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Original Article

Interprofessional education and collaboration among healthcare students and professionals: a systematic review and call for action

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Pages 612-621 | Received 14 Jun 2018, Accepted 20 Nov 2019, Published online: 21 Dec 2019
 

ABSTRACT

Interprofessional education (IPE) is a prerequisite to building a collaborative practice environment and optimizing patient care. The purpose of this systematic review was to assess the impact of IPE on outcomes related to health-care pre-licensure learners and professionals, including: changes in attitudes/perceptions; acquisition of knowledge regarding other disciplines’ roles and development of collaborative skills; and change in collaborative behavior. We searched PubMed, CINAHL, Embase, and ERIC for studies published from 2007 to 2017 in English; 19 studies were eligible. The Joanna Briggs Institute appraisal tool was used to assess the quality of the studies. Thirteen studies used a quasi-experimental design. The studies varied in terms of setting, teaching methods, assessment measures, and quality. Seventeen of the 19 studies (89%) that assessed change in attitudes toward other disciplines and value placed on a team-based approach for improving patient care, found statistically significant improvements. All seven of the studies that assessed change in collaborative behavior found statistically significant improvements. Among the 12 studies that assessed the development of collaborative skills, there were mixed results. Future directions include: conducting more studies among health-care professionals, assessing the long-term impact of IPE, objectively assessing change in collaborative behavior, and assessing the impact of IPE on patient-centered outcomes.

Declaration of Interest

The authors report no conflicts of interest.

Supplementary material

Supplemental data for this article can be accessed on the publisher’s website.

Additional information

Funding

This work was supported by the Maryland Higher Education Commission [NSP II-17-107]; National Institute of Nursing Research [NIH/NINR F31 NR017328, NIN/NINR T32 NR012704].

Notes on contributors

Erin M. Spaulding

Erin M. Spaulding is a PhD Candidate at Johns Hopkins School of Nursing and a Nurse Faculty for the Future Fellow, a fellowship funded by the Maryland Higher Education Commission (NSP II-17-107). Her research is focused on cardiovascular disease prevention, including expertise in health behavior change, mobile/digital health, and big data.

Francoise A. Marvel

Francoise A. Marvel is a Cardiovascular Fellow at Johns Hopkins University with a clinical interest in preventive cardiology, digital health, precision medicine, and implementing innovative technology and delivery approaches to improve patient outcomes and high value healthcare.

Elsen Jacob

Dr. Elsen Jacob is an Assistant Professor at St. John's University College of Pharmacy and Health Sciences, Inpatient Pharmacy Faculty for the Mount Sinai Family Medicine and Pharmacy Residency Programs and Clinical Coordinator with the Department of Pharmacy at the Mount Sinai Hospital. Dr. Jacob completed her PharmD at St. John’s University and her residency at the Brigham and Women’s Hospital. She is a Board Certified Pharmacotherapy Specialist, Board Certified Geriatric Pharmacist and a Certified Professional in Patient Safety.

Alphie Rahman

Dr. Alphie Rahman is Clinical Nurse Specialist in the Department of Medicine and Interprofessional Practice & Patient Safety and a nurse attending at Johns Hopkins Bayview Medical Center. As a nurse attending, she teaches medical and nursing professionals to communicate better and share their unique perspectives on patient care.

Bryan R. Hansen

Bryan R. Hansen is an Assistant Professor at Johns Hopkins School of Nursing (JHSON), Principal Faculty of the Center for Innovative Care in Aging, and the 2019 Inaugural Interprofessional Education Fellow. Dr. Hansen completed his PhD and Master of Science in Nursing at JHSON and has expertise in psychiatric, gerontologic, and forensic nursing. He has practiced as a psychiatric nurse, a psychiatric nursing clinical instructor, and adult forensic nurse examiner. He currently practices as an adult health clinical nurse specialist and his current scholarly focus is on delirium prevention and management, as well as differentiation of delirium from behavioral symptoms of dementia.

Laura A. Hanyok

Laura A. Hanyok is Associate Professor in the Department of Medicine and Associate Dean for Graduate Medical Education at the Johns Hopkins University School of Medicine.

Seth S. Martin

Seth S. Martin is an Associate Professor of Medicine in the Division of Cardiology at Johns Hopkins University School of Medicine. He is a core faculty member in the Ciccarone Center for the Prevention of Cardiovascular Disease, where he directs the Advanced Lipid Disorders and Mobile Health Programs. His research is grounded in preventive cardiology, with a focus on multiple complementary areas including lipidology, cardiovascular risk assessment, mobile/digital health, big data, and precision medicine.

Hae-Ra Han

Dr. Hae-Ra Han is Professor and Co-Director of Center for Cardiovascular and Chronic Care at the Johns Hopkins School of Nursing. She also directs the Nurse Faculty for the Future program funded by the Maryland Higher Education Commission (NSP II-17-107). Her expertise is in the study of community-based interventions aimed at promoting care and health literacy of chronically ill patients and their families.

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