Journal of Interprofessional Care最新文献

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Technical devices and interprofessional clinical decision-making in the intensive care unit: a scoping review. 重症监护病房的技术设备和跨专业临床决策:范围综述。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-15 DOI: 10.1080/13561820.2025.2530145
Andreas Küpper, Marcel Schmucker, Astrid Elsbernd, Diana Mader, Simon Kitto, Cornelia Mahler
{"title":"Technical devices and interprofessional clinical decision-making in the intensive care unit: a scoping review.","authors":"Andreas Küpper, Marcel Schmucker, Astrid Elsbernd, Diana Mader, Simon Kitto, Cornelia Mahler","doi":"10.1080/13561820.2025.2530145","DOIUrl":"https://doi.org/10.1080/13561820.2025.2530145","url":null,"abstract":"<p><p>Interprofessional collaboration (IPC) and one of its facets, interprofessional clinical decision-making (IPCDM), are considered approaches to improve the quality of care and satisfaction of healthcare professionals in intensive care units (ICUs). Patient care in ICUs is characterized by frequent decision-making processes and technical devices. We conducted a scoping review to gain insight into the state of research on technical devices and IPCDM of nurses and physicians in ICUs. We systematically searched four databases for peer-reviewed publications and followed these up with extensive citation tracking. No article explicitly focuses on how technical devices shape IPCDM. The need for a greater emphasis on the role of technical devices in shaping IPCDM using mixed-method and qualitative research methodologies framed by sociomaterial theories is highlighted.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention of early childhood caries in France, potential perspectives for interprofessional action: a scoping review. 预防幼儿龋齿在法国,跨专业行动的潜在前景:范围审查。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-14 DOI: 10.1080/13561820.2025.2529384
M Craquelin, S Azogui-Levy, P Lombrail, A Tenenbaum, T Marquillier
{"title":"Prevention of early childhood caries in France, potential perspectives for interprofessional action: a scoping review.","authors":"M Craquelin, S Azogui-Levy, P Lombrail, A Tenenbaum, T Marquillier","doi":"10.1080/13561820.2025.2529384","DOIUrl":"https://doi.org/10.1080/13561820.2025.2529384","url":null,"abstract":"<p><p>Early childhood caries (tooth decays) is a severe oral health condition that develops under the age of six. In many countries, oral health (including cavity treatment) is provided solely by dentists, who work independently. This organizational structure results in missed opportunities to prevent illnesses that occur throughout the child's health pathway, from birth and even before. The article aims to describe existing strategies for interprofessionality in pediatric oral health, as well as the obstacles and facilitators to their implementation. A scoping review was conducted on PubMed, Web of Science, Embase and Google Scholar between 2013 and 2025 to identify existing interprofessional collaboration strategies. Articles had to present a model of interprofessionality (oral health professional and other professionals), without being associated with a specific disease. Books, conferences or case reports were not included. The 10 articles included propose 3 major strategies such as the integration of dental hygienists into primary care. Others models focus on collaborative practice, with oral health training for healthcare professionals, recommendations or shared assessment tools. These collaborations sometimes go as far as the delegation of skills, if legislative support allow. Finally, new technologies can be used, such as telehealth and dental applications for assessing the risk of caries. The results were discussed in the light of D'Amour's interprofessional model of care, to identify the obstacles and facilitators of the different strategies with an operational aim (creation of a model applicable in France). Results highlight the need to set up a pediatric oral health network, that is sufficiently structured and focused on patients' interests to reduce social and territorial inequalities in oral health.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ICARE: development of an interprofessional telehealth curriculum to promote Care access and Equity. ICARE:制定跨专业远程保健课程,以促进获得护理和公平。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-13 DOI: 10.1080/13561820.2025.2527747
Padmavathy Ramaswamy, Jennifer L Swails, Puja Gandhi, Shivika Chandra, Shirley L Hu, Samuel T Buske, Marylou Cardenas-Turanzas, Chasisty L Gilder, Sydnee Lucas, Tiffany Champagne-Langabeer
{"title":"ICARE: development of an interprofessional telehealth curriculum to promote Care access and Equity.","authors":"Padmavathy Ramaswamy, Jennifer L Swails, Puja Gandhi, Shivika Chandra, Shirley L Hu, Samuel T Buske, Marylou Cardenas-Turanzas, Chasisty L Gilder, Sydnee Lucas, Tiffany Champagne-Langabeer","doi":"10.1080/13561820.2025.2527747","DOIUrl":"https://doi.org/10.1080/13561820.2025.2527747","url":null,"abstract":"<p><p>Interprofessional education (IPE) improves health outcomes and is increasingly required by accreditation bodies for health professionals. Concurrently, telemedicine has become a popular method for providing healthcare. However, its implementation highlights disparities within underserved populations. The Improving Care Access and Realizing Equity (ICARE) Program was developed as a unique eight-week curriculum combining IPE, telemedicine, translator services, and partnership with underserved communities. This manuscript describes the impact of ICARE on IPE core competencies among 215 participating students from across a large academic health center. Most of the students were female (151), with a mean age of 26 years. These students represented a diverse array of fields - medicine (110), public health (51), nursing (40), biomedical informatics (11), biomedical science (2), and dentistry (1). We used the Interprofessional Collaborative Competencies Attainment Survey (ICCAS), comparing pretest and posttest scores. Results revealed a significant improvement in posttest mean ICCAS scores (SD) of 5.60 (19.40) with <i>p</i>-value ≤.0001. Ultimately, students increased their perceived competency in collaboration, roles and responsibilities, collaborative patient-family-centered care, and team functioning.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comprehensive whole-of-health service approach to interprofessional collaboration. 采用全面的整体卫生服务方法开展跨专业合作。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-13 DOI: 10.1080/13561820.2025.2517213
Angela Wood, Katherine Delany, Rachel Phillips, Bernadette Thomson, Nigel Fellows, Megan Nevin, Vesa Cheng, Louise Nicholls, Hannah Mayr, Susan Stoikov
{"title":"A comprehensive whole-of-health service approach to interprofessional collaboration.","authors":"Angela Wood, Katherine Delany, Rachel Phillips, Bernadette Thomson, Nigel Fellows, Megan Nevin, Vesa Cheng, Louise Nicholls, Hannah Mayr, Susan Stoikov","doi":"10.1080/13561820.2025.2517213","DOIUrl":"https://doi.org/10.1080/13561820.2025.2517213","url":null,"abstract":"<p><p>Interprofessional education (IPE) and interprofessional collaborative practice (IPCP) are essential for high-quality safe, effective, and efficient healthcare. This program of work aimed to build a culture of IPE and IPCP across a large metropolitan health service. This study was a repeated cross-sectional study which evaluated an approach to integrating IPE and IPCP as an embedded model of care across a health service. The Interprofessional Collaborative Organisation Map and Preparedness Assessment (IP-COMPASS) was used to (i) understand the current state of IPE and IPCP across the organization, (ii) guide a cohesive and comprehensive program of work to implement systems, structures, governance, practices, and education that support and develop IPE and IPCP, and (iii) evaluate the change in IPE and IPCP following the program of work. Eleven out of 22 interprofessional attributes (50%) were weak or absent at baseline. Following 18-months implementation of targeted interprofessional initiatives, strategies, and education, five attributes (22%) were weak or absent. Thirteen attributes improved (59%), six remained the same (27%), and three declined (14%). Many interprofessional attributes improved with a program of initiatives targeted to enhance the systems, structures, governance, practices, and education that support and develop IPE and IPCP. A small number of attributes declined, which may reflect increased awareness of IPE and IPCP as a previously unrecognized gap, leading to the realization that this critical way of working is absent. Despite improvements, many interprofessional attributes remained inadequate, highlighting the challenges and extended timeframes required for systems level change.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interprofessional Collaboration in Healthcare with escape room: a scoping review. 医疗保健中的跨专业协作与密室:范围审查。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-12 DOI: 10.1080/13561820.2025.2530778
Alberto Cunha, Maria Joana Campos, Marta Campos Ferreira, Carla Sílvia Fernandes
{"title":"Interprofessional Collaboration in Healthcare with escape room: a scoping review.","authors":"Alberto Cunha, Maria Joana Campos, Marta Campos Ferreira, Carla Sílvia Fernandes","doi":"10.1080/13561820.2025.2530778","DOIUrl":"https://doi.org/10.1080/13561820.2025.2530778","url":null,"abstract":"<p><p>Interprofessional collaboration is an essential competency for healthcare professionals, and escape rooms have emerged as an innovative strategy to enhance teamwork and communication. The purpose of this scoping review was to identify and summarize how escape rooms are used in the teaching and enhancement of interprofessional collaboration skills. We conducted a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) guidelines. A search of five databases, Scopus®, Web of Science®, CINAHL Complete®, MEDLINE® and PsychINFO® was conducted for all articles until 1 January 2024. The review included 15 studies, mostly from the USA, involving a total of 2,434 participants across various healthcare professions. Key findings indicated significant improvements in group cohesion, communication, understanding of team roles, and interprofessional skills. Escape rooms can be an effective pedagogical tool in enhancing interprofessional competencies among healthcare students and professionals. Further research is needed to explore the sustainability of skills gained over time through escape rooms and to refine assessment methods.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physicians' and nurses' attitudes regarding interprofessional collaboration in Cyprus. 医生和护士对塞浦路斯跨专业合作的态度。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-11 DOI: 10.1080/13561820.2025.2529383
Polyxeni Gregoriou, Evridiki Papastavrou, Andreas Charalambous, Elena Rousou, Anastasios Merkouris
{"title":"Physicians' and nurses' attitudes regarding interprofessional collaboration in Cyprus.","authors":"Polyxeni Gregoriou, Evridiki Papastavrou, Andreas Charalambous, Elena Rousou, Anastasios Merkouris","doi":"10.1080/13561820.2025.2529383","DOIUrl":"https://doi.org/10.1080/13561820.2025.2529383","url":null,"abstract":"<p><p>A positive attitude between nurses and physicians toward interprofessional collaboration (IPC) enhances patient outcomes, job satisfaction, and the overall quality of healthcare services. This study aimed to examine the attitudes of physicians and nurses toward IPC in a public hospital and a private hospital in Cyprus. Data were collected using the Jefferson Scale of Attitudes Toward Nurse-Physician Collaboration questionnaire from a convenience sample of 573 healthcare professionals, including 79 physicians (13.8%) and 494 nurses (86.2%). The results showed that nurses had significantly more positive attitudes toward collaboration than physicians, with mean scores of 53.4 and 49.7, respectively (<i>p</i> < .001). Analysis of the four subscales revealed the following: Care vs. Treatment: Nurses reported higher positive attitudes compared to physicians (11 vs. 10, <i>p</i> < .001); Nurses' Autonomy: Physicians scored higher than nurses (11.3 vs. 10.9, <i>p</i> = .005); Physician Dominance: Nurses exhibited more positive attitudes than physicians (6.1 vs. 4.2, <i>p</i> < .001). Although both nurses and physicians demonstrated positive attitudes toward IPC, nurses appear more favorable to the concept. These findings underline the importance of integrating IPC-focused education into the training programs for both nurses and physicians, as this could foster more positive attitudes and ultimately enhance collaboration in healthcare settings.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'We try to jump those hurdles': inter-agency dynamics of referral with self-neglect cases in England. “我们试图跨越这些障碍”:英国自我忽视案例的机构间动态转诊。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-03 DOI: 10.1080/13561820.2025.2525152
David Orr, May Nasrawy, Cindy Morrison
{"title":"'We try to jump those hurdles': inter-agency dynamics of referral with self-neglect cases in England.","authors":"David Orr, May Nasrawy, Cindy Morrison","doi":"10.1080/13561820.2025.2525152","DOIUrl":"https://doi.org/10.1080/13561820.2025.2525152","url":null,"abstract":"<p><p>In health and social care, disagreements over referrals involve professionals contesting between them the power to define the situation. An aspect of practice that commonly gives rise to such disagreements is self-neglect because of its high ambiguity for services. Self-neglect therefore provides a useful case to explore how professionals anticipate and respond to interagency barriers to referral when criteria and thresholds are only loosely defined, and collaboration is often ad hoc. To investigate the dynamics of interagency referral for self-neglect, we interviewed 69 practitioners: health and social care professionals; and fire and rescue, environmental health, and housing officers, all of whom regularly respond to both crisis and chronic situations of self-neglect. Dynamics that influence referrers and hinder coordination between interprofessional networks included uncertainties about the right route, perceived barriers to referral acceptance, and feeling unable to refer. These present barriers to the anticipatory labor needed to make interagency referrals land successfully with the receiving agency and may lead to a self-fulfilling cycle that discourages practitioners from thoughtful referral practice. Although referral failures are often treated in research on referral in safeguarding as a technical knowledge-deficit problem, the data show the significance of wider interagency relations, perceptions, and expectations in accounting for the barriers.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A person-centered approach to collaboration for osteoarthritis management: a qualitative exploration of patients' perspectives. 以人为中心的方法协作骨关节炎管理:一个定性的探索病人的观点。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-03 DOI: 10.1080/13561820.2025.2520536
R Gilchrist-Park, A Kholvadia, W Burdick
{"title":"A person-centered approach to collaboration for osteoarthritis management: a qualitative exploration of patients' perspectives.","authors":"R Gilchrist-Park, A Kholvadia, W Burdick","doi":"10.1080/13561820.2025.2520536","DOIUrl":"https://doi.org/10.1080/13561820.2025.2520536","url":null,"abstract":"<p><p>Collaboration is essential for delivering high-quality, person-centered care to individuals with osteoarthritis. Despite its recognized benefits, studies have shown that many osteoarthritis patients do not receive effective collaborative care, leading to fragmented service delivery, inadequate referrals, and suboptimal person-centered outcomes. The purpose of this qualitative study was to explore and describe osteoarthritis patients' experiences of person-centered care, and how these experiences shaped their perceptions of collaboration. Data were collected using three focus group discussions (<i>n</i> = 14). The interview guide was informed by a thorough literature review and a pilot focus group, and included topics on professional support, patient involvement, and facilitators and barriers to collaborative practice. A criterion sampling technique was used to recruit osteoarthritis patients. Six themes were identified through thematic analysis, following Braun and Clarke's six-step framework: (a) a holistic approach to healthcare, (b) professionals have equal responsibilities, (c) developing connections during healthcare provision, (d) trust in the expertise and decision-making of professionals, (e) patient-driven healthcare, and (f) feeling heard and connected in care. Exploration of key collaborative components and their link to person-centered care is necessary to direct the development of improvement strategies to strengthen collaborative practice and the patient's experience.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preparing medical and pharmacy students for collaborative working in primary care: the value of interprofessional practice-based course in medicines optimisation. 准备医学和药学学生在初级保健协作工作:跨专业实践为基础的药物优化课程的价值。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-02 DOI: 10.1080/13561820.2025.2517216
E S Anderson, C Sanders, N Lakhani
{"title":"Preparing medical and pharmacy students for collaborative working in primary care: the value of interprofessional practice-based course in medicines optimisation.","authors":"E S Anderson, C Sanders, N Lakhani","doi":"10.1080/13561820.2025.2517216","DOIUrl":"https://doi.org/10.1080/13561820.2025.2517216","url":null,"abstract":"<p><p>Today more older people are living longer with complex health conditions and social care needs. Multimorbidity is often managed by community practitioners who oversee the use of multiple medications, which can lead to polypharmacy safety concerns. While clinical pharmacists' roles are established in acute settings, they are in the main new in family practice or primary care. To help medical and pharmacy students understand more about clinical pharmacists in primary care, we used an interactive experiential learning model for students over two days. Students in small groups were prepared to visit a patient in their own home to holistically review the patients' medicines and care. This mixed methods study reports on the learning between 2017 and 2020, including 448 pre-post questionnaires with free text comments and one exploratory qualitative case study with two student focus groups, a practice GP and patient. All students valued the clinical relevance of this practice-based course. Medical students highly valued this way of learning and significantly increased their learning on complex medication reviews (<i>p</i> = .000), recognizing the future significance of working closely with pharmacists when qualified because of their contribution to prescribing. Pharmacy students highly rated this learning because they worked as equals alongside the medical students, felt valued, and they perceived the importance of learning with patients (<i>p</i> = .000). The student work highlighted unsafe practice and in some cases actually changed patient management. The interviewed patient and GP welcomed the course. Integrating medical and pharmacy students interprofessional learning in primary care was valued by students and the clinical team.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurses' perceptions of the dynamics and impacts of teamwork with physicians in labour and delivery. 护士对分娩过程中与医生团队合作的动力和影响的看法。
IF 1.9 3区 医学
Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2018-12-30 DOI: 10.1080/13561820.2018.1562422
Megan Gleddie, Sarah Stahlke, Pauline Paul
{"title":"Nurses' perceptions of the dynamics and impacts of teamwork with physicians in labour and delivery.","authors":"Megan Gleddie, Sarah Stahlke, Pauline Paul","doi":"10.1080/13561820.2018.1562422","DOIUrl":"10.1080/13561820.2018.1562422","url":null,"abstract":"<p><p>Interprofessional teamwork is touted as essential to positive patient, staff, and organizational outcomes. However, differing understandings of teamwork and divergent professional cultures amongst healthcare providers influence the success of teamwork. In labour and delivery, nurse-physician teamwork is vital to safe, family-centered maternity care. In this focused ethnography, the perceptions of obstetrical nurses were sought to understand nurse-physician teamwork and the features that facilitate or impede it. These nurses acknowledged working in a normative hierarchy, with physicians ultimately responsible for patient care decision-making. They described myriad ways in which they navigated traditional power dynamics and smoothed working relationships with physicians, such as circumventing disrespectful behaviors, venting with each other, highlighting their own autonomy, using tactical communication, and managing unit resources. According to these nurses, key facilitators of functional nurse-physicians relationships were time, trust, respect, credibility, and social connection. Further, the nature of their working relationships with physicians influenced their perceptions regarding intent to stay, workplace morale, and patient outcomes.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"556-566"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36813005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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