Encouraging interprofessional collaboration: The effects of clinical protocols

Abstract

An unintended consequence of the global use of clinical protocols and guidelines to support safe and efficient healthcare delivery may be to reduce interprofessional collaboration.

Continuous interprofessional collaboration for women with gestational diabetes mellitus: A cross‐sectional survey in Japan

“…An earlier systematic review by Allen et al (2009) found that introducing an integrated clinical care pathway had a positive effect on the quality and effectiveness of health services. However, later Barrow and Gasquoine (2018) warned that clinical protocols may limit collaboration in healthcare settings, for example, when the protocols were developed for emphasizing expertise and authority of profession and position, or were developed by only a single professional group. Therefore, as long as these cautions are taken into consideration, clinical protocols or care pathways should enhance IPC.…”

Call us nurse champions: Lessons learned in strategic partnership with nurses in clinical research

“…Unfortunately, this parity "belies reality, particularly in Western jurisdictions, where the medical profession has exercised sovereign power over other health professions" (p3,482). [5] The researchers noted in researching clinical protocols that nurses were identified only as assignees or subjects in studies and further argued that many protocols constrain collaboration because they diminish nursing voice. [5] To sum their assertions, collaboration may be restricted because said protocols "create the expectation that nurses work alone across the spectrum of protocols" (p3,482).…”

“…[5] The researchers noted in researching clinical protocols that nurses were identified only as assignees or subjects in studies and further argued that many protocols constrain collaboration because they diminish nursing voice. [5] To sum their assertions, collaboration may be restricted because said protocols "create the expectation that nurses work alone across the spectrum of protocols" (p3,482). [5] Therefore, we could consider the concept of partnership in the context of clinical research and recognize the voice of clinical nurses should be heard when nurses participate in any aspect of research.…”

“…[5] To sum their assertions, collaboration may be restricted because said protocols "create the expectation that nurses work alone across the spectrum of protocols" (p3,482). [5] Therefore, we could consider the concept of partnership in the context of clinical research and recognize the voice of clinical nurses should be heard when nurses participate in any aspect of research. After all, "When collaborating or working as part of a team, an assumption can be made that the unique expertise of individuals, utilized collectively, will improve outcomes, meaning the whole is greater than the sum of the parts" (p120).…”