The Center for ASPIRE works closely with the UVA BeSafe initiative to improve the quality and safety of patient care in the UVA Health System. Interprofessional education and team training is being extended into the hospital and clinics to build effective clinical teams.
Clinical programs bring interprofessional education to the bedside and allow clinicians and students to learn the real-life benefits of teamwork with measurable improvements in patient outcomes and provider satisfaction.
A patient room in the Pediatric Intensive Care Unit is staged with multiple potential safety hazards. Clinicians and students from medicine, nursing, pharmacy, and the therapy services work together to identify the hazards and learn about each other’s unique contributions to patient safety.
Led by cardiologist John Dent, daily interprofessional rounds on the acute cardiology service are conducted with attending physicians, fellows, residents, case managers, nurse practitioners, pharmacists, therapists, social workers, and students. Rounding With Heart is a scripted process designed to provide an opportunity for the entire team to exchange critical information with the patient and each other. Preliminary data suggests that there are significant improvements in patient satisfaction with this approach to team-based care.
Interprofessional Service, Education, Research, Volunteering Endeavor is a student-initiated and run urgent care clinic offered to underserved patients after-hours at the Charlottesville Free Clinic. The emphasis is on caring for needy patients while learning about and engaging in interprofessional team-based care.
Surgery resident Jake Gillen brought together 13 interprofessional workgroups and over 130 participants from both OR and floor teams to identify priority needs. These workgroups are developing internal guidelines for pager etiquette, interprofessional rounding, communicating the daily plan, documentation of OR meds, medication reconciliation, transfer orders, and transfer of patient info from SAS to OR.
Doctor of Nursing Practice student Rosie Bennett studied the effect of interprofessional simulations on the ability of teams to effectively implement guideline-directed Targeted Temperature Management protocols in the Emergency Department and the CCU.
Doctor of Nursing Practice student Josh Gadd surveyed over 500 nurses throughout the UVA Health System to explore linkages between nursing teamwork and interprofessional teamwork perceptions. Significant correlations were found that can guide new-nurse orientation programs to enhance those qualities that contribute to interprofessional teamwork competence.
Medical and nursing students are trained by teams of surgeons and nurses to perform interprofessional preoperative geriatric screening assessments. They then team up to practice on standardized patients. They then conduct screening assessments on geriatric patients scheduled for oncological surgery. Students are tested on their ability to work in teams to perform the assessments and make recommendations to clinicians.
In this high fidelity simulation, residents and nurses from acute and critical care units are trained to work together in teams to care for a critically ill patient. Participants rate each other’s collaborative skills during the training and are further evaluated after they return to their clinical roles.
An interdisciplinary team of students conceived, designed, implemented and evaluated a 2 day training for home based carers in two rural health clinics in Limpopo, South Africa. The students in the IPE learning experience were from the disciplines of biology, public health, medicine, and nursing. Partnering with nursing students and faculty at the University of Venda, and leaders within the local health district, home based carers, who were previously trained in the care of patients with HIV and TB, were provided student-led training in diabetes and hypertension.
A major goal of the BERT Committee is to be able to anticipate and prevent a behavioral escalation. The purpose of this project, funded by the Josiah Macy Jr. Foundation, is to drill down further in order to understand and assess the events that lead up to BERT alerts from an interdisciplinary perspective. A team composed of a nursing student, a medical student and a hospital chaplain mentored by faculty in Chaplaincy, Nursing and Psychiatry was trained in the process of information gathering and interviewing skills based on tenets used in safety and risk management. They worked together to create an assessment to obtain a narrative of the events that led up to BERT events and the subsequent response.