An analysis of inter-professional collaboration in osteoporosis screening at a primary care level using the D'Amour model

Abstract

Objective: To develop a pharmacist-led osteoporosis screening intervention based on interviews with stakeholders.Methods: Nurses(n=10), pharmacists(n=11), doctors(n=10), patients(n=20) and policy makers(n=5) from a primary care clinic in Malaysia, were individually interviewed using a semi-structured topic guide. Purposive sampling was used to ensure a maximum variation sample. Interviews were transcribed verbatim and analysed using thematic analysis. The themes which emerged within each group were similar and the analysis of all the stakeholders were combined. The behavioural change wheel (BCW) was used as it draws on relevant theories to guide the selection of interventions that are most likely to be effective.Results: Several barriers were identified: governmental, organisational, work environment, team, individual, tasks and patient factors. We decided to develop our intervention based on patient factors as these directly influence practice and outcomes. The main patient factor was their nonchalant attitude towards osteoporosis, it was perceived to be a non-life threatening disease. Hence, our intervention consisted of: an assessment of patients' osteoporosis risk by the pharmacist whilst the patients are waiting for the doctor's appointment, an education session, and restructuring of the current practice which incorporates this intervention into daily clinic practice. Subsequently, a recommendation to the doctor was made for a bone mineral density scan when necessary.Conclusions: This is the first study to use the Behaviour Change Wheel study to develop an osteoporosis screening intervention. The BCW assisted the development of a pharmacist-led osteoporosis screening intervention. This intervention will be evaluated for its feasibility in a future study

Comparison of Medical and Pharmacy Students’ Readiness for Interprofessional Learning – A Cross-Sectional Study

“…Nevertheless, existing conflicts and communication problems between these professional groups make it difficult to incorporate such collaboration into everyday practice [22]. High expectations have been put on the interprofessional education (IPE) and its proper implementation into both curricula aimed to increase awareness of the pharmacists' role and acceptance of their involvement in patient care [37]. Classes in which representatives of different professions have a chance to learn "from, with and about one another" [36] seem to allow them to collaborate more compatibly and freely [4].…”

Interdisciplinary collaboration in the treatment of alcohol use disorders in a general hospital department: a mixed-method study

“…The 'structuration model of collaboration' captures successful collaboration in four theoretical domains (i.e., shared goals and vision, internalization, formalization and governance) that are operationalized by ten indicators [30]. This model was chosen as the basis for the interview guide, as it has been shown useful to analyse complex and heterogenous multi-level systems of collaborations in health care settings [30,35]. Moreover, the model specifically focuses on interprofessional collaboration, which suited best to the objectives of the present study's interdisciplinary collaboration.…”

A structural equation modelling analysis: interprofessional team collaboration, organizational career management, and post competency of community nurses

“…Team practices are gradually replacing individual practices; the management of many diseases can rely not only on a single person but also on more cross-disciplinary teamwork [ 45 , 57 ]. In a team formed by doctors, nurses, pharmacists and managers, nurses are the core force and even leaders of the team [ 36 , 37 , 52 , 58 ], and the interprofessional team collaborative ability of nurses is directly related to success or failure. Interprofessional team collaboration is important to achieve high-quality care and positive patient outcomes [ 59 ].…”