Interprofessional education: effects on professional practice and healthcare outcomes
Background The delivery of effective, high‐quality patient care is a complex activity. It demands health and social care professionals collaborate in an effective manner. Research continues to suggest that collaboration between these professionals can be problematic. Interprofessional education (IPE...
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| Veröffentlicht in: | Cochrane database of systematic reviews 2013-03, Vol.2018 (8), p.CD002213-CD002213 |
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| container_title | Cochrane database of systematic reviews |
| container_volume | 2018 |
| creator | Reeves, Scott Perrier, Laure Goldman, Joanne Freeth, Della Zwarenstein, Merrick Zwarenstein, Merrick |
| description | Background
The delivery of effective, high‐quality patient care is a complex activity. It demands health and social care professionals collaborate in an effective manner. Research continues to suggest that collaboration between these professionals can be problematic. Interprofessional education (IPE) offers a possible way to improve interprofessional collaboration and patient care.
Objectives
To assess the effectiveness of IPE interventions compared to separate, profession‐specific education interventions; and to assess the effectiveness of IPE interventions compared to no education intervention.
Search methods
For this update we searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE and CINAHL, for the years 2006 to 2011. We also handsearched the Journal of Interprofessional Care (2006 to 2011), reference lists of all included studies, the proceedings of leading IPE conferences, and websites of IPE organisations.
Selection criteria
Randomised controlled trials (RCTs), controlled before and after (CBA) studies and interrupted time series (ITS) studies of IPE interventions that reported objectively measured or self reported (validated instrument) patient/client or healthcare process outcomes.
Data collection and analysis
At least two review authors independently assessed the eligibility of potentially relevant studies. For included studies, at least two review authors extracted data and assessed study quality. A meta‐analysis of study outcomes was not possible due to heterogeneity in study designs and outcome measures. Consequently, the results are presented in a narrative format.
Main results
This update located nine new studies, which were added to the six studies from our last update in 2008. This review now includes 15 studies (eight RCTs, five CBA and two ITS studies). All of these studies measured the effectiveness of IPE interventions compared to no educational intervention. Seven studies indicated that IPE produced positive outcomes in the following areas: diabetes care, emergency department culture and patient satisfaction; collaborative team behaviour and reduction of clinical error rates for emergency department teams; collaborative team behaviour in operating rooms; management of care delivered in cases of domestic violence; and mental health practitioner competencies related to the delivery of patient care. In addition, four of the studies reported mixed outcomes (positive and neutral) and four st |
| doi_str_mv | 10.1002/14651858.CD002213.pub3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6513239</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1322728997</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5923-3887a67e1d89838cadf4a36a2c68aae8e2849ddd150b320eae6a441093031d203</originalsourceid><addsrcrecordid>eNqFkUlPwzAQhS0EoqXwF6ocubR4yeJwQIKyVarEhZ6tqT2hQWlc7ATUf4-rLmq5cPJY8817Yz9C-owOGaX8hsVpwmQih6PHcOVMDJftTJyQ7roxWHdOD-oOufD-k1KR5jw7Jx0uklgkLOmS6bhu0C2dLdD70tZQRWhaDU2obyMsCtSNj2wdHSFLB7opNUZQm2iOUDVzDQ4j2zbaLtBfkrMCKo9X27NHps9P76PXweTtZTy6nwx0knMxEFJmkGbIjMylkBpMEYNIgetUAqBELuPcGMMSOhOcImAKccxoLqhghlPRI3cb3fD4BRqNdeOgUktXLsCtlIVSHXfqcq4-7LcKnye4yIPA9VbA2a8WfaMWpddYVVCjbb0KFM-4zPMsoOkG1c5677DY2zCq1pmoXSZql8naXITB_uGS-7FdCAF42AA_ZYUrpa2eu-D_j-4fl1_MYZ6Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1322728997</pqid></control><display><type>article</type><title>Interprofessional education: effects on professional practice and healthcare outcomes</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><source>Cochrane Library</source><creator>Reeves, Scott ; Perrier, Laure ; Goldman, Joanne ; Freeth, Della ; Zwarenstein, Merrick ; Zwarenstein, Merrick</creator><creatorcontrib>Reeves, Scott ; Perrier, Laure ; Goldman, Joanne ; Freeth, Della ; Zwarenstein, Merrick ; Zwarenstein, Merrick</creatorcontrib><description>Background
The delivery of effective, high‐quality patient care is a complex activity. It demands health and social care professionals collaborate in an effective manner. Research continues to suggest that collaboration between these professionals can be problematic. Interprofessional education (IPE) offers a possible way to improve interprofessional collaboration and patient care.
Objectives
To assess the effectiveness of IPE interventions compared to separate, profession‐specific education interventions; and to assess the effectiveness of IPE interventions compared to no education intervention.
Search methods
For this update we searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE and CINAHL, for the years 2006 to 2011. We also handsearched the Journal of Interprofessional Care (2006 to 2011), reference lists of all included studies, the proceedings of leading IPE conferences, and websites of IPE organisations.
Selection criteria
Randomised controlled trials (RCTs), controlled before and after (CBA) studies and interrupted time series (ITS) studies of IPE interventions that reported objectively measured or self reported (validated instrument) patient/client or healthcare process outcomes.
Data collection and analysis
At least two review authors independently assessed the eligibility of potentially relevant studies. For included studies, at least two review authors extracted data and assessed study quality. A meta‐analysis of study outcomes was not possible due to heterogeneity in study designs and outcome measures. Consequently, the results are presented in a narrative format.
Main results
This update located nine new studies, which were added to the six studies from our last update in 2008. This review now includes 15 studies (eight RCTs, five CBA and two ITS studies). All of these studies measured the effectiveness of IPE interventions compared to no educational intervention. Seven studies indicated that IPE produced positive outcomes in the following areas: diabetes care, emergency department culture and patient satisfaction; collaborative team behaviour and reduction of clinical error rates for emergency department teams; collaborative team behaviour in operating rooms; management of care delivered in cases of domestic violence; and mental health practitioner competencies related to the delivery of patient care. In addition, four of the studies reported mixed outcomes (positive and neutral) and four studies reported that the IPE interventions had no impact on either professional practice or patient care.
Authors' conclusions
This updated review reports on 15 studies that met the inclusion criteria (nine studies from this update and six studies from the 2008 update). Although these studies reported some positive outcomes, due to the small number of studies and the heterogeneity of interventions and outcome measures, it is not possible to draw generalisable inferences about the key elements of IPE and its effectiveness. To improve the quality of evidence relating to IPE and patient outcomes or healthcare process outcomes, the following three gaps will need to be filled: first, studies that assess the effectiveness of IPE interventions compared to separate, profession‐specific interventions; second, RCT, CBA or ITS studies with qualitative strands examining processes relating to the IPE and practice changes; third, cost‐benefit analyses.</description><identifier>ISSN: 1465-1858</identifier><identifier>EISSN: 1465-1858</identifier><identifier>EISSN: 1469-493X</identifier><identifier>DOI: 10.1002/14651858.CD002213.pub3</identifier><identifier>PMID: 23543515</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Attitude of Health Personnel ; Effective practice & health systems ; Health Personnel ; Health Personnel - education ; Humans ; Implementation strategies ; Interprofessional Relations ; Interventions targeted at healthcare workers ; Medicine General & Introductory Medical Sciences ; Patient Care ; Patient Care Team ; Professional Practice ; Randomized Controlled Trials as Topic ; Treatment Outcome</subject><ispartof>Cochrane database of systematic reviews, 2013-03, Vol.2018 (8), p.CD002213-CD002213</ispartof><rights>Copyright © 2018 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5923-3887a67e1d89838cadf4a36a2c68aae8e2849ddd150b320eae6a441093031d203</citedby><cites>FETCH-LOGICAL-c5923-3887a67e1d89838cadf4a36a2c68aae8e2849ddd150b320eae6a441093031d203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23543515$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reeves, Scott</creatorcontrib><creatorcontrib>Perrier, Laure</creatorcontrib><creatorcontrib>Goldman, Joanne</creatorcontrib><creatorcontrib>Freeth, Della</creatorcontrib><creatorcontrib>Zwarenstein, Merrick</creatorcontrib><creatorcontrib>Zwarenstein, Merrick</creatorcontrib><title>Interprofessional education: effects on professional practice and healthcare outcomes</title><title>Cochrane database of systematic reviews</title><addtitle>Cochrane Database Syst Rev</addtitle><description>Background
The delivery of effective, high‐quality patient care is a complex activity. It demands health and social care professionals collaborate in an effective manner. Research continues to suggest that collaboration between these professionals can be problematic. Interprofessional education (IPE) offers a possible way to improve interprofessional collaboration and patient care.
Objectives
To assess the effectiveness of IPE interventions compared to separate, profession‐specific education interventions; and to assess the effectiveness of IPE interventions compared to no education intervention.
Search methods
For this update we searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE and CINAHL, for the years 2006 to 2011. We also handsearched the Journal of Interprofessional Care (2006 to 2011), reference lists of all included studies, the proceedings of leading IPE conferences, and websites of IPE organisations.
Selection criteria
Randomised controlled trials (RCTs), controlled before and after (CBA) studies and interrupted time series (ITS) studies of IPE interventions that reported objectively measured or self reported (validated instrument) patient/client or healthcare process outcomes.
Data collection and analysis
At least two review authors independently assessed the eligibility of potentially relevant studies. For included studies, at least two review authors extracted data and assessed study quality. A meta‐analysis of study outcomes was not possible due to heterogeneity in study designs and outcome measures. Consequently, the results are presented in a narrative format.
Main results
This update located nine new studies, which were added to the six studies from our last update in 2008. This review now includes 15 studies (eight RCTs, five CBA and two ITS studies). All of these studies measured the effectiveness of IPE interventions compared to no educational intervention. Seven studies indicated that IPE produced positive outcomes in the following areas: diabetes care, emergency department culture and patient satisfaction; collaborative team behaviour and reduction of clinical error rates for emergency department teams; collaborative team behaviour in operating rooms; management of care delivered in cases of domestic violence; and mental health practitioner competencies related to the delivery of patient care. In addition, four of the studies reported mixed outcomes (positive and neutral) and four studies reported that the IPE interventions had no impact on either professional practice or patient care.
Authors' conclusions
This updated review reports on 15 studies that met the inclusion criteria (nine studies from this update and six studies from the 2008 update). Although these studies reported some positive outcomes, due to the small number of studies and the heterogeneity of interventions and outcome measures, it is not possible to draw generalisable inferences about the key elements of IPE and its effectiveness. To improve the quality of evidence relating to IPE and patient outcomes or healthcare process outcomes, the following three gaps will need to be filled: first, studies that assess the effectiveness of IPE interventions compared to separate, profession‐specific interventions; second, RCT, CBA or ITS studies with qualitative strands examining processes relating to the IPE and practice changes; third, cost‐benefit analyses.</description><subject>Attitude of Health Personnel</subject><subject>Effective practice & health systems</subject><subject>Health Personnel</subject><subject>Health Personnel - education</subject><subject>Humans</subject><subject>Implementation strategies</subject><subject>Interprofessional Relations</subject><subject>Interventions targeted at healthcare workers</subject><subject>Medicine General & Introductory Medical Sciences</subject><subject>Patient Care</subject><subject>Patient Care Team</subject><subject>Professional Practice</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Treatment Outcome</subject><issn>1465-1858</issn><issn>1465-1858</issn><issn>1469-493X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>RWY</sourceid><sourceid>EIF</sourceid><recordid>eNqFkUlPwzAQhS0EoqXwF6ocubR4yeJwQIKyVarEhZ6tqT2hQWlc7ATUf4-rLmq5cPJY8817Yz9C-owOGaX8hsVpwmQih6PHcOVMDJftTJyQ7roxWHdOD-oOufD-k1KR5jw7Jx0uklgkLOmS6bhu0C2dLdD70tZQRWhaDU2obyMsCtSNj2wdHSFLB7opNUZQm2iOUDVzDQ4j2zbaLtBfkrMCKo9X27NHps9P76PXweTtZTy6nwx0knMxEFJmkGbIjMylkBpMEYNIgetUAqBELuPcGMMSOhOcImAKccxoLqhghlPRI3cb3fD4BRqNdeOgUktXLsCtlIVSHXfqcq4-7LcKnye4yIPA9VbA2a8WfaMWpddYVVCjbb0KFM-4zPMsoOkG1c5677DY2zCq1pmoXSZql8naXITB_uGS-7FdCAF42AA_ZYUrpa2eu-D_j-4fl1_MYZ6Q</recordid><startdate>20130328</startdate><enddate>20130328</enddate><creator>Reeves, Scott</creator><creator>Perrier, Laure</creator><creator>Goldman, Joanne</creator><creator>Freeth, Della</creator><creator>Zwarenstein, Merrick</creator><creator>Zwarenstein, Merrick</creator><general>John Wiley & Sons, Ltd</general><scope>7PX</scope><scope>RWY</scope><scope>ZYTZH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130328</creationdate><title>Interprofessional education: effects on professional practice and healthcare outcomes</title><author>Reeves, Scott ; Perrier, Laure ; Goldman, Joanne ; Freeth, Della ; Zwarenstein, Merrick ; Zwarenstein, Merrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5923-3887a67e1d89838cadf4a36a2c68aae8e2849ddd150b320eae6a441093031d203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Attitude of Health Personnel</topic><topic>Effective practice & health systems</topic><topic>Health Personnel</topic><topic>Health Personnel - education</topic><topic>Humans</topic><topic>Implementation strategies</topic><topic>Interprofessional Relations</topic><topic>Interventions targeted at healthcare workers</topic><topic>Medicine General & Introductory Medical Sciences</topic><topic>Patient Care</topic><topic>Patient Care Team</topic><topic>Professional Practice</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reeves, Scott</creatorcontrib><creatorcontrib>Perrier, Laure</creatorcontrib><creatorcontrib>Goldman, Joanne</creatorcontrib><creatorcontrib>Freeth, Della</creatorcontrib><creatorcontrib>Zwarenstein, Merrick</creatorcontrib><creatorcontrib>Zwarenstein, Merrick</creatorcontrib><collection>Wiley-Blackwell Cochrane Library</collection><collection>Cochrane Library</collection><collection>Cochrane Library (Open Aceess)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cochrane database of systematic reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reeves, Scott</au><au>Perrier, Laure</au><au>Goldman, Joanne</au><au>Freeth, Della</au><au>Zwarenstein, Merrick</au><au>Zwarenstein, Merrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interprofessional education: effects on professional practice and healthcare outcomes</atitle><jtitle>Cochrane database of systematic reviews</jtitle><addtitle>Cochrane Database Syst Rev</addtitle><date>2013-03-28</date><risdate>2013</risdate><volume>2018</volume><issue>8</issue><spage>CD002213</spage><epage>CD002213</epage><pages>CD002213-CD002213</pages><issn>1465-1858</issn><eissn>1465-1858</eissn><eissn>1469-493X</eissn><abstract>Background
The delivery of effective, high‐quality patient care is a complex activity. It demands health and social care professionals collaborate in an effective manner. Research continues to suggest that collaboration between these professionals can be problematic. Interprofessional education (IPE) offers a possible way to improve interprofessional collaboration and patient care.
Objectives
To assess the effectiveness of IPE interventions compared to separate, profession‐specific education interventions; and to assess the effectiveness of IPE interventions compared to no education intervention.
Search methods
For this update we searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE and CINAHL, for the years 2006 to 2011. We also handsearched the Journal of Interprofessional Care (2006 to 2011), reference lists of all included studies, the proceedings of leading IPE conferences, and websites of IPE organisations.
Selection criteria
Randomised controlled trials (RCTs), controlled before and after (CBA) studies and interrupted time series (ITS) studies of IPE interventions that reported objectively measured or self reported (validated instrument) patient/client or healthcare process outcomes.
Data collection and analysis
At least two review authors independently assessed the eligibility of potentially relevant studies. For included studies, at least two review authors extracted data and assessed study quality. A meta‐analysis of study outcomes was not possible due to heterogeneity in study designs and outcome measures. Consequently, the results are presented in a narrative format.
Main results
This update located nine new studies, which were added to the six studies from our last update in 2008. This review now includes 15 studies (eight RCTs, five CBA and two ITS studies). All of these studies measured the effectiveness of IPE interventions compared to no educational intervention. Seven studies indicated that IPE produced positive outcomes in the following areas: diabetes care, emergency department culture and patient satisfaction; collaborative team behaviour and reduction of clinical error rates for emergency department teams; collaborative team behaviour in operating rooms; management of care delivered in cases of domestic violence; and mental health practitioner competencies related to the delivery of patient care. In addition, four of the studies reported mixed outcomes (positive and neutral) and four studies reported that the IPE interventions had no impact on either professional practice or patient care.
Authors' conclusions
This updated review reports on 15 studies that met the inclusion criteria (nine studies from this update and six studies from the 2008 update). Although these studies reported some positive outcomes, due to the small number of studies and the heterogeneity of interventions and outcome measures, it is not possible to draw generalisable inferences about the key elements of IPE and its effectiveness. To improve the quality of evidence relating to IPE and patient outcomes or healthcare process outcomes, the following three gaps will need to be filled: first, studies that assess the effectiveness of IPE interventions compared to separate, profession‐specific interventions; second, RCT, CBA or ITS studies with qualitative strands examining processes relating to the IPE and practice changes; third, cost‐benefit analyses.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>23543515</pmid><doi>10.1002/14651858.CD002213.pub3</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1465-1858 |
| ispartof | Cochrane database of systematic reviews, 2013-03, Vol.2018 (8), p.CD002213-CD002213 |
| issn | 1465-1858 1465-1858 1469-493X |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Cochrane Library |
| subjects | Attitude of Health Personnel Effective practice & health systems Health Personnel Health Personnel - education Humans Implementation strategies Interprofessional Relations Interventions targeted at healthcare workers Medicine General & Introductory Medical Sciences Patient Care Patient Care Team Professional Practice Randomized Controlled Trials as Topic Treatment Outcome |
| title | Interprofessional education: effects on professional practice and healthcare outcomes |
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