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A four-year, systems-wide intervention promoting interprofessional collaboration

BACKGROUND: A four-year action research study was conducted across the Australian Capital Territory health system to strengthen interprofessional collaboration (IPC) though multiple intervention activities. METHODS: We developed 272 substantial IPC intervention activities involving 2,407 face-to-fac...

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Autores principales: Braithwaite, Jeffrey, Westbrook, Mary, Nugus, Peter, Greenfield, David, Travaglia, Joanne, Runciman, William, Foxwell, A Ruth, Boyce, Rosalie A, Devinney, Timothy, Westbrook, Johanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359212/
https://www.ncbi.nlm.nih.gov/pubmed/22520869
http://dx.doi.org/10.1186/1472-6963-12-99
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author Braithwaite, Jeffrey
Westbrook, Mary
Nugus, Peter
Greenfield, David
Travaglia, Joanne
Runciman, William
Foxwell, A Ruth
Boyce, Rosalie A
Devinney, Timothy
Westbrook, Johanna
author_facet Braithwaite, Jeffrey
Westbrook, Mary
Nugus, Peter
Greenfield, David
Travaglia, Joanne
Runciman, William
Foxwell, A Ruth
Boyce, Rosalie A
Devinney, Timothy
Westbrook, Johanna
author_sort Braithwaite, Jeffrey
collection PubMed
description BACKGROUND: A four-year action research study was conducted across the Australian Capital Territory health system to strengthen interprofessional collaboration (IPC) though multiple intervention activities. METHODS: We developed 272 substantial IPC intervention activities involving 2,407 face-to-face encounters with health system personnel. Staff attitudes toward IPC were surveyed yearly using Heinemann et al's Attitudes toward Health Care Teams and Parsell and Bligh's Readiness for Interprofessional Learning scales (RIPLS). At study's end staff assessed whether project goals were achieved. RESULTS: Of the improvement projects, 76 exhibited progress, and 57 made considerable gains in IPC. Educational workshops and feedback sessions were well received and stimulated interprofessional activities. Over time staff scores on Heinemann's Quality of Interprofessional Care subscale did not change significantly and scores on the Doctor Centrality subscale increased, contrary to predictions. Scores on the RIPLS subscales of Teamwork & Collaboration and Professional Identity did not alter. On average for the assessment items 33% of staff agreed that goals had been achieved, 10% disagreed, and 57% checked neutral. There was most agreement that the study had resulted in increased sharing of knowledge between professions and improved quality of patient care, and least agreement that between-professional rivalries had lessened and communication and trust between professions improved. CONCLUSIONS: Our longitudinal interventional study of IPC involving multiple activities supporting increased IPC achieved many project-specific goals. However, improvements in attitudes over time were not demonstrated and neutral assessments predominated, highlighting the difficulties faced by studies targeting change at the systems level and over extended periods.
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spelling pubmed-33592122012-05-24 A four-year, systems-wide intervention promoting interprofessional collaboration Braithwaite, Jeffrey Westbrook, Mary Nugus, Peter Greenfield, David Travaglia, Joanne Runciman, William Foxwell, A Ruth Boyce, Rosalie A Devinney, Timothy Westbrook, Johanna BMC Health Serv Res Research Article BACKGROUND: A four-year action research study was conducted across the Australian Capital Territory health system to strengthen interprofessional collaboration (IPC) though multiple intervention activities. METHODS: We developed 272 substantial IPC intervention activities involving 2,407 face-to-face encounters with health system personnel. Staff attitudes toward IPC were surveyed yearly using Heinemann et al's Attitudes toward Health Care Teams and Parsell and Bligh's Readiness for Interprofessional Learning scales (RIPLS). At study's end staff assessed whether project goals were achieved. RESULTS: Of the improvement projects, 76 exhibited progress, and 57 made considerable gains in IPC. Educational workshops and feedback sessions were well received and stimulated interprofessional activities. Over time staff scores on Heinemann's Quality of Interprofessional Care subscale did not change significantly and scores on the Doctor Centrality subscale increased, contrary to predictions. Scores on the RIPLS subscales of Teamwork & Collaboration and Professional Identity did not alter. On average for the assessment items 33% of staff agreed that goals had been achieved, 10% disagreed, and 57% checked neutral. There was most agreement that the study had resulted in increased sharing of knowledge between professions and improved quality of patient care, and least agreement that between-professional rivalries had lessened and communication and trust between professions improved. CONCLUSIONS: Our longitudinal interventional study of IPC involving multiple activities supporting increased IPC achieved many project-specific goals. However, improvements in attitudes over time were not demonstrated and neutral assessments predominated, highlighting the difficulties faced by studies targeting change at the systems level and over extended periods. BioMed Central 2012-04-20 /pmc/articles/PMC3359212/ /pubmed/22520869 http://dx.doi.org/10.1186/1472-6963-12-99 Text en Copyright ©2012 Braithwaite et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Braithwaite, Jeffrey
Westbrook, Mary
Nugus, Peter
Greenfield, David
Travaglia, Joanne
Runciman, William
Foxwell, A Ruth
Boyce, Rosalie A
Devinney, Timothy
Westbrook, Johanna
A four-year, systems-wide intervention promoting interprofessional collaboration
title A four-year, systems-wide intervention promoting interprofessional collaboration
title_full A four-year, systems-wide intervention promoting interprofessional collaboration
title_fullStr A four-year, systems-wide intervention promoting interprofessional collaboration
title_full_unstemmed A four-year, systems-wide intervention promoting interprofessional collaboration
title_short A four-year, systems-wide intervention promoting interprofessional collaboration
title_sort four-year, systems-wide intervention promoting interprofessional collaboration
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359212/
https://www.ncbi.nlm.nih.gov/pubmed/22520869
http://dx.doi.org/10.1186/1472-6963-12-99
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