Barriers and facilitators to interprofessional collaborative practice for community‐dwelling older adults: An integrative review

Abstract

Aims and Objectives The aim of this integrative review was to synthesise empirical reports of interprofessional collaborative practice (IPCP) for community‐dwelling older adults and uncover barriers and facilitators related to its success as a model of care for this population. Background IPCP is a model of care that has demonstrated positive outcomes for community‐dwelling older adults. However, a summary of barriers and facilitators to IPCP models has not been presented. Methods An integrative review using the method posited by Whittemore and Knafl was completed to identify barriers and facilitators to IPCP for community‐dwelling older adults. The literature search was reported following PRISMA guidelines. Results Four themes emerged as barriers to IPCP: (1) A (Potential) Logistical Nightmare, (2) All About the Money, (3) If We Can't Test It, Can We Recommend It? and (4) Challenging for the Team, Challenging for the Client. Three themes emerged as facilitators to IPCP: (1) Reducing Resource Waste, (2) The “C” in IPCP and (3) What Matters Most. Conclusions IPCP models for community‐dwelling older adults must adapt to the setting of care and client needs. Interprofessional education opportunities for team members facilitate effective IPCP. Healthcare policies and funding structures need to address IPCP for community‐dwelling older adults for this model to be successful and sustainable. Relevance to Clinical Practice Nurses participate on and lead IPCP teams caring for community‐dwelling older adults and, therefore, need to be aware of barriers and facilitators to this model of care.

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Modifying healthcare student curricula to facilitate interprofessional collaborative practice: A medical student perspective

“…Dear Editor, We read with great interest the article by Montano et al (2021) which identified barriers and facilitators related to the success of interprofessional collaborative practice (IPCP) as a care model for community-dwelling older adults. The authors importantly highlight that IPCP would be strengthened by introducing interprofessional education (IPE) training opportunities.…”

“…Innovative solutions need to be generated to address the practical difficulties of assessing the impact of IPE teaching on student's clinical practice. To date, most studies have only assessed student perspectives (Montano et al, 2021). Furthermore, in our experience, IPE in the context of community medicine has been lacking.…”

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