Discrepancy between attitudes and behaviors of family medicine residents towards interprofessional collaborative practice: A mixed methods study

Brown, Cara; Leclair, Leanne; Fricke, Moni; Wener, Pamela

doi:10.1016/j.xjep.2020.100374

Cited by 3 publications

(8 citation statements)

References 14 publications

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“…In a recent survey of 61 PTs working in primary care in Ontario, PTs reported limits in their capacity because they needed to rely on patient referrals from other team members ( 11 ). Similarly, in a recent article family practice residents referred very few patients for occupational therapy and physical therapy services ( 20 ). While the OTs and PT did not explicitly comment on the reliance on team referrals in this study, the referral-based model of care may have impacted the potential for greater reciprocity in this setting.…”

Section: Discussionmentioning

confidence: 99%

“…Researchers use secondary data analysis to answer research questions that are related but distinct from the original purpose for the data collection ( 15 , 17 – 19 ). The researchers of our original study collected interview data to understand the value of integrating OTs and a PT into a primary care clinic ( 20 ). The same group of researchers used the same data to explore the application of the ICRB and to understand the team's development.…”

Section: Methodsmentioning

confidence: 99%

“…The researchers of the original study invited all primary care team members from one clinic to participate in a 60-min individual interview ( 20 ). The original data was collected by a research assistant who received training in qualitative interviewing and the first author, an experienced qualitative interviewer.…”

Section: Methodsmentioning

confidence: 99%

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Interprofessional Collaborative Relationship-Building Model in Action in Primary Care: A Secondary Analysis

Wener¹,

Leclair²,

Fricke³

et al. 2022

Front. Rehabilit. Sci.

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IntroductionTeam-based care has been integrated into primary care (PC) across Canada because it improves patient safety, effectiveness, efficiency, person-centredness, and equity. However, this integration in and of itself may not lead to improved patient care without effective interpersonal relationships amongst team members. Currently, teams have few tools to guide the development of collaborative relationships. The Interprofessional Collaborative Relationship-building Model (ICRB) was developed to be a tool for understanding the stages of development of the interprofessional team's relationship-building.PurposeThis qualitative secondary data analysis illuminates a PC team's experiences of their developing interprofessional relationships with occupational therapists and physical therapists who joined the PC team.MethodEleven team member interviews of one primary care team from a family medicine teaching clinic affiliated with a training university and the health region in central Canada were analyzed using secondary data analysis. The team included family physicians (n = 4), nurses (n = 2), a social worker (n = 1), a mental health counselor (n = 1), occupational therapists (n = 2), and a physical therapist (n = 1). We used the ICRB for directed content analysis using the phased approach that includes the three main steps of data preparation, data organization and data presentation.ResultsThis team experienced the ICRB stages of Looking For Help, Fitting-In, and Growing Reciprocity thereby learning about one another to better understand what OT and PT may bring to the PC setting. However, contrary to the ICRB, co-location, was the context within which the collaborative relationship-building took place rather than a distinct developmental stage. Although team members did experience some level of Growing Reciprocity, this developing team had not yet established collaborative leadership processes. As the ICRB originally posited, communication and patient focus facilitated all stages of the relationship-building process and helped the team develop shared values and role clarity that establish how different team members contribute to improving quality care.ConclusionsThe context of co-location with a patient focus and open communication facilitated the team's development with the occupational therapists and physical therapist. Collaborative leadership is a worthy goal for future research and clinical focus as it has implications for improving overall patient quality care and team member work satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Interprofessional Collaborative Relationship-Building Model in Action in Primary Care: A Secondary Analysis

Wener¹,

Leclair²,

Fricke³

et al. 2022

Front. Rehabilit. Sci.

Self Cite

View full text Add to dashboard Cite

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“…Most notably during the pandemic, primary care teams have demonstrated an important role in supporting individuals to cope with the primary care secondary impacts of COVID-19 Donnelly et al, 2021). As greater numbers of professions work in primary care settings, it is critical to articulate roles and identify evidence, or lack thereof, to support and ensure best practices in interprofessional primary care teams Brown et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…People with or at risk of impairment and disability are best supported in primary care, and growing evidence indicates that occupational therapy's unique lens can support these individuals in a primary care setting (Richardson et al, 2012;Garvey et al, 2015;Bolt et al,. 2019;Brown et al, 2021). Occupational therapists are educated as generalists bringing expertise to help individuals of all ages and develop, recover and improve as well as maintain function and skills needed for daily living.…”

Section: Introductionmentioning

confidence: 99%

Occupational therapy services in primary care: a scoping review

Donnelly

Leclair

Hand

et al. 2023

Prim Health Care Res Dev

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Aim: To examine and describe the current evidence about occupational therapy services in primary care. Background: Interprofessional primary care teams have been introduced to support the changing demographics and provide more comprehensive and coordinated care. Occupational therapists have the opportunity to play an important role in this expanding area of practice. To do so, occupational therapists must develop roles built on evidence and a clear understanding of the care delivery context. Methods: A scoping review was conducted based on the scientific and grey literature. Studies that described or examined the occupational therapy role with clients (individuals, groups, communities, populations) of all ages, conditions or occupational issues in a primary care context and that presented or referred to an occupational therapist working in a primary care setting were included. Studies were excluded if they were not in English or French. The Canadian Model of Occupational Performance and Engagement was used to chart the data. Findings: 129 articles were identified, with 62 non-research and 67 research-focussed articles. A total of 268 assessments and 868 interventions were identified. The top interventions offered by occupational therapists were referring to/advocating for/coordinating/linking to and navigating community services (n = 36 articles), chronic disease management (n = 34 articles)/self-management education (n = 28 articles), health promotion (n = 30 articles) and falls prevention (n = 27 articles). The predominant focus in the literature is on adult and older adult populations.

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Primary care occupational, physical, and respiratory therapy role adaptation in the first year of the COVID-19 pandemic

Brown,

Chartrand,

Vollebregt

et al. 2024

BMC Prim. Care

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Background Occupational, physical and respiratory therapists are relatively new to primary care settings, and thus their roles are still emerging. The COVID-19 pandemic was a time of abrupt changes in professional roles. Professional role adaptations are integral to the ability of health care teams to respond to day-to-day care delivery challenges, such as the current physician and nurse shortage, as well as disaster situations. This study explored the role adaptation of occupational, physical, and respiratory therapists in Canadian primary care settings throughout the first year of the COVID-19 pandemic, as well as barriers and facilitators to adaptation. Methods This longitudinal interpretative descriptive study purposively sampled primary care occupational, physical, and respiratory therapists from two Canadian provinces (Manitoba and Ontario). We asked participants to prepare at least 10 semi-structured audio-diary entries during a 12-week period (April – Oct 2020), followed by two semi-structured interviews (Dec 2020, Apr 2021). Questions focused on changes happening in their practice over time. Analysis was iterative, including developing a individual summaries and coding data using both inductive and pre-determined codes. We then entered an immersion/crystallization process to develop key themes related to role adaptation. Results We represent our findings with the metaphor of the game of Role Adaptation Snakes and Ladders (aka Chutes and Ladders). The pandemic was certainly not a game, but this metaphor represents the tension of being a pawn to circumstance while also being expected to take control of one’s professional and personal life during a disaster. The object of the game is to move through three phases of role adaptation, from Disorienting, through Coping and Waiting, to Adapting. In the Adapting phase, the therapists creatively found ways to provide vital services for the pandemic response. The therapists were influenced both negatively and positively (snakes and ladders) by their personal circumstances, and professional meso and macro contexts. Each therapist moved across the board in a unique trajectory and timeline based on these contexts. Conclusions Rehabilitation professionals, with adequate meso and macro system supports, can maximize their role on primary care teams by adapting their services to work to their full scope of practice.

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Discrepancy between attitudes and behaviors of family medicine residents towards interprofessional collaborative practice: A mixed methods study

Cited by 3 publications

References 14 publications

Interprofessional Collaborative Relationship-Building Model in Action in Primary Care: A Secondary Analysis

Interprofessional Collaborative Relationship-Building Model in Action in Primary Care: A Secondary Analysis

Occupational therapy services in primary care: a scoping review

Primary care occupational, physical, and respiratory therapy role adaptation in the first year of the COVID-19 pandemic

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