Daniels Initiative Research Project students treat a simulated injury.
The Daniel's Initiative Research Project Is Changing the Way Students View Teamwork
The Daniels Initiative is a joint project between the Johns Hopkins Schools of Nursing, Medicine and the Notre Dame of Maryland Universtiy School of Pharmacy, funded by the Worth and Jane Daniels’ family. The purpose is to teach students in nursing and medicine to work collaboratively together in caring for complex older adults.
The course is designed to promote understanding about the importance for nursing, medical and pharmacy students to work together in providing patient care. Seminar topics include a comparison of the similarities and differences in nursing, medical and pharmacy education, as well as the importance of interprofessional collaboration for providing safe, high quality patient care. Students will learn about the distinct roles of doctors, nurses, pharmacists and other professional members of the health care team, and will appreciate how these roles contribute to safe care delivery through a variety of learning modalities, including discussions, role play, case studies and home visits. Integrated learning of nursing and medical students will include strategies focusing on developing skills needed to enhance interprofessional teamwork, communication, decision-making, conflict resolution and collaboration in providing care. The Worth and Jane Daniels Initiative supports this course well as a course at the advanced practice level for nurse practitioner students and resident physicians to learn the skills of inter-professional collaboration while caring for complex community-based older patients.
We conduct focus groups that include pre-licensure nursing students, pre-licensure medical students, interns (general internal medicine), and adult and family nurse practitioner students. We use information gained from the focus groups about the understanding of and need for IPE was used to plan educational programs.
We also hold seminar sessions held with NP students and residents about principles an rationale for IPE and IPC; students also collaborate in patient care. We conduct pre and post-testing to evaluate outcomes.
We have designated certain undergraduate nursing students and year 1 and year 2 medical students as Daniels Scholars. We met bi-weekly in 2010-2011 to learn about the importance of working together as well as how to work together. While working in pairs, each medical and nursing student also made home visits to complex older adults. We conducted pre- and post-testing to evaluate outcomes.
From Silos to Synergy
The phrase “working in silos” comes into almost any conversation with Hopkins students or faculty about the value of IPE. For Elizabeth (Ibby) Tanner, PhD, RN, associate professor in the School of Nursing’s Department of Community Public Health and School of Medicine’s Division of Geriatric Medicine and Gerontology, it’s how she describes the earliest challenges facing the cross-disciplinary faculty group that eventually envisioned the Daniels Initiative. “We [medical and nursing faculty] met to discuss how we might jointly educate prelicensure nursing and medical students, as well as advanced practice nursing students and residents about caring for complex older adults,” she recalls.
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