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


Braithewaite, J and Westbrook, M and Nugus, P and Greenfield, D and Travaglia, J and Runciman, W and Foxwell, R and Boyce, R and Devinney, T and Westbrook, J, A four-year, systems-wide intervention promoting interprofessional collaboration, BMC Health Services Research, 12, (99) pp. 1-8. ISSN 1472-6963 (2012) [Refereed Article]


Copyright Statement

Copyright 2012 The Authors Licensed under Creative Commons Attribution 2.0 Generic (CC BY 2.0)

DOI: doi:10.1186/1472-6963-12-99


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 alís Attitudes toward Health Care Teams and Parsell and Blighís Readiness for Interprofessional Learning scales (RIPLS). At studyís 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 Heinemannís 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.

Item Details

Item Type:Refereed Article
Keywords:Systems research, Action research, Intervention, Change, Interprofessionalism, Survey, Longitudinal
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Greenfield, D (Professor David Greenfield)
ID Code:110977
Year Published:2012
Web of Science® Times Cited:40
Deposited By:TSBE
Deposited On:2016-08-24
Last Modified:2021-07-06
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