Patients’ perspectives on interprofessional collaboration between health care professionals during hospitalization: a qualitative systematic review

Didier, Amélia; Dzemaili, Shota; Perrenoud, Béatrice; Campbell, Joan; Gachoud, David; Serex, Magali; Staffoni, Liliana; Franco, Loris; Benaroyo, Lazare; Zumstein‐Shaha, Maya

doi:10.11124/jbisrir-d-19-00121

Cited by 17 publications

(13 citation statements)

References 49 publications

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“…Nurse–physician collaboration can be defined as an interaction where nurses and doctors can use their particular expertise and skills to create synergies in nursing care and treatment [ 17 ]. The collaborative relationship between nurses and physicians not only increases their job satisfaction but also increases patient satisfaction and is essential to positive treatment outcomes, thus improving the quality of healthcare [ 18 , 19 ]. This collaboration between nurses and physicians is also crucial in ethical decision-making processes that require interdisciplinary understanding.…”

Section: Introductionmentioning

confidence: 99%

Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants

Kim

Lee

et al. 2022

IJERPH

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Although there is considerable literature on job satisfaction among nurses in various settings, there is little research about contributing factors, including moral distress to job satisfaction among a certain group of nurses, such as nurses acting as physician assistants. The purpose of this study was to verify the impact of nurse–physician collaboration, moral distress, and professional autonomy on job satisfaction among nurses acting as physician assistants. Descriptive and correlational research was conducted on a convenience sample of 130 nurses from five general hospitals in South Korea. In the final regression model, the adjusted R square was significant, explaining 38.2% of the variance of job satisfaction (F = 8.303, p < 0.001), where ‘cooperativeness’ (β = 0.469, p = 0.001) from nurse–physician collaboration, ‘institutional and contextual factor’ from moral distress (β = −0.292, p = 0.014), and professional autonomy (β = 0.247, p = 0.015) were included. In hospital environments, a more cooperative inter-professional relationship between nurses and physicians led to less moral distress caused by organisational constraints. A higher level of professional autonomy among nurses acting as physician assistants is required to increase their job satisfaction.

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Section: Introductionmentioning

confidence: 99%

Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants

Kim

Lee

et al. 2022

IJERPH

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“…Diferentes estudos apontam que elementos constituintes da EIP ajudam a melhorar a efetividade das ações produzidas pelo sistema de saúde, tais como, o trabalho colaborativo e a abordagem centrado no paciente, que juntas, tornam o serviço mais resolutivo e avança na satisfação e na segurança do paciente. Neste sentido, pacientes hospitalizados perceberam que a colaboração interprofissional, direta ou indiretamente, e a forma como ela é realizada impactam tanto no cuidado, quanto no seu bem-estar 8 . Essa compreensão exprime a qualidade do serviço de saúde, sem desconsiderar que persistem algumas barreiras que impedem a satisfação do paciente atreladas aos desafios das rotinas diárias de trabalho, aos conhecimentos técnicos de cada membro da equipe, à identidade dos diferentes profissionais, às hierarquias e às restrições de tempo do atendimento 9 .…”

Section: A Cultura Organizacional Do Sistema De Saúde Influenciada Pe...unclassified

“…Outro aspecto importante na cultura organizacional refere-se à contribuição da EIP na orientação da prestação de cuidados de saúde, com potencial de reduzir os custos gerais do sistema e melhorar o acesso a serviços de saúde abrangentes, na medida em que organiza o fluxo de atendimento com consultas mais resolutivas e incentiva o trabalho colaborativo, assim como experimentado por canadenses que residem em comunidades rurais, cujo atendimento resolutivo se fazia necessário [4][5][6][7][8][9][10][11][12] . A eficiência de um sistema de saúde está na sua capacidade de racionalizar recursos sem interferir na qualidade das ações ofertadas, e a EIP, quando presente no trabalho de seus profissionais, otimiza a produção das ações e serviços.…”

Section: A Cultura Organizacional Do Sistema De Saúde Influenciada Pe...unclassified

Os efeitos da educação interprofissional na prática em saúde

2022

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Introdução: a educação interprofissional (EIP) é uma das muitas estratégias destinadas a enfrentar a crise da força de trabalho em saúde, considerando que poucos profissionais de saúde foram expostos à mesma durante a sua formação acadêmica ou vivenciaram a prática colaborativa. A trajetória da incorporação da EIP nos sistemas de saúde não aconteceu de forma linear e uniforme na última década, influenciada por conceitos polissêmicos para uma mesma prática. Objetivo: o presente estudo tem como objetivo conhecer os efeitos da EIP nos sistemas de saúde disponíveis na literatura científica mundial. Método: trata-se de uma revisão integrativa e atualizada, cuja busca nas bases de dados Pubmed, Scielo e LILACS ocorreu no ano de 2021 com os descritores em saúde “Interprofessionality and health services”. Os critérios de inclusão adotados foram artigos com no máximo 5 anos de publicação; artigos completos ou resumos que levassem aos artigos completos; artigos do tipo revisão de literatura, sistemática e publicações qualitativas, cujo escopo estivesse alinhado ao objetivo do estudo. Foram incialmente selecionadas 196 publicações, das quais 19 foram incorporadas ao estudo. Resultados: as informações demonstraram os efeitos da EIP nos sistemas de saúde em três grandes temas: a cultura organizacional do sistema de saúde, a identidade profissional e a mudança no processo de trabalho. Considerações finais: os efeitos induzidos pela EIP nos sistemas de saúde são a diminuição dos custos operacionais, melhoria no acesso, produção de respostas rápidas aos problemas de saúde, melhora na segurança do paciente, investimento nas tecnologias de comunicação, valorização da empatia coletiva, reafirmação da integralidade, da resolutividade, da satisfação dos usuários e maior conforto dos trabalhadores. Palavras-chaves: Educação Interprofissional; Atenção à Saúde; Sistemas de Saúde.

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“…At present, the evidence is not so unequivocal. The literature does not demonstrate IPECP is uniformly beneficial, with mixed results for patient outcomes (Didier et al, 2020 ; Lapkin et al, 2013 ; McCutcheon et al, 2020 ; Paradis & Whitehead, 2018 ; Vuurberg et al, 2019 ) and with some aspects of IPC being negative (Beran et al, 2014 ; Kaba, Beran, et al, 2016 ; Kaba, Wishart, et al, 2016 ). For instance, conformity to group influences leading to the misreporting of vital signs (Kaba Beran, & White, 2016 ; Kaba, Wishart, et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

A behavioural study of obedience in health professional students

Violato

Witschen

Violato

et al. 2021

Adv in Health Sci Educ

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Interprofessional Education and Collaborative Practice (IPECP) is a field of study suggested to improve team functioning and patient safety. However, even interprofessional teams are susceptible to group pressures which may inhibit speaking up (positive deviance). Obedience is one group pressure that can inhibit positive deviance leading to negative patient outcomes. To examine the influence of obedience to authority in an interprofessional setting, an experimental simulated clinical scenario was conducted with Respiratory Therapy (RT) (n = 40) and Advanced Care Paramedic (ACP) (n = 20) students. In an airway management scenario, it was necessary for students to challenge an authority, a senior anesthesiologist, to prevent patient harm. In a 2 × 2 design cognitive load and an interventional writing task designed to increase positive deviance were tested. The effect of individual characteristics, including Moral Foundations, and displacement of responsibility were also examined. There was a significant effect for profession and cognitive load: RT students demonstrated lower levels of positive deviance in the low cognitive load scenario than students in other conditions. The writing task did not have a significant effect on RT or ACP students’ behaviour. The influence of Moral Foundations differed from expectations, In Group Loyalty was selected as a negative predictor of positive deviance while Respect for Authority was not. Displacement of responsibility was influential for some participants thought not for all. Other individual variables were identified for further investigation. Observational analysis of the simulation videos was conducted to obtain further insight into student behaviour in a compliance scenario. Individual differences, including experience, should be considered when providing education and training for positive deviance. Simulation provides an ideal setting to use compliance scenarios to train for positive deviance and for experimentation to study interprofessional team behaviour.

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Patients’ perspectives on interprofessional collaboration between health care professionals during hospitalization: a qualitative systematic review

Cited by 17 publications

References 49 publications

Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants

Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants

Os efeitos da educação interprofissional na prática em saúde

A behavioural study of obedience in health professional students

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