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

Braithwaite, Jeffrey and Westbrook, Mary and Nugus, Peter and Greenfield, David and Travaglia, Joanne and Runciman, William and Foxwell, A. Ruth and Boyce, Rosalie A. and Devinney, Timothy and Westbrook, Johanna (2013) Continuing differences between health professions' attitudes: the saga of accomplishing systems-wide interprofessionalism. International Journal for Quality in Health Care, 25 (1). pp. 8-15. ISSN 1353-4505

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.
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.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © The Author 2012. Published by Oxford University Press in association with the International Society for Quality in Health Care. Permanent restricted access to published version due to publisher copyright policy.
Faculty / Department / School: Current - USQ Other
Date Deposited: 09 Mar 2013 22:47
Last Modified: 30 Sep 2015 02:46
Uncontrolled Keywords: health professions; attitude differences; interprofessional collaboration; interprofessional practice; systems change
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
17 Psychology and Cognitive Sciences > 1701 Psychology > 170107 Industrial and Organisational Psychology
20 Language, Communication and Culture > 2001 Communication and Media Studies > 200105 Organisational, Interpersonal and Intercultural Communication
Socio-Economic Objective: C Society > 93 Education and Training > 9399 Other Education and Training > 939999 Education and Training not elsewhere classified
Identification Number or DOI: 10.1093/intqhc/mzs071
URI: http://eprints.usq.edu.au/id/eprint/22988

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