Clinical Interdisciplinary Collaboration Models and Frameworks From Similarities to Differences: A Systematic Review

Abstract

Introduction:So far, various models of interdisciplinary collaboration in clinical nursing have been presented, however, yet a comprehensive model is not available. The purpose of this study is to review the evidences that had presented model or framework with qualitative approach about interdisciplinary collaboration in clinical nursing.Methods:All the articles and theses published from 1990 to 10 June 2014 which in both English and Persian models or frameworks of clinicians had presented model or framework of clinical collaboration were searched using databases of Proquest, Scopus, pub Med, Science Direct, and Iranian databases of Sid, Magiran, and Iranmedex. In this review, for published articles and theses, keywords according with MESH such as nurse-physician relations, care team, collaboration, interdisciplinary relations and their Persian equivalents were used.Results:In this study contexts, processes and outcomes of interdisciplinary collaboration as findings were extracted. One of the major components affecting on collaboration that most of the models had emphasized was background of collaboration. Most of studies suggested that the outcome of collaboration were improved care, doctors and nurses’ satisfaction, controlling costs, reducing clinical errors and patient’s safety.Conclusion:Models and frameworks had different structures, backgrounds, and conditions, but the outcomes were similar. Organizational structure, culture and social factors are important aspects of clinical collaboration. So it is necessary to improve the quality and effectiveness of clinical collaboration these factors to be considered.

Interdisciplinary shared governance: A literature review

“…However, members of a team cultivate trust by working together over time. Mahdizadeh et al [32] noted that trust among nurses and physicians at different organizational levels are important in the creation of a professional relationship. Members of the interdisciplinary team share information willingly in an environment where mutual respect and trust are a norm.…”

“…[12,13,15,22,28,[30][31][32] The loss of trust in a team breeds skepticism among its members. Mistrust impacts negatively on interpersonal relationships making it challenging for team members to work together.…”

“…[7,8,13,19,21,29] Inadequate time limits the development of training programs aimed at improving the efficiency of SG. [5,15,16,24,27,32,42] Jacob et al [16] argued that motivators and enablers such as financial compensation or compensatory time off to professionals to attend council meetings are important in improving shared governance and collaboration. Lack of sufficient resources may create little or no room for meetings aimed at improving the collaborative process.…”

“…[8,12,17,28] Lack of skills among groups is likely to hinder effective decisionmaking. [9,32] Each team member contributes skills that help the SG decision-making process. [27] Poor communication skills are a hindrance to collaboration within an interdisci- plinary team.…”

A Concept Analysis of Interdisciplinary Collaboration in Mental Healthcare

“…A growing body of research has shown that IDC is more effective than standard care in terms of clinical outcomes such as improved quality of life and alleviated depressed mood in people with mental disorders-with reducing healthcare costs [1]. Despite advances in research, there is still a lack of conceptual clarity of IDC, resulting in inconsistent models of care and inconsistent findings [2]. The ambiguous conceptualization of IDC impedes the standardisation of evidence-based practice and also limits practical applicability and comparability.…”