Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa
BackgroundInternational electives provide a learning platform where interprofessional education and collaborative practice (IPECP) skills can be cultivated. However, hardly any frameworks to guide the implementation of interprofessional education (IPE) during international electives, especially in t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1225475/full |
| _version_ | 1797657442809544704 |
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| author | Faith Nawagi Ian Guyton Munabi Andre Vyt Sarah Kiguli Tracy Rabin Firdouza Waggie Aloysius Gonzaga Mubuuke |
| author_facet | Faith Nawagi Ian Guyton Munabi Andre Vyt Sarah Kiguli Tracy Rabin Firdouza Waggie Aloysius Gonzaga Mubuuke |
| author_sort | Faith Nawagi |
| collection | DOAJ |
| description | BackgroundInternational electives provide a learning platform where interprofessional education and collaborative practice (IPECP) skills can be cultivated. However, hardly any frameworks to guide the implementation of interprofessional education (IPE) during international electives, especially in the context of low-income settings have been published. To address this gap, this study used the modified Delphi approach to develop an IPE framework guide for international electives to be used by health professions training institutions in Sub-Saharan Africa.MethodsA rapid literature review and a study among students and faculty in four African health professional training institutions were done to inform the process. This was followed by the modified Delphi technique that used three Delphi rounds with a panel of eight experts to build consensus on the final framework for IPE during international electives. The level of consensus was set at ≥70% on each of the statements in all rounds.ResultsOut of the 52 statements in round 1 (n = 37, 71%) reached consensus while (n = 15, 29%) of the statements did not reach consensus and were discussed in round 2. Round 2 led to 42 statements to be utilized for round 3. In round 3, all statements (42) reached a consensus and an IPE framework to guide the implementation of international electives was developed. The framework consists of three sections. Section one highlights the various IPECP competencies to be gained by learners in the areas of teamwork, interprofessional communication, roles and responsibilities of interprofessional collaborative practice, values and ethics of interprofessional collaboration, and reflection and evaluation of oneself and the team. Section two gives guidance on the structuring of the IPE international electives in health professional training institutions. This includes subsections on operational/institutional needs, acculturation considerations, teaching strategies, assessment strategies, mode of delivery, and public health considerations. Section three consists of the various practical guides and approaches that health professional training institutions could use according to what works best in their setting.ConclusionThe modified Delphi technique was an adequate approach to aid the development of an IPE framework to guide implementation during international electives in various health professional training institutions. |
| first_indexed | 2024-03-11T17:45:40Z |
| format | Article |
| id | doaj.art-32e518eb271143d89e3f3c250218ef69 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-11T17:45:40Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-32e518eb271143d89e3f3c250218ef692023-10-18T07:17:54ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-10-011010.3389/fmed.2023.12254751225475Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan AfricaFaith Nawagi0Ian Guyton Munabi1Andre Vyt2Sarah Kiguli3Tracy Rabin4Firdouza Waggie5Aloysius Gonzaga Mubuuke6School of Medicine, Makerere University College of Health Sciences, Kampala, UgandaSchool of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, UgandaFaculty of Medicine and Health Sciences, Ghent University, Ghent, BelgiumSchool of Medicine, Makerere University College of Health Sciences, Kampala, UgandaSchool of Medicine, Yale University, New Haven, CT, United StatesFaculty of Community and Health Sciences, University of the Western Cape, Bellville, South AfricaSchool of Medicine, Makerere University College of Health Sciences, Kampala, UgandaBackgroundInternational electives provide a learning platform where interprofessional education and collaborative practice (IPECP) skills can be cultivated. However, hardly any frameworks to guide the implementation of interprofessional education (IPE) during international electives, especially in the context of low-income settings have been published. To address this gap, this study used the modified Delphi approach to develop an IPE framework guide for international electives to be used by health professions training institutions in Sub-Saharan Africa.MethodsA rapid literature review and a study among students and faculty in four African health professional training institutions were done to inform the process. This was followed by the modified Delphi technique that used three Delphi rounds with a panel of eight experts to build consensus on the final framework for IPE during international electives. The level of consensus was set at ≥70% on each of the statements in all rounds.ResultsOut of the 52 statements in round 1 (n = 37, 71%) reached consensus while (n = 15, 29%) of the statements did not reach consensus and were discussed in round 2. Round 2 led to 42 statements to be utilized for round 3. In round 3, all statements (42) reached a consensus and an IPE framework to guide the implementation of international electives was developed. The framework consists of three sections. Section one highlights the various IPECP competencies to be gained by learners in the areas of teamwork, interprofessional communication, roles and responsibilities of interprofessional collaborative practice, values and ethics of interprofessional collaboration, and reflection and evaluation of oneself and the team. Section two gives guidance on the structuring of the IPE international electives in health professional training institutions. This includes subsections on operational/institutional needs, acculturation considerations, teaching strategies, assessment strategies, mode of delivery, and public health considerations. Section three consists of the various practical guides and approaches that health professional training institutions could use according to what works best in their setting.ConclusionThe modified Delphi technique was an adequate approach to aid the development of an IPE framework to guide implementation during international electives in various health professional training institutions.https://www.frontiersin.org/articles/10.3389/fmed.2023.1225475/fullframeworkinterprofessional educationinterprofessional collaborationinternational electivesAfrica |
| spellingShingle | Faith Nawagi Ian Guyton Munabi Andre Vyt Sarah Kiguli Tracy Rabin Firdouza Waggie Aloysius Gonzaga Mubuuke Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa Frontiers in Medicine framework interprofessional education interprofessional collaboration international electives Africa |
| title | Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa |
| title_full | Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa |
| title_fullStr | Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa |
| title_full_unstemmed | Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa |
| title_short | Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa |
| title_sort | using the modified delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in sub saharan africa |
| topic | framework interprofessional education interprofessional collaboration international electives Africa |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1225475/full |
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