A four-year, systems-wide intervention promoting interprofessional collaboration

Jeffrey Braithwaite, Mary Westbrook, Peter Nugus, David Greenfield, Joanne Travaglia, William Runciman, Ruth Foxwell, Rosalie Boyce, Timothy Devinney, Johanna Westbrook

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: A four-year action research study was conducted across the Australian Capital Territory health system to strengthen interprofessional collaboration (IPC) though multiple intervention activities. Methods: We developed 272 substantial IPC intervention activities involving 2,407 face-to-face encounters with health system personnel. Staff attitudes toward IPC were surveyed yearly using Heinemann et al’s Attitudes toward Health Care Teams and Parsell and Bligh’s Readiness for Interprofessional Learning scales (RIPLS). At study’s end staff assessed whether project goals were achieved. Results: Of the improvement projects, 76 exhibited progress, and 57 made considerable gains in IPC. Educational workshops and feedback sessions were well received and stimulated interprofessional activities. Over time staff scores on Heinemann’s Quality of Interprofessional Care subscale did not change significantly and scores on the Doctor Centrality subscale increased, contrary to predictions. Scores on the RIPLS subscales of Teamwork & Collaboration and Professional Identity did not alter. On average for the assessment items 33% of staff agreed that goals had been achieved, 10% disagreed, and 57% checked neutral. There was most agreement that the study had resulted in increased sharing of knowledge between professions and improved quality of patient care, and least agreement that between-professional rivalries had lessened and communication and trust between professions improved. Conclusions: Our longitudinal interventional study of IPC involving multiple activities supporting increased IPC achieved many project-specific goals. However, improvements in attitudes over time were not demonstrated and neutral assessments predominated, highlighting the difficulties faced by studies targeting change at the systems level and over extended periods.
Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalBMC Health Services Research
Volume12
DOIs
Publication statusPublished - 2012

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Quality of Health Care
Australian Capital Territory
Learning
Attitude of Health Personnel
Patient Care Team
Health Services Research
Health Personnel
Longitudinal Studies
Patient Care
Communication
Education
Health

Cite this

Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J., Runciman, W., ... Westbrook, J. (2012). A four-year, systems-wide intervention promoting interprofessional collaboration. BMC Health Services Research, 12, 1-8. https://doi.org/10.1186/1472-6963-12-99
Braithwaite, Jeffrey ; Westbrook, Mary ; Nugus, Peter ; Greenfield, David ; Travaglia, Joanne ; Runciman, William ; Foxwell, Ruth ; Boyce, Rosalie ; Devinney, Timothy ; Westbrook, Johanna. / A four-year, systems-wide intervention promoting interprofessional collaboration. In: BMC Health Services Research. 2012 ; Vol. 12. pp. 1-8.
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Braithwaite, J, Westbrook, M, Nugus, P, Greenfield, D, Travaglia, J, Runciman, W, Foxwell, R, Boyce, R, Devinney, T & Westbrook, J 2012, 'A four-year, systems-wide intervention promoting interprofessional collaboration', BMC Health Services Research, vol. 12, pp. 1-8. https://doi.org/10.1186/1472-6963-12-99

A four-year, systems-wide intervention promoting interprofessional collaboration. / Braithwaite, Jeffrey; Westbrook, Mary; Nugus, Peter; Greenfield, David; Travaglia, Joanne; Runciman, William; Foxwell, Ruth; Boyce, Rosalie; Devinney, Timothy; Westbrook, Johanna.

In: BMC Health Services Research, Vol. 12, 2012, p. 1-8.

Research output: Contribution to journalArticle

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AU - Braithwaite, Jeffrey

AU - Westbrook, Mary

AU - Nugus, Peter

AU - Greenfield, David

AU - Travaglia, Joanne

AU - Runciman, William

AU - Foxwell, Ruth

AU - Boyce, Rosalie

AU - Devinney, Timothy

AU - Westbrook, Johanna

PY - 2012

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N2 - Background: A four-year action research study was conducted across the Australian Capital Territory health system to strengthen interprofessional collaboration (IPC) though multiple intervention activities. Methods: We developed 272 substantial IPC intervention activities involving 2,407 face-to-face encounters with health system personnel. Staff attitudes toward IPC were surveyed yearly using Heinemann et al’s Attitudes toward Health Care Teams and Parsell and Bligh’s Readiness for Interprofessional Learning scales (RIPLS). At study’s end staff assessed whether project goals were achieved. Results: Of the improvement projects, 76 exhibited progress, and 57 made considerable gains in IPC. Educational workshops and feedback sessions were well received and stimulated interprofessional activities. Over time staff scores on Heinemann’s Quality of Interprofessional Care subscale did not change significantly and scores on the Doctor Centrality subscale increased, contrary to predictions. Scores on the RIPLS subscales of Teamwork & Collaboration and Professional Identity did not alter. On average for the assessment items 33% of staff agreed that goals had been achieved, 10% disagreed, and 57% checked neutral. There was most agreement that the study had resulted in increased sharing of knowledge between professions and improved quality of patient care, and least agreement that between-professional rivalries had lessened and communication and trust between professions improved. Conclusions: Our longitudinal interventional study of IPC involving multiple activities supporting increased IPC achieved many project-specific goals. However, improvements in attitudes over time were not demonstrated and neutral assessments predominated, highlighting the difficulties faced by studies targeting change at the systems level and over extended periods.

AB - Background: A four-year action research study was conducted across the Australian Capital Territory health system to strengthen interprofessional collaboration (IPC) though multiple intervention activities. Methods: We developed 272 substantial IPC intervention activities involving 2,407 face-to-face encounters with health system personnel. Staff attitudes toward IPC were surveyed yearly using Heinemann et al’s Attitudes toward Health Care Teams and Parsell and Bligh’s Readiness for Interprofessional Learning scales (RIPLS). At study’s end staff assessed whether project goals were achieved. Results: Of the improvement projects, 76 exhibited progress, and 57 made considerable gains in IPC. Educational workshops and feedback sessions were well received and stimulated interprofessional activities. Over time staff scores on Heinemann’s Quality of Interprofessional Care subscale did not change significantly and scores on the Doctor Centrality subscale increased, contrary to predictions. Scores on the RIPLS subscales of Teamwork & Collaboration and Professional Identity did not alter. On average for the assessment items 33% of staff agreed that goals had been achieved, 10% disagreed, and 57% checked neutral. There was most agreement that the study had resulted in increased sharing of knowledge between professions and improved quality of patient care, and least agreement that between-professional rivalries had lessened and communication and trust between professions improved. Conclusions: Our longitudinal interventional study of IPC involving multiple activities supporting increased IPC achieved many project-specific goals. However, improvements in attitudes over time were not demonstrated and neutral assessments predominated, highlighting the difficulties faced by studies targeting change at the systems level and over extended periods.

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DO - 10.1186/1472-6963-12-99

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JF - BMC Health Services Research

SN - 1472-6963

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Braithwaite J, Westbrook M, Nugus P, Greenfield D, Travaglia J, Runciman W et al. A four-year, systems-wide intervention promoting interprofessional collaboration. BMC Health Services Research. 2012;12:1-8. https://doi.org/10.1186/1472-6963-12-99