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}
{"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}
{"title":"Conditions that hinder or facilitate the implementation of shared care plans in the care of older adults: A qualitative study from the perspective of professionals.","authors":"Anna Condelius, Denis Selan, Magdalena Andersson","doi":"10.1080/13561820.2025.2465595","DOIUrl":"10.1080/13561820.2025.2465595","url":null,"abstract":"<p><p>Developing shared care plans (SCPs) helps bridge gaps caused by organizational fragmentation, enhancing continuity and quality in care for individuals with complex needs. The aim of this study was to identify conditions that hinder or facilitate the implementation of SCPs in the care of older adults from the perspective of professional caregivers. Data were derived through qualitative interviews with 19 professionals working in residential aged care facilities, home care centers, and health care centers in five municipalities in Sweden. Content analysis was applied to the interview transcripts and resulted in the following five categories: 1) conditions that hinder or facilitate interprofessional collaboration, 2) conditions that hinder or facilitate the establishment of SCPs, 3) SCPs are of significance in the organization and for collaboration, 4) SCPs are a support in professionals´ everyday work, and 5) SCPs have consequences and bearing for the older persons and their relatives. The establishment of SCPs offers a forum for professionals to handle problems that come with fragmentation and can contribute with positive outcomes to the care of older adults. Nevertheless, insufficient conditions for interprofessional collaboration and a poor implementation climate may hamper their implementation and use.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"208-217"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450839","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}
Andrezza Karine Araújo de Medeiros Pereira, Sylvia Helena Souza DA Silva Batista, Patrícia Danielle Feitosa Lopes Soares, Lúcia da Rocha Uchôa Figueiredo, Rosa Maria Pinheiro Souza, Marcelo Viana da Costa
{"title":"Planning of Interprofessional education initiatives for the development of interprofessional competencies: an analysis based on the PET-Health Interprofessionality/Brazil.","authors":"Andrezza Karine Araújo de Medeiros Pereira, Sylvia Helena Souza DA Silva Batista, Patrícia Danielle Feitosa Lopes Soares, Lúcia da Rocha Uchôa Figueiredo, Rosa Maria Pinheiro Souza, Marcelo Viana da Costa","doi":"10.1080/13561820.2025.2462127","DOIUrl":"10.1080/13561820.2025.2462127","url":null,"abstract":"<p><p>Interprofessional education (IPE) initiatives must be based on an explicit pedagogy to ensure the development of interprofessional competencies. This article critically examines the planning of IPE initiatives created by participants in the national faculty development course PET-Health Interprofessionality in Brazil. A mixed-methods sequential exploratory design was utilized to conduct a documentary analysis. The data was collected from 143 instances of IPE planning. Data analysis comprised descriptive statistics and qualitative content analysis. Our analysis revealed a trend in developing interprofessional competencies with inadequate attention to aligning these with common and specific professional competencies. While most plans referenced intricate methodologies and scenarios for IPE, they often lacked detailed explanations of how these strategies relate to developing interprofessional competencies. Few projects provided details concerning the format of their interprofessional initiative. The evaluation of interprofessional learning was a weak point across the proposals, highlighting a need for further scholarly attention. We conclude with a call for greater attention to faculty development efforts, emphasizing the intentional design of IPE for developing the interprofessional competencies needed to meet the challenges and demands of present and future healthcare.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"248-256"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442626","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}
Ella Malloy, Noreen Cushen-Brewster, Gillian Heard, Julie Blundell, Valerie F Gladwell
{"title":"A service evaluation of the North East Essex Diabetes Service (NEEDS).","authors":"Ella Malloy, Noreen Cushen-Brewster, Gillian Heard, Julie Blundell, Valerie F Gladwell","doi":"10.1080/13561820.2025.2452976","DOIUrl":"10.1080/13561820.2025.2452976","url":null,"abstract":"<p><p>Improving outcomes and the integration of diabetes care for adults is a National Health Service ambition. In north east Essex, United Kingdom, an innovative interprofessional community-based diabetes service (North East Essex Diabetes Service (NEEDS)) was developed to provide a single point of access and continuity of care across an integrated, interprofessional care pathway. The aim was to evaluate how NEEDS was embedded into Primary Care, and gain insight into how it works from the perspective of staff delivering the service and from those receiving care. A mixed methods approach was used. Retrospective data from GP surgeries involved in NEEDS were analyzed. Online surveys (<i>n</i> = 21) and focus groups (workforce <i>n</i> = 23; service users <i>n</i> = 6) were conducted. A clear pathway of diabetes care across an integrated, interprofessional care system was demonstrated. Standard care processes and patient outcomes were higher than those recorded for other GP surgeries across England. Service users reported that they received support with more control over their care. The workforce reported a reduction in bureaucracy, blurring of professional boundaries, and thus autonomy to develop the service. The \"<i>virtual ward\"</i> provided a true interprofessional team approach. Patients and the workforce reported feeling empowered, demonstrating a holistic high-quality approach to patient care.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"177-185"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014264","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 Xyrichis, Brianne Wenning, Shannon Costello, Louise Rose
{"title":"Fostering tEAmwork for ResiLiEnt Staff and Safe care in ICU (FEARLESS ICU): study protocol.","authors":"Andreas Xyrichis, Brianne Wenning, Shannon Costello, Louise Rose","doi":"10.1080/13561820.2025.2460466","DOIUrl":"10.1080/13561820.2025.2460466","url":null,"abstract":"<p><p>In intensive care units (ICUs), various healthcare professions work together in interprofessional teams to deliver high-quality, effective care. These teams and their teamwork practices have implications for staff retention, burnout, and wellbeing, as well as patient safety and care outcomes. However, the United Kingdom's (UK) annual National Health Service (NHS) Staff Survey indicates that reported rates of high-quality teamwork are waning. Interventions to enhance teamwork are therefore crucial, yet in the NHS there is still no consistent approach to training teams. This protocol reports on the qualitative methodology we will employ to understand the factors that influence interprofessional teamwork practices in UK ICUs with a view to developing an evidence-based intervention. Methods consist of a rapid ethnography carried out across a minimum of five different hospitals with ICUs in England, coupled with interviews of health professionals. This in-depth approach will provide the opportunity to observe how different professionals interact with one another, their perceptions of these interactions, and the factors that influence collaborative work. In doing so, we aim to gain a comprehensive and contemporary understanding of ICU team working dynamics in the post-pandemic space. With this knowledge, we will collaborate with healthcare professionals to co-develop an interprofessional toolkit to improve teamwork to ultimately enhance staff wellbeing and improve patient outcomes.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"321-326"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392345","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":"Barriers and facilitators in implementing interdisciplinary play-based assessments in kindergarten: a Danish abductive study.","authors":"Calina Leonhardt, Dina Danielsen","doi":"10.1080/13561820.2025.2463546","DOIUrl":"https://doi.org/10.1080/13561820.2025.2463546","url":null,"abstract":"<p><p>The aim of this study was to examine the implementation of an interdisciplinary collaboration between health nurses and kindergarten pedagogues within a health promotion intervention designed to reduce health inequality among children. The collaboration took place during group- and play-based assessments of motor development in 4-year-olds. A total of 12 participant observations and 10 interviews (5 with health nurses and 5 with pedagogues), were used to explore the collaborative challenges and strengths. Through abductive analysis we examined four analytical themes: 1. The various roles assumed by the professions, 2. Their differences in motivation, 3. The professions' attitude toward each other and the collaboration, and 4. Diverse expectations regarding responsibility and follow up. These themes collectively offer insights into interdisciplinary collaboration in the context of health promotion and play-based assessments. The findings reveal differences in professional status and roles, with the health nurses assuming authoritative positions while the pedagogues adopt more assisting roles. Ambiguity regarding follow-up responsibilities furthermore emerges, potentially undermining the professionalism, empowerment and agency of the pedagogues. The study suggests future interventions to consider equity and professional recognition to enhance collaboration quality and implementation effectiveness.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434300","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":"Exploring parents' experiences of interprofessional collaboration among health professionals in the assessment and support of autistic children.","authors":"Sherryn Evans, Hayley Pringle, Zoe Sandner, Alexa Hayley","doi":"10.1080/13561820.2025.2462131","DOIUrl":"https://doi.org/10.1080/13561820.2025.2462131","url":null,"abstract":"<p><p>Interprofessional collaboration among health professionals is increasingly recognized as best practice in assessing and supporting autistic children, however limited research has explored whether this collaboration is being practiced. This study explored parents' experiences of interprofessional collaboration between health professionals involved with the assessment and support of their autistic children. Seventeen parents of autistic children participated in semi-structured interviews exploring their unique experiences of health professional collaboration. Six themes were developed inductively using reflexive thematic analysis. Parents suggested that health professionals are taking a siloed and staggered approach to the assessment of autistic children. When providing support to autistic children, parents reported health professionals had variable understanding of others' roles, with minimal direct communication across practices, often limited by time and funding. The parents identified the importance of collaboration between the health professionals and school teachers, but identified several barriers to the implementation of supports in the school setting recommended by the health professionals. Overall, parents perceived themselves as their child's case manager, facilitating professionals' collaboration. This study's findings suggest the need for a review of systems and processes to better support interprofessional collaboration between health professionals, along with schools, in the assessment and support of autistic children.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257115","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":"Global approaches to Indigenous health through interprofessional education: a scoping review.","authors":"Salina Mathur, Cara Aydin, Samaria Nancy Cardinal, Ruheena Sangrar, Sylvia Langlois","doi":"10.1080/13561820.2025.2456913","DOIUrl":"https://doi.org/10.1080/13561820.2025.2456913","url":null,"abstract":"<p><p>Indigenous communities worldwide experience inequalities in healthcare systems and face profound challenges in accessing equitable care. To bridge these gaps and deliver culturally safe healthcare, healthcare practitioners require appropriate education. Interprofessional education learning activities can facilitate understanding of beneficial and collaborative approaches to Indigenous health. This study explored the depth, breadth, and nature of existing literature on educational strategies used while teaching Indigenous health approaches within interprofessional education. The scoping review was guided by the Joanna Briggs Institute's methodology and considered all forms of English-language evidence with any publication date; it included quantitative, qualitative, mixed-method studies, and gray literature. Six databases were searched along with hand searching and reference list scanning. Sources were screened, extracted using a data extraction form, and analyzed quantitatively and qualitatively. The information was summarized using a summary of results table and a narrative summary. Of 1486 sources, 45 were included following a full-text review. An array of educational strategies informed by various theories and cultural concepts were extracted. Although the content of each learning activity was often unique to the local Indigenous community, many of the foundational theories and concepts were similar across cultures. The findings highlight the importance of partnering meaningfully with Indigenous individuals and communities in educational activity creation and delivery to enhance the quality of learning and learner satisfaction. These findings can contribute to developing culturally safe interprofessional healthcare services for Indigenous communities and guide the development of Indigenous health-related interprofessional education learning activities.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081906","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}
Emma Edwards, Anna Phillips, Maureen McEvoy, Kylie Johnston
{"title":"Characteristics and outcomes of communities of practice in allied health educators: rapid review.","authors":"Emma Edwards, Anna Phillips, Maureen McEvoy, Kylie Johnston","doi":"10.1080/13561820.2025.2452957","DOIUrl":"https://doi.org/10.1080/13561820.2025.2452957","url":null,"abstract":"<p><p>Allied health clinical educators (AHCEs) are vital to health professional student education and clinical education is often expected in a job role. Communities of practice (CoPs) may be a strategy to meet educator learning needs. A rapid review was conducted to determine the structures, purposes, and outcomes of AHCE CoPs, and barriers or enablers of participation in CoPs. A systematic electronic search of three peer-reviewed literature databases (1/1/1998 to 10/7/23) and gray literature search were conducted. Data were extracted using a purposively designed form and synthesized descriptively. One peer-reviewed paper and four unpublished reports were included. CoPs aimed to provide a platform for knowledge creation and resources. Most were single-discipline specific and conducted virtually with occasional face-to-face meetings. Evaluation of CoPs was limited: one paper reported the impact of a CoP on CE skills and confidence. Outputs included documentation and clinical reasoning tools, resource repositories and training packages. Enablers included having a facilitator, and an online platform for resource sharing. Lack of support by management limited participation. While published research on CoPs in AHCE is scarce, communities are growing informally within local health networks, predominantly online. Further research is indicated to evaluate effectiveness of CoPs and make the most of this opportunity for interprofessional collaboration and practice.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061237","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}