Pullon, S., & Group, L. I. S. (2022). Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes. BMJ Open, 12(7), e060066. https://doi.org/10.1136/bmjopen-2021-060066

DeKeyser-Ganz, F., Engelberg, R., Torres, N., & Curtis, J. R. (2016). Development of a Model of Interprofessional Shared Clinical Decision Making in the ICU. Critical Care Medicine, 44(4), 680–689. https://doi.org/10.1097/ccm.0000000000001467

Donaldson, L. J., Kelley, E. T., Dhingra-Kumar, N., Kieny, M.-P., & Sheikh, A. (2017). Medication Without Harm: WHO’s Third Global Patient Safety Challenge. The Lancet, 389(10080), 1680–1681. https://doi.org/10.1016/s0140-6736(17)31047-4

Duffull, S., & Peterson, A. (2020). Students’ perceptions of playing a serious game intended to enhance therapeutic decision-making in a pharmacy curriculum. Currents in Pharmacy Teaching and Learning, 12(11), 1348–1353. https://doi.org/10.1016/j.cptl.2020.05.011

Duffull, S., Peterson, A., Chai, B., Cho, F., Opoku, J., Sissing, T., Smith, D., Tongskul, T., & Wilby, K. (2020). Exploring a scalable real-time simulation for interprofessional education in pharmacy and medicine. MedEdPublish, 9(1). https://doi.org/10.15694/mep.2020.000240.1

Heaton, J. (2008). Secondary analysis of qualitative data: An overview. Historial Social Research, 33, 33–45. https://www.jstor.org/stable/20762299

Iedema, R., Long, D., Forsyth, R., & Lee, B. B. (2014). Visibilising clinical work: Video ethnography in the contemporary hospital. Health Sociology Review, 15(2), 156–168. https://doi.org/10.5172/hesr.2006.15.2.156

Kaushal, R., Bates, D. W., Abramson, E. L., Soukup, J. R., & Goldmann, D. A. (2008). Unit-based clinical pharmacists’ prevention of serious medication errors in pediatric inpatients. American Journal of Health-System Pharmacy, 65(13), 1254–1260. https://doi.org/10.2146/ajhp070522

Légaré, F., Stacey, D., Pouliot, S., Gauvin, F.-P., Desroches, S., Kryworuchko, J., Dunn, S., Elwyn, G., Frosch, D., Gagnon, M.-P., Harrison, M. B., Pluye, P., & Graham, I. D. (2011). Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model. Journal of Interprofessional Care, 25(1), 18–25. https://doi.org/10.3109/13561820.2010.490502

Lunde, L., Moen, A., Jakobsen, R. B., Rosvold, E. O., & Brænd, A. M. (2021). Exploring healthcare students’ interprofessional teamwork in primary care simulation scenarios: collaboration to create a shared treatment plan. BMC Medical Education, 21(1), 416. https://doi.org/10.1186/s12909-021-02852-z

Michalsen, A., Long, A., Ganz, F., White, D., Jensen, H., Metaxa, V., Hartog, C., Latour, J., Truog, R., Kesecioglu, J., Mahn, A., & Curtis, J. (2019). Interprofessional Shared Decision-Making in the ICU: A Systematic Review and Recommendations From an Expert Panel. Critical Care Medicine, 47(9), 1258–1266. https://doi.org/10.1097/ccm.0000000000003870

Perisin, A. S., Mestrovic, A., Bozic, J., Kacic, J., Bukic, J., Leskur, D., Rusic, D., Zekan, L., Stipic, M., & Modun, D. (2018). Interprofessional pharmacotherapy workshop: intervention to improve health professionals’ and students’ attitudes towards collaboration between physicians and pharmacists. Journal of Interprofessional Care, 33(5), 1–8. https://doi.org/10.1080/13561820.2018.1541875

Rosenfeld, E., Kinney, S., Weiner, C., Newall, F., Williams, A., Cranswick, N., Wong, I., Borrott, N., & Manias, E. (2018). Interdisciplinary medication decision making by pharmacists in pediatric hospital settings: An ethnographic study. Research in Social and Administrative Pharmacy, 14(3), 269–278. CINAHL Complete. https://doi.org/10.1016/j.sapharm.2017.03.051

Shelvey, B. M., Coulman, S. A., & John, D. N. (2016). Evaluating an undergraduate interprofessional education session for medical and pharmacy undergraduates on therapeutics and prescribing: the medical student perspective. Advances in Medical Education and Practice, 7, 661–670. https://doi.org/10.2147/amep.s116618

Skou, S. T., Mair, F. S., Fortin, M., Guthrie, B., Nunes, B. P., Miranda, J. J., Boyd, C. M., Pati, S., Mtenga, S., &

Smith, S. M. (2022). Multimorbidity. Nature Reviews Disease Primers, 8(1), 48. https://doi.org/10.1038/s41572-022-00376-4

Published

2024-07-09

How to Cite

Beckingsale, L., Morgan, S. ., Duffull, S., Hider, P., McDermott, L., Peterson , A. ., & McKinlay, E. (2024). Using an interprofessional decision-making model to determine the level of collaborative decision-making in a virtual learning environment: Using an interprofessional decision-making model . The Journal of Practice Teaching and Learning, 22. https://doi.org/10.1921/jpts.v21i3.2254
Received 2024-02-21
Accepted 2024-04-23
Published 2024-07-09