Lecture 5 Flashcards
Who created the ICDEP?
The partnership for dietetic education and practice
-network of professionals from education, regulatory and professional associations
What is the purpose of the ICDEP?
Define the entry to practice standard for RDs in Canada
What is the standard?
The minimum requirement to ensur3e safe, effective and ethical entry level practice
What are the 3 groups pf components of the ICDEP?
Foundational knowledge
Practice competencies
Client centred Care
How are practice competencies assessed?
Through performance indicators
What is the overall goal of the ICDEP?
Prepare you to deliver client centred care
What is the foundational knowledge that you need to have?
Teaching and learning Anatomy and Physiology Biochem Communication Counselling Food Food service Health system Nutrition across lifespan Interprofessional collaboration Microbio Nutrition assessment etc
What are foundational knowledge statements?
Represent the broad knowledge base that is necessary to prepare conditdated to achieve practice competencies
-guide curriculum development for academic education
How many key areas are there of foundational knowledge?
20
-covered in courses dietetic students take throughout their university education
What are practice competencies?
Tasks performed in practice that can ben carried out to a specified level of proficiency
To be competent in practice competencies, what is required?
Requires a combination of knowledge, skills, attitudes and judgment
How many content areas are there are what are they?
- Professional practice
- Communication and collaboration
- Nutrition Care
- Population an Public Health
- Management
What is professional practice?
- To comply with regulatory requirements
- Practice according to organizational requirements
- Practice within limits of professional knowledge and skill
- Address professional development needs
- Use systematic approach to decision making
- Maintain a client centred focus
- manage time and workload effectively
- Use tech to support practice
- Ensure appropriate and secure documentation
- Assess and enhance dietetic practice
- COntribute to advocacy related to nutrition and health
- Participact in practice based research
What is communication and collaboration?
- Select appropriate communication approached
- Use effective written and oral communication skill
- Use effective interpersonal skills
- Contribute to learning of others
- Contribute productively to teamwork and collaborative process
What is nutrition care?
- Assess nutrition related risk and needs
- Develop nutrition care plans
- Manage implementation of nutrition care plans
- Evaluate and modify care plan as appropriate
What Is population and public health?
- Assess food and nutrition related issue of a group/community/population
- Develop& implement population health plan
- evaluate and modify population health plan as appropriate
What is management?
- Assess strengths and needs of programs and services related to dietetics
- Manage programs and projects
- Manage food services
What are ICDEPs performance indicators?
The successful completion of a task provides and indication of the candidates ability to persona a practice competency
How are performance indicators assessed?
Academic
Practicum/internship
Canadian Dietetic Registration Exam (CDRE)
Why is inter-professional collaboration good?
Improves efficiency and effectiveness in health care
What positive outcomes come out of nter-professional collaboration?
Better use of clinical resources
Lower rates of staff turnover
Increased access to health care
In terms of nter-professional collaboration, what are the similarities across professions?
Similar questions being asked in regard to caring for a patient
-specialties have differing questions
What was the study looking into?
Qualitative study of Interprofessional teams in rural hospitals
What were the methods of the study?
Purposive sampling
-people who had particular expertise in the topic were selected to be interviewed
Who was recruited to the study?
4Rds working on IP teams at small and rural hospitals within 200km of London
How was data collected in the study?
Individuals interview in private rooms at each hospital
An interview guide was created to explore:
- coordination
- partnership
- shared decision making
- cooperation
How was the data analyses?
Constant comparative method occurred throughout data collection
Both researchers independently coded the transcripts to identify categories and themed
In the study, what were the 3 analyses used?
1st level: Used excel to sort and organize data
Mid level: Created conceptual models
Final: Provided basis for manuscript
In the study when respondents answered, what were the common themes?
Communication
Respect
Leadership
In team 1, what was the foundation of a well functioning IP team?
Communication (formal and informal) channels important for building camaraderie, setting team goals, and disseminating information
In team 1 why was respect a common theme?
Recognizing and appreciating different scopes of practice
-some nurses found this redundant cause they felt they already did that
In Team 1 why was leadership a common theme?
All participants said the RD acted as a facilitator but everyone worked together to lead tema meetings
-some nurses feel they have the biggest part whereas physio is only a smaller one
In team 2, what was said about communication?
Communication came up in every interview
Daily bullet round to inform whole team on updates. Everyone contributed and was heard
In team 2, what were the challenges for communication?
Doctors. and IP team charted in different areas
In team 2, why was respect a common theme?
IP team created a level playing field where no professions exhibited superiority over another
Team felt they had greater knowledge and appreciation of other colleges professional standards
Increased respect for other scope of practice, Moree referrals and enhanced level of comfort working with other HCP
In team 2 why was leadership a common theme?
Formal procedures were a. shared responsibility
Patients needs determine which professional would assume the leadership role
Leadership roles were also shaped by daily circumstances, PT employment and close knit nature of the team
What is the ideal IP team?
Patient and family are central
Team members on the outside with multiple linkages of HCPs for collaboration
What type of team was team 1 considered?
Medical umbrella of care
-Doctors on top, then HCPs, then would coordinate cate to the patient
What type of team was team 2 considered?
A well greased wheel
- nurse resource manager is the hub in the centre and the HCPs are the spokes
- patient missing
What are the benefits of IP teams?
Professional growth
Support
Improved patient care
What are the challenges of IP teams?
PT/ contract employees
Separation of documentation
Large teams sometime interfered with patient centred care
What are the benefits of a rural hospital?
Personalized and welcoming environment (familiarity with patients)
Longterm relationships with colleagues
Goal setting easier to accomplish
What are thee challenges with rural hospitals?
PT/Casual work for allied health professionals (anythtin other than Dr or nurse)
Tension between patients flow and patient/family needs (how long patients stay in hospital)
Confidentiality (everyone knows everyone, privacy is harder to keep than confidentiality)
What were the findings of the study?
Findings are consistent with Interprofessional competency
Communication and collaboration skills important
IPC may change culture of medical dominance
Benefits outweigh challenges of working in small/rural hospitals
What were the limitations of the study?
Limited resources restricted research to one geographical area
Participants were middle aged women with long work history
What were some future research options from the study?
Explore other IP teams
Try different methodological approach
Why is this study relevant to practice?
Can lead from established health care teams
Experienced HCP work well in IP teams, providing IP education to new practitioners may help them establish this approach early in their careers and build on it
Results can be used by dietetic educators and preceptors
Benefits of working in rural/remote areas may encourage new grads to work in these practice settings
