Enhancing interprofessional teamwork between youth care professionals using an electronic health record; a mixed methods intervention study.

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Interprofessional Care Pub Date : 2024-05-01 Epub Date: 2024-02-27 DOI:10.1080/13561820.2024.2314461
Janine Benjamins, Emely de Vet, Annemien Haveman-Nies
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引用次数: 0

Abstract

We aimed to investigate whether using a shared electronic patient record (EPR-Youth) strengthened interprofessional teamwork among professionals in youth care and child healthcare. Using a mixed-methods design, we compared two partly overlapping samples of professionals, who completed questionnaires before the introduction of EPR-Youth (n = 117) and 24 months thereafter (n = 127). Five components of interprofessional teamwork (interdependence, newly created professional activities, flexibility, collective ownership of goals, and reflection on processes) were assessed for this study. Midway through the study period, focus groups were held with 12 professionals to examine how EPR-Youth contributed to interprofessional teamwork. Professionals reported significantly more flexibility after the introduction of EPR-Youth than before. Professionals scored slightly -but not significantly- more positively on the other components of teamwork. Focus group participants reported that using EPR-Youth strengthened their sense of interdependence and collective ownership of goals, and contributed to newly created professional activities. At baseline, levels of interprofessional teamwork differed between organizations. Focus group participants confirmed these differences and attributed them to differences in facilitation of interprofessional teamwork. Our findings suggest that using EPR-Youth can foster interprofessional teamwork. Organizational differences underline that implementing an EPR alone is inadequate: shared definitions of teamwork and organizational facilities are needed to strengthen interprofessional teamwork.

利用电子健康记录加强青少年护理专业人员之间的跨专业团队合作;一项混合方法干预研究。
我们的目的是研究使用共享电子病历(EPR-Youth)是否能加强青少年护理和儿童保健专业人员之间的跨专业团队合作。我们采用混合方法设计,比较了两个部分重叠的专业人员样本,他们分别在 EPR-Youth 推出前(117 人)和推出后 24 个月(127 人)完成了问卷调查。本研究评估了跨专业团队合作的五个组成部分(相互依存、新创建的专业活动、灵活性、目标的集体所有权以及对过程的反思)。在研究中期,与 12 名专业人员进行了焦点小组讨论,探讨 EPR-Youth 如何促进专业间团队合作。专业人员表示,在引入 EPR-Youth 后,灵活性明显高于引入前。专业人员在团队合作的其他组成部分上的得分略有提高,但并不明显。焦点小组的参与者表示,使用 EPR-Youth 增强了他们的相互依存感和对目标的集体掌控感,并促进了新创建的专业活动。在基线上,各组织的专业间团队合作水平各不相同。焦点小组参与者证实了这些差异,并将其归因于促进跨专业团队合作的差异。我们的研究结果表明,使用 EPR-Youth 可以促进跨专业团队合作。各组织之间的差异突出表明,仅实施 EPR 是不够的:需要有共同的团队合作定义和组织设施来加强跨专业团队合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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