Interprofessional collaboration among complementary and integrative health providers in private practice and community health centers

Rosenthal, Beth; Gravrand, Hannah; Lisi, Anthony J.

doi:10.1016/j.xjep.2019.02.007

Cited by 6 publications

(9 citation statements)

References 15 publications

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“…Teaching complementary medicine (CM) in an interprofessional setting could promote patient-centered care (Kligler et al, 2015;Rivera et al, 2018;Templeman et al, 2016) and team-based collaboration in the future Kutt et al, 2019;Rosenthal et al, 2019). Successful approaches in interprofessional education (IPE) on CM have been described (Brett et al, 2013: Kutt et al, 2019Rivera et al, 2018;Sierpina & Kreitzer, 2014), and competencies and frameworks in interprofessional education have been established (Academic Collaboration for Integrative Health, 2018; Thistlethwaite et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Prill

Steinhäuser

Herchenröder

et al. 2021

Journal of Interprofessional Care

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As use of complementary medicine (CM) is increasing, health professionals may require proper training in CM to offer evidence-based advice to their patients. The aim of this study was to explore interprofessional collaboration (IPC) in CM in order to gain a comprehensive overview of determinants and to facilitate the definition of objectives for an undergraduate interprofessional educational module. Pursuant to a sequential mixed-methods approach, focus groups and individual interviews with health professionals, who actively use CM in patient care, were conducted. All hospital employees at the University Hospital Lübeck, Germany, were asked to complete an online questionnaire that was based on the previously obtained qualitative results. The interviews with 20 participants revealed four main themes: professionspecific aspects, communication, health care system-associated factors, and the influence of CM on interprofessional dynamics. An analysis of the 157 responses in the online questionnaire showed that team meetings (n = 124, 79%) were most frequently stated as promoting IPC. In binary regression analyses, nursing ) and medical professions ) predicted evidence-based care as enabler for IPC. Hence, teaching professional competencies and an equal understanding of evidence-based medicine seems necessary to promote IPC within CM.

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Section: Introductionmentioning

confidence: 99%

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Prill

Steinhäuser

Herchenröder

et al. 2021

Journal of Interprofessional Care

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“…The limited social engagement aspect of this study's CP implementation towards healthcare practitioner may result in low adherence towards CP compliance, where adherence and compliance have been reported to be strongly associated [65,66]. Knowledge from CP intervention is often not always followed by behavioral changes, especially when pressure from external factors (egalitarianism, facilities, or systems) such as forcing the subject to change behavior [67,68].…”

Section: Limitations and Future Researchmentioning

confidence: 91%

Effective Clinical Pathway Improves Interprofessional Collaboration and Reduces Antibiotics Prophylaxis Use in Orthopedic Surgery in Hospitals in Indonesia

et al. 2022

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Clinical pathways can improve the quality of health services. The effectiveness and impact of implementing clinical pathways are controversial. The preparation of clinical pathways not only enacts therapeutic guidelines but requires mutual agreement in accordance with the roles, duties, and contributions of each profession in the team. This study aimed to investigate the perception of interprofessional collaboration practices and the impact of clinical pathway implementation on collaborative and Defined Daily Dose (DDD) prophylactic antibiotics per 100 bed-days in orthopedic surgery. The Collaborative Practice Assessment Tool (CPAT) questionnaire was used as a tool to measure healthcare’ perceptions of collaborative practice. The clinical pathway (CP) in this study was adapted from existing CPs published by the Indonesian Orthopaedic Association (Perhimpunan Dokter Spesialis Orthopaedi dan Traumatologi Indonesia, PABOI) and was commended by local domestic surgeons and orthopedic bodies. We then compared post-implementation results with pre-implementation clinical pathway data using ANCOVA to explore our categorical data and its influence towards CPAT response. ANOVA was then employed for aggregated DDD per 100 bed-days to compare pre and post intervention. The results showed that the relationships among members were associated with the working length. Six to ten years of working had a significantly better relationship among members than those who have worked one to five years. Interestingly, pharmacists’ leadership score was significantly lower than other professions. The clinical pathway implementation reduced barriers in team collaboration, improved team coordination and organization, and reduced third-generation cephalosporin use for prophylaxis in surgery (pre: 59 DDD per 100 bed-days; post: 28 DDD per 100 bed-days). This shows that the clinical pathway could benefit antibiotic stewardship in improving antibiotic prescription, therefore reducing the incidence of resistant bacteria.

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“…As can be seen from Table 1 , four studies investigated the integration of chiropractors or chiropractic services into interprofessional practice settings [ 9 , 13 , 22 , 24 ]. One study explored aspects of interprofessional collaboration among complementary and integrative health providers (one of these being chiropractors) [ 21 ]. One study investigated aspects of interprofessional practice pertinent to chiropractic in elite football [ 12 ].…”

Section: Scoping the Evidencementioning

confidence: 99%

“…Included studies were conducted across 4 distinct settings, these being: community health centers [ 9 , 21 ], high-performance athletics [ 12 , 24 ], a primary care hospital setting [ 13 ], and a training and research setting [ 10 , 22 ].…”

Section: Scoping the Evidencementioning

confidence: 99%

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Chiropractors in interprofessional practice settings: a narrative review exploring context, outcomes, barriers and facilitators

et al. 2022

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To determine the added value of interprofessional interventions over existing mono-professional practice, elucidation of specific health care issues, service delivery contexts and benefits of combining multiple service provider is required. However, from existing literature, it is difficult to develop a sense of the evidence that supports interprofessional practice initiatives involving chiropractors. This review aims to describe and explore the contexts, outcomes, and barriers and facilitators relating to interprofessional practice involving chiropractors available in current literature. A search of Scopus, CINAHL, Cochrane, and Web of Science databases covering the literature from 2005 to October 2021 was conducted, after which a narrative review of identified peer-reviewed articles written in English was performed. We included data from seven studies, conducted across four distinct service delivery contexts. Eight interprofessional practice partners were identified, and eight factors appear to act as barriers and facilitators. Data suggests that incorporating chiropractors into community health and sports medicine interprofessional practice interventions is achievable and appears to impact collaborative practice positively. For older adults with low back pain, quality of life and care-related satisfaction are potential relevant outcomes for the evaluation of interprofessional practice interventions. There is currently very limited evidence from which to judge the value of interprofessional practice interventions, as available literature appears to focus mainly on interprofessional collaboration. Studies conducted specifically to evaluate interprofessional practice solutions and addressing specific health care issues or practice domains are urgently required.

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Interprofessional collaboration among complementary and integrative health providers in private practice and community health centers

Cited by 6 publications

References 15 publications

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Effective Clinical Pathway Improves Interprofessional Collaboration and Reduces Antibiotics Prophylaxis Use in Orthopedic Surgery in Hospitals in Indonesia

Chiropractors in interprofessional practice settings: a narrative review exploring context, outcomes, barriers and facilitators

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