Collaborative Practice Research Articles

Neurologists' Attitudes and Perceptions on Palliative Care: A Qualitative Study.

Despite significant advances in the treatment of neurologic disorders, many conditions require complex care planning and advanced care planning. Neurologists are in a unique position because they are integral in providing patient centered care, understanding neurologic disease and illness trajectory, and how disease can affect patients' sense of self and values. Currently, little is known about neurologists' perceptions and challenges in care planning and palliative care for their patients. Neurologists from one Canadian academic institution participated in a 30-minute semistructured interview from November 2022 to April 2023. Interviews were conducted until saturation was reached and confirmed. Interviews occurred online through a secure platform or in-person and were recorded. Data were analyzed using a constant comparative method using constructivist grounded theory. Member checking was conducted post interview. Ten neurologists participated across a broad spectrum of neurology experience and subspecialties. We developed a detailed theory of understanding neurologists' attitudes and perceptions of palliative care. When neurologists delay or fail to initiate care planning discussions or palliative care, it results from a complex interplay between patient, physician, and resource accessibility factors. Certain contextual factors, such as a first visit or follow-up, inpatient vs outpatient setting, clinic culture, and the type of clinic practice, are factors that can influence these conversations. As a result, physicians may fail to use available resources, or they may involve other care providers or refer to subspecialty neurologic clinics. However, this delay can still lead to patient and provider harm. Opportunities to improve care exist with continuing education opportunities for trainees and staff, collaboration with palliative care specialists, and health systems support, such as increasing public awareness to address misconceptions about palliative care and resource availability. Our findings identify that failure or delay to initiate care planning and palliative care by neurologists results from a complex interplay between local culture, experience, context, practice type, and patient factors. Opportunities to improve care include increasing educational opportunities, building integrated and collaborative practices, and dedicated health systems support.

How to enable human-centric collaboration in social product development paradigm: A practical and theoretical exploration

Since 2012, social product development (SPD) has emerged as a potential paradigm for new product development (NPD). However, the emerging SPD practices are difficult to remain and promote after their early success. The lack of sustainable human-centric collaborative settings will hinder the release of crowd-based collective intelligence in NPD. Currently, the core mechanisms of human-centric collaboration (HCC) in SPD are not clear. To narrow the gap between theory and practice, a two-way empirical study is conducted through an in-deep industrial practice investigation and theory-oriented research based on cooperative inquiry. An extreme case of a famous automotive company is sampled as the object of the cooperative inquiry. The proposed theoretical models are verified by two real SPD pilot projects. Inspired by the discipline of Collaborative Engineering, this study explores the HCC issues and it core mechanisms in the context of SPD. Two novel foundation theoretical models are developed to address the focused scientific problem and engineering challenge. A bottom-up model is developed to structurally elicit the HCC requirements and develop reasonable information modules for specific HCC work practices. A top-down model is developed to improve the manageability and reusability of the learnable experience from historical HCC work practices for better business-technology-system alignment. This study put forward novel theoretical models for designing and deploying collaborative work practices for HCC in SPD. A classification-based Descriptive Model of Collaboration (DMoC) is proposed, which is domain-agnostic and customized for SPD requirements. Our model inherits and outperforms in modelling capability than five other proven modelling approaches.

TRANSFORMING CREATIVE INDUSTRIES: A COLLABORATIVE GOVERNANCE APPROACH FOR DIGITALIZATION IN WEST JAVA

This research aims to analyze the application of Collaborative Governance to advance the creative industry in West Java. Case studies were conducted in Bandung City and Garut Regency. This research uses a qualitative approach, revealing findings that the collaborative governance process in advancing the creative industry in Bandung has been effective and involves elements of the government, private sector, universities, media, and society. However, more optimal arrangements are still needed in the Garut Regency. The ideal Collaborative Governance Model involves the 'Penta helix'—government, society, academia, entrepreneurs, and the media (ABCGM). This cross-sector collaboration is expected to build togetherness in developing the creative industry. This research presents an overview of successful Collaborative Governance practices that formulate policy recommendations and collaborative models. This model guides the government and stakeholders in supporting the digitalization of creative industries in West Java. The contribution of this research lies in the strategic direction to achieve sustainable digital transformation in regional creative industries.

Development of interprofessional educational module for understanding the musculoskeletal basis of sports injury

ABSTRACT Context: Interprofessional education (IPE) is crucial in promoting a better understanding of collaborative practices within the healthcare system. Unfortunately, healthcare professionals are still working in isolation. To address this issue, a study was conducted to develop a module-based teaching and learning activity focusing on sports injuries and to promote IPE. Aims: The aim of the study was to develop, implement, and evaluate an IPE module. Settings and Design: An educational mixed-method study was conducted on 25 facilitators and 108 students. Methods, Materials and Statistical Analysis: The facilitators were interviewed for an assessment of the need for the IPE module. Qualitative analysis was done on the interview data. An interprofessional team was created to develop the sports injury prevention module (SIPM). The SIPM consisting of 11 objectives was developed and validated by experts. After the implementation of SIPM students’ performance was analysed with the help of pre and post-tests. The perception of students and facilitators about IP SIPM were recorded with the help of questionnaires. Results: Need assessment data showed that the facilitators were not very familiar with the concept of IPE. There was a significant increase in students’ performance with a P value ≤ 0.05 after learning with SIPM. Both facilitators and students agreed that module-based IPE increases students’ attentiveness and learning. Conclusions: For effective interprofessional educational collaboration for training students of the healthcare profession, there is a need for an interprofessional educational module. SIPM can enhance the learning of musculoskeletal anatomy and create awareness about sports injuries among students.

The transformative potential of Open Educational Resources for teacher education and practice

ABSTRACT Open educational resources (OER) have significant potential for transforming teacher education in developing countries, yet this remains underexplored. This systematic literature review analyzes 98 articles to understand the impact and innovative prospects of OER’s ‘openness’ attributes on teacher education over the past two decades. While free access to OER is a crucial benefit and contributes to teacher education programmes, effective OER use relies on the proper application of other attributes. Thus, adaptation allows tailoring of materials to specific needs, promoting flexibility and contextualised learning, which are vital for effective teacher education. Free access addresses barriers like the digital divide and ensures content quality and sustainability, enabling equitable access to educational resources. Collaborative practices through OER foster knowledge co-construction and the development of essential 21st-century skills for teachers. The combination of formal and informal learning and remixing enriches teacher education by integrating structured curricula with personalised learning paths. This broader view of ‘openness’ beyond mere access provides insights for reshaping teacher education programmes to be more innovative and responsive to the evolving needs of educators in developing countries. The findings offer guidance for policies and practices to cultivate a new generation of empowered, adaptive teachers through OER integration.

Exploration of Collaborative Design Practice and Potential Issues of Blockchain Technology in the Whole Process Project Management of Construction Engineering

With the development of social economy, urban planning has been paid more and more attention. At present, China is implementing low-carbon environmental planning in stages, stages and stages with the development goal of building two types of society, namely, national master plan and strategic development. This paper analyzes low-carbon environmental planning based on blockchain, then expounds the specific content of whole process project management, and completes the design of green building index system based on low-carbon environmental planning. At the same time, the design method of new dynamic structure and index system of green building is expounded. The comparative analysis shows that the material loss cost of the new environmental protection building engineering and index system is low, and the material utilization rate is high, accounting for more than 95%.

Longitudinal Interprofessional Education in Undergraduate Health Profession Education: A Scoping Review Protocol

Interprofessional education (IPE) is essentially applied in the medical professions curriculum to produce graduates ready for collaborative practice. Globally, competency frameworks and guidelines have been developed to guide the integration and implementation of IPE into formal curriculum. Developing student competencies to become collaborative-ready health professionals takes a long time. This is also influenced by the formation and development of an interprofessional team’s maturity, which is a time-consuming process. Therefore, repetitive exposure to interprofessional learning throughout the curriculum (longitudinal education) should be implemented, since undergraduate level. This scoping review aims to explore the breadth of the longitudinal literature related to IPE. This article explores the global literature to identify, characterise, and summarise evidence from the published literature on longitudinal IPE. This scoping review considers the longitudinal activities of IPE in various contexts. The papers included report on the learning experiences of two or more types of students in a healthcare profession programme. This scoping review was conducted in accordance with the scoping review guidelines of the Joanna Briggs Institute (JBI). The PubMed, Scopus, ProQuest, EBSCOhost, and ScienceDirect databases were searched. The results were limited to papers published in the English language from 2016 to the present. Two independent reviewers screened the titles and abstracts, and extracted data from the full-text articles. The results are presented descriptively in diagrams, tables, or other relevant formats, followed by narrative summaries.

Who you are and who you want to be: a pilot study of dental hygiene students' professional identity formation

BackgroundDental hygienists play a crucial role in providing successful community-based healthcare for patients. They should perform expected roles to address various tasks, in response to changing social contexts and needs. The value created by the role of a dental hygienist closely relates to job satisfaction, which is formed through daily clinical experiences, and in the process of professional identity formation, learners must internalise a value system. This study examined how dental hygiene students developed their professional identities during their undergraduate education.MethodsThis study adopted a case study approach based on an interpretivist paradigm. Ten dental hygiene students in their final year were selected, and semi-structured interviews were conducted regarding changes in their views on dental hygienists and their identities as health professionals. The data were analysed using a thematic analysis approach to identify the components of their professional identities and the factors influencing identity formation.ResultsStudents pre-professional identities were transformed into inter-professional collaborators with a more patient-centric and generalist perspective. The following three aspects of professional identity were identified: their own roles in promoting oral and general health, broadening the perspectives on professional competencies of dental hygienists, and the context of inter-professional collaborative practice. Additionally, this study identified some key factors influencing their identity formation, namely role models, clinical experiences, health care system, and social relationships with others. Among these factors, role models and clinical experiences were the most influential.ConclusionsThis study suggests that recognition of professional roles during preclinical education, and collaborative opportunities in clinical education are necessary to promote professional identity formation. Such learning opportunities enable students to reflect on the kind of dental hygienist they want to become. Moreover, for the students to continuously pursue their profession with a sense of fulfilment, educators need to gain a deeper understanding of the challenges the students would encounter as they transition from their undergraduate degrees to employment. This understanding is essential for developing and supporting communities where dental hygienists connect, help, and learn from each other.

Student perspectives on designing and implementing an interprofessional education module in chronic disease management at primary care level in Vietnam

PurposeThis study explored students' perspectives on designing and implementing the new clinical interprofessional education (IPE) module for chronic disease management at the primary care level in the Vietnamese context.Design/methodology/approachStudents from seven different university-level healthcare programmes participated in a cross-sectional survey Course Experience Questionnaire-based study. Additionally, two open-ended questions were presented to gather qualitative data, mapping student perspectives. Statistical analyses and thematic analyses were performed.FindingsThe results show that students agree with quality statements about IPE design features, such as good teaching, clear goals and standards, appropriate workload, appropriate assessment and a blended learning approach. Answers to the open-ended comments pointed out the strengths of the IPE module in providing opportunities for interprofessional learning, improving interprofessional collaboration competencies, real-life interprofessional collaboration practice and continuous feedback from tutors. Students also reported weaknesses in the IPE module, including a lack of feedback on the care plan and logistics of the IPE module.Originality/valueStudents positively recognise key design features of the IPE module, combining classroom activities with standardised patient simulations, clinical practice and home visits. Chronic disease management at the primary care level is a suitable context for training students to work interprofessionally. The strengths and weaknesses identified by students could help in the redesign and future implementation of the IPE module in the Vietnamese context. They could inspire practices in Southeast Asian medical education and beyond.

Predicting collaborative practice between midwives and obstetricians: A regression analysis.

Effective collaborative practice between midwives and obstetricians improves patient safety and obstetrical outcomes, but its implementation remains challenging. Therefore, its determinants need to be better understood. This study examined factors impacting collaborative practice (CP) between these professional groups. This study was a cross-sectional survey that took place in Swiss hospital labor wards in 2021. Collaborative practice perceptions of 70 midwives (57.4% response rate) and 44 obstetricians (29.0% response rate) were assessed using the Interprofessional Collaboration Scale, with the score serving as the main outcome. A total of 13 individual, behavioral, and organizational predictors were analyzed by multiple linear regression. Participants rated collaborative practice with a median score of 3.1 (IQR: 2.8-3.4) out of a maximum score of 4.0. Results showed that five predictors significantly influenced collaborative practice: type of profession (β= -0.180; 95% CI: -0.296 - -0.040, p=0.011), trust/respect (β=0.343; 95% CI: 0.085-0.040, p=0.000), shared visions/goals (β=0.218; 95% CI: 0.030-0.204, p=0.009), workplace (β=0.253; 95% CI: 0.089-0.445, p=0.004) and shared power (β=0.163; 95% CI: 0.042-0.222, p=0.015). The model explained 66% of the variance (adjusted R2) in collaborative practice in labor wards. This study has identified key factors influencing CP in Swiss labor wards: workplace characteristics that require tailored CP models, and a power-sharing culture that fosters trust, respectful interactions and shared goals, requiring active exchange between midwives and obstetricians.

A longitudinal study of interprofessional education experiences among health professional graduates.

Effective teamwork and collaboration among health professionals is a well-recognized strategy toward enhancing patient outcomes. However, there is a lack of understanding on how to best prepare health professionals for collaborative practice. The aim of this research is to gain a better understanding of how graduates of five health professions (dentistry, medicine, nursing, pharmacy, physiotherapy) perceive and experience interprofessional education for collaborative practice (IPECP) throughout their health professions journey, with a focus on transition to practice. This longitudinal study employed an interpretive, narrative methodology to understand interprofessional identity development of 24 individuals who had recently graduated from a health professions program (dentistry, medicine, nursing, pharmacy, physiotherapy) at a Canadian university. Participant experiences were analyzed using narrative analysis. Participants' narratives provided insight into the context, factors and curricular experiences needed for interprofessional identity development and preparedness for collaborative practice. Participants identified the importance of socialization and connection with others, collaborative role models and exposure to collaborative experiences and settings for interprofessional practice. Participants expressed some dissatisfaction with their earliest IPECP experiences and most valued their exposure to 'real-life' practice examples and clinical scenarios. Participants desired more authentic experiences of interprofessional collaboration during their programs. Improving health professionals' interprofessional socialization and collaborative experiences within IPECP is critical to improving patient outcomes. Study findings can inform future curricula and IPECP strategies that create conditions to enhance collaborative practice and ensure the preparedness of a future health workforce with a strong collaborative identity.

A Review of Studies on HIV Pre-Exposure Prophylaxis in Community Pharmacies in States with Restrictive Pharmacist Prescription Authority in the United States.

A systemic literature review was conducted to identify the primary literature that involved community pharmacy service and PrEP conducted in states that do not have expanded pharmacist prescriptive authority between 2000 to 2024. Ten publications were identified, describing nine studies, including four interview and survey studies, three intervention reports, and two ongoing clinical trials. None of these studies have a control group. Most pharmacists provide PrEP services in the community through a collaborative practice agreement with a primary care provider. Future clinical studies with randomized controlled designs are required to test novel strategies in the education and implementation of pharmacy-led PrEP services in a community pharmacy setting to increase PrEP access.

Experimenting collaborative urbanism: the experience of megacity Jakarta

ABSTRACT In dealing with the complexity of urban challenges, what forms of governing practice that are available for a megacity to resort to? Can a megacity government rely on working with multiple actors to improve urban infrastructures and city resilience? Framed around the concept of collaborative urbanism, this article focuses on “collaboration” as a method of urban governance in a megacity of the Global South to address growing city problems. Situated in Jakarta, Indonesia, this article illustrates the emergence of collaborative urbanism out of political circumstances. The process involves an assemblage of urban actors organized to work together for urban sustainability. Two sectors of urban infrastructure are showcased to assess the efficacy of collaborative practices on building stronger resilience against urban risks in Jakarta. We argue that while democratic and institutional conditions are needed for collaborative urbanism to be meaningfully implemented, leadership matters a great deal in pushing for collaboration to work on the ground.

Cultivating Collective Armor: Towards a Collaborative Cybersecurity Resilience Framework for SMEs

As Small and Medium-sized Enterprises (SMEs) increasingly integrate digital technologies into their operations, they face escalating cybersecurity threats that challenge their limited financial and human resources. Historically, cybersecurity was not a primary concern for many SMEs due to their minimal reliance on cyberinfrastructure. However, the growing dependency on digital systems has exposed them to significant risks, necessitating robust cybersecurity measures. This research introduces a cybersecurity resilience framework specifically designed to enhance the cybersecurity posture of SMEs through collaborative efforts. Drawing upon principles of collective intelligence, shared resources, and shared responsibility, the proposed framework promotes a holistic approach that merges advanced technological solutions with collaborative practices among SMEs, industry stakeholders, and governmental entities. By enabling SMEs to pool their cybersecurity resources and capabilities, the framework aims to provide a comprehensive defence against cyber threats that could not be achieved by individual entities alone. The research delves into key collaborative literature to ground the framework in proven strategies and existing successful models of collaboration. It highlights how collective action can be a powerful tool in overcoming the inherent vulnerabilities of SMEs to cyber threats. To validate the effectiveness and applicability of the framework, it went through an expert review process involving cybersecurity professionals and stakeholders in the SME sector. This study not only underscores the necessity for SMEs to adapt to the evolving cybersecurity landscape but also provides a practical blueprint for collective defence. The framework’s emphasis on shared responsibility and mutual aid presents a shift from traditional, isolated cybersecurity approaches to a more integrated and cooperative strategy. This has the potential to significantly enhance the resilience of SMEs against cyber threats, safeguarding their operations and contributing to the overall stability of the digital economy. Future research directions include the application of the framework across various industries and global contexts to evaluate its versatility and impact under different regulatory and threat environments.

Principles and collaborative practices: a roundup of summer publications

Principles and collaborative practices: a roundup of summer publications

People as infrastructure resistive politics: Designing nostalgia and storytelling in Austin’s downtown

ABSTRACT Drawing on several months of informal observations and conversations in Austin, Texas, this paper explores how longtime clubbers maintain the nostalgia and meaning of local venues from newcomers who use these venues to enhance their social status. This work is based on a rich tradition of Global South and urban scholars, who demonstrate how disenfranchised city residents collaborate to elevate their standard of living and resist further encroachment of urban change in their spaces of living, forming informal economies, makeshift housing infrastructure, and social infrastructures. Adding to these works, I show how longtime patrons of music venues use what I call adhesive design: a resistive design technique where local patrons use stickers to embed venues with nostalgia and to authenticate long-term patrons and newcomers. This paper and my adhesive design concept contribute to a growing body of literature investigating collaborative resistance practices against gentrification and urban change, showing how nostalgia and storytelling are powerful tools to maintain social infrastructures.

Physical Education Administrators’ Instructional Leadership Affecting Their Leadership Efficacy

This study explored the impact of teaching leadership on leadership effectiveness of sports managers at Hunan Normal University. Through teachers' evaluation of sports managers in promoting professional learning, building relationships, collaboration, organizational skills, and teaching practices, their effectiveness levels in content knowledge, teaching knowledge, classroom management, evaluation, and technology application were analyzed. The results show that there is a weak positive correlation between the teaching leadership practices of sports managers and their leadership effectiveness. Based on the research results, this paper puts forward suggestions on improving the leadership of sports managers, aiming to promote the professional development of teachers, strengthen collaboration, improve teaching quality, and ultimately improve students' learning outcomes.

Empowering rural early childhood education through shared book reading and school-family-community partnerships

ABSTRACT The YuePu project was a community-based shared book-reading philanthropic project implemented in rural China. It is a literacy project utilized spaces in the rural community and invited parents and teachers to participate in free-of-charge shared book-reading activities with their children on the weekend. The reading activities and instructions were designed by literacy educators. The current qualitative study aimed to investigate, as demonstrated by YuePu, how teachers, parents and other stakeholders connect with each other as partners, creating a community-based project around children aged 3–6 in low-resource areas of China. The results showed that the YuePu implemented a school-family-community partnership to establish a supportive learning environment for children’s education and development. The findings provide implications for promoting community collaboration practices in other low-resource settings.

Transnational Research Infrastructure

This paper discusses best practices in the development and operation of the network of Knowledge centres within the framework of the transnational and cross-disciplinary CLARIN Knowledge Infrastructure. A Knowledge centre is an institution or a collective of institutions which “have agreed to share their knowledge and expertise with others” (Branco et al. 2023), which has been certified by Common Language Resources and Technology Infrastructure CLARIN, and which has an established website providing the users with information on the offered services and contact forms. Currently, there are 28 Knowledge centres from different countries covering a wide range of topics, offering various research and training related services and organised as either a virtual centre of one or several institutional partners in one country or distributed across multiple countries. This paper aims to present this rich diversity of the research infrastructure and its state-of-the-art by reviewing existing Knowledge centres and their areas of expertise, describing the activities initiated by CLARIN to strengthen K-centre networking, showcasing different types of K-centres, and presenting the operation and collaboration practices shared by K-centres in their annual reports.

Unique model for pharmacist cross‐coverage in the ambulatory care setting

AbstractClinical cross‐coverage in ambulatory care pharmacy practice is currently lacking and can lead to gaps in patient care, lost revenue generation, and pharmacist burnout due to a lack of time and support for indirect patient care and non‐clinical activities. To address this need, a cross‐coverage model for a team of ambulatory care pharmacists practicing in diverse clinical settings was developed and is primarily supported by a single broadly‐trained pharmacist known as an ambulatory care generalist. Cross‐coverage from the ambulatory care generalist includes in‐person and virtual patient care as well as in‐basket management and is available to all clinic‐based pharmacists on the specialty and primary care team with a few select clinics involving a designated collaborative practice agreement. The cross‐covering pharmacist has been shown to positively impact productivity measures and components of pharmacist burnout. Widespread implementation of this cross‐coverage model has the potential to greatly impact pharmacy practice and patient care in the ambulatory care setting and increase sources of revenue.