A four year, systems-wide intervention promoting interprofessional collaboration

Article


Braithwaite, Jeffrey, Westbrook, Mary, Nugus, Peter, Greenfield, David, Travaglia, Joanne, Runciman, William, Foxwell, A. Ruth, Boyce, Rosalie A., Devinney, Timothy and Westbrook, Johanna. 2012. "A four year, systems-wide intervention promoting interprofessional collaboration." BMC Health Services Research. 12 (1), pp. 99-106. https://doi.org/10.1186/1472-6963-12-99
Article Title

A four year, systems-wide intervention promoting interprofessional collaboration

ERA Journal ID13444
Article CategoryArticle
AuthorsBraithwaite, Jeffrey (Author), Westbrook, Mary (Author), Nugus, Peter (Author), Greenfield, David (Author), Travaglia, Joanne (Author), Runciman, William (Author), Foxwell, A. Ruth (Author), Boyce, Rosalie A. (Author), Devinney, Timothy (Author) and Westbrook, Johanna (Author)
Journal TitleBMC Health Services Research
Journal Citation12 (1), pp. 99-106
Number of Pages8
Year2012
PublisherBioMed Central Ltd.
Place of PublicationLondon, United Kingdom
ISSN1472-6963
Digital Object Identifier (DOI)https://doi.org/10.1186/1472-6963-12-99
Web Address (URL)http://www.biomedcentral.com/1472-6963/12/99
Abstract

Background: A four-year action research study was conducted across the Australian Capital Territory health system to strengthen interprofessional collaboration (IPC) through multiple intervention activities.
Methods: We developed 272 substantial IPC intervention activities involving 2,407 face-to-face encounters with health system personnel. Staff attitudes toward IPC were
surveyed yearly using Heinemann et al’s Attitudes toward Health Care Teams and Parsell and Bligh’s Readiness for Interprofessional Learning scales (RIPLS). At study’s
end staff assessed whether project goals were achieved.
Results: Of the improvement projects, 76 exhibited progress, and 57 made considerable gains in IPC. Educational workshops and feedback sessions were well received and stimulated interprofessional activities. Over time staff scores on Heinemann’s Quality of Interprofessional Care subscale did not change significantly and scores on the Doctor Centrality subscale increased, contrary to predictions. Scores on the RIPLS subscales of Teamwork & Collaboration and Professional Identity did not alter. On average for the assessment items 33% of staff agreed that goals had been achieved, 10% disagreed, and 57% checked ‘neutral’. There was most agreement that the study had resulted in increased sharing of knowledge between professions and improved quality of patient care, and least agreement that between-professional rivalries had lessened and communication and trust between professions improved.
Conclusions: Our longitudinal interventional study of IPC involving multiple activities supporting increased IPC achieved many project-specific goals, but improvements in
attitudes over time were not demonstrated and neutral assessments predominated, highlighting the difficulties faced by studies targeting change at the systems level and
over extended periods.

Keywordssystems research; action research; intervention; change; interprofessionalism; survey; longitudinal research; attitudinal improvement; collaboration; socio-ecological theory
ANZSRC Field of Research 2020390308. Technical, further and workplace education
470108. Organisational, interpersonal and intercultural communication
420306. Health care administration
Public Notes

Running title: Intervention promoting interprofessional collaboration.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright on any research article in a journal published by BioMed Central is retained by the author(s). Authors grant BioMed Central a license to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified.
The BioMed Central Copyright and License Agreement (identical to the Creative Commons Attribution License) formalizes these and other terms and conditions of publishing research articles.

Institution of OriginUniversity of Southern Queensland
Byline AffiliationsUniversity of New South Wales
University of South Australia
University of Canberra
Centre for Rural and Remote Area Health
University of Technology Sydney
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