Search results

1 – 10 of over 15000
Article
Publication date: 3 June 2014

Brandon Vachirasudlekha, Agnes Cha, Leonard Berkowitz and Bupendra Shah

The purpose of this paper is to gauge patients’ service perceptions of an interdisciplinary human immunodeficiency virus (HIV) clinic, which uses infectious disease physicians…

571

Abstract

Purpose

The purpose of this paper is to gauge patients’ service perceptions of an interdisciplinary human immunodeficiency virus (HIV) clinic, which uses infectious disease physicians, medical residents, clinical pharmacists, nurses, social workers and students in HIV primary-care delivery.

Design/methodology/approach

Adult patients coming to the HIV clinic for a return visit to the interdisciplinary team completed a questionnaire based on a previously validated HIV-specific patient satisfaction study (n=104). Fourteen modified items assessing overall care-quality and ten original items assessing interdisciplinary services were included.

Findings

Respondents reported high satisfaction levels with the clinic's services. The mean score for the care-quality items was 3.79 (possible 4). The interdisciplinary care items mean score was 3.69 (possible 4). For non-physician disciplines, respondents indicated that nurses, pharmacists and social workers played important roles in their clinic care.

Research limitations/implications

Bias associated with patient selection and survey methods limit the generalizability. The study has implications for measuring interdisciplinary care provided at HIV clinics.

Originality/value

This HIV outpatient care interdisciplinary model is not widely in use. Results are important for those involved in HIV service development and improvement. Findings support integrating non-physician providers into routine outpatient HIV medical visits.

Details

International Journal of Health Care Quality Assurance, vol. 27 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 14 September 2018

Joyce Weil, Gwyneth Milbrath, Teresa Sharp, Jeanette McNeill, Elizabeth Gilbert, Kathleen Dunemn, Marcia Patterson and Audrey Snyder

Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care

Abstract

Purpose

Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care transitions by blending complementary skills of disciplines to increase care’s holistic nature. Yet, only multidisciplinary efforts are frequently used in practice and often lack synergy and collaboration. The purpose of this paper is to present a case of a partnership model using nursing, gerontology and public health integration to support rural-residing elders as a part of building an Adult-Gerontology Acute Care Nurse Practitioner program.

Design/methodology/approach

This paper uses the Centre for Ageing Research and Development in Ireland/O’Sullivan framework to examine the creation of an interdisciplinary team. Two examples of interdisciplinary work are discussed. They are the creation of an interdisciplinary public health course and its team-based on-campus live simulations with a panel and site visit.

Findings

With team-building successes and challenges, outcomes show the need for knowledge exchange among practitioners to enhance population-centered and person-centered care to improve health care services to older persons in rural areas.

Practical implications

There is a need to educate providers about the importance of developing interdisciplinary partnerships. Educational programming illustrates ways to move team building through the interdisciplinary continuum. Dependent upon the needs of the community, other similarly integrated partnership models can be developed.

Originality/value

Transitions of care work for older people tends to be multi- or cross-disciplinary. A model for interdisciplinary training of gerontological practitioners in rural and frontier settings broadens the scope of care and improves the health of the rural older persons served.

Details

Quality in Ageing and Older Adults, vol. 19 no. 4
Type: Research Article
ISSN: 1471-7794

Keywords

Article
Publication date: 2 September 2013

Sandra C. Buttigieg, Vincent Cassar and Judy W. Scully

The following case study aims to explore management's, health professionals' and patients' experiences on the extent to which there is visibility of management support in…

1000

Abstract

Purpose

The following case study aims to explore management's, health professionals' and patients' experiences on the extent to which there is visibility of management support in achieving effective interdisciplinary team working, which is explicitly declared in the mission statement of a 60-bed acute rehabilitative geriatric hospital in Malta.

Design/methodology/approach

A total of 21 semi-structured interviews were conducted with the above-mentioned key stakeholders.

Findings

Three main distinct yet interdependent themes emerged as a result of thematic analysis: “managing a team-friendly hospital”, “interdisciplinary team components”, and “interdisciplinary team processes”. The findings show that visibility of management support and its alignment with the process and content levels of interdisciplinary teamwork are key to integrated care for acute rehabilitative geriatric patients.

Research limitations/implications

The emerging phenomena may not be reproducible in a different context; although many of the emerging themes could be comfortably matched with the existing literature.

Practical implications

The implications are geared towards raising the consciousness and conscientiousness of good practice in interdisciplinary teamwork in hospitals, as well as in emphasizing organizational and management support as crucial factors for team-based organizations.

Social implications

Interdisciplinary teamwork in acute rehabilitative geriatrics provides optimal quality and integrated health care delivery with the aim that the older persons are successfully discharged back to the community.

Originality/value

The authors draw on solid theoretical frameworks – the complexity theory, team effectiveness model and the social identity theory – to support their major finding, namely the alignment of organizational and management support with intra-team factors at the process and content level.

Details

Journal of Health Organization and Management, vol. 27 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 16 October 2017

Chris Gibbs, Barbara Murphy, Deepika Ratnaike, Kate Hoppe and Harry Lovelock

The purpose of this paper is to describe the development and experience of the Mental Health Professionals’ Network (MHPN) in building and supporting a national interdisciplinary

Abstract

Purpose

The purpose of this paper is to describe the development and experience of the Mental Health Professionals’ Network (MHPN) in building and supporting a national interdisciplinary professional development platform in community mental health to enhance practitioner response to the needs of consumers.

Design/methodology/approach

The key components of the MHPN model are described highlighting effective ways of engaging practitioners and supporting interdisciplinary practice. The MHPN has two key programs – Face-to-Face Interdisciplinary Practitioner Networks and an Online Professional Development Program.

Findings

The MHPN model has had significant uptake in communities across Australia and continues to grow. Practitioners report positive outcomes in engaging with other practitioners, improving their professional knowledge and having gained increased confidence in the provision of mental health care to patients.

Practical implications

The progress and learnings to date offer some useful insights that can be applied to other settings to support integrated care for patients with mental health problems through enhancing collaborative care among practitioners at the primary care level.

Originality/value

MHPN is a unique, national, successful platform delivering opportunities for interdisciplinary professional development in the primary mental health sector. The model is cost effective, practitioner driven, and transferable to other settings.

Details

Journal of Integrated Care, vol. 25 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Book part
Publication date: 9 February 2023

Cheryl Green

Traditional and nontraditional interdisciplinary teams bring together varied professionals with diversity in expertise and thought. The purpose of interdisciplinary teams within…

Abstract

Traditional and nontraditional interdisciplinary teams bring together varied professionals with diversity in expertise and thought. The purpose of interdisciplinary teams within healthcare settings is to support clients or patients in the achievement of physiological, psychological, and spiritual health. However, in absence of cultural awareness and cultural sensitivity, the physiological, psychological, and spiritual health needs of clients or patients can go unmet. Hence, it is imperative that interdisciplinary teams seek consultation when team members are unfamiliar with the culture of patients or clients to whom the team is assigned to provide care. Increasing cultural awareness and cultural sensitivity must be a collaborative effort between the interdisciplinary team and the client or patient. Nontraditional interdisciplinary teams conceptually examine teams that impact others in settings outside of education and health care.

Details

Social Justice Case Studies
Type: Book
ISBN: 978-1-80455-747-1

Article
Publication date: 29 December 2017

Barbara Murphy, Chris Gibbs, Kate Hoppe, Deepika Ratnaike and Harry Lovelock

The Mental Health Professionals Network (MHPN) was established to support and enhance collaborative care among health professionals working in primary mental healthcare. The MHPN…

Abstract

Purpose

The Mental Health Professionals Network (MHPN) was established to support and enhance collaborative care among health professionals working in primary mental healthcare. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate attitudinal and practice changes amongst health professionals after participation in MHPN’s network meetings.

Design/methodology/approach

In April 2016, an online survey was e-mailed to health professionals who had attended at least one network meeting during 2015. The survey asked about practice changes across seven key areas relating to increased awareness of and interaction with professionals from other disciplines. Interdisciplinary differences were investigated using the χ2 statistic (p<0.05).

Findings

A total of 1,375 health professionals participated in the survey. For each of the seven practice changes investigated, between 74 and 92 per cent of respondents had made the change. Those who attended more network meetings were significantly more likely to have made changes. General practitioners were significantly more likely than other professionals to have made changes.

Research limitations/implications

Attendance at MHPN network meetings has a positive impact on health professionals’ attitudes and practices towards a more collaborative approach to mental healthcare.

Originality/value

MHPN is a unique, national platform successfully delivering opportunities for interdisciplinary professional development in the primary mental health sector. The model is unique, cost-effective, practitioner driven and transferable to other settings.

Details

Journal of Integrated Care, vol. 26 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 18 November 2013

Monica Nandan and Manuel London

The purpose of this paper is to provide a rationale for developing interprofessional competencies among graduates from professional and graduate programs, so that they are well…

2461

Abstract

Purpose

The purpose of this paper is to provide a rationale for developing interprofessional competencies among graduates from professional and graduate programs, so that they are well prepared to participate in local, national and global social change strategies.

Design/methodology/approach

After reviewing the literature on strategic social change initiatives the authors briefly describe two such initiatives: corporate social responsibility initiatives and social entrepreneurial ventures. After reviewing the interprofessional literature from various disciplines and professions, the authors categorized them into “competencies,” “rationale,” “conceptual framework,” “principles” and “challenges.” An examination of exemplar pedagogy from this body of literature suggests ways to prepare students to lead and actively participate in innovative, collaborative social change initiatives.

Findings

Interdisciplinary competencies include teamwork, communication, contextual understanding, negotiation, critical thinking, leadership, openness and adaptability. Interprofessional educational models are difficult to implement, however, ethical responsibility of educators to prepare students for complex realities trumps the challenges.

Practical implications

Interprofessional educational experiences can enable students to engage in generative and transformational learning which can later facilitate in creation of innovative solutions for society's recalcitrant physical, social and environmental issues.

Originality/value

Based on the system's perspective, the paper provides guidelines and strategies for implementing interprofessional pedagogical initiative.

Details

Education + Training, vol. 55 no. 8/9
Type: Research Article
ISSN: 0040-0912

Keywords

Open Access
Article
Publication date: 15 September 2021

Thérèse Eriksson, Lars-Åke Levin and Ann-Charlotte Nedlund

Using financial incentives has been criticised for putting too much focus on things that can be measured. Value-based reimbursement may better align professional values with…

Abstract

Purpose

Using financial incentives has been criticised for putting too much focus on things that can be measured. Value-based reimbursement may better align professional values with financial incentives. However, professional values may differ between actor groups. In this article, the authors identify institutional logics within healthcare-providing organisations. Further, the authors analyse how the centrality and compatibility of the identified logics affect the institutionalisation of external demands.

Design/methodology/approach

41 semi-structured interviews were conducted with representatives from healthcare providers within spine surgery in Sweden, where a value-based reimbursement programme was introduced. Data were analysed using thematic content analysis with an abductive approach, and a conceptual framework based on neo-institutional theory.

Findings

After the introduction of the value-based reimbursement programme, the centrality and compatibility of the institutional logics within healthcare-providing organisations changed. The logic of spine surgeons was dominating whereas physiotherapists struggled to motivate a higher cost for high quality physiotherapy. The institutional logic of nurses was aligned with spine surgeons, however as a peripheral logic facilitating spine surgery. To attain holistic and interdisciplinary healthcare, dominating institutional logics within healthcare-providing organisations need to allow peripheral institutional logics to attain a higher centrality for higher compatibility. Thus, allowing other occupations to take responsibility for quality and attain the feeling of professional pride.

Originality/value

Interviewing spine surgeons, physiotherapists, nurses, managers and administrators allows us to deepen the understanding of micro-level behaviour as a reaction (or lack thereof) to macro-level decisions.

Details

Journal of Health Organization and Management, vol. 35 no. 9
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 2 June 2021

Tybytha D. Ryan, Maryellen Brunson McClain, Anna Merrill, Naima Dahir, Bryn Harris and Sarah M. Irby

Individuals with autism spectrum disorder (ASD) often receive services from a variety of professionals. However, not all providers receive adequate training in ASD. The Leadership…

Abstract

Purpose

Individuals with autism spectrum disorder (ASD) often receive services from a variety of professionals. However, not all providers receive adequate training in ASD. The Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program includes a core competency of increasing knowledge about neurodevelopmental and related disabilities. This study attempted to assess trainees’ ASD knowledge and self-reported confidence in working with individuals with ASD and sought to understand if training through the LEND program increases these competencies. Additionally, the purpose of this study is to determine factors that predict ASD knowledge and self-reported confidence in providing services to this population, specifically in an interdisciplinary trainee sample.

Design/methodology/approach

Participants were 170 interdisciplinary LEND trainees during the 2017–2018 academic year. Participants across the USA completed online pre- and posttraining surveys. The survey included demographics, ASD knowledge, questions assessing training experiences, perceived ASD knowledge and self-reported confidence.

Findings

A one-way analysis of variance determined that there was a statistically significant difference in measured ASD knowledge across disciplines F(7, 148) = 5.151, p < .001. Clinical trainees (e.g. psychology, pediatrics and speech) exhibited more measured ASD knowledge than nonclinical trainees (e.g. neuroscience, legal). Additionally, training experiences, self-reported confidence and perceived ASD knowledge were predictors of measured ASD knowledge. Moreover, trainees increased their measured ASD knowledge, self-reported confidence and had more experiences with individuals who have ASD at the end of the training year.

Originality/value

These findings suggest that the LEND program may assist in the preparation of professionals to work with individuals with ASD. Training opportunities, including educational and practical experience, to train interdisciplinary providers who will work with individuals with ASD are advised.

Details

Advances in Autism, vol. 8 no. 1
Type: Research Article
ISSN: 2056-3868

Keywords

Article
Publication date: 29 December 2022

Andrea Fronzetti Colladon, Francesca Grippa, Chiara Broccatelli, Cynthia Mauren, Scarlett Mckinsey, Jacob Kattan, Evelyne St. John Sutton, Lisa Satlin and John Bucuvalas

This study aims to investigate the dynamics of knowledge sharing in health care, exploring some of the factors that are more likely to influence the evolution of idea sharing and…

Abstract

Purpose

This study aims to investigate the dynamics of knowledge sharing in health care, exploring some of the factors that are more likely to influence the evolution of idea sharing and advice seeking in health care.

Design/methodology/approach

The authors engaged 50 pediatricians representing many subspecialties at a mid-size US children’s hospital using a social network survey to map and measure advice seeking and idea sharing networks. Through the application of Stochastic Actor-Oriented Models, the authors compared the structure of the two networks prior to a leadership program and eight weeks post conclusion.

Findings

The models indicate that health-care professionals carefully and intentionally choose with whom they share ideas and from whom to seek advice. The process is fluid, non-hierarchical and open to changing partners. Significant transitivity effects indicate that the processes of knowledge sharing can be supported by mediation and brokerage.

Originality/value

Hospital administrators can use this method to assess knowledge-sharing dynamics, design and evaluate professional development initiatives and promote new organizational structures that break down communication silos. This work contributes to the literature on knowledge sharing in health care by adopting a social network approach, going beyond the dyadic level and assessing the indirect influence of peers’ relationships on individual networks.

Details

Journal of Knowledge Management, vol. 27 no. 8
Type: Research Article
ISSN: 1367-3270

Keywords

1 – 10 of over 15000