Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-25T20:53:37.888Z Has data issue: false hasContentIssue false

An interdisciplinary symposium on dementia care improves student attitudes toward health care teams

Published online by Cambridge University Press:  30 November 2009

Renée A. Zucchero*
Affiliation:
Department of Psychology, Xavier University, Cincinnati. Ohio, U.S.A.
Edmond Hooker
Affiliation:
Department of Health Services Administration, Xavier University, Cincinnati. Ohio, U.S.A.
Shelagh Larkin
Affiliation:
Department of Social Work, Xavier University, Cincinnati. Ohio, U.S.A.
*
Correspondence should be addressed to: Dr. Renée A. Zucchero, Department of Psychology, Xavier University, 3800 Victory Parkway, Cincinnati, OH 45207-6511, U.S.A. Phone: +1 (513) 745-3911; Fax: +1 (513) 745-3327. Email: [email protected].

Abstract

Background: Interdisciplinary teams are sometimes used in the provision of health care to populations who present with complicated needs, such as older adults experiencing dementia. Moreover, there is an international consensus that health care students should receive training in interdisciplinary care.

Methods: 157 health care students from Xavier University's College of Social Sciences, Health, and Education in Cincinnati, U.S.A. participated in a five-hour symposium on an interdisciplinary approach to treating older adults with dementia. The Attitudes Toward Health Care Teams Scale (ATHCTS; Heinemann et al., 1999) was used to assess student attitudes before and after the symposium.

Results: A paired-sample t-test was conducted to compare pre and post-test ATHCTS overall and subscale scores. There was a statistically significant increase in the overall pre-post ATHCTS scores and Quality of Care/Process Subscale scores. There was a significant decrease in the Physician Centrality Subscale scores.

Conclusions: The findings suggest that, after the symposium, participants reported more positive overall attitudes about health care teams, and about the quality of care provided by such teams and the teamwork to achieve good patient care. Participants also displayed a decrease in their beliefs about how essential physicians are as leaders of health care teams. These results affirm the use of a brief interdisciplinary educational approach in changing student attitudes about the use of health care teams. Students who develop more positive attitudes about working on an interdisciplinary health care team recognize the team's value and therefore may be more receptive to and effective in working as professional team members in the future.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1997). Practice guidelines for the treatment of patients with Alzheimer's disease and other dementias in late life. American Journal of Psychiatry, 154, 139.Google Scholar
American Psychological Association (2004). Guidelines for psychological practice with older adults. American Psychologist, 59, 236260. doi:10.1037/0003-0666X.59.4.236CrossRefGoogle Scholar
American Psychological Association (2007). Blueprint for Change: Achieving Integrated Health Care for an Aging Population. Washington, DC: American Psychological Association. Available at: http://www.apa.org/pi/aging/blueprint_report.pdf; last viewed 27 August 2009.Google Scholar
Anderson, B. T. and Haley, W. W. (1997). Clinical Geropsychology: Implications for practice in medical settings. Journal of Clinical Psychology in Medical Settings, 4, 193205. doi: 1068-9583/97/0600-0193$12.50/0.CrossRefGoogle Scholar
Baldwin, D. C. (2007). Some historical notes on interdisciplinary and interprofessional education and practice in health care in the USA. Journal of Interprofessional Care, 21, 2337. doi: 10.1080/13561820701594728.CrossRefGoogle ScholarPubMed
Barr, H., Hammick, M., Koppel, I. and Reeves, S. (1999). Evaluating interprofessional education: two systematic reviews for health and social care. British Educational Research Journal, 25, 533544. doi: 0141-1926/99010533-12.CrossRefGoogle Scholar
Begley, C. M. (2008). Developing inter-professional learning: tactics, teamwork and talk. Nurse Education Today, 29, 276283. doi: 10.1016/j.net.2008.09.006.CrossRefGoogle Scholar
Chapman, D. G. and Toseland, R. W. (2007). Effectiveness of advanced illness care teams for nursing home residents with dementia. Social Work, 52, 321329.CrossRefGoogle ScholarPubMed
Clark, P. G., Leinhaas, M. M. and Filinson, R. (2002). Developing and evaluating an interdisciplinary clinical team training program: Lessons taught and lessons learned. Educational Gerontology, 28, 491510. doi: 10.1080/03601270290081416.CrossRefGoogle Scholar
Cohen, J. W. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd edn). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Coogle, C. L., Parham, I. A., Cotter, J. J., Welleford, E. A. and Netting, F. E. (2005). A professional development program in geriatric interdisciplinary teamwork: implications for managed care and quality of care. Journal of Applied Gerontology, 24, 142159. doi: 10.1177/0733464804271551.CrossRefGoogle Scholar
Cooper, H., Carlisle, C., Gibbs, T. and Watkins, C. (2001). Developing an evidence base for interdisciplinary learning: a systematic review. Journal of Advanced Nursing, 35, 228237.CrossRefGoogle ScholarPubMed
Crooks, E. A. and Geldmacher, D. S. (2004). Interdisciplinary approaches to Alzheimer's disease management. Clinics in Geriatric Medicine, 20, 121139. doi: 10.1016/j.cger.2003.11.004.CrossRefGoogle ScholarPubMed
Damron-Rodriguez, J. (2008). Developing competence for nurses and social workers. Journal of Social Work Education, 44, 2737.CrossRefGoogle Scholar
Drinka, T. J. K. (2002). From double jeopardy to double indemnity: subtleties of teaching interdisciplinary geriatrics. Educational Gerontology, 28, 433449. doi: 10.1080/03601270290081380.CrossRefGoogle Scholar
Dyer, C. B. et al. (2003). Frail older patient care by interdisciplinary teams: a primer for generalists. Gerontology and Geriatrics Education, 24, 5162. doi: 10.1300/J021v24n02_05.CrossRefGoogle ScholarPubMed
Fulmer, T. et al. (2005). Geriatric interdisciplinary team training program: evaluation results. Journal of Aging and Health, 17, 443470. doi: 10.1177/0898264305277962.CrossRefGoogle ScholarPubMed
Hall, P. and Weaver, L. (2001). Interdisciplinary education and teamwork: a long and winding road. Medical Education, 35, 867875.CrossRefGoogle ScholarPubMed
Hammick, M., Freeth, D., Koppel, I., Reeves, S. and Barr, H. (2007). A best evidence systematic review of interprofessional education: BEME guide no. 9. Medical Teacher, 29, 735751. doi: 10.1080/014215901682576.CrossRefGoogle Scholar
Heinemann, G. D. and Brown, G. F. (2002). Attitudes toward health care teams. In Heinemann, G. D. and Zeiss, A. M. (eds.), Team Performance in Health Care: Assessment and Development (pp. 155159). New York: Kluwer Academic/Plenum Publishers.CrossRefGoogle Scholar
Heinemann, G. D., Schmitt, M. H., Farrell, M. P. and Brallier, S. A. (1999). Development of an Attitudes Toward Health Care Teams Scale. Evaluation and the Health Professions, 22, 123142.CrossRefGoogle ScholarPubMed
Keough, J. and Huebner, R. A. (2000). Treating dementia: the complementing team approach of occupational therapy and psychology. Journal of Psychology, 134, 375391.CrossRefGoogle ScholarPubMed
Molinari, V. (2003). Nursing homes as primary care sites for psychological practice. Clinical Psychology: Science and Practice, 10, 112114.Google Scholar
Owens, N. J., Padula, C. A. and Hume, A. L. (2002). Developing and using interdisciplinary case studies in teaching geriatrics to practicing health care professionals. Educational Gerontology, 28, 473489. doi: 10.1080/03601270290081407.CrossRefGoogle Scholar
Parsell, G., Spalding, R. and Bligh, J. (1998). Shared goals, shared learning: evaluation of a multiprofessional course for undergraduate students. Medical Education, 32, 304311.CrossRefGoogle ScholarPubMed
Pfeiffer, E. (1998). Why teams? In Siegler, E., Hyer, K., Fulmer, T. and Mezey, M. (eds.), Geriatric Interdisciplinary Team Training (pp. 1319). New York: Springer Publishing Co.Google Scholar
Pollard, K. C., Miers, M. E. and Gilchrist, M. (2004). Collaborative learning for collaborative working? Initial findings from a longitudinal study of health and social care students. Health and Social Care in the Community, 12, 346358.CrossRefGoogle ScholarPubMed
Taylor, E., Cook, D., Cunningham, R., King, S. and Pimlott, J. (2004). Changing attitudes: health sciences students working together. Internet Journal of Allied Health Sciences and Practice, 2 (3). Available at: http://ijahsp.nova.edu.Google Scholar
Tsukuda, R. A. (1998). A perspective on health care teams and team training. In Siegler, E., Hyer, K., Fulmer, T., and Mezey, M. (eds.), Geriatric Interdisciplinary Team Training (pp. 2137). New York: Springer Publishing Co.Google Scholar
Verma, S., Paterson, M. and Medves, J. (2006). Core competencies for health care professionals: what medicine, nursing, occupational therapy, and physiotherapy share. Journal of Allied Health, 35, 109115.Google ScholarPubMed
Wolfs, C. A. G., Dirksen, C. D., Severens, J. L. and Verhey, F. R. J. (2006). The added value of a multidisciplinary approach in diagnosing dementia: a review. International Journal of Geriatric Psychiatry, 21, 223232. doi: 10.1002/gps.1454.CrossRefGoogle ScholarPubMed
Wolfs, C. A. G., Kessels, A., Dirksen, C. D., Severens, J. L. and Verhey, F. R. J. (2008). Integrated multidisciplinary diagnostic approach for dementia care: randomized controlled trial. British Journal of Psychiatry, 192, 300305. doi: 10.1192/bjp.bp.107.035204.CrossRefGoogle Scholar
Zeiss, A. M. and Steffen, A. M. (2001). Interdisciplinary health care teams in geriatrics: an international model. In Edelstein, B. A. (ed.), Comprehensive Clinical Psychology: Volume 7: Clinical Geropsychology (pp. 551570). Oxford: Pergamon/Elsevier Science Ltd.Google Scholar