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Has “The Ceiling” Rendered the Readiness for Interprofessional Learning Scale (RIPLS) Outdated?

Authors Torsvik M, Johnsen HC, Lillebo B, Reinaas LO, Vaag JR

Received 8 December 2020

Accepted for publication 12 February 2021

Published 25 February 2021 Volume 2021:14 Pages 523—531

DOI https://doi.org/10.2147/JMDH.S296418

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Malvin Torsvik,1 Hanne Cecilie Johnsen,1 Børge Lillebo,2,3 Lars Ove Reinaas,1 Jonas Rennemo Vaag1

1Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway; 2Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway; 3Clinic of Medicine and Rehabilitation, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway

Correspondence: Malvin Torsvik
Faculty of Nursing and Health Sciences, Nord University, Post Box 93, Levanger, N-7601, Norway
Tel +47 74022938
Email [email protected]

Purpose: The present study aimed to investigate the preliminary effects of collaborative learning and simulation on readiness to engage in and attitudes toward future interprofessional learning activities. We translated into Norwegian and validated the original Readiness for Interprofessional Learning Scale (RIPLS) (part 1) to measure the efficacy and feasibility of a structured collaborative learning activity (part 2).
Materials and Methods: Undergraduate social and health care professional students from five Norwegian universities (n = 307) participated in the validation stage of this study (part 1). A Norwegian version of the RIPLS was developed using forward and backward translation. An expert panel discussed discrepancies between the translations and professional concepts. We planned to conduct a principal component analysis to evaluate the structure, reliability, and internal consistency of the Norwegian version of the RIPLS, after investigating the skewness, kurtosis, and range of items included. One hundred fifty students participated in collaborative learning activities; 72 (48%) of these individuals answered the translated RIPLS questionnaire.
Results: We found a substantial ceiling effect in the majority of items in the RIPLS, making it difficult to use the instrument as a measure of change. We evaluated the efficacy and feasibility of the collaborative activities based on the changes in the single items that had sufficient univariate normality and ultimately confirmed positive changes in two of these items.
Conclusion: Norwegian students appear ready for interprofessional learning; however, due to significant ceiling effects, the majority of items in the RIPLS no longer seem suitable for measuring and evaluating the effects of interprofessional learning (part 1). Single-item analysis revealed a potential effect of collaborative learning (part 2). A new questionnaire is needed where readiness is instead understood as self-efficacy in areas such as role awareness and interprofessional communication. Researchers should be aware that even previously validated questionnaires may lose their applicability over time and require revision. Demands for interprofessional learning and practice are continuously evolving, and evaluation methods should be adjusted accordingly.

Keywords: interprofessional learning, interprofessional collaboration, translation and validation, multidisciplinary health care

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