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Document Type (Journals)

Original Research

Abstract

Early mobility in the Intensive Care Unit (ICU) can improve a multitude of patient outcomes, and occupational therapists (OTs) play a valuable role as part of the interprofessional team, with the ability to address activities of daily living, functional cognition, psychological and communication needs, and more. In 2022, the first iteration of an ICU interprofessional education simulation (Sim-IPE) yielded poor outcomes for OT students. This study aimed to modify existing pre-learning activities in the Sim-IPE’s second iteration to improve OT students’ perceptions and professional role awareness in interprofessional ICU care. Students from Doctor of OT, Bachelor of Science Nursing, Doctor of Physical Therapy (PT), and Associate Program Respiratory Therapy programs from one university participated in an ICU Early Mobility Sim-IPE with enhanced pre-learning activities and environmental modifications targeting OT student outcomes. Investigators employed a mixed methods approach, including pre/post quantitative analysis through the SPICE-R2 instrument and qualitative analysis of OT students' written reflections. Quantitatively, OT students (n = 12) demonstrated significant improvement in SPICE-R2 scores from pre- to post-Sim-IPE, as well as significant improvements when compared to OT student scores from the first iteration. Qualitatively, OT students reflected improved role awareness when compared to OT students from the first Sim-IPE, however, continue to struggle with role assertion and ambiguity, particularly with PT students. This study improved the OT students’ Sim-IPE experience; specifically, role awareness and perceptions of interprofessional practice. Residual challenges in role assertion and ambiguity offer opportunities for future intervention and research.

Biography

  1. Elizabeth Yost, OTD, OTRL: Elizabeth Yost is a Clinical Assistant Professor at the University of Michigan-Flint with a decade of occupational therapy clinical experience spanning acute, inpatient, subacute, and outpatient rehabilitation settings. Holding a Doctorate from the University of Illinois at Chicago, her research interests include knowledge translation and interprofessional education.
  2. Julie Jacob, DHSc, MSOT, OTRL: Julie Jacob is a Clinical Assistant Professor and Interim Program Director for Occupational Therapy at the University of Michigan-Flint. With 14 years in clinical practice and 10 in academia as an academic fieldwork coordinator, she is committed to interprofessional education. Her research interests include telehealth and occupational justice.
  3. Denise Campbell, DNP, APRN, ACNS-BC, CEN, CHSE-A: Denise Campbell is a Certified Healthcare Simulation Educator specializing in simulation and interprofessional education. She has presented at INACSL and IMSH conferences and is a fellow at the University of Michigan. Her research focuses on using simulation to improve patient safety and teamwork.
  4. Nicholas Prush, Ph.D., MHA, RRT, RRT-ACCS: Nicholas Prush is a Clinical Assistant Professor and Program Director at the University of Michigan-Flint, specializing in respiratory therapy and interprofessional education. A fellow at the University of Michigan IPE Center, he has spent four years advancing the role of respiratory therapists in interprofessional settings.
  5. Leslie M. Smith, PT, DPT, CCS, WCS: Leslie M. Smith is a Clinical Associate Professor at the University of Michigan-Flint and a board-certified physical therapist specializing in cardiovascular, pulmonary, and wound care. With a decade of dedication to interprofessional education (IPE), she completed an IPE Fellowship in 2017 and joined the National Academies of Practice in 2022.

Declaration of Interest

The authors report no declarations of interest.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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