Forging partnerships in health care: Process and measuring benefits

Universally, there is concern that much academic learning has dealt mainly in theory, removing knowledge from context with a resultant lack of practical experience. Here, the catalyst for strengthening university-community engagement, emanated from a desire to foster greater propensity within students to make connections between their academic courses and responsibility toward the community and people in need, and thus develop enhanced skills in social interaction, teamwork and effectiveness. This paper explores a variety of models of university-community engagement that aim to achieve and model good practice in policy making and planning around healthcare education and service development. Ways of integrating teaching and learning with community engagement, so there is reciprocal learning with significant benefits to the community, students, the university and industry are described. The communities of engagement for a transdisciplinary approach in healthcare are defined and the types of collaborative partnerships are outlined, including public/private partnerships, service learning approaches and regional campus engagement. The processes for initiating innovation in this field, forging sustainable partnerships, providing cooperative leadership and building shared vision are detailed. Measuring shared and sustained benefits for all participants is examined in the context of effecting changes in working relationships as well as the impact on students in terms of increased personal and social responsibility, confidence and competence. For the health professions, it is considered vital to adopt this approach in order to deliver graduates who feel aware of community needs, believe they can make a difference, and have a greater sense of community responsibility, ethic of service and more sophisticated understandings of social contexts. In the longer term, it is proposed the strategy will deliver a future healthcare workforce that is more likely to have a strengthened sense of community, social and personal responsibility and thus effect positive social change

Enhancing the uptake of learning through simulation in health

The initial reason that a simulated learning environment (SLE) was pursued was to offer university-based health students a safe and authentic environment in which to learn and practise their skills. Since that time, some eight years later, experience has shown that an SLE needed multiple dimensions to its work, based on evidence. In addition, a new approach to applying and integrating learning through simulation within health curricula, that was replicable and affordable, was required..

Forging Partnerships in Health Care: Process and Measuring Benefits

Universally, there is concern that much academic learning has dealt mainly in theory, removing knowledge from context with a resultant lack of practical experience. Here, the catalyst for strengthening university-community engagement, emanated from a desire to foster greater propensity within students to make connections between their academic courses and responsibility toward the community and people in need, and thus develop enhanced skills in social interaction, teamwork and effectiveness. This paper explores a variety of models of university-community engagement that aim to achieve and model good practice in policy making and planning around healthcare education and service development. Ways of integrating teaching and learning with community engagement, so there is reciprocal learning with significant benefits to the community, students, the university and industry are described. The communities of engagement for a transdisciplinary approach in healthcare are defined and the types of collaborative partnerships are outlined, including public/private partnerships, service learning approaches and regional campus engagement. The processes for initiating innovation in this field, forging sustainable partnerships, providing cooperative leadership and building shared vision are detailed. Measuring shared and sustained benefits for all participants is examined in the context of effecting changes in working relationships as well as the impact on students in terms of increased personal and social responsibility, confidence and competence. For the health professions, it is considered vital to adopt this approach in order to deliver graduates who feel aware of community needs, believe they can make a difference, and have a greater sense of community responsibility, ethic of service and more sophisticated understandings of social contexts. In the longer term, it is proposed the strategy will deliver a future healthcare workforce that is more likely to have a strengthened sense of community, social and personal responsibility and thus effect positive social change

Bridging the Theory to Practice Gap Using Performance Based Simulation

Simulation is a technique, not a technology, to replace or amplify real experiences with guided experiences, often immersive in nature, that evoke or replicate substantial aspects of the real world in a fully interactive fashion. (Gaba, 2004). There has been a growing acceptance on the use of simulation in teaching cardiopulmonary resuscitation (CPR), cardiology skills, anaesthesia skills, and crisis management largely focusing on responding to physiological events. However its use in other health and education arenas is less common due to their complexity of characterisation. There are a number of reasons for this: Complex performance based scenarios can be difficult to develop and to simulate. Performance based scenarios using standardized patient/actors seldom fit neatly into the textbook genre‘. There are not always defined algorithms for managing scenarios that are not based on a physiological event, such as CPR The use of simulation is transferable to many education disciplines, enabling the learners to immerse themselves into a simulated situation in a safe and controlled learning environment. Using a case study approach based of a Western Australian Coroners Case Investigating the death of a patient, this paper will show case elements of the simulation as it was presented, focusing on the simulation development process, including difficulties, outcomes and lessons learnt. It will discuss the methodologies for developing learning opportunities using trained actors and standardised patients, enabling the student to expand their learning in a safe and controlled environment where they are able to develop competency in areas such as communication, leadership, team work, conflict management and facilitation, not just the technical skill

International and industry partnerships: Building nursing capacity in Thailand

A newly formed partnership between Edith Cowan University, the Ministry of Public Health in Thailand, a College of Nursing and two major hospitals in Bangkok is building capacity within Thai Nurses to manage mental health problems and HIV/AIDS. The partnership, funded through the AusAID Public Sector Linkages Program is developing and delivering these training programs in three phases. The first two phases support the development of the curriculum and planning for the course delivery, with Phase 3 being the delivery of a four month certificate course in each of the specialist areas, mental health and HIV/AIDS, to local Thai Nurses. The program provides the opportunity for senior Thai Nurse Educators to gain insight into the Australian perspective of the relevant specialist areas as well as the broader Australian health system. Participants have then been able to review the course curricula and teaching methodologies, including additional and revised information and strategies as is relevant to the Thai health environment. An integral component of the program is evaluation. Following completion of the courses, nurses will be followed up on return to their workplace, to assess the impact of the course on the work practices of nurses. The program evaluation will support better understanding of emerging issues for all program partners and provide a strong basis for refinement of the program for future delivery. At the time of the ECU-COM 2006 conference, the program will be at the stage where the Thai nurses are completing the four month course. This paper will discuss the progress of the program to date, from the perspective of the Australian program partner

Community Engagement: A Partnership Approach To Measurement, Evaluation And Benchmarking Processes

Partnerships and collaborations will inevitably evolve and change. Hence there must be a shared commitment from participants to ongoing, comprehensive evaluation and improvement and knowledge sharing. This paper does not differentiate partnerships as separate to the community engagement agenda because in both instances, partners need to jointly engage in initiatives, ensure alignment with the key messages of partners and their communities, and ultimately, stay together. At the same time, higher education institutions are progressively developing their community engagement strategies in the short to medium term cognisant of the policy context and funding allocation formulae

International And Industry Partnerships Building Nursing Capacity In Thailand

A newly formed partnership between Edith Cowan University, the Ministry of Public Health in Thailand, a College of Nursing and two major hospitals in Bangkok is building capacity within Thai Nurses to manage mental health problems and HIV/AIDS. The partnership, funded through the AusAID Public Sector Linkages Program is developing and delivering these training programs in three phases. The first two phases support the development of the curriculum and planning for the course delivery, with Phase 3 being the delivery of a four month certificate course in each of the specialist areas, mental health and HIV/AIDS, to local Thai Nurses. The program provides the opportunity for senior Thai Nurse Educators to gain insight into the Australian perspective of the relevant specialist areas as well as the broader Australian health system. Participants have then been able to review the course curricula and teaching methodologies, including additional and revised information and strategies as is relevant to the Thai health environment. An integral component of the program is evaluation. Following completion of the courses, nurses will be followed up on return to their workplace, to assess the impact of the course on the work practices of nurses. The program evaluation will support better understanding of emerging issues for all program partners and provide a strong basis for refinement of the program for future delivery. At the time of the ECU-COM 2006 conference, the program will be at the stage where the Thai nurses are completing the four month course. This paper will discuss the progress of the program to date, from the perspective of the Australian program partner

Creating cultural empathy and challenging attitudes through Indigenous narratives

The poorer health status of Indigenous Australians has been largely attributed to social disadvantage and their marginalisation within mainstream society (Marmot, 2011). This includes access to health care, as well as proximity to health services, availability and cultural appropriateness of health services, transport availability, health insurance, the affordability of health services and patient proficiency in English (AIHW, 2011). The interpersonal attitudes and behaviours of non-Indigenous health providers, both conscious and unconscious, are also known to contribute to disparities in treatment, impairment of communication between health providers and patients, and consequently, patients’ mistrust of the health system due to negative past experiences (Geiger, 2001). This project collected stories from Indigenous people about their experiences with health care services. Their stories serve to enhance relationships and understanding between diverse peoples, and give Indigenous Australians a voice in health curricula across Australian universities and in agencies delivering health services

Creating Cultural Empathy and Challenging Attitudes Through Indigenous Narrative Project

The gap in life expectancy between Indigenous and non-Indigenous Australians is too large to ignore. This has been attributed to social and economic disadvantage, access to health care and lack of cultural appropriateness of health services and providers. Creating culturally secure healthcare requires that we explore new ways for health professionals to relate to Aboriginal people. This article describes the development, implementation and early results from the Creating cultural empathy and challenging attitudes though Indigenous narrative project. The purpose of the project is to collect and trial narrative resources to engage students in stories of Indigenous people’s perceptions and experience of healthcare. Storytelling has a long tradition within Indigenous culture and narrative approaches can be successful in engaging students changing attitudes. These stories are intended to trigger classroom discussions to encourage students to reflect on their own assumptions and values and to enhance empathy, thereby enabling future health providers to improve their management of Indigenous patients. Key to this project has been working collaboratively with Indigenous people as active participants in the project with roles as project leads, team members, Indigenous Reference Group members, external evaluators and providers of the narratives

Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: A methodological perspective

Background: Unconscious bias and negative attitudes towards minority groups have detrimental effects on the way health care is, or is not, provided to these groups. Recognition of racist attitudes and behaviours as well as understanding clients’ experiences of health and health care are pivotal to developing better health care strategies to positively impact on the quality and safety of care provided to Indigenous people. Indigenous research demands inclusive research processes and the use of culturally appropriate methodologies. This paper presents a methodological account of collecting narratives which accurately and respectfully reflect Aboriginal Australians’ experiences with health care in Western Australia. The purpose of these narratives is to provide health students and professionals with an opportunity to ‘walk-in the shoes’ of Aboriginal people where face-to-face interaction is not feasible. Methods: With the incorporation of Indigenous peoples’ voices being an important link in cultural safety, the project was led by an Indigenous Reference group, who encouraged active participation of Aboriginal people in all areas of the project. Using a phenomenological approach and guided by the Indigenous Reference group, yarning data collection was implemented to collect stories focusing on Aboriginal people’s experiences with health care services. An open-access, on-line website was established to host education resources developed from these “yarns”. Results: Yarning provided a rich source of information on personal experiences and encouraged the story provider to recognise their facilitative role in the research process. While the methodology used in this project was lengthy and labour-intensive it afforded a respectful manner for story collection and highlighted several innate flaws when Western methods are applied to an Indigenous context. Conclusion: Engagement of an Indigenous Reference Group was pivotal to designing an appropriate methodology that incorporated the voices of Aboriginal people in a multimedia resource of Aboriginal narratives. However further research is warranted to understand how the resources are being used and integrated into curricula, and their impact on students and health care outcomes