Home Care/Physician Partnerships in the Community: A Canadian Model in Development

Korabek, Barbara; Rosenau, Patricia; Slauenwhite, Carol Ann; Ross, Laureen

doi:10.1177/1084822303262273

Cited by 4 publications

(20 citation statements)

References 3 publications

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“…The studies were from 11 countries and most of the studies were conducted in Canada ( n = 17) [45, 51–53, 55, 57, 63, 65, 66, 71, 78–80, 82–84, 87], followed by the USA ( n = 12) [40, 43, 44, 47, 49, 56, 58, 72, 76, 77, 85, 86], the UK ( n = 7) [39, 48, 59, 64, 68, 70, 81], Australia ( n = 4) [42, 73–75], New Zealand ( n = 2) [41, 62], Sweden ( n = 2) [54, 67], France ( n = 1) [50], Spain ( n = 1) [46], Netherlands ( n = 1) [60], Brazil ( n = 1) [61] and Republic of South Africa ( n = 1) [69]. Thirty-two different primary care professionals participated in these studies, with most of the data relating to General Practitioners/Family Physicians (42 papers), nurses (35 papers), pharmacists (14 papers) and administrative staff (11 papers) (Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…Verbal, face-to-face communication was highly valued [66, 85] but communication was often aided (depending on the available resources) by IT systems and the use of Electronic Medical Records as well as electronic patient booking systems [39, 44, 82]. …”

Section: Resultsmentioning

confidence: 99%

“…The informal feedback on the team referred to high satisfaction among the participants whereby they would like the partnerships to continue and expand [44, 66]].…”

Section: Resultsmentioning

confidence: 99%

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Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

et al. 2017

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BackgroundInterdisciplinary team working is of paramount importance in the reform of primary care in order to provide cost-effective and comprehensive care. However, international research shows that it is not routine practice in many healthcare jurisdictions. It is imperative to understand levers and barriers to the implementation process. This review examines interdisciplinary team working in practice, in primary care, from the perspective of service providers and analyses 1 barriers and facilitators to implementation of interdisciplinary teams in primary care and 2 the main research gaps.Methods and findingsAn integrative review following the PRISMA guidelines was conducted. Following a search of 10 international databases, 8,827 titles were screened for relevance and 49 met the criteria. Quality of evidence was appraised using predetermined criteria. Data were analysed following the principles of framework analysis using Normalisation Process Theory (NPT), which has four constructs: sense making, enrolment, enactment, and appraisal. The literature is dominated by a focus on interdisciplinary working between physicians and nurses. There is a dearth of evidence about all NPT constructs apart from enactment. Physicians play a key role in encouraging the enrolment of others in primary care team working and in enabling effective divisions of labour in the team. The experience of interdisciplinary working emerged as a lever for its implementation, particularly where communication and respect were strong between professionals.ConclusionA key lever for interdisciplinary team working in primary care is to get professionals working together and to learn from each other in practice. However, the evidence base is limited as it does not reflect the experiences of all primary care professionals and it is primarily about the enactment of team working. We need to know much more about the experiences of the full network of primary care professionals regarding all aspects of implementation work.Systematic review registrationInternational Prospective Register of Systematic Reviews PROSPERO 2015: CRD42015019362.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

et al. 2017

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“…Providers identified areas where they could share resources and work more effectively with others. Important to the process was that healthcare outcomes needed to be continually negotiated with all stakeholders (e.g., consumers and professionals) as a way of ensuring high-quality healthcare delivery (Korabek et al 2004).…”

Section: Community Assessment and Shared Planningmentioning

confidence: 99%

“…Once community needs were assessed, those working within the THP used a Collaborative Partnership Model (Korabek et al 2004) as a basis for forming an interdisciplinary team. This team included physicians, nurses, other front-line healthcare providers and two managers.…”

Section: Interdisciplinary Teammentioning

confidence: 99%

Turning Vision into Reality: Successful Integration of Primary Healthcare in Taber, Canada

Wedel¹,

Kalischuk²,

Patterson³

et al. 2007

hcpol

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Primary healthcare offers significant benefits to Canadians and to the healthcare system as a whole. The Taber Integrated Primary Healthcare Project (TIPHP) was a three-year primary healthcare renewal initiative involving rural physicians and the Chinook Health Region in Taber, Alberta, Canada. The goal of the project was to improve healthcare services delivery through integration of the services provided by the physician group and the health region in one rural community. Four main enablers emerged as fundamental to the integration process: community assessment and shared planning; evidence-based, interdisciplinary care; an integrated electronic information system; and investment in processes and structures that support change.The outcome of the project has been the implementation of a new model of healthcare delivery that embraces an integrated collaborative team approach in delivering population-based, primary healthcare. Importantly, the TIPHP has influenced regional healthcare policy related to primary healthcare renewal strategies and partnerships.

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Attitudes of nurses and physicians towards nurse-physician collaboration in northwest Ethiopia: a hospital based cross-sectional study

et al. 2014

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BackgroundCollaboration between professionals is important in health institutions where most activities are team-performed. Ineffective nurse-physician collaboration affects patient outcome, nurses’ job satisfaction and organizational cost and is challenged by personal, interpersonal and organizational factors. The main objective of this study was to assess attitudes of nurses and physicians towards nurse-physician collaboration and the level of satisfaction with regard to quality of collaboration between them at Referral Hospitals of Northwest Ethiopia, from February 1st to April 30, 2013.MethodsAn institution based cross-sectional study was conducted among 176 nurses and 53 physicians working in Felegehiwot and Gondar University Referral Hospitals. Data were collected using self-administered questionnaires. Attitudes of nurses and physicians were measured using Jefferson scale of attitudes towards nurse-physician Collaboration. Results were summarized using descriptive statistics and difference of means and proportions were evaluated using student t test p <0.05 was considered as significant.ResultThe overall response rate was 90.50%. Nurses demonstrate more favorable attitudes than physicians with mean score of 49.63 and 47.49 and standard error of mean 0.474 and 0.931 respectively with p = 0.043. For the Jefferson Scale Attitudes towards Nurse-Physician Collaboration includes four subscales, which are: 1) shared education and teamwork, 2) Caring vs curing, 3) nurses autonomy and 4) physician dominance. Nurses scored higher on three subscales (1, 2 and 4). However, statistically significant differences were noted with regard to subscales 2 and 4 (p = 0.01, p = 0.004, respectively).ConclusionThis study identified that neither nurses nor physicians were satisfied with their current collaboration and nurses demonstrated less satisfaction with the current nurse physician collaboration. As compared with physicians nurses had more favorable attitudes towards collaboration specifically toward nurses’ contributions to the psychosocial and educational aspects of patient care, and stronger rejection of a totally dominant physician role.

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Home Care/Physician Partnerships in the Community: A Canadian Model in Development

Cited by 4 publications

References 3 publications

Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

Turning Vision into Reality: Successful Integration of Primary Healthcare in Taber, Canada

Attitudes of nurses and physicians towards nurse-physician collaboration in northwest Ethiopia: a hospital based cross-sectional study

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