Teaching Note—Virtual Simulation in an Interprofessional Fellowship for Social Work and Nursing Students

Social workers frequent interprofessional healthcare teams, but few studies examine the day-to-day experiences of these providers on interprofessional teams. Our study utilized semi-structured interviews with 54 medical social workers practicing on interprofessional healthcare teams. A thematic analysis was used to analyze the day-to-day functions of these social workers. The analysis resulted in three primary themes: 1) Social Workers’ Self-Perceptions of their Roles within Interprofessional Teams, 2) Social Workers Shifting Roles on Interprofessional Teams, and 3) Interprofessional Team Dynamics that Impact the Role of a Social Worker. Social workers perceived their primary roles as contributing a unique systems approach to interprofessional healthcare teams while emphasizing patient self-determination. These self-perceptions influenced their shifting roles on interprofessional healthcare teams (e.g. clinician, case manager, bridge builder). In addition to individual self-perceptions, the healthcare system infrastructure influenced social work roles. For example, social workers in outpatient settings more frequently assumed the role of a mental health practitioner compared to those in inpatient settings. Last, there was variation in interprofessional communication and workflow assignment based on the healthcare infrastructure. Future research should examine the education and training efforts of social workers and other allied health professions for interprofessional healthcare teams.

Zainab Toteh Osakwe, PhD, MSN, RN, NP is an Assistant Professor, College of Nursing and Public Health, Adelphi University, Garden City, New York, New York. The author declares no conflicts of interest. Address for correspondence: Zainab T. Osakwe, College of Nursing and Public Health, Adelphi University, One South Avenue, Garden City, New York, NY 11530 ([email protected]).

County-Level Estimates of Need for Mental Health Professionals in the United States

A collaboration between Montana State University's College of Nursing, the Montana Office of Rural Health and Area Education Center, MSU Billings and the Billings Clinic aims to help address a shortage of mental health providers in eastern Montana, a news release from Montana State University stated Aug. 9. The partnership, known as Montana Behavioral Health Workforce Education and Training — Eastern and North Central Montana, or BHWET‐East, will provide training opportunities and financial support for students working to become psychiatric mental health nurse practitioners, mental health counselors or psychiatrists. The work is supported by a four‐year, $1.8 million grant from the U.S. Health Resources and Services Administration. The partnership's goal is to increase access to high‐quality and culturally appropriate behavioral health services in 38 of Montana's counties in eastern and north central Montana. “Supporting behavioral health professional trainees through their academic careers, providing comprehensive integrated behavioral health education, and creating team‐based training opportunities in our communities is a successful model for growing Montana's health care workforce,” said Kailyn Mock, director of the Montana Office of Rural Health and Area Health Education Center at MSU.

Social Work Student and Practitioner Roles in Integrated Care Settings

University of Florida College of Medicine

Background: Early advance care planning (ACP) conversations are essential to deliver patient-centered care. While primary care is an ideal setting to initiate ACP, such as Serious Illness Conversations (SICs), many barriers exist to implement such conversations in routine practice. An interprofessional team approach holds promises to address barriers. Objective: To develop and evaluate SIC training for interprofessional primary care teams (IP-SIC). Design: An existing SIC training was adapted for IP-SIC and then implemented and evaluated for acceptability and effectiveness. Setting/Context: Interprofessional teams in 15 primary care clinics in five US states. Measures: Acceptability of the IP-SIC training and participants' self-reported likelihood to engage in ACP after the training. Results: The 156 participants were a mix of physicians and advanced practice providers (APPs) (44%), nurses and social workers (31%), and others (25%). More than 90% of all participants rated the IP-SIC training positively. While nurse/social worker and other groups were less likely than physician and APP group to engage in ACP before training (4.4, 3.7, and 6.4 on a 1-10 scale, respectively), all groups showed significant increase in likelihood to engage in ACP after the IP-SIC training (8.5, 7.7, and 9.2, respectively). Both physician/APP and nurse/social worker groups showed significant increase in likelihood to use the SIC Guide after the IP-SIC training, whereas an increase in likelihood to use SIC Guide among other groups was not statistically significant. Conclusion: The new IP-SIC training was well accepted by interprofessional team members and effective to improve their likelihood to engage in ACP. Further research exploring how to facilitate collaboration among interprofessional team members to maximize opportunities for more and better ACP is warranted. ClinicalTrials.gov ID: NCT03577002.

In August 2006, a year after Hurricane Katrina, the first acute inpatient public psychiatric unit for adults was opened in New Orleans to serve patients referred from local emergency departments. This article describes the clinical and administrative experiences of providing inpatient care in post-Katrina New Orleans, including the increased demand for programs to treat patients with co-occurring disorders, the expanded scope of practice for psychiatrists to include primary care, and ongoing staff shortages in a traumatized and displaced workforce. Lessons learned in regard to disaster planning and recovery are also discussed.

Virtual escape room paired with simulation improves health professions students' readiness to function in interprofessional teams

Pharmacists play critical roles in 340B viability

Previous articleNext article FreeThe Life and Career of Matthew O. HowardJeffrey M. JensonJeffrey M. JensonUniversity of Denver Search for more articles by this author PDFPDF PLUSFull Text Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinked InRedditEmailQR Code SectionsMoreMatthew O. HowardView Large ImageDownload PowerPointOn December 15, 2018, social work and the Journal of the Society for Social Work and Research (JSSWR) lost one of its most prolific scholars, outstanding teachers, and thoughtful mentors in recent memory. Matthew O. Howard, PhD—the Frank A. Daniels Distinguished Professor of Human Services Policy Information and associate dean for doctoral education in the School of Social Work at the University of North Carolina at Chapel Hill—passed away following a lengthy hospitalization. As an associate editor for JSSWR, Matthew had a significant impact on improving the quality and influence of the journal. He will be sorely missed by our editorial team.Matthew was a consummate scholar who possessed a singular ability to understand and conceptualize social problems of all types. His research contributed greatly to existing knowledge of the etiology, prevention, and treatment of substance abuse, alcohol dependence, and mental health disorders. And, Matthew’s provocative articles assessing the state of social work education, practice, and research set forth ideas that will affect the trajectory of social work for years to come. His passion for knowledge—conveyed quietly and effectively to countless graduate students—was felt deeply by the many lives he touched over the course of an academic career that included appointments in the Department of Psychiatry and Behavioral Sciences at the University of Washington, the Department of Psychiatry at the Oregon Health Sciences University, the George Warren Brown School of Social Work at Washington University in St. Louis, the School of Social Work and the Department of Psychiatry at the University of Michigan, and the University of North Carolina at Chapel Hill.Matthew’s training in social work coincided with my own enrollment in the University of Washington School of Social Work doctoral program in 1984. Matthew and I became immediate and close friends during our graduate studies in Seattle, and we spent hours discussing social work, class assignments, and the research projects we worked on as doctoral students. Many of these conversations occurred in an alley coffee shop in Seattle’s University District, just a stone’s throw from the School of Social Work. Known by the employees as “Matt and Jeff,” we were treated as regulars who would sit at our customary window table for what was likely far too long. It was a time of great intellectual pursuit, and I had found the perfect colleague and friend with whom to share ideas and discuss future plans. It was the beginning of a personal friendship and professional relationship that lasted 34 years.Matthew entered doctoral education with a well-developed interest in understanding the etiology of alcohol and other substance use disorders. Over the nearly four decades that followed, he devoted his career to conducting basic and applied research aimed at ameliorating substance abuse dependence and co-occurring problems associated with alcohol and drug abuse. He became particularly well known for his basic research and intervention studies addressing the vexing problem of inhalant abuse (e.g., Howard, Balster, Cottler, Wu, & Vaughn, 2008; Howard, Bowen, Garland, Perron, & Vaughn, 2011; Howard & Jenson, 1999b). Matthew’s innovative and rigorous research in this area led to three grants from the National Institute on Drug Abuse and to widespread recognition as one of the world’s foremost experts on inhalant abuse. In recent years, Matthew extended his work to testing mindfulness-oriented interventions for people with chronic pain and opioid misuse. His coinvestigator in much of this work was Eric Garland, professor and associate dean for research in the University of Utah College of Social Work. Eric, a former student of Matthew’s at the University of North Carolina at Chapel Hill, describes some of the important lessons he learned under Matthew’s tutelage in an accompanying article in this issue (Garland, 2019).Matthew also made significant contributions to social work education and research. In the Aaron Rosen Lecture at the 2015 Annual Conference of the Society for Social Work and Research, Matthew traced key developments in social work during the past 30 years and reflected on a vision of the field that stretched to 2044—30 years into the future (Howard & Garland, 2015). The ideas he shared in this lecture have provided a useful framework for assessing the relatively recent history of social work and addressing the challenges in educating master’s-level practitioners and doctoral students in the future. Matthew delivered a similarly thought-provoking lecture on the current state and future of social work doctoral education at the 2016 Annual Conference of the Group for the Advancement of Doctoral Education. Ideas presented in his lectures were coupled with action. One such example is illustrated by Matthew’s early development of a University of North Carolina at Chapel Hill doctoral-level course on conducting systematic reviews. Students in this class often produced publishable papers as a result of Matthew’s fastidious attention to breadth and quality. In earlier work at the Brown School of Social Work at Washington University in St. Louis, Matthew and colleagues advanced the idea of evidence-based practice as a paradigm for training MSW social work practitioners (Howard, McMillen, & Pollio, 2003). Enola Proctor, the Shanti K. Khinduka Distinguished Professor in the Brown School of Social Work at Washington University in St. Louis, was a colleague of Matthew’s at the time. She remembers Matthew as… a brilliant scholar and dear person. Highly regarded for his excellence in the classroom at the Brown School, he was demanding yet was a frequent winner of student-elected teaching awards. Matthew used his seemingly boundless energy to better the fields of addiction research and social work practice. He had my highest respect and unending affection. His passing is a tremendous loss to our field and community of scholars [and] saddens me deeply. (E. Proctor, personal communication, January 9, 2019)In 1999, Matthew and I had the good fortune to guest edit a special issue of Research on Social Work Practice that explored the utility of clinical practice guidelines for social work practice (Howard & Jenson, 1999a). Collectively, Matthew’s lectures and published papers assessing the state of social work education and practice stimulated debate and produced tangible curricula changes in schools across the country.A prolific writer, Matthew published more than 250 peer-reviewed papers in his career. His written work also included 40 book reviews, editorials, and government reports. Matthew’s h-index of 55 and nearly 9,000 citations of his work to date illustrate just how much his scholarship was valued by colleagues. His written contributions will be recognized and used by practitioners, policymakers, and researchers for decades to come.Matthew was a fellow and a board member of the American Academy of Social Work and Social Welfare and a fellow of the Society for Social Work and Research. A proponent of interdisciplinary work, he also was a faculty research fellow in the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill at the time of his passing. Matthew’s devotion to empirical research and scholarship is widely recognized. However, what may be most impressive about Matthew’s career is the recognition he received as both a scholar and a teacher. He was awarded eight outstanding teaching and mentoring awards from students and colleagues at Washington University in St. Louis and the University of North Carolina at Chapel Hill. Two of Matthew’s doctoral students at North Carolina (Eric Garland, University of Utah; and Carrie Pettus-Davis, Florida State University) received Doctoral Fellow Awards from the Society for Social Work and Research. Matthew connected with his students by combining high scientific standards with a compassionate approach to helping people succeed. He was soft-spoken, but his ideas and words carried great weight and influence.Matthew’s service to the fields of social work and addiction was also exemplary. He reviewed manuscripts for more than 60 different academic journals in his career. He was on the editorial boards of more than 50 journals—including serving a JSSWR associate editor for the past several years—and he previously served as editor-in-chief of the Journal of Social Service Research, Social Work Research, and the Journal of Addictive Diseases. Matthew also was vice president and served on the Society for Social Work and Research Board of Directors from 2005 to 2008.The task of summarizing the life and career of a prolific and impactful scholar, teacher, and mentor like Matthew is daunting. Mark Fraser, professor emeritus at the University of North Carolina at Chapel Hill and the founding editor of JSSWR, was a longtime friend, collaborator, and colleague. Reflecting on Matthew’s career, he recalls,As a scholar and a teacher, Matthew was eloquent and encyclopedic. Students flocked to his classes. A gentle spirit who treasured collaboration with others, his greatest joys came in exploring new ideas and reading recent research. In the profession as a thought leader, Matthew was a tour de force. At once, he was creative, insightful, sensitive, critical, and thorough. Matthew was—quite simply—incomparable. (M. Fraser, personal communication, January 8, 2019)Tangible accomplishments like those summarized here do not tell the complete story of a person. Matthew had an uncanny ability to effectively express his strong personal beliefs and ethical values in everyday interactions with friends and colleagues. He had a deep interest in applying the lessons gained from his own empirical work to promote fairness and equity for all people. Matthew’s invaluable input and feedback to students and colleagues about their ideas, papers, or projects came with great civility and kindness. He was an insatiable reader whose knowledge extended to topics well beyond social work or the addictions. In this sense, one could discuss a wide range of topics with Matthew with the preordained understanding that he had very likely already read much of what had been written on the topic. Matthew’s longstanding practice of underscoring written text with yellow highlighters was applied to thousands of empirical and conceptual articles and manuscripts during his career.On a personal level, Matthew enjoyed taking walks, listening to music, and reading novels and poetry. His wry sense of humor often left many of his closest friends and colleagues writhing in laughter. I was among them.JSSWR is proud to count Matthew as one of its most influential associate editors and contributors. His place as an important teacher and scholar in social work education and research is secure. Matthew’s many contributions will be discovered anew by emerging scholars for decades to come. His presence in social work and the broad field of the addictions will be missed by us all.NotesJeffrey M. Jenson, PhD, is Editor-in-Chief of the Journal of the Society for Social Work and Research and the Phillip D. & Eleanor G. Winn Endowed Professor Children and Youth at the University of Denver Graduate School of Social Work.Correspondence regarding this article should be directed to Jeffrey M. Jenson, University of Denver, 2148 S. High St., Denver, CO 80208 or via e-mail to [email protected]ReferencesGarland, E. L. (2019). Standing on the shoulders of giants: Matthew O. Howard as a mentor and his influence on the science of mindfulness as a treatment for addiction. Journal of the Society for Social Work and Research. Advance online publication. doi:10.1086/702654First citation in articleGoogle ScholarHoward, M. O. (2016, March 31). Hot topics in doctoral education. Presentation at the 2016 Annual Conference of the Group for the Advancement of Doctoral Education, Chapel Hill, NC.First citation in articleGoogle ScholarHoward, M. O., Balster, R., Cottler, L. B., Wu, L., & Vaughn, M. G. (2008). Inhalant use among incarcerated adolescents: Prevalence, characteristics, and predictors of use. Drug and Alcohol Dependence, 93, 197–209. https://doi.org/10.1016/j.drugalcdep.2007.08.023First citation in articleCrossrefGoogle ScholarHoward, M. O., Bowen, S., Garland, E. L., Perron, B. E., & Vaughn, M. G. (2011). Inhalant use and inhalant use disorders in the United States. Addiction Science & Clinical Practice, 6, 18–31.First citation in articleGoogle ScholarHoward, M. O., & Garland, E. L. (2015). Social work research: 2044. Journal of the Society for Social Work and Research, 6, 173–200. https://doi.org/10.1086/681099First citation in articleLinkGoogle ScholarHoward, M. O., & Jenson, J. M. (1999a). Clinical practice guidelines: Should social work develop them? Research on Social Work Practice, 9, 283–301. https://doi.org/10.1177/104973159900900302First citation in articleCrossrefGoogle ScholarHoward, M. O., & Jenson, J. M. (1999b). Inhalant use among antisocial youth: Prevalence and correlates. Addictive Behaviors, 24, 59–74. https://doi.org/10.1016/s0306-4603(98)00039-2First citation in articleCrossrefGoogle ScholarHoward, M. O., McMillen, J. C., & Pollio, D. (2003). Teaching evidence-based practice: Toward a new paradigm for social work education. Research on Social Work Practice, 13, 234–259. https://doi.org/10.1177/1049731502250404First citation in articleCrossrefGoogle Scholar Previous articleNext article DetailsFiguresReferencesCited by Journal of the Society for Social Work and Research Volume 10, Number 1Spring 2019 Published for the Society for Social Work and Research Article DOIhttps://doi.org/10.1086/702653HistoryPublished online February 04, 2019 © 2019 by the Society for Social Work and Research. All rights reserved.PDF download Crossref reports no articles citing this article.

The case for interprofessional learning and collaborative practice in graduate medical education.

Although high-quality and holistic specialty palliative care is delivered by an interprofessional team, little guidance is available to optimize approaches to and sustainment of such teamwork. This article supports individuals to practice at the top of their education, clinical training, and scope of practice while maximizing the functionality of the palliative care team as a whole. We intentionally use the term interprofessional rather than interdisciplinary to clarify that we are focused on collaboration of team members who represent multiple professions or occupations that require specialized training and meet ethical standards (e.g., nursing, chaplaincy, social work, medicine, and pharmacy) rather than interactions among specific fields of study (e.g., cardiology, nephrology, and oncology). Synthesized from current data and best practices elicited from an interprofessional author team of palliative specialists, these ten tips aim to bolster collaboration, integration, and communication among palliative care team members, community providers, and referral sources. Topics are relevant for all teams across practice settings to promote and advance integrated teamwork, patient care, leadership, and research.

Rural-Urban Differences in Health Care Access Among Women of Reproductive Age: A 10-Year Pooled Analysis.

Introduction/Background Teamwork failures and breakdowns in communication are consistently associated with adverse events in patient care.1,2 According to statistics released by the Joint Commission in 2004, communication failures are the primary root cause in over 70% of sentinel events.3 Studies have shown that simulation can be used effectively to teach teamwork skills and that skills acquired through simulation can improve student performance in clinical environments.4–9 The purpose of this study was to evaluate the effectiveness of an interprofessional CPR team behavior simulation program in introducing professional entry students at the University of Arizona Health Sciences Center (AHSC) to vital elements of interprofessional collaborative practice.10 In particular, we wanted to assess the impact of this course on student perception of teamwork skills such as closed-loop communication, constructive intervention, knowledge sharing, re-evaluation and summarizing,and mutual respect in the context of a critical code scenario. Methods In the seventh year of the program, we enrolled 374 students from the Colleges of Medicine (n=114), Nursing (n=163) and Pharmacy (n=97) in a cardiopulmonary resuscitation (CPR) simulation course. Simulation exercises were conducted simultaneously over a four week period at the Arizona Simulation Technology and Education Center (ASTEC) and the Steele Innovation Learning Center (SILC) at the University of Arizona. Prior to the simulation exercise, students were provided with the American Heart Association CPR video, reading material and a CPR lecture detailing the critical elements of effective resuscitation team dynamics.11 The students were then assigned to interprofessional teams of five to eight students for a one hour CPR simulation in which the team worked to resuscitate a human patient simulator that had gone into cardiac arrest. The composition of each team was designed to maximize professional heterogeneity. Students were assigned one of the following roles irrespective of their professional training: team leader, chest compressor (2), ventilator, defibrillator, IV/medication administrator, and code recorder. Roles were rotated in repeated iterations of the CPR simulation; each student was given the opportunity to be the team leader. A short debriefing was conducted by trained facilitators after each simulation to reinforce the elements of team dynamics and to discuss ways to improve teamwork in subsequent simulations. Retrospective pre-post surveys were collected to assess the effectiveness of the training on the students’ understanding and perception of core competencies in interprofessional collaborative practice. Survey items were rated on a 5-point qualitative Likert scale. These Results are based on an 81% survey response rate (n=303). Student’s self ratings showed significant improvement in understanding the elements of effective team dynamics (Pre 2.59±1.03, Post 4.14±0.74; P<0.001) and the different roles and responsibilities of the various healthcare providers during CPR (Pre 2.55±1.00, Post 4.11±0.81; P<0.001). Self perceived understanding of behaviors necessary to be an effective team leader during crisis management increased significantly post-training (Pre 3.09±0.92, Post 4.36±0.64; P<0.001). Eighty-nine percent of students felt that the simulation helped them understand the degree to which clear communication leads to better patient outcomes. Pharmacy students rated their initial knowledge lower than medicine and nursing students in all survey questions. Results: Conclusion The interprofessional CPR team behavior simulation provided an effective platform to combine professional students from three colleges in the Healthcare Sciences to emphasize the importance of interdisciplinary collaboration and teamwork in crisis management situations. The simulation improved the student’s knowledge of vital team and communication skills and attitudes towards working in interprofessional teams.