interprofessional collaboration case studies

To cope with diverse conceptualizations during the coding process, we used an inductive coding strategy (Cote, Salmela, Baria, & Russel, Citation1993). J Interprof Care 2013;27(2):194-196. Therefore, possible eligible studies were re-examined after an extended period to reduce this risk. 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). While this field is developing, further rigorous, mixed-method studies are required. IPE allows for team-based problem solving and promotes the best thinking of health professionals in offering quality health care [1]. (2011). Start treatment faster. An official website of the United States government. A better understanding of their collaborative work is needed to understand the dynamics and evolution of interprofessional collaboration. Lastly, the effects of professional contributions to interprofessional collaboration require more research attention, as this is not yet sufficiently focused on empirically. Almost all studies make use of a qualitative research design (Table 1). editions of the guideline rightfully underscore and acknowledge the role of interprofessional collaboration and communication in the delivery of . Although the evidence is limited and fragmented, the 64 studies in this review show professionals are observed to contribute in at least three ways: by bridging multiple types of gaps, by negotiating overlaps in roles and tasks, and by creating spaces to do so. This resulted in 166 fragments, each describing a distinct action by one or more professionals seen to contribute to interprofessional collaboration. Please enable it to take advantage of the complete set of features! In this line of reasoning, organizing service delivery is not just a task for managers or policy makers, it can also be interpreted as an inherent part of professional service delivery itself, as something professionals themselves will have to deal with. Our results also indicate contributing to interprofessional collaboration is multifaceted. The first and most prominent category is about bridging gaps (87 fragments; 52,4%). Secondly, regarding methodology, almost all studies in this review employ a qualitative, often single-case, design. 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. Most are descriptive in nature and have not included effects in their studies focus and design. Professionals are firstly observed creating space in relation to external actors such as managers and other institutions (Nugus & Forero, Citation2011). Interprofessional collaboration (IPC) is integral to the quality, equity, justice, and safety of healthcare (1)(2)(3). The Ethics and Value of True Interprofessionalism Third, we present the results of the review. Discursive patterns in multiprofessional healthcare teams. We included all empirical research designs. Interprofessional Collaboration - an overview | ScienceDirect Topics Our review brings forward professionals actively dealing with these demands, looking for ways to cope with barriers to collaboration and with problems that emerge as they collaborate. 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. This is evidenced by the high number of actions for which no effect is named (106; 63,9%). Unable to load your collection due to an error, Unable to load your delegates due to an error. These findings have implications for the importance of interprofessional collaboration in supporting family-centered emergency preparedness for families of children with disabilities. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). For instance, Conn et al. Clarke (Citation2010) similarly reports on professionals actively expressing and checking opinions, making compromises, bargains and trades about workload issues. Bridging the gap, how interprofessional collaboration can support A problem-based case study approach can offer formal and informal learning interactions that promote information exchange and collaborative practice. Welcome to the 2022 Interprofessional Cross-Campus Collaborative Case. Interprofessional Pediatric Case Study- Health Assessment-1 This led to the inclusion of 64 studies. 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? 2020 Oct;83(4):1222-1224. doi: 10.1016/j.jaad.2020.06.1023. These were read in full and screened on eligibility criteria. Federal government websites often end in .gov or .mil. Much of healthcare is a waiting game. Cochrane Database Syst Rev. Learning activities to develop interprofessional collaboration align with goals for professional preparation to improve health outcomes. We labeled them bridging gaps, negotiating overlaps and creating spaces. Moreover, differences exist between collaborative settings and healthcare subsectors. Within network settings, negotiating overlaps is more prominent than in team settings (35,3% vs. 24,6%). However, such contributions by professionals have not yet received adequate academic attention (Nugus & Forero, Citation2011; Tait et al., Citation2015, see also Barley & Kunda, Citation2001). In doing so, we also focus on differences between professions and specific collaborative contexts, and on evidence of the effects of their contributions. We coded relevant fragments from the included studies. 912-877-1906, Accreditation / Sitemap / Privacy / Ethics Hotline / Open Records / Human Trafficking Notice / Equal Opportunity & Title IX / University System of Georgia, Get to Know the Waters College of Health Professions, Interprofessional Health Professions Collaboration, College of Behavioral and Social Sciences, Jack N. Averitt College of Graduate Studies, Interprofessional Associations and Conferences, Magnolia Coastlands Area Health Education Center, RiteCare Center for Communication Disorders, Center for Rehabilitation and Independent Living, IPHCC Interprofessional Teamwork Film Clips, IPHCC-Learning Opportunities and Resources, About Biodynamics and Human Performance Center, Student Diversity and Inclusion Resources, Diversity and Inclusion Teaching and Instruction Resources. Figure 4. Study design: We included only empirical studies. Main results: Comparison of data between collaborative settings. This often requires translating this information from one professional jargon to another (Dahlke & Fox, Citation2015). We contribute to the literature in three ways. (2021 . This has acted as a catalyst for research on interprofessional collaboration. Having a diverse group of healthcare professionals engaged in IPC with different backgrounds, insights and perspectives increases the chances of generating unique and innovative solutions to challenges that often arise with regards to care quality in clinical practice. Flow diagram of the search strategy. The University is aware of recentfederal requirements that would mandate vaccination against COVID-19 for those working in certain settings, including health care. The interprofessional team completed individual assessments, discussed results, and made recommendations for Sam and the family. First, we observe most studies focus on team settings within hospital care. Unauthorized use of these marks is strictly prohibited. In these cases, professionals are observed to create new arrangements. Are we all on the same page? 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). Ironically, though, usage of the phrase 'empirically supported' can cause confusion when used in the context of an interprofessional team. This should not be seen as a mere burden complicating professional work. 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. In this paper we report on a systematic review (Cooper, Citation2010) with the aim to take stock of the available yet disjointed empirical knowledge base on active contributions by healthcare professionals to interprofessional collaboration. on families and vacations) and professional troubles talk (e.g. These points on methodology are important, thirdly, as they help in furthering theoretical understanding of why professionals behave as they do. Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity. Also, quantitative survey methods and experiments can be used to build on the qualitative insights existing studies have highlighted. Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Working on working together. 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). We performed the following search: One of the following: [interprofessional], [inter-professional], [multidisciplinary], [interdisciplinary], [interorganizational], [interagency], [inter-agency], AND, One of the following: [collaboration], [collaborative practice], [cooperation], [network*], [team*], [integrat*], AND, One of the following: [healthcare], [care], AND. As these actions are observed to contribute to collaboration, they should not be interpreted as defensive actions to safeguard medical dominance (Svensson, Citation1996). 912-478-4636, 11935 Abercorn Street All studies have been published in peer-review journals. This publication presents 6 case studies on interprofessional education and collaborative practice from Brazil, Canada, India, South Africa and the USA. The CLARION Case Competition, originally founded by health professional students at the University of Minnesota, A discourse analysis of interprofessional collaboration, The management of professional roles during boundary work in child welfare, Interprofessional teamwork: Professional cultures as barriers, Invisible work, invisible skills: Interactive customer service as articulation work, Developing interprofessional collaboration: A longitudinal case of secondary prevention for patients with osteoporosis, The value of the hospital-based nurse practitioner role: Development of a team perspective framework, *Hurlock-Chorostecki, C., Van Soeren, M., MacMillan, K., Sidani, S., Donald, F. & Reeves, S. (. We searched CENTRAL (2015, issue 11), MEDLINE, CINAHL, ClinicalTrials.gov and WHO International Clinical Trials Registry Platform to November 2015. Secondly, nurses are observed to be more strongly engaged in bridging gaps (67,9% out of the total of their fragments) than physicians (42,2%). Technology-based interprofessional collaboration in primary care for Figure 3. Interventions that address IPC problems have the potential to improve professional practice and healthcare outcomes. Further research is needed to understand the differences in collaborative work between contexts. By inductive coding of fragments, three distinct categories emerged from the dataset. 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 . The goal of interprofessional education (IPE) is to improve the quality of health care by engaging students in learning experiences that teach the core competencies of IPE: 1) values and ethics; 2) roles and responsibilities for collaborative practice; 3) interprofessional communication; and 4) teamwork and team-based care. These arrangements can be absent or do not always suffice. We grouped effects into two categories: effects on interprofessional collaboration itself and effects on patient care. How does, for instance, an internalized awareness among professionals emerge? Authors' conclusions: An Integrative Review of Interprofessional Collaboration in Health Care 'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study, based on EPOC methods. Abbott, Citation1988) will have to be reconciled with the empirical evidence in this review. At this time, we expect that these new requirements may significantlyimpact our ability to locate a placement for students whoremain unvaccinated. We use cookies to improve your website experience. Care planning and decision-making in teams in Swedish elderly care: a study of interprofessional collaboration and professional boundaries. Van Wijngaarden, de Bont, and Huijsman (Citation2006) observe how professionals within networks for rehabilitation care actively set up and redefine referral criteria. Challenges to Interprofessional Education: will e-Learning be the This section analyses our findings. The review presented here provides a starting point for such research efforts. Second, we develop a conceptualization of professional contributions through inductively analyzing our review data. Most of the stated effects (Table 3) focus on collaborating itself. Core Competency Domains for . Most of these use (informal) interview and observational data. Building on this conceptualization, thirdly, our article provides an empirically informed research agenda. PMC This declaration of interest was provided before the author died. We focus on the research question: in what ways and why do healthcare professionals contribute to interprofessional collaboration? An overview of all 64 studies is provided as online supplementary material. Written Case Studies | Waters College of Health Professions Most point to positive effects to the social functioning of a team or network. Would you like email updates of new search results? We handsearched relevant interprofessional journals to November 2015, and reviewed the reference lists of the included studies. First, we describe the ways in which professionals are observed to contribute to interprofessional collaboration. The https:// ensures that you are connecting to the We included nine studies in total (6540 participants); six cluster-randomised trials and three individual randomised trials (1 study randomised clinicians, 1 randomised patients, and 1 randomised clinicians and patients). It underlines the importance of studying daily practices of professionals in effecting change through mundane, everyday work such as bridging gaps, negotiating overlaps and creating spaces. Interprofessional collaborative care skills for the frontline nurse. Another example shows how nurses translate medical instructions from physicians for other nurses, patients and allied health professionals by making medical language and terms understandable (Williamson, Twelvetree, Thompson, & Beaver, Citation2012).
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