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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

Keeping it going: the importance of delivering interprofessional education during the COVID-19 pandemic

Eileen McKinlay 1 12 , Don Banks 2 , Karen Coleman 3 , Ben Darlow 1 , Gay Dungey 4 , Tracy Farr 1 , Rebecca Fyfe 1 , Ben Gray 1 , Liz Kemp 5 , Miriam Mitchell 6 , Caroline Morris 1 , Julia Myers 7 , Hazel Neser 8 , Meredith Perry 5 , Rowena Price 9 , Wendy Thompson 10 , Belinda Westenra 2 , Sue Pullon 11
+ Author Affiliations
- Author Affiliations

1 Department of Primary Health Care and General Practice, University of Otago Wellington, Box 7343, Wellington, New Zealand.

2 Whitireia New Zealand.

3 Hutt Valley District Health Board, New Zealand.

4 Department of Radiation Therapy, University of Otago Wellington, New Zealand.

5 School of Physiotherapy, University of Otago Wellington, New Zealand.

6 School of Nursing, Massey University, New Zealand.

7 Department of Medicine, University of Otago Wellington, New Zealand.

8 Mary Potter Hospice, New Zealand.

9 Acute Pain Management Service, Capital and Coast District Health Board, New Zealand.

10 Wellington Regional Hospital, Capital and Coast District Health Board, New Zealand.

11 Centre for Interprofessional Education, University of Otago, New Zealand.

12 Corresponding author. Email: eileen.mckinlay@otago.ac.nz

Journal of Primary Health Care 13(4) 359-369 https://doi.org/10.1071/HC21070
Published: 6 December 2021

Journal Compilation © Royal New Zealand College of General Practitioners 2021 This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License

Abstract

BACKGROUND AND CONTEXT: Globally, the coronavirus disease 2019 (COVID-19) pandemic has highlighted the need for better interprofessional collaboration and teamwork. When disciplines have worked together to undertake testing, deliver care and administer vaccines, progress against COVID-19 has been made. Yet, teamwork has often not happened, wasting precious resources and stretching health-care workforces. Continuing to train health professionals during the pandemic is challenging, particularly delivering interprofessional education that often uses face-to-face delivery methods to optimise interactional learning. Yet, continuing to offer interprofessional education throughout the pandemic is critical to ensure a collaboration-ready health workforce. One example is continuing the established INVOLVE (Interprofessional Visits to Learn Interprofessional Values through Patient Experience) interprofessional education initiative.

ASSESSMENT OF PROBLEM: Educators have not always prioritised interprofessional education during the pandemic, despite its immediate and long-term benefits. The INVOLVE interprofessional education initiative, usually delivered face-to-face, was at risk of cancellation.

RESULTS: A quality improvement analysis of the strategies used to continue INVOLVE demonstrated that it is possible to deliver interprofessional education within the constraints of a pandemic by using innovative online and hybrid educational strategies. Educators and students demonstrated flexibility in responding to the sudden changes in teaching and learning modalities.

STRATEGIES: When pandemic alert levels change, interprofessional educators and administrators can now choose from a repertoire of teaching approaches.

LESSONS: Four key lessons have improved the performance and resilience of INVOLVE: hold the vision to continue interprofessional education; be nimble; use technology appropriately; and there will be silver linings and unexpected benefits to the changes.

Keywords: Educator; interprofessional education; IPE; online teaching; pandemic.


References

[1]  Thompson R, Kusy M. Has the COVID Pandemic Strengthened or Weakened Health Care Teams? A Field Guide to Healthy Workforce Best Practices. Nurs Adm Q. 2021; 45 135–41.
Has the COVID Pandemic Strengthened or Weakened Health Care Teams? A Field Guide to Healthy Workforce Best Practices.Crossref | GoogleScholarGoogle Scholar | 33570881PubMed |

[2]  Tannenbaum SI, Traylor AM, Thomas EJ, Salas E. Managing teamwork in the face of pandemic: evidence-based tips. BMJ Qual Saf. 2021; 30 59–63.
Managing teamwork in the face of pandemic: evidence-based tips.Crossref | GoogleScholarGoogle Scholar | 32471858PubMed |

[3]  Butler CR, Wong SP, Vig EK, et al. Professional roles and relationships during the COVID-19 pandemic: a qualitative study among US clinicians. BMJ Open. 2021; 11 e047782.
| 33766845PubMed |

[4]  Natale JE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children’s hospital within an academic health center. J Interprof Care. 2020; 34 682–6.
Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children’s hospital within an academic health center.Crossref | GoogleScholarGoogle Scholar | 32674638PubMed |

[5]  Singh J, Matthees B. Facilitating interprofessional education in an online environment during the COVID-19 pandemic: a mixed method study. Healthcare. 2021; 9 567.
Facilitating interprofessional education in an online environment during the COVID-19 pandemic: a mixed method study.Crossref | GoogleScholarGoogle Scholar | 34065009PubMed |

[6]  Mahase E. Covid-19: What do we know about “long covid”? BMJ. 2020; 370 m2815.
Covid-19: What do we know about “long covid”?Crossref | GoogleScholarGoogle Scholar | 32665317PubMed |

[7]  University of Otago Centre for Interprofessional Education. A curriculum and quality framework for interprofessional education at Otago: Strategic Plan 2020–2024 Statement of Policy Recommendations. Dunedin: University of Otago; 2019.

[8]  Canadian Interprofessional Health Collaborative. National Interprofessional Competency Framework. University of British Columbia: Interprofessional Health Collaborative; 2010.

[9]  Darlow B, Brown M, Gallagher P, et al. Longitudinal impact of interprofessional education on attitudes, skills and career trajectories: a protocol for a quasiexperimental study in New Zealand. BMJ Open. 2018; 8 e018510.
Longitudinal impact of interprofessional education on attitudes, skills and career trajectories: a protocol for a quasiexperimental study in New Zealand.Crossref | GoogleScholarGoogle Scholar | 29358432PubMed |

[10]  Pullon S, Darlow B, McKinlay E. Building evaluation into the development of interprofessional education initiatives. In: Leading research and evaluation in interprofessional education and collaborative practice. Forman D, Jones M, Thistlethwaite J, editors. London, UK: Palgrave Macmillan; 2016. p. 145–66.

[11]  Pullon S, McKinlay E, Beckingsale L, et al. Interprofessional education for physiotherapy, medical and dietetics students: a pilot programme. J Prim Health Care. 2013; 5 52–8.
Interprofessional education for physiotherapy, medical and dietetics students: a pilot programme.Crossref | GoogleScholarGoogle Scholar | 23457695PubMed |

[12]  Darlow B, Donovan S, Coleman K, et al. What makes an interprofessional education programme meaningful to students? Findings from focus group interviews with students based in New Zealand. J Interprof Care. 2016; 30 355–61.
What makes an interprofessional education programme meaningful to students? Findings from focus group interviews with students based in New Zealand.Crossref | GoogleScholarGoogle Scholar | 27152540PubMed |

[13]  McKinlay E, Brown M, Beckingsale L, et al. Forming inter-institutional partnerships to offer pre-registration IPE: a focus group study. J Interprof Care. 2020; 34 380–7.
Forming inter-institutional partnerships to offer pre-registration IPE: a focus group study.Crossref | GoogleScholarGoogle Scholar | 31750747PubMed |

[14]  Darlow B, Coleman K, McKinlay E, et al. The positive impact of interprofessional education: a controlled trial to evaluate a programme for health professional students. BMC Med Educ. 2015; 15 98.
The positive impact of interprofessional education: a controlled trial to evaluate a programme for health professional students.Crossref | GoogleScholarGoogle Scholar | 26041132PubMed |

[15]  McKinlay E, McDonald J, Darlow B, Perry M. The social networks of New Zealand patients with multimorbidity and the work of those nominated as their ‘significant supporters’: an exploratory study. Health Soc Care Community. 2019; 27 392–9.
The social networks of New Zealand patients with multimorbidity and the work of those nominated as their ‘significant supporters’: an exploratory study.Crossref | GoogleScholarGoogle Scholar | 30175532PubMed |

[16]  McKinlay E, McDonald J, Darlow B, Perry M. Social networks of patients with multimorbidity: a qualitative study of patients’ and supporters’ views. J Prim Health Care. 2017; 9 153–61.
Social networks of patients with multimorbidity: a qualitative study of patients’ and supporters’ views.Crossref | GoogleScholarGoogle Scholar | 29530227PubMed |

[17]  Yeap BH. A new perspective for quality improvement in teaching and learning processes. EDU-COM 2008 International Conference Sustainability in Higher Education: Directions for Change; 2008. 19–21 November 2008; Perth, W. Aust.: Edith Cowan University.

[18]  Thiel M, Harden K, Brazier L-J, et al. Improving the interdisciplinary clinical education of a palliative care program through quality improvement initiatives. Palliat Med Rep. 2020; 1 270–9.
Improving the interdisciplinary clinical education of a palliative care program through quality improvement initiatives.Crossref | GoogleScholarGoogle Scholar | 33274342PubMed |

[19]  CAIPE. Collaborative working during the COVID-19 pandemic. CAIPE; 2021. [cited 2021 Aug 26]. Available from: https://www.caipe.org/covid-19

[20]  Sani I, Hamza Y, Chedid Y, et al. Understanding the consequence of COVID-19 on undergraduate medical education: Medical students’ perspective. Ann Med Surg. 2020; 58 117–9.
Understanding the consequence of COVID-19 on undergraduate medical education: Medical students’ perspective.Crossref | GoogleScholarGoogle Scholar |

[21]  Kent F, George J, Lindley J, Brock T. Virtual workshops to preserve interprofessional collaboration when physical distancing. Med Educ. 2020; 54 661–2.
Virtual workshops to preserve interprofessional collaboration when physical distancing.Crossref | GoogleScholarGoogle Scholar | 32302425PubMed |

[22]  Richardson SJ, Carroll CB, Close J, et al. Research with older people in a world with COVID-19. Age Ageing. 2020; 49 901–6.
Research with older people in a world with COVID-19.Crossref | GoogleScholarGoogle Scholar | 32584954PubMed |

[23]  Lauretani F, Ravazzoni G, Roberti MF, et al. Assessment and treatment of older individuals with COVID-19 multi-system disease: clinical and ethical implications. Acta Biomed. 2020; 91 150–68.
Assessment and treatment of older individuals with COVID-19 multi-system disease: clinical and ethical implications.Crossref | GoogleScholarGoogle Scholar | 32420939PubMed |

[24]  McLeod M, Gurney J, Harris R, et al. COVID‐19: we must not forget about Indigenous health and equity. Aust NZ J Public Health. 2020; 44 253–6.
COVID‐19: we must not forget about Indigenous health and equity.Crossref | GoogleScholarGoogle Scholar |

[25]  Hall KH, Doolan-Noble F, McKinlay E, et al. Ethics and equity in the time of Coronavirus. J Prim Health Care. 2020; 12 102–6.
Ethics and equity in the time of Coronavirus.Crossref | GoogleScholarGoogle Scholar | 32594974PubMed |

[26]  Ballantyne A, Dai E. Social responsibility, solidarity, and equity in the time of COVID-19. N Z Med Stud J. 2020; 31 13–5.

[27]  Steyn N, Binny RN, Hannah K, et al. Estimated inequities in COVID-19 infection fatality rates by ethnicity for Aotearoa New Zealand. N Z Med J. 2020; 133 28–39.
Estimated inequities in COVID-19 infection fatality rates by ethnicity for Aotearoa New Zealand.Crossref | GoogleScholarGoogle Scholar | 32994635PubMed |

[28]  Steyn N, Binny RN, Hannah K, et al. Māori and Pacific People in New Zealand have higher risk of hospitalisation for COVID-19. N Z Med J. 2021; 134 28–43.
| 34239143PubMed |

[29]  Levene LS, Seidu S, Greenhalgh T, Khunti K. Pandemic threatens primary care for long term conditions. BMJ. 2020; 371 m3793.
Pandemic threatens primary care for long term conditions.Crossref | GoogleScholarGoogle Scholar | 33020049PubMed |

[30]  Mair FS, Foster HM, Nicholl BI. Multimorbidity and the COVID-19 pandemic–An urgent call to action. J Comorb. 2020; 10 1–2.
Multimorbidity and the COVID-19 pandemic–An urgent call to action.Crossref | GoogleScholarGoogle Scholar |

[31]  United Nations. A disability-inclusive response to COVID-19. Geneva, Switzerland: United Nations; 2020.

[32]  Woolf SH, Chapman DA, Sabo RT, et al. Excess deaths from COVID-19 and other causes, March-July 2020. JAMA. 2020; 324 1562–4.
Excess deaths from COVID-19 and other causes, March-July 2020.Crossref | GoogleScholarGoogle Scholar | 33044483PubMed |

[33]  Office for National Statistics. Coronavirus (COVID-19) related deaths by disability status, England and Wales: 2 March to 14 July 2020. United Kingdom: Office for National Statistics; 2020.

[34]  Negrini S, Grabljevec K, Boldrini P, et al. Up to 2.2 million people experiencing disability suffer collateral damage each day of COVID-19 lockdown in Europe. Eur J Phys Rehabil Med. 2020; 56 361–65.
Up to 2.2 million people experiencing disability suffer collateral damage each day of COVID-19 lockdown in Europe.Crossref | GoogleScholarGoogle Scholar | 32383576PubMed |

[35]  Sinnathamby MA, Whitaker H, Coughlan L, et al. All-cause excess mortality observed by age group and regions in the first wave of the COVID-19 pandemic in England. Euro Surveill. 2020; 25 2001239.
All-cause excess mortality observed by age group and regions in the first wave of the COVID-19 pandemic in England.Crossref | GoogleScholarGoogle Scholar |

[36]  Luan MM. Psychological effect of covid-19 on persons living with disabilities: an empirical study perspective from South Africa. J Soc Psychol Relig Studies. 2020; 2 25–39.

[37]  Lai AG, Pasea L, Banerjee A, et al. Estimated impact of the COVID-19 pandemic on cancer services and excess 1-year mortality in people with cancer and multimorbidity: near real-time data on cancer care, cancer deaths and a population-based cohort study. BMJ Open. 2020; 10 e043828.
Estimated impact of the COVID-19 pandemic on cancer services and excess 1-year mortality in people with cancer and multimorbidity: near real-time data on cancer care, cancer deaths and a population-based cohort study.Crossref | GoogleScholarGoogle Scholar | 33203640PubMed |

[38]  Imlach F, McKinlay E, Kennedy J, et al. Seeking healthcare during lockdown: challenges, opportunities and lessons for the future. Int J Health Policy Manag. 2021; 1–9.
Seeking healthcare during lockdown: challenges, opportunities and lessons for the future.Crossref | GoogleScholarGoogle Scholar |

[39]  Imlach F, McKinlay E, Middleton L, et al. Telehealth consultations in general practice during a pandemic lockdown: survey and interviews on patient experiences and preferences. BMC Fam Pract. 2020; 21 269.
Telehealth consultations in general practice during a pandemic lockdown: survey and interviews on patient experiences and preferences.Crossref | GoogleScholarGoogle Scholar | 33308161PubMed |

[40]  Imlach F, McKinlay E, Kennedy J, et al. Access and delays in seeking health care during lockdown: challenges, opportunities and lessons for the future. J Health Serv Pol Res. 2020.

[41]  Kerr F. Health experts say the Government has failed to protect Māori and Pasifika from the latest outbreak, calling it “our worst nightmare”. Stuff; 2021. [cited 2021 Aug 29]. Available from: https://www.stuff.co.nz/pou-tiaki/300386818/health-experts-say-the-government-has-failed-to-protect-mori-and-pasifika-from-the-latest-outbreak-calling-it-our-worst-nightmare

[42]  Dreaver B. Covid-19 in NZ: Lingering issues with ministry and efforts to vaccinate Pasifika and Māori. Stuff; 2021. [cited 2021 Aug 29]. Available from: https://www.stuff.co.nz/national/health/coronavirus/300393621/covid19-in-nz-lingering-issues-with-ministry-and-efforts-to-vaccinate-pasifika-and-mori.)

[43]  Ministry of Health. Alert Level 4. Wellington: Ministry of Health; 2021. [cited 2021 June 2]. Available from: https://covid19.govt.nz/alert-levels-and-updates/alert-level-4/.)

[44]  Basu A, Kuziemsky C, de Araújo Novaes M, et al. Telehealth and the COVID-19 pandemic: international perspectives and a health systems framework for telehealth implementation to support critical response. Yearb Med Inform. 2021; 30 126–33.
Telehealth and the COVID-19 pandemic: international perspectives and a health systems framework for telehealth implementation to support critical response.Crossref | GoogleScholarGoogle Scholar | 33882598PubMed |

[45]  Jones TA, Vidal G, Taylor C. Interprofessional education during the COVID-19 pandemic: finding the good in a bad situation. J Interprof Care. 2020; 34 633–46.
Interprofessional education during the COVID-19 pandemic: finding the good in a bad situation.Crossref | GoogleScholarGoogle Scholar | 32811228PubMed |

[46]  Romito LM, Pfeifle AL, Weber ZA, Daulton BJ. Successful conversion of simulation‐based interprofessional education in a pandemic. J Dent Educ. 2020; 85 1107–10.

[47]  Prasad N, Fernando S, Willey S, et al. Online interprofessional simulation for undergraduate health professional students during the COVID-19 pandemic. J Interprof Care. 2020; 34 706–10.
Online interprofessional simulation for undergraduate health professional students during the COVID-19 pandemic.Crossref | GoogleScholarGoogle Scholar | 32917099PubMed |

[48]  Smart A. Building relationships in the middle of lockdown: The challenge of facilitating learner interaction remotely. Developing and Sustaining Interprofessional Relationships. Auckland: University of Auckland and Auckland University of Technology; 2020.

[49]  Kaur H, Garg S, Joshi H, et al. A Review: Epidemics and pandemics in human history. Int J Pharma Res Health Sci. 2020; 8 3139–42.
A Review: Epidemics and pandemics in human history.Crossref | GoogleScholarGoogle Scholar |

[50]  Bayram M, Springer S, Garvey CK, Özdemir V. COVID-19 digital health innovation policy: A portal to alternative futures in the making. OMICS 2020; 24 460–9.
COVID-19 digital health innovation policy: A portal to alternative futures in the making.Crossref | GoogleScholarGoogle Scholar | 32511054PubMed |

[51]  Chiarella M, Russell L, Brooks P. The lack of integration in Australia’s health workforce: there are silos everywhere. Croakey Health Media; 2020. [cited 2020 November 16]. Available from: https://www.croakey.org/the-lack-of-integration-in-australias-health-workforce-there-are-unconnected-silos-everywhere/.

[52]  Lackie K, Najjar G, El-Awaisi A, et al. Interprofessional education and collaborative practice research during the COVID-19 pandemic: Considerations to advance the field. J Interprof Care. 2020; 34 583–6.
Interprofessional education and collaborative practice research during the COVID-19 pandemic: Considerations to advance the field.Crossref | GoogleScholarGoogle Scholar | 32838595PubMed |

[53]  University of Otago. Pūtea Tautoko student support fund. University of Otago; 2021. [cited 2021 November 18]. Available from: https://www.otago.ac.nz/coronavirus/information-for-students/.

[54]  Aristovnik A, Keržič D, Ravšelj D, et al. Impacts of the COVID-19 pandemic on life of higher education students: a global perspective. Sustainability. 2020; 12 8438.
Impacts of the COVID-19 pandemic on life of higher education students: a global perspective.Crossref | GoogleScholarGoogle Scholar |

[55]  Hasan N, Bao Y. Impact of “e-Learning crack-up” perception on psychological distress among college students during COVID-19 pandemic: A mediating role of “fear of academic year loss”. Child Youth Serv Rev. 2020; 118 105355.
Impact of “e-Learning crack-up” perception on psychological distress among college students during COVID-19 pandemic: A mediating role of “fear of academic year loss”.Crossref | GoogleScholarGoogle Scholar | 32834276PubMed |

[56]  Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Educ Pract. 2020; 46 102809.
Anxiety and coping strategies among nursing students during the covid-19 pandemic.Crossref | GoogleScholarGoogle Scholar | 32679465PubMed |

[57]  Fatani TH. Student satisfaction with videoconferencing teaching quality during the COVID-19 pandemic. BMC Med Educ. 2020; 20 396.
Student satisfaction with videoconferencing teaching quality during the COVID-19 pandemic.Crossref | GoogleScholarGoogle Scholar | 33129295PubMed |

[58]  Serhan D. Transitioning from face-to-face to remote learning: Students’ attitudes and perceptions of using Zoom during COVID-19 pandemic. Int J Techn Educ Sci. 2020; 4 335–42.
Transitioning from face-to-face to remote learning: Students’ attitudes and perceptions of using Zoom during COVID-19 pandemic.Crossref | GoogleScholarGoogle Scholar |

[59]  Bluteau P. The good enough facilitator: exploring online interprofessional therapeutic facilitation in times of COVID-19. J Interprof Care. 2020; 34 647–54.
The good enough facilitator: exploring online interprofessional therapeutic facilitation in times of COVID-19.Crossref | GoogleScholarGoogle Scholar | 32838599PubMed |

[60]  Preskill H, Catsambas TT. Reframing evaluation through appreciative inquiry. Sage Publications, Inc.; 2006.

[61]  Prickett KC, Fletcher M, Chapple S, et al. Life in lockdown: The economic and social effect of lockdown during Alert Level 4 in New Zealand. Wellington: Victoria University of Wellington; 2020.

[62]  Bautista CA, Huang I, Stebbins M, et al. Development of an interprofessional rotation for pharmacy and medical students to perform telehealth outreach to vulnerable patients in the COVID-19 pandemic. J Interprof Care. 2020; 34 694–7.
Development of an interprofessional rotation for pharmacy and medical students to perform telehealth outreach to vulnerable patients in the COVID-19 pandemic.Crossref | GoogleScholarGoogle Scholar | 32917114PubMed |

[63]  Winship JM, Falls K, Gregory M, et al. A case study in rapid adaptation of interprofessional education and remote visits during COVID-19. J Interprof Care. 2020; 34 702–5.
A case study in rapid adaptation of interprofessional education and remote visits during COVID-19.Crossref | GoogleScholarGoogle Scholar | 32838597PubMed |