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First and Goal: Teamwork. Karen Jacobs, Ed.D., OTR/L, CPE, FAOTA Clinical Professor Program Director, Distance Education Post-professional Occupational Therapy Programs. Lost at Sea. You are adrift on a private yacht in the South Pacific. As a consequence of a fire of unknown origin,
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First and Goal: Teamwork Karen Jacobs, Ed.D., OTR/L, CPE, FAOTAClinical ProfessorProgram Director, Distance Education Post-professional Occupational Therapy Programs
Lost at Sea You are adrift on a private yacht in the South Pacific. As a consequence of a fire of unknown origin, much of the yacht and it contents have been destroyed. The yacht is now slowly sinking. Your location is unclear because of the destruction of critical navigational equipment and because you & the crew were distracted trying to bring the fire under control. Your best estimate is that you are approximately one thousand miles south-southwest of the nearest land (Paul M. Nemiroff & William A. Pasmore)
Lost at Sea • Sextant (tables & chronometer) • Shaving mirror • Five-gallon can of water • Mosquito netting • One case of US Army C rations • Maps of the Pacific Ocean • Seat cushion (flotation device) • Two-gallon can of oil-gas mixture • Small transistor • Shark repellent • 20 square feet of opaque plastic • One quart of 160-proof rum • 15 feet of nylon rope • 2 boxes of chocolate bars • Fishing kit (Paul M. Nemiroff & William A. Pasmore)
Advantages of Working in Teams • Better & new ideas; decisions • Higher quality input • Involvement of everyone in the process • Increased ownership & buy-in • Widens the circle of communication • Increased learning & understanding • Sense of security • Personal relationships Better end results Framework for Action on Interprofessional Education & Collaborative Practice
Teams • Interprofessional education • Interprofessional practice • Collaboration
Framework for Action onInterprofessional Education& Collaborative Practice
AOTA’s Centennial Vision “We envision that occupational therapy is a powerful, widely recognized, science driven, and evidence- based profession with a globally connected and diverse workforce meeting society’s occupational needs.”
Team “…is a group of people who are mutually dependent on one another to achieve a common goal.” Source: The Pfeiffer Book of Successful Team-Building Tools
Interpersonal Relationships Team Development Model Rubin, Plovnick, and Fry, Task Oriented Team Development, 1975.
Interpersonal Relationships • These are important! Take the time to get to know one another. • But remember: • When team members can't get along it is usually because of unresolved issues regarding goals, roles, & procedures. • Team members don't have to be friends or even like each other to work well together.
Procedures Interpersonal Relationships Team Development Model Rubin, Plovnick, and Fry, Task Oriented Team Development, 1975.
Procedures • Aim at consistent preparation and attendance. • Plan on more multimedia communication (Wiki, Skype, e-mail). • Give more than “feedback;” focus on perspectives and new ideas. • Focus on the solutions, not the problems.
Roles Procedures Interpersonal Relationships Team Development Model Rubin, Plovnick, and Fry, Task Oriented Team Development, 1975.
Roles • Formal leader • Timekeeper • Note-taker • Discussion leader • Clarifier
Goals Roles Procedures Interpersonal Relationships Team Development Model Rubin, Plovnick, and Fry, Task Oriented Team Development, 1975.
Goals Both team and individual goals are important! Should be: • Specific • Measurable • Stated in concrete terms • Challenging and urgent
Interprofessional education Interprofessional education occurs when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. collaborative practice-ready Framework for Action on Interprofessional Education & Collaborative Practice
Interprofessional education “... is an opportunity to not only change the way that we think about educating future health workers, but is an opportunity to step back and reconsider the traditional means of healthcare delivery. I think that what we’re talking about is not just a change in educational practices, but a change in the culture of medicine and health-care.” Student Leader, WHO Framework for Action on Interprofessional Education & Collaborative Practice
Interprofessional education & collaborative practice “…can positively contribute to some of the world’s most urgent health challenges.” Framework for Action on Interprofessional Education & Collaborative Practice
Interprofessional collaboration is a key factor in initiatives designed to increase the effectiveness of health services currently offered to the public Shaw, Walker & Hogue, 2008
Mechanisms • Use supportive management practices • Identify and support champions • Update, renew, and revise existing curricula • Support appropriate legislation that eliminates barriers to collaborative practice Framework for Action on Interprofessional Education & Collaborative Practice
Collaborative practice • Access to and coordination of health-services • Appropriate use of professional resources • Health outcomes for people with chronic diseases • Client care and safety Framework for Action on Interprofessional Education & Collaborative Practice
Collaborative practice • Total client complications • Length of hospital stay • Tension and conflict among caregivers • Staff turnover • Hospital admissions • Clinical error rates • Mortality rates Framework for Action on Interprofessional Education & Collaborative Practice
Champions • Betsey Gray, MSW, LICSW & Nancy MacRae, MS, OTR/L, FAOTA • Lindsay Eales, BScOT(c) • Terry Olivas De la O, COTA • OT4OT • Captain Erik Johnson, MS, OTR/L
Champions #1 Betsey Gray, MSW, LICSW, Clinical Associate Professor, School of Social Work Nancy MacRae, MS, OTR/L, FAOTA, Associate Professor, Occupational Therapy Department
The Strategies to Nurture Aging People (SNAP) Shared by Nancy MacRae Establish a sustainable interprofessional academic-community program for independently living seniors
Student Program Objectives Shared by Nancy MacRae Interprofessional education One’s own profession & know how to explain it to others Basic health literacy needs Group development & dynamics Leadership/responsibilities
Student Comment Shared by Nancy MacRae “We really listened to each other’s concerns and tried to make it work – so that every one was satisfied with the final outcome. I have learned a ton about myself and myself as a member of a group, as well as the dynamics of group work. I have noticed after being a part of other interdisciplinary teams that every group is unique in their own way and I am interested to see how this group will form”.
Champions #2 Shared by Lindsay Eales, BScOT(c)
"I have been dancing with iDance for two years now and really love it. Coming to dance every week and dancing with the many friends that I have made makes me feel free. This is the one time during the week that I can feel free to be "me“."At iDANCE, I am always welcome, I don't have to hide my identity, I can just be myself when dancing in the group. To be a dancer you must love yourself and I have learned how through iDANCE. The trust in this group is the best trust I ever had in life." Shared by Lindsay Eales, BScOT(c)
iDance as an Interprofessional Team • Dignity • Respect • Safe space • Creative adjustments • Flexibility • Self & others • Personal responsibility and ownership Shared by Lindsay Eales, BScOT(c)
Champions #3 Family Success by Design, Inc. (FSbD) was created as a collaborative community-based organization with a mission to improve the lives of families and children. Terry Olivas De la O, COTA http://www.familysuccessbydesign.org/about/
Champions #4 OT4OT • Merrolee Penman • Anita Hamilton • Sarah Bodell • Will Wade • Susan Burwash • Claire Hayward • Angela Hook • Rashid Kashani • Karen Jacobs
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Characteristics of effective interprofessional teams • Well-defined purpose • Goals linking purpose and outcomes of the team • Clear expectations of each person’s role and responsibilities • Communicating effectively • Establishing regular patterns of communication • Generating team cohesion • Displaying high levels of mutual respect Framework for Action on Interprofessional Education & Collaborative Practice
Together Everyone Achieves More
Lost at Sea • Shaving mirror • Two-gallon can of oil-gas mixture • Five-gallon can of water • One case of US Army C rations • 20 square feet of opaque plastic • 2 boxes of chocolate bars • Fishing kit • 15 feet of nylon rope • Seat cushion (flotation device) • Shark repellent • One quart of 160-proof rum • Small transistor • Maps of the Pacific Ocean • Mosquito netting • Sextant (Paul M. Nemiroff & William A. Pasmore)