Journal of Interprofessional Care最新文献

{"title":"Perspectives of community mental health nurses as care coordinators within a multidisciplinary team: A systematic review.","authors":"Oluwaseun Deborah Dada, Isaac Amankwaa, Sharon Brownie","doi":"10.1080/13561820.2025.2487032","DOIUrl":"10.1080/13561820.2025.2487032","url":null,"abstract":"<p><p>A multidisciplinary approach has been identified as the optimal strategy for addressing the complex health and social needs of community mental health service users. Designating a care coordinator within the multidisciplinary team has been suggested to improve cooperation and communication. However, evidence on the experiences of community mental health nurses (CMHNs) as care coordinators is limited. This systematic review and thematic synthesis aimed to investigate CMHNs' experiences and identify enablers and obstacles to effective implementation. We searched PubMed, CINAHL, Scopus, and Web of Science for peer-reviewed primary papers published in English between 1990 and 2022, as well as gray materials from ProQuest Dissertations and Theses, and Google Scholar. After the screening process, only nine studies were deemed eligible for inclusion in the review. The quality of the included studies was assessed using the JBI critical evaluation checklist for qualitative studies, and data were analyzed using NVivo software and thematic synthesis based on Thomas and Harden's method. Our analysis reveals that CMHNs perceive the care coordinator role as a link to service users and as an added burden, including high demand for administrative tasks. CMHNs reported a lack of role clarity, leading to blurred boundaries within the multidisciplinary team, loss of professional identity, and decreased confidence. Role ambiguity and variability in team collaboration were significant contributors to role conflict. These findings indicate a critical need for role definition and clarity within community mental health multidisciplinary teams as it affects team functioning and the professional identities and confidence of CMHNs. It is recommended that healthcare management, clinical leaders, and professional nursing bodies reconsider their vision for the care coordinator role. This could be done through clear role definitions, training programs, and policy changes that ultimately enhance CMHNs' confidence and reaffirm their professional identities.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"39 3","pages":"499-509"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058742","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":"Navigating consensus, interprofessional collaboration between nurses and psychiatrists in hospital care for patients with deliberate self-harm.","authors":"Elina Löfström, Jessica Nihlén Fahlquist, Johanna Lagerkvist, Anna-Sara Lind, Mia Ramklint, Caisa Öster","doi":"10.1080/13561820.2025.2482691","DOIUrl":"10.1080/13561820.2025.2482691","url":null,"abstract":"<p><p>We aimed to explore how specialist nurses and psychiatrists perceive and conceptualize their own responsibility and autonomy in relation to interprofessional colleagues when caring for inpatients with deliberate self-harm. Eight psychiatrists and 10 nurses were interviewed. The interviews underwent thematic analysis by an interdisciplinary group of experts in ethics, law, mental health nursing, and psychiatry. Three themes were found. The first theme focused on <i>role-specific tasks and perceived responsibility</i>. Psychiatrists more often emphasized the legal perspective and specialist nurses the ethical perspective. The second theme was to <i>adapt to other professionals' opinions</i>. When someone else had made a decision, autonomy was perceived to decrease, whereas responsibility increased. The third theme was <i>renunciation of autonomy for achieving cooperation</i>. It was considered important to strive for consensus in the team. Both nurses and psychiatrists believed they had a high degree of autonomy and responsibility when their roles were well-defined. The respondents considered clear roles, good communication, shared expectations, and mutual respect to be prerequisites for interprofessional collaboration in hospital care of patients with deliberate self-harm.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"479-486"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755591","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":"Planning interprofessional education initiatives in Australia: mapping regulatory expectations and the implications for health professional education.","authors":"Sarah Barradell, Josephine Tighe, Julie M Collis, Sharon Brownie","doi":"10.1080/13561820.2025.2483852","DOIUrl":"https://doi.org/10.1080/13561820.2025.2483852","url":null,"abstract":"<p><p>Empirically based guidelines advocate for the inclusion of interprofessional education (IPE) in university health profession programs. These guidelines are intended to influence curricula, with universities also required to meet accreditation standards for individual professions. Standards are arguably a predominant driver for tertiary institutions and health professional courses. However, course accreditation processes primarily adopt a uni-professional focus; therefore, development of interprofessional competencies may not feature strongly in the educational preparation of health professionals. Furthermore, barriers to IPE are well documented and concerted effort is needed to champion and adopt interprofessional practice (IPP). This work seeks to explore the accreditation and practice standards of a sample of health professional courses in Australia to inform institutional IPE strategies and curriculum renewal processes within a higher education setting. We analyzed accreditation and practice standards and related policies for six healthcare professions. The inquiry focused on determining what graduates from each of the professions are expected to know, do and/or value with respect to IPP. Results demonstrate considerable difference in IPE and IPP expectations in the professional and accreditation standards of the professions explored. We describe how the findings can inform institutional reform for IPE and what can be learned from accreditation efforts in other countries.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":"39 3","pages":"358-367"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global approaches to Indigenous health through interprofessional education: a scoping review.","authors":"Salina Mathur, Cara Aydin, Samaria Nancy Cardinal, Ruheena Sangrar, Sylvia Langlois","doi":"10.1080/13561820.2025.2456913","DOIUrl":"10.1080/13561820.2025.2456913","url":null,"abstract":"<p><p>Indigenous communities worldwide experience inequalities in healthcare systems and face profound challenges in accessing equitable care. To bridge these gaps and deliver culturally safe healthcare, healthcare practitioners require appropriate education. Interprofessional education learning activities can facilitate understanding of beneficial and collaborative approaches to Indigenous health. This study explored the depth, breadth, and nature of existing literature on educational strategies used while teaching Indigenous health approaches within interprofessional education. The scoping review was guided by the Joanna Briggs Institute's methodology and considered all forms of English-language evidence with any publication date; it included quantitative, qualitative, mixed-method studies, and gray literature. Six databases were searched along with hand searching and reference list scanning. Sources were screened, extracted using a data extraction form, and analyzed quantitatively and qualitatively. The information was summarized using a summary of results table and a narrative summary. Of 1486 sources, 45 were included following a full-text review. An array of educational strategies informed by various theories and cultural concepts were extracted. Although the content of each learning activity was often unique to the local Indigenous community, many of the foundational theories and concepts were similar across cultures. The findings highlight the importance of partnering meaningfully with Indigenous individuals and communities in educational activity creation and delivery to enhance the quality of learning and learner satisfaction. These findings can contribute to developing culturally safe interprofessional healthcare services for Indigenous communities and guide the development of Indigenous health-related interprofessional education learning activities.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"487-498"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of an acute medical unit in internal medicine on interprofessional collaboration.","authors":"Abd Al Kareem Adi, Thana Harhara, Leen Oyoun Alsoud, Shahad Abasaeed Elhag, Imane Benani, Halah Ibrahim","doi":"10.1080/13561820.2024.2428967","DOIUrl":"10.1080/13561820.2024.2428967","url":null,"abstract":"<p><p>We aimed to assess perceptions about interprofessional collaboration (IPC) of healthcare professionals working in an acute medical unit (AMU) in an internal medicine department in the United Arab Emirates. The AMU provides care during the initial 24 to 72 hours of admission and emphasizes interprofessional collaboration. Using the Assessment of Interprofessional Team Collaboration Scale II, the study measured partnership, cooperation, and coordination among team members. Between November 5, 2022, and January 5, 2023, 81 participants completed the survey, including physicians (<i>n</i> = 45; 55.5%), nurses (<i>n</i> = 18; 22.2%), and clinical and non-clinical allied health professionals (<i>n</i> = 18; 22.2%). On a Likert-type scale of one to five, most respondents perceived partnership, cooperation, and team coordination as <i>good collaboration</i> on the AMU, with mean scores of 4.29, 4.16, and 4.15, respectively. There was no significant difference between physicians' (4.18) and nurses' (4.45) perspectives of IPC on the AMU (<i>p</i> = .10), but physicians were less likely to notice collaborative practice changes compared to other professionals. Introducing IPC early in medical education might enhance future collaborative practice. This study sheds light on IPC in non-Western contexts and provides insights into how collaboration is perceived and practiced in diverse healthcare settings.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"186-191"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional training ward: impact on students, facilitators, and patients.","authors":"Lucas Büsser, Matthew J Kerry-Krause, Julia Dratva, Marion Huber","doi":"10.1080/13561820.2025.2452967","DOIUrl":"10.1080/13561820.2025.2452967","url":null,"abstract":"<p><p>Interprofessional Training Wards (IPTWs) have become a future-oriented, effective form of interprofessional (IP) education. This paper focuses on the quantitative pre-post analysis of a mixed-methods evaluation study to assess the impact of 3-to-4-week placements on the first IPTW in Switzerland on students, facilitators, and patients. Outcomes for students and facilitators were measured using the University of the West of England Interprofessional Questionnaire (UWE-IP) for communication and teamwork skills as well as attitudes to collaborative learning and working, and the Fragebogen zur Arbeit im Team (FAT) to address team-development. Moreover, patient satisfaction was assessed, using a self-developed questionnaire. 63 students, 31 facilitators and 91 patients placed on the IPTW between 2018 and 2022 were included into the study, along with 71 healthcare professionals and 50 patients of the control-wards. UWE-IP and FAT were analyzed using Wilcoxon signed-rank test for pre-post-IPTW comparison and Kruskal-Wallis independent sample test for differences between post-IPTW and post-control. Mann-Whitney U-test was applied to determine differences in patient satisfaction between IPTW and control-ward. Statistically significant positive effects were seen pre-post IPTW for students and facilitators for two subscales of UWE-IP (Communication & Teamwork, and IP Relationship), as well as for FAT, with effect size up to <i>r</i> = 0.681. Control-ward staff scored significantly lower than post-IPTW participants on two UWE-IP subscales (IP Learning, and IP Relationship) and on FAT. Patient satisfaction exhibited non-significant difference across IPTWs and controls. In conclusion, IPTW-placement benefited students' and facilitators' interprofessional teamwork skills, while keeping patient satisfaction high.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"228-240"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460418","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":"Physician experiences of team-based clinical microsystems: implications for the future of inpatient interprofessional communication.","authors":"Katarzyna A Mastalerz, Sarah R Jordan, Kirsten J Broadfoot","doi":"10.1080/13561820.2024.2426722","DOIUrl":"10.1080/13561820.2024.2426722","url":null,"abstract":"<p><p>Healthcare clinical microsystems are small, goal-oriented groups of healthcare professionals that work together on a regular basis to provide care to discrete patient populations. They often include team-based frameworks such as bedside interprofessional rounds, geographic colocation of healthcare team members, interprofessional staff leadership, and unit-level data sharing. In inpatient settings, microsystems improve interprofessional communication and collaboration. In this qualitative study, we examined physician experiences of clinical microsystems and the mechanisms underpinning interprofessional communication in this environment. We interviewed 51 resident and hospitalist physicians. Thematic analysis of physician experiences revealed three key themes: (a) Clinical microsystem effect on workflow, (b) Open forum and work relationships, and (c) Face-to-face vs technology-based communication. Physicians described strong interprofessional relationships based on frequent face-to-face communication. Familiarity with healthcare team members, often resulting from being co-located to the same units, created a comfortable work environment, advanced patient care, and accelerated workflow. Physicians preferred in-person communication with interprofessional colleagues over technology-based communicationand described how in-person interactions enriched subsequent technology-led interactions. As the use of technology-based communication grows in inpatient settings, decreasing face-to-face interactions and facilitating dispersed care, understanding and implementing optimal conditions for effective interprofessional communication is essential.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"155-162"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645054","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":"Cross-cultural adaptation and evidence of validity of the interprofessional collaboration scale (IPC-BR) for Brazil.","authors":"Jaira Gonçalves Trigueiro, Marcelo Viana da Costa, Márcio Adriano Fernandes Barreto, Merrick Zwarenstein, Rhanna Emanuela Fontenele Lima de Carvalho","doi":"10.1080/13561820.2025.2451957","DOIUrl":"10.1080/13561820.2025.2451957","url":null,"abstract":"<p><p>We aimed to perform cross-cultural adaptation of the Interprofessional Collaboration Scale (IPC-BR) and to evaluate evidence of its validity for the Brazilian hospital context. The research consisted of six steps: translation of the instrument into the new language, synthesis of the translated versions, back-translation, synthesis of the versions in the original language, evaluation of the syntheses by an expert committee, and pilot testing or pretesting and validation of the internal structure of the items of the instrument. The pilot testing involved 4 translators, 14 judges, and 30 healthcare professionals; the validation of the internal structure involved 686 professionals including nurses, physicians and physiotherapists. Translation and cross-cultural adaptation revealed no significant changes or discrepancies in meaning from the original model. Exploratory, confirmatory, and parallel factor analyses confirmed that the Brazilian scale is unidimensional. We found unidimensional characteristics and satisfactory factor loadings, with good levels of reliability, which makes the instrument provide consistent and reliable internal evidence for measuring the construct. Thus, the possibility of using it to assess interprofessional collaboration among different target groups in the Brazilian scenario was confirmed.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"257-266"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985364","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":"Translation and psychometric evaluation of the Thai version of TeamSTEPPS® teamwork attitudes and teamwork perceptions questionnaires.","authors":"Suwimon Rojnawee, Chanya Thanomlikhit, Khuansiri Narajeenron, Pataraporn Kheawwan","doi":"10.1080/13561820.2025.2452965","DOIUrl":"10.1080/13561820.2025.2452965","url":null,"abstract":"<p><p>Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) is a strategy for improving communication and team climate in hospitals. While it shows promise, it remains an untested tool among health care professional teams. A cross-sectional design with survey methodology was implemented. We scrutinized the psychometric properties of the TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) and Teamwork Perceptions Questionnaire (T-TPQ) among 301 health care professionals in Thailand. This study follows an instrument testing design guided by two phases: I) Translation phase and II) Psychometric properties testing. A content validity index (CVI), confirmatory factor analysis (CFA), and McDonald's omega were conducted. The study presents confirmatory factor analyses and descriptive data. Both the T-TAQ and T-TPQ are self-administered questionnaires consisting of 27 and 32 items, respectively, utilizing a five-point Likert scale to assess five key components: Team structure, Leadership, Situation monitoring, Mutual support, and Communication. Psychometric evaluations indicated good internal consistency and validity for these instruments among Thai health care professionals, with McDonald's omega values ranging from 0.68 to 0.89 for T-TAQ and 0.85 to 0.95 for T-TPQ. Confirmatory factor analysis supported the construct validity of both the Thai T-TAQ and T-TPQ. The T-TAQ and T-TPQ prove to be reliable and valid instruments. The scale can be effectively utilized as a tool for assessing Thai health professionals' teamwork attitudes and perceptions.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"267-274"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014861","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":"Health and social care professionals' perspective on the interprofessional competencies required in palliative care.","authors":"Pauliina Kesonen, Leena Salminen, Jaana-Maija Koivisto, Elina Haavisto","doi":"10.1080/13561820.2024.2437413","DOIUrl":"10.1080/13561820.2024.2437413","url":null,"abstract":"<p><p>Competent professionals are essential when delivering patient-centered and individual palliative care to patients and their families. However, interprofessional competencies for health and social care professionals in specialized palliative care have not been defined. The purpose of this study was to describe the competencies required for good interprofessional teamwork in specialized palliative care from the perspective of health and social care professionals. A qualitative descriptive study design was chosen to undertake the face-to-face individual and focus-group interviews. Fifty participants working in specialized palliative care units were recruited through a purposive sampling technique. The data were analyzed using abductive content analysis. The required interprofessional competencies in specialized palliative care were identified as values and ethics for interprofessional practice, roles and responsibilities, interprofessional communication, and teams and teamwork. Professionals should be interprofessionally competent to meet patients' care needs holistically and individually. Meeting patients and relatives with respect is vital, but respectful behavior and communication among professionals are also highlighted in palliative care. Certain professional qualities, such as patience, humility, and flexibility, were emphasized in interprofessional palliative care. It is important to note that the nature of palliative care affects even experienced professionals, who should be able to face death as a team in everyday work.</p>","PeriodicalId":50174,"journal":{"name":"Journal of Interprofessional Care","volume":" ","pages":"218-227"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830739","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}