interprofessional collaboration case studies
Neverthess, due to the difficulties health professionals encounter when collaborating in clinical practice, it is encouraging that research on the number of interventions to improve IPC has increased since this review was last updated. Duner A. 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. This figure shows physicians to be more engaged in negotiating overlaps (40,0% out of the total of their fragments) than nurses (14,3%). Interprofessional collaboration involves a continuous interaction and knowledge sharing between professionals that will help improve patient care and outcomes. 2023 Mar 1;52(3):afad022. HHS Vulnerability Disclosure, Help One study compared one type of interprofessional meeting with another type of interprofessional meeting. All studies were conducted in high-income countries (Australia, Belgium, Sweden, UK and USA) across primary, secondary, tertiary and community care settings and had a follow-up of up to 12 months. Skip to document. Building on this conceptualization, thirdly, our article provides an empirically informed research agenda. The first overlap professionals are observed to negotiate is between work roles and responsibilities in general. Almost all studies make use of a qualitative research design (Table 1). Objectives: Our results indicate differences between diverse settings. 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). For instance, Conn et al. 2 - 4 In an effort Bethesda, MD 20894, Web Policies Federal government websites often end in .gov or .mil. For instance, Hall, Slembrouck, Haigh, and Lee (Citation2010) conclude negotiating roles has a positive effect on the working relations between them. Even though the chosen case study of the older adult was slightly different in each group, both groups came up with similar aspects related to human, organisation, and technology. In building a cancer care network, Bagayogo et al. Ironically, though, usage of the phrase 'empirically supported' can cause confusion when used in the context of an interprofessional team. . Author deceased; [declarations of interest if provided before the author died, 'Risk of bias' graph: review authors' judgements about each risk of bias item presented, 'Risk of bias' summary: review authors' judgements about each risk of bias item for, MeSH Interprofessional education: effects on professional practice and healthcare outcomes (update). We bring evidence together under three conceptual categories: bridging gaps, negotiating overlaps and creating spaces. Download Full Case Study Speech-Language Pathology and Social Work Students Help Migrant Children With Literacy and Social-Emotional Skills Summary Institute for Operations Research and the Management Sciences (INFORMS), Source: Children with disabilities and disaster preparedness: a case study of Christchurch. Working interprofessionally implies an integrated perspective on patient care between workers from different professions involved. Firstly, literature on collaborative processes within and between organizations (Gray, Citation1989) shows that to understand how collaboration occurs and why it works out or not, it is important to pay attention to the doing of collaboration (Thomson & Perry, Citation2006). Interprofessional Case Studies Competency: Collaboration Learning Objectives Depending on the goals of the case study, the instructor may choose one or more of the learning objectives. Secondly, regarding methodology, almost all studies in this review employ a qualitative, often single-case, design. In the next sections, we analyze whether differences can be observed between professions, collaborative settings and sectors in the way professionals contribute to interprofessional collaboration. 8600 Rockville Pike In 2011, the Interprofessional Education Collaborative (IPEC) released a report titled "Core Competencies for Interprofessional Collaborative Practice," which called for interprofessional skills to be included as a core competency for health professions students [10]. IPE has been promoted by a number of international health organisations, as part of a redesign of healthcare systems to promote interprofessional teamwork, to enhance the quality of patient care, and improve health outcomes . Increasing evidence suggests that the notion of teamwork is often not adequate to describe empirical collaborative practices. Also, quantitative survey methods and experiments can be used to build on the qualitative insights existing studies have highlighted. A third comparison was made between subsectors in healthcare. Findings: While this field is developing, further rigorous, mixed-method studies are required. 2020 Oct;83(4):1222-1224. doi: 10.1016/j.jaad.2020.06.1023. Brus IM, Spronk I, Haagsma JA, Erasmus V, de Groot A, Olde Loohuis AGM, Bronner MB, Polinder S. BMC Health Serv Res. It shows how it is possible to re-adjust roles and responsibilities if this is needed. Multiple studies use the concept of emotion work (Timmons & Tanner, Citation2005) to describe these behaviors. These gaps differ in nature. Would you like email updates of new search results? doi: 10.1002/14651858.CD000072.pub2. By closing this message, you are consenting to our use of cookies. Studies predominantly focus on physicians and nurses, and results show active albeit different efforts by both professional groups. Interview data from each participant were analyzed via . (Citation2016). Data collection and analysis: Negotiating overlaps in roles and tasks is related to perspectives on healthcare delivery as a negotiated order (Svensson, Citation1996). First, this review adds overview to the fast-growing field of interprofessional collaboration. Third, we analyze what data are available on the effects of professional contributions. The fragments in this category show professionals actively overcoming gaps between themselves and other professionals. As these actions are observed to contribute to collaboration, they should not be interpreted as defensive actions to safeguard medical dominance (Svensson, Citation1996). (Citation2012, p. 875) highlight how decision making in a hospital core transplant team is a process of negotiation by drawing together threads of expertise and authority. Registered in England & Wales No. Secondly, a similar argument is made by authors in the study of professional work (Noordegraaf, Citation2015). sharing sensitive information, make sure youre on a federal Studies show how working together can create ambiguous overlaps into who does what, and who is responsible for what. 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. (. Nurses (56 fragments; 33,7%) and physicians (45; 27,1%) provide the majority. Did you know that with a free Taylor & Francis Online account you can gain access to the following benefits? Bridging is about actively transferring knowledge or information from one professional to another, as well as about making oneself available to others. Savannah, GA 31419 Amir, Scully, and Borrill (Citation2004) show how nurses within breast cancer teams actively manage the bureaucracy as they build up contacts with outside agencies. Interprofessional collaborative care skills for the frontline nurse. The authors have no personal or professional interests as to whether this review shows benefits of practicebased interventions on interprofessional collaboration. Qi Y. Reflections from an interprofessional education experience: evidence for the core competencies for interprofessional collaborative practice. Other professions include dieticians, social workers and pharmacists. Before COVID-19; eHealth; huddle; interprofessional communication; pandemic. . government site. Interprofessional collaboration is therefore to be positioned as an ideal typical way of working together that can occur within multiple settings in different ways (Reeves, Xyrichis, & Zwarenstein, Citation2017). Also, Gilardi et al. Existing reviews (e.g. 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). Interprofessional collaboration (IPC) is integral to the quality, equity, justice, and safety of healthcare (1)(2)(3). Unable to load your collection due to an error, Unable to load your delegates due to an error. We extracted data from the included studies and assessed the risk of bias of each study. We grouped effects into two categories: effects on interprofessional collaboration itself and effects on patient care. Accessibility This often requires translating this information from one professional jargon to another (Dahlke & Fox, Citation2015). Healthcare professionals' adherence to recommended practices may be slightly improved with externally facilitated interprofessional activities or interprofessional meetings (3 studies, 2576 participants, low certainty evidence). PMC Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev. Healthcare professionals such as doctors and nurses are increasingly encouraged to work together in delivering care for patients (Leathard, Citation2003; Plochg, Klazinga, & Starfield, Citation2009). 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. Secondly, data in our review highlights how professionals also negotiate overlaps during individual care processes. Similarly, physicians are observed to take over tasks of nurses in crisis situations (Reeves et al., Citation2015). 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. Table 2. Please enable it to take advantage of the complete set of features! Findings: To improve communication during a pandemic, clinicians can incorporate interprofessional communication models in clinical practice and apply enhanced communication strategies. Lastly, we analyze how studies in our review report on the effects of professional contributions to interprofessional collaboration. Many of the clinical programs offered by the Waters College of Health Professions require a clinical internship or practicum experience to fulfill degree requirements. This review highlights a consensual side of this negotiated order. Or how and why are adequate governance arrangements created and responsibilities rearranged? Waters College of Health Professions chp@georgiasouthern.edu, Armstrong Campus: Dept #4073 11935 Abercorn Street Savannah, GA Tel: 912-344-2565, Statesboro Campus: PO Box 8073 Statesboro, GA Tel: 912-478-5322 Fax: 912-478-5349, 1332 Southern Drive 2023 Mar 31;23(1):319. doi: 10.1186/s12913-023-09269-y. The https:// ensures that you are connecting to the J Am Acad Dermatol. Bridging might point to their central position in information flows within collaborative settings (Hurlock-Chorostecki, Forchuk, Orchard, Reeves, & Van Soeren, Citation2013). Studies deal with actions of professionals that are seen to contribute to interprofessional collaboration. The Journal of Interprofessional Care is the most prominent journal with 16 articles (25,0%). In doing so, we also focus on differences between professions and specific collaborative contexts, and on evidence of the effects of their contributions. This is relevant, as research emphasis has mostly been on fostering interprofessional collaboration as a job for managers, educators and policy makers (Atwal & Caldwell, Citation2002; Valentijn et al., Citation2013). After fall at home, emergency hospitalization, surgery and post-op care from Thomas Jefferson University. Cited by lists all citing articles based on Crossref citations.Articles with the Crossref icon will open in a new tab. Third, we present the results of the review. 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. As always, WCHP will continue to make every effort to place students at clinical sites. Rider EA, Chou C, Abraham C, Weissmann P, Litzelman DK, Hatem D, Branch W. BMJ Open. 912-478-4636, 11935 Abercorn Street To request a reprint or commercial or derivative permissions for this article, please click on the relevant link below. Hospital care and cross-sectoral settings primarily seem to demand bridging gaps. For more information please visit our Permissions help page. Professionals are firstly observed creating space in relation to external actors such as managers and other institutions (Nugus & Forero, Citation2011). However, such contributions by professionals have not yet received adequate academic attention (Nugus & Forero, Citation2011; Tait et al., Citation2015, see also Barley & Kunda, Citation2001). Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Working on working together. 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. Selection criteria: See this image and copyright information in PMC. Our results also indicate contributing to interprofessional collaboration is multifaceted. We adhered to a step-by-step approach of modifying and rearranging categories until a satisfactory system emerged (Cote et al., Citation1993). This provides several opportunities for further research. This article provides a framework for ways in which nursing teams can develop evidence-based enhanced interprofessional communication systems during a pandemic. This emphasis on external and managerial influences to understand the development of interprofessional collaboration can be questioned.
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