Interprofessional Collaboration Work Research Articles

Interprofessional education and collaborative work in health: Perceptions and experiences of teachers and tutors

Interprofessional education and collaborative work in health: Perceptions and experiences of teachers and tutors

“Overworked and Stretched Thin”: Burnout and Systemic Failure in School Social Work

The effects of burnout on client service provision, organizational health, and individual well-being are increasingly a focus of social work research, particularly against the societal backdrop of the post-COVID-19 era. Children and their families rely on school social workers (SSWs) to meet increasingly pressing and common mental health needs. However, burnout may jeopardize not only SSWs’ well-being, but also their collective ability to serve this vulnerable population. The current study captures SSW perspectives on burnout related to the following themes: SSW–administrator dynamics; role conflict and lack of role definition; presence of trauma in caseload; systemic challenges (including the subthemes of unrealistic workload, the desire for more interprofessional collaboration and social work–specific supervision, and limited resources); and the effects of the COVID-19 pandemic. Using these perspectives as a guide, policy recommendations are made to enhance interprofessional collaboration, clarify roles and responsibilities, and safeguard SSWs as “first responders” for children’s mental health.

INTERPROFESSIONAL COLLABORATION AND TEAMWORK PRACTICES IN POST-OPERATIVE WOUND CARE MANAGEMENT AT HOSPITAL OF BANDA ACEH

The practice of surgical wound care requires teamwork of wound nurses and interprofessional collaboration in developing quality wound care procedures. The purpose of this study was to determine the relationship between interprofessional collaboration practices and nurse teamwork on the quality of wound care management in postoperative patients at RSUD Dr. Zainoel Abidin Banda Aceh (RSUDZA) in 2022. This research is a quantitative study with a correlative approach by making cross-sectional observations with a sample size of 52 nurses in 6 inpatient rooms at the Regional General Hospital dr. Zainoel Abidin (RSUDZA) Banda Aceh. Data collection was carried out by distributing questionnaires to respondents. The practice of interprofessional collaboration and team work of nurses in RSUDZA are mostly in the fairly good category and most are in the moderate level. However, there was a significant relationship between Interprofessional collaborative practice and the quality of postoperative wound care management (p = 0.0001) and there was a significant relationship between Team Nurse Practice and the quality of postoperative wound care management (p = 0.014). The conclusion of the study was that there was a relationship between the medical team's interprofessional collaborative practice and the nurse's teamwork practice with the quality of postoperative wound care management in the postoperative inpatient ward of RSU dr. Zainoel Abidin Banda Aceh. it is suggested that there is an increase in collaboration practices, teamwork and better management of surgical wound care in the service.

O acadêmico de Medicina frente à população em situação de rua: Trabalho Colaborativo como ferramenta

ABSTRACT This is the experience report of a medical academic from Federal University Fluminense, intern of the Education Program for Work for Health/Interprofessionality, working as part of the Street Clinic of Niterói/RJ, Brazil between April 2019 and March 2020. Aiming at the recognition of challenges, limits and potential of Interprofessional Education and Collaborative Work, the narrative constructed through 44 reports sent to the Program’s preceptors and tutors was used as a methodological tool, being shared not only what the practical field as a physical space brought to light, but also what came to life through intersubjectivity in the encounter with different characters. The opportunity to follow the strategy allowed the student to know more about this essential service to ensure equity in the health of the homeless population, leading to the improvement/development of skills/tools that will compose a work centered on the formation of positive bonds with service users, in the provision of comprehensive care and collabora- tive health practices. It was concluded that, despite the numerous barriers, Interprofessional Education and Collaborative Work are important instruments in academic training, standing out in the production of high quality health services, especially in offering comprehensive care to people in vulnerability.

The role of interprofessional education (IPE) for medical students in pharmacology subject

Interprofessional education (IPE) is a learning method that allows the clinical clerkship to study together, exchange knowledge, and develop the skill that is needed in interprofessional collaborative work practice. This article analyzed the elements within IPE including background, operational definition, goals and benefits, implementation, as well as competency in IPE. Furthermore, the role of IPE for medical students especially in pharmacology subject was discussed. In summary, interprofessional collaboration (IPC) is needed to answer the high demand and complexity of patient problems in minimizing medication errors due to low IPC. The IPE is an early step towards realizing IPC where each profession can understand each other’s roles and responsibilities to achieve comprehensive patient health.

Positive Impact of Professionalism on the Perception of Global Well-Being: A Study in Healthcare Professionals Starting Their First Working Experience in Peruvian Rural Areas.

Introduction: In Peru, recently graduated physicians and nurses who are willing to start working in the public healthcare system, first have to work in their newly acquired profession in the programme denominated “Servicio Rural Urbano y Marginal de Salud” (SERUMS). The SERUMS programme is a 1-year contract in rural areas of the country. The aim of this study was to confirm the following hypothesis: the development of abilities associated to professionalism has a positive effect on the perception of global well-being in the professionals beginning SERUMS.Material and methods: In the study two cohorts of medical and nursing professionals that started SERUMS in 2017 and 2019 were included. The perception of global well-being and general health condition were measured with the Scale of Life Satisfaction (SWLS) and the General Health Questionnaire (GHQ-28), respectively. Professionalism was measured using Jefferson's scales of empathy (JSE), teamwork (JSAPNC), and lifelong learning (JeffSPLL). An analysis in phases using the R language was applied to develop a multiple regression model that would explain the lineal relationship between the global perception of well-being and the studied variables.Results: The study sample included 303 professionals (108 men and 195 women) with a mean age of 26 years, ranging from 22 to 39 years (SD = 4). Based on their profession, 230 were medical doctors and 67 were nurses. The multiple regression model evidenced that age (p < 0.001), social dysfunction (p < 0.001), severe depression (p < 0.001), and inter-professional collaborative work abilities (p < 0.001) explain 38% of the variability in the global perception of well-being. Moreover, a second model explained 44% of the variability in the inter-professional collaborative work abilities based on a lineal relationship with empathy (p < 0.001), lifelong learning (p < 0.001), and future professional orientation (p = 0.01). Both models complied with the necessary conditions for statistic inference and showed large effect sizes.Conclusions: These findings confirm that professionalism has an important role in improving the global well-being of the professionals initiating SERUMS. This influence is direct in the case of inter-professional collaborative work, whereas it is indirect in the case of empathy and lifelong learning.

Inter professional nurses-physicians collaboration and its effects on nurse's team activities

Inter professional collaboration and team work between nurses is crucial for improving patient outcome and quality of care. This study aims to study the inter professional collaboration between nurses-physicians and its effects on nurses team activities at Tanta University Hospitals. Data were collected by using two tools. Tool 1: Jefferson scale) 2009) of Attitude toward Physician-Nurse Collaboration andmodified byAyman El sous(2017). It Includes has six subscales that measure (a) nurse-physician collaboration (8 items) (b) doctors authority (2 items) (c) shared education (3 items) (d) Nursing role in patient care (2 items) (e) disconnecting communication between nurses-physician (4 items).(f) Nurse-physician communication (4 items) responses ranged from 1-5 score. Tool 2: measures team activities scale was used to assess nurses team activities interactions, modified by the researcher based on Thompson)(2007), these included 15 items. Responses was measured in five liker scale ranging from (5) all of the time to none of the time (1). Results and conclusion revealed that the total scores indicted that nurses have more positive attitudes towards nurse-physician inter professional collaboration than physicians. Also, the result reveals that 67% of nurses have high attitude level toward nurses team activities attitudes.Recommendations: Based on the results of the present study recommended that Initiating and developing mutually respectful inter-professional relationships between nurses and physicians. Also, encourage continuing in-service-training program and workshop these with a focus on teamwork and communication.

Improvement of Inter-Professional Collaborative Work Abilities in Mexican Medical and Nursing Students: A Longitudinal Study.

Background: Inter-professional and interpersonal relationships in collaborative work environments can prove to be critical elements in healthcare practice. When implementers fail to understand the importance of a collaborative perspective, this can lead to communication problems which ultimately harm the users.Objectives: To improve the inter-professional collaborative work skills of Mexican students in their first year of medical and nursing degrees through the use of a training program geared toward development of interpersonal skills and interdisciplinary work.Methods: The sample was composed of 162 students (62 males and 99 females) from the School of Healthcare Sciences of the Autonomous University of Coahuila, Mexico. The main measures used were the Jefferson Scale of Empathy (JSE); the Jefferson Scale of Attitudes toward Inter-Professional Collaborative Work between Medical and Nursing Professionals (JSAPNC); and the Jefferson Scale of Lifelong Learning (JeffSPLL). The entire sample was divided into two groups (experimental and control groups). Both groups attended an extra-curricular program using a coaching methodology. In the first case the topic focused on attitudes toward inter-professional collaborative work. In the second case, the program focused on addiction. Both programs ran for 4 months. Psychometric instruments were applied at the beginning and at the end of both programs. After analyzing the reliability of the instruments, an ANOVA test was performed.Results: The control group of medical students showed a deterioration in the development of collaborative work skills (p < 0.01), whereas in the experimental group this deterioration was not present. In the experimental group of nursing students, a significant increase in the development of collaborative work skills (p < 0.05) was observed. The differences were clearly due to the professional area of study (p < 0.001).Conclusion: There are differences in collaborative work skill development among different professional areas. These differences can be reduced through the implementation of a program aimed at developing collaborative work and interpersonal skills in the early stages of training.

Inflammation Mediators Related to Periodontal Disease and Pregnancy Outcomes: A Call for Quality of Antenatal Care While Promising Evidences Are Emerging

Infections may play a significant role in the induction of births and prematurity. Periodontal disease could be a risk factor for pregnancy outcomes such as preterm birth, and low birth weight. Possible mechanisms of this relationship are the production of inflammatory mediators and cytokines like C-reactive protein (CRP), prostaglandin E2 (PGE2), matrix metalloproteinases, interleukin 1 (IL-1), IL-6, and tumor necrosis factor alfa (TNF-a); the translocation of periodontal pathogens to the feto-placental unit through blood stream, a periodontal reservoir of lipopolysaccharides (LPS); and shared risk factors. Although this knowledge is just emerging, it has important implications for the health services and the healthcare delivery model. Committed health teams to an interprofessional collaborative work within the health services can raise the quality of antenatal care. Population strategies directed to prevent and control periodontal disease can increase the periodontal health of the majority of people and affect positively risk groups. These inexpensive basic measures joined with other actions at different levels could enhance the quality of antenatal care and contribute for favorable pregnancy outcomes. Further researches need to clarify the evidences on those relationships.

Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study

BackgroundA better understanding of the processes of collaboration between midwives who work in the birthing centers, and hospital-based obstetricians, family physicians and nurses may promote cooperation among professionals providing maternity care in both institutions. The aim of this research was to explore the barriers and facilitators of the interprofessional and interorganizational collaboration between midwives in birthing centers and other health care professionals in hospitals in Quebec.MethodsA case study design was adopted. Data were collected through semi-structured interviews with midwives, multidisciplinary professionals and administrators, through direct observation of activities in maternity units and field notes, and a variety of organizational and policy documents and archives. A qualitative thematic analysis method was used for analyzing transcribed verbatim.ResultsThe study suggests the close intertwinement between interactional, organizational and systemic factors in regard to barriers and opportunities for collaboration between midwives in birthing centers, and physicians and nurses in hospitals in Quebec. At interactional level, our findings show a conflict in scope of midwifery practice, myth about midwives, pre-judgment, and lack of communication skills between health care providers in the studied birthing center and hospital. At the organizational level, this investigation shows that although midwives have complete access to the hospital with which a formal agreement was signed, they were not integrated in hospital because of lack of interest of midwives and differences in philosophy and scope of practice among healthcare professionals as well as the culture of organizations. At a systemic level, in spite of excessive demand for midwifery care, there are not enough midwives to cover these demands.ConclusionMaternity care professionals require taking a collaborative approach in working and the boundaries of responsibility need to be redrawn. The inter-professional collaborative work between midwives and other maternity care professionals is crucial to improve access and women’s choices for maternity care in Canada. Although having collaborative and multidisciplinary teamwork is a goal of maternity care systems, it is hard to achieve.

Factors of Good Collaboration in Home-Based End-of-Life Care: A Questionnaire Survey of Japanese Home Care Nurses, Home Helpers, and Care Managers.

Good interprofessional work (IPW) is essential to provide quality home-based end-of-life (EOL) care. The purpose of this study was to explore the factors of "good collaboration," as evaluated separately by home care nurses (HNs), home helpers (HHs), and care managers (CMs). The relationship was examined between their evaluation of good collaboration and their recent actual experience of interprofessional collaborative work for a home-based EOL case. The questionnaire was returned nationwide by 378 HNs, 305 HHs, and 476 CMs, and data were collected on 177 EOL cases from HNs, 84 cases from HHs, and 123 cases from CMs. Evaluation of good collaboration by HNs was associated with working with a CM with whom they had multiple collaborative experiences, the client being independent for their toileting until just before dying, and sharing information regarding the client's EOL decision with an HH 1 month before dying. Evaluation of good collaboration by HHs was associated with working at an agency that collaborated with fewer CM agencies and working at an agency that allowed staff to visit dying clients. Evaluation of good collaboration by CMs was associated only with the client being dependent for toileting. Our results highlighted the characteristics of how each professional seeks to collaborate depending on their preparedness, contexts, and resultant expectations toward other professionals when entering the IPW for home-based EOL care. To promote good IPW for home-based EOL care further, professionals need to understand these differences among ourselves and try to meet others' expectations.

Preparing Nursing Students for Interprofessional Practice: The Interdisciplinary Curriculum for Oncology Palliative Care Education.

Interprofessional educational experiences for baccalaureate nursing students are essential to prepare them for interprofessional communication, collaboration, and team work. Nurse educators are ideally positioned to develop and lead such initiatives. The purpose of this article is to describe the development and implementation of an interprofessional education (IPE) project involving students in nursing, medicine, social work, and chaplaincy. The Interdisciplinary Curriculum for Oncology Palliative Care Education project uses team-based palliative oncology education as the framework for teaching students interprofessional practice skills. The need for IPE is apparent, but there are very few comprehensive, successful projects for nurse educators to use as models. This article describes the development of the curriculum by the interprofessional faculty team. Issues encountered by nursing faculty members as they implemented the IPE experience are discussed. Solutions developed to address the issues and ongoing challenges are presented. This project can serve as a model of a successful IPE initiative involving nursing students.