Factors associated with relational coordination between health professionals involved in insulin initiation in the general practice setting for people with type 2 diabetes

Manski‐Nankervis, Jo‐Anne; Furler, John; Young, Doris; Patterson, Elizabeth; Blackberry, Irene

doi:10.1111/jan.12681

Cited by 3 publications

(2 citation statements)

References 44 publications

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“…Our study recommendations are consistent with relational coordination theory and a growing number of studies in multiple sectors showing that human resource practices are a significant driver of relational coordination and associated performance outcomes, for better or worse depending on their design [e.g., (22,38,(49)(50)(51)]. Our recommendations also build on our findings that it may be possible to intentionally improve relationships between direct care staff and the community through low cost, replicable interventions.…”

Section: Supporting Relationship-centered Care Through Human Resource...supporting

confidence: 83%

Strengthening Community Participation by People With Disabilities in Community-Based Group Homes Through Innovative Action Research

Warfield

Lorenz

Ali

et al. 2022

Front. Public Health

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In the US and beyond, a paradigm shift is underway toward community-based care, motivated by changes in policies, payment models and social norms. A significant aspect of this shift for disability activists and policy makers is ensuring participation in community life for individuals with disabilities living in residential homes. Despite a U.S. government ruling that encourages community participation and provides federal and state funding to realize it, little progress has been made. This study builds on and integrates the expanded model of value creation with relational coordination theory by investigating how the resources and relationships between care providers, adults with disabilities, family members, and community members can be leveraged to create value for residents through meaningful community participation. The purpose of our community case study was to assess and improve the quality of relationships between stakeholder groups, including direct care staff and managers, residents, family members, and the community through an action research intervention. This study took place in a residential group home in a Northeastern US community serving adults with disabilities from acquired brain injury. A pre-test post-test design was used and quantitative assessments of relational coordination were collected through electronic surveys, administered at baseline, and post-intervention. Direct care staff, supervisors, the house manager, and nursing staff completed the survey. Qualitative data were collected through focus groups, change team meetings, and key informant interviews. Direct care staff formed a change team to reflect on their baseline relational coordination data and identified the weak ties between direct care staff, family members, and the community as an area of concern. Staff chose to hold a community-wide open house to provide an opportunity to foster greater understanding among staff, residents, family, and community members. The change team and other staff members coordinated with local schools, business owners, town officials, churches, and neighbors. The event was attended by 50 people, about two-thirds from the community. Following the intervention, there was an increase in staff relational coordination with the community. While statistical significance could not be assessed, the change in staff RC with the community was considered qualitatively significant in that real connections were made with members of the community both directly and afterwards. Despite a small sample size, a residential setting where management was favorable to initiating staff-led interventions, and no comparison or control group, our small pilot study provides tentative evidence that engaging direct care staff in efforts to improve relational coordination with community members may succeed in building relationships that are essential to realizing the goal of greater participation in community life.

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Section: Supporting Relationship-centered Care Through Human Resource...supporting

confidence: 83%

Strengthening Community Participation by People With Disabilities in Community-Based Group Homes Through Innovative Action Research

Warfield

Lorenz

Ali

et al. 2022

Front. Public Health

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“…While this systematic review has revealed many insights about building relational coordination across occupational diversity, the challenge of building relational coordination across demographic diversity is a more recent area of focus. One study in our review found that female physicians experienced significantly lower levels of relational coordination from their colleagues than did male physicians (Manski-Nankervis et al, 2015), while another found that relational coordination was significantly stronger in interprofessional teams with a higher percentage of women (Hustoft et al, 2018). H. W. Lee and Kim (2019) were the first to systematically incorporate demographic diversity into relational coordination theory, proposing that demographic diversity tends to weaken relational coordination due to a reduction in social cohesion.…”

Section: Building Relational Coordination In a Diverse Workforcementioning

confidence: 84%

Revisiting Relational Coordination: A Systematic Review

Bolton

Logan

Gittell

2021

The Journal of Applied Behavioral Science

131

201

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Work is increasingly complex, specialized, and interdependent, requiring coordination across roles, disciplines, organizations, and sectors to achieve desired outcomes. Relational coordination theory proposes that relationships of shared goals, shared knowledge, and mutual respect help to support frequent, timely, accurate, problem-solving communication, and vice versa, enabling stakeholders to effectively coordinate their work across boundaries. While the theory contends that cross-cutting structures can strengthen relational coordination, and that relational coordination promotes desired outcomes for multiple stakeholders, the empirical evidence supporting the theory has not previously been synthesized. In this article, we systematically review all empirical studies assessing the predictors and outcomes of relational coordination published from 1991 to 2019. We find evidence supporting the existing theory and discuss how that evidence supports expanding the theory from a linear structure–process–outcomes model to a dynamic model of change. An agenda for researchers and practitioners is proposed.

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Understanding the drivers of interprofessional collaborative practice among HIV primary care providers and case managers in HIV care programmes

Mavronicolas

Laraque

Shankar

et al. 2017

Journal of Interprofessional Care

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Care coordination programmes are an important aspect of HIV management whose success depends largely on HIV primary care provider (PCP) and case manager collaboration. Factors influencing collaboration among HIV PCPs and case managers remain to be studied. The study objective was to test an existing theoretical model of interprofessional collaborative practice and determine which factors play the most important role in facilitating collaboration. A self-administered, anonymous mail survey was sent to HIV PCPs and case managers in New York City. An adapted survey instrument elicited information on demographic, contextual, and perceived social exchange (trustworthiness, role specification, and relationship initiation) characteristics. The dependent variable, perceived interprofessional practice, was constructed from a validated scale. A sequential block wise regression model specifying variable entry order examined the relative importance of each group of factors and of individual variables. The analysis showed that social exchange factors were the dominant drivers of collaboration. Relationship initiation was the most important predictor of interprofessional collaboration. Additional influential factors included organisational leadership support of collaboration, practice settings, and frequency of interprofessional meetings. Addressing factors influencing collaboration among providers will help public health programmes optimally design their structural, hiring, and training strategies to foster effective social exchanges and promote collaborative working relationships.

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Factors associated with relational coordination between health professionals involved in insulin initiation in the general practice setting for people with type 2 diabetes

Cited by 3 publications

References 44 publications

Strengthening Community Participation by People With Disabilities in Community-Based Group Homes Through Innovative Action Research

Strengthening Community Participation by People With Disabilities in Community-Based Group Homes Through Innovative Action Research

Revisiting Relational Coordination: A Systematic Review

Understanding the drivers of interprofessional collaborative practice among HIV primary care providers and case managers in HIV care programmes

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