Jessica Archer, Jessica Rogalsky, Emiliana Guerra, Ted Brown, Luke Robinson
{"title":"The impact of healthcare funding on interprofessional collaboration and integrated service delivery in primary and allied healthcare: a scoping review.","authors":"Jessica Archer, Jessica Rogalsky, Emiliana Guerra, Ted Brown, Luke Robinson","doi":"10.1080/13561820.2025.2452958","DOIUrl":"10.1080/13561820.2025.2452958","url":null,"abstract":"<p><p>This scoping review explores the concepts of integrated healthcare, interprofessional collaboration, and healthcare funding within the context of primary and allied healthcare. A systematic database, internet, and manual search of included article reference lists sought published and gray literature. From an initial 8,122 papers, a total of 63 met the inclusion criteria and were assessed using a three-stage narrative synthesis that sought to meaningfully account for the complexity and heterogeneity of the included papers: (1) Preliminary analysis involved data extraction and mapping of key themes, including article, integration, collaboration, and funding characteristics; (2) Robustness evaluation involved critically appraising the methodological quality of the literature using the Crowe Critical Appraisal Tool, and the Johns Hopkins Nursing Evidence-based Practice Research Evidence Appraisal Tool, and Non-Research Evidence Appraisal Tool; and (3) Relationship exploration found that most primary and allied healthcare services still operate under fee-for-service funding arrangements that discourage the delivery of integrated collaborative, coordinated, and complex care, instead encouraging traditional siloed and hierarchical approaches that are linked to workload, remuneration, and job satisfaction inequalities between primary and allied healthcare professions. Future research exploring sustainable blended funding models that encourage greater collaboration and integration among primary and allied healthcare is needed.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"296-313"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054070","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}
Gabriela Fernández Castillo, Maryam Khan, Lila Berger, Rylee Linhardt, Tisnue Jean-Baptiste, Eduardo Salas
{"title":"The team resilience prescription: Navigating adaptive and maladaptive processes in healthcare teams.","authors":"Gabriela Fernández Castillo, Maryam Khan, Lila Berger, Rylee Linhardt, Tisnue Jean-Baptiste, Eduardo Salas","doi":"10.1080/13561820.2025.2460477","DOIUrl":"10.1080/13561820.2025.2460477","url":null,"abstract":"<p><p>During the COVID-19 pandemic, the world turned its attention to healthcare professionals: everyone's lifeline. Yet, in doing so, patterns of overwork and exhaustion of those professionals were fortified, resulting in some of the highest burnout rates the field has ever seen. The picture becomes increasingly complex as most healthcare professionals work in teams, and resilient individuals do not necessarily make resilient teams. As many healthcare professionals are taught to keep going - no matter what the obstacles are - resilience ensues, but at what cost? This discussion article argues that team resilience comes in two forms: adaptive and maladaptive. We discuss how teams' exchange patterns can result in negative cycles of performance, resulting in harm to the self, one's team, and others (such as patients). We follow this discussion up by putting forward three pillars of adaptive team resilience grounded in job burnout's facets, integrating literature on sense of calling, emotional contagion, and team adaptability. Moreover, we consider the pivotal role of the healthcare hierarchy in these processes, and how individuals of differential rank can approach these pillars. We end with a brief discussion on how to incorporate these pillars into organizational practices.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"314-320"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interprofessional meetings, organization, and interactive practices: the reflexive achievement of patient-centeredness.","authors":"Sara Keel, Anja Schmid, Veronika Schoeb","doi":"10.1080/13561820.2024.2407070","DOIUrl":"10.1080/13561820.2024.2407070","url":null,"abstract":"<p><p>Interprofessional meetings are crucial for achieving patient-centeredness in healthcare. Exactly how patient-centeredness is reached during these meetings remains underexamined. Adopting an Ethnomethodology and Conversation Analysis (hereafter EMCA) perspective, this contribution looks at video-recordings of interprofessional meetings in two distinct healthcare settings: rehabilitation and internal medicine. It aims to provide new insight into how investigations of patient-centeredness as a reflexive achievement allow us to better understand the organizational and relational efforts required to achieve it in practice. This contribution outlines how different healthcare contexts result in variety in the meeting frequency, duration, aims, participants, and agendas, which in turn means that the opportunities for patient-centeredness are not the same. But it also illustrates how patient-centeredness depends on the ways the various opportunities are seized and play out in the interprofessional interactions. It is therefore argued here that research on how patient-centeredness is reached in interprofessional meetings and the development of recommendations for enhancing it both require consideration of context-specific conditions and how participants adapt to and simultaneously modify them to achieve patient-centeredness in practice.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"192-207"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523542","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}
Vikki Park, Dean Lising, Jill E Thistlethwaite, Anthony P Breitbach, Andrea L Pfeifle, Hossein Khalili
{"title":"Leveraging the strengths of a global network to adapt and sustain interprofessional education and collaborative practice during the COVID-19 pandemic.","authors":"Vikki Park, Dean Lising, Jill E Thistlethwaite, Anthony P Breitbach, Andrea L Pfeifle, Hossein Khalili","doi":"10.1080/13561820.2024.2405981","DOIUrl":"10.1080/13561820.2024.2405981","url":null,"abstract":"<p><p>The COVID-19 pandemic impacted interprofessional education and collaborative practice (IPECP), and global educators collaborated to mitigate the impact. This report reflects the innovations of the global network InterprofessionalResearch.Global (IPR.Global), exploring adaptations and emerging practices in IPECP, and formation of the COVID-19 Taskforce. In response to widespread change and crisis in the pandemic, the Taskforce mobilized global collaboration by forming working groups which led to IPECP innovations through IPR.Global reports, publications, and knowledge forums. Tuckman's theory of group formation is used to explore interprofessional group structures and to understand how network members adapted and collaborated effectively through stages of group development. By leveraging the strengths of IPR.Global, an established global network, adaptations could be made to sustain IPECP in the pandemic, sharing and exploring experiences of emerging best practice through collaborations, group working and knowledge mobilization. Whilst the pandemic impacted IPECP across the world, global networks and teams were key to developing, advancing, and sustaining interprofessional innovations. Through exploring the lessons learned, future collaborations can consider how to promote knowledge mobilization, and sustainability within the global community of practice and advance IPECP by considering team formation theory.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"327-333"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479479","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":"Love, Shout, Bribe: towards a theory of change for delivering interprofessional workforce transformation.","authors":"Orlando Hampton, Andreas Xyrichis","doi":"10.1080/13561820.2025.2476270","DOIUrl":"https://doi.org/10.1080/13561820.2025.2476270","url":null,"abstract":"","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"39 2","pages":"141-145"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659238","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}
Sherryn Evans, Nicole Shaw, Catherine Ward, Gary D Rogers
{"title":"From classroom to collaboration: how pre-graduation interprofessional learning shapes health professional graduates' interactions in practice.","authors":"Sherryn Evans, Nicole Shaw, Catherine Ward, Gary D Rogers","doi":"10.1080/13561820.2024.2407073","DOIUrl":"10.1080/13561820.2024.2407073","url":null,"abstract":"<p><p>Interprofessional education (IPE) aims to prepare health professional students with the knowledge, attitudes and skills required for collaborative healthcare practice. Although positive outcomes have been documented at the completion of university-based IPE experiences, or longitudinally across health care degrees, the literature is unclear on how university-based IPE influences graduate practice. This study therefore explores how health professional graduates experience interprofessional interactions in practice and how these may be connected to their university-based IPE experiences. Interviews with seven health professional graduates who had participated in an 11-week IPE course as part of their pre-licensure degrees were analyzed using interpretative phenomenological analysis. The participants were able to articulate instances of effective and less effective collaboration from their professional experiences, making sense of these experiences with explicit reference to the themes of role understanding, collaborative working relationships, interprofessional communication, patient-centered care and contextual influences; all ideas introduced in their university-based IPE. They connected their understanding of roles, collaborative working relationships and interprofessional communication explicitly to their prior university-based IPE, identifying these learnings as foundational knowledge. This connection was not as explicit for patient-centered care and contextual issues. These findings highlight the critical importance of IPE in preparing health professionals for high-quality contemporary practice.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"241-247"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479476","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, Carina Ehlert, Ulrika Enemark, Jay Shaw, Viola Burau
{"title":"Care professionals' experiences and mediation of conditions for well-functioning interprofessional collaboration: a mixed-methods case study of rehabilitation pathways in Danish home care.","authors":"Andreas Nielsen Hald, Mickael Bech, Carina Ehlert, Ulrika Enemark, Jay Shaw, Viola Burau","doi":"10.1080/13561820.2025.2452963","DOIUrl":"10.1080/13561820.2025.2452963","url":null,"abstract":"<p><p>There is a growing interest in understanding the conditions that facilitate and hinder well-functioning interprofessional collaborations in healthcare. However, important knowledge gaps persist regarding the significance of context conditions and how different professional groups contribute to mediating conditions. To address these gaps, we conducted a mixed-method single-case study using surveys, interviews, and observations. Specifically, we examined how personal workers (PWs) and therapists experienced and mediated conditions during a crucial period of their collaboration in rehabilitation pathways in Danish home care. The findings show that the professional groups experienced different context conditions as poor and, based on their experiences, used distinct strategies to mediate these conditions. The therapists used \"Monitoring,\" \"Educating,\" \"Building Relationships,\" and \"Retaining Tasks & Advocating.\" The PWs used \"Gaming the System,\" \"Cutting Corners,\" and \"Keeping Old Habits.\" The findings further suggest that the professional groups' experience and mediation of the conditions contributed to how the collaboration functioned, maintaining and disrupting it. The study contributes to the literature and practice by offering valuable insights into the pivotal role of context conditions and professionals' agency in interprofessional collaborations. These insights can help inform researchers and practitioners in their efforts to improve the conditions for interprofessional collaborations in healthcare.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"163-176"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034696","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}
Linh Thuy Khanh Tran, Khoa Duy Duong, Duong Dai Le, Hoang Thi Mai Nguyen
{"title":"Question the promise: validating the interprofessional attitudes scale in Vietnamese health students.","authors":"Linh Thuy Khanh Tran, Khoa Duy Duong, Duong Dai Le, Hoang Thi Mai Nguyen","doi":"10.1080/13561820.2024.2449053","DOIUrl":"10.1080/13561820.2024.2449053","url":null,"abstract":"<p><p>The Interprofessional Attitudes Scale (IPAS) is a promising tool for assessing interprofessional education (IPE) attitudes, especially in community-oriented initiatives. To meet the need for validated IPE tools in Vietnam, we translated the IPAS into Vietnamese (Viet-IPAS) and evaluated its psychometric properties. The preparatory phases included forward and backward translation, expert consultations, and student feedback, resulting in strong content validity, face validity, linguistic comprehensibility, and test-retest reliability. During the 2020-2021 academic year, health students from the University of Medicine and Pharmacy at Ho Chi Minh City were invited for the main phase. A total of 282 students from medical, nursing, pharmacy, and rehabilitation science programs completed an online survey using the Viet-IPAS. Cronbach's alphas for the Teamwork, roles and responsibilities (TRR), Patient-centeredness, Interprofessional biases (IB), Diversity and ethics, and Community-centeredness subscales were .84, .79, .56, .86, and .81, respectively. Confirmatory factor analysis indicated an acceptable fit (normed χ2: 2.618, RMSEA: .076, CFI: .874, AGFI: .77). Factor loadings were above .70, except for IB3 and TRR8 items. Modified models by removing IB subscale and TRR8 item showed slightly improved fit. We recommend using the Viet-IPAS with modifications in Vietnamese health student populations and encourage further review and refinement of the instrument.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"275-283"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958188","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":"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":"284-295"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","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":"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":"146-154"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","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}