Continuing differences between health professions' attitudes: the saga of accomplishing systems-wide interprofessionalism

Article

Braithwaite, Jeffrey, Westbrook, Mary, Nugus, Peter, Greenfield, David, Travaglia, Joanne, Runciman, William, Foxwell, A. Ruth, Boyce, Rosalie A., Devinney, Timothy and Westbrook, Johanna. 2013. "Continuing differences between health professions' attitudes: the saga of accomplishing systems-wide interprofessionalism ." International Journal for Quality in Health Care. 25 (1), pp. 8-15. https://doi.org/10.1093/intqhc/mzs071
Article Title

Continuing differences between health professions' attitudes: the saga of accomplishing systems-wide interprofessionalism

ERA Journal ID13584
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 TitleInternational Journal for Quality in Health Care
Journal Citation25 (1), pp. 8-15
Number of Pages8
Year2013
Place of PublicationCary, NC. United States
ISSN1353-4505
1464-3677
Digital Object Identifier (DOI)https://doi.org/10.1093/intqhc/mzs071
Web Address (URL)http://intqhc.oxfordjournals.org/content/25/1/8.full.pdf+html
Abstract

Objective: To compare four health professions' attitudes towards interprofessional collaboration (IPC) and their evaluations of a programme aimed at enhancing IPC across a health system.
Design: Questionnaire survey.
Results: Significant professional differences occurred in 90% of the evaluation items. Doctors were the least and administrative staff most likely to agree project aims had been met. Nurses made more favourable assessments than did allied health staff. Doctors made the most negative assessments and allied health staff the most neutral ratings. Improved interprofessional sharing of knowledge, teamwork and patient care were among the goals held to have been most achieved. Reduction in interprofessional rivalry and improved trust and communication were least achieved. Average assessment of individual goals being met was agree (31.9%), neutral (56.9%) and disagree (11.2%). On the two attitude scales, allied health professionals were most supportive of IPC, followed by nurses, administrators and doctors.
Conclusions: Although overall attitudes towards IPC were favourable, only a third of participants reported that project goals had been achieved indicating the difficulties of implementing systems change. The response profiles of the professions differed. As in the previous research, doctors were least likely to hold favourable attitudes towards or endorse benefits from social or structural interventions in health care.

Keywordshealth professions; attitude differences; interprofessional collaboration; interprofessional practice; systems change
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
520104. Industrial and organisational psychology (incl. human factors)
470108. Organisational, interpersonal and intercultural communication
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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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