Doctors’ and nurses’ perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice

Copnell, Beverley; Johnston, Linda; Harrison, Denise; Wilson, Anita; Robson, Anne; Mulcahy, Caroline; Ramudu, Louisa; McDonnell, Geraldine; Best, Christine

doi:10.1046/j.1365-2702.2003.00827.x

Cited by 46 publications

(26 citation statements)

References 26 publications

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“…Several previous studies (e.g. Copnell et al 2003;Krogstad, Hofoss and Hjortdal 2004) have, in accordance with the findings of the INPROF project, argued that different professional groups have divergent understandings of each other's roles and of what is expected of individuals acting in different roles. Apparently, in mundane and non-urgent emergency work, there is no profound, situational demand for interprofessionalism; here, multi-professional collaboration is adequate.…”

Section: The Realisation Of Interprofessional Collaboration In the Emsupporting

confidence: 62%

“…We observed that hospital hierarchies (as discussed by Lingard and colleagues, 2004), and divergent administrative bodies in different professional groups (especially those of nursing and medicine) complicated the perception of overall processes in the work. Based on our interpretations, different professional groups have differing understandings of work processes, as has also been noted by Copnell et al (2003) and Krogstad, Hofoss and Hjortdal (2004). The various professional groups value their own concerns and thus pay attention to different parts of processes.…”

Section: Work Process Knowledgesupporting

confidence: 53%

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INPROF – promoting teamwork processes and interprofessional collaboration in emergency work (2010–2012)

Collin

Paloniemi

Herranen

2015

Studies in Continuing Education

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This paper summarises the findings of a research project on interprofessional collaboration in the emergency unit of a major Finnish hospital. The findings are discussed through a broad conceptual framework which involves work process knowledge and interprofessional collaboration. The project, carried out from 2010-2012, investigated different forms of, prerequisites for, and barriers to, collaboration, and the aim was to develop the work together with staff at the unit. An ethnographically informed research strategy was utilised, with observations and interviews as the main data collection methods. On the whole, collaboration in the emergency unit was found to function rather well; i.e. patients receive good-quality treatment within the ideal time frame. We found that in the unit, the most suitable form for the majority of collaborations is multi-professional collaboration, in which professionals exchange information but still adhere strongly to their own professional groups. More interprofessional collaboration is required particularly in leadership and management, to create further improvements in i) the coordination of work as a whole, and ii) the implementation of organisational changes and new professional roles. Obstacles to interprofessional collaboration in particular appear to be: i) diverging professional values and core professional identities, and ii) power relations that create inequality.

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Section: The Realisation Of Interprofessional Collaboration In the Emsupporting

confidence: 62%

Section: Work Process Knowledgesupporting

confidence: 53%

INPROF – promoting teamwork processes and interprofessional collaboration in emergency work (2010–2012)

Collin

Paloniemi

Herranen

2015

Studies in Continuing Education

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“…Several questionnaires exploring interprofessional collaboration exist in the literature [15,23-26]. A review of 5 instruments validated in English was published by Dougherty and Larson in 2005 [27].…”

Section: Introductionmentioning

confidence: 99%

Development and psychometric testing of a scale assessing the sharing of medical information and interprofessional communication: the CSI scale

Anthoine

Delmas

Coutherut

et al. 2014

BMC Health Serv Res

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BackgroundInterprofessional collaboration is essential in creating a safer patient environment. It includes the need to develop communication and coordination between professionals, implying a better sharing of medical information. Several questionnaires exist in the literature, but none of them have been developed in the French context. The objective was to develop and test the psychometric properties of the communication and sharing information (CSI) scale which assesses specifically interprofessional communication, especially the sharing of medical information and the effectiveness of communication between members of the team.MethodsThe questionnaire construction process used a literature review and involved a panel of voluntary professionals. A list of 32 items explored the quality of shared information delivered to patients and the effectiveness of interprofessional communication. The study was conducted in 16 voluntary units in a University Hospital (France), which included medical, surgical, obstetrics, intensive care, pediatrics, oncology and rehabilitation care. The scale-development process comprised an exploratory principal component analysis, Cronbach’s α-coefficients and structural equation modeling (SEM).ResultsFrom these 16 units, a total of 503 health professionals took part in the study. Among them, 23.9% were physicians (n = 120), 43.9% nurses (n = 221) and 32.2% nurse assistants (n = 162).The validated questionnaire comprised 13 items and 3 dimensions relative to “the sharing of medical information” (5 items), “communication between physicians” (4 items) and “communication between nurses and nurse assistants” (4 items). The 3 dimensions accounted for 63.7% of the variance of the final questionnaire. Their respective Cronbach’s alpha coefficients were 0.80, 0.87 and 0.81. SEM confirmed the existence of the 3 latent dimensions but the best characteristics were obtained with a hierarchical model including the three latent factors and a global “communication between healthcare professionals” latent factor, bringing the 8 items linked to communication together. All the structural coefficients were highly significant (P < 0.001).ConclusionsThis self-perception CSI scale assessing several facets of interprofessional communication is the first one developed in the French context. The development study exhibited excellent psychometric properties. Further psychometric analysis is needed to establish test-retest reliability, sensibility to change and concurrent validity.

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“…This may reflect either confusion over ANP roles or the fact that close working relationships and mutual respect are easier to generate in emergency and intensive care settings than in primary care settings. It has also been suggested that ANPs may improve the doctor–nurse relationship within a clinical service, although no measurable change was identified when this was evaluated in an Neonatal Intensive Care Unit (NICU) setting 37. It is clear that suboptimal professional and managerial relationships can create a significant barrier to ANP role development, and of these, the support of nursing colleagues is the most crucial 26…”

Section: Other Professionals’ Perceptions Of the Anp Rolementioning

confidence: 99%

Master’s programs in advanced nursing practice: new strategies to enhance course design for subspecialty training in neonatology and pediatrics

Morgan

Barry

Barnes³

2012

AMEP

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The advanced nurse practitioner (ANP) role first developed in the USA in the 1960s in primary care. Since then, it has evolved in many different countries and subspecialties, creating a variety of challenges for those designing and implementing master’s programs for this valuable professional group. We focus on ANPs in the neonatal and pediatric intensive care setting to illustrate the complexity of issues faced by both faculty and students in such a program. We review the impact of limited resources, faculty recruitment/accreditation, and the relationship with the medical profession in establishing a curriculum. We explore the evidence for the importance of ANP role definition, supervision, and identity among other health professionals to secure a successful role transition. We describe how recent advances in technology can be used to innovate with new styles of teaching and learning to overcome some of the difficulties in running master’s programs for small subspecialties. We illustrate, through our own experience, how a thorough assessment of the available literature can be used to innovate and develop strategies to create an individual MSc programs that are designed to meet the needs of highly specialized advanced neonatal and pediatric nursing practice.

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Doctors’ and nurses’ perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice

Abstract: Results suggest that problems in nurse-physician interactions exist in both units. No impact of the NNP role, as established in this project, on interdisciplinary collaboration could be demonstrated. Further research in this area is warranted.

Cited by 46 publications

References 26 publications

INPROF – promoting teamwork processes and interprofessional collaboration in emergency work (2010–2012)

INPROF – promoting teamwork processes and interprofessional collaboration in emergency work (2010–2012)

Development and psychometric testing of a scale assessing the sharing of medical information and interprofessional communication: the CSI scale

Master’s programs in advanced nursing practice: new strategies to enhance course design for subspecialty training in neonatology and pediatrics

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Doctors’ and nurses’ perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice

Abstract: Results suggest that problems in nurse-physician interactions exist in both units. No impact of the NNP role, as established in this project, on interdisciplinary collaboration could be demonstrated. Further research in this area is warranted.

Cited by 46 publications

References 26 publications

INPROF – promoting teamwork processes and interprofessional collaboration in emergency work (2010–2012)

INPROF – promoting teamwork processes and interprofessional collaboration in emergency work (2010–2012)

Development and psychometric testing of a scale assessing the sharing of medical information and interprofessional communication: the CSI scale

Master&rsquo;s programs in advanced nursing practice: new strategies to enhance course design for subspecialty training in neonatology and pediatrics

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Product

Resources

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Master’s programs in advanced nursing practice: new strategies to enhance course design for subspecialty training in neonatology and pediatrics