Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism

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

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective
To compare four health professions' attitudes towards interprofessional collaboration (IPC) and their evaluations of a programme aimed at enhancing IPC across a health system.

Design
Questionnaire survey.

Setting
Australian Capital Territory health services.

Participants
Sample of medical (38), nursing (198), allied health (152) and administrative (30) staff.

Intervention(s)
A 4-year action research project to improve IPC.

Main Outcome Measure(s)
Questionnaire evaluating the project and responses to the ‘Attitudes toward Health Care Teams’ and ‘Readiness for Interprofessional Learning' scales.

Results
Significant professional differences occurred in 90% of the evaluation items. Doctors were the least and administrative staff most likely to agree project aims had been met. Nurses made more favourable assessments than did allied health staff. Doctors made the most negative assessments and allied health staff the most neutral ratings. Improved interprofessional sharing of knowledge, teamwork and patient care were among the goals held to have been most achieved. Reduction in interprofessional rivalry and improved trust and communication were least achieved. Average assessment of individual goals being met was agree (31.9%), neutral (56.9%) and disagree (11.2%). On the two attitude scales, allied health professionals were most supportive of IPC, followed by nurses, administrators and doctors.

Conclusions
Although overall attitudes towards IPC were favourable, only a third of participants reported that project goals had been achieved indicating the difficulties of implementing systems change. The response profiles of the professions differed. As in the previous research, doctors were least likely to hold favourable attitudes towards or endorse benefits from social or structural interventions in health care.
Original languageEnglish
Pages (from-to)8-15
Number of pages8
JournalInternational Journal for Quality in Health Care
Volume25
Issue number1
DOIs
Publication statusPublished - 2013

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Attitude to Health
Health Occupations
Health
Nurse Administrators
Allied Health Personnel
Patient Care Team
Health Services Research
Program Evaluation
Health Services
Patient Care
Nursing
Nurses
Communication
Economics
Outcome Assessment (Health Care)
Learning
Delivery of Health Care
Research
Surveys and Questionnaires

Cite this

Braithwaite, Jeffrey ; Westbrook, Mary ; Nugus, Peter ; Greenfield, David ; Travaglia, Joanne ; Runciman, William ; Foxwell, Alice ; Boyce, Rosalie A. ; Devinney, Timothy ; Westbrook, Johanna. / Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism. In: International Journal for Quality in Health Care. 2013 ; Vol. 25, No. 1. pp. 8-15.
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abstract = "ObjectiveTo compare four health professions' attitudes towards interprofessional collaboration (IPC) and their evaluations of a programme aimed at enhancing IPC across a health system.DesignQuestionnaire survey.SettingAustralian Capital Territory health services.ParticipantsSample of medical (38), nursing (198), allied health (152) and administrative (30) staff.Intervention(s)A 4-year action research project to improve IPC.Main Outcome Measure(s)Questionnaire evaluating the project and responses to the ‘Attitudes toward Health Care Teams’ and ‘Readiness for Interprofessional Learning' scales.ResultsSignificant professional differences occurred in 90{\%} of the evaluation items. Doctors were the least and administrative staff most likely to agree project aims had been met. Nurses made more favourable assessments than did allied health staff. Doctors made the most negative assessments and allied health staff the most neutral ratings. Improved interprofessional sharing of knowledge, teamwork and patient care were among the goals held to have been most achieved. Reduction in interprofessional rivalry and improved trust and communication were least achieved. Average assessment of individual goals being met was agree (31.9{\%}), neutral (56.9{\%}) and disagree (11.2{\%}). On the two attitude scales, allied health professionals were most supportive of IPC, followed by nurses, administrators and doctors.ConclusionsAlthough overall attitudes towards IPC were favourable, only a third of participants reported that project goals had been achieved indicating the difficulties of implementing systems change. The response profiles of the professions differed. As in the previous research, doctors were least likely to hold favourable attitudes towards or endorse benefits from social or structural interventions in health care.",
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Braithwaite, J, Westbrook, M, Nugus, P, Greenfield, D, Travaglia, J, Runciman, W, Foxwell, A, Boyce, RA, Devinney, T & Westbrook, J 2013, 'Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism', International Journal for Quality in Health Care, vol. 25, no. 1, pp. 8-15. https://doi.org/10.1093/intqhc/mzs071

Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism. / Braithwaite, Jeffrey; Westbrook, Mary; Nugus, Peter; Greenfield, David; Travaglia, Joanne; Runciman, William; Foxwell, Alice; Boyce, Rosalie A.; Devinney, Timothy; Westbrook, Johanna.

In: International Journal for Quality in Health Care, Vol. 25, No. 1, 2013, p. 8-15.

Research output: Contribution to journalArticle

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T1 - Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism

AU - Braithwaite, Jeffrey

AU - Westbrook, Mary

AU - Nugus, Peter

AU - Greenfield, David

AU - Travaglia, Joanne

AU - Runciman, William

AU - Foxwell, Alice

AU - Boyce, Rosalie A.

AU - Devinney, Timothy

AU - Westbrook, Johanna

PY - 2013

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N2 - ObjectiveTo compare four health professions' attitudes towards interprofessional collaboration (IPC) and their evaluations of a programme aimed at enhancing IPC across a health system.DesignQuestionnaire survey.SettingAustralian Capital Territory health services.ParticipantsSample of medical (38), nursing (198), allied health (152) and administrative (30) staff.Intervention(s)A 4-year action research project to improve IPC.Main Outcome Measure(s)Questionnaire evaluating the project and responses to the ‘Attitudes toward Health Care Teams’ and ‘Readiness for Interprofessional Learning' scales.ResultsSignificant professional differences occurred in 90% of the evaluation items. Doctors were the least and administrative staff most likely to agree project aims had been met. Nurses made more favourable assessments than did allied health staff. Doctors made the most negative assessments and allied health staff the most neutral ratings. Improved interprofessional sharing of knowledge, teamwork and patient care were among the goals held to have been most achieved. Reduction in interprofessional rivalry and improved trust and communication were least achieved. Average assessment of individual goals being met was agree (31.9%), neutral (56.9%) and disagree (11.2%). On the two attitude scales, allied health professionals were most supportive of IPC, followed by nurses, administrators and doctors.ConclusionsAlthough overall attitudes towards IPC were favourable, only a third of participants reported that project goals had been achieved indicating the difficulties of implementing systems change. The response profiles of the professions differed. As in the previous research, doctors were least likely to hold favourable attitudes towards or endorse benefits from social or structural interventions in health care.

AB - ObjectiveTo compare four health professions' attitudes towards interprofessional collaboration (IPC) and their evaluations of a programme aimed at enhancing IPC across a health system.DesignQuestionnaire survey.SettingAustralian Capital Territory health services.ParticipantsSample of medical (38), nursing (198), allied health (152) and administrative (30) staff.Intervention(s)A 4-year action research project to improve IPC.Main Outcome Measure(s)Questionnaire evaluating the project and responses to the ‘Attitudes toward Health Care Teams’ and ‘Readiness for Interprofessional Learning' scales.ResultsSignificant professional differences occurred in 90% of the evaluation items. Doctors were the least and administrative staff most likely to agree project aims had been met. Nurses made more favourable assessments than did allied health staff. Doctors made the most negative assessments and allied health staff the most neutral ratings. Improved interprofessional sharing of knowledge, teamwork and patient care were among the goals held to have been most achieved. Reduction in interprofessional rivalry and improved trust and communication were least achieved. Average assessment of individual goals being met was agree (31.9%), neutral (56.9%) and disagree (11.2%). On the two attitude scales, allied health professionals were most supportive of IPC, followed by nurses, administrators and doctors.ConclusionsAlthough overall attitudes towards IPC were favourable, only a third of participants reported that project goals had been achieved indicating the difficulties of implementing systems change. The response profiles of the professions differed. As in the previous research, doctors were least likely to hold favourable attitudes towards or endorse benefits from social or structural interventions in health care.

KW - Attitude differences

KW - Health professions

KW - Interprofessional collaboration

KW - Interprofessional practice

KW - Systems change

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M3 - Article

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JO - Quality Assurance in Health Care

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