Journal of Interprofessional Care最新文献

{"title":"Power dynamics and interprofessional collaboration: How do community pharmacists position general practitioners, and how do general practitioners position themselves?","authors":"Hilde Rakvaag, Reidun Lisbet Skeide Kjome, Gunn Elisabeth Søreide","doi":"10.1080/13561820.2022.2148637","DOIUrl":"10.1080/13561820.2022.2148637","url":null,"abstract":"<p><p>Power differentials and medical dominance can negatively affect collaboration between physicians and pharmacists. Norway is recognized as having a relatively egalitarian work sector, which could affect power differentials. In this qualitative study, we used positioning theory as a framework to explore the aspect of power dynamics between Norwegian general practitioners (GPs) and community pharmacists. We used the concepts of reflexive and interactive positioning to identify how GPs positioned themselves and how they were positioned by pharmacists in six focus groups. Data were analyzed using systematic text condensation. We found positioning theory to be a useful lens through which to study power dynamics in relation to collaboration between community pharmacists and GPs. Our findings imply that the presence of medical dominance poses challenges even in an egalitarian Norwegian setting. However, although both GPs and pharmacists draw on a 'medical dominance' storyline, we have also identified how both pharmacists and GPs draw on alternative and promising storylines of collaboration between the two professions.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"796-803"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10842775","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":"Experiences of students and health care professionals from an interprofessional HIV training workshop: a mixed-method study.","authors":"Mmoloki C Molwantwa, Keneilwe Motlhatlhedi, Ari Ho Foster, Mosepele Mosepele, Nthabiseng Phaladze","doi":"10.1080/13561820.2026.2667301","DOIUrl":"10.1080/13561820.2026.2667301","url":null,"abstract":"<p><p>In the context of sub-Saharan Africa's ongoing HIV epidemic and the growing burden of chronic comorbidities, healthcare delivery increasingly requires coordinated, interprofessional care. However, fragmented service provision, especially in low- and middle-income countries (LMICs), affects patient outcomes. This study evaluates the implementation of a two-day Interprofessional Education (IPE) intervention aimed at enhancing collaborative competencies among final-year health professions education (HPE) students and early-career healthcare professionals in Botswana. Using a sequential explanatory mixed-methods design, the study assessed the self-perceived competencies of 129 HPE students and 62 health care professionals using the Interprofessional Collaborative Competency Attainment Scale (ICCAS) and conducted 15 follow-up interviews 3 months post-intervention. Quantitative findings from pre- and post-training responses demonstrated statistically significant improvements (<i>p</i> < .001) across all six ICCAS domains: communication, collaboration, roles and responsibilities, collaborative patient/family-centeredness, conflict resolution, and team functioning. Median changes were greatest in team functioning and patient-centered care domains. Qualitative data from 15 interviews corroborated these findings, revealing enhanced communication, mutual respect across professional roles, and increased readiness for interdisciplinary collaboration. However, participants also cited persistent ambiguities in role clarification and challenges in sustaining collaborative behaviors post-training. Embedding IPE within continuing professional development frameworks could reinforce sustained collaboration and address structural challenges unique to LMICs. This study contributes to the limited empirical literature on IPE implementation in resource-constrained settings and supports calls for intentional, systemic investment in interprofessional training to advance patient-centered, team-based HIV care.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"823-832"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984008","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":"Opportunity, hierarchy, and awareness: an ethnographic exploration across rehabilitation units of interprofessional practice in nutrition and mealtime care.","authors":"Hannah Olufson, Ella Ottrey, Adrienne Young, Theresa Green","doi":"10.1080/13561820.2023.2243287","DOIUrl":"10.1080/13561820.2023.2243287","url":null,"abstract":"<p><p>Interprofessional practice is increasingly cited as necessary in the delivery of high-quality nutrition and rehabilitation services. However, there is limited evidence available exploring the factors which influence interprofessional practice in subacute rehabilitation nutrition services. Our ethnographic study explored collaborative activities, influential factors and staff attitudes related to interprofessional practice in nutrition care. Fifty-eight hours of ethnographic field work were undertaken from September 2021-April 2022, across three subacute rehabilitation units, with a total of 165 patients, support persons and staff participating. Overall, 125 unique participants were observed and 77 were interviewed. We generated three themes through reflexive thematic analysis. First, <i>the potential opportunities for interprofessional practice at mealtimes</i>, as influenced by communication, role clarity and reciprocity. Second, <i>hierarchy of nutrition roles and tasks</i> impedes interprofessional practice, where the perceived lower importance of nutrition care to other clinical roles and physical therapies influences staff practice. Third, <i>the mystery of nutrition care roles and systems in rehabilitation</i>, which exposes gaps in the awareness of different team members regarding nutrition care roles and systems, hindering interprofessional practice. Our findings highlight the opportunity for embedded, innovative models of care and staff education to enhance interprofessional practice in nutrition and mealtimes.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"786-795"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10011743","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":"Negotiating collaborative agreements: Interprofessional collaboration in a Norwegian welfare context.","authors":"Linn-Marie Lillehaug Pedersen","doi":"10.1080/13561820.2023.2205880","DOIUrl":"10.1080/13561820.2023.2205880","url":null,"abstract":"<p><p>Interprofessional collaboration among welfare services is a policy objective promoted to ensure successful service provision to people with complex needs. In the Nordic region, people who are not in education, employment, or training often have challenging life situations requiring help from a multitude of services. In Norway, significant political and institutional efforts focus on implementing policies that support collaboration. However, we know little about how service workers formalize joint efforts. In this study, I used institutional ethnography to explore how interprofessional collaboration was constructed through negotiations of collaborative agreements among leaders of welfare services and how such negotiations are consequential for collaborative practices. I explored two cases of negotiations initiated by the leader of the Norwegian Labor and Welfare Administration. The negotiations were with the local child welfare and protection services and Refugee services, focusing on the transition of care regarding youth and refugees. The data includes two collaborative agreements between the services, an observation of the negotiation of one agreement, and 10 interviews with leaders and staff. Results show that collaboration is constructed based on holistic service provision. The negotiations, however, do not result in such collaborative practices, but are characterized by the demarcation of responsibilities and work.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"777-785"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9808993","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":"Power in interprofessional education and collaborative practice: has anything changed?","authors":"Andreas Xyrichis, Simon Fletcher, Rick Hood, Kunal Patel, Shelley Cohen Konrad","doi":"10.1080/13561820.2026.2721932","DOIUrl":"https://doi.org/10.1080/13561820.2026.2721932","url":null,"abstract":"","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"40 5","pages":"735-737"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867429","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":"Implementation of a patient-centered interprofessional education course for undergraduates from five health and medical professions.","authors":"Michal Avrech Bar, Margalit Pade, Ami Fishman, Liat Kishon-Rabin","doi":"10.1080/13561820.2026.2664801","DOIUrl":"10.1080/13561820.2026.2664801","url":null,"abstract":"<p><p>Interprofessional collaboration (IPC) optimizes patient care by combining diverse expertise. Although interprofessional education (IPE) supports IPC, underreporting of key IPE components may limit its implementation in higher education. The purpose of this paper was to describe the experience of implementing an IPE course and explore the perceptions of the participating students and faculty tutors. The course was based on problem-based learning (PBL) using patient-centered learning (PCL). Peer feedback was crucial to the learning process. A qualitative-ethnographic study was conducted involving 88 students from five professions within the Faculty of Medical and Health Sciences who enrolled in the course. Data were collected using focus groups and semi-structured individual interviews (45 students and 17 tutors), as well as direct observations (36 students and eight tutors). Data analysis was conducted manually by the research team without the use of qualitative data analysis software. Students and tutors found the new course innovative and effective in preparing healthcare students for future collaboration. The strong focus on feedback distinguished it from traditional IPE courses. Due to its successful implementation, the course has become mandatory for all students.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"814-822"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822796","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":"Transformation of an interprofessional learning strategy through organizational change principles and patient partnership.","authors":"Niall T Stevens, Tracy Carroll, Frances Horgan, Muirne Spooner, Judith Strawbridge, Fiona Kent","doi":"10.1080/13561820.2026.2680057","DOIUrl":"10.1080/13561820.2026.2680057","url":null,"abstract":"<p><p>Interprofessional learning (IPL) is required for health profession students to develop appropriate collaborative competencies. In 2024, in response to accreditation recommendations and evolving best practices, the Royal College of Surgeons in Ireland (RCSI), University of Medicine & Health Sciences undertook a comprehensive redesign of its original IPL strategy. Guided by Kotter's eight-step model for organizational change, an interprofessional leadership team of academic staff, student, and patient partners reviewed and updated their approach to IPL. This new strategy integrates formal, informal, and workplace-based learning opportunities for all students, with learning outcomes aligned to the 2023 IPEC core competencies. An IPL logo was collaboratively designed to signpost all interprofessional activities and communicate the new vision. There is now an increased focus on workplace learning and embedding IPL into both curricula and co-curricula domains of the learning environment, with faculty development organized by a centralized team. Early success includes patient participation in all strategic decisions, appointment of a Deputy Dean interprofessional leadership role, new workplace learning activities, and elevating the vision of IPL at a local and national level through conference presentations, workshops, and with student engagement initiatives. This report outlines our process, rationale, and early outcomes, with the aim of demonstrating the merit of using an organizational management process when seeking curriculum transformation within a large education institution. This approach reinforces the recognized importance of leadership, stakeholder engagement, and sustained institutional support in fostering a cultural recognition and valuing of IPL.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"840-844"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057924","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":"What do you mean, 'negotiating?': Patient, physician, and healthcare professional experiences of navigating hierarchy in networks of interprofessional care.","authors":"Graham Macdonald, Sevinj Asgarova, Wendy Hartford, Mary Berger, Sayra Cristancho, Laura Nimmon","doi":"10.1080/13561820.2023.2203722","DOIUrl":"10.1080/13561820.2023.2203722","url":null,"abstract":"<p><p>Interprofessional collaborative practice is a phenomenon that can be fraught with power dynamics between professions, within professions, and between professionals and patients. In the literature, the dominant notion is that conflicting viewpoints and interests arising from unequal power dynamics can be resolved through negotiation. This study examined COPD patients, health professionals, and physician experiences of negotiation within 10 interprofessional collaborative COPD care teams. Physicians, patients, and healthcare professionals each had strikingly different conceptions and experiences of negotiating their perspective with other team members. Our study suggests that negotiation is an idealized notion rather than a relational process embedded in interprofessional collaborative practice. Importantly, we found that the ability and opportunity to negotiate one's perspective is heavily influenced by one's position in the workplace division of labor and professional hierarchy. We conclude that \"negotiation\" is only one approach among many in navigating interprofessional relations. Further, the rhetorical and ideological appeal of \"negotiation\" may overstate its role in interactions in interprofessional care settings, and lead to a misunderstanding of the power dynamics at play. It may be naïve to assume team members can control their situation through the competitive assertion of their individual perspective in a rational debate. Unfortunately, adopting the language of negotiation uncritically may not offer relevant solutions to structural and collective problems within a healthcare workplace.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"755-766"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9808991","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":"How does trust emerge in interprofessional collaboration? A qualitative study of the significance, importance, and dynamics of trust in healthcare teams and networks.","authors":"Sandrine Corbaz-Kurth, Rafaël Weissbrodt, Typhaine Maiko Juvet, Stéphanie Hannart, Bozica Krsmanovic, Isabelle Salamin Plaschy, Philippe Terrier","doi":"10.1080/13561820.2025.2495013","DOIUrl":"10.1080/13561820.2025.2495013","url":null,"abstract":"<p><p>The current healthcare context is characterized by increasing care complexity, chronic illnesses, an aging population, and staff shortages. In this setting, care quality is strongly linked to the ability of healthcare workers from various professions to collaborate efficiently and cohesively. Trust is widely regarded as a crucial prerequisite for effective teamwork, yet it can be compromised by multiple factors. This qualitative study, employing phenomenological and critical incidents approaches, aims to better understand the phenomenon of interprofessional trust and to explore its main determinants and consequences. Interprofessional trust is primarily described as a positive expectation that a colleague will act professionally and prioritize patient needs. Several factors contribute to its development: the quality and regularity of relationships, individual attitudes, and organizational factors such as an interdisciplinary culture, horizontal management, and sufficient staffing. Interprofessional trust influences professionals' psychological safety, job satisfaction, self-efficacy, and sense of meaning at work. It is also considered to enhance interprofessional collaboration, teamwork efficiency, care quality, and patient well-being and safety. This article presents a detailed model of the dynamics of trust and its importance in the context of interprofessional teams and networks.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"804-813"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081592","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":"Peer coaching, implementation support and organisational power.","authors":"Richard Boulton, Annette Boaz","doi":"10.1080/13561820.2023.2205879","DOIUrl":"10.1080/13561820.2023.2205879","url":null,"abstract":"<p><p>This article looks at the effects of power (conceived as complex and multi-directional) on the collaborative, interprofessional relationships of peer coaches when delivering implementation support. The study conducted ethnographic observations, semi-structured interviews and documentary analysis to evaluate the dynamics of peer coaching during the implementation of an evidence-based programme, Patient and Family Centred Care (PFCC), to improve 24 end-of-life care services. The article draws on perspectives from critical management studies to offer insights on the effect of organisational power on collaborations during the administration of peer coaching. This article details the difficulties that organisational power structures posed to interprofessional peer-coaching collaborations. Many of the peer coaches found it difficult to place their advice in the existing ethos of organisations, existing organisational hierarchies, or collaborate in the midst of staff turnover and general time management outside of their control. These considerations meant that successful peer-coaching collaborations and the success of the implementation programme were often divergent.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"767-776"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9808987","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}