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Assessment of Interprofessional Education (IPE) in Community Settings: A Systematic Review

*Fatikhu Yatuni Asmara orcid scopus  -  Department of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia
Tri Nur Kristina  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro, Indonesia
Diana Nur Afifah  -  Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Indonesia
Dian Puspita Dewi  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro, Indonesia
Open Access Copyright (c) 2021 Nurse Media Journal of Nursing
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Abstract

Background: An assessment of methods and tools in interprofessional education (IPE) needs to be conducted to guarantee that the set learning objectives (LOs) or competencies are achieved, especially in community settings. This assessment is essential since in community settings, facilitators and students are not in the same frame, while direct observation is preferable in IPE. The implementation of methods and tools for assessment varies. Mostly, the assessment does not cover all competencies of IPE. Further identification of the way the assessment is conducted as well as the IPE competencies assessed is pivotal.

Purpose: This study aimed to review the implementation of IPE in community settings, especially the assessment conducted on the methods and tools used along with the assessors involved and the competencies achieved.

Methods: A systematic review was employed as a method in this study. Relevant articles from Science Direct, MEDLINE, CINAHL, and Scopus were screened based on the inclusion criteria: publication between 2010–2020, research and review articles, full-text articles, conducted in community settings, and involved assessment in acquiring the competencies. This review included 12 out of 1,273 screened articles. The articles were analyzed qualitatively by identifying the keywords, categories, and themes.

Results: The results showed the assessment conducted and the competencies achieved in IPE. The assessment included methods and tools as well as the assessors involved. Most existing studies used students’ perceptions or reflections as the methods and involved less assessors such as supervisors or family members. Meanwhile, the assessment tools focused on certain competencies, such as roles and responsibilities, ethics and values, teamwork, and communication. However, no study assessed all competencies.

Conclusion: The analysis resulted in two large topics, i.e., the assessment, which includes the assessment methods and tools as well as assessors involved, and the competencies achieved. It is recommended to conduct further studies to develop objective assessment methods, comprehensive assessment tools, and generic competencies or learning outcomes.

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Keywords: Assessment methods; assessment tools; community setting; competencies; Interprofessional Education (IPE)

Article Metrics:

  1. Allvin, R., Thompson, C., Edelbring, S. 2020. Assessment of interprofessional competence in undergraduate health professions education: Protocol for a systematic review of self-report instruments. Systematic Review, 9(142). http://doi.org/10.1186/s13643-020-01394-7
  2. Almoghirah, H., Nazar, H., & Illing, J., (2021). Assessment tools in pre-licensure interprofessional education: A systematic review, quality appraisal dan narrative synthesis. Medical Education, 55, 795–807. http://doi.org/10.1111/medu.14453
  3. Anderson, E. S., & Kinnair, D. (2016). Integrating the assessment of interprofessional education into the health care curriculum. Journal of Taibah University Medical Sciences, 11(6), 552-558. http://doi.org/10.1016/j.jtumed.2016.10.005
  4. Aromataris, E., Fernandez, R., Godfrey, C., Holly, C., Kahlil, H., & Tungpunkom, P. (2015). Summarizing systematic reviews: Methodological development, conduct and reporting of an umbrella review approach. International Journal Evidence Based Healthcare, 13(3), 132-140. http://doi.org/10.1097/XEB.0000000000000055
  5. Asmara, F. Y., & Santoso, A. (2015). The effectivity of Multi Source Feedback (MSF) to assess Professional Behaviour (PB) of nursing students: An evaluation study. Nurse Media Journal of Nursing, 5(2), 101 – 108. http://doi.org/10.14710/nmjn.v5i2.10536
  6. Campbell, M., McKenzie, J. E., Sowden, A., Katikireddi, S. V., Brennan, S. E., Ellis, S., Hartmann-Boyce, J., Ryan, R, Shepperd, S., Thomas, J., Welch, V., & Thomson, H. (2020). Synthesis without meta-analysis (SWiM) in systematic review. The BMJ, 1-6. http://doi.org/10.1136/bmj.l6890
  7. Carr, S. (2015). Examining health professional students’ attitudes on interprofessional education. (Publication no. 309) [Doctoral Dissertations, University of Rhode Island]. http://digitalcommons.uri.edu/oa_diss/309
  8. Curran, V.R., Sharpe, D., Flynn, K., & Button, P. (2010). A longitudinal study of the effect of an interprofessional education curriculum on students’ satisfaction and attitudes towards interprofessional teamwork and education. Journal of Interprofessional Care, 24(1), 41-52. http://doi.org/10.3109/13561820903011927
  9. Davies, H. & Archer, J. (2005). Multi source feedback: Development and practical aspects. The Clinical Teacher, 2(2), 77-81. http://doi.org/10.1111/j.1743-498X.2005.00064.x
  10. Davis, M.H., Ponamperuma, G.G., & Wall, D. (2009). Workplace-based assessment. In: Dent, J.A & Harden, R.M. (eds). A practical guide for medical teachers. Elsevier Limited
  11. Delunas, L. R & Rouse, S. (2014). Nursing and medical students’ attitude about communication and collaboration before and after an interprofessional education experience. Nursing Education Perspective, 35(2), 100-105. http://doi.org/10.1111/j.1365-2923.2011.04143.x
  12. Dole, D., Farley, CL., Sokas, R. K., & Kesler, J. L. (2021). Partnering to support education for midwives and nurses in liberia. Nursing for Women’s Health, 25(1), 82-92. http://doi.org/10.1016/j.nwh.2020.11.002
  13. Dressel, A., Mkandawire-Valhmub, L., Dietrichc, A., Chirwad, E., Mgawaderee, F., Kambalametoref, S., & Kakob, P. (2017). Local to global: Working together to meet the needs of vulnerable communities. Journal of Interprofessional Care, 31(5), 667–669
  14. Driessen, E., Van Tartwijk, J., Van Der Vleuten, C., & Wass, V. (2007). Portfolios in medical education: Why do they meet with mixed success? A systematic review. Medical Education, 41(12), 1224–1233. http://doi.org/10.1080/13561820.2017.1329717
  15. Epstein, R. M. (2007). Assessment in medical education. New England Journal of Medicine, 356(4), 387-396. http://doi.org/10.1056/NEJMra054784
  16. Findyartinia, A., Kambey, D. R., Yusra, R. Y., Timor, A. B., Khairania, C. D., Setyorini, D., & Soemantri, D. (2019). Interprofessional collaborative practice in primary healthcare settings in Indonesia: A mixed-methods study. Journal of Interprofessional Education & Practice, 17, 100279. http://doi.org/10.1016/j.xjep.2019.100279
  17. Gallagher, P., Pullon, S., Skinner, M., McHugh, P., McKinlay, E., & Gray, L. (2015). An interprofessional community education project as a socially accountable assessment. Journal of Interprofessional Care, 29(5), 509–511. http://doi.org/10.3109/13561820.2015.1004040
  18. Hammick, M., Freeth, D., Koppel, I., Reeves, S., & Barr, H. (2007). A best evidence systematic review of interprofessional education: BEME guide no. 9. Medical Teacher, 28(9), 735-751. http://doi.org/10.1080/01421590701682576
  19. Haruta, J., Ozone, S., & Goto, R. Factors for self-assessment score of interprofessional team collaboration in community hospitals in Japan. Family Medicine Community Health, 7. e000202. http://doi.org/10.1136/fmch-2019-000202
  20. Haruta, J., Yoshida, K., Goto, M., Yoshimoto, H., Ichikawa, S., Morid, Y., Yoshimie, K., & Otsukaf, M. (2018). Development of an interprofessional competency framework for collaborative practice in Japan. Journal of Interprofessional Care, 32(4), 436–443. http://doi.org/10.1080/13561820.2018.1426559
  21. Horder, J. (2004). Inter-professional collaboration and interprofessional education. British Journal of General Practice, 54(501), 243-245
  22. Housley, C. L., Neill, K. K., White, L. S., Tedder, A. T., & Castleberry, A. N. (2018). An evaluation of an interprofessional practice-based learning environment using student reflections. Journal of Interprofessional Care, 32(1), 108–110. http://doi.org/10.1080/13561820.2017.1356808
  23. Kelly, P. J. (2010). Interprofessional education activity with doctorate of pharmacy & PA students at Mercer University. https://paeaonline.org/?ht%3Aa%2Fgetdocumentaction%2Fi%2F116159
  24. Kiessling, C., Tsimtsiou, Z., Essers, G., Nuland, M., Anvik, T., Bujnowska-Fedak, M. M., Hovey, R., Joakimsen, R., Perron, N. J., Rosenbaum, M., & Silverman, J. (2017). General principles to consider when designing a clinical communication assessment program. Patient Education and Counseling, 100, 1762–1768. http://doi.org/10.1016/j.pec.2017.03.027
  25. Lapkin, S., Levett-Jones, T., & Gilligan, C. (2013). A systematic review of the effectiveness of interprofessional education in health professional programs. Nurse Education Today, 33(2), 90-102. http://doi.org/10.1016/j.nedt.2011.11.006
  26. MacKenzie, D. E., Doucet, S., Nasser, S., Godden-Webster, A. L., Andrews, C., & Kephart, G. (2014). Collaboration behind-the-scenes: Key to effective interprofessional education. Journal of Interprofessional Care, 28(4), 381–383. http://doi.org/10.3109/13561820.2014.890923
  27. McCharty, R., Byrne-Davis, L., Hart, J., Yuill, G., Slattery, H., Jackson, M., Byrne, G. J. (2014). A feasible, acceptable and effective way to teach health care workers in low- and middle income countries a method to manage acutely. Midwifery, 31, 19-24. http://doi.org/10.3109/13561820.2014.890923
  28. McPherson, K. (2001). Working and learning together: Good quality care depends on it, but how can we achieve it?. BMJ Quality and Safety, 10(2), 46-53. http://doi.org/10.1136/qhc.0100046
  29. Mollahadi, M., Khademolhoseini, S. M., & Khaghanizadeh, M. (2018). The portfolio as a tool for mentoring in nursing students: A scoping review. Iranian Journal of Nursing and Midwifery Research, 23(4), 241-247. http://doi.org/10.4103/ijnmr.IJNMR_195_17
  30. Oelke, N. D., Thurston, W. E., & Arthur, N. (2013) Intersections between interprofessional practice, cultural competency and primary healthcare. Journal of Interprofessional Care, 27(5), 367-372. http://doi.org/10.3109/13561820.2013.785502
  31. Oktay, C., Senol, Y., Rinnert, S., & Cete, Y. (2017). Utility of 360-degree assessment of residents in a Turkish academic emergency medicine residency program. Turkish Journal of Emergency Medicine, 17, 12-15. http://doi.org/10.1016/j.tjem.2016.09.007
  32. Opina-Tan, L. A. (2013). A pilot implementation of inter-professional education in a community academe partnership in the Philippines. Education for Health. 26(3), 164-171. http://doi.org/10.4103/1357-6283.125992
  33. Page, M. J, Moher, D., Bossuyt, P. M, Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, P., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … McKenzie, J. E. 2021. PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ, 372, n160. http://doi.org/10.1136/bmj.n160
  34. Perkin, K. (2011). Nurse practitioners and interprofessional collaboration. Journal of Interprofessional Care, 25, 243-244. http://doi.org/10.3109/13561820.2011.586244
  35. Randita, A. B. T., Widyandana, W., & Claramita, M. (2019). IPE-COM: A pilot study on interprofessional learning design for medical and midwifery students. Journal of Mutidiscipline Health Care, 12: 767–775. http://doi.org/10.2147/JMDH.S202522
  36. Reilly, R., Evans, K., Gomersall, J., Gorham, G., Peters, M. D. J., Warren, S., O’Shea, R., Cass, A., & Brown, A. (2016). Effectiveness, cost effectiveness, acceptability and implementation barriers/enablers of chronic kidney disease management programs for Indigenous people in Australia, New Zealand and Canada: A systematic review of mixed evidence. BMC Health Services Research, 16, 119. https://doi.org/10.1186/s12913-016-1363-0
  37. Riskiyana, R., Claramita, M., & Rahayu, G. R. (2018). Objectively measured interprofessional education outcome and factors that enhance program effectiveness: A systematic review. Nurse Education Today, 66, 73–78. http://doi.org/10.1016/j.nedt.2018.04.014
  38. Riveros, R., Kimatian, S., Castro, P., Dhumak, V., Honar, H., Mascha, E.J., & Sessler, D.I. (2016). Multisource feedback in professionalism for anesthesia residents. Journal of Clinical Anesthesia , 34, 32–40. http://doi.org/10.1016/j.jclinane.2016.03.038
  39. Ryan, M., Vanderbilt, A. A., Mayer, S. D., & Gregory, A. (2015). Interprofessional education as a method to address health needs in a Hispanic community setting: A pilot study. Journal of Interprofessional Care, 29(5), 515–517. http://doi.org/10.3109/13561820.2015.1020360
  40. Sakai, I., Yamamoto, T., Takahashi Y., Maeda, T., Kunii, Y., & Kurokoch, K. (2017). Development of a new measurement scale for interprofessional collaborative competency: The Chiba Interprofessional Competency Scale (CICS29). Journal of Interprofessional Care, 31(1), 59-65. http://doi.org/10.1080/13561820.2016.1233943
  41. Schmitt, M., Blue, A., Aschenbrener, C. A., & Viggiano, T. R., (2011). Core competencies for interprofessional collaborative practice: Reforming health care by transforming health professionals’ education. Academic Medicine, 86 (11). http://doi.org/10.1097/ACM.0b013e3182308e39
  42. Sedyowinarso, M., & Claramita, M. (2014). Interprofessional education (IPE), communication and interprofessional teamwork. In Y. S. Prabandari, F. Tetradewi, F. Fitriana (Eds.), Buku Acuan Umum CFHC-IPE [General guideline book of CFHC-IPE] (pp. 17-35). Fakultas Kedokteran Universitas Gajah Mada
  43. Seif, G., Coker-Bolt, P., Kraft, S., Gonsalves, W., Simpson, K., & Johnson, E. (2014). The development of clinical reasoning and interprofessional behaviors: Service-learning at a student-run free clinic. Journal of Interprofessional Care, 28(6), 559-564, http://doi.org/10.3109/13561820.2014.921899
  44. Shannon, D. W. (2017, January 7). Case study: How team training helped support rural obstetrics. American Association for Physician Leadership. https://www.physicianleaders.org/news/case-study-how-team-training-helped-support-rural-obstetrics
  45. Shrader, S. Farland, M. Z., Danielson, J., Sicat, B., & Umland, E. M. (2017). A systematic review of assessment tools measuring interprofessional education outcomes relevant to pharmacy education. American Journal of Pharmaceutical Education, 81(6), 119. http://doi.org/10.5688/ajpe816119
  46. Shumway, J. M., & Harden, R. M., (2003). AMEE guide no.25: The assessment of learning outcomes for the component and reflective physician. Medical Technology, 25(6), 569-584. http://doi.org/10.1080/0142159032000151907
  47. Soliman, S. R., MacDowell, M., Schriever, A. E., Glasser, M & Schoen, M. D. (2012). An interprofessional rural health education program. American Journal of Pharmaceutical Education, 76(10), 199. http://doi.org/10.5688/ajpe7610199
  48. Solomon, P., & Salfi, J. (2011). Evaluation of an interprofessional education communication skills initiative. Education for Health, 24(2), 616
  49. Sullivan, K., Charrette, A., Massey, C., Bartlett, D., Walker, C., Bond, I., Davies, P. B., Scheidt, N. A., & Fong, J. J., (2015). Interprofessional education with a community fall prevention event. Journal of Interprofessional Care, 29(4), 374–376. http://doi.org/10.3109/13561820.2014.969834
  50. Taekman, J. M., Foureman, M. F., Bulamba, F., Steele, M., Comstock, E., Kintu, A., Mauritz, A., & Olufolabi, A. (2017). A novel multiplayer screen-based simulation experience for African learners improved confidence in management of postpartum hemorrhage. Frontier in Public Health, 5, 248. http://doi.org/10.3389/fpubh.2017.00248
  51. Thistlethwaite, J., Dallest, K., Moran, M., Dunston, R., Roberts, C., Eley, D., Bogossian, F., Forman, D., Bainbridge, L., Drynan, D., & Fyfe, S. 2014. Introducing the individual Teamwork Observation and Feedback Tool (iTOFT): Development and description of a new interprofessional teamwork measure. Journal of Interprofessional Care, 30(4), 526-528. http://doi.org/10.3109/13561820.2016.1169262
  52. Thistlethwaite, J. E, & Moran, M. (2010). Learning outcomes for Interprofessional Education (IPE): Literature review and synthesis. Journal of Interprofessional Care, 24, 503–513. http://doi.org/10.3109/13561820.2010.483366
  53. Thistlethwaite, J. (2012). Interprofessional Education: A review of context, learning and the research agenda. Medical Education, 46, 58–70. http://doi.org/10.1111/j.1365-2923.2011.04143.x
  54. Vyt, A. (2017). Development and validation of a questionnaire to self-assess the quality of interprofessional team meetings in primary and community healthcare. Journal of Interprofessional Care, 31(2), 140–146. http://doi.org/10.1080/13561820.2016.1269058
  55. Wagner, J., Liston, B., & Miller, J. (2011). Developing interprofessional communication skills. Teaching and Learning in Nursing, 6(3), 97-101. http://doi.org/10.1016/j.teln.2010.12.003
  56. Walker, L. E., Cross, M., & Barnett, T. (2019). Students' experiences and perceptions of interprofessional education during rural placement: A mixed methods study. Nurse Education Today, 75, 28–34. http://doi.org/10.1016/j.nedt.2018.12.012
  57. Wiliam, D. (2011). What is assessment for learning. Studies in Educational Evaluation, 3, 3-14. http://doi.org/10.1016/j.stueduc.2011.03.001
  58. Yamamoto, T., Sakai, I., Takahashi, Y., Maeda, T., Kunii, Y., & Kurokochi, K. (2014). Development of a new measurement scale for interprofessional collaborative competency: A pilot study in Japan. Journal of Interprofessional Care, 28(1). http://doi.org/10.3109/13561820.2013.851070

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