The definition and deployment of differential core professional competencies and characteristics in multiprofessional health and social care teams

Jones, Ray; Bhanbhro, Sadiq; Grant, Robert; Hood, Rick

doi:10.1111/j.1365-2524.2012.01086.x

Cited by 16 publications

(13 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We know from the evidence that a lack of understanding between different professions can hinder integration and that this lack of understanding can lead to conflict within teams affecting shared decision making and communication between team members [38,39]. Although there is research on integration in healthcare and research around professional identities in healthcare generally, there is limited research around professional identity in the rapidly evolving world of integration [40].…”

Section: Discussionmentioning

confidence: 99%

More that unites us than divides us? A qualitative study of integration of community health and social care services

Mitchell

Tazzyman

Howard

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The integration of community health and social care services has been widely promoted nationally as a vital step to improve patient centred care, reduce costs, reduce admissions to hospital and facilitate timely and effective discharge from hospital. The complexities of integration raise questions about the practical challenges of integrating health and care given embedded professional and organisational boundaries in both sectors. We describe how an English city created a single, integrated care partnership organisation, to fully integrate community health and social care services. This led to the development of twelve integrated neighbourhood teams, combining and co-locating professionals across three separate localities. The aim of this research is to identify the context and the factors enabling and hindering integration from a qualitative process evaluation. Methods Twenty-four semi-structured interviews were conducted with equal numbers of health and social care staff at strategic and operational level. The data was subjected to thematic analysis. Results We describe three key themes: 1) shared vision and leadership; 2) organisational factors; 3) professional workforce factors. We found a clarity of vision and purpose of integration throughout the partnership organisation, but there were challenges related to the introduction of devolved leadership. There were widespread concerns that the specified outcome measures did not capture the complexities of integration. Organisational challenges included a lack of detail around clinical and service delivery planning, tensions around variable human resource practices and barriers to data sharing. A lack of understanding and trust meant professional workforce integration remained a key challenge, although integration was also seen as a potential solution to engender relationship building. Conclusions Given the long-term national policy focus on integration this ambitious approach to fully integrate community health and social care has highlighted implications for leadership, organisational design and inter-professional working. Given the ethos of valuing the local assets of individuals and networks within the new partnership organisation we found the integrated neighbourhood teams could all learn from each other. Many of the challenges of integration could benefit from embracing the inherent capabilities across the integrated neighbourhood teams and localities of this city.

show abstract

Section: Discussionmentioning

confidence: 99%

More that unites us than divides us? A qualitative study of integration of community health and social care services

Mitchell

Tazzyman

Howard

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…We know from the evidence that a lack of understanding between different professions can hinder integration [32][33][34] and that this lack of understanding can lead to conflict within teams affecting shared decision making and communication between team members [32,34]. Although there is research on integration in healthcare and research around professional identities in healthcare generally, there is limited research around professional identity in the rapidly evolving world of integration [35].…”

Section: Discussionmentioning

confidence: 99%

More that unites us than divides us? A qualitative study of integration of community health and social care services

Mitchell

Tazzyman

Howard

et al. 2019

Preprint

View full text Add to dashboard Cite

Background The integration of community health and social care services has been widely promoted nationally as a vital step to improve patient centred care, reduce costs, reduce admissions to hospital and facilitate timely and effective discharge from hospital. The complexities of integration raise questions about the practical challenges of integrating health and care given embedded professional and organisational boundaries in both sectors. We describe how an English city created a single, integrated care partnership organisation, to fully integrate community health and social care services. This led to the development of twelve integrated neighbourhood teams, combining and co-locating professionals across three separate localities. The aim of this research is to identify the context and the factors enabling and hindering integration from a qualitative process evaluation.Methods Twenty-four semi-structured interviews were conducted with equal numbers of health and social care staff at strategic and operational level. The data was subjected to thematic analysis.Results We describe three key themes: 1) shared vision and leadership; 2) organisational factors; 3) professional workforce factors. We found a clarity of vision and purpose of integration throughout the partnership organisation, but there were challenges related to the introduction of devolved leadership. There were widespread concerns that the specified outcome measures did not capture the complexities of integration. Organisational challenges included a lack of detail around clinical and service delivery planning, tensions around variable human resource practices and barriers to data sharing. A lack of understanding and trust meant professional workforce integration remained a key challenge, although integration was also seen as a potential solution to engender relationship building.Conclusions Given the long-term national policy focus on integration this ambitious approach to fully integrate community health and social care has highlighted implications for leadership, organisational design and inter-professional working. Given the ethos of valuing the local assets of individuals and networks within the new partnership organisation we found the integrated neighbourhood teams could all learn from each other. Many of the challenges of integration could benefit from embracing the inherent capabilities across the integrated neighbourhood teams and localities of this city.

show abstract

“…A basic hypothesis in the social and healthcare literature is that cross‐professional collaboration is essential for sustainable care, and will be better organised within a single team rather than across different teams (Jones, Bhanbhro, Grant, & Hood, ; Thylefors et al., ). Various organisational roles are represented in these cross‐professional teams, meaning that the team is functionally heterogeneous (Jackson, ).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Towards sustainable local welfare systems: The effects of functional heterogeneity and team autonomy on team processes in Dutch neighbourhood teams

Zijl

Vermeeren

Koster

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

Nowadays, many European countries delegate health and social care responsibilities from the national level to local authorities. In January 2015, the Netherlands similarly introduced a policy programme authorising municipalities to set their own social welfare policy. A specific feature of this programme is that it stimulates municipalities to implement teams wherein professionals from different disciplines are collectively responsible for a team's decision-making. This suggests that teams ideally have (a) high levels of functional heterogeneity (professionals from different disciplines) and (b) high levels of team autonomy (collective responsibility and decision-making). Based on the policy programme, it can be further assumed that (a) information elaboration, (b) boundary management and (c) team cohesion in teams will improve. In practice, the majority (87%) of Dutch municipalities implemented neighbourhood teams in January 2015. A common feature of these neighbourhood teams is that the various professionals are collectively responsible for all the curative and preventive healthcare, social work and voluntary social support of the citizens in a specific neighbourhood. Nevertheless, the structure and organisation of neighbourhood teams (including the level of functional heterogeneity and team autonomy) vary within and between municipalities. Given this situation, our aim was to examine to what extent functional heterogeneity and team autonomy influence information elaboration, boundary management and team cohesion in neighbourhood teams. We developed six hypotheses based on literature that were then tested on data collected (between May 2016 and January 2017) through an online survey from 1335 professionals in 170 neighbourhood teams. An SEM analysis showed a positive effect of team autonomy on information elaboration, boundary management and team cohesion. Results further showed a negative effect of functional heterogeneity on information elaboration and boundary management. The implications of these findings for practitioners and academics are discussed.

show abstract

The definition and deployment of differential core professional competencies and characteristics in multiprofessional health and social care teams

Cited by 16 publications

References 26 publications

More that unites us than divides us? A qualitative study of integration of community health and social care services

More that unites us than divides us? A qualitative study of integration of community health and social care services

More that unites us than divides us? A qualitative study of integration of community health and social care services

Towards sustainable local welfare systems: The effects of functional heterogeneity and team autonomy on team processes in Dutch neighbourhood teams

Contact Info

Product

Resources

About