The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks

Abstract

Interprofessional collaboration is a key factor in initiatives designed to increase the effectiveness of health services currently offered to the public. It is important that the concept of collaboration be well understood, because although the increasingly complex health problems faced by health professionals are creating more interdependencies among them, we still have limited knowledge of the complexity of interprofessional relationships. The goal of this literature review was to identify conceptual frameworks that could improve our understanding of this important aspect of health organizations. To this end, we have identified and taken into consideration: (A) the various definitions proposed in the literature and the various concepts associated with collaboration, and (B) the various theoretical frameworks of collaboration. Our results demonstrate that: (1) the concept of collaboration is commonly defined through five underlying concepts: sharing, partnership, power, interdependency and process; (2) the most complete models of collaboration seem to be those based on a strong theoretical background, either in organizational theory or in organizational sociology and on empirical data; (3) there is a significant amount of diversity in the way the various authors conceptualized collaboration and in the factors influencing collaboration; (4) these frameworks do not establish clear links between the elements in the models and the outputs; and (5) the literature does not provide a serious attempt to determine how patients could be integrated into the health care team, despite the fact that patients are recognized as the ultimate justification for providing collaborative care.

Hospital pharmacists' perceptions of medication counseling: A focus group study

“…Literature supports the need for healthcare professionals to understand each other's roles for effective interprofessional collaboration to take place. [72][73][74][75][76] "I think the other thing that might impact…is whether the doctors have… verbally supported-the discharge counselling that a pharmacist might then do. So the team might come along and prescribe warfarin… and they'll say [to the patient], "Look, John [the pharmacist]… is going to come and chat to you later about your warfarin."…”

Cardiovascular disease management: time to advance the practice nurse role?

“…Hierarchical structures, professional status, gender and socioeconomic factors were some of the factors identified as hindering interprofessional collaboration. 53 Participants reported that it was challenging for practice nurses to gain the confidence of GPs, particularly in relation to the potential applications of their skills and competencies to best serve the practice and patient outcomes. However, the underlying issue emerging from the data appeared to be one of limited collaboration between GP and practice nurse, stemming from unclear professional role boundaries and difficulties in communication about work practices.…”

Singularidades No Processo De Trabalho Entre Técnicos Em Saúde Bucal E Cirurgiões-Dentistas

“…A cooperação interprofissional é uma forma eficiente, eficaz e satisfatória para ofertar os serviços de saúde. O processo de colaboração é construído por uma estrutura voluntária e implica necessariamente negociação, na qual as partes deixam de ter uma abordagem competitiva e passam a adotar uma abordagem participativa e em equipe (D'Amour, 2005).…”