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
PublisherOxford University Press
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
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

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
Permalink -

https://research.usq.edu.au/item/q1wv2/continuing-differences-between-health-professions-attitudes-the-saga-of-accomplishing-systems-wide-interprofessionalism

Log in to edit
  • 1853
    total views
  • 9
    total downloads
  • 2
    views this month
  • 0
    downloads this month

Export as

Related outputs

Professionalism meets entrepreneurialism and managerialism
Boyce, Rosalie A.. 2008. "Professionalism meets entrepreneurialism and managerialism." Kuhlmann, Ellen and Saks, Mike (ed.) Rethinking professional governance: international directions in health care. Bristol, United Kingdom. Policy Press. pp. 77-92
Living with diabetes and disadvantage: A qualitative, geographical case study
Power, Tamara, Kelly, Ray, Usher, Kim, East, Leah, Travaglia, Jo, Robertson, Hamish, Wong, Ann and Jackson, Debra. 2020. "Living with diabetes and disadvantage: A qualitative, geographical case study." Journal of Clinical Nursing. 29 (13-14), pp. 2710-2722. https://doi.org/10.1111/jocn.15295
Why 'allied health' works: building sustainable futures [Keynote address]
Boyce, Rosalie A.. 2008. "Why 'allied health' works: building sustainable futures [Keynote address]." 1st National New Zealand Allied Health Conference 2008. Auckland, New Zealand 11 - 13 Nov 2008
Healthfusion team challenge: annual report the year in review 2010
Moran, Monica, Nissen, Lisa, Boyce, Rosalie, Watson, Bernadette and Furnas, Jane. 2010. Healthfusion team challenge: annual report the year in review 2010. California, United States. HealthFusion.
Building research capacity in the allied health professions
Pickstone, Caroline, Nancarrow, Susan A., Cooke, Jo M., Vernon, Wesley, Mountain, Gail A., Boyce, Rosalie A. and Campbell, Jackie A.. 2008. "Building research capacity in the allied health professions ." Evidence and Policy: a journal of research, debate and practice. 4 (1), pp. 53-68. https://doi.org/10.1332/174426408783477864
Assisting role redesign: a qualitative evaluation of the implementation of a podiatry assistant role to a community health setting utilising a traineeship approach
Moran, Anna M., Nancarrow, Susan A., Wiseman, Leah, Maher, Kerryn, Boyce, Rosalie A., Borthwick, Alan M. and Murphy, Karen. 2012. "Assisting role redesign: a qualitative evaluation of the implementation of a podiatry assistant role to a community health setting utilising a traineeship approach." Journal of Foot and Ankle Research. 5, p. Article 30. https://doi.org/10.1186/1757-1146-5-30
A four year, systems-wide intervention promoting interprofessional collaboration
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
Competition the new collaboration? Employing inter-team competitiveness to motivate health students to learn together
Moran, Monica, Boyce, Rosalie A. and Nissen, Lisa. 2011. "Competition the new collaboration? Employing inter-team competitiveness to motivate health students to learn together." Kitto, Simon, Chesters, Janice, Thistlethwaite, Jill and Reeves, Scott (ed.) Sociology of interprofessional health care practice: critical reflections and concrete solutions. Hauppauge, NY. United States. Nova Science Publishers. pp. 155-168
Management quality achieving excellence in physiotherapy service provision
Jones, R., Jenkins, F., Mueller, J., Boyce, R. and Diener, I.. 2011. "Management quality achieving excellence in physiotherapy service provision." 2011 World Confederation for Physical Therapy Conference (WCPT 2011) . Amsterdam, Netherlands 20 - 23 Jun 2011 London, United Kingdom.
Health workforce reform: dynamic shifts in the division of labour and the implications for interprofessional education and practice
Boyce, Rosalie A., Borthwick, Alan, Moran, Monica and Nancarrow, Susan. 2011. "Health workforce reform: dynamic shifts in the division of labour and the implications for interprofessional education and practice." Kitto, Simon, Chesters, Janice, Thistlethwaite, Jill and Reeves, Scott (ed.) Sociology of interprofessional health care practice: critical reflections and conctrete solutions. Hauppauge, NY. USA. Nova Science Publishers. pp. 185-205
Interprofessional education in health sciences: the University of Queensland Health Care Team Challenge
Boyce, Rosalie A., Moran, Monica C., Nissen, Lisa M., Chenery, Helen J. and Brooks, Peter M.. 2009. "Interprofessional education in health sciences: the University of Queensland Health Care Team Challenge." Medical Journal of Australia. 190 (8), pp. 433-436.
The practice of interprofessional learning: workplace impact following an interprofessional learning activity at university
Boyce, Rosalie A., Moran, Monica, Nissen, Lisa and Poulsen, E.. 2010. "The practice of interprofessional learning: workplace impact following an interprofessional learning activity at university." 2nd Leadership and Practice Development in Health: Quality and Safety through Workplace Learning. Hobart, Australia 18 - 19 Mar 2010 Hobart, Australia.
Organising for strategic influence in complex settings: the 'allied health' journey
Boyce, Rosalie A.. 2010. "Organising for strategic influence in complex settings: the 'allied health' journey." 2nd Leadership and Practice Development in Health: Quality and Safety through Workplace Learning. Hobart, Australia 18 - 19 Mar 2010 Canberra, Australia.
Pathways to power for allied health professions: embedding allied health influence
Boyce, Rosalie A.. 2009. "Pathways to power for allied health professions: embedding allied health influence." Middleton, Karen (ed.) Chief Health Professions Officers Conference 2009: Allied Health Professionals - Right People, Right Place, Right Time (CHPO 2009). London, United Kingdom 06 - 07 Oct 2009 London, United Kingdom.
Organisational behaviour: understanding people in healthcare organisations
Mickan, Sharon and Boyce, Rosalie A.. 2007. "Organisational behaviour: understanding people in healthcare organisations." Jones, Robert and Jenkins, Fiona (ed.) Key topics in healthcare management: understanding the big picture. Oxford, United Kingdom. Radcliffe Publishing Ltd. pp. 164-179
Using organisation as a strategic resource to build identity and influence
Boyce, Rosalie. 2006. "Using organisation as a strategic resource to build identity and influence." Jones, Robert and Jenkins, Fiona (ed.) Managing and leading in the allied health professions. Oxford, United Kingdom. Radcliffe Publishing Ltd. pp. 85-99
The Health Care Team Challenge: extra-curricula engagement in inter-professional education (IPE)
Moran, M., Boyce, R., O'Neill, K., Bainbridge, L. and Newton, C.. 2007. "The Health Care Team Challenge: extra-curricula engagement in inter-professional education (IPE) ." Focus on Health Professional Education. 8 (3), pp. 47-53.
Restructuring the multi-professional organization: professional identity and adjustment to change in a public hospital
Callan, Victor J., Gallois, Cynthia, Mayhew, Melissa G., Grice, Tim A., Tluchowska, Malgorzata and Boyce, Rosalie. 2007. "Restructuring the multi-professional organization: professional identity and adjustment to change in a public hospital ." Journal of Health and Human Services Administration. 29 (4), pp. 448-477.
An action research protocol to strengthen system-wide inter-professional learning and practice [LP0775514]
Braithwaite, Jeffrey, Westbrook, Johanna I., Foxwell, A. Ruth, Boyce, Rosalie, Devinney, Timothy, Budge, Marc, Murphy, Karen, Ryall, Mary-Ann, Beutel, Jenny, Vanderheide, Rebecca, Renton, Elizabeth, Travaglia, Joanne, Stone, Judy, Barnard, Amanda, Greenfield, David, Corbett, Angus, Nugus, Peter and Clay-Williams, Robyn. 2007. "An action research protocol to strengthen system-wide inter-professional learning and practice [LP0775514]." BMC Health Services Research. 7, pp. 144-153. https://doi.org/10.1186/1472-6963-7-144
Health workforce: innovation, substitution and reform
Boyce, Rosalie A.. 2008. "Health workforce: innovation, substitution and reform." Barraclough, Simon and Gardner, Heather (ed.) Analysing health policy: a problem-oriented approach. Sydney, Australia. Elsevier. pp. 105-118
Workload capacity measures for estimating allied health staffing requirements
Schoo, Adrian M., Boyce, Rosalie A., Ridoutt, Lee and Santos, Teresa. 2008. "Workload capacity measures for estimating allied health staffing requirements." Australian Health Review. 32 (3), pp. 548-558. https://doi.org/10.1071/AH080548
Deutero-learning: implications for managing public health change
Rowe, Patricia A. and Boyce, Rosalie A.. 2009. "Deutero-learning: implications for managing public health change." The Learning Organization: the international journal of knowledge and organizational learning management. 16 (4), pp. 298-310. https://doi.org/10.1108/09696470910960392
Thriving in the cash strapped organisation
Boyce, Rosalie A.. 2010. "Thriving in the cash strapped organisation." Jones, Robert and Jenkins, Fiona (ed.) Managing money, measurement and marketing in the allied health professions. Oxford, United Kingdom. Radcliffe Publishing Ltd. pp. 52-62
Non-medical prescribing in Australasia and the UK: the case of podiatry
Borthwick, Alan M., Short, Anthony J., Nancarrow, Susan A. and Boyce, Rosalie A.. 2010. "Non-medical prescribing in Australasia and the UK: the case of podiatry." Journal of Foot and Ankle Research. 3 (1), pp. 1-10. https://doi.org/10.1186/1757-1146-3-1
Emerging from the shadow of medicine: allied health as a 'profession community' subculture
Boyce, Rosalie A.. 2006. "Emerging from the shadow of medicine: allied health as a 'profession community' subculture." Health Sociology Review. 15 (5), pp. 520-534. https://doi.org/10.5172/hesr.2006.15.5.520