Nurse-Doctor Co-Teaching: A Pilot Study of the Design, Development, and Implementation of Structured Interprofessional Co-Teaching Sessions

Marina E Zambrotta,1,2 Patricia Aylward,3 Christopher L Roy,1,2 Emily Piper-Vallillo,1,4 Stephen R Pelletier,2 James P Honan,4 Noah Heller,4 Subha Ramani,1,2 Helen M Shields1,2 1Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; 2Harvard Medical School, Boston, MA, USA; 3Department of Nursing, Brigham and Women’s Hospital, Boston, MA, USA; 4Harvard Graduate School of Education, Cambridge, MA, USACorrespondence: Marina E Zambrotta; Helen M ShieldsDepartment of Medicine, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115, USATel +1 401-499-3874; +1 617-678-6077Fax +1 918-233-2180; +1617-525-8740Email Mzambrotta@partners.org; Hmshields@bwh.harvard.eduIntroduction: High levels of interprofessional collaboration are beneficial for patients and healthcare providers. Co-teaching may be one method for creating a collaborative environment. This pilot study designed, developed, and implemented Nurse-Doctor Co-Teaching on an inpatient medicine service.Methods: Ten Nurse-Doctor Co-Teaching pairs designed 30-minute, structured co-teaching sessions with learning objectives, evidence-based content, interactive teaching strategies and a Take-Away of key content with the help of a coaching team. Each session was presented by a nurse and senior doctor to nurse and resident learners. Our assessment blueprint included: 1. Anonymous surveys assessing the overall rating of each session and 2. Pre- and post-anonymous surveys assessing measures of interprofessional collaboration and communication between nurses and residents before and after the series of ten co-teaching sessions.Results: Data from ten post-session surveys included 121 of 156 participants (77.6%). Attendance at each session ranged from 13– 19 participants with 8– 17 participants completing a survey per session for an average of 12.1 surveys analyzed. All Nurse-Doctor Co-Teaching sessions scored in the excellent range between 1.00 and 1.43 on a Likert scale (1 is excellent and 5 is poor). In response to the question “What did you like best?”, interactive teaching strategies was the most frequent spontaneous answer. A significant correlation between the number of interactive teaching strategies and enjoyability of the session (p-value=0.01) was observed. Measures of interprofessional collaboration and communication did not change significantly in the pre-intervention compared to post-intervention period.Conclusion: We created a unique model of interprofessional co-teaching on an inpatient service. The overall excellent ratings of our interactive sessions indicate that Nurse-Doctor Co-Teaching is a valued form of learning. Our structured format is adaptable to various medical settings and could be expanded to include additional allied health professionals. We plan further studies to assess if Nurse-Doctor Co-Teaching improves measures of interprofessional collaboration.Keywords: interprofessional co-teaching, interactive teaching strategies, nursing education, resident education, coaching team, faculty development