The VaRP Project: qualitative evaluation of the training effectiveness of Post Graduate Specializations for health professionals

The VaRP Project: qualitative evaluation of the training effectiveness of Post Graduate Specializations for health professionals

Authors

  • Chiara Cosentino University of Parma http://orcid.org/0000-0003-1324-4007
  • Giovanna Artioli Azienda USL-IRCCS di Reggio Emilia, Italy
  • Victoria Cervantes Camacho Department of Medicine and Surgery, University of Parma, Italy
  • Emily Pedroni Azienda USL-IRCCS di Reggio Emilia, Italy
  • Clelia D'Apice Department of Medicine and Surgery, University of Parma, Italy
  • Leopoldo Sarli Department of Medicine and Surgery, University of Parma, Italy

Keywords:

Post Graduate Specialization, Healthcare Professionals, Qualitative Analysis, Inter professionalism, Research literacy

Abstract

Introduction: The healthcare professionals’ specialized training has a positive impact on professional values, patient’s outcome, and promotion of evidence-based practices. To raise the educational standard, the University of Parma has created Post Graduate Specializations which, in addition to learning sector-specific techniques and skills, include the acquisition of soft skills. Aim of the study is investigating the perception of the tutors dedicated to the organization, management, and teaching of the Post Graduate Specializations on the skills gained and the changes achieved in clinical practice, training, and research. Materials and Methods: Qualitative research was carried out through a semi-structured interview to 11 tutors who have been coordinating the Post Graduate Specializations. Results: The Qualitative analysis developed “thick” descriptions characterized by analytical density and interpretative richness. The emerging thematic nuclei were: General/unpredicted aspects, Professional empowerment, Satisfaction, Professional outcomes, Limits of the Post Graduate Specializations, and Development areas. Conclusions: We identified the most effective areas of the Post Graduate Specializations that emerged consistently from the interviews. We hypothesized that the values and mission the Scientific Board, are effectively lived and championed in the everyday activities of the Post Graduate Specializations. Some domains still need to be furtherly developed, as the professional record, the absence of a “follow up” relationship with former students, and the effective management of workload both for students and tutors. The rise of these limits, can be particularly fruitful, as it gives the chance to identify the development trajectory the post-graduate trainings should pursue to raise the standard of excellence. 

References

Sibandze BT, Scafide KN. Among nurses, how does education level impact professional values? A systematic review. Int Nurs Rev. 2018;65(1):65–77.

Wilson-Barnett J, Beech S. Evaluating the clinical nurse specialist. A review. Int J Nurs Stud. 1994;31(6):561–71.

LaSala CA, Connors PM, Pedro JT, Phipps M. The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. J Contin Educ Nurs. 2007;38(6):262–70.

European Specialist Nurses Organizations. Competences of the Nurse specialist (CNS): Common plinth of competences for a Common Training Framework of each specialty. 2015.

Kechagias K. Teaching and assessing soft skills. 2011. p. 115–7.

Goleman D, Boyatzis RE, McKee A. Primal leadership: realizing the power of emotional intelligence. Press HBS, editor. Boston, MA; 2002.

Moro R, Bortolotti E. Le soft skill nelle professioni sanitarie: è possibile insegnarle? [Soft skills in healthcare professionals: is it possible to teach them?] Franco Angeli, editor. Educational reflective Practice. 2018;79–93.

Duarte J, Pinto-Gouveia J, Cruz B. Relationships between nurses empathy, self-compassion and dimensions of professional quality of life: A cross-sectional study. Int J Nurs Stud. 2016;60:1–11.

Murphy E. The importance of “soft” skills in healthcare professions [Internet]. [cited 2019 Dec 29]. Available from: https://evolve.elsevier.com/education/helen-murphy/soft-skills-for-healthcare-professionals/

Fondazione Crui [Crui Foundation]. Le competenze trasversali per l’higher education [Transversal competencies for higher education], Quaderni dell’Osservatorio Università-Imprese [Internet]. 1. [cited 2019 Dec 29]. Available from: https://www2.crui.it/cruI/quaderno_osservatorio_1.pdf

Bullough B. Alternative models for specialty nursing practice. Nurs Heal care Off Publ Natl Leag Nurs. 1992;13(5):254–9.

King G, Thomson N, Rothstein M, Kingsnorth S, Parker K. Integrating research, clinical care, and education in academic health science centers. J Health Organ Manag. 2016;30(7):1140‐1160.

Nebeker C, López-Arenas A. Building research integrity and capacity (BRIC): an educational initiative to increase research literacy among community health workers and promotores. J Microbiol Biol Educ. 2016;17(1):41–5.

Nyström ME, Karltun J, Keller C, Gäre BA. Collaborative and partnership research for improvement of health and social services: researcher’s experiences from 20 projects. Heal Res policy Syst. 2018;16(1):46.

St. Fleur RG, Schwartz SJ. Increased research literacy to facilitate community ownership of health research in low and middle income countries. Ethics Behav [Internet]. 2019 Nov 17;1–11. Available from: https://doi.org/10.1080/10508422.2019.1691556

Edvardsson D, Watt E, Pearce F. Patient experiences of caring and person-centredness are associated with perceived nursing care quality. J Adv Nurs. 2017 Jan;73(1):217–27.

Backman A, Ahnlund P, Sjögren K, Lövheim H, McGilton KS, Edvardsson D. Embodying person-centred being and doing: Leading towards person-centred care in nursing homes as narrated by managers. J Clin Nurs. 2020 Jan;29(1–2):172–83.

Blanzola C, Lindeman R, King ML. Nurse internship pathway to clinical comfort, confidence, and competency. J nurses Staff Dev JNSD Off J Natl Nurs Staff Dev Organ. 2004;20(1):27–37.

Arrigoni C, Grugnetti AM, Caruso R, Gallotti ML, Borrelli P, Puci M. Nursing students’ clinical competencies: a survey on clinical education objectives. Ann Ig. 2017;29(3):179–88.

Alnajjar H, Bayoumy H, Rawas H, de Beer J. Assessing the effectiveness of two internship clinical training programs: Impact on the perception of competency enhancement and student satisfaction. Saudi J Heal Sci. 2019 May 1;8(2):75–80.

Sánchez Expósito J, Leal Costa C, Díaz Agea JL, Carrillo Izquierdo MD, Jiménez Rodríguez D. Ensuring relational competency in critical care: Importance of nursing students’ communication skills. Intensive Crit care Nurs. 2018 Feb;44:85–91.

Jones-Schenk J. Relational Coordination: Beyond Teambuilding. J Contin Educ Nurs [Internet]. 2018;49(12):543—544. Available from: https://doi.org/10.3928/00220124-20181116-03

Banerjee SC, Manna R, Coyle N, Penn S, Gallegos TE, Zaider T, et al. The implementation and evaluation of a communication skills training program for oncology nurses. Transl Behav Med. 2017 Sep;7(3):615–23.

Pehrson C, Banerjee SC, Manna R, Shen MJ, Hammonds S, Coyle N, et al. Responding empathically to patients: Development, implementation, and evaluation of a communication skills training module for oncology nurses. Patient Educ Couns. 2016 Apr;99(4):610–6.

Barton G, Bruce A, Schreiber R. Teaching nurses teamwork: Integrative review of competency-based team training in nursing education. Nurse Educ Pract. 2018 Sep;32:129–37.

Harvey EM, Freeman D, Wright A, Bath J, Peters VK, Meadows G, et al. Impact of Advanced Nurse Teamwork Training on Trauma Team Performance. Clin Simul Nurs [Internet]. 2019;30:7–15. Available from: http://www.sciencedirect.com/science/article/pii/S1876139918302779

Celik GK, Taylan S, Guven SD, Cakir H, Kilic M, Akoglu CA. The relationship between teamwork attitudes and caring behaviors among nurses working in surgical clinics: A correlational descriptive study. Niger J Clin Pract. 2019 Jun;22(6):849–54.

Foronda C, MacWilliams B, McArthur E. Interprofessional communication in healthcare: An integrative review. Nurse Educ Pract [Internet]. 2016;19:36–40. Available from: http://www.sciencedirect.com/science/article/pii/S1471595316300208

Costello M, Huddleston J, Atinaja-Faller J, Prelack K, Wood A, Barden J, et al. Simulation as an Effective Strategy for Interprofessional Education. Clin Simul Nurs [Internet]. 2017;13(12):624–7. Available from: http://www.sciencedirect.com/science/article/pii/S1876139916302262

Hustoft M, Hetlevik Ø, Aßmus J, Størkson S, Gjesdal S, Biringer E. Communication and Relational Ties in Inter-Professional Teams in Norwegian Specialized Health Care: A Multicentre Study of Relational Coordination. Int J Integr Care. 2018 Apr;18(2):9.

Valenziano KB, Glod SA, Jia S, Belser A, Brazell B, Dellasega C, et al. An Interprofessional Curriculum to Advance Relational Coordination and Professionalism in Early-Career Practitioners. MedEdPORTAL [Internet]. 2020 Jun 10;14. Available from: https://doi.org/10.15766/mep_2374-8265.10697

Guraya SY, Barr H. The effectiveness of interprofessional education in healthcare: A systematic review and meta-analysis. Kaohsiung J Med Sci. 2018 Mar;34(3):160–5.

Kim YJ, Radloff JC, Stokes CK, Lysaght CR. Interprofessional education for health science students’ attitudes and readiness to work interprofessionally: a prospective cohort study. Brazilian J Phys Ther. 2019;23(4):337–45.

Bergmark U, Westman S. Co-creating curriculum in higher education: promoting democratic values and a multidimensional view on learning. Int J Acad Dev [Internet]. 2016 Jan 2;21(1):28–40. Available from: https://doi.org/10.1080/1360144X.2015.1120734

Ruskin J, Hutchison J, Bilous R. Co-creating curriculum to support co-op: a case for engaging both partners and students. In: Abstract from Australian Collaborative Education Network National Conference. Brisbane, Australia; 2018.

Boluk K, Muldoon M, Johnson C. Co-creating an integrated curriculum alongside community partners: a creative analytic approach. Tour Recreat Res [Internet]. 2019 Jul 3;44(3):323–36. Available from: https://doi.org/10.1080/02508281.2019.1576962

Maria PK, Elena G. Development of personalized learning objects for training adult educators of special groups. Lytras M, Sicilia M, Naeve A, editors. J Knowl Manag [Internet]. 2008 Jan 1;12(6):89–101. Available from: https://doi.org/10.1108/13673270810913649

Mishina A V, Yavgildina ZM. Principles of personalization of content of the competency-based training of students of the artistic-pedagogical specialization. Soc Sci. 2015 Jan 1;10:460–4.

Petukhov I, Steshina L. Training Personalization for Operators of Complex Equipment. Procedia - Soc Behav Sci. 2015 May 1;186:1240–7.

Pabst R, Rothkötter HJ. Retrospective evaluation of undergraduate medical education by doctors at the end of their residency time in hospitals: consequences for the anatomical curriculum. Anat Rec. 1997 Dec;249(4):431–4.

Richman JM, Rosenfeld LB. Advanced Standing versus Regular Two-Year MSW Graduates: Program Evaluation and Employment History. J Soc Work Educ [Internet]. 1988 Jan 1;24(1):13–9. Available from: https://doi.org/10.1080/10437797.1988.10672092

Lemos S, Pedro N. Students’ expectation and satisfaction in postgraduate online courses. In: Proceeding of International Conference on Information communication Technologies in Education (ICICTE). Greece; 2012. p. 568–80.

Bierer SB, Prayson RA, Dannefer EF. Association of research self-efficacy with medical student career interests, specialization, and scholarship: a case study. Adv Health Sci Educ Theory Pract. 2015 May;20(2):339–54.

Raj VS, Rintala DH. Perceived preparedness for physiatric specialization and future career goals of graduating postgraduate year IV residents during the 2004-2005 academic year. Am J Phys Med Rehabil. 2007 Dec;86(12):1001–6.

Regione Emilia-Romagna AS e sociale regionale [Emilia romagna Region AS and social]. I tutor per la formazione nel Servizio sanitario regionale dell’Emilia-Romagna [Tutors for training in the Emilia-Romagna regional healthcare service ], Rapporto Preliminare, Dossier 174-2009. 2009.

Geertz C. The interpretation of cultures. New York: Basic Books, Inc.; 1987.

Gaboury I, Bujold M, Boon H, Moher D. Interprofessional collaboration within Canadian integrative healthcare clinics: Key components. Soc Sci Med. 2009 Sep;69(5):707–15.

Suter E, Deutschlander S, Mickelson G, Nurani Z, Lait J, Harrison L, et al. Can interprofessional collaboration provide health human resources solutions? A knowledge synthesis. J Interprof Care. 2012 Jul;26(4):261–8.

Jacobsen F, Lindqvist S. A two-week stay in an Interprofessional Training Unit changes students’ attitudes to health professionals. J Interprof Care. 2009 May;23(3):242–50.

Llewellyn CD, McManus C, Weinman J, Petrie KJ, Newman S, Ayers S, et al., editors. Health Care Professionals’ Wellbeing. In: Cambridge Handbook of Psychology, Health and Medicine [Internet]. 3rd ed. Cambridge: Cambridge University Press; 2019. p. 353–70. (Cambridge Handbooks in Psychology). Available from: https://www.cambridge.org/core/books/cambridge-handbook-of-psychology-health-and-medicine/health-care-professionals-wellbeing/C3C5ACCB91A73C33D9A1B4D03DAFBA5A

Ellis P. Evidence-based Practice in Nursing. Learning Matters; 2019.

Welch TD, Carter M. Deliberate Practice and Skill Acquisition in Nursing Practice. J Contin Educ Nurs. 2018 Jun;49(6):269–73.

Downloads

Published

20-06-2020

How to Cite

1.
Cosentino C, Artioli G, Cervantes Camacho V, Pedroni E, D'Apice C, Sarli L. The VaRP Project: qualitative evaluation of the training effectiveness of Post Graduate Specializations for health professionals. Acta Biomed. 2020;91(6-S):106-117. doi:10.23750/abm.v91i6-S.10027