Question

Setting: School-based health center
IP Team Members:

PNP – primary care provider and clinic manager (devout pro-life attitude)

BSN, RN- school clinic nurse (strong student advocate)

BSN, RN- Planned Parenthood nurse (devout pro-choice attitude)

School Social Worker (has MSW, but has worked with troubled teens in the school system on a variety of social issues for 6 years; strong student advocate)

IP4 Scenario: Due to the local increase in pregnancies among middle and high school students, Planned Parenthood has requested a partnership with the School-based Health Clinic to host classes and have after-school groups to educate students regarding birth control, pregnancy, and to  support  new parents in the school, as well as distribute birth control and educational information. Describe the planning process and management of community resistance to this partnership (based in vocal political/religious right in community). How are all members of the IP team involved? Does the partnership happen?

ANSWER THE FOLLOWING QUESTIONS BASED ON ABOVE SCENARIO:

•Present the practice setting - external regulations, internal politics

Present current concern/ issue to resolve

Introduce IP team; professional roles, authority, personality and power quirks that may enhance or hinder problem resolution

Demonstrate how your IP team approaches and resolves the concern presented, given socio-political climate of the work setting (use research/ EBP to support strategy implementation

Answer 1

Effective interprofessional (IP) team-based care is critical to enhance the delivery of efficient care and improve nursing and IP team outcomes. This study aims to review the most recent IP team intervention studies that focused on outcomes related to nursing and IP teams. PubMed, CINAHL, PsycINFO, and Embase were searched for existing literature published between January 2011 and December 2016. The search strategy was developed through both literature review and consultation with a health sciences librarian. This review included IP team intervention studies published in peer-reviewed journals and written in English. Studies were included if they conducted an IP team intervention for healthcare teams that include nurses and examined outcomes related to nursing and the IP teams. Based on inclusion and exclusion criteria, 41 articles were included for the final review. Two authors extracted data on the characteristics of IP team interventions, assessment methods, and their outcomes related to nursing and IP teams using a data abstraction tool developed by the research team. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool. We found that most of the included studies were conducted in the US and on inpatient units. A quasi-experimental study design was most commonly employed. Most studies conducted IP team training such as TeamSTEPPS® as a one-time activity. The most common outcomes measured were attitudes or perceptions about IP teamwork or communication, followed by patient-related outcomes, and knowledge or skills about IP competencies. The quality of the included studies was generally low. The findings from this review will contribute to understanding the characteristics of current IP intervention studies and call for IP scholars to design more rigorous yet realistic IP intervention studies.