Virginia Center on Aging, College of Health Professions, Virginia Commonwealth University, P.O. Box 980229, Richmond, VA 23298-0229, USA.
Department of Social Work, College of Health and Human Services, George Mason University, 4400 University Drive, MS 1F8, Fairfax, VA 22030, USA.
Int J Environ Res Public Health. 2022 Apr 26;19(9):5258. doi: 10.3390/ijerph19095258.
A successful interprofessional faculty development program was transformed into a more clinically focused professional development opportunity for both faculty and clinicians. Discipline-specific geriatric competencies and the Interprofessional Education Collaborative (IPEC) competencies were aligned to the 4Ms framework. The goal of the resulting program, Creating Interprofessional Readiness for Complex and Aging Adults (CIRCAA), was to advance an age-friendly practice using evidence-based strategies to support wellness and improve health outcomes while also addressing the social determinants of health (SDOH). An interprofessional team employed a multidimensional approach to create age-friendly, person-centered practitioners. In this mixed methods study, questionnaires were disseminated and focus groups were conducted with two cohorts of CIRCAA scholars to determine their ability to incorporate learned evidence-based strategies into their own practice environments. Themes and patterns were identified among transcribed interview recordings. Multiple coders were used to identify themes and patterns and inter-coder reliability was assessed. The findings indicate that participants successfully incorporated age-friendly principles and best practices into their own work environments and escaped the silos of their disciplines through the implementation of their capstone projects. Quantitative data supported qualitative themes and revealed gains in knowledge of critical components of age-friendly healthcare and perceptions of interprofessional collaborative care. These results are discussed within a new conceptual framework for studying the multidimensional complexity of what it means to be age-friendly. Our findings suggest that programs such as CIRCAA have the potential to improve older adults' health by addressing SDOH, advancing age-friendly and patient-centered care, and promoting an interprofessional model of evidence-based practice.
一个成功的跨专业教师发展项目被转化为一个更注重临床的专业发展机会，为教师和临床医生提供了机会。特定于学科的老年学能力和跨专业教育协作 (IPEC) 能力与 4Ms 框架保持一致。由此产生的项目“为复杂和老龄化成年人创建跨专业准备”（CIRCAA）的目标是推进以循证策略为基础的对老年人友好的实践，以支持健康和改善健康结果，同时解决健康的社会决定因素 (SDOH)。一个跨专业团队采用多维方法来培养对老年人友好、以患者为中心的从业者。在这项混合方法研究中，向两个 CIRCAA 学者队列分发了问卷并进行了焦点小组讨论，以确定他们将所学循证策略融入自己实践环境的能力。对转录的访谈记录进行了主题和模式识别。使用多个编码员来识别主题和模式，并评估了编码员之间的可靠性。研究结果表明，参与者成功地将对老年人友好的原则和最佳实践融入自己的工作环境中，并通过实施他们的顶点项目摆脱了学科的孤立。定量数据支持定性主题，并揭示了对老年人友好型医疗保健的关键组成部分的知识和对跨专业协作护理的看法的提高。在一个新的概念框架内讨论了这些结果，该框架用于研究成为对老年人友好的多维复杂性。我们的研究结果表明，像 CIRCAA 这样的项目有可能通过解决社会决定因素、推进对老年人友好和以患者为中心的护理以及促进循证实践的跨专业模式来改善老年人的健康。
