Interprofessional interaction, negotiation and non-negotiation on general internal medicine wards
Research suggests that health care can be improved and patient harm reduced when health professionals successfully collaborate across professional boundaries. Consequently, there is growing support for interprofessional collaboration in health and social care, both nationally and internationally. Factors including professional hierarchies, discipline-specific patterns of socialization, and insufficient time for teambuilding can undermine efforts to improve collaboration.
“Mainstreaming” Interprofessional Education within Hospital Settings: Findings from a Multiple Case Study
Background: Interest in interprofessional education (IPE) to promote effective interprofessional collaboration (IPC) has gained momentum across healthcare, professional education, and government sectors. In general, the IPE literature tends to report single-site studies. This article presents a rare study that reports a largescale multi-site IPE initiative. It draws upon a newly developed notion of mainstreaming—introduced to the literature by Barr and Ross—that helps illuminate the implementation issues related to an IPE initiative.
Improving the clarity of the interprofessional field: Implications for research and continuing interprofessional education
Significant investments are being made around the world to improve interprofessional collaboration, yet limits in our knowledge of this field restrict the ability of decision makers to base their decisions upon evidence. Clarity of the interprofessional field is blurred by a conceptual and semantic confusion that affects our understanding of key elements of education and practice activities, their interlinked relationship, and their effects on health or system outcomes.
An emerging framework for understanding the nature of interprofessional interventions
The current conceptual problems related to IPE and IPC can be observed by the variety of terms employed to describe these interventions. Terms include “interprofessional learning”, “interdisciplinary collaboration”, “multiprofessional training”, and “transdisciplinary practice”.
Interprofessional collaboration: Effects of practice-based interventions on professional practice and healthcare outcomes
BACKGROUND: Poor interprofessional collaboration (IPC) can negatively affect the delivery of health services and patient care. Interventions that address IPC problems have the potential to improve professional practice and healthcare outcomes.
Communication channels in general internal medicine: A description of baseline patterns for improved interprofessional collaboration
General internal medicine (GIM) is a communicatively complex specialty because of its diverse patient population and the number and diversity of health care providers working on a medicine ward. Effective interprofessional communication in such information-intensive environments is critical to achieving optimal patient care. Few empirical studies have explored the ways in which health professionals exchange patient information and the implications of their chosen communication forms.
Interprofessional intensive care unit team interactions and medical crises: A qualitative study
Research has suggested that interprofessional collaboration could improve patient outcomes in the intensive care unit (ICU). Maintaining optimal interprofessional interactions in a setting where unpredictable medical crises occur periodically is however challenging. Our study aimed to investigate the perceptions of ICU health care professionals regarding how acute medical crises affect their team interactions. We conducted 25 semi-structured interviews of ICU nurses, staff physicians, and respiratory therapists.
The impact of space and time on interprofessional teamwork in Canadian primary care settings: Implications for health care reform
AIM: This paper explores the impact of space and time on interprofessional teamwork in three primary health care centres and the implications for Canadian and other primary health care reform.
Planning and implementing a collaborative clinical placement for medical, nursing and allied health students: A qualitative study
BACKGROUND: Clinical placements have been traditionally offered on a profession specific basis, and as a result, we have a good understanding of salient issues related to their development and delivery. We know less about the planning and implementation of collaborative clinical placements. Aims: This paper presents key findings from a qualitative study that explored the collaborative processes connected to an interprofessional planning group who created and implemented a clinical placement for medical, nursing and allied health students.
Nursing emotion work and interprofessional collaboration in general internal medicine wards: A qualitative study
AIM: This paper is a report of a study to examine nursing emotion work and interprofessional collaboration in order to understand and improve collaborative nursing practice.