Joanna McGlynn, Susan O’Reilly, Melissa Ryan, Orla Donohoe, Siobhan Kennelly
Department of Medicine for the Elderly, James Connolly Memorial University Hospital,
Blanchardstown, Dublin 15, Ireland
Background: Inter-professional education (IPE) has been shown to have positive
impacts on team-working within health care teams managing the complex care needs of
older patients in nursing homes. With reduced resources innovation with technology
could help meet complex care needs.
Methods: Using the Kirkpatrick four level evaluation model the learner outcomes of the
tele-mentoring IPE initiative were evaluated. The study consisted of both quantitative validated
confidential questionnaires and qualitative semi-structured interviews.
Results: Level 1: Reaction - was evaluated using a post education session survey and
highlighted high satisfaction rates for videoconferencing technology use and perceived
achievement of learner outcomes. Level 2: Learning and level 3: Behaviour – were evaluated
using three different validated confidential questionnaires of two participating groups
including doctors and nurses. Attitudes Toward Health Care Team scale (ATHCT), Team
Skills Scale and Inter-professional Collaboration Scale were used. Attitudes toward team
value mean total score for the nursing group was 87.3% and 76.9% for the physicians.
Attitudes toward team efficiency mean total score for the nursing group was 80% and
85.2% for the physicians. Attitudes about the physician’s shared role mean total score for
the nursing group was 22.68% and 62.7% for physicians with a statistically significant difference.
Secondly, the Team Skills Scale mean score for all respondents was 73%. Thirdly,
Inter-professional collaboration scales overall mean score for communication was 74.2%
and the mean score for accommodation of the team was 78%. Interviews revealed positive
responses to videoconference technology, inter-professional collaboration skills
learned and perceived improved clinical outcomes.
Conclusions: These results show the perceived outcomes of learned inter-professional
collaborative knowledge and skills resulted in behaviours recognised by the participants
as ensuring effective case based discussions of complex patients within the nursing
homes. Initiatives such as the tele-mentoring IPE initiative enables an integrated care service
between acute and community services.