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Implementation and Assessment of a Novel Interprofessional Educational Initiative in the Medical Intensive Care Unit:
Cecile M Foshee1, Aanchal Kapoor2, Ronna Romano3
1Director. Office of Interprofessional Learning. Education., Cleveland Clinic, Cleveland, OH, United States of America.
The Strengthening Minds by Leveraging Education (SMiLESM) program improved interprofessional teamwork and collaboration in a Medical Intensive Care Unit. This adaptable educational method enhanced role clarity, communication, and psychological safety among diverse healthcare professionals.
Area of Science:
- Healthcare Education
- Interprofessional Collaboration
- Teamwork in Medicine
Background:
- Siloed training and hierarchical structures impede effective interprofessional collaboration in clinical settings.
- Previous interprofessional education efforts show inconsistent results in fostering sustained behavioral change.
- High-acuity environments face unique challenges like time constraints and staff turnover, hindering teamwork.
Purpose of the Study:
- To address barriers to interprofessional teamwork in a Medical Intensive Care Unit.
- To introduce the Strengthening Minds by Leveraging Education (SMiLESM) program.
- To enhance collaboration and communication among diverse healthcare professionals.
Main Methods:
- The SMiLESM program was co-designed by educators and frontline clinicians.
- Curriculum based on transformative learning theory and the RAPR model (Recognize, Analyze, Practice, Reflect).
- Weekly sessions focused on role clarity, psychological safety, teaming, and empathy for professionals from at least four groups.
Main Results:
- 127 SMiLESM sessions conducted for 1,416 learning encounters across 15 professions (2019-2023).
- Qualitative data indicated improved role clarity, structured communication, and team dynamics.
- Surveys showed increased psychological safety and teamwork; GME trainees showed improved communication and professionalism.
Conclusions:
- SMiLESM is a practical and adaptable approach for enhancing team behaviors in high-acuity settings.
- The program fosters a collaborative culture within intensive care units.
- SMiLESM shows promise as an educational method to improve interprofessional practice.
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