interprofessional collaboration case studies

Bookshelf Search methods: First, we conducted electronic database searches of Scopus and Web of Science (January May 2017) and Medline (May 2019). 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. Percentage comparison of data on nurses and physicians. Informal workarounds for bureaucratic information channels can, for example, present privacy risks or loss of information (Gilardi et al., Citation2014). Most common are journals within the fields of healthcare management (26; 40,6%), nursing (12; 18,8%) and organizational and management sciences (5; 7,8%). A case study of a collaborative allied health and nursing crisis Goldman et al. 3. It provides the tool to offer a structured transparent overview of empirical evidence in the face of diverse theoretical conceptualizations. Re-coordinating activities: An investigation of articulation work in patient transfers, Proceedings of the ACM 2013 Conference on Computer Supported Cooperative Work - CSCW 13. (Citation2016) provide interesting ways forward, as they point to the importance of work context, instead of professional socialization as the most prominent factor in understanding professional behaviors. The .gov means its official. This resembles analyses of articulation work (Postma et al., Citation2015) and knotworking (Lingard et al., Citation2012) in healthcare, placing emphasis on the way professionals constantly improvise as they negotiate everyday challenges. Bridging is concerned with gaps that must be overcome. 2020 Sep-Oct;34(5):583-586. doi: 10.1080/13561820.2020.1807481. And also, as several studies highlight possible undesired or even counterproductive effects. Baker C. Development of accreditation standards for interprofessional education: a Canadian Case Study. Many of the clinical programs offered by the Waters College of Health Professions require a clinical internship or practicum experience to fulfill degree requirements. Distributed heart failure teams (Lingard et al.. Primary health teams (Quinlan & Robertson. This site needs JavaScript to work properly. (2011). Societal expectations of its effects on quality of care are high. 2023 Mar 31;23(1):319. doi: 10.1186/s12913-023-09269-y. We chose our keywords based on the review of terminology in the literature on interprofessional collaboration by Perrier et al. Inter-professional collaboration between professionals is crucial in health care where most of the activities are undertaken in a team. Table 2. Keywords: 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. We left these fragments out of our analysis here. Ronoh S, Gaillard J, Marlowe J. Third, we analyze what data are available on the effects of professional contributions. IJERPH | Free Full-Text | Interprofessional Collaboration in Fall Clarke (Citation2010) similarly reports on professionals actively expressing and checking opinions, making compromises, bargains and trades about workload issues. Interprofessional collaboration has become firmly established as an important component within education and healthcare. The lessons learned from this study will support future pandemic responses and aid the identification of further opportunities for interprofessional learning and practice. 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). 2019 Dec 18;12(12):CD001174. The co . 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. 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. 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. +. This concept was not yet linked empirically to settings of interprofessional collaboration, although this relation has been theorized (Noordegraaf & Burns, Citation2016). Increasing evidence suggests that the notion of teamwork is often not adequate to describe empirical collaborative practices. Therefore, possible eligible studies were re-examined after an extended period to reduce this risk. This site needs JavaScript to work properly. Interprofessional Education Cases - Clinical Cases - NEOMED Multiple professionals are observed to contribute to interprofessional collaboration. The Journal of Interprofessional Care is the most prominent journal with 16 articles (25,0%). 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. Working collaboratively implies smooth working relations in the face of highly connected and interdependent tasks (Haddara & Lingard, Citation2013; Leathard, Citation2003; Reeves et al., Citation2016). The results of this systematic review show how the growing need for interprofessional collaboration requires specific professional work to be able to work together. J Interprof Care 2013;27(2):194-196. by helping others or by adjusting to other communication styles). This provides several opportunities for further research. Here, we analyze whether contributions differ between close-knit team settings and other, more networked forms of collaboration (Dow et al., Citation2017). This resulted in 166 fragments, each describing a distinct action by one or more professionals seen to contribute to interprofessional collaboration. (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. Second, we analyze whether contributions differ between professions and between collaborative settings and healthcare subsectors. public management (Postma, Oldenhof, & Putters, Citation2015), medicine (Goldman et al., Citation2015) and nursing (Hurlock-Chorostecki et al., Citation2016) and published in diverse journals using distinct theoretical perspectives (Reeves et al., Citation2016). While it is a different setting, lessons can be learned. Interprofessional practice in different patient care settings: A One study compared one type of interprofessional meeting with another type of interprofessional meeting. Bookshelf 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. The interprofessional team completed individual assessments, discussed results, and made recommendations for Sam and the family. Based on communication models and related technologies, this article reviews strategies to enhance interprofessional communication. (2) Methods: semi-structured interviews with health care providers assessed their perspective on the evaluation of jointly developed . 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. USF Health interprofessional team wins big at CLARION Case Competition Longitudinal faculty development to improve interprofessional collaboration and practice: a multisite qualitative study at five US academic health centres. bridge gaps) or to negotiate ways of working. Clipboard, Search History, and several other advanced features are temporarily unavailable. on families and vacations) and professional troubles talk (e.g. Professionals actively bridge communication divides caused mainly by geographical fragmentation. A problem-based case study approach can offer formal and informal learning interactions that promote information exchange and collaborative practice. Teamwork, collaboration, coordination, and networking: Why we need to distinguish between different types of interprofessional practice, The Paradoxes of Leading and Managing Healthcare Professionals. Interprofessional education (IPE) is an important and widely used pedagogical approach for preparing students of different health professions to provide collaborative and quality patient care. doi: 10.1002/14651858.CD001174.pub4. Epub 2020 Aug 24. Interprofessional collaboration and barriers among health and social It is argued that contemporary societal and administrative developments change the context for service delivery. Lingard et al. IPE allows for team-based problem solving and promotes the best thinking of health professionals in offering quality health care [1]. Interprofessional Collaborative Practice in Primary Health Care - WHO Also, multiple articles focus on cross-sector collaborations (12; 18,8%) and primary and neighborhood care settings (9;14,1%). For an indicative analysis of effects, we related the stated effects by authors (if any) to our three categories presented above. The first overlap professionals are observed to negotiate is between work roles and responsibilities in general. Permission will be required if your reuse is not covered by the terms of the License. Case 1. The supplemental data for this article can be accessed here. Secondly, professionals are also observed to create spaces internally by (re)creating the organizational arrangements for collaboration. Secondly, a similar argument is made by authors in the study of professional work (Noordegraaf, Citation2015). The .gov means its official. 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). It requires closer scrutiny as it would mean stimulating more collaboration is not always a good thing. 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). Ktuitui. 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. Interprofessional collaboration and barriers among health and - PubMed 2023 Mar 1;52(3):afad022. eCollection 2023. Others highlight how the discursive practice of using pronouns we and they constructs a team feel (Kvarnstrm & Cedersund, Citation2006). Children with disabilities and disaster preparedness: a case study of Christchurch. In building a cancer care network, Bagayogo et al. Most of the effects that are stated are inferred by researchers as opposed to conclusions based on empirical data. Table 3. On the other hand, it is also easier to engage in these activities. What their theoretical models do not account for, however, is how collaboration develops over time. Figure 2 compares the data on physicians and nurses in relation to the general picture. To limit subjectivity of our review, we adhere to the systematic literature review methodology outlined by Cooper (Citation2010). Each student team is matched with local organizations including shelters, community development . By closing this message, you are consenting to our use of cookies. 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). 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). Unable to load your collection due to an error, Unable to load your delegates due to an error. Cochrane Database Syst Rev. 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 . Epub 2020 Jul 16. Written Case Studies | Waters College of Health Professions 2009 Jul 8;(3):CD000072. 2015 Mar;50(1):59-73. doi: 10.1016/j.cnur.2014.10.005. This often requires translating this information from one professional jargon to another (Dahlke & Fox, Citation2015). 912-478-4636, 175 West Memorial Drive First, this review adds overview to the fast-growing field of interprofessional collaboration. Flow diagram of the search strategy. Most of the stated effects (Table 3) focus on collaborating itself. 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. 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). Sylvain and Lamothe (Citation2012) show that professionals in mental health commonly create a treatment protocol that described specific treatment steps. Interventions that address IPC problems have the potential to improve professional practice and healthcare outcomes. Furthermore, Hjalmarson, Ahgren, and Strandmark Kjolsrud (Citation2013) highlight how professionals discuss their mutual roles within formal workshops and meetings. J Interprof . This focus on necessary conditions has led others to argue that the part professionals themselves play in fostering collaboration is not yet well understood (Croker, Trede, & Higgs, Citation2012; Mulvale, Embrett, & Razavi, Citation2016; Nugus & Forero, Citation2011). Studies deal with actions of professionals that are seen to contribute to interprofessional collaboration. 8600 Rockville Pike Comparison of data between (sub)sectors in healthcare. This type of gap appears to be about overcoming different professional views on how best to treat patients. 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). These findings have implications for the importance of interprofessional collaboration in supporting family-centered emergency preparedness for families of children with disabilities. 2020 Sep-Oct;34(5):682-686. doi: 10.1080/13561820.2020.1791809. 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). Empirical understanding of whether professionals make such contributions and if so, how and why, remains fragmented. This review highlights a consensual side of this negotiated order. Case Studies in IPE and the Case for Women's Health Integration - ADEA Negotiating overlaps in roles and tasks is related to perspectives on healthcare delivery as a negotiated order (Svensson, Citation1996). Bridging is about actively transferring knowledge or information from one professional to another, as well as about making oneself available to others. Publication status: To safeguard research quality, only studies published in peer-reviewed journals were included. This is counterintuitive, as teams are seen as close-knit, implying less need to bridge gaps. All IPE/IPP Case Studies - American Speech-Language-Hearing Association Interprofessional Education Collaborative Expert Panel. Scott Reeves: (deceased May 2018), none known. Manually scanning the many abstracts and full texts could have induced subjectivity. Several authors have theorized the necessary preconditions for interprofessional collaboration to occur (e.g. The https:// ensures that you are connecting to the Noordegraaf and Burns (Citation2016, p. 112), for instance, argue it requires them to break down the boundaries that separate them, [] to develop collaborative models and joint decision-making with other professionals, and encourage their colleagues to participate. Negotiating is about dealing with overlaps in professional work arising due to collaborative demands, that might give rise to conflicts. Manually-generated reminders delivered on paper: effects on professional practice and patient outcomes. Diverse use of terminology within the literature (Perrier et al., Citation2016) provided a challenge to include all yet only relevant studies. 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. Working together provides the need for professionals to organize the necessary space for interacting. All studies have been conducted in Western countries, primarily Canada (23; 35,9%) and the UK (19; 29,7%) and are single-country studies. Objectives: Stated effects on interprofessional collaboration and patient care. Background: This case collaborative provides you with the opportunity to work in an interprofessional team of students from different health and social care professions. Decision-making in teams: issues arising from two UK evaluations. 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 . Several studies were excluded after a second reading. Working on working together. Bethesda, MD 20894, Web Policies A case study design was used in this study to yield a picture of patient care across three different settings. This indicates that, other than improving integration (stronger connections), divergence (looser connections) might be most beneficial for quality of care (Lingard et al., Citation2017). Core competencies for interprofessional . Main results: Findings: Learning activities to develop interprofessional collaboration align with goals for professional preparation to improve health outcomes. It provided the rationale for this systematic review. Authors suggest developing interprofessional collaboration is not just the job of managers and policy makers; it also requires active contributions of professionals. This article provides a framework for ways in which nursing teams can develop evidence-based enhanced interprofessional communication systems during a pandemic. Or how and why are adequate governance arrangements created and responsibilities rearranged? Background: 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. Ovid Technologies (Wolters Kluwer Health), Source: 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. Data collection and analysis: The healthcare team member has witnessed effective . Some studies highlight efforts to overcome different professional views by envisioning interprofessional care together by creating communal stories that help diverse stakeholder groups [represented in the team] to develop a sense of what they have in common with each other (Martin, Currie, & Finn, Citation2009, p. 787). Nurse practitioner interactions in acute and long-term care: Physicians attitudes about interprofessional treatment of chronic pain: Family physicians are considered the most important collaborators, Difficulties in collaboration: A critical incident study of interprofessional healthcare teamwork, Discursive patterns in multiprofessional healthcare teams, The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration, Representing complexity well: A story about teamwork, with implications for how we teach collaboration, Pulling together and pulling apart: Influences of convergence and divergence on distributed healthcare teams, Leadership, service reform, and public-service networks: The case of cancer-genetics pilots in the english NHS, Integrated team working: A literature review, Interdisciplinary practice A matter of teamwork: An integrated literature review, Observation of interprofessional collaborative practice in primary care teams: An integrative literature review, Gearing Up to improve interprofessional collaboration in primary care: A systematic review and conceptual framework, Ten principles of good interdisciplinary team work, Hybrid professionalism and beyond: (New) forms of public professionalism in changing organizational and societal contexts, The paradoxes of leading and managing healthcare professionals, Understanding interdepartmental and organizational work in the emergency department: An ethnographic approach, Key trends in interprofessional research: A macrosociological analysis from 1970 to 2010, Integrated care in the daily work: Coordination beyond organisational boundaries, Transforming medical professionalism to fit changing health needs, Organized professionalism in healthcare: Articulation work by neighbourhood nurses, The communicative power of nurse practitioners in multidisciplinary primary healthcare teams, A scoping review to improve conceptual clarity of interprofessional interventions, Why we need theory to help us better understand the nature of interprofessional education, practice and care, Interprofessional collaboration and family member involvement in intensive care units: Emerging themes from a multi-sited ethnography, The determinants of successful collaboration: A review of theoretical and empirical studies, Boundaries, gaps, and overlaps: Defining roles in a multidisciplinary nephrology clinic, Collaborative agency to support integrated care for children, young people and families: An action research study, Role understanding and effective communication as core competencies for collaborative practice, The interplay between doctors and nurses - a negotiated order perspective, Sensemaking: A driving force behind the integration of professional practices, Adaptive practices in heart failure care teams: Implications for patient-centered care in the context of complexity, Collaboration processes: Inside the black box, Operating theatre nurses: Emotional labour and the hostess role, Understanding integrated care: A comprehensive conceptual framework based on the integrative functions of primary care, Learning to cross boundaries: The integration of a health network to deliver seamless care, An ethnographic study exploring the role of ward-based advanced nurse practitioners in an acute medical setting, What fosters or prevents interprofessional teamworking in primary and community care?
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