Interprofessional collaboration in the Norwegian welfare context: a scoping review

Abstract

Joint efforts among welfare services are often needed to provide help to people with complex needs. Interprofessional collaboration is believed to play an important part in successful service provisions. In Norway, a strong political will and significant efforts are focused on financing and implementing policies to support interprofessional collaboration. Despite this, empirical literature on the topic is fragmented. An overview of interprofessional collaboration in Norway is internationally relevant since the complexity in social service provision is experienced as challenging in different contexts. A scoping review was performed to investigate the facilitators of and constraints on interprofessional collaboration by Norwegian welfare services. After screening the relevant literature, 12 empirical studies were synthesized and analyzed using four dimensions of interprofessional collaboration (sharing, partnership, interdependence, and power). The results suggest that interprofessional collaboration by Norway's welfare services has not been fully actualized. This is partly due to the individual services' autonomy and segregation, which are reflected in laws and regulations, the funding system, and different ideological goals.

Samarbeid som arbeid: Betydningen av tid

“…Mangel på samarbeid mellom tjenester i de nordiske velferdsstatene har blitt problematisert, der samarbeidslitteraturen etterspør både konkrete tiltak for å forbedre samarbeid og mer forskning på samarbeid som tematikk (Bråthen, Hyggen, Lien & Nielsen, 2016;Ose et al, 2014). Mye av litteraturen undersøker dermed hvilke dimensjoner som fremmer og hemmer samarbeid (D'Amour et al, 2005;Kaasbøll, Ådnanes, Paulsen & Melby, 2020;Pedersen, 2020;Steihaug, Paulsen & Melby, 2017). Dimensjoner som trekkes frem som viktige for å fremme samarbeid, er felles rutiner og avklaring av roller og ansvar (Kaasbøll et al, 2020) samt åpen kommunikasjon og tilgjengelighet (Pedersen, 2020).…”

“…Mye av litteraturen undersøker dermed hvilke dimensjoner som fremmer og hemmer samarbeid (D'Amour et al, 2005;Kaasbøll, Ådnanes, Paulsen & Melby, 2020;Pedersen, 2020;Steihaug, Paulsen & Melby, 2017). Dimensjoner som trekkes frem som viktige for å fremme samarbeid, er felles rutiner og avklaring av roller og ansvar (Kaasbøll et al, 2020) samt åpen kommunikasjon og tilgjengelighet (Pedersen, 2020). Samtidig trekkes utilgjengelighet, sektorbasert målstyring og organisering (Pedersen, 2020;Steihaug et al, 2017) og tidspress (Steihaug et al, 2017) frem som dimensjoner som virker hemmende på samarbeid mellom velferdstjenester.…”

Organisatoriske blikk på samarbeid i velferdstjenester

“…De senere årene har det vaert betydelig forskning på interorganisatorisk og tverrfaglig samarbeid i velferdstjenester, både i Norge (Bjørkquist & Jerndahl Fineide, 2019;Pedersen, 2019;Vabø & Vabo, 2014;Vik, 2018;Willumsen, 2009) og internasjonalt (Amelung et al, 2017;Ferlie, Fitzgerald, McGivern, Dopson, & Bennett, 2013). Til tross for den omfattende forskningen har to nye litteraturgjennomganger av utvalgt forskning på samarbeid observert at teoretiske begrepsapparat i relativt liten grad brukes for å forstå samarbeid og hvilke elementer det påvirkes av (Andreassen, Breit, & Saltkjel, 2020;Anvik et al, 2019).…”

Interprofessional primary care practice including social workers: exploring the experiences of patients in vulnerable situations

“…However, Kaiser et al (2018) argue that the underlying assumption of IPC's association with better outcomes for patients seems to be quite intuitive. In addition, the literature review by Pedersen (2019) shows that it is challenging for service providers to collaborate and that it almost seems coincidental when a person in need of IPC receives the required help. The challenges for service providers are acknowledged in other research, where power inequities and uncertainties about each other's roles are mentioned as barriers to collaboration (Miller & Ashcroft, 2016).…”

“…The challenges for service providers are acknowledged in other research, where power inequities and uncertainties about each other's roles are mentioned as barriers to collaboration (Miller & Ashcroft, 2016). As such, when people do get the help they need, it is because of enthusiasts with knowledge of the relevant welfare services who are dedicated to helping people (Anvik & Waldahl, 2017;Pedersen, 2019). It therefore seems increasingly important to understand the experiences of patients in a more nuanced, contextual manner through which they describe which aspects of interprofessional care matter and what impacts this has on outcomes for their lives (Goodwin, 2017;Rijken et al, 2019).…”