Patient and staff perceptions of transdisciplinary stroke assessment: Insights into experience, team trust, and confidence in each other from a mixed method study

Abstract

Transdisciplinary models of care combine clinical knowledge and skills from multiple disciplines and can help healthcare teams reorganise and optimise service delivery. However, there are many factors that could impact the success of transdisciplinary initiatives. The aim of the study was to understand factors impacting the implementation of a transdisciplinary stroke assessment by allied health professionals. A mixed-method exploratory design was used. Surveys, focus groups and individual interviews were completed at multiple time points. Data analysis was completed in two stages. First, key survey results were descriptively summarised for presentation in focus groups and interviews. Second, inductive content analysis was completed with NVivo 12 Plus software. Patient experience with the assessment was related to repetition, length, and thoroughness. Staff were satisfied with using the transdisciplinary assessment due to workload-sharing benefits. The main reasons for team trust were the consistency of assessment administration and results (i.e., trust in each other), perceived benefits of the transdisciplinary assessment (i.e., trust in the assessment), and facilitators such as prospective conversations about trust. Staff confidence in their own and other's ability to safely and effectively use the transdisciplinary assessment was linked to competence and supported by training, observation of colleagues, and familiarity with assessment tasks. The study provides important insights that could inform the planning and implementation of future transdisciplinary approaches in healthcare settings.