Policy development

Working Group 4. Producing generic IPE policies and guidelines

Overall aim:

To develop Guidelines for institutional reform to maximise the impact of interprofessional education and collaborative practice (IPECP) in the Sub-Saharan context

Rationale

Effective IPECP is needed if Universal Health Coverage is to be achieved, and institutional reform is needed to maximise the impact of IPECP. Policy makers, statutory boards, institutions training the health workforce and health care service providers need guidelines on how to reform institutions to facilitate IPECP. Instructional reform should go hand in hand with institutional reform to maximise efforts to improve patient outcomes and strengthen systems for health through IPECP.

Project work Description and Timelines

The current status as regards policies for IPECP in Sub-Saharan Africa and internationally, will be determined. This situational analysis together with an investigation into international best practice, will inform the iterative development of a draft consensus Green Paper to inform policy development regarding IPECP in Sub-Saharan Africa. This could serve as guidelines for national and provincial governments, professional boards and higher education institutions to reform institutions by enabling effective IPECP.

The tasks will consist of:

  1. A situational analysis of current policies and guidelines in Sub-Saharan Africa that serve as barriers and facilitators of IPECP, as well as identifying international best practice policies that enable effective IPECP
  2. Identification of stakeholders that will benefit from a draft Green Paper informing policies to facilitate IPECP
  3. Designing and compiling a first draft of the envisaged Green Paper to inform effective IPECP
  4. Compiling the second draft Green Paper for comment
  5. Finalise and distribute the final draft for comment to stakeholders

Details of tasks

 A situational analysis of current policies and guidelines in Project and Programme Countries affecting IPECP

A situational analysis of current policies and guidelines in that serve as barriers and facilitators of IPECP will be compiled following a situational analysis. Desk research will also identify best international practice relating to policies and guidelines that enable effective IPECP. A subsequent report will incorporate a literature review to ascertain:

  • The state of IPECP policy and implementation guidelines in Sub-Saharan Africa
  •  International best practices regarding IPECP policy and guidelines
    • The specific needs related to an IPECP policy and guidelines
    • The report will be submitted to a peer-reviewed journal for consideration

Identification of stakeholders that will benefit from a draft Green Paper informing policies to facilitate IPECP

Stakeholders will be identified in Sub-Saharan Africa that will benefit from a draft Green Paper informing policies to facilitate IPECP. This would typically involve national, provincial, local and institutional policy and decision-making bodies that are key to help create an environment that will facilitate IPECP (e.g. Departments of Health, Social Services and Higher Education; accreditation and regulatory bodies, professional boards and other statutory bodies.)

An organisational chart will be developed that highlights the relevant stakeholders so that they are not excluded when it comes to providing input, comment and the ultimate implementation of IPECP policy. This working document will be made and will be regularly updated as required.

Designing and compiling a first draft of the envisaged Green Paper to inform effective IPECP

The outline and content of a draft green paper will be determined through an interactive group process which includes input from AfriPEN members, as well as policy and IPECP experts, both local and international. Following the design process, a first draft of the envisaged Green Paper will be compiled and distributed for review and comment.

Compiling the second draft Green Paper for comment

Taking into consideration the feedback and comments received on the first draft of the envisaged Green Paper on IPECP, if possible a workshop will be conducted where stakeholders, as well as international experts, will deliberate to develop and reach consensus on the second draft. This second draft will be circulated for comment.

Compile and avail the final draft Green Paper on IPECP

The comments received on the second draft of the envisaged Green Paper will be taken into consideration when compiling the final document. This final Draft Green Paper will be made available to stakeholders, lobbying them to use it as a guideline as they develop policies and guidelines to facilitate IPECP for their specific domains of influence.

Objectives and key results for 2019

Identifying best practice policy that enables effective IPECP

Tasks

  • Identify resources and collaborate with relevant global leaders in IPECP policy development

Raise awareness of IPECP in relation to education and practice policy

Tasks, results and breakthroughs

  • Sept 2017: Bulawayo, Zimbabwe IPECP workshop over 2 days for stakeholders (Medicine, Nursing, pharmacy and Allied Health Professionals)
  • November 2017: Invited as an International Speaker -National Congress for Radiographers, Zimbabwe – Presentation on IPE and AfriPEN work
  • March 2018: Exhibition of AfriPEN work at the Africa Health Professions Diaspora event, University of West England – Bristol, UK.
  • May 2018: Invited – One of the International Speakers at National Congress for The College of Primary Health Care Physicians of Zimbabwe and The Pharmaceutical Society of Zimbabwe. Oral presentation on Multiprofessional Education and Collaborative Practice, Policy and Research in Prescribing (Physicians, Nurse Practitioners and Pharmacists).
    Poster Presentation: Collaborative Practice in Asthma Management (focus on Nurses, Physicians, Pharmacists, patients and their families)
  • August 2018: Rotterdam International Council of Nurses: NP/APNN Conference oral Presentation – IPE and Collaborative Practice in Advanced Practice Nursing Development
  • July-October 2018: Anglophone Africa APN Proposal work to WHO-AFRO. Collaborating with global leaders in IPE and advanced Practice Nursing, Legislators and Academic institutions, international organisations including the American Association of Nurse Practitioners (AANP) International committee and ambassadors, the International Council of Nurses NP/APNN, Jhpiego (an affiliation of The Johns Hopkins University), NursingNow leaders) Hosted by African and IPE advisor – AfriPEN chair. Proposal submission to WHO-AFRO Health Systems completed in Oct 2018. Exhibition of Project and progress will be showcased at the Africa Regional Conference for Nurse Leaders (University of Ghana April 2019).
  • October 2018:  Africa – Caribbean NursingNow Event, St Thomas Hospital, London. Stand Exhibition on the work of AfriPEN and the Anglophone Africa Advanced Practice Nurse (APN) Coalition. Speakers included Lord Nigel Crisp, Dorcas Gwata – Zimbabwe Health Training Support (ZHTS Chair) and Dr Catherine Hannaway (NursingNow Campaign Director at the time). The event was attended by a high number of senior nursing leaders Africa & Caribbean Diaspora, medical and allied health practitioners and others interested in health care education/ practice in Africa.

Develop a short paper that quickly and effectively inform decision makers about IPECP and updating guidelines for IPECP implementers.

Task:

  • Collaborate with International.Global’s Policy Working Group. Joined November 2018 and feedback to AfriPEN board by 28/2/19 on progress.

Identification of Stakeholders that will benefit from Global Policy Work Group activities in Africa

Task:

  • Share the relevant information: March 31st 2019

5. Actively seek members to engage with the work of the Policy Development Group

Task

  • Email members on the working Group list by 15th of Feb 2019

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