Interprofessional collaboration : how is it created and sustained in intermediate care? (original) (raw)
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International journal of nursing studies, 2008
Background The increase in prevalence of long-term conditions in Western societies, with the subsequent need for non-acute quality patient healthcare, has brought the issue of collaboration between health professionals to the fore. Within primary care, it has been suggested that multidisciplinary teamworking is essential to develop an integrated approach to promoting and maintaining the health of the population whilst improving service effectiveness. Although it is becoming widely accepted that no single discipline can provide complete care for patients with a long-term condition, in practice, interprofessionalworking is not always achieved. Objectives This review aimed to explore the factors that inhibit or facilitate interprofessional teamworking in primary and community care settings, in order to inform development of multidisciplinary working at the turn of the century. Design A comprehensive search of the literature was undertaken using a variety of approaches to identify appropriate literature for inclusion in the study. The selected articles used both qualitative and quantitative research methods. Findings Following a thematic analysis of the literature, two main themes emerged that had an impact on interprofessional teamworking: team structure and team processes. Within these two themes, six categories were identified: team premises; team size and composition; organisational support; team meetings; clear goals and objectives; and audit. The complex nature of interprofessional teamworking in primary care meant that despite teamwork being an efficient and productive way of achieving goals and results, several barriers exist that hinder its potential from becoming fully exploited; implications and recommendations for practice are discussed. Conclusions These findings can inform development of current best practice, although further research needs to be conducted into multidisciplinary teamworking at both the team and organisation level, to ensure that enhancement and maintenance of teamwork leads to an improved quality of healthcare provision.
Interprofessional Collaboration
Interprofessional collaboration in the health and social care services has become a commanding force, spear-headed by the Government's modernisation programme to improve partnership. Interprofessional Collaboration highlights the benefits and factors arising from working together for patients, service users and carers through a review of theoretical models illustrated by relevant examples. Discussion of topical problems being faced by practitioners, managers and policy-makers in the health and social care sector covers: • Policy issues from various interprofessional angles, including the place of management, ethical issues and technology • The application of policy to practice in working together across professions, sectors and communities, giving an overview of teamwork, new primary care policies, interprofessional agendas for family support and mental health, as well as users' and carers' perspectives on collaboration in practice • Policy and practice in learning together, including theoretical challenges and developments internationally. Relevant for all those who have an interest in matters of health, social care, welfare and caring, Interprofessional Collaboration provides comprehensive coverage on interprofessional education and policy in the UK and abroad.
Interprofessional Team Collaboration in Health Care
Introduction- Health care is a multifaceted activity which requires health care professionals to work together for the patient or service users in a collaborative way to deliver the desired outcome. Hospitals are complex organisations humming with activities of heterogeneous groups of people such as doctors, nurses, paramedical and administrative staff, all working with a common goal of providing health care to service users (Kaini 2005, p.1). Health care professionals work together in a collaborative manner in various forms. It involves complex interactions between two or more members of different professional disciplines (Reel and Hutchings, 2007, pp.137). In a basic form, health care professionals consult their patients or service users and, each other as required, about the services needed by their service users. In more complex form of care, health care professionals work more closely, identifying together with service users what care services are required, who provides them and what adjustments need to be made to the health care plan and management. WHO (2010) asserts that ‘it is no longer enough for health workers to be professional, in the current global climate, health workers also need to be interprofessional (WHO, 2010, pp.36).
Journal of Interprofessional Education & Practice, 2018
Background: Given the relative newness of primary care interprofessional collaboration, exploration of team members perspectives about their team experience can provide insights about the benefits and detractions of interprofessional collaboration in primary care delivery. Purpose: The purpose of this study was to examine the perceptions of a small interprofessional primary care team. Method: A conventional content analysis was used to examine semi-structured interviews examining the benefits and barriers of interprofessional team work among 10 health professionals on an outpatient care team. Results: Three separate themes emerged from the data: Barriers to Collaboration, Social Support, and Access to Human Capital. Conclusions: Although barriers to interprofessional team work exist within this particular team dynamic, social support emerged as a mediator that buffered negativity, reduced burnout and stress, increased overall work satisfication, provided access to human capital and increased perceptions of improved patient care.
Making Interprofessional Working Work: Introducing a Groupwork Perspective
British Journal of Social Work, 2012
Teams are an established part of organisations and are, by definition, ‘groups’—but the business discourse within which they are conceptualised, and within which teamwork takes place, discounts key aspects of groupwork, essentially related to its values. Hence, we argue, the true potential of teamwork is stifled. This is compounded in relation to interprofessional ‘teams’, by the top-down, prescriptive, policy drivers which have led to their setting-up and because of ‘new managerialism’ embedded in their operation. In other words, they are essentially ‘business’ teams and, as such, constricted. Groupwork, we argue, has the potential, first, to liberate interprofessional teams to function more successfully and hence, second, to deliver better to the service user and, third, we believe, to contribute to reducing the risks of failure in interprofessional working as exhibited in recurring ‘tragedies’. Social workers, with their values, knowledge and training in groupwork, have potentially a special role to play in facilitating interprofessional teamwork. In turn, this role, if they carry it out well, might help improve their status in the interprofessional team, where currently they often feel marginalised.
Journal of Interprofessional Care
Professionals in healthcare are increasingly encouraged to work together. This has acted as a catalyst for research on interprofessional collaboration. Authors suggest developing interprofessional collaboration is not just the job of managers and policy makers; it also requires active contributions of professionals. Empirical understanding of whether professionals make such contributions and if so, how and why, remains fragmented. This systematic review of 64 studies from the past 20 years shows there is considerable evidence for professionals actively contributing to interprofessional collaboration. Although the evidence is limited, we can show they do so in three distinct ways: by bridging professional, social, physical and task-related gaps, by negotiating overlaps in roles and tasks, and by creating spaces to be able to do so. Professionals from different professions seem to make different contributions. Moreover, differences exist between collaborative settings and healthcare subsectors. We conclude by proposing a research agenda to advance our understanding of these contributions in theoretical, methodological and empirical ways.
International journal of nursing studies, 2015
Interprofessional collaboration improves patient care, especially for those patients with complex and/or chronic conditions. Many studies examining collaborative practice in primary care settings have been undertaken, yet identification of essential elements of effective interprofessional collaboration in primary care settings remains obscure. To examine the nature of interprofessional collaboration (including interprofessional collaborative practice) and the key influences that lead to successful models of interprofessional practice in primary care teams, as reported in studies using direct observation methods. Integrative review using Whittemore and Knafl's (2005) five stage framework: problem identification, literature search, data evaluation, data analysis and presentation. Data sources and review method: Primary research studies meeting the search criteria were accessed from MEDLINE, PsycINFO, Scopus, King's Fund and Informit Health Collection databases, and by hand-sea...