
Enhancing Care Transitions for Older People through Interprofessional Simulation: A Mixed Method Evaluation
By: Susie Sykes, Lesley Baillie, Beth Thomas, Judy Scotter and Fiona Martin
References
- Ham, C, Imison, C, Goodwin, N, Dixon, A and South, P.
Where next for the NHS reforms? The case for integrated care. London: King’s Fund; 2011. - Orvik, A, Nordhus, GEM, Axelsson, SB and Axelsson, R. Interorganizational collaboration in transitional care – A Study of a Post-Discharge Programme for Elderly Patients. International Journal of Integrated Care, 2016; 16(2): 11. DOI: 10.5334/ijic.2226
- Hanratty, B, Holmes, L, Lowson, E, Grande, G, Addington-Hall, J, Payne, S, et al. Older adults’ experiences of transitions between care settings at the end of life in England: a qualitative interview study. Journal of Pain and Symptom Management, 2012; 44(1): 74–83. DOI: 10.1016/j.jpainsymman.2011.08.006
- Williams, S, Nolan, M and Keady, J. Relational practice as the key to ensuring quality care for frail older people: discharge planning as a case example. Quality in Ageing, 2009; 10(3): 44–55. DOI: 10.1108/14717794200900024
- Ellins, J, Glasby, J, Tanner, D, McIver, S, Davidson, D, Littlechild, R, Snelling, I, et al. Understanding and improving transitions of older people: a user and carer centred approach. Final report. NIHR Service Delivery and Organisation programme; 2012. [Cited 2013 Dec 17]. Available from:
http://www.birmingham.ac.uk/Documents/news/SDOTransitions-Report.pdf . - Aaltonen, M, Rissanen, P, Forma, L, Raitanen, J and Jylhä, M. The impact of dementia on care transitions during the last two years of life. Age and Ageing, 2012; 41: 52–7. DOI: 10.1093/ageing/afr133
- Goodwin, N. Understanding integrated care. International Journal of Integrated Care, 2016; 16(4): 6: 1–4. DOI: 10.5334/ijic.2530
- Stein, KV. Developing a competent workforce for integrated health and social care: what does it take? International Journal of Integrated Care, 2016; 16(4): 9, 1–3. DOI: 10.5334/ijic.2533
- Meleis, AI, Sawyer, LM, Im, EO, Hilfinger Messias, DAK and Schumacher, K. Experiencing transitions: an emerging middle-range theory. Advances in Nursing Science, 2000; 23(1): 12. DOI: 10.1097/00012272-200009000-00006
- Fuji, KT, Abbott, AA and Norris, JF. Exploring care transitions from patient, caregiver, and health-care provider perspectives. Clinical Nursing Research, 2012; 22(3): 258–74. DOI: 10.1177/1054773812465084
- Aase, K, Laugaland, KA, Dyrstad, DN and Storm, M. Quality and safety in transitional care of the elderly: the study protocol of a case study research design (phase 1). BMJ Open, 2013; 3: e003506. DOI: 10.1136/bmjopen-2013-003506
- Coleman, EA and Boult, CE. Improving the quality of transitional care for persons with complex care needs. Journal of the American Geriatrics Society, 2003; 51: 556–7. DOI: 10.1046/j.1532-5415.2003.51186.x
- Naylor, MD and Keating, SA. Transitional care. American Journal of Nursing, 2008; 108(9): 58–63. DOI: 10.1097/01.NAJ.0000336420.34946.3a
- Care Quality Commission.
The state of health care and adult social care in England in 2011/12 . CQC; 2012. [Cited 2013 Dec 17]. Available from:http://www.cqc.org.uk/sites/default/files/media/documents/cqc__soc_201112_final_tag.pdf . - Baillie, L, Gallini, A, Corser, R, Elsworthy, G, Leeder, A and Barrand, A. Care transitions for frail, older people from acute hospital wards within an integrated healthcare system in England: a qualitative case study. International Journal of Integrated Care, 2014; 14(1). DOI: 10.5334/ijic.1175
- Dyrstad, DN, Laugaland, KA and Storm, M. An observational study of older patients’ participation in hospital admission and discharge – exploring patient and next of kin perspectives. Journal of Clinical Nursing, 2012; 24: 1693–1706. DOI: 10.1111/jocn.12773
- Bauer, M, Fitzgerald, L, Haesler, E and Manfrin, M. Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing, 2009; 18: 2539–46. DOI: 10.1111/j.1365-2702.2008.02685.x
- Miller, R. Crossing the cultural and value divide between health and social care. International Journal of Integrated Care, 2016; 16(4): 10, 1–3. DOI: 10.5334/ijic.2534
- San Martín-Rodríguez, L, Beaulieu, M-D, D’Amour, D and Ferrada-Videla, M. The determinants of successful collaboration: A review of theoretical and empirical studies. Journal of Interprofessional Care, 2005; 19(1): 132–147. DOI: 10.1080/13561820500082677
- Taylor, C and Ramirez, AJ.
Multidisciplinary team members’ views about MDT working: results from a survey commissioned by the National Cancer Action Team . London: NHS National Cancer Action Team; 2009. - Bolsch, K, Johnston, B, Giles, L, Whitehead, C, Phillips, P and Crotty, M. Hospital to Home: An integrated approach to discharge planning in a rural South Australian Town. Australian Journal of Rural Health, 2012; 13: 91–96. DOI: 10.1111/j.1440-1854.2005.00660.x
- Elllis-Hill, C, Robinson, T, Wilks, R, McPherson, K, Hyndman, D and Ashburn, A. Going home to get on with life: Patient and carer experiences of being discharged from hospital following a stroke. Disability and Rehabilitation, 2009; 31(2): 61–72. DOI: 10.1080/09638280701775289
- Oliver, D, Foot, C and Humphries, R.
Making our health care systems fit for an ageing population . London: Kings Fund; 2014. [cited 2016 24th July]. Available from:http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/making-health-care-systems-fit-ageing-population-oliver-foot-humphries-mar14.pdf . - Robinson, A and Street, A. Improving relationships between acute care nurses and an aged care assessment team. Journal of Clinical Nursing, 2004; 13: 486–496. DOI: 10.1046/j.1365-2702.2003.00863.x
- Storm, M, Siemsen, IMD, Laugaland, K, Dyrstad, DN and Aase, K. Quality in transitional care of the elderly: key challenges and relevant improvement measures. International Journal of Integrated Care, 2014; 14(May 2014): 1–15. DOI: 10.5334/ijic.1194
- Suzuki, S, Nagata, S, Zerwekl, J, Yamaguchi, T, tomura, H, Takemura, Y and Murashima, S. Effects of a multi-method discharge planning educational program for medical staff nurses. Japan Journal of Nursing Science, 2012; 9(12): 201–215. DOI: 10.1111/j.1742-7924.2011.00203.x
- Armitage, GD, Suter, E, Oelke, ND and Adair, CE. Health systems integration: state of the evidence. International Journal of Integrated Care, 2009; 9(2): e82. DOI: 10.5334/ijic.316
- Office for National Statistics. Population Estimates for UK, England, Wales, Scotland and Northern Ireland; 2015. [cited 2016 November 16] Available from:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/populationestimatesforukenglandandwalesscotlandandnorthernireland . - Graham, CL, Neuhauser, L and Ivey, SL. From hospital to home: assessing the transitional care needs of vulnerable seniors. The Gerontologist, 2009; 49(1): 23–33. DOI: 10.1093/geront/gnp005
- Frank, J.
Medical leadership and effective interprofessional health care teams: A competency-based approach . Vancouver, BC: IMWC; 2007. - Baker, C, Pulling, C, McGraw, R, Dagnone, J, Hopkins-Rosseel, D and Medves, J. Simulation in interprofessional education for patient-centred collaborative care. Journal of Advanced Nursing, 2008; 64(4): 372–379. DOI: 10.1111/j.1365-2648.2008.04798.x
- Taylor, J, Burley, M and Nestel, D. Integrating interprofessional education and simulation in community health: Evaluation of a practice-based student clinic. International Journal of Practice-based Learning in Health and Social Care, 2015; 3(1): 94–107. DOI: 10.18552/ijpblhsc.v3i1.210
- World Health Organisation.
Framework for Action on Interprofessional Education and collaborative practice . WHO: Geneva; 2010. [cited 2016 29 Jan]. Available from:http://www.who.int/hrh/resources/framework_action/en/ . - Ross, AJ, Anderson, JE, Kodate, N, et al. Simulation training for improving the quality of care for older people: an independent evaluation of an innovative programme for inter-professional education. BMJ Qual Saf, 2013; 22: 495–505. DOI: 10.1136/bmjqs-2012-000954
- Aggarwal, R and Darzi, A. Simulation to enhance patient safety: why aren’t we there yet? Chest, 2011 Oct; 140(4): 854–8. DOI: 10.1378/chest.11-0728
- Cook, DA, Hatala, R, Brydges, R, Szostek, JH, Wang, AT, Erwin, PJ and Hamstra, SJ. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA, 2011; 306: 978–988. DOI: 10.1001/jama.2011.1234
- Decker, S, Anderson, M and Boese, T. Standards of Best Practice: Simulation Standard VIII: Simulation-Enhanced Interprofessional Education (Sim-IPE). Clinical Simulation In Nursing, 2016; 11(6): 293–297. DOI: 10.1016/j.ecns.2015.03.010
- Maran, NJ and Glavin, RJ. Low- to high-fidelity simulation – a continuum of medical education? Medical Education, 2016; 37(Suppl. 1): 22–28. DOI: 10.1046/j.1365-2923.37.s1.9.x
- Hopkins, D.
Framework for action on interprofessional education & collaborative practice . Geneva: World Health Organization; 2010. - Boet, S, Bould, MD, Burn, CL and Reeves, S. Twelve tips for a successful interprofessional team-based high-fidelity simulation education session. Medical Teacher, 2014; 36: 853–857. DOI: 10.3109/0142159X.2014.923558
- Murdoch, L, Bottorff, J and McCullough, D. Simulation education approaches to enhance collaborative healthcare: A best practices review. International Journal of Nursing Education Scholarship, 2014; 10(1): 1–15. DOI: 10.1515/ijnes-2013-0027
- Buckley, S, Hensman, M, Thoma, S, Dudley, R and Nevin Coleman, GJ. Developing interprofessional simulation in the undergraduate setting: Experience with five different professional groups. Journal of Interprofessional Care, 2012; 26: 362–369. DOI: 10.3109/13561820.2012.685993
- Tofil, N, Morris, J, Taylor, P, Watts, P, Epps, C, Harrington, K, Leon, K, Pierce, C and White, M. Interprofessional simulation training improves knowledge and teamwork in nursing and medical students during internal medicine clerkship. Journal of Hospital Medicine, 2014; 9(3): 189–192. DOI: 10.1002/jhm.2126
- Liaw, SY, Siau, C, Zhou, WT and Lau, TC. Interprofessional simulation-based education program: A promising approach for changing stereotypes and improving attitudes toward nurse–physician collaboration. Applied Nursing Research, 2014; 27: 258–260. DOI: 10.1016/j.apnr.2014.03.005
- Wagner, J, Liston, B and Miller, J. Developing interprofessional communication skills. Teaching and Learning in Nursing, 2011; 6: 97–101. DOI: 10.1016/j.teln.2010.12.003
- Gibbs, H, George, K, Barkley, R and Meyer, M. Using multiple-patient simulations to facilitate interprofessional communication between dietetic and nursing students and improve nutrition care process skills. Topics in Clinical Nutrition, 2015; 30(3): 230–238. DOI: 10.1097/TIN.0000000000000044
- Brock, D, Abu-Rish, E, Chia-Ru, S, Hammer, D, Wilson, S, Vorvick, L, Blondon, K, Schaad, D, Liner, D and Zierler, B. Interprofessional education in team communication: working together to improve patient safety. BMJ Quality & Safety, 2013; 22(5): 414–423. DOI: 10.1136/bmjqs-2012-000952
- Kraft, S, Wise, H, Jacques, P and Burik, J. Discharge planning simulation: training the interprofessional team for the future workplace. Journal of Allied Health, 2013; 42(3): 175–181.
- Scotten, M, Manos, EL, Malicoat, A and Paolo, AM. Minding the gap: Interprofessional communication during inpatient and post discharge chasm care. Patient Education and Counseling, 2015; 9: 895–900. DOI: 10.1016/j.pec.2015.03.009
- Kirkpatrick, DL and Kirkpatrick, JD.
Evaluating training programs: The four levels . San Francisco: Berrett-Koehler Publication; 2006. - Rouse, D. Employing Kirkpatrick’s evaluation framework to determine the effectiveness of health information management courses and programs. Perspectives of Health Information Management, 2011; 8(
spring ): 1c. - Hollaway, I and Galvin, K.
Qualitative research in nursing and healthcare . Oxford: Wiley Blackwell; 2016. - Miles, M and Huberman, AM.
An expanded sourcebook; qualitative data analysis . London: Sage; 1994. - Braun, V and Clarke, V. Using thematic analysis in psychology. Qualitative Research in Psychology, 2006; 3(2): 77–101. DOI: 10.1191/1478088706qp063oa
- van Soeren, M, Sandra Devlin-Cop, S, MacMillan, K, Baker, L, Egan-Lee, E and Reeves, S. Simulated interprofessional education: An analysis of teaching and learning processes. Journal of Interprofessional Care, 2011; 25(6): 434–440. DOI: 10.3109/13561820.2011.592229
- Green, J and Thorogood, N.
Qualitative methods for health research . London: Sage; 2014. - Sitzmann, T, Ely, K, Brown, K and Bauer, K. Self assessment of Knowledge: A cognitive learning or affective measure. Academy of Management Learning & Education, 2010; 9(2): 169–191. DOI: 10.5465/AMLE.2010.51428542
- Kripalani, S, LeFevre, F, Phillips, CO, Williams, MV, Basaviah, P and Baker, DW. Deficits in communication and information transfer between hospital based and primary care physicians: implications for patient safety and continuity of care. Journal of the American Medical Association, 2007; 297: 831–41. DOI: 10.1001/jama.297.8.831
- Johnson, JK, Farnan, JM, Barach, P, Hesselink, G, Wollersheim, H, Pijnenborg, L, et al. Searching for the missing pieces between hospital and primary care: mapping the patient process during care transitions. BMJ Quality & Safety, 2012; 21(1): i97–105. DOI: 10.1136/bmjqs-2012-001215
- Tsakitzidis, G, Timmermans, O, Callewaert, N, Verhoeven, V, Lopez-Hartmann, M, Truijen, S, et al. Outcome indicators on interprofessional collaboration interventions for elderly. International Journal of Integrated Care, 2016; 16(2): 5. DOI: 10.5334/ijic.2017
- World Health Organisation. Interprofessional collaborative practice in primary health care: Nursing and Midwifery Perspectives. Human Resources for Health Observer, 2006; Issue No. 13. [cited 2017 January 29th] Available from:
http://www.who.int/hrh/resources/IPE_SixCaseStudies.pdf?ua=1 . - Steihaug, S, Johannessen, A, Adnanes, M, Paulsen, B and Mannion, R. Challenges in achieving collaboration in clinical practice: the case of Norwegian health care. International Journal of Integrated Care, 2016; 16(3): 1–13. DOI: 10.5334/ijic.2217
- Kassianos, AP, Ignatowicz, A, Greenfield, G, Majeed, A, Car, J and Pappas, Y. “Partners rather than just providers …”: A qualitative study on health care professionals’ views on implementation of multidisciplinary group meetings in the North West London Integrated Care Pilot. International Journal of Integrated Care, 2015; 15(3). DOI: 10.5334/ijic.2019
- Fabbre, VD, Buffington, AS, Altfeld, SJ, Shier, GE and Golden, RL. Social work and transitions of care: observations from an intervention for older adults. Journal of Gerontological Social Work, 2011; 54(6): 615–26. DOI: 10.1080/01634372.2011.589100
- Hood, K, Cant, R, Baulch, J, Gilbee, A, Leech, M, Anderson, A, et al. Prior experience of interprofessional learning enhances undergraduate nursing and healthcare students’ professional identity and attitudes to teamwork. Nurse Education in Practice, 2014; 14(2): 117–122. DOI: 10.1016/j.nepr.2013.07.013
- Howarth, M, Holland, K and Grant, MJ. Education needs for integrated care: a literature review. Journal of Advanced Nursing, 2006; 56(2): 144–56. DOI: 10.1111/j.1365-2648.2006.03992.x
- Coleman, EA and Berenson, RA. Lost in translation: challenges and opportunities for improving the quality of transitional care. Annals of Internal Medicine, 2004; 140: 533–6. DOI: 10.7326/0003-4819-141-7-200410050-00009
- Sims-Gould, J, Byrne, K, Hicks, E, Khan, K and Stolee, P. Examining “success” in post-hip fracture care transitions: a strengths based approach. Journal of Interprofessional Care, 2012; 26: 205–11. DOI: 10.3109/13561820.2011.645090
- Billings, JR. What do we mean by integrated care? A European Interpretation. Journal of Integrated Care, 2005; 13(5): 13–20. DOI: 10.1108/14769018200500035
- Palaganos, J, Epps, C and Raemer, D. A history of simulation-enhanced interprofessional education. Journal of Interprofessional Care, 2014; 28(2): 110–115. DOI: 10.3109/13561820.2013.869198
- Kolb, D.
Experiential learning: experience as the source of learning and development . New Jersey: Prentice-Hall; 1984. - Lave, J and Wenger, E.
Situated learning: legitimate peripheral participation . Cambridge: Cambridge University Press; 1991. DOI: 10.1017/CBO9780511815355 - Engeström, Y. Expansive learning at work: toward an activity theoretical reconceptualization. Journal of Education Work, 2001; 14: 133–65. DOI: 10.1080/13639080020028747
- Sadideen, H, Wilson, D, Moiemen, N and Kneebone, R. Using “The Burns Suite” as a Novel High Fidelity Simulation Tool for Interprofessional and Teamwork Training. Journal of Burn Care & Research, 2016; 37(4): 235–242.
- Efstathiou, N and Walker, WM. Interprofessional, simulation-based training in end of life care communication: a pilot study. Journal of Interprofessional Care, 2014; 28(1): 8–70. DOI: 10.3109/13561820.2013.827163
- Alcorn, M, Lonnen, J and Paton, C. Simulation for foundation year survival skills (SYM-FYSS) – using simulation to teach medical undergraduates to care for elderly inpatients before entering the UK Foundation program. Age and Ageing, 2014; 43: i1–i18. DOI: 10.1093/ageing/afu036.49
- Foss, C and Hofoss, D. Elderly persons’ experiences of participation in hospital discharge process. Patient Education & Counseling, 2011; 85(1): 68–73. DOI: 10.1016/j.pec.2010.08.025
- Dossa, A, Bokhour, B and Hoenig, H. Care transitions from the hospital to home for patients with mobility impairments: patient and family caregiver experiences. Rehabilitation Nursing, 2012; 37(6): 277–85. DOI: 10.1002/rnj.047
- Toles, MP, Abbott, KM, Hirschman, KP and Naylor, MD. Transitions in care among older adults receiving long-term services and supports. Journal of Gerontological Nursing, 2012; 38(11): 40–7. DOI: 10.3928/00989134-20121003-04
DOI: https://doi.org/10.5334/ijic.3055 | Journal eISSN: 1568-4156
Language: English
Submitted on: Feb 15, 2017
Accepted on: Oct 11, 2017
Published on: Nov 13, 2017
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2017 Susie Sykes, Lesley Baillie, Beth Thomas, Judy Scotter, Fiona Martin, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.