Interprofessional practice in different patient care settings: A qualitative exploration

ABSTRACT

Increasing interprofessional practice is seen as a path to improved quality, decreased cost, and enhanced patient experience. However, little is known about how context shapes interprofessional work and how interventions should be crafted to account for a specific setting of interprofessional practice. To better understand, how the work of interprofessional practice differs across patient care settings we sought to understand the social processes found in varying work contexts to better understand how care is provided. A case study design was used in this study to yield a picture of patient care across three different settings. Qualitative analysis of teams from three healthcare settings (rehabilitation, acute care, and code team) was conducted, through the use of ten in-depth semi-structured interviews. Interview data from each participant were analyzed via an inductive content analysis approach based upon theories of work and teams from organisational science, a framework for interprofessional practice, and competencies for interprofessional education. The work processes of interprofessional practice varied across settings. Information exchange was more physician-centric and decision-making was more physician dominant in the non-rehabilitation settings. Work was described as concurrent only for the code team. Goal setting varied by setting and interpersonal relationships were only mentioned as important in the rehabilitation setting. The differences observed across settings identify some insights into how context shapes the process of interprofessional collaboration and some research questions that need further study.

KEYWORDS:

• Qualitative study
• interprofessional collaboration
• teamwork
• team processes
• patient care

Declaration of interest

The authors report no conflict of interest. The authors alone are responsible for the writing and content of this article. The contents are solely the responsibility of the authors and do not necessarily represent official views of the National Center for Advancing Translational Sciences, the Josiah H. Macy Jr. Foundation, the Donald W. Reynolds Foundation, or the National Institutes of Health.

Funding

Deborah DiazGranados and Paul Mazmanian are funded by a grant award (UL1TR000058) from the NIH. Alan Dow is supported by a faculty fellowship grant from the Josiah H. Macy, Jr. Foundation and by a grant from the Donald W. Reynolds Foundation.

Supplemental data

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Additional information

Funding

Deborah DiazGranados and Paul Mazmanian are funded by a grant award (UL1TR000058) from the NIH. Alan Dow is supported by a faculty fellowship grant from the Josiah H. Macy, Jr. Foundation and by a grant from the Donald W. Reynolds Foundation.