a scientist with Toronto Rehab. “Without swift,well-integrated, evidence-based and interdisciplinaryinterventions, the health <strong>of</strong> older patientscan decline rapidly in hospital. Nurses have apivotal role in implementing these interventions,”she adds. The consequences <strong>of</strong> not providing thislevel <strong>of</strong> care can include the need for additionalhospital stays, premature admission to a residentialcare facility, a permanent loss <strong>of</strong> independenceand a diminished quality <strong>of</strong> life.The Initiative calls for holistic, individualizedcare <strong>of</strong> seniors and recognition <strong>of</strong> its inherentcomplexity. “Older adults typically present withmultiple, interacting medical and social problemsthat can defy straightforward interventions,” saysMcGilton. “The management <strong>of</strong> older adults requiresa specialized body <strong>of</strong> knowledge and skills,as well as support from administrators to assistwith implementing best evidence into practice.”“How you treat older people is a reflection <strong>of</strong>society and its values, and as a society we need todo better in caring for older people,” says Velji. “Wehave a responsibility to change that.”OUR NEWEST PARTNERSHIPThe Victorian Order <strong>of</strong> Nurses (VON) and<strong>Bloomberg</strong> <strong>Nursing</strong> are developing a partnershipagreement that cements their relationship inthe areas <strong>of</strong> research, and home and communitynursing, reports Judith Shamian, VON’s presidentand CEO, as well as the Canadian Nurses Associationpresident. “We’re working on building arobust program that will have a strong emphasison the importance <strong>of</strong> home and community carein building a healthy nation.”“This partnership will provide the basis foran innovative approach to student learning, andprovide graduate and leadership positions,” addsSioban Nelson, the dean <strong>of</strong> <strong>Bloomberg</strong> <strong>Nursing</strong>.“We are delighted that through this partnership<strong>Bloomberg</strong> students can learn at the cutting edge<strong>of</strong> community care. The partnership will buildthe foundation for strong research initiatives inhome care.”VON is Canada’s largest, national, not-forpr<strong>of</strong>it,charitable home and community careorganization, and has previously partnered with<strong>Bloomberg</strong> <strong>Nursing</strong> researchers, including DianeDoran and Linda O’Brien-Pallas, BScN 7T5, MN7T9, PhD 8T7, a recently retired pr<strong>of</strong>essor. It considersresearch as part <strong>of</strong> its leadership role.“Home care is at the forefront <strong>of</strong> health care andcommunity partnerships, and volunteerism,” saysNelson. “Sustainable community initiatives arecritical to improving the health <strong>of</strong> Canadians.”The new <strong>Bloomberg</strong> <strong>Nursing</strong>-VON initiativealigns with Ontario’s Action Plan for Health Care,which emphasizes a wider use <strong>of</strong> home care, saysSherri Huckstep, VON’s vice-president, centralregion. “<strong>Bloomberg</strong> nurses will be leaders in thetransformation <strong>of</strong> home and community nursingin Ontario and Canada.”ø<strong>Faculty</strong> members across U <strong>of</strong> T enrichthe <strong>Bloomberg</strong> <strong>Nursing</strong> curriculumhe University <strong>of</strong> Toronto is leading the wayin interpr<strong>of</strong>essional education (IPE). It’s one <strong>of</strong>only a few Canadian universities to formally supportan IPE program that focuses on learningboth in the classroom and in the practice setting.And all across North America, universities arelooking to our IPE model for guidance and inspiration.U <strong>of</strong> T’s groundbreaking initiatives gatheredspeed in 2006 when the deans and chairs <strong>of</strong>several health science faculties endorsed the development<strong>of</strong> a requisite IPE curriculum. In 2009,they leveraged a partnership with the TorontoAcademic Health Sciences Network to create theU <strong>of</strong> T Centre for Interpr<strong>of</strong>essional Education withToronto Rehab and University Health Network aslead hospitals. The Centre, now located at TorontoWestern Hospital, co-ordinates and promotes IPEprograms across the university and in clinicalplacements in Toronto and beyond.IPE prepares students with the knowledge,skills and attitudes necessary for collaborativeinterpr<strong>of</strong>essional care. If you were enrolled at the<strong>Faculty</strong> in the 1980s or ’90s, you were schooled inmultidisciplinary care. Under this model, you mayhave learned with students from different healthcare pr<strong>of</strong>essions in the same room, but there waslittle learning about how the various pr<strong>of</strong>essionsN o 12SPRING/SUMMER2012
approach a health problem. Prior to this, yournursing education may have been unipr<strong>of</strong>essional;that is, limited to the pr<strong>of</strong>ession <strong>of</strong> nursing.In interpr<strong>of</strong>essional care, the hierarchy isflattened, and members <strong>of</strong> the health care teamcollectively problem-solve, share care and makedecisions together. “Interpr<strong>of</strong>essional carerequires the courage to step back and say youdon’t know, and the humility to admit you needhelp from the team,” says Maria Tassone, thedirector <strong>of</strong> the Centre. “Since health care pr<strong>of</strong>essionalshave traditionally been socialized to havethe answers themselves, IPE really challengespeople to their level <strong>of</strong> comfort and discomfort.”While IPE has been accused <strong>of</strong> blurring thedistinctions between the health care pr<strong>of</strong>essions,Tassone finds the opposite to be true. “IPE actuallystrengthens the nursing student’s identityas a nurse,” she says. “A nursing student comes torecognize his or her duality: as a proud nurse andan excellent collaborator.”AT THE UNDERGRADUATE LEVELSince 2009, <strong>Bloomberg</strong> <strong>Nursing</strong> has embeddedthe IPE core learning activities in the BScNcurriculum. In addition, it requires its undergradsto participate in two elective IPE sessions coordinatedby the Centre.The first session is a grand gathering at ConvocationHall for all <strong>of</strong> U <strong>of</strong> T’s 1,200 first-year healthscience students. <strong>Faculty</strong> members demonstratedifferent ways to engage with patients and families,and deliver care. As part <strong>of</strong> the session, aformer patient steps onto the stage and recountshis or her journey through the health care system.Finally, 100 IPE facilitators help small groups <strong>of</strong>students reflect on their chosen pr<strong>of</strong>ession andtheir future role on an interpr<strong>of</strong>essional team.In second year, BScN students attend aninterpr<strong>of</strong>essional seminar designed to teachthat conflict is a normal part <strong>of</strong> working life, andhealth care pr<strong>of</strong>essionals are responsible for navigatingthrough it. These sessions are relativelysmall; 600 students come together in the ChestnutResidence ballroom. In small groups, they addressconflict about a treatment plan througha simulation process.“<strong>Nursing</strong> students are enthusiastic about IPE,”says senior lecturer Zoraida Beekhoo, our facultylead for IPE. “They don’t see it as an add-on.They see interpr<strong>of</strong>essionalism as the best way toprovide quality care.”AT THE GRADUATE LEVELAs part <strong>of</strong> the IPE learning activities forstudents placed at Mount Sinai Hospital, DonnaRomano, MScN 9T8, co-facilitates seminars forinterpr<strong>of</strong>essional teams made up <strong>of</strong> students fromvarious faculties, including nursing, medicine,social work and pharmacy.During the seminar, a team interviews apatient and family members as part <strong>of</strong> the intakeIt takes a universityThe following U <strong>of</strong> T faculties anddepartments contribute to educatinga <strong>Bloomberg</strong> <strong>Nursing</strong> student:• Dentistry• Medical radiation sciences• Medicine• Occupational scienceand occupational therapy• Pharmacy• Physical education and health• Physical therapy• Physician assistant• Social work• Speech-language pathologyPHOTO: REBECCA BARANMaria Tassone, the director<strong>of</strong> the U <strong>of</strong> T Centre forInterpr<strong>of</strong>essional EducationN o 13