Association between work empowerment and interprofessional collaboration among health care professionals working in cancer care settings

Pharmaceutical care necessitates significant efforts from patients, informal caregivers, the interprofessional team of health care professionals and health care system administrators. Collaboration, mutual respect and agreement amongst all stakeholders regarding responsibilities throughout the complex process of pharmaceutical care is needed before patients can take full advantage of modern medicine. Based on the literature and policy documents, in this position paper, we reflect on opportunities for integrated evidence-based pharmaceutical care to improve care quality and patient outcomes from a nursing perspective. Despite the consensus that interprofessional collaboration is essential, in clinical practice, research, education and policy-making challenges are often not addressed interprofessionally. This paper concludes with specific advises to move towards the implementation of more interprofessional, evidence-based pharmaceutical care.

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Interplay of coordination, co-creation and community building: examining interprofessional collaboration in workplace development efforts in health care

Journal of Workplace Learning ◽

10.1108/jwl-07-2021-0088 ◽

2022 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Laura Seppänen ◽

Inka Koskela ◽

Heli Heikkilä ◽

Helena Leino-Kilpi ◽

Päivi Rautava ◽

...

Keyword(s):

Health Care ◽

Workplace Learning ◽

Health Care Professionals ◽

Interprofessional Collaboration ◽

Qualitative Content Analysis ◽

Community Building ◽

Content Type ◽

Sustained Development ◽

Workplace Development ◽

Working Hypotheses

Purpose Interprofessional collaboration (IPC) is increasingly important in work and workplace learning. The purpose of this paper is to investigate the characteristics of IPC that are relevant for learning and developing at work. Design/methodology/approach We examine IPC in the discussion data of health care professionals when designing, implementing and evaluating developmental tasks. Qualitative content analysis is carried out on temporally sequential task trajectories, considering IPC from the perspective of the objects and goals of IPC task activity in developmental efforts. Findings The developmentally relevant characteristics of IPC are crystallized in the concepts of coordination, co-creation and community building, which play different, interdependent roles in development efforts. We show their interplay and how they complement each other in practice. Research limitations/implications Our findings regarding IPC characteristics are to be interpreted as working hypotheses and resources for further research. Practical implications Understanding the dynamics of IPC is useful for renewing work practices. Attention to the interplay and complementarity of IPC characteristics may help in the design and implementation of effective and sustained development efforts. Originality/value The dynamics of IPC in developmental settings have not been sufficiently studied. This paper proposes three developmentally relevant and intertwined characteristics of IPC for scholars of workplace learning.

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Patients’ involvement in improving cancer care: experiences in three years of collaboration between members of patient associations and health care professionals

Patient Education and Counseling ◽

10.1016/j.pec.2005.02.008 ◽

2006 ◽

Vol 61 (1) ◽

pp. 65-71 ◽

Cited By ~ 7

Author(s):

Christina Carlsson ◽

Mef Nilbert ◽

Kerstin Nilsson

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Cancer Care

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Interprofessional Team-Based Care

10.1093/med/9780190466268.003.0029 ◽

2018 ◽

Author(s):

Beverly Lunsford ◽

Terry A. Mikovich

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Health Care ◽

Health Care Professionals ◽

Interprofessional Collaboration ◽

Functional Decline ◽

Care Program ◽

Coordination Of Care ◽

Palliative Care Teams

As older adults live longer, they experience a concomitant increase in chronic illness, which may be associated with a more frequent need for health care and intermittent or progressive functional decline. There is an increased need for regular health care monitoring as well as treatment and coordination of care among multiple providers and across settings to prevent, delay, or minimize decline in health and quality of life. Interprofessional collaboration is critical for safe coordination of care, reduction of duplication in services, and cost containment. Health care professionals who serve older adults are developing new models of collaboration to provide more integrated and person-centered approaches to maintaining the quality of life for older adults, especially those with multiple chronic illnesses. These models include health-oriented teams, home and community-based services, Acute Care for Elders (ACE), home-based primary care, Program of All-Inclusive Care for the Elderly (PACE), comprehensive geriatric assessment, and palliative care teams.

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Communication, Respect, and Leadership: Interprofessional Collaboration in Hospitals of Rural Ontario

Canadian Journal of Dietetic Practice and Research ◽

10.3148/cjdpr-2014-020 ◽

2014 ◽

Vol 75 (4) ◽

pp. 173-179 ◽

Cited By ~ 10

Author(s):

Diane Morris ◽

June Matthews

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Interprofessional Education ◽

Interprofessional Collaboration ◽

Comparative Method ◽

Rural Hospitals ◽

Interprofessional Practice ◽

Interprofessional Teams ◽

Northern Areas ◽

Constant Comparative Method

Purpose: Health care professionals are expected to work collaboratively across diverse settings. In rural hospitals, these professionals face different challenges from their urban colleagues; however, little is known about interprofessional practice in these settings. Methods: Eleven health care professionals from 2 rural interprofessional teams were interviewed about collaborative practice. The data were analyzed using a constant comparative method. Results: Common themes included communication, respect, leadership, benefits of interprofessional teams, and the assets and challenges of working in small or rural hospitals. Differences between the cases were apparent in how the members conceptualized their teams, models of which were then compared with an “Ideal Interprofessional Team”. Conclusions: These results suggest that many experienced health care professionals function well in interprofessional teams; yet, they did not likely receive much education about interprofessional practice in their training. Providing interprofessional education to new practitioners may help them to establish this approach early in their careers and build on it with additional experience. Finally, these findings can be applied to address concerns that have arisen from other reports by exploring innovative ways to attract health professionals to communities in rural, remote, and northern areas, as there is a constant need for dietitians and other health care professionals in these practice settings.

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Provider-patient communication about cost of care: Results from a national patient education program.

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.15_suppl.9578 ◽

2013 ◽

Vol 31 (15_suppl) ◽

pp. 9578-9578 ◽

Cited By ~ 2

Author(s):

Ivy A. Ahmed ◽

Allison Harvey ◽

Marni Amsellem ◽

Thomas J. Smith

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Cancer Care ◽

Health Care Team ◽

Cost Of Care ◽

Care Team ◽

Cancer Support ◽

Support Organizations ◽

National Patient ◽

The Cost

9578 Background: A 2010 NIH study indicates direct cancer care expenditures will reach $158 billion in the U.S. by 2020, impacting millions of Americans. The cost of insurance for a family of 4 has increased from $6000 (2000) to over $16,000 (2011). Medical debt is a significant cause of personal bankruptcy, even if insured. The financial realities posed by costs associated with cancer care greatly complicate a cancer diagnosis. The most recent American College of Physicians Ethics Manual recommends all parties must interact honestly, openly, and fairly. (Snyder L, et al. Ann Int Med 2012, p86) This analysis explores the occurrence and value of patient-provider communication surrounding costs associated with care in a national survey of those affected by cancer. Methods: From 2011-12, 505 individuals attending Frankly Speaking About Cancer: Coping with the Cost of Care workshops completed a survey assessing experiences about the costs of cancer care. This is a Cancer Support Community national evidence-based educational program. All attendees (n=708) were eligible to complete survey. Results: Most attendees (71.3%) responded. The majority (62.4%) were people with cancer/survivors; the remainder included spouses/partners, family members, and 8.7% were health care professionals. Most (80.8%) were Caucasian, and averaged 57.2 years. Of those with cancer, 89.9% were insured at diagnosis. 59.4% reported no one on their health care team initiated a discussion about the financial aspects of their care. Included in this figure, 22.7% actively sought information from health care team, and 36.7% received no information about cost. When topic was initiated, it was by social workers (16.2%), physicians (12.3%), nurses (6.3%) or financial specialists (8.2%). When information was provided, 72.1% found it somewhat or very useful. Also, regardless of provider discussion, respondents independently sought resources for managing costs, such as other patients (44.2%), the Internet (41.5%), and patient support organizations (38.1%). Conclusions: Patients want financial information but do not receive it. These data highlight the need and value of providers initiating a dialogue about the cost of cancer care with patients.

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