‘ … breaks down silos’: allied health clinicians’ perceptions of informal interprofessional interactions in the healthcare workplace

King, Olivia; Shaw, Nicole

doi:10.1080/14461242.2021.1886865

Cited by 9 publications

(4 citation statements)

References 40 publications

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“…Collaborative teamwork within MDTs involved mutual respect, positive working relationships, education and regular communication. These findings match studies that purport the importance of multidisciplinary teamwork (Clarke, 2010;King & Shaw, 2022). Participants in our study also suggested a transdisciplinary approach of targeting rehabilitation goals across disciplines.…”

Section: Discussionsupporting

confidence: 87%

Factors influencing speech pathology practice in dysphagia after stroke: A qualitative focus group study

Choy,

Pourkazemi,

Bogaardt

et al. 2024

Intl J Lang & Comm Disor

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BackgroundDysphagia affects over half of adults after stroke. Dysphagia rehabilitation aims to improve swallowing and reduce negative outcomes for these adults. However, significant variability exists in dysphagia rehabilitation. Research is needed to explore the underlying clinician‐specific and workplace factors that contribute to variability in dysphagia rehabilitation after stroke.AimTo explore factors influencing speech pathology practice in dysphagia rehabilitation after stroke.Methods & ProceduresWe used a phenomenological approach with an interpretivist perspective. Twenty speech pathologists working in dysphagia rehabilitation participated from different workplace settings around Australia. Five semi‐structured focus groups were conducted online. Data were inductively analysed using thematic analysis with a coding reliability method.Outcomes & ResultsFour themes were discussed within focus groups: (1) relationship between experienced and less experienced clinicians: ‘Following what other people have done’, (2) need for collaborative learning: ‘A safe space to share and train’, (3) variation between settings impacts on continuity of care: ‘There's a difference between community and acute’, and (4) working effectively with multidisciplinary teams (MDT): ‘An MDT which can listen to the voice of speech pathology’.Conclusions & ImplicationsRelationships between senior and junior speech pathologists, within speech pathology and MDT, and across inpatient and community settings influenced speech pathology practice. Flattened hierarchies in speech pathology, collaborative learning in workplaces, mutual respect within teams and connection across inpatient and community settings could improve the quality and consistency of dysphagia rehabilitation after stroke.What this paper addsWhat is already known on this subject Dysphagia rehabilitation can improve swallowing after a stroke. However, dysphagia rehabilitation is characterised by variability in clinical practice. Clinician‐specific and workplace factors influence clinical practice and may contribute to variability in dysphagia rehabilitation.What this study adds Professional relationships influence speech pathologists’ clinical practice, including relationships between senior and junior clinicians, between inpatient and community settings and with peers and multidisciplinary teams. Workplace norms and hierarchies, poor continuity of care between settings and competing priorities from other disciplines can hinder dysphagia rehabilitation. However, collaborative learning, positive workplace cultures and respectful transdisciplinary care can improve the quality and consistency of clinical practice.What are the clinical implications of this work? Flattening hierarchies in the workplace can foster a safe learning space. Further, questioning workplace norms and seeking out peer learning within and across settings can build clinical skills and confidence. Developing positive workplace cultures that support continuous development may be key for empowering speech pathologists to provide high‐quality and consistent dysphagia rehabilitation.

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Section: Discussionsupporting

confidence: 87%

Factors influencing speech pathology practice in dysphagia after stroke: A qualitative focus group study

Choy,

Pourkazemi,

Bogaardt

et al. 2024

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

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“…Organisational environments in healthcare are often arranged around single diseases or organ systems, however, the primary care services required to meet the complex presentation of Long COVID may be available from multiple independent services. 28 , 29 Service systems are also often organised around discrete occasions of care, which do not address the needs of the cyclical recovery trajectories described by our participants. International consensus exists around the need for care coordination and multidisciplinary care to support COVID-19 recovery 30 and recognises the failure of public health systems to reorient towards person-centred and integrated care.…”

Section: Discussionmentioning

confidence: 99%

Beyond the case numbers: Social determinants and contextual factors in patient narratives of recovery from COVID-19

Hitch

Deféin

Lloyd

et al. 2023

Australian and New Zealand Journal of Public Health

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“…Responders perceive the role as being fundamentally different to those around them. Increasingly in recent years, professional roles across health and social care have become less siloed (King & Shaw, 2021) resulting from an increase in interdisciplinary practice (Schot et al, 2020) with practitioners working across traditional role boundaries as their scope of practice increases. Outside of the health sector, this is seen less commonly (Valentine et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

The Role and Experiences of Responders Attending the Sudden or Unexpected Death of a Child: A Systematic Review and Meta-Synthesis

Tatterton

Scholes

Henderson

et al. 2022

Illness, Crisis & Loss

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The infrequency of sudden deaths in infancy and childhood means that professionals have limited exposure, making it difficult to gain experience and feel confident in their role. This meta-synthesis aims to synthesise qualitative research on the experience of professionals responding to cases of sudden or unexpected death. A systematic literature search was conducted using Academic Search Complete, CINHAL, Embase, psycINFO, PubMed and Web of Science, identifying ten papers for inclusion. Studies were appraised and synthesized using the principles of meta-synthesis. Four superordinate themes were identified: perceptions of role, experience on scene, approaches to coping, and barriers to support. Findings suggest the way responders perceive their role and their experience on scene affect the approach taken to tasks and coping strategies used. The complexity of experience is often not acknowledged by responders or their colleagues. Experiences are compounded by cumulative factors which were expressed by different professional groups and across settings. Several barriers relating to workforce culture within organisations were identified, alongside the implications these have on staff wellbeing and the impact on bereaved families.

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‘ … breaks down silos’: allied health clinicians’ perceptions of informal interprofessional interactions in the healthcare workplace

Cited by 9 publications

References 40 publications

Factors influencing speech pathology practice in dysphagia after stroke: A qualitative focus group study

Factors influencing speech pathology practice in dysphagia after stroke: A qualitative focus group study

Beyond the case numbers: Social determinants and contextual factors in patient narratives of recovery from COVID-19

The Role and Experiences of Responders Attending the Sudden or Unexpected Death of a Child: A Systematic Review and Meta-Synthesis

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