Journal of Interprofessional Care最新文献_第7页

How do Vietnamese healthcare students perceive the role of health workers? Changes in students' stereotypes before and after university-level interprofessional education. 越南卫生专业学生如何看待卫生工作者的角色？大学生跨专业教育前后思维定式的变化。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-06-19 DOI: 10.1080/13561820.2025.2513605

Linh Thuy Khanh Tran, Tuong Thi Kim Nguyen, Khoa Duy Duong, Dang Ngoc Tran, Tuan Diep Tran

{"title":"How do Vietnamese healthcare students perceive the role of health workers? Changes in students' stereotypes before and after university-level interprofessional education.","authors":"Linh Thuy Khanh Tran, Tuong Thi Kim Nguyen, Khoa Duy Duong, Dang Ngoc Tran, Tuan Diep Tran","doi":"10.1080/13561820.2025.2513605","DOIUrl":"https://doi.org/10.1080/13561820.2025.2513605","url":null,"abstract":"Vietnam's health care system is increasingly recognizing the importance of interprofessional education (IPE). Understanding stereotypes among healthcare professionals is critical to fostering successful collaboration, yet little is known about the impact of IPE on stereotypes. This study evaluated health professions students' stereotypes of medicine, nursing, pharmacy, and rehabilitation therapy before and after participating in an IPE program. Students completed an online survey at two points: before and after the IPE course at the University of Medicine and Pharmacy at Ho Chi Minh City in 2021. Data collected included demographics, the Student Stereotypes Rating Questionnaire (SSRQ), and the 19-item Readiness for Interprofessional Learning Scale. A total of 163 students completed both online surveys (80.7% completion rate). Total SSRQ scores for all professions increased significantly after the IPE course (p < .05; effect size Cohen's dz = 0.3-0.4). Factors associated with stereotype change were also explored. Although healthcare students improved their perceptions of each profession, certain stereotypes persisted - for example, medicine was viewed more highly than other professions, and nursing and rehabilitation were viewed as less capable of leadership and independent work. Further research is needed to develop targeted interventions to address these stereotypes and improve interprofessional collaboration.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327605","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

Intragroup conflict in the community-based interprofessional education: a case study of health professional students in Indonesia. 以社区为基础的跨专业教育中的群体冲突：印度尼西亚卫生专业学生的案例研究。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-06-18 DOI: 10.1080/13561820.2025.2513606

Dwi Tyastuti, Aslis Wirda Hayati, Paula Krisanty, Nina Primasari, Misrawatie Goi, Alfiah Alfiah, M Djauhari Widjajakusumah, Dianidya Kumandang Sari, Siyeong Kim, Ryoto Akiyama, Naoto Noguchi, Takatoshi Makino, Bumsuk Lee

{"title":"Intragroup conflict in the community-based interprofessional education: a case study of health professional students in Indonesia.","authors":"Dwi Tyastuti, Aslis Wirda Hayati, Paula Krisanty, Nina Primasari, Misrawatie Goi, Alfiah Alfiah, M Djauhari Widjajakusumah, Dianidya Kumandang Sari, Siyeong Kim, Ryoto Akiyama, Naoto Noguchi, Takatoshi Makino, Bumsuk Lee","doi":"10.1080/13561820.2025.2513606","DOIUrl":"https://doi.org/10.1080/13561820.2025.2513606","url":null,"abstract":"This study aimed to investigate the intragroup conflict in a community-based interprofessional education program. After completing three weeks' program, items of group atmosphere (Trust, Respect, and Openness) and intragroup conflict (Relationship, Task, and Process) were compared between students who stayed at villages during the program (stay-community IPE program, n = 237) and students who commuted to villages (commute-community IPE program, n = 184). We found relationship and task conflict in students with the stay-community IPE program, but respect and process conflict in students with the commute-community IPE program. Whereas overall relationships between atmosphere and conflict were correlated negatively, trust was positively correlated with process conflict. This new knowledge may improve our understanding of interprofessional interaction in the community-based interprofessional education.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327607","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

Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities. 在旨在解决临床和社会脆弱性的跨专业初级保健诊所注册后，医疗保健利用和成本的变化。

IF 2.6 3区医学

Journal of Interprofessional Care Pub Date : 2025-06-17 DOI: 10.1080/13561820.2025.2507968

A Taylor Kelley, Minkyoung Yoo, Ying Suo, Richard E Nelson, Adam J Gordon, Audrey L Jones

{"title":"Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities.","authors":"A Taylor Kelley, Minkyoung Yoo, Ying Suo, Richard E Nelson, Adam J Gordon, Audrey L Jones","doi":"10.1080/13561820.2025.2507968","DOIUrl":"10.1080/13561820.2025.2507968","url":null,"abstract":"Meeting the needs of patients with substance use disorders (SUDs), complex comorbidity, and social determinants of poor health is challenging in traditional primary care environments. Interprofessional primary care (IPC) can better address these needs and may reduce acute care utilization and healthcare costs. We used a retrospective cohort study design (n = 994 patients) to compare healthcare utilization and costs 2 years before and after patients enrolled in an IPC model in the US Veterans Health Administration. Patients were grouped based on histories of high emergency department (ED) use, SUDs, homelessness, and combinations of these vulnerabilities. Generalized estimating equations (GEE) tested for differences in utilization and costs across groups. Following IPC enrollment, primary care visits and costs increased overall (adjusted increase = 2.90-7.24 visits/person-year; $1,032-$2,817/person-year). Among patients with prior high ED use, acute care costs declined; among patients without prior high ED use, acute care costs were mixed and ED use increased. Total costs decreased, were neutral, and increased for patients with 3, 1-2, and no vulnerabilities, respectively. Primary care engagement, reduced acute care, and limited cost increases suggest high value in this IPC model and highlight the need to further study IPC in addressing addiction and social determinants of poor health.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318546","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

Cross-sector collaboration in transitional care of people experiencing homelessness: insights from an exploratory network analysis. 无家可归者过渡性护理的跨部门合作：来自探索性网络分析的见解。

IF 2.6 3区医学

Journal of Interprofessional Care Pub Date : 2025-06-03 DOI: 10.1080/13561820.2025.2502594

Amanda Joy Anderson, Sanjukta Das Smith, Suzanne S Dickerson, Sharon Hewner, Katia Noyes

{"title":"Cross-sector collaboration in transitional care of people experiencing homelessness: insights from an exploratory network analysis.","authors":"Amanda Joy Anderson, Sanjukta Das Smith, Suzanne S Dickerson, Sharon Hewner, Katia Noyes","doi":"10.1080/13561820.2025.2502594","DOIUrl":"10.1080/13561820.2025.2502594","url":null,"abstract":"Interprofessional care coordinators informally collaborate across sectors to facilitate care of patients with multimorbidity and social complexity, such as in the case of ill-housed persons at hospital discharge. The complexity of homeless patients demands research on cross-sector collaborative interventions like medical respite, a cross-sector transitional care model. Relational Coordination (RC) and exploratory social network analysis were used to assess the cross-sector collaboration of a medical respite network (N = 15 organizations), by comparing administrative (n = 20) and frontline care coordinator (n = 41) behavior. Five elements of cross-sector collaboration were measured: collaboration frequency, communication, relationships, coordinating mechanisms, and role attributes. Data were collected by semi-structured interviews and surveys; analyzed with UCINet and RC indexing. Collaboration across sectors was evident in all network organizations. Administrative representatives were more connected than frontline (cohesion 0.95; 0.77). Both showed weak RC scores (<3.5 out of 5.0), value on accurate communication, problem-solving communication, and shared goals. Organizations with coordinating mechanisms (shared meetings, contracts, etc.) showed higher centrality and RC scores. Our study suggests ties between administrative and frontline workers and coordinating mechanisms optimize cross-sector collaboration in interprofessional teams. Intraorganizational behavioral differences between administrators and frontline care coordination professionals denote the need for further research individual provider attribute (sector, role, education, licensure) impact.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-17"},"PeriodicalIF":2.6,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217424","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

How does trust emerge in interprofessional collaboration? A qualitative study of the significance, importance, and dynamics of trust in healthcare teams and networks. 在跨专业合作中信任是如何产生的？对医疗团队和网络中信任的意义、重要性和动态的定性研究。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-05-15 DOI: 10.1080/13561820.2025.2495013

Sandrine Corbaz-Kurth, Rafaël Weissbrodt, Typhaine Maiko Juvet, Stéphanie Hannart, Bozica Krsmanovic, Isabelle Salamin Plaschy, Philippe Terrier

{"title":"How does trust emerge in interprofessional collaboration? A qualitative study of the significance, importance, and dynamics of trust in healthcare teams and networks.","authors":"Sandrine Corbaz-Kurth, Rafaël Weissbrodt, Typhaine Maiko Juvet, Stéphanie Hannart, Bozica Krsmanovic, Isabelle Salamin Plaschy, Philippe Terrier","doi":"10.1080/13561820.2025.2495013","DOIUrl":"https://doi.org/10.1080/13561820.2025.2495013","url":null,"abstract":"The current healthcare context is characterized by increasing care complexity, chronic illnesses, an aging population, and staff shortages. In this setting, care quality is strongly linked to the ability of healthcare workers from various professions to collaborate efficiently and cohesively. Trust is widely regarded as a crucial prerequisite for effective teamwork, yet it can be compromised by multiple factors. This qualitative study, employing phenomenological and critical incidents approaches, aims to better understand the phenomenon of interprofessional trust and to explore its main determinants and consequences. Interprofessional trust is primarily described as a positive expectation that a colleague will act professionally and prioritize patient needs. Several factors contribute to its development: the quality and regularity of relationships, individual attitudes, and organizational factors such as an interdisciplinary culture, horizontal management, and sufficient staffing. Interprofessional trust influences professionals' psychological safety, job satisfaction, self-efficacy, and sense of meaning at work. It is also considered to enhance interprofessional collaboration, teamwork efficiency, care quality, and patient well-being and safety. This article presents a detailed model of the dynamics of trust and its importance in the context of interprofessional teams and networks.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081592","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 collaboration across sectors for unemployed refugees with post-traumatic stress disorder in Denmark: a panacea to person-centered care? 丹麦创伤后应激障碍失业难民的跨部门专业合作：以人为本护理的灵丹妙药？

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-05-01 Epub Date: 2025-04-14 DOI: 10.1080/13561820.2025.2487886

Henriette Laugesen Attardo, Maja Bruhn, Morten Skovdal, Åsa Audulv, Jessica Carlsson

{"title":"Interprofessional collaboration across sectors for unemployed refugees with post-traumatic stress disorder in Denmark: a panacea to person-centered care?","authors":"Henriette Laugesen Attardo, Maja Bruhn, Morten Skovdal, Åsa Audulv, Jessica Carlsson","doi":"10.1080/13561820.2025.2487886","DOIUrl":"https://doi.org/10.1080/13561820.2025.2487886","url":null,"abstract":"Many refugees suffer from post-traumatic stress disorder (PTSD), influenced by traumatic experiences and post-migration stressors, including unemployment. This complexity calls for person-centered care (PCC) and interprofessional collaboration across sectors. In this qualitative study we aimed to understand what refugees and professionals from two sectors value about participating in cross-sector network meetings to coordinate and agree on shared plans for PTSD treatment and assessing employability. We conducted interviews with 24 unemployed refugees, 10 physicians, and 20 municipal employment case workers. Results from our thematic analysis demonstrated that all participants appreciated the value of coordinating care and agreeing on next steps. However, the meetings were not void of power dynamics. The refugees valued the physicians being health advocates and preferred the physicians to explain mental health challenges. Equally, the employment case workers looked to the physicians to validate the experiences of the refugees. The physicians thus played a central role in helping refugee patients and employment case workers come to a mutual understanding and way forward. Our results suggest that interprofessional collaboration across sectors supports PCC by fostering trust-building and holistic understanding. However, PCC is also challenged by interprofessional collaboration due to the validated information and documentation required by organizational practices.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"39 3","pages":"368-376"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023049","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 communication by junior nurses and junior doctors in the acute regional hospital setting: A qualitative descriptive study. 急性地区医院初级护士和初级医生的跨专业沟通：一项定性描述性研究。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-05-01 Epub Date: 2025-03-05 DOI: 10.1080/13561820.2025.2469324

Alexandria Dawe, Jennifer Hosking, Debra Kerr

{"title":"Interprofessional communication by junior nurses and junior doctors in the acute regional hospital setting: A qualitative descriptive study.","authors":"Alexandria Dawe, Jennifer Hosking, Debra Kerr","doi":"10.1080/13561820.2025.2469324","DOIUrl":"10.1080/13561820.2025.2469324","url":null,"abstract":"This study aims to explore the perceptions of junior nurses and junior doctors toward their interpersonal interactions with healthcare professionals in an acute regional hospital setting. A qualitative descriptive method was used. Data were collected by individual semi-structured interviews which were audio-recorded. Participants included junior nurses (n = 6) and junior doctors (n = 4), registered within 3 months to 2 years, and employed at a large regional health service in Victoria, Australia. Data were analyzed using content analysis. Four main themes were identified. First, junior nurses and junior doctors value working as part of an interprofessional healthcare team. Feeling respected by interprofessional team members leads to improved job satisfaction. Second, preparatory education for nurses and doctors' lacks focus on interprofessional communication, including role play simulations. Third, the healthcare system in which junior nurses and junior doctors are employed is strained with heavy workloads, hindering their capacity to engage in effective interprofessional communication. Finally, positive interprofessional interactions inform collaborative approaches, which leads to provision of quality care and improvement in patient outcomes. In contrast, safe and timely patient care can be compromised by poor interprofessional communication. Junior nurses and doctors value opportunities for interprofessional collaboration. However, their capacity to engage with other healthcare professionals may be impeded by hierarchy, lack of confidence, workload demands and inadequate training. Nurses and doctors require specific training in preparatory training programs related to interprofessional communication skills.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"459-468"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568776","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

Co-designing interprofessional education in primary healthcare: an illustration from the Make My Day stroke prevention project. 共同设计初级卫生保健的跨专业教育：来自“让我的一天”中风预防项目的例证。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-05-01 Epub Date: 2025-01-27 DOI: 10.1080/13561820.2025.2453606

E Jakobsson, C Johnsson, R Schimmer, A-H Patomella, E Asaba

{"title":"Co-designing interprofessional education in primary healthcare: an illustration from the Make My Day stroke prevention project.","authors":"E Jakobsson, C Johnsson, R Schimmer, A-H Patomella, E Asaba","doi":"10.1080/13561820.2025.2453606","DOIUrl":"10.1080/13561820.2025.2453606","url":null,"abstract":"The aim of this paper is to describe a research process of actively engaging stakeholders using co-design in the development of interprofessional education and a health intervention program targeting stroke prevention. Stakeholders included potential patients, healthcare professionals, and healthcare experts/researchers. Collaborating through co-design can be utilized in developing primary healthcare interventions including educational strategies for interprofessional learning. In this paper, an intervention in primary healthcare (Make My Day) will be used to illustrate how co-design was applied, partly as a method for developing educational resources together with stakeholders, and partly by engaging interprofessional healthcare teams in adapting intervention materials to address the needs of groups more specifically at risk of stroke in local contexts. There is a need to actively involve stakeholders, build on user experiences, and integrate interprofessional knowledge in the design and evaluation of health interventions. However, there is a lack of detailed accounts about how this can be accomplished. This study illustrates collaborative research process components and thus contributes with knowledge about how co-design methods can be applied in health intervention design as well as in interprofessional education within primary healthcare settings.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"348-357"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048337","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

Collaborative competence, values, and ethics in interprofessional education and collaborative practice: findings from a scoping review. 跨专业教育和协作实践中的协作能力、价值观和伦理：范围审查的结果。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-05-01 Epub Date: 2025-04-13 DOI: 10.1080/13561820.2025.2482682

Lilian Suelen de Oliveira Cunha, Juliana Praxedes Campagnoni, Mirelle Finkler, Maria Fernanda Vásquez Valência

{"title":"Collaborative competence, values, and ethics in interprofessional education and collaborative practice: findings from a scoping review.","authors":"Lilian Suelen de Oliveira Cunha, Juliana Praxedes Campagnoni, Mirelle Finkler, Maria Fernanda Vásquez Valência","doi":"10.1080/13561820.2025.2482682","DOIUrl":"10.1080/13561820.2025.2482682","url":null,"abstract":"Despite the abundance of studies on Interprofessional Education and Collaborative Practice (IPECP) and the integration of competencies into health curricula, there appears to be a lack of understanding of the development of ethical competencies for interprofessional teamwork.The objective of this scoping review was to examine how collaborative competence in values/ethics is characterized and developed within IPECP, along with an understanding of researchers' recommendations. A comprehensive search of nine databases was conducted for the period between 2011 and 2025, encompassing a total of 52 studies. The review identified several key findings, including: focus on IPEC Core Competences; an emphasis on certain values/ethics sub-competencies; the identification of conflicts related to professional hierarchy; and a range of approaches to developing ethical competence through educational strategies. The review highlights challenges in fostering ethical competence in IPECP, noting progress and limitations.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"39 3","pages":"519-532"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056691","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

Trusting parent-professional relationships in interprofessional interventions for expectant and new parents in vulnerable positions: A realist evaluation. 在针对处于弱势地位的准父母和新父母的跨专业干预中，建立父母与专业人员之间的信任关系：现实主义评估。

IF 1.9 3区医学

Journal of Interprofessional Care Pub Date : 2025-05-01 Epub Date: 2023-03-08 DOI: 10.1080/13561820.2023.2183185

Pernille Gram, Louise Lund Holm Thomsen, Clara Graugaard Andersen, Charlotte Overgaard

{"title":"Trusting parent-professional relationships in interprofessional interventions for expectant and new parents in vulnerable positions: A realist evaluation.","authors":"Pernille Gram, Louise Lund Holm Thomsen, Clara Graugaard Andersen, Charlotte Overgaard","doi":"10.1080/13561820.2023.2183185","DOIUrl":"10.1080/13561820.2023.2183185","url":null,"abstract":"Interprofessional collaboration and trusting parent-professional relationships can be key to delivering interprofessional care to meet the needs of expectant and new parents in vulnerable positions. This, however, presents challenges. This study aimed to gain deeper understanding of how and under what circumstances trusting parent-professional relationships develop and work within interprofessional team-based care for this group, from the professionals' perspectives. Realist evaluation was undertaken based on 14 semi-structured, realist interviews with midwives and health visitors and 11 observations. Multiple interrelated mechanisms were identified including patient/family-centered care, timely and relevant interprofessional involvement in care, gentle interprofessional bridging, transparency of intervention roles and purposes, and relational continuity. Good interprofessional collaboration was a primary condition for these mechanisms. Developed, trusting relationships supported parents' engagements with interprofessional care and constituted a supportive safety net that promoted parenting skills and coping abilities. We identified harmful mechanisms: distanced encounters, uncertainty of interprofessional involvement, and compromising the safe space. These mechanisms caused distrust and disengagement. Ensuring trusting parent-professional relationships within interprofessional team-based care demands each professional involved competently engages in relational work and interprofessional collaboration. Uncontrollability is thus influenced regarding interpersonal connection and potentially gives an explanation when trust-building efforts fail.","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"408-418"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10850031","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