Teamwork, Professional Identities, Conflict, and Industrial Action in Nigerian Healthcare

Mayaki, Suleiman; Stewart, Martyn

doi:10.2147/jmdh.s267116

Cited by 16 publications

(36 citation statements)

References 26 publications

(23 reference statements)

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“…However, the front-line physiotherapists reported experiencing discrimination prior to being given any opportunity to demonstrate their expertise. The reported interprofessional rivalry between medical doctors and other healthcare professionals in Nigeria34–36 may, therefore, be more important than the level of expertise of front-line physiotherapists in explaining the feelings of discrimination reported by the front-line physiotherapists.…”

Section: Discussionmentioning

confidence: 99%

“…There were no reports of any form of discrimination from qualitative studies of physiotherapists who were practising in the UK and Spain 10 11. Discrimination of physiotherapists as front-line healthcare workers in the COVID-19 pandemic in Nigeria may be associated with the interprofessional rivalry rampant in the Nigerian health sector 34–38. The perceived or actual discrimination of other healthcare professionals by some medical team leads in Nigeria might hamper professional autonomy, professional identity, professional expertise and interprofessional harmony.…”

Section: Discussionmentioning

confidence: 99%

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Experiences of physiotherapists involved in front-line management of patients with COVID-19 in Nigeria: a qualitative study

et al. 2022

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ObjectivesEvidence-based guidelines recommend physiotherapy for respiratory treatment and physical rehabilitation of patients with COVID-19. It is unclear to what extent physiotherapy services are used in the front-line management of COVID-19 in Nigeria. This study aimed to explore the experiences of front-line physiotherapists managing patients with COVID-19 in Nigeria.DesignQualitative interview-based study.SettingICU and hospital COVID-19 wards, COVID-isolation and treatment centres in Nigeria, between August 2020 and January 2021.ParticipantsEight out of 20 physiotherapists managing patients with COVID-19 in the front line were recruited using purposive and snowball sampling.MethodsQualitative in-depth semistructured telephone interviews of all consenting physiotherapists managing patients with COVID-19 in the front line in Nigeria were conducted and transcribed verbatim. Transcripts were thematically analysed.ResultsEight front-line physiotherapists (three neurological physiotherapists, two orthopaedic physiotherapists, one cardiopulmonary physiotherapist, one sports physiotherapist and one rotational physiotherapist) provided consent and data for this study. Four themes and 13 subthemes were generated illustrating discriminatory experiences of front-line physiotherapists, particularly from COVID-19 team leads; lack of multidisciplinary teamwork within COVID-19 teams; wide ranging stigmatisation from extended family members, colleagues, friends and the general public; material and psychosocial personal losses; lack of system support and suboptimal utilisation of physiotherapy in the management of COVID-19 in Nigeria. Personal agency, sense of professionalism, previous experience managing highly infectious diseases and being a cardiopulmonary physiotherapist were the factors that made the front-line physiotherapists to become involved in managing patients with COVID-19. However, discriminatory experiences made some of these physiotherapists to stop being involved in the management of patients with COVID-19 in the front line. Most front-line physiotherapists were not cardiopulmonary physiotherapists which may have influenced their level of expertise, multidisciplinary involvement and patient outcomes.ConclusionsThere is suboptimal involvement and support for physiotherapists, particularly cardiopulmonary physiotherapists treating patients with COVID-19 in the front line in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Experiences of physiotherapists involved in front-line management of patients with COVID-19 in Nigeria: a qualitative study

et al. 2022

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“…This could be attributed to the trend in the current leadership structure which is in favour of the medical doctors. 27 …”

Section: Discussionmentioning

confidence: 99%

“… 22–25 , A review of extant literature revealed that the idealization of team work and collaborative practice has not been supported thus far in the Nigerian health system and this is displayed in the form of dysfunctional conflicts. 16 , 23 , 26 , 27 …”

Section: Introductionmentioning

confidence: 99%

“…22-25, A review of extant literature revealed that the idealization of team work and collaborative practice has not been supported thus far in the Nigerian health system and this is displayed in the form of dysfunctional conflicts. 16,23,26,27 Unhealthy and counterproductive incidents have been reported between physicians, nurses and other professionals involved in patient care at both local and national levels and have resulted in poor patient management, reduced motivation among health workers, as well as a reduced operational efficiency. 26 This has caused a clamor for description in the clinical hierarchy and the acknowledgement of inter-group professional expertise and experiences.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the Nature and Sources of Conflict Among Healthcare Professionals in Nigeria: A Qualitative Study

Mohammed

Onavbavba

Wilson

et al. 2022

JMDH

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Introduction Inter-professional conflict in the Nigerian health sector is a concept that is as old as modern medical practice and has resulted in disruption of health care delivery, with the overall impact bearing down on patients. Purpose This study aimed to provide an in-depth understanding and a clearer insight into the causes of conflict in the Nigerian health sector. Methods A qualitative strategy was employed using a semi-structured interview approach. Data were obtained from health practitioners from diverse backgrounds in various healthcare facilities. Results The phenomenon of conflict was reported as a long existent and trans-generational strain on inter-professional relationships occurring in all sectors of health practice, primarily between the physicians and other health care professionals. Inter-professional conflict was reported to emanate primarily from lapses in leadership, remuneration structure, role description, communication and emotional intelligence. This has affected the effectiveness of the Nigerian healthcare system and has contributed to hindrance in the provision of high-quality care in the country. Conclusion Evidence from this study can help in developing contextual policy in addressing inter-professional conflict in the health sector, and this will consequently improve health care delivery in the country.

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Gap analysis of strategies for promoting interprofessional teams in healthcare units

Salehi,

Masoudi-Asl,

Gorji

et al. 2024

JHOM

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PurposeA healthcare unit's effectiveness largely depends on how well its interprofessional teams work together. Unfortunately, the strategies used to improve these teams often lack substance. This study analyzed these strategies and found a performance gap.Design/methodology/approachThis study took a unique mixed-method approach, systematically reviewing both qualitative and quantitative studies that identified strategies to enhance interprofessional teams in healthcare units. To gauge the effectiveness of these strategies, the researcher utilized an Importance-Performance Analysis (IPA) in four specialized clinical training centers in Hamadan province, Iran. The analysis of the IPA involved 35 experts from these centers as the statistical population.FindingsBased on a systematic review, there are seven categories: contextual, strategic, communication, organizational, individual, Human Resources Management (HRM), and environmental for promoting interprofessional teams with a total of 36 sub-indicator. Based on the IPA, the HRM aspect shows the most extensive performance gap. The individual and organizational aspects fall under resource wastage, and the environmental aspect is within the indifferent zone. Also, some critical sub-indicators, such as incentives/rewards, roles and responsibilities, financial resources, team-initiated innovation, the culture of respect, partner resources, humility, data availability, set expectations, and team availability, are in the weak areas.Practical implicationsThis research has identified critical areas for improvement in promoting teamwork in clinical training centers through a comprehensive gap analysis. It also presents practical policy solutions to address these weak points, providing a clear roadmap for enhancing interprofessional teams in healthcare units.Originality/valueImproving teamwork in healthcare can be challenging, but it is possible with proper strategies and tools. One of the highlights of the recent study was the combination of systematic review studies with IPA to identify areas for improving interprofessional teamwork in clinical training centers.

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Teamwork, Professional Identities, Conflict, and Industrial Action in Nigerian Healthcare

Cited by 16 publications

References 26 publications

Experiences of physiotherapists involved in front-line management of patients with COVID-19 in Nigeria: a qualitative study

Experiences of physiotherapists involved in front-line management of patients with COVID-19 in Nigeria: a qualitative study

Understanding the Nature and Sources of Conflict Among Healthcare Professionals in Nigeria: A Qualitative Study

Gap analysis of strategies for promoting interprofessional teams in healthcare units

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