Developing an effective IPE learning activity for midwifery and medical students: Use of a quality improvement model and researcher-teacher partnership methodology’

Authors

DOI:

https://doi.org/10.1921/jpts20572288

Keywords:

curriculum design, interdisciplinary placement, interprofessional education, quality improvement, quality improvement methods, researcher-teacher partnership, workplace learning

Abstract

Background: There is little guidance available about how to develop effective interprofessional learning activities for midwifery and medical students to prepare them for future collaboration in the workplace.

Purpose: This paper aims to describe how the use of a quality improvement methodology and researcher-teacher partnership approach improved an interprofessional education learning activity developed for pre-registration midwifery and medical students.

Method: Employing a collaborative researcher-teacher approach, two iterations of the learning activity refined over two quality improvement cycles were undertaken. Mixed methods of data collection were used to assess each iteration. Modifications were made to the second iteration of the interprofessional education learning activity based on feedback from the first iteration.

Discussion/Conclusions: Analysis of the second interprofessional learning activity modified according to feedback from the first iteration indicated improved learning outcomes. The study demonstrates the value of using a quality improvement methodology coupled with a researcher-teacher partnership to develop an effective interprofessional education learning activity for midwifery and medical students which has potential to increase workplace collaboration.

 

Author Biographies

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.

Judy Ormandy, University of Otago, Wellington, Senior Lecturer

Dr Judy Ormandy is an Obstetrician & Gynaecologist, currently in post as a Senior Lecturer in Obstetrics, Gynaecology & Women’s Health at the University of Otago.

Christine Jackson, Victoria University of Wellington

Christine Jackson is a Midwifery Lecturer at the School of Nursing, Midwifery & Health Practice, Victoria University of Wellington. Her current work focuses on the dissonance between midwifery students and the clinical environment.

Lyndal Honeyman, Victoria University of Wellington, School of Nursing, Midwifery and Health Practice, Lecturer

Lyndal Honeyman is a midwife academic teaching in the Bachelor of Midwifery programme at Victoria University of Wellington in New Zealand. She has worked clinically in tertiary hospital maternity units and provided community-based midwifery care in New Zealand and Australia. Her academic interests are in interprofessional teaching in maternity, and the experiences of women/pregnant people in early pregnancy.

Rose Spence, University of Otago Wellington, Researcher-Teacher in Interprofessional Education, Department of Obstetrics, Gynaecology and Women’s Health

Rose Spence is a medical registrar currently working in Obstetrics and Gynaecology and General Practice, within different departments throughout Aotearoa. Her research and work focuses on equitable health, particularly Hauora Māori and increasing access to effective interprofessional education.

Robyn Maude, University of Wellington, Associate Professor, School of Nursing, Midwifery and Health Practice

Robyn Maude is Associate Professor and Interim Head of Programme for Midwifery at the School of Nursing, Midwifery and Health Practice, Victoria University of Wellington, New Zealand.

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

Avery, M. D., Jennings, J. C., Germano, E., Andrighetti, T., Autry, A. M., Dau, K. Q., Krause, S. A., Montgomery, O. C., Nicholson, T. B. and Perry, A. (2020) Interprofessional education between midwifery students and obstetrics and gynecology residents: an American College of Nurse-Midwives and American College of Obstetricians and Gynecologists collaboration. Journal of Midwifery & Women’s Health, 65, 2, 257-264. https://doi.org/10.1111/jmwh.13057

Baecher-Lind, L., Fleming, A. C., Bhargava, R., Cox, S. M., Everett, E. N., Forstein, D. A. and Graziano, S. C. (2022) Enhancing interprofessional collaboration and interprofessional education in women’s health. Medical Education Online, 27, 1, 2107419.

Bevins, S. and Price, G. (2014) Collaboration between academics and teachers: a complex relationship. Educational Action Research, 22, 2, 270-284. https://doi.org/10.1080/09650792.2013.869181

Bogossian, F. and Craven, D. (2021) A review of the requirements for interprofessional education and interprofessional collaboration in accreditation and practice standards for health professionals in Australia. Journal of Interprofessional Care, 35, 5, 691-700. https://doi.org/10.1080/13561820.2020.1808601

Burns, E. S., Duff, M., Leggett, J. and Schmied, V. (2020) Emergency scenarios in maternity: An exploratory study of a midwifery and medical student simulation-based learning collaboration. Women Birth, 34, 6, 563-569. https:// doi.org/10.1016/j.wombi.2020.10.005

Centre for Interprofessional Education Division of Health Sciences. (n.d.) Interprofessional Education. Dunedin, NZ: University of Otago Division of Health Sciences. . https://www.otago.ac.nz/healthsciences/staff/ipe/otago810646.pdf

Centre for the Advancement of Interprofessional Education. (2017) Definition of IPE. CAIPE. [Retrieved 6/9/21 from https://www.caipe.org/about-us]

Creswell, J., Plano Clark, V., Gutmann, M. and Hanson, W. (2003) Advanced mixed methods research designs. in A. Tashakkori and C. Teddlie (Eds.) Handbook of Mixed Methods in Social and Behavioral Research. Thousand Oaks, CA: Sage (pp. 209-240).

Curry, L. A., Krumholz, H. M., O’Cathain, A., Clark, V. L. P., Cherlin, E. and Bradley, E. H. (2013) Mixed methods in biomedical and health services research. Circulation: Cardiovascular Quality and Outcomes, 6, 1, 119-123. https://doi.org/10.1161/circoutcomes.112.967885

Daellenbach, R., Davies, L., Meeks, M., Ormandy, J. and Welfare, M. (2021) Prebrief or debrief? Using simulation in collaborative midwifery and medical education. New Zealand College of Midwives. 16th Biennial National Conference. 5-6 November, 2021, Christchurch.

Daellenbach, R., Davies, L., Meeks, M., Welfare, M. and Ormandy, J. (2023) Interprofessional education for medical and midwifery students in Aotearoa New Zealand. in R. D.-F. A. A. Premkumar (Ed.) Obstetric Violence and Systemic Disparities. Can Obstetrics Be Humanized and Decolonized? Volume 3. New York: Berghahn Books

Dyer, C. (2023) “Joined up and effective” improvements will follow East Kent maternity report, says government. BMJ, 382, 1695.

Fraser, D. M., Symonds, I. and Cullen, L. (2005) Multiprofessional or interprofessional education in obstetrics and gynaecology. The Obstetrician & Gynaecologist, 7, 4, 271-275. https://doi.org/10.1576/toag.7.4.271.27123

Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y. and Kelley, P. (2010) Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. Lancet, 376, 9756, 1923-1958. https://doi.org/10.1016/S0140-6736(10)61854-5

Goos, M. (2014) Researcher–teacher relationships and models for teaching development in mathematics education. ZDM Mathematics Education, 46, 2, 189-200. https://doi.org/10.1007/s11858-013-0556-9

Hean, S., Craddock, D. and O’Halloran, C. (2009) Learning theories and interprofessional education: A user’s guide. Learning in Health and Social Care, 8, 4, 250-262. https://doi.org/10.1111/j.1473-6861.2009.00227.x

Howkins, E. and Low, H. (2014) Learning to work collaboratively to improve the quality of care for individuals, families and communities: The practice educator’s role. The Journal of Practice Teaching and Learning, 13, 2-3, 133-145. https://doi.org/10.1921/jpts.v13i2-3.819

Kleinheksel, A., Rockich-Winston, N., Tawfik, H. and Wyatt, T. R. (2020) Demystifying content analysis. American Journal of Pharmaceutical Education, 84, 127-137.

Leeman, Y., van Koeven, E. and Schaafsma, F. (2018) Inter-professional collaboration in action research. Educational Action Research, 26, 1, 9-24. https://doi.org/10.1080/09650792.2017.1301827

Murray-Davis, B. S., Kerley, E. and Brian Knight, S. (2013) A pilot project of collaborative maternity education: Understanding perspectives from family medicine and midwifery. Canadian Journal of Midwifery Research & Practice, 12, 3, 22-29. https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=113038550&site=ehost-live

Ormandy, J. and Austin, D. (2021) Piloting an interprofessional education session for midwifery and medical students. Interprofessional Education Showcase. Sustaining interprofessional innvoation and momentum in 2021. 19 November 2021 (virtual presentation), Auckland.

Perinatal and Maternal Mortality Review Committee. (2018) Twelfth annual report of the Perinatal and Maternal Mortality Review Committee. Health Quality & Safety Commission. [accessed 14 Jan 2025] https://www.hqsc. govt.nz/assets/Our-work/Mortality-review-committee/PMMRC/Publications-resources/12th-PMMRC-report-final.pdf

Pullon, S, and Symes, A. (2019) A Curriculum and Quality Framework for Interprofessional Education. Divisional Interprofessional Education Governance Wellington, NZ: University of Otago, Group and IPE CentreUniversity of Otago

Quinlivan, J. A., Thompson, C. M., Black, K. I., Kornman, L. H. and McDonald, S. J. (2002) Medical and midwifery students: how do they view their respective roles on the labour ward? ANZJOG, 42, 4, 403-408

Rose, S., Hamill, R., Caruso, A. and Appelbaum, N. P. (2021) Applying the plan-do-study-act cycle in medical education to refine an antibiotics therapy active learning session. BMC Medical Education, 21, 1, 1-7

Silver, I. L. and Leslie, K. (2009) Faculty development for continuing interprofessional education and collaborative practice. The Journal of Continuing Education in the Health Professions, 29, 3, 172-177. https://doi.org/10.1002/chp.20032

Simmonds, S., Darlow, B., Gray, B., McKinlay, E., Neser, H., Pullon, S., Tewhaiti‐Smith, J., Waaka, T., Andrews, L., Kewene, F., Glass, C., Haimona, M., Lawson-Aho, K., Kemp, L. A., Perry, M. and Robson, B. (2018) Whakawhanaungatanga: An interprofessional education approach to teach the process of establishing relationships. Auckland: All Together Better Health IX.

Smith, L., Keiser, M., Yorke, A. and Turkelson, C. (2021) Use of a structured approach to develop best practices in interprofessional education. The Journal of Nursing Education, 60, 6, 309-316. https://doi.org/10.3928/01484834-20210520-02

Spaulding, E. M., Marvel, F. A., Jacob, E., Rahman, A., Hansen, B. R., Hanyok, L. A. and Han, H. R. (2021) Interprofessional education and collaboration among healthcare students and professionals: a systematic review and call for action. Journal of Interprofessional Care, 35, 4, 612-621

Symonds, I., Cullen, L. and Fraser, D. (2003) Evaluation of a formative interprofessional team objective structured clinical examination (ITOSCE): a method of shared learning in maternity education [Evaluation Study]. Medical Teacher, 25, 1, 38-41

Tanner, K. D. (2000) Evaluation of scientist-teacher partnerships: Benefits to scientist participants. National Association for Research in Science Teaching Conference Paper, New Orleans, LA, April.

Tanner, K. D., Chatman, L. and Allen, D. (2003) Approaches to biology teaching and learning: Science teaching and learning across the school–university divide—cultivating conversations through scientist–teacher partnerships. Cell Biology Education, 2, 4, 195-201. https://doi.org/10.1187/cbe.03-10-0044

Taylor, M. J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D. and Reed, J. E. (2014) Systematic review of the application of the plan-do-study-act methods to improve quality in healthcare. BMJ Qual Saf, 23, 4, 290-298. doi:10.1136/bmjqs-2013-001862

Wallett, L., Chen, W., Thomas, L., Blaggan, P., Ooi, E., Zhou, D., Hanania, T., Ng, C. Y., Evans, N. and Morgan, G. (2022) Developing a simulation-based learning model for acute medical education during COVID-19 pandemic with Simulation via Instant Messaging–Birmingham Advance (SIMBA). BMJ Open Quality, 11, 2, e001565. https://doi.org/10.1136/bmjoq-2021-001565

Watkins, K. D. (2016) Faculty development to support interprofessional education in healthcare professions: A realist synthesis. Journal of Interprofessional Care, 30, 6, 695-701. https://doi.org/10.1080/13561820.2016.1209466

Wilkinson, E. (2023) Examining tribalism and toxicity in maternity care: radical action is needed. BMJ, 381, 1-3. https://doi.org/10.1136/bmj.p830

Response: World Health Organisation. (2010) Framework for Action on Interprofessional Education and Collaborative Practice. World Health Organisation. [accessed 14 Jan 2025]. https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practiceFigure 2: Research recruitment and data collection sequence for each IPE iteration (IPE; interprofessional education).

a: The pre-IPE survey included questions about students’ programme of study, what they were expecting to learn and their perceptions of the importance of collaboration and interprofessional learning in a maternity context.

b: Students were split into two focus groups (the same interprofessional groups used within the IPE learning activity). The first focus group conducted with the first cohort of students (IPE iteration 1) was held online due to Covid-19 disruptions (as was the IPE learning activity), the second focus group post IPE iteration 2 was conducted in-person (as was the IPE session).

c: Both post-IPE focus groups with teachers (IPE iterations 1 & 2) were conducted online.

Downloads

Published

2025-02-18

How to Cite

Morgan, S., Ormandy, J., Jackson, C. ., Honeyman, L., Spence, R., Maude, R., & McKinlay, E. (2025). Developing an effective IPE learning activity for midwifery and medical students: Use of a quality improvement model and researcher-teacher partnership methodology’. The Journal of Practice Teaching and Learning, 22(3), 24–47. https://doi.org/10.1921/jpts20572288

Issue

Section

Articles
Received 2024-04-09
Accepted 2024-08-12
Published 2025-02-18

Most read articles by the same author(s)