1. Stroke Team Inter- Professional Placement (STIPP) Project

2. Presentation Objectives Description of the STIPP project and our experiences Description of the STIPP project and our experiences Identify strengths and recommendations for future STIPP projects Identify strengths and recommendations for future STIPP projects

3. What is STIPP? Pilot Project Pilot Project Partnership between St. Mary’s of the Lake Hospital (SMOL) and Queen’s University Inter- Professional Patient-Centered Education Direction (QUIPPED) Partnership between St. Mary’s of the Lake Hospital (SMOL) and Queen’s University Inter- Professional Patient-Centered Education Direction (QUIPPED) Combination of inter-professional clinical placement experience and 8 bi-weekly tutorials Combination of inter-professional clinical placement experience and 8 bi-weekly tutorials Focus is on collaborative patient-centered practice Focus is on collaborative patient-centered practice

4. STIPP Objectives Have opportunities to : enhance understanding of the cooperative and collaborative nature of inter-professional practice enhance understanding of the cooperative and collaborative nature of inter-professional practice use group process to make inter-professional decisions use group process to make inter-professional decisions increase knowledge of the roles of other professionals increase knowledge of the roles of other professionals develop knowledge of individual professions to accurately represent this to patients and colleagues develop knowledge of individual professions to accurately represent this to patients and colleagues

5. Who is Involved in STIPP? The tutorial leaders were from the Faculty of Health Sciences – School of Rehabilitation Therapy (OT and PT Programs) and the School of Nursing, with representation from Education. The tutorial leaders were from the Faculty of Health Sciences – School of Rehabilitation Therapy (OT and PT Programs) and the School of Nursing, with representation from Education. The students involved: one PT, one OT, and 3 Nursing students. The students involved: one PT, one OT, and 3 Nursing students.

6. SMOL Placement Students performed their clinical placements on the stroke rehabilitation and ABI floor Students performed their clinical placements on the stroke rehabilitation and ABI floor The placement involved the typical clinical placement in addition to inter-professional shadowing and patient-centred learning experiences. The placement involved the typical clinical placement in addition to inter-professional shadowing and patient-centred learning experiences.

7. Inter-Professional Shadowing Wide variety of shadowing experiences were made available Wide variety of shadowing experiences were made available Examples: Pharmacist, Spiritual Care Team, Discharge Planner, SLP, Psychologist, OT, PT, Physiatrist, Social Worker, RN, Advanced Practice Leader Examples: Pharmacist, Spiritual Care Team, Discharge Planner, SLP, Psychologist, OT, PT, Physiatrist, Social Worker, RN, Advanced Practice Leader

8. Patient Shadowing Observing a typical day in the life of a patient on the SMOL stroke rehabilitation unit. Observing a typical day in the life of a patient on the SMOL stroke rehabilitation unit. This involved observing the day to day routine of the patient, including accompanying the patients to their therapy appointments. This involved observing the day to day routine of the patient, including accompanying the patients to their therapy appointments.

9. Tutorial Presentations Learning patient perspective from a person who had recently had a stroke and had been a patient at SMOL Learning patient perspective from a person who had recently had a stroke and had been a patient at SMOL How to enhance team effectiveness How to enhance team effectiveness Collaboration between team members Collaboration between team members Ethics and team decision making Ethics and team decision making Communication within the team Communication within the team Stroke Simulation Lab Stroke Simulation Lab

10. Inter-Professional Team Roles For the Inter-Professional Project, the student team prepared a handout which described the roles of each member of the Stroke Team

11. The Stroke Team Teamwork between: the OT, PT, Social Worker, Speech-Language Pathologist, Discharge Planner, Nurse, Physician, Psychologist, Dietician, Spiritual Care Worker, Recreation Therapist and Pharmacist Teamwork between: the OT, PT, Social Worker, Speech-Language Pathologist, Discharge Planner, Nurse, Physician, Psychologist, Dietician, Spiritual Care Worker, Recreation Therapist and Pharmacist Trust and respect Trust and respect No single leader No single leader Open communication Open communication Collaboration, Cooperation and Support - “How can I support you?” Collaboration, Cooperation and Support - “How can I support you?”

12. STIPP Project Feedback

13. Tutorial Feedback Strengths: All faculty members were open to feedback and encouraged suggestions for improvement All faculty members were open to feedback and encouraged suggestions for improvement Useful resources were provided at onset of tutorials Useful resources were provided at onset of tutorials Tutorial environment was positive and supportive Tutorial environment was positive and supportive Small group size facilitated discussion and allowed each member to participate Small group size facilitated discussion and allowed each member to participate Tutorial time was flexible Tutorial time was flexible Tutorials involved a wide variety of topics Tutorials involved a wide variety of topics

14. Tutorial Feedback Recommendations: More information prior to the beginning of tutorials (i.e. objectives and requirements) More information prior to the beginning of tutorials (i.e. objectives and requirements) First tutorial could include a brief introductory explanation of each stroke team member’s role to ensure understanding during placements and tutorials First tutorial could include a brief introductory explanation of each stroke team member’s role to ensure understanding during placements and tutorials

15. Facility Feedback Strengths: Supportive preceptors and clinical educators Supportive preceptors and clinical educators Excellent shadowing opportunities for students Excellent shadowing opportunities for students

16. Facility Feedback Recommendations: Further information is required for preceptors including: Further information is required for preceptors including: Explanation of what each student will require Explanation of what each student will require Support needed for the project Support needed for the project Explanation of the STIPP project Explanation of the STIPP project Having a combined team tour of SMOL, including all departments and members of the stroke team, for all students to get to know the site together Having a combined team tour of SMOL, including all departments and members of the stroke team, for all students to get to know the site together

17. What was Gained from this Experience Greater understanding of other professions Greater understanding of other professions Facilitated interactions between students Facilitated interactions between students The opportunity to learn from the stroke team The opportunity to learn from the stroke team Greater understanding of patient’s perspective and needs Greater understanding of patient’s perspective and needs Greater understanding of ethics, and the influence of different cultures, professions, and backgrounds on decision making and judgment Greater understanding of ethics, and the influence of different cultures, professions, and backgrounds on decision making and judgment

18. What was Gained from this Experience Greater confidence in approaching and interacting with other members of the stroke team Greater confidence in approaching and interacting with other members of the stroke team Knowledge of how each team member can contribute to the overall patient ‘picture’ Knowledge of how each team member can contribute to the overall patient ‘picture’ Understanding of how each team member can provide support and information for the other members of the stroke team. Understanding of how each team member can provide support and information for the other members of the stroke team. Attained individual knowledge of our temperaments, which helped guide patient care decisions Attained individual knowledge of our temperaments, which helped guide patient care decisions