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  1. Article ; Online: The applicability of interprofessional education for collaborative people-centered practice and care to health plans and workforce issues: A thematic global case review.

    Gilbert, John H V / Girard, Marie-Andree / Grymonpre, Ruby E / Mahler, Cornelia / Maxwell, Barbara

    Education for health (Abingdon, England)

    2023  Volume 36, Issue 2, Page(s) 67–75

    Abstract: Background: This article focuses on a growing, global recognition of the importance of the field of interprofessional education for person-centered collaborative practice (IPECP) expressed through high-level policy and accreditation decisions/actions ... ...

    Abstract Background: This article focuses on a growing, global recognition of the importance of the field of interprofessional education for person-centered collaborative practice (IPECP) expressed through high-level policy and accreditation decisions/actions taking place in 5 countries. Policy decisions are used to motivate strategies related to IPECP that align with national health plans, and workforce issues.
    Methods: Using a collective of representative stories from around the globe, a grouping of case studies were developed to illustrate different approaches and challenges to IPECP implementation.
    Results: Institutions from countries of various income levels face many similar challenges in the execution, delivery, and sustainability of IPECP. All programs face issues of financing, of preparing faculty, of developing and organizing curricula, and of bridging between campus and community.
    Discussion: Policies are being developed that promote a global approach to the inclusion of IPECP in the accreditation and regulation of postsecondary institutions and health service organizations, in keeping with WHO National Health Workforce Accounts. Policies developed promote and demonstrate the benefits of IPECP through remote emergency learning methods. The policies also build national systems for IPECP as an integral part of continuing professional development and lifelong learning. The organization of interprofessional research programs and the increasing publication of their results of such programs will lead to a clearer understanding of the efficacy of the field of IPECP. To ensure sustainability, stakeholders and policymakers should continue to foster policies that facilitate IPECP.
    MeSH term(s) Humans ; Cooperative Behavior ; Curriculum ; Health Workforce ; Interprofessional Education ; Interprofessional Relations
    Language English
    Publishing date 2023-12-04
    Publishing country India
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1318454-4
    ISSN 1469-5804 ; 1357-6283
    ISSN (online) 1469-5804
    ISSN 1357-6283
    DOI 10.4103/efh.efh_459_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Interprofessional education-relevant accreditation standards in Canada: a comparative document analysis.

    Azzam, Mohammad / Puvirajah, Anton / Girard, Marie-Andrée / Grymonpre, Ruby E

    Human resources for health

    2021  Volume 19, Issue 1, Page(s) 66

    Abstract: Background: Increasing evidence suggests that sustainable delivery of interprofessional education (IPE) has the potential to lead to interprofessional collaborative practice (IPCP), which in turn has the potential to lead to enhanced healthcare systems ... ...

    Abstract Background: Increasing evidence suggests that sustainable delivery of interprofessional education (IPE) has the potential to lead to interprofessional collaborative practice (IPCP), which in turn has the potential to lead to enhanced healthcare systems and improved patient-centered care health outcomes. To enhance IPE in Canada, the Accreditation of Interprofessional Health Education (AIPHE) project initiated collaborative efforts among accrediting organizations of six health professions to embed IPE language into their respective accreditation standards. To further understand the impact of the AIPHE project, this study evaluated the accountability of the IPE language currently embedded in Canadian health professions' accreditation standards documents and examined whether such language spanned the five accreditation standards domains identified in the AIPHE project.
    Methods: We conducted a comparative content analysis to identify and examine IPE language within the "accountable" statements in the current accreditation standards for 11 Canadian health professions that met our eligibility criteria.
    Results and discussion: A total of 77 IPE-relevant accountable statements were identified across 13 accreditation standards documents for the 11 health professions. The chiropractic, pharmacy, and physiotherapy documents represented nearly 50% (38/77) of all accountable statements. The accountable statements for pharmacy, dentistry, dietetics, and nursing (registered) spanned across three-to-four accreditation standards domains. The remaining nine professions' statements referred mostly to "Students" and "Educational program." Furthermore, the majority of accreditation standards documents failed to provide a definition of IPE, and those that did, were inconsistent across health professions.
    Conclusions: It was encouraging to see frequent reference to IPE within the accreditation standards of the health professions involved in this study. The qualitative findings, however, suggest that the emphasis of these accountable statements is mainly on the students and educational program, potentially compromising the sustainability and development, implementation, and evaluation of this frequently misunderstood pedagogical approach. The findings and exemplary IPE-relevant accountable statements identified in this paper should be of interest to all relevant stakeholders including those countries, where IPE accreditation is still emerging, as a means to accelerate and strengthen achieving desired educational and health outcomes.
    MeSH term(s) Accreditation ; Canada ; Health Occupations ; Humans ; Interprofessional Education ; Interprofessional Relations
    Language English
    Publishing date 2021-05-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1478-4491
    ISSN (online) 1478-4491
    DOI 10.1186/s12960-021-00611-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Development of accreditation standards for interprofessional education: a Canadian Case Study.

    Grymonpre, Ruby E / Bainbridge, Lesley / Nasmith, Louise / Baker, Cynthia

    Human resources for health

    2021  Volume 19, Issue 1, Page(s) 12

    Abstract: Background: Academic institutions worldwide are embedding interprofessional education (IPE) into their health/social services education programs in response to global evidence that this leads to interprofessional collaborative practice (IPC). The World ... ...

    Abstract Background: Academic institutions worldwide are embedding interprofessional education (IPE) into their health/social services education programs in response to global evidence that this leads to interprofessional collaborative practice (IPC). The World Health Organization (WHO) is holding its 193 member countries accountable for Indicator 3-06 ('IPE Accreditation') through its National Health Workforce Accounts. Despite the major influence of accreditation on the quality of health and social services education programs, little has been written about accreditation of IPE.
    Case study: Canada has been a global leader in IPE Accreditation. The Accreditation of Interprofessional Health Education (AIPHE) projects (2007-2011) involved a collaborative of eight Canadian organizations that accredit pre-licensure education for six health/social services professions. The AIPHE vision was for learners to develop the necessary knowledge, skills and attitudes to provide IPC through IPE. The aim of this paper is to share the Canadian Case Study including policy context, supporting theories, preconditions, logic model and evaluation findings to achieve the primary project deliverable, increased awareness of the need to embed IPE language into the accreditation standards for health and social services academic programs. Future research implications are also discussed.
    Conclusions: As a result of AIPHE, Canada is the only country in the world in which, for over a decade, a collective of participating health/social services accrediting organizations have been looking for evidence of IPE in the programs they accredit. This puts Canada in the unique position to now examine the downstream impacts of IPE accreditation.
    MeSH term(s) Accreditation ; Canada ; Health Occupations ; Humans ; Interprofessional Education ; Interprofessional Relations
    Language English
    Publishing date 2021-01-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1478-4491
    ISSN (online) 1478-4491
    DOI 10.1186/s12960-020-00551-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Correction: Accreditation as a driver of interprofessional education: the Canadian experience.

    Azzam, Mohammad B / Girard, Marie-Andrée / Andrews, Cynthia / Bilinski, Hope / Connelly, Denise M / Gilbert, John H V / Newton, Christie / Grymonpre, Ruby E

    Human resources for health

    2022  Volume 20, Issue 1, Page(s) 77

    Language English
    Publishing date 2022-11-04
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2126923-3
    ISSN 1478-4491 ; 1478-4491
    ISSN (online) 1478-4491
    ISSN 1478-4491
    DOI 10.1186/s12960-022-00775-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Accreditation as a driver of interprofessional education: the Canadian experience.

    Azzam, Mohammad B / Girard, Marie-Andrée / Andrews, Cynthia / Bilinski, Hope / Connelly, Denise M / Gilbert, John H V / Newton, Christie / Grymonpre, Ruby E

    Human resources for health

    2022  Volume 20, Issue 1, Page(s) 65

    Abstract: Background: The purpose of this study was to (1) explore evidence provided by Canadian health and social care (HASC) academic programs in meeting their profession-specific interprofessional education (IPE)-relevant accreditation standards; (2) share ... ...

    Abstract Background: The purpose of this study was to (1) explore evidence provided by Canadian health and social care (HASC) academic programs in meeting their profession-specific interprofessional education (IPE)-relevant accreditation standards; (2) share successes, exemplars, and challenges experienced by HASC academic programs in meeting their IPE-relevant accreditation standards; and (3) articulate the impacts of IPE-relevant accreditation standards on enabling interprofessional learning to the global HASC academic community.
    Methods: Profession-specific (bilingual, if requested) surveys were developed and emailed to the Deans/Academic Program Directors of eligible academic programs with a request to forward to the individual who oversees IPE accreditation. Responses were collated collectively and by profession. Open-ended responses associated with our first objective were deductively categorized to align with the five Accreditation of Interprofessional Health Education (AIPHE) standards domains. Responses to our additional questions associated with our second and third objectives were inductively categorized into themes.
    Results/discussion: Of the 270 HASC academic programs surveyed, 30% (n = 24) partially or completely responded to our questions. Of the 106 IPE-relevant standards where evidence was provided, 62% (n = 66) focused on the Educational Program, 88% of which (n = 58) were either met or partially met, and 47% (n = 31) of which focused on practice-based IPE. Respondents cited various exemplars and challenges in meeting IPE-relevant standards.
    Conclusions: The overall sentiment was that IPE accreditation was a significant driver of the IPE curriculum and its continuous improvement. The array of exemplars described in this paper may be of relevance in advancing IPE implementation and accreditation across Canada and perhaps, more importantly, in countries where these processes are yet emerging.
    MeSH term(s) Accreditation ; Canada ; Curriculum ; Humans ; Interprofessional Education ; Interprofessional Relations
    Language English
    Publishing date 2022-08-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 2126923-3
    ISSN 1478-4491 ; 1478-4491
    ISSN (online) 1478-4491
    ISSN 1478-4491
    DOI 10.1186/s12960-022-00759-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Polypharmacy and Potentially Inappropriate Medication Use in Older Adults With Systemic Lupus Erythematosus.

    Séguin, Dale Jean-Guy / Peschken, Christine A / Dolovich, Cassandra / Grymonpre, Ruby E / St John, Philip D / Tisseverasinghe, Annaliese

    Arthritis care & research

    2022  Volume 75, Issue 2, Page(s) 356–364

    Abstract: Objective: To assess the prevalence and potential risk factors for polypharmacy and prescribing of the potentially inappropriate medications, opioids and benzodiazepines/Z-drugs, in older adults with systemic lupus erythematosus (SLE).: Methods: The ... ...

    Abstract Objective: To assess the prevalence and potential risk factors for polypharmacy and prescribing of the potentially inappropriate medications, opioids and benzodiazepines/Z-drugs, in older adults with systemic lupus erythematosus (SLE).
    Methods: The study population comprised adults age ≥50 years meeting American College of Rheumatology or Systemic Lupus International Collaborating Clinics classification criteria followed at a tertiary care rheumatology clinic. Information on prescriptions filled in the 4 months preceding chart review was obtained from the Manitoba Drug Program Information Network. Clinical data, including age, sex, Charlson Comorbidity Index (CCI) score, Systemic Lupus Erythematosus Disease Activity Index 2000 score, prednisone use, SLE duration, and rural residence were abstracted from electronic medical records. Logistic regression analyses were performed to assess any association between polypharmacy (using 2 definitions: ≥5 and ≥10 medications), potentially inappropriate medication use, and clinical features.
    Results: A total of 206 patients (mean age 62 years, 91% female, 36% rural) were included: 148 (72%) filled ≥5 medications, 71 (35%) filled ≥10 medications, 63 (31%) used benzodiazepines/Z-drugs, and 50 (24%) used opioids. Among the 77 patients age ≥65 years, 57 (74%) filled ≥5 medications, and 26 (34%) filled ≥10 medications, compared to 30% and 4%, respectively, of Manitobans age ≥65 years (National Prescription Drug Utilization Information System, 2016). The odds of polypharmacy were greater with prednisone use (adjusted odds ratio [OR] 3.70 [95% confidence interval (95% CI) 1.40-9.79] for ≥5 medications), CCI score (adjusted OR 1.62 [95% CI 1.20-2.17]), and rural residence (adjusted OR 2.05 [95% CI 1.01-4.18]). Odds of benzodiazepine/Z-drug use were increased with polypharmacy (adjusted OR 4.35 [95% CI 1.69-11.22]), and odds of opioid use were increased with polypharmacy (adjusted OR 6.75 [95% CI 1.93-23.69]) and CCI score (adjusted OR 1.29 [95% CI 1.08-1.54]).
    Conclusion: The prevalence of polypharmacy in this SLE cohort was higher than in the general Manitoban population. Polypharmacy is a strong marker for use of prescription benzodiazepines/Z-drugs and opioids.
    MeSH term(s) Humans ; Female ; Aged ; Middle Aged ; Male ; Potentially Inappropriate Medication List ; Polypharmacy ; Prednisone ; Analgesics, Opioid/adverse effects ; Benzodiazepines/adverse effects ; Lupus Erythematosus, Systemic/diagnosis ; Lupus Erythematosus, Systemic/drug therapy ; Lupus Erythematosus, Systemic/epidemiology
    Chemical Substances Prednisone (VB0R961HZT) ; Analgesics, Opioid ; Benzodiazepines (12794-10-4)
    Language English
    Publishing date 2022-10-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645059-3
    ISSN 2151-4658 ; 0893-7524 ; 2151-464X
    ISSN (online) 2151-4658
    ISSN 0893-7524 ; 2151-464X
    DOI 10.1002/acr.24766
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Rural residence and prescription medication use by community-dwelling older adults: a review of the literature.

    Grymonpre, Ruby E / Hawranik, Pamela G

    The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association

    2008  Volume 24, Issue 2, Page(s) 203–209

    Abstract: Context: Due to various barriers to health care access in the rural setting, there is concern that rural older adults might have lower access to prescribed medications than their urban counterparts.: Purpose: To review published research reports to ... ...

    Abstract Context: Due to various barriers to health care access in the rural setting, there is concern that rural older adults might have lower access to prescribed medications than their urban counterparts.
    Purpose: To review published research reports to determine prevalence and mean medication use in rural, noninstitutionalized older adults and assess whether rural-urban differences exist.
    Methods: PubMed, Ageline, Cinahl, PsycInfo, International Pharmaceutical Abstracts, Agricola, and Institute for Scientific Information Web of Science - Social Science Index were searched. English-language articles through May 2005 involving a sample of rural, noninstitutionalized older adults and analyses of overall medication prevalence and/or intensity were included. Review articles, conference abstracts, dissertations, books, and articles targeting nonprescription or specific therapeutic categories were excluded. A total of 206 citations were identified and 26 met the inclusion criteria.
    Findings: Reported prevalence of prescription medication use by rural older adults varied between 62% and 96%, with 2-6 prescriptions per person. Multivariate analyses results were equally inconsistent. Controlling for insurance, most US studies suggest there is no rural-urban difference in access to prescribed medications. However, this finding may not be generalizable across all regions in the United States or other countries.
    Conclusions: Geographic location may not be as important a variable for medication usage as for other health services utilization.
    MeSH term(s) Aged ; Drug Utilization ; Humans ; Middle Aged ; Pharmaceutical Preparations/administration & dosage ; Residence Characteristics/statistics & numerical data ; Rural Population/statistics & numerical data
    Chemical Substances Pharmaceutical Preparations
    Language English
    Publishing date 2008
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 639160-6
    ISSN 0890-765X
    ISSN 0890-765X
    DOI 10.1111/j.1748-0361.2008.00159.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: International consensus statement on the assessment of interprofessional learning outcomes.

    Rogers, Gary D / Thistlethwaite, Jill E / Anderson, Elizabeth S / Abrandt Dahlgren, Madeleine / Grymonpre, Ruby E / Moran, Monica / Samarasekera, Dujeepa D

    Medical teacher

    2017  Volume 39, Issue 4, Page(s) 347–359

    Abstract: Regulatory frameworks around the world mandate that health and social care professional education programs graduate practitioners who have the competence and capability to practice effectively in interprofessional collaborative teams. Academic ... ...

    Abstract Regulatory frameworks around the world mandate that health and social care professional education programs graduate practitioners who have the competence and capability to practice effectively in interprofessional collaborative teams. Academic institutions are responding by offering interprofessional education (IPE); however, there is as yet no consensus regarding optimal strategies for the assessment of interprofessional learning (IPL). The Program Committee for the 17th Ottawa Conference in Perth, Australia in March, 2016, invited IPE champions to debate and discuss the current status of the assessment of IPL. A draft statement from this workshop was further discussed at the global All Together Better Health VIII conference in Oxford, UK in September, 2016. The outcomes of these deliberations and a final round of electronic consultation informed the work of a core group of international IPE leaders to develop this document. The consensus statement we present here is the result of the synthesized views of experts and global colleagues. It outlines the challenges and difficulties but endorses a set of desired learning outcome categories and methods of assessment that can be adapted to individual contexts and resources. The points of consensus focus on pre-qualification (pre-licensure) health professional students but may be transferable into post-qualification arenas.
    Language English
    Publishing date 2017-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2017.1270441
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Interprofessional Competency Toolkit for Internationally Educated Health Professionals: Evaluation and Pilot Testing.

    Arain, Mubashir / Suter, Esther / Hepp, Shelanne / Nanayakkara, Shyama / Harrison, Elizabeth L / Mickelson, Grace / Bainbridge, Lesley / Grymonpre, Ruby E

    The Journal of continuing education in the health professions

    2017  Volume 37, Issue 3, Page(s) 173–182

    Abstract: Introduction: Internationally Educated Health Professionals (IEHPs) constitute a major health care workforce in Canada. Interprofessional education is particularly important for IEHPs to integrate into the Canadian health care system. We designed an ... ...

    Abstract Introduction: Internationally Educated Health Professionals (IEHPs) constitute a major health care workforce in Canada. Interprofessional education is particularly important for IEHPs to integrate into the Canadian health care system. We designed an online interprofessional education curriculum for IEHPs. The curriculum is designed to cover the six interprofessional competency domains defined in the Canadian Interprofessional Health Collaborative National Interprofessional Competency Framework. In this article, we are presenting findings from the pilot testing of the curriculum with a cohort of IEHPs and educators.
    Methods: We conducted surveys and interviews with IEHPs and educators from four provinces (British Columbia, Alberta, Saskatchewan, and Manitoba). We aimed to include seven healthcare professionals: licensed practical nurses, registered nurses, registered psychiatric nurses, pharmacists, physicians, occupational therapists, and physical therapists. We also used a pre- post- self-assessment tool and a set of reflective questions to measure the effectiveness of the curriculum.
    Results: Thirty IEHPs and five educators reviewed the online curriculum and participated in this evaluation. Postintervention confidence scores for all items under the role clarification and patient-centered care domains increased significantly (P = <0.01) after module completion. The scores also increased for most questions in team functioning, collaborative leadership, and communication domains. The postassessment scores increased for only half of the questions in conflict management domains. Participants agreed with the appropriateness of the content in terms of language, scenarios, and cultural aspects covered in the online curriculum on interprofessional education.
    Discussion: The content of the curriculum improved IEHPs' understanding of interprofessional collaboration in Canada. The interprofessional curriculum is a creative and useful resource to improve collaborative practice among internationally educated health professionals in Canada.
    MeSH term(s) Adult ; Canada ; Communication ; Curriculum/standards ; Female ; Health Personnel/psychology ; Humans ; Internationality ; Interprofessional Relations ; Male ; Middle Aged ; Patient-Centered Care/manpower ; Patient-Centered Care/methods ; Pilot Projects ; Program Evaluation/methods ; Surveys and Questionnaires
    Language English
    Publishing date 2017-08-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639445-0
    ISSN 1554-558X ; 0894-1912
    ISSN (online) 1554-558X
    ISSN 0894-1912
    DOI 10.1097/CEH.0000000000000160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Rural Residence and Prescription Medication Use by Community-Dwelling Older Adults: A Review of the Literature

    Grymonpre, Ruby E / Hawranik, Pamela G

    Journal of rural health official journal of the American Rural Health Association and the National Rural Health Care Association. 2008 Spring, v. 24, no. 2

    2008  

    Abstract: Context: Due to various barriers to health care access in the rural setting, there is concern that rural older adults might have lower access to prescribed medications than their urban counterparts. Purpose: To review published research reports to ... ...

    Abstract Context: Due to various barriers to health care access in the rural setting, there is concern that rural older adults might have lower access to prescribed medications than their urban counterparts. Purpose: To review published research reports to determine prevalence and mean medication use in rural, noninstitutionalized older adults and assess whether rural-urban differences exist. Methods: PubMed, Ageline, Cinahl, PsycInfo, International Pharmaceutical Abstracts, Agricola, and Institute for Scientific Information Web of Science - Social Science Index were searched. English-language articles through May 2005 involving a sample of rural, noninstitutionalized older adults and analyses of overall medication prevalence and/or intensity were included. Review articles, conference abstracts, dissertations, books, and articles targeting nonprescription or specific therapeutic categories were excluded. A total of 206 citations were identified and 26 met the inclusion criteria. Findings: Reported prevalence of prescription medication use by rural older adults varied between 62% and 96%, with 2-6 prescriptions per person. Multivariate analyses results were equally inconsistent. Controlling for insurance, most US studies suggest there is no rural-urban difference in access to prescribed medications. However, this finding may not be generalizable across all regions in the United States or other countries. Conclusions: Geographic location may not be as important a variable for medication usage as for other health services utilization.
    Keywords rural health care ; drug therapy ; drugs ; elderly ; United States
    Language English
    Size p. 203-209.
    Publishing place Blackwell Publishing Inc
    Document type Article
    ZDB-ID 639160-6
    ISSN 0890-765X
    ISSN 0890-765X
    DOI 10.1111/j.1748-0361.2008.00159.x
    Database NAL-Catalogue (AGRICOLA)

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