interprofessional collaboration case studies
To learn about our use of cookies and how you can manage your cookie settings, please see our Cookie Policy. Transforming medical professionalism to fit changing health needs. 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 its . Baker C. Development of accreditation standards for interprofessional education: a Canadian Case Study. 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). A case study of healthcare providers' goals during interprofessional rounds Daily interprofessional rounds enhance collaboration among healthcare providers and improve hospital performance measures. Interprofessional collaboration is often defined within healthcare as an active and ongoing partnership between professionals from diverse backgrounds with distinctive professional cultures and possibly representing different organizations or sectors working together in providing services for the benefit of healthcare users (Morgan, Pullon, & McKinlay, Citation2015). This is counterintuitive, as teams are seen as close-knit, implying less need to bridge gaps. Authors suggest developing interprofessional collaboration is not just the job of managers and policy makers; it also requires active contributions of professionals. Welcome to the 2022 Interprofessional Cross-Campus Collaborative Case. An increasing number of studies indeed focus on how professionals act on the challenges of collaborative working (Franzn, Citation2012; Gilardi, Guglielmetti, & Pravettoni, Citation2014). Wolfenden L, Goldman S, Stacey FG, Grady A, Kingsland M, Williams CM, Wiggers J, Milat A, Rissel C, Bauman A, Farrell MM, Lgar F, Ben Charif A, Zomahoun HTV, Hodder RK, Jones J, Booth D, Parmenter B, Regan T, Yoong SL. Others highlight how the discursive practice of using pronouns we and they constructs a team feel (Kvarnstrm & Cedersund, Citation2006). The second author acknowledges funding of NWO Grant 016.VIDI.185.017. 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. While it is a different setting, lessons can be learned. The fragments in this category show professionals actively overcoming gaps between themselves and other professionals. National Library of Medicine Domain 2 Roles/Responsibilities . Moreover, differences exist between collaborative settings and healthcare subsectors. Do multidisciplinary integrated care pathways improve interprofessional collaboration? Hinesville, GA 31313 . The same seems to be true for different sectors within healthcare. And also, as several studies highlight possible undesired or even counterproductive effects. 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. We coded relevant fragments from the included studies. Objectives: Hum Resour Health. Interview data from each participant were analyzed via . This led to the inclusion of 64 studies. Two case studies are included that illustrate how nursing teams can enhance communication during a pandemic. 2009 Jul 8;(3):CD000072. Learning activities to develop interprofessional collaboration align with goals for professional preparation to improve health outcomes. See this image and copyright information in PMC. The interprofessional collaborative practice competencies will be used to analyze the experiences of a member of a healthcare team in this reflection paper. For an indicative analysis of effects, we related the stated effects by authors (if any) to our three categories presented above. Download Full Case Study Speech-Language Pathology and Social Work Students Help Migrant Children With Literacy and Social-Emotional Skills Summary Van Wijngaarden, de Bont, and Huijsman (Citation2006) observe how professionals within networks for rehabilitation care actively set up and redefine referral criteria. Firstly, studies have been published in a wide range of research domains highlighting the fragmented knowledge. Your task. Did you know that with a free Taylor & Francis Online account you can gain access to the following benefits? These competencies include communication, roles and duties, values and ethics, interprofessional partnerships, teams and teamwork. This resulted in 166 fragments, each describing a distinct action by one or more professionals seen to contribute to interprofessional collaboration. Lingard et al. Please enable it to take advantage of the complete set of features! Most of the effects that are stated are inferred by researchers as opposed to conclusions based on empirical data. A problem-based case study approach can offer formal and informal learning interactions that promote information exchange and collaborative practice. IPE allows for team-based problem solving and promotes the best thinking of health professionals in offering quality health care [1]. Patient-mediated interventions to improve professional practice. 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. It requires closer scrutiny as it would mean stimulating more collaboration is not always a good thing. Duner A. Epub 2020 Jul 16. Healthcare (sub)sectors represented in review. Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Cochrane Database Syst Rev. 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. Grassroots inter-professional networks: the case of organizing care for older cancer patients, Hybrid professionalism and beyond: (New) Forms of public professionalism in changing organizational and societal contexts, Inter-professional Barriers and Knowledge Brokering in an Organizational Context: The Case of Healthcare, Interdisciplinary Health Care Teamwork in the Clinic Backstage, Interprofessional collaboration and family member involvement in intensive care units: emerging themes from a multi-sited ethnography, Leadership as boundary work in healthcare teams, Leadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHS, Nurse practitioner interactions in acute and long-term care: an exploration of the role of knotworking in supporting interprofessional collaboration, Organized professionalism in healthcare: articulation work by neighbourhood nurses, Patient-Reported Outcomes as a Measure of Healthcare Quality, Pulling together and pulling apart: influences of convergence and divergence on distributed healthcare teams, Reeves/Interprofessional Teamwork for Health and Social Care, Sensemaking: a driving force behind the integration of professional practices. Cochrane Database Syst Rev. Five studies (7,8%) focus on multiple cases within different subsectors (Table 2). Brus IM, Spronk I, Haagsma JA, Erasmus V, de Groot A, Olde Loohuis AGM, Bronner MB, Polinder S. BMC Health Serv Res. Creating spaces for collaboration is closely related to what Noordegraaf (Citation2015) calls organizing. 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. All fragments could be clustered in one of these categories. We assessed four studies to be at high risk of attrition bias and an equal number of studies to be at high risk of detection bias.For studies comparing an IPC intervention with usual care, functional status in stroke patients may be slightly improved by externally facilitated interprofessional activities (1 study, 464 participants, low-certainty evidence). 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. 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%). This year in Collaborative Practice I, approximately 530 health and social work students from eight professions work with 77 partner organizations in 82 interprofessional teams to complete 68 community-based projects focused on health and well-being. Field of study: Studies are conducted within healthcare. This concept was not yet linked empirically to settings of interprofessional collaboration, although this relation has been theorized (Noordegraaf & Burns, Citation2016). The authors have no personal or professional interests as to whether this review shows benefits of practicebased interventions on interprofessional collaboration. Figure 2. The healthcare team member has witnessed effective . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The increasing number of interprofessional practices has led to a sharp rise in academic interest in the subject of interprofessional collaboration (Paradis & Reeves, Citation2013). Institute for Operations Research and the Management Sciences (INFORMS), Source: 2020 Sep-Oct;34(5):682-686. doi: 10.1080/13561820.2020.1791809. Healthcare professionals such as doctors and nurses are increasingly encouraged to work together in delivering care for patients (Leathard, Citation2003; Plochg, Klazinga, & Starfield, Citation2009). We included randomised trials of practice-based IPC interventions involving health and social care professionals compared to usual care or to an alternative intervention. One of these collaborations is the collaboration of nurses and midwives with physicians. 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. The concept of interprofessional education (IPE) is as an essential combination of knowledge, attitudes, values, skills, and behaviors that make up collaborative practice. 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). 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. Interprofessional collaboration involves a continuous interaction and knowledge sharing between professionals that will help improve patient care and outcomes. Multidisciplinary care of epidermolysis bullosa during the COVID-19 pandemic-Consensus: Recommendations by an international panel of experts. Studies have shown that interprofessional collaboration in healthcare can help to reduce preventable adverse drug reactions, decrease mortality rates, and optimize medication dosages. Unable to load your collection due to an error, Unable to load your delegates due to an error. Whereas studies on interprofessional collaboration within the field of medicine and healthcare are sometimes criticized for their lack of conceptual and theoretical footing (Reeves & Hean, Citation2013), studies within (public) management and organizational sciences are heavily conceptualized. Further research is needed to understand the differences in collaborative work between contexts. 2018 Sep 11;9(9):CD012472. Abbott, Citation1988) will have to be reconciled with the empirical evidence in this review. 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. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. 3. Table 3. This empirical work is embedded in different research fields. We conclude by proposing a research agenda to advance our understanding of these contributions in theoretical, methodological and empirical ways. 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 ). 2020 Sep-Oct;34(5):583-586. doi: 10.1080/13561820.2020.1807481. Thomas Jefferson University Case Studies Initial home visit by multiple professionals for older woman with diabetes, CHF and frequent falls from Thomas Jefferson University. 2020 Oct;83(4):1222-1224. doi: 10.1016/j.jaad.2020.06.1023. Currie and White (Citation2012) observe how nurses liaise with other professionals through actively relaying medical information. 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). Figure 4. There is limited information on how the barriers to interprofessional collaboration (IPC) across various professionals, organizations, and care facilities influence the health and welfare of older adults. 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. +. Interprofessional collaborative care skills for the frontline nurse. An official website of the United States government. Before Sylvain and Lamothe (Citation2012) show that professionals in mental health commonly create a treatment protocol that described specific treatment steps. Ferruccio Pelone: none known Reema Harrison: none known Joanne Goldman: none known Merrick Zwarenstein: none known. The first type of gap exists between professional perspectives. The main objective of this study was to assess interprofessional collaboration of nurses and midwives with physicians and associated factors at Jimma University . 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. . Cochrane Database Syst Rev. doi: 10.1002/14651858.CD012472.pub2. We grouped effects into two categories: effects on interprofessional collaboration itself and effects on patient care. For interprofessional collaboration to be successfully integrated into older peoples' health and social care, in Ireland there is a need for a co-designed competency framework to support the development of the health service workforce for integrated care of older people (Cameron et al., Citation 2014; Schmitt et al., Citation 2011). 3099067 These codes were based on comparing the fragments in our dataset. Before 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. The last type of gap that is bridged is about task divisions. 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. (Citation2014) show how nurses in emergency departments act as memory keepers for overburdened physicians, giving them cues when they are forgetting something. We compared the general picture with fragments from hospital care, primary and neighborhood care (including youth care), mental care and cross-sectoral collaborations (Figure 4). Interprofessional collaboration (IPC) is integral to the quality, equity, justice, and safety of healthcare (1)(2)(3). An overview of all 64 studies is provided as online supplementary material. Two review authors independently assessed the eligibility of each potentially relevant study. This case study is a testament to how direct patient care makes a huge difference when it comes to patient care. At this time, we expect that these new requirements may significantlyimpact our ability to locate a placement for students whoremain unvaccinated. Comparison of data between collaborative settings. Cochrane Database Syst Rev. Cited by lists all citing articles based on Crossref citations.Articles with the Crossref icon will open in a new tab. Stated effects on interprofessional collaboration and patient care. Nugus and Forero (Citation2011) also highlight the way professionals constantly negotiate issues of patient transfers, as decisions must be made about where patients have to go to. Within network settings, negotiating overlaps is more prominent than in team settings (35,3% vs. 24,6%). (Citation2016, p. 895) conclude that the way professionals actively consult others (a form of bridging professional gaps) results in experiences of collaborative, high-quality care. Third, we present the results of the review. Feasibility of a self-administered survey to identify primary care patients at risk of medication-related problems. However, in our data, bridging is to be distinguished from adapting. Bridging gaps has close connotations with the concept of boundary spanning (Williams, Citation2002). Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine. bridge gaps) or to negotiate ways of working. Or how and why are adequate governance arrangements created and responsibilities rearranged? Methods: 2023 Mar 27;11:1043050. doi: 10.3389/fpubh.2023.1043050. This case collaborative provides you with the opportunity to work in an interprofessional team of students from different health and social care professions. Authors Tracy Levett-Jones 1 , Teresa Burdett 2 , Yeow Leng Chow 3 , Lisbeth Jnsson 4 , Kathie Lasater 5 , Launa Rae Mathews 6 , Margaret McAllister 7 , Alison Pooler 8 , Stephen Tee 9 , Jonas Wihlborg 4 Affiliations Acute care and elderly home care (Hurlock-Chorostecki et al.. We use cookies to improve your website experience. The site is secure. The first and most prominent category is about bridging gaps (87 fragments; 52,4%). When treating patients together, overlaps become noticeable. All studies have been published in peer-review journals. 912-478-4636, 11935 Abercorn Street Objectives: Bookshelf 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). 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. People also read lists articles that other readers of this article have read. 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. (. Below we discuss each category and provide examples for each of them. Studies predominantly focus on physicians and nurses, and results show active albeit different efforts by both professional groups. Dental service patterns among private and public adult patients in Australia. official website and that any information you provide is encrypted 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). Findings: The data provide some evidence that collaborating requires different efforts by professionals involved within either teams or network settings, as well as within different subsectors. This provides several opportunities for further research. Statesboro, GA 30458 912-478-4636, 175 West Memorial Drive A literature review. Bethesda, MD 20894, Web Policies The final category of professional actions is about how professionals create spaces (34 fragments; 20,5%). Much of healthcare is a waiting game. 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. These were read in full and screened on eligibility criteria. Interventions that address IPC problems have the potential to improve professional practice and healthcare outcomes. 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. Informal workarounds for bureaucratic information channels can, for example, present privacy risks or loss of information (Gilardi et al., Citation2014). Epub 2020 Aug 24. Clarke (Citation2010) similarly reports on professionals actively expressing and checking opinions, making compromises, bargains and trades about workload issues. How does, for instance, an internalized awareness among professionals emerge? 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 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). Accessibility Search methods: Interprofessional Case Study 001 (PDF) Individual and Team Work-Up (PDF) Case 001: A Case for Improvement Video; Case 001: Best Practices Video; . This section analyses our findings. These findings have implications for the importance of interprofessional collaboration in supporting family-centered emergency preparedness for families of children with disabilities. Prerequisites, barriers and opportunities in care for Q-fever patients: a Delphi study among healthcare workers. 2023 Mar 16;23(1):166. doi: 10.1186/s12909-023-04116-4. Background: These arrangements can be absent or do not always suffice. Comparison of data between (sub)sectors in healthcare. Are we all on the same page? Data collection and analysis: By this, authors argue for a focus on the actions of the actors involved in collaborative processes to understand these processes. This is evidenced by the high number of actions for which no effect is named (106; 63,9%). 2023 Mar 31;23(1):319. doi: 10.1186/s12913-023-09269-y. Other professions include dieticians, social workers and pharmacists. The review presented here provides a starting point for such research efforts. Studies show how working together can create ambiguous overlaps into who does what, and who is responsible for what. 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. Nurs Clin North Am. Our search strategy consists of four elements. Primary and neighborhood care seem to demand mostly negotiating behaviors. To cope with this, we used a broad search strategy, including multiple search terms that are often used within the literature, combined with the eligibility criteria presented above. We searched CENTRAL (2015, issue 11), MEDLINE, CINAHL, ClinicalTrials.gov and WHO International Clinical Trials Registry Platform to November 2015. We use interprofessional collaboration as an ideal typical state that can be distinguished from other forms of working together (Reeves, Lewin, Espin, & Zwarenstein, Citation2010). 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). - Phenomenological interpretation of the experience of collaborating within rehabilitation teams, Attitudes of health sciences faculty members towards interprofessional teamwork and education, Inter-professional barriers and knowledge brokering in an organizational context: The case of healthcare, A model and typology of collaboration between professionals in healthcare organizations, Navigating relationships : Nursing teamwork in the care of older adults, Innovation in the public sector: A systematic review and future research agenda, Teamwork on the rocks: Rethinking interprofessional practice as networking, Building common knowledge at the boundaries between professional practices: Relational agency and relational expertise in systems of distributed expertise, Interdisciplinary health care teamwork in the clinic backstage, Unfolding practices : A sociomaterial view of interprofessional collaboration in health care, Dissonant role perception and paradoxical adjustments: An exploratory study on medical residents collaboration with senior doctors and head nurses, Boundary work of dentists in everyday work, Interprofessional team dynamics and information flow management in emergency departments, Medical residents and interprofessional interactions in discharge: An ethnographic exploration of factors that affect negotiation, A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning, Are we all on the same page? 2015;10(2):91-102. https . The second type of gap professionals are observed to bridge is social. Stuart (Citation2014, p. 9) reports on how professionals show political astuteness by knowing when it was appropriate to move forward by going directly to the board. Fourth, we asked four experts on interprofessional collaboration, public management and healthcare management to provide us with additional studies. As these actions are observed to contribute to collaboration, they should not be interpreted as defensive actions to safeguard medical dominance (Svensson, Citation1996). 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 . Manually scanning the many abstracts and full texts could have induced subjectivity. All studies have been conducted in Western countries, primarily Canada (23; 35,9%) and the UK (19; 29,7%) and are single-country studies. Background: 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. It is important for the literature on interprofessional collaboration and education to be attuned to this. Two case studies are included that illustrate how nursing teams can enhance communication during a pandemic. 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. We left these fragments out of our analysis here. Through We chose our keywords based on the review of terminology in the literature on interprofessional collaboration by Perrier et al. Overall, the numbers are fairly comparable (see Figure 3). Manually-generated reminders delivered on paper: effects on professional practice and patient outcomes.
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