interprofessional collaboration case studies

sharing sensitive information, make sure youre on a federal 655. Interprofessional education (IPE) is a critical approach for preparing students to enter the health workforce, where teamwork and collaboration are important competencies. . Skip to document. 2023 Apr 18;13(4):e069466. By this, authors argue for a focus on the actions of the actors involved in collaborative processes to understand these processes. These include the importance of adequate organizational arrangements such as clear common rules and suitable information structures as well as time, space and resources enabling professionals get to know each other and to discuss issues that arise. Ellingson (Citation2003) reports how personal life talk (e.g. Emerging categories were discussed among the authors on a number of occasions. This study aimed to describe the status of IPC practices among health and social workers providing care for older adults in the Philippines; investigate the perceived barriers to . All fragments could be clustered in one of these categories. Distributed heart failure teams (Lingard et al.. Primary health teams (Quinlan & Robertson. After checking for relevance and duplicates based on title and abstract, 270 unique studies were identified as potentially relevant. We adhered to a step-by-step approach of modifying and rearranging categories until a satisfactory system emerged (Cote et al., Citation1993). 2023 Mar 16;23(1):166. doi: 10.1186/s12909-023-04116-4. complaining about scheduling) can be seen to enhance collegial relations. This article provides a framework for ways in which nursing teams can develop evidence-based enhanced interprofessional communication systems during a pandemic. This declaration of interest was provided before the author died. Given that the certainty of evidence from the included studies was judged to be low to very low, there is not sufficient evidence to draw clear conclusions on the effects of IPC interventions. Studies are predominantly executed in hospital care (29; 45,3%), such as intensive care units (Conn et al., Citation2016) and emergency departments (Nugus & Forero, Citation2011). and transmitted securely. We would like to thank the experts that helped us find eligible studies for this review: Prof Jeffrey Braithwaite from Macquarie University in Sydney, Australia, Prof Lorelei Lingard from the Schulich School of Medicine & Dentistry in London, Canada, Prof Scott Reeves from St. Georges University in London, UK and Dr Lieke Oldenhof from Erasmus University Rotterdam, the Netherlands. (2) Methods: semi-structured interviews with health care providers assessed their perspective on the evaluation of jointly developed . Eight studies compared an IPC intervention with usual care and evaluated the effects of different practice-based IPC interventions: externally facilitated interprofessional activities (e.g. (Citation2015, p. 1458) similarly highlight mixed perceptions of the value of the [stronger interprofessional] orientation within the teams they studied, as it might also dilute the contributions of distinct expertise. COVID-19; eHealth; huddle; interprofessional communication; pandemic. Second, we analyze whether contributions differ between professions and between collaborative settings and healthcare subsectors. MeSH +. In some cases, loosely coupled networks might be preferred over close-knit teams, for instance as complex cases require that outside actors can be easily incorporated in the care process. Technology-based interprofessional collaboration in primary care for The idea behind using IPE is that once health care professionals study together they can work together in a cooperative manner with the common goal of . We coded relevant fragments from the included studies. We also argue practice research approaches (Nicolini, Citation2012) that aim to bring work back in can be useful as they provide a specific lens to analyze actions of individual actors in a meaningful way. A systematic review on how healthcare professionals contribute to interprofessional collaboration, School of Governance, Utrecht University, Utrecht, Netherlands, A Precarious Journey: Nurses From the Philippines Seeking RN Licensure and Employment in Canada, A comprehensive conceptual framework based on the integrative functions of primary care, A qualitative study of nurse practitioner promotion of interprofessional care across institutional settings: Perspectives from different healthcare professionals. We handsearched relevant interprofessional journals to November 2015, and reviewed the reference lists of the included studies. Interprofessional practice (IPP) is a framework that makes this collaboration more successful, and interprofessional education . Lastly, the effects of professional contributions to interprofessional collaboration require more research attention, as this is not yet sufficiently focused on empirically. Most of the stated effects (Table 3) focus on collaborating itself. Inter-professional collaboration between professionals is crucial in health care where most of the activities are undertaken in a team. A third comparison was made between subsectors in healthcare. Bridging might point to their central position in information flows within collaborative settings (Hurlock-Chorostecki, Forchuk, Orchard, Reeves, & Van Soeren, Citation2013). These findings have implications for the importance of interprofessional collaboration in supporting family-centered emergency preparedness for families of children with disabilities. Reflect on your role and those of other . Do multidisciplinary integrated care pathways improve interprofessional collaboration? Discursive patterns in multiprofessional healthcare teams. Lackie K, Najjar G, El-Awaisi A, Frost J, Green C, Langlois S, Lising D, Pfeifle AL, Ward H, Xyrichis A, Khalili H. J Interprof Care. Secondly, regarding methodology, almost all studies in this review employ a qualitative, often single-case, design. Such studies rely on concepts such as articulation work (Abraham & Reddy, Citation2013), organizational work (Nugus & Forero, Citation2011), emotional work (Timmons & Tanner, Citation2005), boundary work (Franzn, Citation2012) and even invisible work (Hampson & Junor, Citation2005). This case study is a testament to how direct patient care makes a huge difference when it comes to patient care. Case Studies of Interprofessional Education Initiatives From Five Accessibility Also, Chreim, Langley, Comeau-Valle, Huq, and Reay (Citation2015) report on how psychiatrists have their diagnoses and medication prescriptions debated by other professionals. 114 fragments (68,7%) portray team settings. 2020 Sep-Oct;34(5):682-686. doi: 10.1080/13561820.2020.1791809. Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Working on working together. Based on these insights, our review provides the grounds for an informed research agenda on the ways in which professionals contribute to interprofessional collaboration, why they do so and why it differs, and to gain insights into the effects of these contributions. Written Case Studies | Waters College of Health Professions Such models are framed as a challenge for healthcare managers to promote and facilitate the necessary conditions (Bronstein, Citation2003; Valentijn, Schepman, Opheij, & Bruijnzeels, Citation2013). Given interprofessional collaboration is increasingly required for effective public health services and initiatives, there is a clear need to train and assess health and social practice students in these domains. It requires closer scrutiny as it would mean stimulating more collaboration is not always a good thing. Healthcare (sub)sectors represented in review. Cited by lists all citing articles based on Crossref citations.Articles with the Crossref icon will open in a new tab. Video Case Studies | Waters College of Health Professions For more information please visit our Permissions help page. Are we all on the same page? Developing competence in interprofessional collaboration within The co . Furthermore, he acknowledges that this work was supported by the National Research Foundation of Korea Grant, funded by the Korean Government (NRF-2017S1A3A2067636). Ronoh S, Gaillard J, Marlowe J. Baseline assessment on the quality of interprofessional collaboration This systematic review of 64 studies from the past 20years shows there is considerable evidence for professionals actively contributing to interprofessional collaboration. Interprofessional Communication: Integrating Evidence to Enhance Bethesda, MD 20894, Web Policies In building a cancer care network, Bagayogo et al. Pantoja T, Grimshaw JM, Colomer N, Castaon C, Leniz Martelli J. Cochrane Database Syst Rev. Start treatment faster. Transforming medical professionalism to fit changing health needs. 51 (30,7%) portray networked settings. We used the following criteria to include only relevant studies: Focus of study: Studies are conducted within the context of interprofessional collaboration, as defined above. This is in line with traditional images of nursing as an ancillary profession (e.g. Figure 2 compares the data on physicians and nurses in relation to the general picture. Interprofessional collaboration to improve professional practice and healthcare outcomes Given that the certainty of evidence from the included studies was judged to be low to very low, there is not sufficient evidence to draw clear conclusions on the effects of IPC interventions. Bridging the gap, how interprofessional collaboration can support Understanding interdepartmental and organizational work in the emergency department: an ethnographic approach. An official website of the United States government. A case study of healthcare providers' goals during interprofessional doi: 10.1093/ageing/afad022. To assess the impact of practice-based interventions designed to improve interprofessional collaboration (IPC) amongst health and social care professionals, compared to usual care or to an alternative intervention, on at least one of the following primary outcomes: patient health outcomes, clinical process or efficiency outcomes or secondary outcomes (collaborative behaviour). These arrangements can be absent or do not always suffice. Studies deal with actions of professionals that are seen to contribute to interprofessional collaboration. Manually-generated reminders delivered on paper: effects on professional practice and patient outcomes. Acute care and elderly home care (Hurlock-Chorostecki et al.. 1 There is emerging evidence that when interprofessional healthcare teams practice collaboratively it can enhance the delivery of person-centred care and lead to improved patient and health systems outcomes. Ultimately, the study highlights that by identifying and investing in the key enablers, health-care organizations can be better prepared to respond to a global crisis. Cochrane Database Syst Rev. Collaborative Practice I | Office of Interprofessional and Where we have focused on professional contributions to interprofessional collaboration, other studies highlight professionals instead defending professional domains and obstructing collaborative working (Hall, Citation2005; Kvarnstrm, Citation2008). Domain 2 Roles/Responsibilities . The first and most prominent category is about bridging gaps (87 fragments; 52,4%). Nurses describe how they anticipate and [] take blood for these tests even if the MR does not say to do so to prevent gaps in service delivery. Studies have shown that interprofessional collaboration in healthcare can help to reduce preventable adverse drug reactions, decrease mortality rates, and optimize medication dosages. Interprofessional Pediatric Case Study- Health Assessment-1 Findings: Future studies should focus on longer acclimatisation periods before evaluating newly implemented IPC interventions, and use longer follow-up to generate a more informed understanding of the effects of IPC on clinical practice. Maslin-Prothero & Bennion, Citation2010; San Martin-Rodriguez et al., Citation2005; Xyrichis & Lowton, Citation2008) do not focus on the topic of this article. official website and that any information you provide is encrypted Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. (Citation2016) describe, for instance, how nurse navigators employ an informal and tactful approach, frequently interacting with others to build and consolidate the network they are involved in. Healthcare professionals such as doctors and nurses are increasingly encouraged to work together in delivering care for patients (Leathard, Citation2003; Plochg, Klazinga, & Starfield, Citation2009). While it is a different setting, lessons can be learned. Rider EA, Chou C, Abraham C, Weissmann P, Litzelman DK, Hatem D, Branch W. BMJ Open. Methods: Mazur A, Tetzlaff B, Mallon T, Hesjedal-Streller B, Wei V, Scherer M, Kpke S, Balzer K, Steyer L, Friede T, Pfeiffer S, Hummers E, Mller C. Age Ageing. Creating spaces for collaboration is closely related to what Noordegraaf (Citation2015) calls organizing. It provided the rationale for this systematic review. Others highlight how the discursive practice of using pronouns we and they constructs a team feel (Kvarnstrm & Cedersund, Citation2006). We are uncertain whether patient-assessed quality of care (1 study, 1185 participants), continuity of care (1 study, 464 participants) or collaborative working (4 studies, 1936 participants) are improved by externally facilitated interprofessional activities, as we graded the evidence as very low-certainty for these outcomes. Grassroots inter-professional networks: The case of organizing care for older cancer patients, The basis of clinical tribalism, hierarchy and stereotyping: A laboratory-controlled teamwork experiment, A model for interdisciplinary collaboration, Achieving teamwork in stroke units: The contribution of opportunistic dialogue, Communication and culture in the surgical intensive care unit: Boundary production and the improvement of patient care, Decision-making in teams: Issues arising from two UK evaluations, Organizing and interpreting unstructured qualitative data, Collaboration: What is it like? First, we observe most studies focus on team settings within hospital care. The interprofessional collaborative practice competencies will be used to analyze the experiences of a member of a healthcare team in this reflection paper. 5 Howick Place | London | SW1P 1WG. We contribute to the literature in three ways. Exploring the self-preparedness of frontline healthcare workers in a low- and middle-income country from a humanitarian context during the COVID-19 pandemic: A constructivist grounded theory study. Care planning and decision-making in teams in Swedish elderly care: a study of interprofessional collaboration and professional boundaries. This is, for instance, observed as professionals print and manually mark information other professionals need to read, thereby setting up an alternative, informal information channel next to existing IT systems (Gilardi et al., Citation2014). sharing sensitive information, make sure youre on a federal Your task. A 2019 study published online in the Journal of Multidisciplinary Healthcare considered communications in a teaching hospital in Australia. In trying to account for this, attention usually lies on external and structural factors such as resources, financial constraints and policies (DAmour et al., Citation2008, p. 2). However, please be aware that we may be unable to locate a site to accept unvaccinated students, whichmay cause a delay or inability to progress and complete the program of study. Bridging is about actively transferring knowledge or information from one professional to another, as well as about making oneself available to others. This resulted in 166 fragments, each describing a distinct action by one or more professionals seen to contribute to interprofessional collaboration. Interprofessional Collaboration Role clarity is a crucial issue for effective interprofessional collaboration. On the other hand, it is also easier to engage in these activities. Second, we describe our research strategy and methods, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA; Liberati et al., Citation2009; see online supplementary material). We labeled them bridging gaps, negotiating overlaps and creating spaces. Third, we present the results of the review. . Some studies also highlight negative effects of professional actions. Consequently, we summarised the study data and presented the results in a narrative format to report study methods, outcomes, impact and certainty of the evidence. All studies have been published in peer-review journals. Table 3. 2015;10(2):91-102. https . Edwards (Citation2011) for instance highlights interprofessional boundaries, but focuses on the active boundary work by which professionals build common knowledge during team meetings. Domain 3 Interprofessional Communication . This is counterintuitive, as teams are seen as close-knit, implying less need to bridge gaps. Inter-professional collaboration of nurses and midwives with physicians Careers. Most point to positive effects to the social functioning of a team or network. What Is Interprofessional Education? - American Speech-Language-Hearing They do so in diverse settings, such as emergency department teams in hospitals, grassroots networks in neighborhood care and within formalized integrated care chains (Atwal & Caldwell, Citation2002; Bagayogo et al., Citation2016). The review presented here provides a starting point for such research efforts. A review of Lin et al.'s pilot study exploring the effects of an interprofessional, problem-based learning clinical ethics curriculum on Taiwanese medical and nursing students' attitudes towards interprofessional collaboration highlights the benefits of interprofessional collaboration and offers insight into how problem-based learning might be universally applied in ethics education. When treating patients together, overlaps become noticeable. Flow diagram of the search strategy. 3099067 Nurses (56 fragments; 33,7%) and physicians (45; 27,1%) provide the majority. These points on methodology are important, thirdly, as they help in furthering theoretical understanding of why professionals behave as they do. Student-led interprofessional global health course: learning impacts during a global crisis. (Citation2016). Within network settings, negotiating overlaps is more prominent than in team settings (35,3% vs. 24,6%). Only four studies use either quantitative methods (social network analysis; Quinlan & Robertson, Citation2013) or multi-method designs, such as a mixed-method experiment design (Braithwaite et al., Citation2016). Clipboard, Search History, and several other advanced features are temporarily unavailable. Frontiers | Determining a common understanding of interprofessional Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity. Studies show how working together can create ambiguous overlaps into who does what, and who is responsible for what. Other professions include dieticians, social workers and pharmacists. Hinesville, GA 31313 Longitudinal faculty development to improve interprofessional collaboration and practice: a multisite qualitative study at five US academic health centres. Interprofessional practice in different patient care settings: A Amir, Scully, and Borrill (Citation2004) show how nurses within breast cancer teams actively manage the bureaucracy as they build up contacts with outside agencies. Study design: We included only empirical studies. Download Full Case Study Speech-Language Pathology and Social Work Students Help Migrant Children With Literacy and Social-Emotional Skills Summary These codes were based on comparing the fragments in our dataset. Moreover, differences exist between collaborative settings and healthcare subsectors. We chose our keywords based on the review of terminology in the literature on interprofessional collaboration by Perrier et al. Interprofessional Collaboration - an overview | ScienceDirect Topics Background: Do multidisciplinary integrated care pathways improve interprofessional collaboration, Examining semantics in interprofessional research: A bibliometric study. The healthcare team member has witnessed effective . Goldman et al. 2018 Sep 11;9(9):CD012472. Objectives: Professionals in healthcare are increasingly encouraged to work together. However, it is unclear how healthcare providers' goals influence the processes and outcomes of interprofessional rounds. The authors have no personal or professional interests as to whether this review shows benefits of practicebased interventions on interprofessional collaboration. The professional role of breast cancer nurses in multi-disciplinary breast cancer care teams, The value of the hospital-based nurse practitioner role: development of a team perspective framework. Our results indicate differences between diverse settings. Case Studies in IPE and the Case for Women's Health Integration - ADEA Permission is granted subject to the terms of the License under which the work was published. Professionals from different professions seem to make different contributions. IPE allows for team-based problem solving and promotes the best thinking of health professionals in offering quality health care [1]. Ironically, though, usage of the phrase 'empirically supported' can cause confusion when used in the context of an interprofessional team. 2013 Mar 28;2013(3):CD002213. Interprofessional collaboration healthcare professionals professionalism systematic review Introduction Healthcare professionals such as doctors and nurses are increasingly encouraged to work together in delivering care for patients (Leathard, 2003; Plochg, Klazinga, & Starfield, 2009 ). Would you like email updates of new search results? Unable to load your collection due to an error, Unable to load your delegates due to an error.

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