Journal of Interprofessional Care最新文献

{"title":"A person-centered approach to collaboration for osteoarthritis management: a qualitative exploration of patients' perspectives.","authors":"R Gilchrist-Park, A Kholvadia, W Burdick","doi":"10.1080/13561820.2025.2520536","DOIUrl":"https://doi.org/10.1080/13561820.2025.2520536","url":null,"abstract":"<p><p>Collaboration is essential for delivering high-quality, person-centered care to individuals with osteoarthritis. Despite its recognized benefits, studies have shown that many osteoarthritis patients do not receive effective collaborative care, leading to fragmented service delivery, inadequate referrals, and suboptimal person-centered outcomes. The purpose of this qualitative study was to explore and describe osteoarthritis patients' experiences of person-centered care, and how these experiences shaped their perceptions of collaboration. Data were collected using three focus group discussions (<i>n</i> = 14). The interview guide was informed by a thorough literature review and a pilot focus group, and included topics on professional support, patient involvement, and facilitators and barriers to collaborative practice. A criterion sampling technique was used to recruit osteoarthritis patients. Six themes were identified through thematic analysis, following Braun and Clarke's six-step framework: (a) a holistic approach to healthcare, (b) professionals have equal responsibilities, (c) developing connections during healthcare provision, (d) trust in the expertise and decision-making of professionals, (e) patient-driven healthcare, and (f) feeling heard and connected in care. Exploration of key collaborative components and their link to person-centered care is necessary to direct the development of improvement strategies to strengthen collaborative practice and the patient's experience.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555580","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":"Preparing medical and pharmacy students for collaborative working in primary care: the value of interprofessional practice-based course in medicines optimisation.","authors":"E S Anderson, C Sanders, N Lakhani","doi":"10.1080/13561820.2025.2517216","DOIUrl":"https://doi.org/10.1080/13561820.2025.2517216","url":null,"abstract":"<p><p>Today more older people are living longer with complex health conditions and social care needs. Multimorbidity is often managed by community practitioners who oversee the use of multiple medications, which can lead to polypharmacy safety concerns. While clinical pharmacists' roles are established in acute settings, they are in the main new in family practice or primary care. To help medical and pharmacy students understand more about clinical pharmacists in primary care, we used an interactive experiential learning model for students over two days. Students in small groups were prepared to visit a patient in their own home to holistically review the patients' medicines and care. This mixed methods study reports on the learning between 2017 and 2020, including 448 pre-post questionnaires with free text comments and one exploratory qualitative case study with two student focus groups, a practice GP and patient. All students valued the clinical relevance of this practice-based course. Medical students highly valued this way of learning and significantly increased their learning on complex medication reviews (<i>p</i> = .000), recognizing the future significance of working closely with pharmacists when qualified because of their contribution to prescribing. Pharmacy students highly rated this learning because they worked as equals alongside the medical students, felt valued, and they perceived the importance of learning with patients (<i>p</i> = .000). The student work highlighted unsafe practice and in some cases actually changed patient management. The interviewed patient and GP welcomed the course. Integrating medical and pharmacy students interprofessional learning in primary care was valued by students and the clinical team.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545884","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":"Nurses' perceptions of the dynamics and impacts of teamwork with physicians in labour and delivery.","authors":"Megan Gleddie, Sarah Stahlke, Pauline Paul","doi":"10.1080/13561820.2018.1562422","DOIUrl":"10.1080/13561820.2018.1562422","url":null,"abstract":"<p><p>Interprofessional teamwork is touted as essential to positive patient, staff, and organizational outcomes. However, differing understandings of teamwork and divergent professional cultures amongst healthcare providers influence the success of teamwork. In labour and delivery, nurse-physician teamwork is vital to safe, family-centered maternity care. In this focused ethnography, the perceptions of obstetrical nurses were sought to understand nurse-physician teamwork and the features that facilitate or impede it. These nurses acknowledged working in a normative hierarchy, with physicians ultimately responsible for patient care decision-making. They described myriad ways in which they navigated traditional power dynamics and smoothed working relationships with physicians, such as circumventing disrespectful behaviors, venting with each other, highlighting their own autonomy, using tactical communication, and managing unit resources. According to these nurses, key facilitators of functional nurse-physicians relationships were time, trust, respect, credibility, and social connection. Further, the nature of their working relationships with physicians influenced their perceptions regarding intent to stay, workplace morale, and patient outcomes.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"556-566"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36813005","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":"Providing maternity care from outside the system: perspectives of complementary medicine practitioners.","authors":"Amie Steel, Helene Diezel, Jane Frawley, Jon Wardle, Jon Adams","doi":"10.1080/13561820.2020.1711717","DOIUrl":"10.1080/13561820.2020.1711717","url":null,"abstract":"<p><p>One in two women in Australia use complementary medicine (CM) during pregnancy including consulting with CM practitioners for pregnancy-related health concerns. Yet, very little is known about the everyday care and practice of this group of health professionals as it relates to the provision of care to childbearing women. As such, this study aims to examine the perceptions and experiences of CM practitioners who provide care to childbearing women. Semi-structured interviews were conducted with 23 practitioners from six CM professions (acupuncturists, doulas, chiropractors, massage therapists, naturopaths, and osteopaths) who identified as providing care to pregnant and birthing women in their clinical practice. The participants described professional issues affecting their provision of care to childbearing women including scope of practice, regulation and standards, and practice-specific issues, all of which they linked back to their profession and the reputation of their profession among other health professionals and the community. The study results draw attention to the importance of considering the perspectives of CM maternity care providers and place on interprofessional collaboration, as well as the barriers they face to achieving this collaboration. The insights afforded by this study have the capacity to inform new policy and practice initiatives to support improved interprofessional maternity care.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"574-582"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37703723","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":"Creating a culture of respect and interprofessional teamwork on a labor and birth unit: a multifaceted quality improvement project.","authors":"Julie Mann, Beth Lown, Sharon Touw","doi":"10.1080/13561820.2020.1733944","DOIUrl":"10.1080/13561820.2020.1733944","url":null,"abstract":"<p><p>Interprofessional teamwork is essential to high-quality healthcare, however disrespect and incivility amongst team members is a challenge to creating and sustaining effective teams. We describe and assess the impact of a multifaceted improvement project with the primary intervention being a Compassionate Communication (CC) training on a Labor and Birth unit. Our hypothesis was this improvement project would increase staff members' capacity for perspective-taking and self-reflection, which would in turn correlate with positive interpersonal interactions, respect and teamwork. Secondly, we hypothesized that enhanced respect and teamwork would correlate with enhanced affective commitment to the organization. Staff was surveyed midway through the project and 6 months after the CC training. A total of 74 (57%) staff completed the initial pre-training surveys and 50 (38%) staff completed post-training surveys. At 6 months post-CC training we saw changes in self-reflection and an awakening of self-awareness. There were no significant changes in perspective-taking. However, we did see changes in staffs' perceptions of respect and teamwork. Team members' affective commitment to the organization increased. In this Labor and Birth setting, a multifaceted improvement project with the primary intervention being CC training was beneficial in improving a culture of respect and interprofessional teamwork.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"592-598"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37789704","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":"Correction.","authors":"","doi":"10.1080/13561820.2024.2417559","DOIUrl":"10.1080/13561820.2024.2417559","url":null,"abstract":"","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"ii-iii"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479475","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":"Tackling the opioid epidemic: a virtual interprofessional workshop.","authors":"Marie Gilbert, Stephanie D Moore, Rebecca Chung-Yan Leon, Nancy Nisbett, Maya Leiva, Scott R Sailor","doi":"10.1080/13561820.2025.2515460","DOIUrl":"10.1080/13561820.2025.2515460","url":null,"abstract":"<p><p>In response to the growing opioid epidemic in Fresno County, Central California, a virtual interprofessional workshop focusing on opioid misuse and overdose was developed and implemented for health professional providers and students in the local community. The purpose of the research was to evaluate if a four-hour virtual, synchronous interprofessional workshop influenced participants' knowledge and attitudes toward opioid overdose. A quantitative, quasi-experimental pre-post approach was used to evaluate the workshop. Participants attended a 4-hour online synchronous workshop focused on effectively responding to, engaging with, and educating individuals struggling with opioid misuse. The workshop significantly improved knowledge of and attitudes toward opioid overdose among health professional providers and students. The findings inform future curriculum development and enhancement of future virtual programs on how to efficiently train health professionals to approach an opioid overdose.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"706-709"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477663","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":"Ethical conflict resolution in the domain of interprofessional education and collaborative practice: initial results of a scoping review.","authors":"Lilian Suelen de Oliveira Cunha, Mirelle Finkler, Ana Caroline Machado","doi":"10.1080/13561820.2025.2512755","DOIUrl":"10.1080/13561820.2025.2512755","url":null,"abstract":"<p><p>Despite the growing global emphasis on interprofessional education and collaborative practice (IPECP) in healthcare, ethical competence development remains underexplored. This article presents initial findings from an ongoing scoping review aimed at addressing two key questions: How does the existing literature describe the precursors of ethical conflict resolution in IPECP? What gaps in knowledge persist in this area? A search across eight electronic databases selected 27 eligible articles, which underwent thematic content analysis. The analysis identified eleven primary themes concerning the factors influencing interprofessional ethical conflict resolution and revealed a notable gap: insufficient strategies for integrating ethical competence and conflict resolution into the daily practices of healthcare professionals. While the literature stresses the importance of ethics education and training for students and professionals alike, there is a clear need for further exploration of effective frameworks tailored to IPECP contexts.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"698-705"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477662","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":"Qualitative assessment of interorganisational partnership at a perinatal and family substance abuse centre: stakeholders' perceptions of quality and development of their collaboration.","authors":"Marc-Olivier Croteau, Sarah Dufour","doi":"10.1080/13561820.2020.1803227","DOIUrl":"10.1080/13561820.2020.1803227","url":null,"abstract":"<p><p>Partnerships are required in health and social care services to meet the increasingly complex needs of vulnerable populations. It is essential to assess these partnerships to ensure partners are supported as they strive to improve their practices. This qualitative study assessed the quality and development of the partnership of an integrated service centre for pregnant women and substance-abusing parents and their young children aged 5 and under. The data were gathered over a period of three years, by means of group and individual interviews. Twenty respondents (practitioners and managers) shared their perceptions of the interagency collaboration at the beginning, the midpoint and the end of the project funding period. Their responses were examined by means of thematic analysis. Conditions facilitating or hindering implementation of the partnership included (a) partners' participation and engagement; (b) nature of the project and its functioning (aspects of governance); (c) partners' joint work with families; and (d) social and political issues. The study highlights critical elements to consider for the development and success of a partnership project. Participants reported a number of barriers to effective collaboration; the main ones, the importance of thorough planning of project implementation, as well as the challenges relating to communication and shared leadership, are discussed.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"609-619"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38399217","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":"Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs.","authors":"Michael Geary, P James A Ruiter, Abdool S Yasseen","doi":"10.1080/13561820.2018.1543255","DOIUrl":"10.1080/13561820.2018.1543255","url":null,"abstract":"<p><p>There are many ways to account for the return on investment (ROI) in healthcare: improved communication, teamwork, culture, patient satisfaction, staff satisfaction, and clinical outcomes are but a few. Some of these are easier to quantify and associate to an intervention than others. What if the outcomes listed were not just independent results, but beget one another? In 2001, the Society of Obstetricians and Gynaecologists of Canada created the Managing Obstetrical Risk Efficiently (MORE^OB) programme, to improve healthcare culture and patient outcomes in obstetrics by leveraging front-line ownership. Our study provides evidence that MORE^OB lowers the frequency and cost of reportable events in maternity units. We sought to review the impact of this intervention on the frequency and cost of reportable events at the insurer level of a clinically focused, three-year interprofessional culture change intervention applied to the maternity unit. We compared the impact of reportable events both in the obstetrical and in the non-obstetrical areas of the same hospitals during the same time periods. We analysed these data using an interrupted time series (ITS) design, among 34 Ontario Canada hospitals. The ITS design assessed changes in the frequency and cost of reportable events before and after the implementation of the intervention. The method was ideally suited as the various maternity units had differing programme commencement and completion dates. The frequency of reportable events showed little change during the three-year intervention. As culture change grew, the changes in behaviour and processes that impact patient outcomes took longer to accrue. A large reduction in the frequency of reportable events occurred in the following three-year (14% reduction) and six-year (25% reduction) tranches. Our results show statistically significant reductions in the frequency and costs associated with reportable events at the level of an insurer. The results also give insight as to the investment of time required to achieve a level of sustainability.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"537-545"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36659081","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}