Pauliina Kesonen, Leena Salminen, Jaana-Maija Koivisto, Elina Haavisto
{"title":"Health and social care professionals' perspective on the interprofessional competencies required in palliative care.","authors":"Pauliina Kesonen, Leena Salminen, Jaana-Maija Koivisto, Elina Haavisto","doi":"10.1080/13561820.2024.2437413","DOIUrl":"https://doi.org/10.1080/13561820.2024.2437413","url":null,"abstract":"<p><p>Competent professionals are essential when delivering patient-centered and individual palliative care to patients and their families. However, interprofessional competencies for health and social care professionals in specialized palliative care have not been defined. The purpose of this study was to describe the competencies required for good interprofessional teamwork in specialized palliative care from the perspective of health and social care professionals. A qualitative descriptive study design was chosen to undertake the face-to-face individual and focus-group interviews. Fifty participants working in specialized palliative care units were recruited through a purposive sampling technique. The data were analyzed using abductive content analysis. The required interprofessional competencies in specialized palliative care were identified as values and ethics for interprofessional practice, roles and responsibilities, interprofessional communication, and teams and teamwork. Professionals should be interprofessionally competent to meet patients' care needs holistically and individually. Meeting patients and relatives with respect is vital, but respectful behavior and communication among professionals are also highlighted in palliative care. Certain professional qualities, such as patience, humility, and flexibility, were emphasized in interprofessional palliative care. It is important to note that the nature of palliative care affects even experienced professionals, who should be able to face death as a team in everyday work.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830739","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}
{"title":"Interprofessional co-treatment practices in the allied health professions: a scoping review.","authors":"Craig E Slater, Michelle Bissett, Bri Guillory","doi":"10.1080/13561820.2024.2432601","DOIUrl":"https://doi.org/10.1080/13561820.2024.2432601","url":null,"abstract":"<p><p>Interprofessional co-treatment occurs when practitioners from different professions engage in collaborative practice during the same session with the same patient or client. While interprofessional co-treatment is common practice in many settings, there are no known studies that have synthesized the available literature across professions on this interprofessional intervention. A scoping review was conducted to explore the nature and volume of the literature on interprofessional co-treatment involving six allied health professions. A search strategy was implemented, and articles were reviewed by two independent reviewers. Thirty-three articles were included in the study. The professions commonly represented in co-treatment studies were as follows: occupational therapy, physical therapy, speech-language pathology, music therapy, and classroom teaching. Studies discussed co-treatment in direct patient or client care, as a student learning experience, or in the exploration of professional practice issues. Studies discussed co-treatment in a range of clinical contexts. The most common co-treatment collaborations were between occupational therapy and physical therapy; physical therapy and speech-language pathology; speech-language pathology and music therapy; and speech-language pathology and classroom teaching. Co-treatment occurs with a range of professions in both health and non-health contexts, which may be reflected in student IPE experiences. Given the paucity of empirical studies on co-treatment, more work is required by practitioners and researchers to advance the evidence base.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796444","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}
F van Heteren, N Raaphorst, S M Groeneveld, M Bussemaker
{"title":"Interprofessional collaboration in fluid teams: an ethnographic study in a Dutch healthcare context.","authors":"F van Heteren, N Raaphorst, S M Groeneveld, M Bussemaker","doi":"10.1080/13561820.2024.2433190","DOIUrl":"https://doi.org/10.1080/13561820.2024.2433190","url":null,"abstract":"<p><p>In caring for clients with combined problems, various professionals are encouraged to work together in new ways. Collaboration is often fluid, and professionals are expected to seek other professionals and organizations to solve complex problems. This type of collaboration is not institutionalized; it may therefore be hard to develop routines compared to fixed teams. Knowledge about how frontline professionals work together in non-institutionalized forms of fluid collaboration is lacking. This article addresses this gap by studying how professionals from various disciplines work together in fluid collaborative contexts when caring for clients with combined problems. To this end, this empirical research has an iterative design and uses ethnographic fieldwork in studying these hard-to-grasp contexts. In the analysis, we explore whether and how interprofessional collaboration manifests in fluid teams in general practice, mental healthcare and social welfare a Dutch city and how team fluidity plays a role.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781480","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}
Abd Al Kareem Adi, Thana Harhara, Leen Oyoun Alsoud, Shahad Abasaeed Elhag, Imane Benani, Halah Ibrahim
{"title":"Perceptions of an acute medical unit in internal medicine on interprofessional collaboration.","authors":"Abd Al Kareem Adi, Thana Harhara, Leen Oyoun Alsoud, Shahad Abasaeed Elhag, Imane Benani, Halah Ibrahim","doi":"10.1080/13561820.2024.2428967","DOIUrl":"https://doi.org/10.1080/13561820.2024.2428967","url":null,"abstract":"<p><p>We aimed to assess perceptions about interprofessional collaboration (IPC) of healthcare professionals working in an acute medical unit (AMU) in an internal medicine department in the United Arab Emirates. The AMU provides care during the initial 24 to 72 hours of admission and emphasizes interprofessional collaboration. Using the Assessment of Interprofessional Team Collaboration Scale II, the study measured partnership, cooperation, and coordination among team members. Between November 5, 2022, and January 5, 2023, 81 participants completed the survey, including physicians (<i>n</i> = 45; 55.5%), nurses (<i>n</i> = 18; 22.2%), and clinical and non-clinical allied health professionals (<i>n</i> = 18; 22.2%). On a Likert-type scale of one to five, most respondents perceived partnership, cooperation, and team coordination as <i>good collaboration</i> on the AMU, with mean scores of 4.29, 4.16, and 4.15, respectively. There was no significant difference between physicians' (4.18) and nurses' (4.45) perspectives of IPC on the AMU (<i>p</i> = .10), but physicians were less likely to notice collaborative practice changes compared to other professionals. Introducing IPC early in medical education might enhance future collaborative practice. This study sheds light on IPC in non-Western contexts and provides insights into how collaboration is perceived and practiced in diverse healthcare settings.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689550","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}
Paige Pickerl, Dennis W Smithenry, Dale L Smith, Tanya Sorrell
{"title":"Team training for the interprofessional management of opioid use disorder with the ECHO model.","authors":"Paige Pickerl, Dennis W Smithenry, Dale L Smith, Tanya Sorrell","doi":"10.1080/13561820.2024.2431922","DOIUrl":"https://doi.org/10.1080/13561820.2024.2431922","url":null,"abstract":"<p><p>Expanding workforce training opportunities for opioid use disorder (OUD) treatment is a priority. We report on the impact of a 6-month-long team training program using the Extension for Community Healthcare Outcomes (ECHO) model to scale an interprofessional education (IPE) intervention to primary care teams who offered medications for OUD treatment as part of their care plan. Thirteen healthcare teams participated in the program's first cohort. We studied 52 participants' pre-post responses to seven scales that examined individual efficacy, team efficacy, high performance teamwork behaviors, adaptive teamwork behaviors, ability to treat patients in two case examples, and stigma and harm reduction. Significant improvements occurred on six scales. Large effect sizes were observed for individual efficacy (<i>d</i> = 0.78), team efficacy (<i>d</i> = 1.25), and team's ability to treat patients (<i>d</i> = 0.77, <i>d</i> = 0.83). Moderate effect sizes were observed for high performance teamwork behaviors (<i>d</i> = 0.69) and adaptive teamwork behaviors (<i>d</i> = 0.57). Only stigma and harm reduction did not show a change. The training program delivered an IPE-ECHO intervention that was effective at increasing the teams' perceptions of their efficacy, functioning, and ability to treat patients. Future researchers should use objective measures to verify the team's perceptions of their increased ability to work together.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689553","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}
Katarzyna A Mastalerz, Sarah R Jordan, Kirsten J Broadfoot
{"title":"Physician experiences of team-based clinical microsystems: implications for the future of inpatient interprofessional communication.","authors":"Katarzyna A Mastalerz, Sarah R Jordan, Kirsten J Broadfoot","doi":"10.1080/13561820.2024.2426722","DOIUrl":"10.1080/13561820.2024.2426722","url":null,"abstract":"<p><p>Healthcare clinical microsystems are small, goal-oriented groups of healthcare professionals that work together on a regular basis to provide care to discrete patient populations. They often include team-based frameworks such as bedside interprofessional rounds, geographic colocation of healthcare team members, interprofessional staff leadership, and unit-level data sharing. In inpatient settings, microsystems improve interprofessional communication and collaboration. In this qualitative study, we examined physician experiences of clinical microsystems and the mechanisms underpinning interprofessional communication in this environment. We interviewed 51 resident and hospitalist physicians. Thematic analysis of physician experiences revealed three key themes: (a) Clinical microsystem effect on workflow, (b) Open forum and work relationships, and (c) Face-to-face vs technology-based communication. Physicians described strong interprofessional relationships based on frequent face-to-face communication. Familiarity with healthcare team members, often resulting from being co-located to the same units, created a comfortable work environment, advanced patient care, and accelerated workflow. Physicians preferred in-person communication with interprofessional colleagues over technology-based communicationand described how in-person interactions enriched subsequent technology-led interactions. As the use of technology-based communication grows in inpatient settings, decreasing face-to-face interactions and facilitating dispersed care, understanding and implementing optimal conditions for effective interprofessional communication is essential.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645054","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}
Yuta Takahashi, Tomoyuki Shinohara, Ayumu Nagamine, Emiri Takahashi, Daisuke Kato, Mari Takeuchi, Yoko Koike, Kyoko Obayashi, Hideomi Watanabe
{"title":"Assessment of the modified attitudes toward health care teams scale using item response theory analysis.","authors":"Yuta Takahashi, Tomoyuki Shinohara, Ayumu Nagamine, Emiri Takahashi, Daisuke Kato, Mari Takeuchi, Yoko Koike, Kyoko Obayashi, Hideomi Watanabe","doi":"10.1080/13561820.2024.2426724","DOIUrl":"https://doi.org/10.1080/13561820.2024.2426724","url":null,"abstract":"<p><p>The modified Attitudes Toward Health Care Teams Scale (mATHCTS) is a self-administered questionnaire with 14 items to assess participants' perceptions of the impact of interprofessional collaboration. Its validity and reliability have been widely evaluated. The effect of interprofessional education (IPE) has been evaluated using changes in mATHCTS factor scores. However, several aspects of the scale require clarification: the difficulty of correctly answering each item; how well each item discriminates between respondents' abilities; and whether the mATHCTS is better at identifying those with higher/lower abilities. We investigated the mATHCTS's item characteristics such as difficulty, discrimination, and measurement accuracy using item-response theory (IRT) analysis. Health and welfare university students were administered a questionnaire prior to starting IPE in 2021. The results for 180 participants were analyzed based on IRT. The test-response (TRF) and test-information (TIF) functions, discrimination, and difficulty were estimated. All items' discrimination and difficulty were adequate. The TRF, which shows the relationship between scores and ability, increased monotonically. The TIF, which shows the relationship between ability and measurement accuracy, decreased as the total score increased. The mATHCTS effectively assessed participants' attitudes toward health care teams as a one-dimensional ability. The mATHCTS performed well in identifying participants with relatively low scores.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631748","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}
{"title":"Interprofessional learning to integrate care: organic strategic and systemic responses for change.","authors":"Hugh Barr, Elizabeth S Anderson, Maggie Hutchings","doi":"10.1080/13561820.2024.2405556","DOIUrl":"https://doi.org/10.1080/13561820.2024.2405556","url":null,"abstract":"<p><p>In the first of three articles, we scanned global and national sources to help understand the concept and scope of integrated care. New policy directives seek closer working relationships between health and social care systems and practitioners to tackle modern challenges relating to the ageing population, poverty, disadvantage, and mental health. We identified that the practitioner workforce has not been fully considered or prepared for large shifts in working practices, often bringing new practitioners' roles to address local needs in newly managed interprofessional working systems for integrated care. In this second article, we consider the major themes identified by our review of integrated care policy to explore their implications for interprofessional learning, drawing on developmental pathways for interprofessional education from organic to strategic and systemic responses, to ask in what ways we will need to prepare our learners for these new ways of delivering integrated care.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"38 6","pages":"985-996"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645056","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}
Andreas Nielsen Hald, Mickael Bech, Ulrika Enemark, Jay Shaw, Viola Burau
{"title":"What makes communication work and for whom? Examining interprofessional collaboration among home care staff using structural equation modeling.","authors":"Andreas Nielsen Hald, Mickael Bech, Ulrika Enemark, Jay Shaw, Viola Burau","doi":"10.1080/13561820.2024.2404640","DOIUrl":"10.1080/13561820.2024.2404640","url":null,"abstract":"<p><p>Up to 175 conditions influencing interprofessional practices have been identified. Still, little is known about to what extent these conditions interact, influence communication, and vary across professional groups and settings. We explored these knowledge gaps by examining communication among staff in home care and home nursing units in two Danish municipalities, Herning and Holstebro. Conditions were categorized into two types (programme and context) and two levels (professional and organizational). Structural Equation Modeling was used with a sample of 395 staff and 21 managers to analyze the condition categories' interactions, influences on communication, and variations by unit type and municipality. Context conditions strongly influenced programme conditions on the professional and organizational levels. Organizational-level context conditions had no significant influence, organizational-level programme conditions had a weak influence, and professional-level programme and context conditions had moderate influences on communication. Lastly, professional-level programme conditions had the biggest influence on communication for staff in home care units and in Holstebro. In contrast, professional-level context conditions had the biggest influence on communication for staff in home nursing units and in Herning. These findings offer unique insights into conditions' interactions, influences, and variances, contributing to our understanding of what makes communication work and for whom.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1050-1061"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479482","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}
{"title":"Allied health work readiness capabilities: a qualitative comparison of graduates, supervisors, and managers' perspectives.","authors":"Arlene Walker, Srivalli Vilapakkam Nagarajan, Poppy Orr, Rachel Elphinston, Michael Dunne, Lindy McAllister","doi":"10.1080/13561820.2024.2406476","DOIUrl":"10.1080/13561820.2024.2406476","url":null,"abstract":"<p><p>Researchers have highlighted gaps in the work readiness (WR) of allied health (AH) graduates and the capabilities required to successfully work in an interprofessional collaborative practice healthcare environment. In the studies conducted, the focus has generally been on one AH discipline or on one participant group across disciplines, such as new graduates. We explored WR capability of new AH graduates across three participant groups (managers, supervisors, and graduates) and across several AH disciplines in the health sector. Focus groups using Critical Incident Technique (CIT) were conducted with 47 participants (14 new graduates, 13 supervisors, and 20 managers) from four public health organisations across Eastern Australia. CIT identified examples where new AH graduates had/did not have necessary WR capabilities to manage situations in the collaborative practice environment. Using thematic analysis, we found four main themes related to WR expectations of AH graduates (work skills and knowledge, working with others, personal attributes, and organisational knowledge), with several sub-themes. Some aspects of identified themes/sub-themes were unique to the AH interprofessional work context. Understanding of AH graduates' WR from multiple perspectives could support development of programs to enable graduate success in interprofessional working environments.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1026-1034"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479474","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}