A systematic meta-review of systematic reviews about interprofessional collaboration: facilitators, barriers, and outcomes

Wei, Holly; Horns, Phyllis N.; Sears, Samuel F.; Huang, Kun; Smith, Christopher M.; Wei, Trent

doi:10.1080/13561820.2021.1973975

Cited by 98 publications

(45 citation statements)

References 47 publications

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“…The result is that rehabilitation is more streamlined and targeted towards discharge. Due to the applied design, this result must be interpreted with some caution, although a positive correlation of IPC with the length of stay has been described several times in literature [27].…”

Section: Discussionmentioning

confidence: 75%

Nursing Home Geriatric Rehabilitation Care and Interprofessional Collaboration; a practice- based study

Drenth

Krijnen

Weerd

et al. 2023

Preprint

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BACKGROUND Frailty and multimorbidity are common among patients in geriatric rehabilitation care (GRC). Proper care of these patients involves multiple professionals which requires optimal interprofessional collaboration to provide the best possible support. Interprofessional collaboration (IPC) goes beyond multi-professional collaboration. It requires professionals to think beyond the expertise of their own discipline and work on joint outcomes in which the patient is actively involved. This study describes the development of the GRC teams of an elderly care organization towards the IPC. METHODS Mixed method pre-post study of 15 months. The interprofessional training program comprised team trainings, webinars, and online team sessions. Data was aggregated by administering the EPIS (interprofessional identity) and QuickScan (QS) (aspects of collaboration) measurements to GRC staff and by observations of the multi-professional team consultation (MPC) meetings of six GRC teams of an organization for elderly care in the Netherlands. ADL independence (Barthel Index) and number of inpatient days were analyzed before and after the project. RESULTS Pretest response was 106; posttest was 84. The EPIS shows improvement on "interprofessional belonging" (P=.001, 95%CI: .566 - 2.208), "interprofessional commitment" (P=.027, 95%CI: .117 – 1.899), and overall “interprofessional identity” (P=.013, 95%CI: .622 - 5.197). On the QS, all domains improved; "shared values" (P= .009, 95%CI: .067 - .474), "context" (P= .005, 95%CI: .077 - .435), "structure & organization" (P= .001, 95%CI: .141 - .560), “group dynamics & interaction” (P<.001, 95%CI: .179 - .576), and “entrepreneurship & management” (P= .039, 95%CI: .013 - .479). A qualitative analysis of the reflection responses and MPC observations indicate a shift from multi-professional to more IPC. The mean number of inpatient days was reduced by 11.8 (P<.001, 95%CI: -17.335 - - 6.305) days. CONCLUSIONS Within the GRC teams, there was a shift observed to more IPC and better representation of the patient's wishes and needs. ADL independence did not change, yet there was a beneficial impact on the number of inpatient days. The basis for IPC was well established, however, it remains necessary that the teams continue to develop and invest in the collaboration with each other and the patient to further improve it.

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Section: Discussionmentioning

confidence: 75%

Nursing Home Geriatric Rehabilitation Care and Interprofessional Collaboration; a practice- based study

Drenth

Krijnen

Weerd

et al. 2023

Preprint

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“…This lack of interprofessional awareness of what other team members perceive as frequent decisions facing their clients could result in conflicting priorities and calls for further investigation. Improving this mutual awareness is critical, as the broad scope of home care services requires that diverse allied health personnel collaborate to support older adults (and their caregivers) in making evidence‐informed value‐congruent decisions together (Légaré et al, 2013; Schot, 2020; Wei et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Home care providers' perceptions of shared decision‐making with older clients (and their caregivers): A cross‐sectional study

Lai

Holyoke²,

Plourde

et al. 2022

Nursing & Health Sciences

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Interprofessional care teams can play a key role in supporting older adults (and caregivers) in making informed health decisions, yet shared decision making is not widely practiced in home care. Based on an earlier needs assessment with older adults (and caregivers) with home care experience, we aimed to explore the perceptions of home care teams on the decisions facing their clients and their perceived involvement in shared decision making. A cross‐sectional study was conducted with 614 home care providers (nurses, personal support workers, rehabilitation professionals) in three Canadian provinces (Quebec, Ontario, and Alberta). Home care providers considered the decision “to stay at home or move” as the most difficult for older adults. Those most frequently involved in decision making with older adults were family members and least involved were physicians. Although all home care providers reported high levels of shared decision‐making, we detected an effect of respondent's discipline on self‐perceived shared decision‐making; nurses and rehabilitation professionals reported significantly higher levels of shared decision making than personal support workers. A more tailored approach is required to support shared decision making in interprofessional care teams.

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“…One the one hand, studies focusing on interprofessional teams showed that nurses believe in the benefits of working in interprofessional teams (Rezaei et al, 2021). Wei et al (2022) showed in their systematic review that effective collaboration includes building a relationship with each other to work together. Studies showed that interprofessional teamwork could foster patient safety outcomes and nurses´ job satisfaction (Labrague et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Nurses' perspective on team learning in interprofessional teams

Anselmann

Disque

2022

Nursing Open

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Aim The aim of this study is to find out what learning activities in interprofessional teams and what influencing factors for team learning activities in interprofessional teams can be described by nurses working in interprofessional teams. Design We conducted a descriptive interview study. Methods We used a semi‐structured interview guideline and interviewed 10 nurses (N = 10) working in interprofessional teams. We analyzed our data using a qualitative content analysis. Results Nurses describe team learning activities of knowledge sharing, team reflection, and storing and retrieving. Furthermore, our results show that team stability is important for interprofessional teams. Patient or Public Contribution Our results can be helpful for hospitals to improve organizational structures that help interprofessional teams to work together. Furthermore, vocational education and training for nurses should offer possibilities for nursing students to learn together with students of other fields

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A systematic meta-review of systematic reviews about interprofessional collaboration: facilitators, barriers, and outcomes

Cited by 98 publications

References 47 publications

Nursing Home Geriatric Rehabilitation Care and Interprofessional Collaboration; a practice- based study

Nursing Home Geriatric Rehabilitation Care and Interprofessional Collaboration; a practice- based study

Home care providers' perceptions of shared decision‐making with older clients (and their caregivers): A cross‐sectional study

Nurses' perspective on team learning in interprofessional teams

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