Journal of Interprofessional Care最新文献_第4页

Learner experiences of identity and global interdependence following engagement with an interprofessional education course. 学习者在参与跨专业教育课程后对身份认同和全球相互依存的体验。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2024-08-22 DOI: 10.1080/13561820.2024.2391979

Sarah A Manspeaker, Sarah Oerther, David Pole, Haley Cobb, Anthony Breitbach

{"title":"Learner experiences of identity and global interdependence following engagement with an interprofessional education course.","authors":"Sarah A Manspeaker, Sarah Oerther, David Pole, Haley Cobb, Anthony Breitbach","doi":"10.1080/13561820.2024.2391979","DOIUrl":"https://doi.org/10.1080/13561820.2024.2391979","url":null,"abstract":"University core curricula and accreditation standards for healthcare profession programs can be challenging to align. Additionally, interprofessional education (IPE) requirements for healthcare professions curricula have been designed to prepare learners for future practice. This paper describes alignment of an introductory IPE course with embedded Interprofessional Education Collaborative core competencies to specific university Core Curriculum attributes. A cross-sectional, mixed methods design was used to examine 117 learners' reflections on the IPE course content and learning outcomes. Learners from seven pre-licensure health professions programs provided responses on aspects of their IPE learning experience through reflections, surveys, written examinations, and optional focus groups. Open-ended responses were interpreted thematically from a constructivist lens. Results revealed positive perceptions of the course with feedback for areas of consideration for future course activities. Learners reported more engagement with the Core Curriculum attribute of Identities in Context than that of Global Interdependence. Additionally, responses indicated a perception of task work versus teamwork within the interprofessional team activities. Outcomes provided data that enabled continuous quality improvement of the course. Educators seeking to align IPE courses with institutional core curricula and accreditation standards may use this work to inform structure, assessment, and delineation of teamwork as compared to task work.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinician experience of being interprofessional: an interpretive phenomenological analysis. 临床医生对跨专业的体验：一种解释性现象学分析。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-11 DOI: 10.1080/13561820.2024.2371342

Angela Wood, Anne Hill, Neil Cottrell, Jodie Copley

{"title":"Clinician experience of being interprofessional: an interpretive phenomenological analysis.","authors":"Angela Wood, Anne Hill, Neil Cottrell, Jodie Copley","doi":"10.1080/13561820.2024.2371342","DOIUrl":"https://doi.org/10.1080/13561820.2024.2371342","url":null,"abstract":"Clinicians are increasingly required to work and learn interprofessionally, yet few studies explore the nature of being interprofessional. The purpose of this study was to explore the lived experience of clinicians who identify as interprofessional or have an interprofessional identity. Interpretive phenomenological analysis (IPA) was applied as a qualitative research approach and analytical method. Fifteen key informants from a range of professions, settings, and roles were recruited via purposive sampling. Data was collected via semi-structured interviews, observation of participants' day-to-day practice, and review of organizational documents, and analyzed using IPA. Six interdependent Group Experiential Themes were developed: (i) The power of person-centered holistic care, (ii) Learning and growth through curiosity, reflection, and willingness to be vulnerable, (iii) Welcomes, values, and empowers all others, (iv) Trust and mutual respect through belonging and connection, (v) The contribution of background and previous experiences, and (vi) The influence of workplace context. Each Group Experiential Theme had between two and nine sub-themes. Results support the value of understanding and making explicit the concepts that comprise clinician interprofessional identity. The findings can be used to support clinicians, educators, leaders, and policy makers to develop and sustain interprofessional identity, and subsequently cultivate a culture of interprofessional collaborative practice. Future research is needed to further explore the themes, investigate their inter-relationships, and present the concepts that comprise clinician interprofessional identity in a way that is accessible to healthcare professionals and facilitates their integration into practice.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of video consultation on interprofessional collaboration and professional roles: a simulation-based study in prehospital stroke chain of care. 视频会诊对跨专业协作和专业角色的影响：院前卒中连锁护理中的模拟研究。

IF 2.7 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-05-08 DOI: 10.1080/13561820.2024.2344075

Lise-Lotte Omran, Magnus Andersson Hagiwara, Goran Puaca, Hanna Maurin Söderholm

{"title":"The impact of video consultation on interprofessional collaboration and professional roles: a simulation-based study in prehospital stroke chain of care.","authors":"Lise-Lotte Omran, Magnus Andersson Hagiwara, Goran Puaca, Hanna Maurin Söderholm","doi":"10.1080/13561820.2024.2344075","DOIUrl":"10.1080/13561820.2024.2344075","url":null,"abstract":"Healthcare is often conducted by interprofessional teams. Research has shown that diverse groups with their own terminology and culture greatly influence collaboration and patient safety. Previous studies have focused on interhospital teams, and very little attention has been paid to team collaboration between intrahospital and prehospital care. Addressing this gap, the current study simulated a common and time-critical event for ambulance nurses (AN) that also required contact with a stroke specialist in a hospital. Today such consultations are usually conducted over the phone, this simulation added a video stream from the ambulance to the neurologist on call. The aim of this study was to explore interprofessional collaboration between AN's and neurologists when introducing video-support in the prehospital stroke chain of care. The study took place in Western Sweden. The simulated sessions were video recorded, and the participants were interviewed after the simulation. The results indicate that video has a significant impact on collaboration and can help to facilitate better understanding among different professional groups. The participants found the video to be a valuable complement to verbal information. The result also showed challenges in the form of a loss of patient focused care. Both ANs and neurologists saw the video as benefiting patient safety.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A critical interpretive synthesis of interprofessional education interventions. 对跨专业教育干预措施的批判性解释综述。

IF 2.7 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-01-07 DOI: 10.1080/13561820.2023.2294755

Sanne Kaas-Mason, Sylvia Langlois, Sabrina Bartlett, Farah Friesen, Stella Ng, Daniela Bellicoso, Paula Rowland

{"title":"A critical interpretive synthesis of interprofessional education interventions.","authors":"Sanne Kaas-Mason, Sylvia Langlois, Sabrina Bartlett, Farah Friesen, Stella Ng, Daniela Bellicoso, Paula Rowland","doi":"10.1080/13561820.2023.2294755","DOIUrl":"10.1080/13561820.2023.2294755","url":null,"abstract":"Interprofessional practice can look quite different depending on a number of dynamics. Interprofessional education interventions may or may not orient toward this range of practice possibilities. This literature review explores: (1) how interprofessional education interventions relate to different kinds of interprofessional practice and (2) the range of interprofessional practices assumed by interprofessional education interventions. Four databases were searched for articles published between 2011-2021 describing pre-licensure level interprofessional education interventions, resulting in a dataset of 110 articles. Our analysis involved (1) descriptive summaries of the articles, and (2) content analysis of the rationale and description of the intervention. Of the articles, 93% (102/110) of interprofessional education interventions were designed and/or evaluated using the concept of interprofessional education competencies. \"Teamwork\" was the most relied upon competency. Most articles were not explicit about the different kinds of interprofessional practices that these competencies might be oriented toward. Our study substantiates earlier claims that interprofessional education literature tends to focus on competencies and orient toward undifferentiated understandings of \"teamwork.\" This analysis is particularly important as interprofessional teams are engaging in increasingly complex, fluid, and distributed forms of interprofessional practice that may not be captured in an undifferentiated approach to \"teamwork.\"","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bias in team decision-making for advanced heart failure therapies: model application. 先进心力衰竭疗法团队决策的偏差：模型应用。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-05-11 DOI: 10.1080/13561820.2024.2346934

Megan Hebdon, Natalie Pool, Ryan Yee, Kathryn Herrera-Theut, Erika Yee, Larry A Allen, Ayesha Hasan, JoAnn Lindenfeld, Elizabeth Calhoun, Nancy K Sweitzer, Anna Welling, Khadijah Breathett

{"title":"Bias in team decision-making for advanced heart failure therapies: model application.","authors":"Megan Hebdon, Natalie Pool, Ryan Yee, Kathryn Herrera-Theut, Erika Yee, Larry A Allen, Ayesha Hasan, JoAnn Lindenfeld, Elizabeth Calhoun, Nancy K Sweitzer, Anna Welling, Khadijah Breathett","doi":"10.1080/13561820.2024.2346934","DOIUrl":"10.1080/13561820.2024.2346934","url":null,"abstract":"Bias in advanced heart failure therapy allocation results in inequitable outcomes for minoritized populations. The purpose of this study was to examine how bias is introduced during group decision-making with an interprofessional team using Breathett's Model of Heart Failure Decision-Making. This was a secondary qualitative descriptive analysis from a study focused on bias in advanced heart failure therapy allocation. Team meetings were recorded and transcribed from four heart failure centers. Breathett's Model was applied both deductively and inductively to transcripts (n = 12). Bias was identified during discussions about patient characteristics, clinical fragility, and prior clinical decision-making. Some patients were labeled as \"good citizens\" or as adherent/non-adherent while others benefited from strong advocacy from interprofessional team members. Social determinants of health also impacted therapy allocation. Interprofessional collaboration with advanced heart failure therapy allocation may be enhanced with the inclusion of patient advocates and limit of clinical decision-making using subjective data.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11233123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909431","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}

引用次数: 0

Interprofessional collaboration in palliative dementia care. 痴呆症姑息治疗中的跨专业合作。

IF 2.7 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-05-17 DOI: 10.1080/13561820.2024.2345828

C Khemai, D L L Leão, D J A Janssen, J M G A Schols, J M M Meijers

{"title":"Interprofessional collaboration in palliative dementia care.","authors":"C Khemai, D L L Leão, D J A Janssen, J M G A Schols, J M M Meijers","doi":"10.1080/13561820.2024.2345828","DOIUrl":"10.1080/13561820.2024.2345828","url":null,"abstract":"Interprofessional collaboration (IPC) is essential for high-quality palliative care (PC) for persons with dementia. The aim of this scoping review was to identify IPC approaches in palliative dementia care and explore the elements constituting these approaches. We performed a search in PubMed, CINAHL, and PsychINFO using the Joanna Briggs Institute Reviewers' manual and PRISMA guidelines, and conducted content analysis of the included articles. In total, 28 articles were included, which described 16 IPC approaches in palliative dementia care. The content analysis revealed three overall elements of these approaches: 1) collaborative themes, 2) collaborative processes, and 3) resources facilitating collaboration. Frequently reported collaborative themes embraced pain management and providing care in the dying phase. These themes were addressed through intertwined collaborative processes including communication, coordination, assessing and monitoring, and reflecting and evaluating. To ensure optimal IPC in palliative dementia care, various resources were required, such as PC knowledge, skills to manage symptoms, skills to communicate with collaborators, and a facilitating environment. In conclusion, the identified IPC approaches in palliative dementia care involve diverse collaborating professionals who mainly manage symptoms, prepare for the dying phase and require material and immaterial resources to enable optimal IPC in palliative dementia care.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Collaboration in the midst of chaos: perspectives of inpatient occupational and physical therapists during the COVID-19 pandemic. 混乱中的协作：COVID-19 大流行期间住院职业治疗师和物理治疗师的观点。

IF 2.7 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-05-14 DOI: 10.1080/13561820.2024.2351007

Leslie M Smith, Ben McNulty, Emily Scroggs, Amy M Yorke

{"title":"Collaboration in the midst of chaos: perspectives of inpatient occupational and physical therapists during the COVID-19 pandemic.","authors":"Leslie M Smith, Ben McNulty, Emily Scroggs, Amy M Yorke","doi":"10.1080/13561820.2024.2351007","DOIUrl":"10.1080/13561820.2024.2351007","url":null,"abstract":"The COVID-19 pandemic has affected over 700 million people globally, straining healthcare systems and highlighting the need for interprofessional collaboration. The aim of this study was to describe interprofessional collaborative practice (IPCP) experiences from the perspectives of occupational therapists (OTs) and physical therapists (PTs) who were employed in a medical center both before and during the COVID-19 pandemic. This qualitative study, conducted from July 2020-November 2021, delved into the lived experiences of occupational and physical therapists in an inpatient setting during the pandemic through analysis of semi-structured interviews and journal entries. The pandemic prompted fear, uncertainty, and ethical dilemmas among therapists, affecting patient-centered care. Roles expanded, and teamwork challenges emerged in defining boundaries, while communication dynamics were transformed by virtual technologies. The pandemic affected therapists' values and ethics, and evolving roles brought expanded tasks. The crisis showcased both collaboration potential and the need to address team disparities. This study highlights the significance of values, roles, teams, and communication for occupational and physical therapists during the COVID-19 pandemic providing valuable insights into interprofessional collaboration's effect on healthcare delivery in times of crisis and beyond.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Programmatic evaluation of interprofessional education: a quality improvement tool. 跨专业教育计划评估：一种质量改进工具。

IF 2.7 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-05-09 DOI: 10.1080/13561820.2024.2346944

Ashley Symes, Susan R Pullon, Eileen McKinlay

引用次数: 0

Team functioning in Neurorehabilitation: a mixed methods study. 神经康复中的团队运作：一项混合方法研究。

IF 2.7 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-03-12 DOI: 10.1080/13561820.2024.2325694

Ruud van der Veen, Stéphanie van der Burgt, Marsh Königs, Jaap Oosterlaan, Saskia Peerdeman

{"title":"Team functioning in Neurorehabilitation: a mixed methods study.","authors":"Ruud van der Veen, Stéphanie van der Burgt, Marsh Königs, Jaap Oosterlaan, Saskia Peerdeman","doi":"10.1080/13561820.2024.2325694","DOIUrl":"10.1080/13561820.2024.2325694","url":null,"abstract":"The objective of this study was to enhance understanding of team functioning in a neurorehabilitation team by identifying the factors that impede and facilitate effective interprofessional team collaboration. We focused on team identification, psychological safety, and team learning, and conducted the research at a neurorehabilitation center treating young patients with severe acquired brain injury in the Netherlands. A mixed-methods approach was employed, integrating quantitative data from questionnaires (N = 40) with qualitative insights from a focus group (n = 6) and in-depth interviews (n = 5) to provide a comprehensive perspective on team dynamics. Findings revealed strong team identification among participants, denoting a shared sense of belonging and commitment. However, limited psychological safety was observed, which negatively affected constructive conflict and team learning. Qualitative analysis further identified deficiencies in shared mental models, especially in shared decision-making and integrated care. These results highlight the crucial role of psychological safety in team learning and the development of shared mental models in neurorehabilitation settings. Although specific to neurorehabilitation, the insights gained may be applicable to enhancing team collaboration in various healthcare environments. The study forms a basis for future research to investigate the impact of improvements in team functioning on patient outcomes in similar settings.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interprofessional negotiations in biopsychosocial pain rehabilitation: a need for silent bargains. 生物心理社会疼痛康复中的专业间谈判：需要无声的交易。

IF 2.7 3区医学

Journal of Interprofessional Care Pub Date : 2024-07-01 Epub Date: 2024-05-08 DOI: 10.1080/13561820.2024.2343836

Gudrun S Battin, Grace I Romsland, Bjørg Christiansen

{"title":"Interprofessional negotiations in biopsychosocial pain rehabilitation: a need for silent bargains.","authors":"Gudrun S Battin, Grace I Romsland, Bjørg Christiansen","doi":"10.1080/13561820.2024.2343836","DOIUrl":"10.1080/13561820.2024.2343836","url":null,"abstract":"Communicating effectively, including the ability to negotiate, has been claimed to be key competencies in interprofessional practice. However, these day-to-day contributions to interprofessional teamwork are not yet sufficiently understood. The aim of this article is to explore the day-to-day interprofessional negotiations in biopsychosocial pain rehabilitation. A qualitative design with an ethnographic approach was applied to the overall study. Participant observation of interprofessional encounters and clinical encounters in a pain rehabilitation ward was undertaken in 2016 for a period of 19 weeks. Intermittent interviews with 12 professionals were conducted. Data were analyzed in an abductive process using thematic analysis. We present the results as two themes: 1) Silent conflicting interests in the office, and 2) Silent dissatisfaction with meetings. The study showed that the team members had opportunities to negotiate in interprofessional offices and meetings, while they perceived insufficient time for discussion, and their individual work being interrupted by each other in the offices. They did not discuss their dissatisfaction, but silently bargained on how to spend time together. Professionals can contribute to teamwork through silent bargains that can promote a low level of conflict and thereby preserve a good workflow.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0