Identifying strategies to support implementation of interprofessional primary care teams in Nova Scotia: Results of a survey and knowledge sharing event.

BACKGROUND: Interprofessional primary care teams (IPCTs) work together to enhance care. Despite evidence on the benefits of IPCTs, implementation remains challenging. This research aims to 1) identify and prioritize barriers and enablers, and 2) co-develop team-level strategies to support IPCT implementation in Nova Scotia, Canada. METHODS: Healthcare providers and staff of IPCTs were invited to complete an online survey to identify barriers and enablers, and the degree to which each item impacted the functioning of their team. Top ranked items were identified using the sum of frequency x impact for each response. A virtual knowledge sharing event was held to identify strategies to address local barriers and enablers that impact team functioning. RESULTS: IPCT members (n = 117), with a mix of clinic roles and experience, completed the survey. The top three enablers identified were access to technological tools to support their role, standardized processes for using the technological tools, and having a team manager to coordinate collaboration. The top three barriers were limited opportunity for daily team communication, lack of conflict resolution strategies, and lack of capacity building opportunities. IPCT members, administrators, and patients attended the knowledge sharing event (n = 33). Five strategies were identified including: 1) balancing patient needs and provider scope of practice, 2) holding regular and accessible meetings, 3) supporting team development opportunities, 4) supporting professional development, and 5) supporting involvement in non-clinical activities. INTERPRETATION: This research contextualized evidence to further understand local perspectives and experiences of barriers and enablers to the implementation of IPCTs. The knowledge exchange event identified actionable strategies that IPCTs and healthcare administrators can tailor to support teams and care for patients

Scoping Review: Interprofessional Simulation as an Effective Modality to Teaching Interprofessional Collaborative Competencies in the Emergency Department

Background: A scoping review was conducted to map the current body of research pertaining to simulation-enhanced interprofessional education (Sim-IPE) as a modality for teaching interprofessional collaboration (IPC) in the emergencydepartment (ED).Methods and Findings: The research team followed the PRISMA Extension for Scoping Reviews framework. Studies were included if they involved two or more healthcare professions, utilized simulation as the learning method for interprofessional education (IPE), involved simulation pertaining to the ED, and identified at least one Canadian Interprofessional Health Collaborative or Interprofessional Education Collaborative IPC competency as a learning outcome. In total, 896 studies were included for title and abstract screening and 806 were deemed irrelevant. Ninety full-text studies were assessed for eligibility and 34 were included in the review.Conclusions: Eighteen studies found Sim-IPE to be an effective method for teaching interprofessional competencies in the ED. Simulation-enhanced interprofessional education appears to be a promising methodology for teaching IPC competencies to ED healthcare professionals. Interprofessional collaboration competency frameworks should be utilized to guide Sim-IPE, and assessment tools specific to interprofessional competencies should be used in the assessment phase of Sim-IPE. Faculty development is a crucial component of Sim-IPE. Further longitudinal and outcome-based research is required

Multi-modal High-Intensity Interval Training Increases Muscle Function and Metabolic Performance in Females

High intensity interval training (HIIT) is a time efficient method of improving aerobic and anaerobic power and capacity. In most individuals, however, HIIT using modalities such as cycling, running, and rowing does not typically result in increased muscle strength, power, or endurance. The purpose of this study is to compare the physiological outcomes of traditional HIIT using rowing (Row-HIIT) with a novel multi-modal HIIT (MM-HIIT) circuit incorporating multiple modalities, including strength exercises, within an interval. Twenty-eight recreationally active, females (age 24.7±5.4years) completed six-weeks of either Row-HIIT or MM-HIIT and were tested on multiple fitness parameters. MM-HIIT showed similar improvements (pThe accepted manuscript in pdf format is listed with the files at the bottom of this page. The presentation of the authors' names and (or) special characters in the title of the manuscript may differ slightly between what is listed on this page and what is listed in the pdf file of the accepted manuscript; that in the pdf file of the accepted manuscript is what was submitted by the author

Interprofessional education and collaborative practice research during the COVID-19 pandemic: Considerations to advance the field

In the past few months, we have heard repeatedly, “these are unprecedented times”. Truer words may have never been spoken for we find ourselves amid a global pandemic that has created exceptional, unparalleled, and unusual circumstances, affecting learners, faculty/educators, administrators, researchers, practitioners, and service users (patients/clients, families, and communities). The interprofessional education and collaborative practice (IPECP) research community has been affected in a multitude of ways; ways that have encouraged us to become more collaborative and ways that have sometimes set us apart from one another. The changes that we have experienced may leave us wondering whether we are alone in a field that espouses unity and if there is guidance available. In late 2019, InterprofessionalResearch.Global (IPR.Global) and Interprofessional.Global authored a discussion paper to rouse dialogue and offer perspectives for the global IPECP research agenda (Khalili et al., Citation2019). The long-term aim was to advance IPECP theory and research by 2022, through recommendations for research priorities and counsel on theoretical frameworks, research methodologies, and formation of research teams. And then the COVID-19 pandemic hit. All systems were disrupted globally, necessitating rapid transformation to online IPECP and subsequent evaluation of the impact on students, programs, service users, and healthcare systems (Langlois et al., Citation2020). Understandably, many are now asking how to continue to move forward, or even restart, IPECP research in this “new normal”. In response, IPR.Global formed a COVID-19 taskforce, from which this editorial is developed, to shed light on IPR.Global’s proposed recommendations for research teams (Khalili et al., Citation2019) and offer ways to forge ahead.Scopu