Journal of Interprofessional Care最新文献_第6页

Through the resident lens: examining knowledge and attitudes about midwifery among physician trainees. 通过住院医师的视角：考察受训医师对助产的认识和态度。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2018-11-11 DOI: 10.1080/13561820.2018.1543258

Kathryn Lefebvre, Jennifer Wild, Kathrin Stoll, Saraswathi Vedam

{"title":"Through the resident lens: examining knowledge and attitudes about midwifery among physician trainees.","authors":"Kathryn Lefebvre, Jennifer Wild, Kathrin Stoll, Saraswathi Vedam","doi":"10.1080/13561820.2018.1543258","DOIUrl":"10.1080/13561820.2018.1543258","url":null,"abstract":"Interprofessional collaboration optimizes maternal-newborn outcomes and satisfaction with care. Since 2002, midwives have provided an increasing proportion of maternity care in British Columbia (BC). Midwives often collaborate with and/or refer to physicians; but no study to date has explored Canadian medical trainees' exposure to, knowledge of, and attitudes towards midwifery practice.We designed an online cross-sectional questionnaire that included a scale to measure attitudes towards midwifery (13 items) and residents' knowledge of midwifery (94 items across 5 domains). A multi-disciplinary expert panel rated each item for importance, relevance, and clarity. The survey was distributed to family medicine (n = 338) and obstetric (n = 40) residents in BC.We analyzed responses from 114 residents. Residents with more favourable exposures to midwifery during their education had significantly more positive attitudes towards midwives (rs = 0.32, p = 0.007). We also found a significant positive correlation between residents' attitudes towards midwifery and four of five knowledge domains: scope of practice (rs = 0.41, p < 0.001); content of education (rs = 0.30, p = 0.002), equipment midwives carry to home births (rs = 0.30, p = 0.004) and tests that midwives can order (rs = 0.39, p < 0.001). The most unfavourable exposures were observing interprofessional conversations (66.2%), and providing inpatient consultations for midwives (61.4%). Findings suggest increased interprofessional education may foster improved midwife-physician collaboration.Abbreviations: BC - British Columbia; UBC - University of British Columbia.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"546-555"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664221","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

Clinicians' attitudes towards a co-leadership structure for maternity emergency teams: An interview study. 临床医生对产科急诊团队共同领导结构的态度：一项访谈研究。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2022-06-10 DOI: 10.1080/13561820.2022.2070607

Sarah Janssens, Sharon Clipperton, Robert Simon, Belinda Lowe, Michael Beckmann, Stuart Marshall

{"title":"Clinicians' attitudes towards a co-leadership structure for maternity emergency teams: An interview study.","authors":"Sarah Janssens, Sharon Clipperton, Robert Simon, Belinda Lowe, Michael Beckmann, Stuart Marshall","doi":"10.1080/13561820.2022.2070607","DOIUrl":"10.1080/13561820.2022.2070607","url":null,"abstract":"Shared leadership improves team performance in many domains and is present in some interprofessional healthcare teams. Despite the dominant paradigm of a singular obstetrician leader in maternity emergencies, co-leadership, a specific form of shared leadership, has been identified as a potentially beneficial to clinical care. This qualitative interview study addresses the gaps in knowledge regarding clinician attitudes toward co-leadership and how a co-leadership structure might be implemented within a maternity care setting. Twenty-five clinicians (midwives, obstetricians and anaesthetists) working in the birthing units of two tertiary maternity units were interviewed and a conventional content analysis conducted. Clinicians viewed co-leadership as potentially beneficial to patient care through improved leadership performance and co-leader back up behavior. Implementation of co-leadership was thought to require a supportive organizational culture, agreed patient management protocols and the participation in simulation training. Enacting co-leadership required adaptable leadership sharing practices, effective communication, and high levels of trust between the co-leaders. These findings inform the future implementation strategies for co-leadership in interprofessional healthcare teams.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"1 1","pages":"636-644"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47389529","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

Three perspectives on the co-location of maternity services: qualitative interviews with mothers, midwives and health visitors. 关于产科服务合用同一地点的三种观点：对母亲、助产士和健康访视员的定性访谈。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2020-02-03 DOI: 10.1080/13561820.2020.1712338

Ellinor K Olander, Maria Raisa Jessica Ryc Aquino, Ros Bryar

{"title":"Three perspectives on the co-location of maternity services: qualitative interviews with mothers, midwives and health visitors.","authors":"Ellinor K Olander, Maria Raisa Jessica Ryc Aquino, Ros Bryar","doi":"10.1080/13561820.2020.1712338","DOIUrl":"10.1080/13561820.2020.1712338","url":null,"abstract":"Maternity policy in England has recommended the establishment of Community Hubs, where health-care professionals who care for women during and after pregnancy are co-located and can provide care collaboratively. The aim this paper is to explore midwives,' health visitors' and postnatal women's experiences and views of co-location of midwifery and health visiting services and collaborative practice. In total 15 midwives, 17 health visitors, and 29 mothers participated in a semi-structured interview, either via phone or face-to-face. Transcripts were analyzed thematically. Participants reported how care is currently provided in numerous settings, with home visits especially well liked. Co-location was perceived to be of benefit, however some mothers were not convinced of its necessity, suggesting that integrated services are more important than co-located services. Health-care professionals recognized that co-location aids but does not automatically improve interprofessional collaboration. These findings highlight the need for careful consideration before implementing co-located maternity services. Community Hubs may be apromising strategy to improve care for women and their families but to provide interprofessional care and collaboration appropriate managerial and organizational support is needed. With this support, midwives and health visitors have the potential to deliver the best care possible for women and their families.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"583-591"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37604653","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 and intersectoral collaboration in the care of vulnerable pregnant women: An interpretive study. 护理弱势孕妇的跨专业和跨部门合作：一项解释性研究。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2020-05-21 DOI: 10.1080/13561820.2020.1761306

Karina Klode, Agnes Ringer, Bibi Hølge-Hazelton

{"title":"Interprofessional and intersectoral collaboration in the care of vulnerable pregnant women: An interpretive study.","authors":"Karina Klode, Agnes Ringer, Bibi Hølge-Hazelton","doi":"10.1080/13561820.2020.1761306","DOIUrl":"10.1080/13561820.2020.1761306","url":null,"abstract":"'Vulnerable' is a term often used for pregnant women in need of extended antenatal care, although the term is not well defined. This study focuses on healthcare professionals' interpretations and understanding of vulnerability in pregnancy, including their own role, to understand the practices of interprofessional and intersectoral collaboration in antenatal care for vulnerable pregnant women. Intrepretive Description informed the methodology of the study and the theoretical framework was inspired by Symbolic Interactionism. It was found that definitions of vulnerability in pregnancy are fluid, being based on the healthcare professional's individual assessment of the pregnant woman´s personal resources, personal characteristics and psychological factors, and that these definitions also depend on the healthcare professional's role in relation to the pregnant woman. The different interprofessional teams' identification of what constitutes vulnerability in a pregnant woman was complex and relied on different components. Interprofessional collaboration was influenced by the relationships between professionals and sectors involved in antenatal care for pregnant women and was thereby influenced by the settings and structures in place for interprofessional and intersectoral collaboration. Insight into the healthcare professionals' perspectives of vulnerability in pregnancy can help develop and improve the interprofessional and intersectoral collaboration in antenatal care of vulnerable pregnant women and their unborn babies.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"599-608"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37961279","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

Labouring Together: Clinicians' experiences of working together to get the best outcomes in maternity care. 共同努力：临床医生的经验，共同努力，以获得最好的结果在产妇护理。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2025-03-10 DOI: 10.1080/13561820.2025.2469308

Vanessa Watkins, Cate Nagle, Bridie Kent, Maryann Street, Alison M Hutchinson

{"title":"Labouring Together: Clinicians' experiences of working together to get the best outcomes in maternity care.","authors":"Vanessa Watkins, Cate Nagle, Bridie Kent, Maryann Street, Alison M Hutchinson","doi":"10.1080/13561820.2025.2469308","DOIUrl":"10.1080/13561820.2025.2469308","url":null,"abstract":"Interprofessional collaboration (IPC) is crucial for the safe provision of maternity care. However, IPC is poorly understood in the maternity care context, and the role of the childbearing woman within this collaboration remains unclear. The Labouring Together study used a mixed method, multi-site case study design to explore IPC and decision-making with women from the perspectives of maternity health care professionals (HCP). Case studies included a range of maternity models of care in metropolitan and regional settings in Australia. Cross-sectional surveys were used to investigate organizational context and HCPs' attitudes toward collaboration. Experiences and perceptions of collaboration and decision-making were explored using in-depth semi-structured interviews. A conceptual framework \"Experience of collaboration: Working together to get the best outcomes\" was formed from the interview findings, with major themes of \"Organisation of care: working together for the organisation\" and \"Partnering in care: working together with women.\" Individual-level behaviors were employed by HCP to transcend interprofessional tensions relating to IPC. Entrenched organizational and policy-level barriers to effective IPC were identified; and whilst participants agreed that women should have autonomy with decision-making, most identified barriers at multiple levels to achieving this ideal.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"663-677"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587951","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

Advancing collaboration in maternity care: insights from interprofessional scholarship. 推进产科护理的合作：来自跨专业奖学金的见解。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.1080/13561820.2025.2532995

Andreas Xyrichis, Gabriele Carlomagno Vilanova, Filomena Meffe

引用次数: 0

Correction. 修正。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2025-06-05 DOI: 10.1080/13561820.2025.2516359

引用次数: 0

Optimizing rural healthcare through improved team function: a case study of the Rural Surgical Obstetrical Networks programme. 通过改进团队功能优化农村医疗保健:农村外科产科网络方案的案例研究。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2023-12-01 DOI: 10.1080/13561820.2023.2280586

Jude Kornelsen, Hilary Ho, Kim Williams, Tom Skinner

{"title":"Optimizing rural healthcare through improved team function: a case study of the Rural Surgical Obstetrical Networks programme.","authors":"Jude Kornelsen, Hilary Ho, Kim Williams, Tom Skinner","doi":"10.1080/13561820.2023.2280586","DOIUrl":"10.1080/13561820.2023.2280586","url":null,"abstract":"We explored enablers and mechanisms of optimal team function within rural hospital teams, and the impact of these factors on health service sustainability in British Columbia. The data were drawn from interviews and focus groups with healthcare providers and administrators (n = 169) who participated in the Rural Surgical Obstetrical Networks (RSON) initiative to support low-volume rural surgical and obstetrical services in British Columbia, Canada. The 5-year programme (2018-2022) provided evidence-based system interventions across eight rural sites with the objective of providing sustainable, quality health services to meet population needs. To explore the impact of RSON interventions on local team function, we performed a scoping review, to assess the current literature surrounding enablers of effective rural hospital teamwork. Through inductive thematic analysis of interview data, we identified five enablers of good team function at RSON sites, including emphasis on local leadership, shared direction, commitment to sustainability, respect and solidarity among colleagues, and meaningful communication. The RSON project led to a shift in team culture in participating sites, improved team function, and contributed to improved clinical processes and patient outcomes. The findings have implications for rural health policy and practice in British Columbia and other jurisdictions with similar health service delivery models and geographic contexts.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"645-653"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464050","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

Supporting students' collaborative practice: a narrative reflection on a workshop for developing clinical educators' interprofessional rapport. 支持学生的合作实践：对发展临床教育工作者跨专业关系的研讨会的叙述反思。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2025-05-27 DOI: 10.1080/13561820.2025.2501732

Susan Heaney, Alexandra Little, Jane Ferns, Julie Burrows, Anne Croker, Leanne Brown

{"title":"Supporting students' collaborative practice: a narrative reflection on a workshop for developing clinical educators' interprofessional rapport.","authors":"Susan Heaney, Alexandra Little, Jane Ferns, Julie Burrows, Anne Croker, Leanne Brown","doi":"10.1080/13561820.2025.2501732","DOIUrl":"10.1080/13561820.2025.2501732","url":null,"abstract":"This report introduces a narrative reflection from an interprofessional team who developed and delivered a workshop for clinical educators aimed at enhancing students' interprofessional collaborative practice for patient care. This innovative project focused on educators' role modeling of interprofessional rapport. We report our narrative reflections, highlighting how we embedded creativity into both the workshop and these reflections and how we as researchers value rapport in working together. Using dialogue and creative methods, we provide brief details of the workshop, and share our insights around its development, implementation, and evaluation. Integral to the workshop was our previous research identifying interprofessional rapport as key to interprofessional collaborative practice. We extended this previous research to draw on what we observed as the unrealized potential for developing students' interprofessional collaborative practice by focusing on clinical educators' role modeling of interprofessional rapport in the context of work-integrated learning. We share our experiences and perceptions of the workshops through our reflections to highlight the importance of rapport for authenticity across the project, including responding to vulnerability, maintaining momentum, supporting critical reflections, and nurturing our connections.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"692-697"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152753","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

Testing the face validity of an instrument to measure interprofessional collaboration between midwives and obstetricians in antenatal care (InCo_AC) using cognitive interviews. 使用认知访谈测试一种测量助产士和产科医生在产前护理（InCo_AC）中跨专业合作的工具的表面效度。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-07-01 Epub Date: 2025-06-18 DOI: 10.1080/13561820.2025.2514266

Katja Stahl, Fanny Schmeißner, Tom Stargardt

{"title":"Testing the face validity of an instrument to measure interprofessional collaboration between midwives and obstetricians in antenatal care (InCo_AC) using cognitive interviews.","authors":"Katja Stahl, Fanny Schmeißner, Tom Stargardt","doi":"10.1080/13561820.2025.2514266","DOIUrl":"10.1080/13561820.2025.2514266","url":null,"abstract":"Antenatal care constitutes an integral component of high-quality maternity care, prominently contingent upon the proficient interprofessional collaboration between midwives and obstetricians, the main care providers. Evaluation of interprofessional collaboration requires valid and reliable measurement tools. We report on the development of a questionnaire measuring interprofessional collaboration between midwives and obstetricians in antenatal care, with an emphasis on testing face validity and enhancing item quality through cognitive interviews. Nine cognitive interviews with six midwives and six obstetricians were conducted. Directed content analysis was employed to analyze and code the data. Tourangeau's model of cognitive processing was used to identify problems. Seventy-three percent of the 52 problems identified were related to the comprehension process, 15% to the decision process, 10% to the response process, and one to the retrieval process. Additionally, three instances of problems with item order emerged as an issue during the interviews. The questionnaire was revised based on the interview results. By employing cognitive interviewing, the study succeeded in identifying problems that may not have been detected otherwise, thus enhancing item quality and face validity of a newly developed questionnaire. The pilot version is now ready for piloting and psychometric testing to assess the instrument's construct validity and reliability.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"678-691"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327608","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