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Ylitörmänen T, Turunen H, Mikkonen S, Kvist T. Good nurse-nurse collaboration implies high job satisfaction: A structural equation modelling approach. Nurs Open 2019; 6:998-1005. [PMID: 31367424 PMCID: PMC6650654 DOI: 10.1002/nop2.279] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 02/16/2019] [Accepted: 03/14/2019] [Indexed: 11/30/2022] Open
Abstract
AIMS To explore the relationship between nurse-nurse collaboration and job satisfaction among hospital nurses and to test and refine a model explaining this relationship. DESIGN A secondary analysis of a cross-sectional survey. METHODS Registered nurses (N = 406, female 88%) in one university hospital in Finland and one in Norway completed a self-administered questionnaire in 2015. Structural equation modelling analysis was used to analyse the relationships between collaboration and job satisfaction subscales. RESULTS The constructed SEM model fit the data well (RMSEA = 0.05, CFI = 0.985, χ2 p-value > 0.1). The model strongly supported the hypothesized covariance between nurse-nurse collaboration and job satisfaction, while significant and positive relationships were observed between most of the subscales. The results suggest that there is a strong association between nurse-nurse collaboration and job satisfaction such that nurses are more satisfied when there is good collaboration and vice versa.
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Affiliation(s)
- Tuija Ylitörmänen
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
- South Karelia Social and Health Care DistrictLappeenrantaFinland
| | - Hannele Turunen
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
- Kuopio University HospitalKuopioFinland
| | - Santtu Mikkonen
- Department of Applied PhysicsUniversity of Eastern FinlandKuopioFinland
| | - Tarja Kvist
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
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Ylitörmänen T, Kvist T, Turunen H. Perceptions on nurse-nurse collaboration among registered nurses in Finland and Norway. Scand J Caring Sci 2019; 33:731-740. [PMID: 30866079 DOI: 10.1111/scs.12669] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Accepted: 01/23/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Intraprofessional collaboration necessitates understanding and knowledge on how nurses perceive each other and what factors promote good collaboration. The relationship between nurse-nurse collaboration has been explored relatively little, though intraprofessional collaboration is an essential factor for a healthy work environment. AIM This study explores the Finnish and the Norwegian nurses' perceptions of nurse-nurse collaboration in nursing care and factors associated with those perceptions. DESIGN A cross-sectional quantitative study design. METHODS In 2015, data were collected from 406 Finnish and Norwegian RNs in two acute-care hospitals, by employing the Dougherty and Larson's Nurse-Nurse Collaboration Scale (NNCS). Descriptive statistics, cross-tabulations, Pearson's chi-Square tests and multivariate anova were used for analysis. Ethical approval for this study was obtained from ethics committees in both countries. RESULTS Findings indicated that the perception of nurse-nurse collaboration was good in both countries. However, significant inter-country differences were found in the collaboration subscales. Compared with their Finnish counterparts, Norwegian nurses awarded higher scores to conflict management, communication, shared process, coordination and professionalism. The results suggest that nurse characteristics, such as main working time and total work experience, were related to the perception of collaboration. CONCLUSION The subscales with the highest scores in both countries were professionalism, shared process and communication. Factors such as conflict management and coordination are areas which should be emphasised to achieve good collaboration between nurses. Here, nurse leaders play an important part in assessing and improving RN-RN collaboration.
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Affiliation(s)
- Tuija Ylitörmänen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.,South Karelia Social and Health Care District, Lappeenranta, Finland
| | - Tarja Kvist
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Hannele Turunen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.,Kuopio University Hospital, Kuopio, Finland
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Lemetti T, Voutilainen P, Stolt M, Eloranta S, Suhonen R. Older patients’ experiences of nurse‐to‐nurse collaboration between hospital and primary health care in the care chain for older people. Scand J Caring Sci 2019; 33:600-608. [DOI: 10.1111/scs.12653] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Accepted: 12/11/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Terhi Lemetti
- Department of Nursing Science University of Turku Turku Finland
- Helsinki University Hospital Helsinki Finland
| | | | - Minna Stolt
- Department of Nursing Science University of Turku Turku Finland
| | - Sini Eloranta
- Department of Nursing Science University of Turku Turku Finland
- Turku University of Applied Sciences Turku Finland
| | - Riitta Suhonen
- Department of Nursing Science University of Turku Turku Finland
- Turku University Hospital and City of Turku Welfare Division (Riitta Suhonen) Turku Finland
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Newman AR, Haglund K, Rodgers CC. Pediatric oncology nurses' perceptions of prognosis-related communication. Nurs Outlook 2019; 67:101-114. [PMID: 30527513 PMCID: PMC6538266 DOI: 10.1016/j.outlook.2018.11.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 10/25/2018] [Accepted: 11/05/2018] [Indexed: 01/01/2023]
Abstract
BACKGROUND Disclosure of prognosis-related information is an essential aspect of communication with pediatric patients with cancer and their families. The nurse is believed to play an important role in this process, but nurse perceptions and experiences have not been well-described. PURPOSE Provide an exploration of pediatric oncology nurses' experiences with prognosis-related communication (PRC). METHOD Mixed-methods, multiphase design. This paper highlights the qualitative portion of the study. FINDINGS Three themes were identified: Importance of collaboration, impact of PRC, and delivery of prognostic information. DISCUSSION Collaboration is a critical element of PRC. Nurses are often not included in the disclosure process, which limits the ability of nurses to fully function in their roles, compromising patient, family, and nurse outcomes. A paradigm shift is required to empower nurses to be more active participants. More education of physicians and nurses is necessary to consistently engage nurses in PRC and prepare nurses for critical conversations.
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Affiliation(s)
- Amy R Newman
- Marquette University Milwaukee, WI; College of Nursing, University of Utah, Salt Lake City, UT; Department of Pediatrics-Hematology/Oncology/Transplant, Medical College of Wisconsin, Milwaukee, WI.
| | | | - Cheryl C Rodgers
- Duke University School of Nursing, Durham, NC (published posthumously: DOD July 7, 2018)
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Barnard R, Jones J, Cruice M. Communication between therapists and nurses working in inpatient interprofessional teams: systematic review and meta-ethnography. Disabil Rehabil 2018; 42:1339-1349. [PMID: 30513029 DOI: 10.1080/09638288.2018.1526335] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Purpose: The aim of the synthesis was to develop a new understanding about the influences on communication in interprofessional teams from therapist and nurse perspectives.Methods: Six electronic databases were searched, combined with citation tracking and hand searching, yielded 3994 papers. Three researchers were involved in screening and quality appraisal, resulting in 18 papers for synthesis, using the process of meta-ethnography. Concepts were identified, compared and translated under five category headings. Two researchers mapped interpretative summaries and a line of argument was created.Results: The line of argument is that four inter-related contingences underpin effective communication between therapists and nurses. Effective communication depends on there being a genuine need to give and receive information for patient care, the capacity to attend to, hold, and use information, and opportunities to share space to enable communication to occur. The fourth contingency is good quality relationships and this is the glue that holds the contingencies together.Conclusion: This synthesis has provided an opportunity to illuminate how therapists and nurses accomplish interprofessional work through communication. The contingencies of need, capacity, opportunity, and quality of relationships create a new structure for understanding what underpins communication between these two groups.Implications for RehabilitationNeed, capacity and opportunity should be understood as contingencies that underpin effective communication about patients, strongly centered on the fourth contingency, quality of relationships between professionals.Therapists and nurses should examine what information they genuinely need from each other to effectively conduct integrated care, from the perspective of both giving and receiving information.Consideration should be given to whether a culture of reciprocity might expand the capacity of professionals to attend to, hold and use the information they share about patients.Therapists and nurses should examine how the way they share space on the ward creates or limits their opportunities to communicate about patients and develop relationships.
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Affiliation(s)
- Rachel Barnard
- Division of Language and Communication Science, School of Health Sciences, City, University of London, London, UK
| | - Julia Jones
- Centre for Research in Public Health and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK
| | - Madeline Cruice
- Division of Language and Communication Science, School of Health Sciences, City, University of London, London, UK
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Mikles SP, Suh H, Kientz JA, Turner AM. The use of model constructs to design collaborative health information technologies: A case study to support child development. J Biomed Inform 2018; 86:167-174. [PMID: 30195086 PMCID: PMC6251717 DOI: 10.1016/j.jbi.2018.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Revised: 07/15/2018] [Accepted: 09/03/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVE Health information technology could provide valuable support for inter-professional collaboration to address complex health issues, but current HIT systems do not adequately support such collaboration. Existing theoretical research on supporting collaborative work can help inform the design of collaborative HIT systems. Using the example of supporting collaboration between child development service providers, we describe a deductive approach that leverages concepts from the literature and analyzes qualitative user-needs data to aid in collaborative system design. MATERIALS AND METHODS We use the Collaboration Space Model to guide the deductive qualitative analysis of interviews focused on the use of information technology to support child development. We deductively analyzed 44 interviews from two separate research initiatives and included data from a wide range of stakeholder groups including parents and various service providers. We summarized the deductively coded interview excerpts using quantitative and qualitative methods. RESULTS The deductive analysis method provided a rich set of design data, highlighting heterogeneity in work processes, barriers to adequate communication, and gaps in stakeholder knowledge in supporting child development work. DISCUSSION Deductive qualitative analysis considering constructs from a literature-based model provided useful, actionable data to aid in design. Design implications underscore functions needed to adequately share data across many stakeholders. More work is needed to validate our design implications and to better understand the situations where specific system features would be most useful. CONCLUSIONS Deductive analysis considering model constructs provides a useful approach to designing collaborative HIT systems, allowing designers to consider both empirical user data and existing knowledge from the literature. This method has the potential to improve designs for collaborative HIT systems.
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Affiliation(s)
- Sean P Mikles
- Biomedical Informatics and Medical Education, University of Washington, Box 357240, 1959 NE Pacific Street, Seattle, WA 98195, USA.
| | - Hyewon Suh
- Human Centered Design & Engineering, University of Washington, 428 Sieg Hall, Box 352315, 1959 NE Pacific Street, Seattle, WA 98195, USA
| | - Julie A Kientz
- Human Centered Design & Engineering, University of Washington, 428 Sieg Hall, Box 352315, 1959 NE Pacific Street, Seattle, WA 98195, USA
| | - Anne M Turner
- Biomedical Informatics and Medical Education, University of Washington, Box 357240, 1959 NE Pacific Street, Seattle, WA 98195, USA; Department of Health Services, University of Washington, Magnuson Health Sciences Center, Room H-680, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195, USA
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Abstract
Nurses practicing at every level need a clear definition of collaboration before applying the concept in daily practice. Additionally, a conceptual definition of collaboration in nursing assists nurse researchers in finding or developing instruments for measuring collaboration and attributes of collaboration, which will enhance research findings. Collaboration extends beyond communication and includes sharing, teamwork, and respect. Multiple databases including CINAHL, PubMed, and ERIC were searched using the keywords collaboration, nursing, concept analysis, sharing, respect, and teamwork. For this analysis, using Walker and Avant's method, the conceptual definition of collaboration in nursing is an intraprofessional or interprofessional process by which nurses come together and form a team to solve a patient care or healthcare system problem with members of the team respectfully sharing knowledge and resources. Two instruments consistent with the conceptual definition of collaboration are The Mayo High Performance Teamwork Scale (MHPTS) and Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS) and these instruments are summarized in this study. Finally, case scenarios are given to illustrate exemplars of collaboration in clinical practice.
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Affiliation(s)
- Cheryl Emich
- The University of Alabama in Huntsville, College of Nursing, Huntsville, Alabama
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Ghafarypour-Jahrom M, Taghizadeh M, Heidari K, Derakhshanfar H. Validity and Reliability of the Emergency Severity Index and Australasian Triage System in Pediatric Emergency Care of Mofid Children's Hospital in Iran. Bull Emerg Trauma 2018; 6:329-333. [PMID: 30402522 PMCID: PMC6215064 DOI: 10.29252/beat-060410] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective: To evaluate the validity, reliability, sensitivity, and specificity of the Emergency Severity Index (ESI) and Australasian Triage System (ATS) for children visiting admitted to the emergency department (ED). Methods: This was a prospective study occurred in the Mofid children's Hospital in Iran from August 2017 to November 2018 and children had aged ≤14 years and presented at the ED with a medical symptom were considered eligible for participation. This study was divided into two phases: in the first phase, we determined the inter-rater reliability of ESI version 4 and ATS by triage nurses and pediatric residents. In the second phase, to analyze the validity, sensitivity, and specificity of each triage system. Reliability and agreement rates were measured using kappa statistics. Results: ESI showed inter-rater reliability with kappa of 0.65–0.92 (P<0.001) and ATS showed inter-rater reliability with kappa of 0.51–0.87 ESI had sensitivity ranged from 81% to 95% and specificity ranged from 73% to 86%. In addition, sensitivity ranged of the ATS were 80% to 95% and specificity ranged from 74% to 87%. Under triage and over triage occurred in 12% and 15% of patients respectively in ESI and 13% and 15% of patients respectively in ATS. Conclusion: The ESI and ATS both valid to triage children in the ED section of Mofid children's Hospital paediatric. Reliability of the ESI is good, moderate to good for the ATS.
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Affiliation(s)
| | - Mehrdad Taghizadeh
- Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Kamran Heidari
- Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hojat Derakhshanfar
- Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Cole J. Structural, Organizational, and Interpersonal Factors Influencing Interprofessional Collaboration on Sexual Assault Response Teams. JOURNAL OF INTERPERSONAL VIOLENCE 2018; 33:2682-2703. [PMID: 26848146 DOI: 10.1177/0886260516628809] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Sexual Assault Response Teams (SARTs) are multidisciplinary teams that coordinate multiple systems (e.g., medical, law enforcement, prosecutors, and rape crisis center advocates) to provide comprehensive care to victims and to collect high-quality forensic evidence to facilitate investigation and prosecution. Relatively little guidance is provided about effective teamwork strategies in resources on forming SARTs. Using in-depth surveys with the SART coordinators and telephone surveys (including close-ended and open-ended questions) with 79 professionals involved in three active, formal SARTs in one state, this study examined structural, organizational, and interpersonal factors that influence interprofessional collaboration on SART. Study findings indicate that perceived structural factors and interpersonal factors were significantly associated with SART members'/responders' perceptions of the quality of interprofessional collaboration on their SART. Findings suggest that individuals' perceptions of professionalization and power disparities between professions pose challenges to perceived interprofessional collaboration on SART. Compared with criminal justice and medical professionals, victim advocacy rated the level of collaboration on their SART significantly lower. The overall picture from the data was that SART professionals perceived mutual respect, trust, and commitment to collaboration to be pervasive on their SARTs, even though recognition of professional conflicts was also prevalent, suggesting that professionals understood that interpersonal conflict was distinct from professional conflict. Initial SART trainings should address the benefits of the team response, professional roles, and communication and conflict resolution skills, and ongoing training should provide professionals the opportunity to raise positive and negative examples of their collaborative efforts to explore existing tensions and constraints on the team for conflict resolution.
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Pauline Voie M, Tunby J, Strømsvik N. Collaboration challenges faced by nurses when premature infants are discharged. Nurs Child Young People 2018. [PMID: 29512964 DOI: 10.7748/ncyp.2018.e960] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
AIM To explore the collaboration challenges faced by neonatal intensive care unit (NICU) nurses and public health nurses when preparing premature infants for transition home and to explore the culture of cooperation between the two professional groups. METHOD Qualitative individual interviews were undertaken with two NICU nurses and two public health nurses. A qualitative content analysis was used to analyse the data. FINDINGS Three main themes were identified: different expectations and lack of communication between NICU nurses and public health nurses; responsibilities and interactions between the two professional groups were not clearly defined; and the public health nurses' competence was not recognised by the NICU nurses and parents. CONCLUSION There is a need of clear guidelines about the discharge process from the NICU. This issue must be given further attention.
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Affiliation(s)
- Mona Pauline Voie
- Department of pediatrics, division of child and adolescent health, University Hospital of North Norway, Tromsø, Norway
| | - Jorunn Tunby
- Division of child and adolescent health, University Hospital of North Norway, Tromsø
| | - Nina Strømsvik
- Department of medical genetics, division of child and adolescent health, University Hospital of North Norway, Tromsø
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The Association Between Nurse Shift Patterns and Nurse-Nurse and Nurse-Physician Collaboration in Acute Care Hospital Units. J Nurs Adm 2018; 48:335-341. [PMID: 29799816 DOI: 10.1097/nna.0000000000000624] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
OBJECTIVE The aim of this study was to examine the impact of nurse shift patterns on nurses' collaboration with nurses and physicians in US acute care hospital units. BACKGROUND Collaboration between nurses and other healthcare providers is critical for ensuring quality patient care. Nurses perform collaboration during their shift work; thus, nurse shift patterns may influence collaboration. However, there is a dearth of empirical evidence of the relationship between nurse shift patterns and collaboration of nurses with other healthcare providers. METHODS This is a cross-sectional study using data from 957 units in 168 acute care hospitals. Measures of collaboration include nurse-nurse collaboration and nurse-physician collaboration. Measures of shift patterns included shift length and overtime. Multilevel linear regressions were conducted at the unit level, controlling unit and hospital characteristics. RESULTS Overtime (more nurses working overtime or longer overtime hours) was associated with lower collaboration at the unit level; however, shift length was not. CONCLUSIONS Working overtime may negatively influence nurses' collaboration with other healthcare providers.
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Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study. Int J Nurs Stud 2018; 85:1-6. [PMID: 29783090 DOI: 10.1016/j.ijnurstu.2018.05.001] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Revised: 04/27/2018] [Accepted: 05/01/2018] [Indexed: 10/17/2022]
Abstract
BACKGROUND Collaboration among healthcare providers has been considered a promising strategy for improving care quality and patient outcomes. Despite mounting evidence demonstrating the impact of collaboration on outcomes of healthcare providers, there is little empirical evidence on the relationship between collaboration and patient safety outcomes, particularly at the patient care unit level. OBJECTIVES The purpose of this study is to identify the extent to which interdisciplinary collaboration between nurses and physicians and intradisciplinary collaboration among nurses on patient care units are associated with patient safety outcomes. METHODS This is a cross-sectional study using nurse survey data and patient safety indicators data from U.S. acute care hospital units. Collaboration at the unit level was measured by two 6-item scales: nurse-nurse interaction scale and nurse-physician interaction scale. Patient outcome measures included hospital-acquired pressure ulcers (HAPUs) and patient falls. The unit of analysis was the patient care unit, and the final sample included 900 units of 5 adult unit types in 160 hospitals in the U.S. Multilevel logistic and Poisson regressions were used to estimate the relationship between collaboration and patient outcomes. All models were controlled for hospital and unit characteristics, and clustering of units within hospitals was considered. RESULTS On average, units had 26 patients with HAPUs per 1000 patients and 3 patient falls per 1000 patient days. Critical care units had the highest HAPU rate (50/1000 patients) and the lowest fall rate (1/1000 patient days). A one-unit increase in the nurse-nurse interaction scale score led to 31% decrease in the odds of having a HAPU (OR, 0.69; 95% CI, 0.56-0.82) and 8% lower patient fall rate (IRR, 0.92; 95% CI, 0.87-0.98) on a nursing unit. A one-unit increase in the nurse-physician interaction scale score was associated with 19% decrease in the odds of having a HAPU (OR, 0.81; 95% CI, 0.68-0.97) and 13% lower fall rates (IRR, 0.87; 95% CI, 0.82-0.93) on a unit. CONCLUSIONS Both nurse-physician collaboration and nurse-nurse collaboration were significantly associated with patient safety outcomes. Findings from this study suggest that improving collaboration among healthcare providers should be considered as an important strategy for promoting patient safety and both interdisciplinary and intradisciplinary collaboration are critical for achieving better patient outcomes.
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Affiliation(s)
- Chenjuan Ma
- New York University Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, United States.
| | - Shin Hye Park
- University of Kansas School of Nursing, United States
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Pherson E, Roth J, Nkimbeng M, Boyd C, Szanton SL. Ensuring safe and optimal medication use in older community residents: Collaboration between a nurse and a pharmacist. Geriatr Nurs 2018; 39:554-559. [PMID: 29653771 DOI: 10.1016/j.gerinurse.2018.03.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Revised: 03/16/2018] [Accepted: 03/16/2018] [Indexed: 10/17/2022]
Abstract
The purpose of this retrospective review is to describe 1) a nurse-pharmacist collaboration within a home based nurse-occupational therapist-handyman program called CAPABLE and 2) potential medication problems and 3) information communicated to participants and prescribers about those problems. A chart review was performed for each participant that one CAPABLE nurse referred to the pharmacists. We identified recommendations provided by pharmacists, synthesized common questions posed to the pharmacists' and developed exemplar cases of participant encounters. Fifty-nine participants were reviewed. The median number of total medications was 11 (IQR 9-14.5). Participants were most commonly taking antihypertensives (93%), statins (66%), and supplements/vitamins (61%). Pharmacists provided 83 unique recommendations for the 59 participants. The recommendations from the pharmacist were communicated for 49 of the 59 participants (83%), by the nurse. The nurse-pharmacist collaboration identified medication-related problems and solutions aimed at improving the quality of life for home-dwelling seniors with functional limitations.
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Affiliation(s)
- Emily Pherson
- Department of Pharmacy, The Johns Hopkins Hospital, 600 North Wolfe Street, Carnegie Bldg Room 180, Baltimore, MD 21287.
| | - Jill Roth
- Johns Hopkins Homecare Group, 5901 Holabird Avenue A, Baltimore, MD 21224
| | - Manka Nkimbeng
- School of Nursing, Johns Hopkins University, 525 N. Wolfe St. Baltimore, MD 21205
| | - Cynthia Boyd
- Division of Geriatric Medicine and Gerontology, Center for Transformative Geriatric Research, Department of Medicine, Johns Hopkins University School of Medicine, 5550 Hopkins-Bayview Circle Terrace, Baltimore, MD 21224
| | - Sarah L Szanton
- Center on Innovative Care in Aging, Joint Appointment with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins School of Nursing, 525 North Wolfe Street #424, Baltimore, MD 21205
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Manias E. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opin Drug Saf 2018; 17:259-275. [PMID: 29303376 DOI: 10.1080/14740338.2018.1424830] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Medication errors are commonly affected by breakdowns in communication. Interdisciplinary collaboration is an important means of facilitating communication between health professionals in clinical practice. To date, there has been little systematic examination of past research in this area. AREAS COVERED The aims of this integrative review are to examine how interdisciplinary collaboration influences medication errors in hospitals, the araes of interdisciplinary collaboration that have been researched in previous work, and recommendations for future research and practice. An integrative review was undertaken of research papers (N = 30) published from inception to August 2017 using MEDLINE, the Cochrane Library, CINAHL, PsycINFO, and Embase. EXPERT OPINION Five different areas of interdisciplinary collaboration were identified in research involving medication errors. These areas were: communication through tools including guidelines, protocols, and communication logs; participation of pharmacists in interdisciplinary teams; collaborative medication review on admission and at discharge; collaborative workshops and conferences; and complexity of role differentiation and environment. Despite encouraging results demonstrated in past research, medication errors continued to occur. Increased focus is needed on developing tailored, individualized strategies that can be applied in particular contexts to create further reductions in medication errors. Greater understandings are also needed about the changing roles of various disciplines.
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Affiliation(s)
- Elizabeth Manias
- a Faculty of Health, School of Nursing and Midwifery , Deakin University , Burwood , Australia.,b The Royal Melbourne Hospital, Department of Medicine , The University of Melbourne , Parkville , Australia.,c Department of Nursing, School of Health Sciences , The University of Melbourne , Parkville , Australia
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65
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Abstract
BACKGROUND With the worldwide growing aging population, the high prevalence of osteoporosis-related fractures is associated with high morbidity and mortality. Healthcare costs for treating fractures and subsequent complications will increase to $25 billion by 2025. PURPOSE This article articulates a comprehensive concept analysis of the nurse practitioner fracture liaison (NPFL) role to provide new insights into the role of nurse practitioner in osteoporosis care coordination. METHODS Walker and Avant's concept analysis framework was used to identify the attributes, antecedents, consequences, and empirical referents of the NPFL role. Model cases illustrated real-life examples of the NPFL role. CONCLUSION The impact of NPFL role is rather novel in promoting healthy bone living at local, national, and international communities. Linking the refined outcome of the concept analysis of the NPFL role to osteoporosis care helps close osteoporosis care gaps, improve healthcare outcomes, and alleviate financial burden by reducing secondary fracture and complications.
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Tang CJ, Zhou WT, Chan SWC, Liaw SY. Interprofessional collaboration between junior doctors and nurses in the general ward setting: A qualitative exploratory study. J Nurs Manag 2017; 26:11-18. [DOI: 10.1111/jonm.12503] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/26/2017] [Indexed: 11/28/2022]
Affiliation(s)
| | - Wen T. Zhou
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore Singapore
| | - Sally W.-C. Chan
- School of Nursing and Midwifery; University of Newcastle; Newcastle NSW Australia
| | - Sok Y. Liaw
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore Singapore
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Vestergaard E, Nørgaard B. Interprofessional collaboration: An exploration of possible prerequisites for successful implementation. J Interprof Care 2017; 32:185-195. [PMID: 29144793 DOI: 10.1080/13561820.2017.1363725] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Poor collaboration among professional groups may be a major cause of incoherent patient pathways in hospital settings. For over a decade, interprofessional collaboration (IPC) have been stressed as an effective method to enhance the delivery of patient care. This article presents a theory-based stakeholder evaluation of the implementation of an intervention aiming to implement the concept of IPC in a Danish regional hospital from 2012 to 2015. Involving five departments and eight professions, the intervention aimed at developing coherent practices across health professions by optimising patient pathways with the establishment of interprofessional teams as a core element. The evaluation assessed the professionals' views of the intervention. Data were collected through focus group interviews and document analysis. We found that a strengthened focus on patient pathways, well-trained instructors, and an evidence-based strategy for implementation facilitates the success of interventions with a focus on IPC in hospital settings. We furthermore found that cultural and organisational factors are barriers to the implementation of IPC practices, that interruptions of uni-professional work may hamper coordination across professions, and that the interprofessional teams may form new isolated organisational structures.
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Affiliation(s)
- Erik Vestergaard
- a Department of Orthopaedic and Surgery and Traumatology , Kolding Hospital, Lillebaelt Hospital , Kolding , Denmark
| | - Birgitte Nørgaard
- b Department of Public Health , University of Southern Denmark , Odense , Denmark
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Rakhudu MA, Davhana-Maselesele M, Useh U. A model of collaboration for the implementation of problem-based learning in nursing education in South Africa. Curationis 2017; 40:e1-e10. [PMID: 28893071 PMCID: PMC6091810 DOI: 10.4102/curationis.v40i1.1765] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Revised: 07/25/2017] [Accepted: 05/16/2017] [Indexed: 11/09/2022] Open
Abstract
Background The idea of collaboration between key stakeholders in nursing education for the implementation of problem-based learning (PBL) may have far-reaching implications for the institutions and students. Main objective To develop a model of collaboration to facilitate the implementation of PBL in nursing education. Methodology An exploratory sequential design was used. Qualitative data were collected from purposively recruited nurse educators from three universities in South Africa offering PBL and nurse managers from all the three hospitals in North West Province where PBL students are placed for clinical learning. A questionnaire was used to obtain data from respondents who were conveniently recruited. Model development, concept analysis, construction of relationships, description and evaluation were followed. Results This model has six elements: higher education and nursing education (context), institutions initiating PBL, clinical services, colleges affiliated to PBL universities, students and healthcare users (recipients), champions in PBL (agents), effective implementation of PBL (terminus), collaboration (process) and commitment, communication, trust and respect (dynamics). Conclusion Collaboration in implementing PBL can be a functional reality in the delivery of quality educational experiences and has far-reaching implications for the institutions and students. The implementation of the model in South African nursing education institutions may be necessary in the light of the revision of the preregistration qualifications. Recommendations Managerial commitment, training of collaborators on PBL and collaboration skills, memorandum of agreement, monitoring and evaluation are critical. More research is required to pilot the model and evaluate collaboration in implementing PBL at different levels of operations.
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69
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Didier A, Campbell J, Franco L, Serex M, Staffoni-Donadini L, Gachoud D, Zumstein-Shaha M. Patient perspectives on interprofessional collaboration between healthcare professionals during hospitalization: a qualitative systematic review protocol. JBI DATABASE OF SYSTEMATIC REVIEWS AND IMPLEMENTATION REPORTS 2017; 15:2020-2027. [PMID: 28800050 DOI: 10.11124/jbisrir-2016-003302] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
REVIEW QUESTION/OBJECTIVE The objective of this qualitative systematic review is to examine the available evidence on interprofessional collaboration from the patients' perspectives, specifically on: i) interprofessional collaboration in adult or pediatric wards during hospitalization; ii) the influence of interprofessional collaboration on the patient's care, safety and well-being in adult or pediatric wards during hospitalization; and (iii) the patient's role in the interprofessional collaboration process in adult or pediatric wards during hospitalization.
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Affiliation(s)
- Amélia Didier
- 1Bureau d'Echange des Savoirs pour des praTiques exemplaires de soins (BEST): a Joanna Briggs Institute Centre of Excellence, Lausanne, Switzerland 2School of Health Care Sciences (HESAV), University of Applied Sciences and Arts of Western Switzerland (HES-SO), Switzerland 3University Institute of Higher Education and Research in Health Care (IUFRS), University of Lausanne (UNIL), Lausanne, Switzerland 4Department of Internal Medicine, University Hospital Lausanne (CHUV) and Medical Education Unit, Faculty of Biology and Medicine (FBM), University of Lausanne (UNIL), Lausanne, Switzerland
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Evans-Agnew RA, Mayer KA, Miller LLL. Opportunities in the integration of primary care and public health nursing: Two case exemplars on physical activity and nutrition. Nurs Forum 2017; 53:40-45. [PMID: 28776723 DOI: 10.1111/nuf.12218] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The integration of primary care and public health nursing may provide new opportunities for transforming nursing practice that addresses population health. Effective programs emphasize multilevel approaches that include both downstream (education) and upstream (policy change) actions. The purpose of this article is to identify downstream and upstream nursing actions that integrate public health and primary care practice through two case exemplars concerning disparities in physical activity and nutrition. METHODS Describe two research case exemplars: (1) a secondary analysis of school physical activity policy for female adolescents in 36 public middle schools and (2) a focus group study of African American adults in a community kitchen program. RESULTS In exemplar 1, school policies lacked population-based standards and presented structural disadvantages to African American girls who were already obese. In exemplar 2, participants found the community kitchen program to be more effective than the federally funded nutrition program. DISCUSSION Integrating primary care and public health nursing could improve the tailoring of physical activity and nutrition programs to local populations by following core principles of community engagement, infrastructural sustainability, aligned leadership, and data sharing for population health improvement.
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Affiliation(s)
- Robin A Evans-Agnew
- University of Washington Tacoma, Nursing and Healthcare Leadership Program, Tacoma, WA
| | - Kala A Mayer
- School of Nursing, University of Portland, Portland, OR
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Mayer K, Braband B, Killen T. Exploring collaboration in a community-academic partnership. Public Health Nurs 2017; 34:541-546. [DOI: 10.1111/phn.12346] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Kala Mayer
- School of Nursing; University of Portland; Portland OR USA
| | | | - Taylor Killen
- Multnomah County Health Department; Multnomah County East Clinic; Gresham OR USA
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Mahdizadeh M, Heydari A, Moonaghi HK. Exploration of the process of interprofessional collaboration among nurses and physicians in Iran. Electron Physician 2017; 9:4616-4624. [PMID: 28848638 PMCID: PMC5557143 DOI: 10.19082/4616] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Accepted: 08/07/2016] [Indexed: 11/29/2022] Open
Abstract
Introduction The development of interprofessional collaboration is of great significance for facilitating the flow of information and provision of collaborated services. In fact, only one single profession cannot respond to all demands. Thus, this study was aimed to investigate clinical nurse-physician collaboration in Iran. Methods This study was performed with nurses and physicians of university hospitals affiliated to Mashhad University of Medical Sciences, Mashhad, Iran, during September 2013-March 2015, using grounded and synthesis theory. The data were obtained using semi-structured interviews and field notes, and MAXQ DA version 10 was employed for data analysis. Results The core variable was defined as “management of strategic goals”, and the main categories included perception of challenging organizational structures, providing a comprehensive supportive net for patients, seeking professional communication, and building solid confidence. Based on views of the participants, they were aiming to apply a stress management strategy, while maintaining their position in the organization, by making passive compromises to protect themselves against the perceived threats. Conclusion The participants were trying to overcome barriers through reducing and managing the tension, while maintaining their position in the organization using forced, passive coping strategies to protect themselves against the perceived threats.
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Affiliation(s)
- Mousa Mahdizadeh
- Ph.D. Candidate of Nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Abbas Heydari
- Ph.D. of Nursing, Professor, Evidence-Based Care Research Center, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hossein Karimi Moonaghi
- Ph.D. of Nursing, Associate Professor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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Mei B, Wang W, Shen M, Cui F, Wen Z, Ding J. The physician-nurse collaboration in feeding critically ill patients: A multicenter survey. Appl Nurs Res 2017; 36:63-67. [PMID: 28720241 DOI: 10.1016/j.apnr.2017.05.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Revised: 03/21/2017] [Accepted: 05/25/2017] [Indexed: 12/12/2022]
Abstract
AIMS Describe physician-nurse collaboration in feeding critically ill patients and explore the influence factors related to this collaboration, which can provide information for clinical practice and future studies. BACKGROUND Appropriate nutrition support is essential and significant for critically ill patients, and the importance of physician-nurse collaboration in other fields has been confirmed, yet there are limited studies put insights into the status of physician-nurse collaboration in feeding critically ill patients. METHODS A cross-sectional survey with a covering of 15 hospitals was conducted. A 21-item questionnaire was administered to physicians and nurses in critical care units. Descriptive statistics, univariate and multiple stepwise regression analysis were performed to evaluate the physician-nurse collaboration in feeding critically ill patients. RESULTS A total of 331 respondents completed the questionnaire. Nurses and physicians were found to have differing perceptions of the physician-nurse collaboration in feeding critically ill patients, with nurses reporting lower levels of collaboration. Nurses consistently gave more negative responses on every survey question compared with physicians. Age, education and clinical experience significantly influenced the nurses' perceptions of cooperation, and age, education, ICU type, and seniority affected the physicians' perceptions of collaboration. CONCLUSIONS Physicians, nurses and hospital administrators should highlight the physician-nurse collaboration in feeding critically ill patients and reinforce the cooperation based on potential influencing factors. Further research is required to establish feasible cooperative protocol and evaluate the effectiveness of the approach.
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Affiliation(s)
- Binbin Mei
- Department of Neurosurgery, the First Affiliated Hospital of Soochow University, School of Nursing Soochow University, 188 Shizi Street, Suzhou 215006, China.
| | - Wenting Wang
- Department of Neurosurgery, the First Affiliated Hospital of Soochow University, School of Nursing Soochow University, 188 Shizi Street, Suzhou 215006, China.
| | - Meifen Shen
- Department of Neurosurgery, the First Affiliated Hospital of Soochow University, School of Nursing Soochow University, 188 Shizi Street, Suzhou 215006, China.
| | - Feifei Cui
- Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China.
| | - Zunjia Wen
- Department of Neurosurgery, the First Affiliated Hospital of Soochow University, School of Nursing Soochow University, 188 Shizi Street, Suzhou 215006, China
| | - Jianping Ding
- Department of Neurosurgery, the First Affiliated Hospital of Soochow University, School of Nursing Soochow University, 188 Shizi Street, Suzhou 215006, China.
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Roberts D, Van Wyk R, Dhanpat N. Validation of the Thomson, Perry and Miller (2007) Collaboration Instrument in the South African context. SOUTH AFRICAN JOURNAL OF HUMAN RESOURCE MANAGEMENT 2017. [DOI: 10.4102/sajhrm.v15i0.793] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Orientation: Collaboration is deemed important in today’s connected and complex business environment. People’s ability to collaborate with each other in organisations is becoming a business imperative. This study focuses on a valid measurement of collaboration within organisations.Research purpose: Thomson, Perry and Miller (2007) developed a collaboration measurement instrument in the United States. The aim of this study was to validate this instrument for a South African context.Motivation for the study: South African organisations face unique challenges that require optimal use of resources to improve business results. Effective collaboration is considered a powerful strategy to achieve this. Measuring the extent of collaboration can help to identify required changes in business practices. As far as could be established, there is no evidence of collaboration instruments developed and validated in South Africa.Research design, approach and method: Additional items were designed for further development of the Thomson, Perry and Miller (2007) Collaboration Instrument sub-scales, as suggested by the authors. The revised questionnaire consisting of 31 (17 existing, 14 new) items was distributed electronically to 4200 employees in two organisations, with 343 valid responses received. Reliability and construct validity were tested, as was convergent validity of the norms factor with the Trust in Teams Scale.Main findings: The results of the study support a four-factor, 29-item model of collaboration when applied to a South African sample. Cronbach’s alpha ranged between 0.85 and 0.95. Confirmatory Factor Analysis fits were at an acceptable level. Convergent validity showed a moderate fit with the data.Practical/managerial implications: South African managers and human resources practitioners can utilise results to foster a collaborative environment.Contribution/value-add: This study builds on the theoretical concept of collaboration as defined by Thomson, Perry and Miller (2007).
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Lapierre A, Gauvin-Lepage J, Lefebvre H. La collaboration interprofessionnelle lors de la prise en charge d’un polytraumatisé aux urgences : une revue de la littérature. Rech Soins Infirm 2017:73-88. [DOI: 10.3917/rsi.129.0073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Kallio S, Kumpusalo-Vauhkonen A, Järvensivu T, Mäntylä A, Pohjanoksa-Mäntylä M, Airaksinen M. Towards interprofessional networking in medication management of the aged: current challenges and potential solutions in Finland. Scand J Prim Health Care 2016; 34:368-376. [PMID: 27822968 PMCID: PMC5217280 DOI: 10.1080/02813432.2016.1249055] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Accepted: 06/06/2016] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVE The Finnish Medicines Agency (Fimea) initiated a programme in 2012 for enhancing interprofessional networking in the medication management of the aged. The goal is to develop national guidelines for interprofessional collaboration with respect to medication management. This study aims to explore the challenges and potential solutions experienced by existing health care teams in managing medication of the aged: (1) at the individual and team level (micro level), (2) organisational level (meso level) and (3) structural level (macro level). DESIGN Group discussions (n = 10), pair (n = 3) and individual interviews (n = 2). Abductive content analysis combining data and theory was applied. Networking was used as a theoretical framework. SETTING Meetings (n = 15) organised by Fimea in the formation phase of the interprofessional network in 2012. SUBJECTS Health care professionals (n = 55). MAIN OUTCOME MEASURES Challenges and solutions in the medication management of the aged at the micro, meso and macro levels. RESULTS Challenges in interprofessional collaboration, problems with patient record systems, and the organisation of work and lack of resources were present at all the levels contributing to patients' medication problems. Participants suggested multiple potential solutions to improve interprofessional collaboration, sharing of tasks and responsibilities, better exploitation of pharmaceutical knowledge and developing tools as being the most commonly mentioned. CONCLUSIONS Optimising medication use of the aged requires new systemic solutions within and between different system levels. The main challenges can be solved by clarifying responsibilities, enhancing communication and applying operational models that involve pharmacists and the use of information technology in medication management. KEY POINTS An interprofessional team approach has been suggested as a solution to promote rational medicine use among the aged. Fragmented health care system and lack of coordinated patient care are reasons for medication related problems of the aged. Challenges in the implementation of interprofessional collaboration in medication management appear in legislation, information systems, operational models and individuals' attitudes. Optimising medications requires better interprofessional networking and new systemic solutions within and between macro, meso and micro levels.
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Affiliation(s)
- Sonja Kallio
- Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland
| | | | - Timo Järvensivu
- Department of Marketing, Aalto University School of Business, HELSINKI, Finland
| | | | - Marika Pohjanoksa-Mäntylä
- Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland
| | - Marja Airaksinen
- Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland
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Penny RA, Windsor C. Collaboration: A critical exploration of the care continuum. Nurs Inq 2016; 24. [PMID: 27905162 DOI: 10.1111/nin.12164] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2016] [Indexed: 12/21/2022]
Abstract
The purpose of this research was to explore the concept of collaboration within a specific healthcare context and to include the perspectives of healthcare users, a position largely lacking in previous studies. In applying a critical theoretical approach, the focus was on, as an exemplar, mothers with newborn babies who had spent more than 48 hr in a special care nursery. Semistructured interviews were undertaken with child health nurses, midwives and mothers. The three key theoretical findings on collaboration generated in the study point to layers of meanings around identity, knowledge and institutions of care. Findings from the interview data analysis were further examined through the lens of key policy documents. The research outcomes indicate that the concept of collaboration serves an important function in healthcare in obscuring the complexities and ambiguities that characterise the care continuum. The study concludes the need for a more critical approach to the assumptions that underlie the language of collaboration and the implications for practice in healthcare.
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Affiliation(s)
- Robyn A Penny
- Child and Youth Community Health Service, Queensland Health, Brisbane, Australia
| | - Carol Windsor
- School of Nursing, Queensland University of Technology, Brisbane, Australia
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Bookey-Bassett S, Markle-Reid M, Mckey CA, Akhtar-Danesh N. Understanding interprofessional collaboration in the context of chronic disease management for older adults living in communities: a concept analysis. J Adv Nurs 2016; 73:71-84. [PMID: 27681818 DOI: 10.1111/jan.13162] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2016] [Indexed: 11/30/2022]
Abstract
AIM To report a concept analysis of interprofessional collaboration in the context of chronic disease management, for older adults living in communities. BACKGROUND Increasing prevalence of chronic disease among older adults is creating significant burden for patients, families and healthcare systems. Managing chronic disease for older adults living in the community requires interprofessional collaboration across different health and other care providers, organizations and sectors. However, there is a lack of consensus about the definition and use of interprofessional collaboration for community-based chronic disease management. DESIGN Concept analysis. DATA SOURCES Electronic databases CINAHL, Medline, HealthStar, EMBASE, PsychINFO, Ageline and Cochrane Database were searched from 2000 - 2013. METHODS Rodgers' evolutionary method for concept analysis. RESULTS The most common surrogate term was interdisciplinary collaboration. Related terms were interprofessional team, multidisciplinary team and teamwork. Attributes included: an evolving interpersonal process; shared goals, decision-making and care planning; interdependence; effective and frequent communication; evaluation of team processes; involving older adults and family members in the team; and diverse and flexible team membership. Antecedents comprised: role awareness; interprofessional education; trust between team members; belief that interprofessional collaboration improves care; and organizational support. Consequences included impacts on team composition and function, care planning processes and providers' knowledge, confidence and job satisfaction. CONCLUSION Interprofessional collaboration is a complex evolving concept. Key components of interprofessional collaboration in chronic disease management for community-living older adults are identified. Implications for nursing practice, education and research are proposed.
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Affiliation(s)
| | | | - Colleen A Mckey
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
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Rakhudu MA, Davhana-Maselesele M, Useh U. Concept analysis of collaboration in implementing problem-based learning in nursing education. Curationis 2016; 39:e1-e13. [PMID: 27542943 PMCID: PMC6091637 DOI: 10.4102/curationis.v39i1.1586] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 05/11/2016] [Accepted: 05/11/2016] [Indexed: 11/05/2022] Open
Abstract
Objectives The purpose of this concept analysis was to better understand and define collaboration as it relates to the implementation of problem-based learning (PBL). Methods The process of concept analysis was conducted in three phases; namely, theoretical or literature review, empirical or fieldwork; and analysis phases. Rodgers’ evolutionary approach was used to clarify the attributes, antecedents, surrogate, related terms and consequences of collaboration in implementing PBL. The search key terms were ‘collaboration’, ‘problem-based learning’, ‘nursing’ and ‘nursing education’. The search was performed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and PsycINFO databases. The articles were reviewed for trends that would reflect the current knowledge for collaboration as a concept. Descriptive qualitative study was used to collect data purposively from participants of three universities offering PBL in Republic of South Africa and three hospitals where PBL students are placed Results Collaboration in implementing PBL is described as using the following terms: interpersonal, interactive and personal process, shared goal and governance. The antecedents of collaboration include commitment and support; common goal; formal agreement; training and development; and monitoring and evaluation of tools and mechanisms. Consequences of collaboration in implementing PBL are as follows: information, resource and expertise sharing; personal development and mentoring; creation of supportive and nurturing environment; professional socialisation; improved students’ outcomes; and effective utilisation of resources. Conclusion Effective collaboration within nursing education and with other healthcare professionals to achieve quality outcomes in an increasingly interdependent higher education system continues to grow in importance.
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Maratos M, Huynh L, Tan J, Lui J, Jarus T. Picture This: Exploring the Lived Experience of High-Functioning Stroke Survivors Using Photovoice. QUALITATIVE HEALTH RESEARCH 2016; 26:1055-1066. [PMID: 27194645 DOI: 10.1177/1049732316648114] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
An increasing number of high-functioning stroke survivors are present with minimal functional impairments and are often discharged with reduced access to community reintegration. Our objectives were to explore the lived experience of high-functioning stroke survivors and to identify gaps in community and rehabilitation services. Photovoice was used with five high-functioning stroke survivors to photo-document their experiences. A modified inductive thematic analysis was used, and meanings behind the photographs were elicited through four focus group sessions followed by photography exhibitions. Five themes emerged: lack of understanding and consideration for persons with disability, emotional and behavioral impacts after stroke, self-reliance and dependence on others, importance of appropriate and accessible services, and financial determinants of quality of life. By including service users' voices; investing in adapted, community-based programs; and providing educational programs for creating attitudinal change among service providers, the polarization between who can and cannot access services will be reduced.
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Affiliation(s)
- Marie Maratos
- The University of British Columbia, Vancouver, British Columbia, Canada
| | - Linh Huynh
- The University of British Columbia, Vancouver, British Columbia, Canada
| | - Julia Tan
- The University of British Columbia, Vancouver, British Columbia, Canada
| | - Jordon Lui
- The University of British Columbia, Vancouver, British Columbia, Canada
| | - Tal Jarus
- The University of British Columbia, Vancouver, British Columbia, Canada
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Bellury L, Hodges H, Camp A, Aduddell K. Teamwork in Acute Care: Perceptions of Essential but Unheard Assistive Personnel and the Counterpoint of Perceptions of Registered Nurses. Res Nurs Health 2016; 39:337-46. [DOI: 10.1002/nur.21737] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/26/2016] [Indexed: 11/07/2022]
Affiliation(s)
- Lanell Bellury
- Associate Professor; Georgia Baptist College of Nursing; Mercer University; 3001 Mercer University Dr. Atlanta GA 30341
| | - Helen Hodges
- Professor; Georgia Baptist College of Nursing; Mercer University; Atlanta GA
| | - Amanda Camp
- Nursing Supervisor; Emory Saint Joseph's Hospital; Atlanta GA
| | - Kathie Aduddell
- Director and Professor of Nursing; Texas Lutheran University; Seguin TX
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Abstract
We studied an interprofessional collaboration to understand how professionals engaged with paradox in collective decision-making. At the beginning of our study, we observed vicious cycles in which conflict led to negative tension. Professionals were holding tightly to a particular pole of the paradox, and the higher-status pole was consistently overrepresented in collective decision-making. By the end of our study we observed the presence of virtuous cycles, where conflict led to more positive tension, and where professionals engaged in collective decision-making with more equal representation of conflicting approaches. We call this change process protecting the paradox and we identify three strategies that support this process: (1) promoting equality of both poles, (2) strengthening the weaker pole, and (3) looking beyond the paradox by focusing on desired outcomes. We contribute to the paradox literature by showing how vicious cycles can be shifted to virtuous cycles, how professionals and managers can work together to protect a paradox, and how status differences between poles can be redistributed.
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Bookey-Bassett S, Markle-Reid M, McKey C, Akhtar-Danesh N. A review of instruments to measure interprofessional collaboration for chronic disease management for community-living older adults. J Interprof Care 2016; 30:201-10. [DOI: 10.3109/13561820.2015.1123233] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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De Vries DR, Woods S, Fulton L, Jewell G. The validity and reliability of the Interprofessional Socialization and Valuing Scale for therapy professionals. Work 2016; 53:621-30. [DOI: 10.3233/wor-152224] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
| | - Suzanne Woods
- Central Michigan University, Mount Pleasant, MI, USA
| | | | - Gayla Jewell
- Grand Valley State University, Grand Rapids, MI, USA
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Zhang L, Huang L, Liu M, Yan H, Li X. Nurse-physician collaboration impacts job satisfaction and turnover among nurses: A hospital-based cross-sectional study in Beijing. Int J Nurs Pract 2016; 22:284-90. [PMID: 26952765 DOI: 10.1111/ijn.12424] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2015] [Revised: 12/07/2015] [Accepted: 12/18/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Lin Zhang
- VIP Dental Service Department; Peking University School and Hospital of Stomatology; Beijing China
| | - Lei Huang
- Clinical Laboratory; Peking University First Hospital; Beijing China
| | - Meng Liu
- Consulting Center; Peking University School and Hospital of Stomatology; Beijing China
| | - Hong Yan
- VIP Dental Service Department; Peking University School and Hospital of Stomatology; Beijing China
| | - Xiue Li
- Nursing Department; Peking University School and Hospital of Stomatology; Beijing China
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Adams C, Dawson A, Foureur M. Exploring a Peer Nomination Process, Attributes, and Responses of Health Professionals Nominated to Facilitate Interprofessional Collaboration. INTERNATIONAL JOURNAL OF CHILDBIRTH 2016. [DOI: 10.1891/2156-5287.6.4.234] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND:When significant changes are required across an organization, a collaborative approach with wide stakeholder engagement may be beneficial. One of the challenges of stakeholder engagement lies with identifying the most appropriate participants who can most effectively facilitate the process of change.AIM:This article aims to provide insight into a process of identifying individuals, and their attributes, who staff perceive to be effective collaborators, and change agents to decrease intervention in childbirth in one maternity setting in New South Wales, Australia.METHODS:Midwives and obstetricians were invited to nominate a peer from each discipline who they believed to be an effective collaborator and describe the associated personal attributes of these individuals. The 5 highest scoring midwives and obstetricians were then invited to participate in a collaborative project.FINDINGS:The attributes that were most recognized in the collaborators were their effective communication and overall positive attitudes. Collaborator’s skills and knowledge were described less frequently. The nominees chosen identified that they were not usually selected by management for projects with some respondents feeling visible for the first time among their peers.CONCLUSION:This method of peer nomination to recruit participants to facilitate collaborative organizational change may offer an effective method of engaging the whole team in such processes.
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Moore AR, Bastian RG, Apenteng BA. Communication Within Hospice Interdisciplinary Teams: A Narrative Review. Am J Hosp Palliat Care 2015; 33:996-1012. [PMID: 26518351 DOI: 10.1177/1049909115613315] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Hospice care is coordinated through an interdisciplinary team (IDT), which assures that a holistic care plan based on the patient's wishes is implemented. The extent to which an IDT provides quality care may be associated with how effectively they communicate within the team as well as with patients, caregivers, and families. This review seeks to characterize communication strategies among hospice IDT members and to determine how such strategies impact patient care. Although the existing literature sheds some light on communication within hospice IDTs, further research is needed. Inquiry into the communicative process of IDTs in settings other than team meetings, such as during patient visits or informal settings, would provide a more comprehensive representation of how communication influences IDT dynamics and overall team functioning.
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Affiliation(s)
- Angela R Moore
- Department of Health Policy and Management, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA
| | - Randi Ginger Bastian
- Department of Health Policy and Management, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA
| | - Bettye A Apenteng
- Department of Health Policy and Management, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA
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88
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Valizadeh L, Zamanzadeh V, Irajpour A, Shohani M. Challenges Associated With the Concept of Collaboration. Nurs Midwifery Stud 2015; 4:e22153. [PMID: 26339663 PMCID: PMC4557403 DOI: 10.17795/nmsjournal22153] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2014] [Revised: 09/27/2014] [Accepted: 03/16/2015] [Indexed: 11/25/2022] Open
Affiliation(s)
- Leila Valizadeh
- Department of Pediatrics, Nursing and Midwifery School, Tabriz University of Medical Sciences, Tabriz, IR Iran
| | - Vahid Zamanzadeh
- Department of Medical and Surgical Nursing, Nursing and Midwifery School, Tabriz University of Medical Sciences, Tabriz, IR Iran
| | - Alireza Irajpour
- Health Research Centre, Isfahan University of Medical Sciences, Isfahan, IR Iran
| | - Masoumeh Shohani
- Department of Nursing, Faculty of Allied Medical Sciences, Ilam University of Medical Sciences, Ilam, IR Iran
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89
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Myors KA, Cleary M, Johnson M, Schmied V. A mixed methods study of collaboration between perinatal and infant mental health clinicians and other service providers: Do they sit in silos? BMC Health Serv Res 2015; 15:316. [PMID: 26260057 PMCID: PMC4531515 DOI: 10.1186/s12913-015-0977-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 07/24/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Women at risk of poor perinatal mental health benefit from coordinated approaches to care. Perinatal and infant mental health (PIMH) services have been established to support women with social and emotional needs. This paper examines the nature and extent of collaboration within two PIMH services in Australia. METHODS A convergent, embedded, mixed methods design was used. Two hundred and forty four medical records were reviewed, 13 professionals (six PIMH clinicians, two PIMH service managers, and five key stakeholders) and 11 women service-users participated in semi-structured interviews. RESULTS Three broad themes were drawn from the data, Theme 1: We don't sit in silos … but they do, Theme 2: We need to enhance communication, and Theme 3: Collaboration is hard work. Perinatal and infant mental health clinicians believe they work collaboratively with other service providers. Key stakeholders and documentation in the medical records reveal that collaboration is nominal. CONCLUSIONS Professionals believe that collaboration is essential for women with complex needs. Perinatal and infant mental health clinicians are skilled at building relationships with women, however further support is needed to build trusting relationships with other service providers. Women service-users also need to be involved in the collaborative process to become equal partners in their care.
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Affiliation(s)
- Karen A Myors
- School of Nursing and Midwifery, University of Western Sydney, Parramatta Campus, Penrith South, DC, NSW 1797, Australia.
| | - Michelle Cleary
- School of Nursing and Midwifery, University of Western Sydney, Parramatta Campus, Penrith South, DC, NSW 1797, Australia.
| | - Maree Johnson
- School of Nursing and Midwifery, University of Western Sydney, Parramatta Campus, Penrith South, DC, NSW 1797, Australia.
- Centre for Applied Nursing Research, Affiliated with the Ingham Institute of Applied Medical Research, Sydney South West Local Health District, Liverpool, NSW, 2170, Australia.
| | - Virginia Schmied
- School of Nursing and Midwifery, University of Western Sydney, Parramatta Campus, Penrith South, DC, NSW 1797, Australia.
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90
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McCombie RP, O'Connor SS, Schumacher SD. A comparative investigation of personality traits between two allied health professions: Occupational therapy and physiotherapy. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2015. [DOI: 10.12968/ijtr.2015.22.8.377] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Randy P McCombie
- Chair and programme director, Occupational Therapy Program, Division of Occupational Therapy, School of Medicine, West Virginia University, Morgantown, West Virginia, USA
| | - Shelby S O'Connor
- Paediatric and hand occupational therapist, Rue and Primavera OT PT and Hand Therapy, Oak Harbor, Washington, USA
| | - Sarah D Schumacher
- Occupational therapist, Regency Manor Rehabilitation and Subacute Center, Columbus, Ohio, USA
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91
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Development of an inter-professional screening instrument for cancer patients' education process. Appl Nurs Res 2015; 29:248-53. [PMID: 26856522 DOI: 10.1016/j.apnr.2015.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2015] [Revised: 07/07/2015] [Accepted: 07/15/2015] [Indexed: 11/22/2022]
Abstract
AIM The aim of this paper is to describe the development of an inter-professional screening instrument for cancer patients' cognitive resources, knowledge expectations and inter-professional collaboration within patient education. DESIGN AND METHODS Four empirical datasets during 2012-2014 were analyzed in order to identify main categories, subcategories and items for inter-professional screening instrument. FINDINGS Our inter-professional screening instrument integrates the critical moments of cancer patient education and the knowledge expectation types obtained from patient datasets to assessment of patients' cognitive resources, knowledge expectations and comprehension; and intra; and inter-professional.
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92
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Moore J, Prentice D, McQuestion M. Social Interaction and Collaboration among Oncology Nurses. Nurs Res Pract 2015; 2015:248067. [PMID: 26113993 PMCID: PMC4465712 DOI: 10.1155/2015/248067] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2015] [Revised: 05/18/2015] [Accepted: 05/25/2015] [Indexed: 11/24/2022] Open
Abstract
Collaboration is a complex process influenced by organizational, professional, interpersonal, and personal factors. Research has demonstrated that collaboration may also be influenced by social factors. Nurses spend much of their time working in collaborative teams, yet little is known about how they socially interact in practice. This qualitative case study explored nurse perceptions of social interaction in relation to collaboration. Data were collected using telephone interviews and documentary reviews from fourteen oncology nurses employed at one cancer center in Canada. Thematic analysis revealed two themes: knowing you is trusting you and formal and informal opportunities. Nurses reported that social interaction meant getting to know someone personally as well as professionally. Social interaction was enacted inside of work during breaks/meals and outside of work at planned events. Social interaction was facilitated by having a long-term current and/or previous professional and personal relationship. The barriers to social interaction included a lack of time to get to know each other, workload issues, and poor interpersonal skills. Findings suggest that social interaction is an important factor in the collaborative relationship among oncology nurses. Nurse leaders need to promote social interaction opportunities and facilitate educational sessions to improve social and interpersonal skills.
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Affiliation(s)
- Jane Moore
- Department of Nursing, Faculty of Applied Health Sciences, Brock University, 500 Glenridge Avenue, Saint Catharines, ON, Canada L2S 3A1
| | - Dawn Prentice
- Department of Nursing, Faculty of Applied Health Sciences, Brock University, 500 Glenridge Avenue, Saint Catharines, ON, Canada L2S 3A1
| | - Maurene McQuestion
- Princess Margaret Cancer Centre, University Health Network, 610 University Avenue, Toronto, ON, Canada M5G 2M9
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93
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Moore J, Prentice D, Taplay K. Collaboration: what does it really mean to nurses? J Clin Nurs 2015; 24:2052-4. [DOI: 10.1111/jocn.12859] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Jane Moore
- Department of Nursing; Faculty of Applied Health Sciences; Brock University; St Catharines ON Canada
| | - Dawn Prentice
- Department of Nursing; Faculty of Applied Health Sciences; Brock University; St Catharines ON Canada
| | - Karyn Taplay
- Department of Nursing; Faculty of Applied Health Sciences; Brock University; St Catharines ON Canada
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94
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Oncology nurses' experience of collaboration: A case study. Eur J Oncol Nurs 2015; 19:509-15. [PMID: 25782719 DOI: 10.1016/j.ejon.2015.02.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 02/10/2015] [Accepted: 02/19/2015] [Indexed: 11/24/2022]
Abstract
PURPOSE Changes in the health system have created new models of healthcare delivery such as nurse-led teams. This has resulted in the increased opportunity for enhanced collaboration among nurses. Oncology nurses have a long history of working together, yet little is known about their perceptions about collaboration in the practice setting. This paper aimed to explore and describe the experiences of collaboration among oncology nurses, and to understand the factors that influenced collaboration. METHOD Qualitative, case study design was used to study fourteen oncology nurses from one cancer center in Canada. Participants were registered nurses or nurse practitioners, employed full-time or permanent part-time in an oncology nurse role, and working on an in-patient or out-patient unit. Data were collected in 2013 using individual telephone interviews and document reviews. RESULTS Thematic analysis revealed two themes: Art of dancing together, and the stumbling point. The first theme related to the facilitators of collaboration including having: regular face-to-face interaction, an existing and/or previous relationship, oncology nursing experience, and good interpersonal skills. The second theme related to the barriers to collaboration such as: role ambiguity, organizational leadership, and multi-generational differences. CONCLUSIONS Collaboration is a complex process that does not occur spontaneously. To improve collaboration nursing leadership needs to support and promote opportunities for nurses to build the relationships required to effectively collaborate. It is equally important that individual nurses be willing to collaborate and possess the interpersonal skills required to build and maintain the collaborative relationship despite differences in age, generation, and clinical experience.
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95
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Essen C, Freshwater D, Cahill J. Towards an understanding of the dynamic sociomaterial embodiment of interprofessional collaboration. Nurs Inq 2015; 22:210-20. [DOI: 10.1111/nin.12093] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2014] [Indexed: 11/30/2022]
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96
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Georgiou E, Papathanassoglou EDE, Pavlakis A. Nurse-physician collaboration and associations with perceived autonomy in Cypriot critical care nurses. Nurs Crit Care 2015; 22:29-39. [PMID: 25598391 DOI: 10.1111/nicc.12126] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2013] [Revised: 06/09/2014] [Accepted: 07/22/2014] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND AIMS Increased nurse-physician collaboration is a factor in improved patient outcomes. Limited autonomy of nurses has been proposed as a barrier to collaboration. This study aims to explore nurse-physician collaboration and potential associations with nurses' autonomy and pertinent nurses' characteristics in adult intensive care units (ICUs) in Cyprus. DESIGN AND METHODS Descriptive correlational study with sampling of the entire adult ICU nurses' population in Cyprus (five ICUs in four public hospitals, n = 163, response rate 88·58%). Nurse-physician collaboration was assessed by the Collaboration and Satisfaction About Care Decisions Scale (CSACD), and autonomy by the Varjus et al. scale. RESULTS The average CSACD score was 36·36 ± 13·30 (range: 7-70), implying low levels of collaboration and satisfaction with care decisions. Male participants reported significantly lower CSACD scores (t = 2·056, p = 0·04). CSACD correlated positively with years of ICU nursing experience (r = 0·332, p < 0·0001) and professional satisfaction (r = 0·455, p < 0·0001). The mean autonomy score was 76·15 ± 16·84 (range: 18-108). Higher degree of perceived collaboration (CSACD scores) associated with higher autonomy scores (r = 0·508, p <0·0001). CONCLUSIONS Our findings imply low levels of nurse-physician collaboration and satisfaction with care decisions and moderate levels of autonomy in ICU nurses in Cyprus. RELEVANCE TO CLINICAL PRACTICE The results provide insight into the association between nurse-physician collaboration and nurses' autonomy and the correlating factors.
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Affiliation(s)
- Evanthia Georgiou
- Education Sector, Nursing Services, Ministry of Health, Nicosia, Cyprus
| | | | - Andreas Pavlakis
- Open University of Cyprus, Health Care Management, Strovolos, Cyprus
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98
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Fullerton JT, Ghérissi A. Midwifery Professional Relationships: Collaboration Across the Novice-to-Expert Continuum. INTERNATIONAL JOURNAL OF CHILDBIRTH 2015. [DOI: 10.1891/2156-5287.5.1.3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
This article describes the types of helpful and supportive interactions or communication strategies that characterize the collaborative relationships in which a midwife can engage across the novice-to-expert continuum of professional development. Similarities and distinctions are drawn between the various terms describing types of collaboration and discussed with respect to the added value that each relationship can have for the individual and for the health care team. A conceptual depiction of the essential components of effective teamwork or collaboration is presented. Emphasis is placed on the dynamic nature of the process of developing and sustaining these relationships across the midwife’s professional lifetime.
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99
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Bardet JD, Vo TH, Bedouch P, Allenet B. Physicians and community pharmacists collaboration in primary care: A review of specific models. Res Social Adm Pharm 2014; 11:602-22. [PMID: 25640887 DOI: 10.1016/j.sapharm.2014.12.003] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2014] [Revised: 12/12/2014] [Accepted: 12/12/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND Since 2008, French healthcare reform encourages community pharmacists (CP) to develop collaborative care with other health care providers through new cognitive pharmacy services. OBJECTIVES This review is aimed to identify theoretical models that have been developed to understand the physician-CP collaboration (PCPC) and to identify the associated determinants. METHODS English-written abstracts research was conducted on Pubmed/Medline, PsycINFO, Sociological Abstracts, and CINAHL from January 1990 to June 2013. Keywords were based on common terminology of inter-professional relations and community pharmacy. RESULTS Of the 1545 single articles identified, the final review was conducted on 16 articles. Four specific models of collaboration centered on PCPC were identified: (i) the Collaborative Working Relationship Model (CWR), (ii) the Conceptual model of GPCP collaboration, (iii) the CP Attitudes towards Collaboration with GPs Model (ATC-P), (iv) the GP Attitudes towards collaboration with CPs (ATC-GP). The analysis of these four PCPC models shows that their respective factors might cover the same concepts, especially for relational and interactional determinants. These key elements are: trust, interdependence, perceptions and expectations about the other HCP, skills, interest for collaborative practice, role definition and communication. CONCLUSION A meta-model for PCPC has been postulated. It can be used for qualitative exploration of PCPC, in a context of implementation of collaborative practice including CPs, in the primary care.
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Affiliation(s)
- Jean-Didier Bardet
- Grenoble Alps University/CNRS/TIMC-IMAG UMR 5525/Themas, Grenoble F-38041, France.
| | - Thi-Ha Vo
- Grenoble Alps University/CNRS/TIMC-IMAG UMR 5525/Themas, Grenoble F-38041, France
| | - Pierrick Bedouch
- Grenoble Alps University/CNRS/TIMC-IMAG UMR 5525/Themas, Grenoble F-38041, France; Pharmacy Department, Grenoble University Hospital, Grenoble F-38043, France
| | - Benoît Allenet
- Grenoble Alps University/CNRS/TIMC-IMAG UMR 5525/Themas, Grenoble F-38041, France; Pharmacy Department, Grenoble University Hospital, Grenoble F-38043, France
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McLaughlin D, Barr O, McIlfatrick S, McConkey R. Developing a best practice model for partnership practice between specialist palliative care and intellectual disability services: a mixed methods study. Palliat Med 2014; 28:1213-21. [PMID: 25239129 DOI: 10.1177/0269216314550373] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The lack of access to good quality palliative care for people with intellectual disabilities is highlighted in the international literature. In response, more partnership practice in end-of-life care is proposed. AIM This study aimed to develop a best practice model to guide and promote partnership practice between specialist palliative care and intellectual disability services. DESIGN A mixed methods research design involving two phases was used, underpinned by a conceptual model for partnership practice. SETTING/PARTICIPANTS Phase 1 involved scoping end-of-life care to people with intellectual disability, based on self-completed questionnaires. In all, 47 of 66 (71.2%) services responded. In Phase 2, semi-structured interviews were undertaken with a purposive sample recruited of 30 health and social care professionals working in intellectual disability and palliative care services, who had provided palliative care to someone with intellectual disability. For both phases, data were collected from primary and secondary care in one region of the United Kingdom. RESULTS In Phase 1, examples of good practice were apparent. However, partnership practice was infrequent and unmet educational needs were identified. Four themes emerged from the interviews in Phase 2: challenges and issues in end-of-life care, sharing and learning, supporting and empowering and partnership in practice. CONCLUSION Joint working and learning between intellectual disability and specialist palliative care were seen as key and fundamental. A framework for partnership practice between both services has been developed which could have international applicability and should be explored with other services in end-of-life care.
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Affiliation(s)
- Dorry McLaughlin
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Owen Barr
- Institute of Nursing and Health Research, School of Nursing, University of Ulster, Newtownabbey, UK
| | - Sonja McIlfatrick
- Institute of Nursing and Health Research, School of Nursing, University of Ulster, Newtownabbey, UK All Ireland Institute of Hospice and Palliative Care, Dublin, Ireland
| | - Roy McConkey
- Institute of Nursing and Health Research, School of Nursing, University of Ulster, Newtownabbey, UK
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