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Interprofessional training with public health problems in primary health care

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Interprofessional training with public health problems in primary health care Tiina Tervaskanto-Mäentausta, MNSc, Med, Oulu University of Applied Sciences Essi Varkki, MD, PhD University of Oulu, Finland
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Interprofessional training with public health problems in primary health care Tiina Tervaskanto-Mäentausta, MNSc, Med, Oulu University of Applied Sciences Essi Varkki, MD, PhD University of Oulu, Finland Minna Manninen, MHSc, Oulu University of Applied Sciences Challenges in health and social sector New innovations supporting self care Early intervention system Supporting systems: Prevention of loneliness and social exclusion Increase in health care costs, decrease in workforce Ageing, social exclusion, local health needs Lack of collaboration in health system, malpractice Highlighting prevention, promoting health and functional capacity. Research and development in multiple fields Interprofessional patient centred care Development of team work model. Development of quality assurance models and patient safety Future visions: From hospital care to primary and outpatient care The function of future hospital will change and patient role will be more active From curative care to preventive care Interprofessional health and wellbeing centre is opened in Oulu, Finland ~ All the basic health and social services under the same roof The centre, located in the common campus with two universities and uni. hospital, is an IP learning environment for students IP pair training has organized in collaboration with the two universities and the City of Oulu Interprofessional training in wellbeing centre Diabetes care 2012 Musculosceletal & Rheuma 2016 Small scale surgery 2015 Mothernity care 2010 Pediatric 2010 Implementation Med N/PH/ MW/P T Pat Groups Year Facilitators Diabetes / 2 or 3 2 med + 1 diab nurse Small scale surgery / 3 1 med + 1 nurse Pediatric / 4 1 med + 1 PH nurse Mothernity care / 4 1 med + 1 PH nurse Musculosceletal & Rheuma / 4 1 med + 1 nurse Practical arrangements Pre material was prepared for the students, such as recommendations of the evidence base care and guidelines for patient examination. General info to all students (practical issues, health recording system) Students familiarized themselves with the patient history and agreed on the team tasks Patient interview + examination as a team The findings and treatment plan was discussed with the facilitating doctor and nurse The visit was finalized together with the patient/family, the team and the facilitators The patients gave oral feedback of the visit The students filled the feedback template + reflective debriefing Evaluation Students evaluation of learning the clinical skills 1. Discuss with the patient understandable and empathic way 2. Analyze all risks and resources when making the care plan together with the team 3. Make good questions and notice all messages of the patient 4. Make examination and use all available knowledge to make care plan 5. I respect, listen and made trustable athmosphere 6. Work in an IP team 7. Manage time, utilize all strenghts and knowledge 8. Priorize % 20 % 40 % 60 % 80 % 100 % A lot to learn Intermediate skills Good skills Attitudes and readiness to IPL: N=93 Patients feedback (5 descriptive adjectives of 20) Friendly Relaxed Appropriate Deliberate Solicitous Personal Diligent Trustable Students feedback We complemented each other We learned about the value of IP team work Team support made the situation more relaxed We appreciated the opportunity to take responsibility of the whole visit Clinical skills were trained well together More IP practice in primary care is needed Smaller groups in surgery Challenges with patient record systems Challenges for implementation Positive issue: organizations are located in the same campus Health care education is traditionally fucused on curative care Different curriculums and practical training New IP training and working environment Methods and new technology Future plans IPT in diabetes care to all medical and larger amount of nurse students More students to all other IP training periods Training the trainers and facilitators City of Oulu will open new IP health and wellbeing centres IP curriculum development Thank you!
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