Healthcare workers’ perceptions on collaborative capacity at a Referral Hospital in Malawi

Background: Lack of collaborative capacity results in provision of fragmented health services that do not meet the needs of patients. Collaborative capacity refers to the extent to which providers have influence over other healthcare workers’ decision-making, and can be assessed by measuring perceptions of task interdependence, quality of interaction and collaborative influence. However, each healthcare worker may present differing perceptions that can influence their ability to collaborate effectively during provision of care. No studies that specifically assessed healthcare workers’ perception of collaborative capacity in Malawi were identified.Aim: To assess the perceptions of healthcare workers regarding collaborative capacity in Malawi.Setting: The study was conducted at a tertiary public hospital in Blantyre city, Malawi.Methods: The study employed a quantitative cross-sectional correlational design. The instrument used was a Care Coordination survey that had been used previously in similar studies in the United States of America. Descriptive statistics as well as univariate and multivariate analysis were computed using Statistical Package for Social Science (SPSS) program version 21.0 (IBM, Armonk, NY, USA).Results: A total of 384 healthcare workers participated in the study, with a response rate of 100%. There were differences in perceptions of collaborative capacity based on the cadre of the respondent (p 0.005). Medical staff reported higher mean scores on quality of interaction (2.94) and collaborative influence (2.65), whereas technical support staff reported the lowest mean scores across all three measures of collaborative capacity (≤ 2.4).Conclusion: Differences in perceptions about collaborative capacity suggest the need for interventions to enhance interprofessional collaboration.Contribution: The study will inform strategies to promote interprofessional collaboration.

Simulation-Based Collaboration Training

Collaboration is a key challenge in the construction sector. While many innovative solutions have been explored, collaboration is persistently hampered by barriers such as the dominance of short-term project-based work and the geographical dispersion of actors. The chapter presents an approach for strengthening collaborative capacity in the construction industry. Building collaborative capacity requires the systematic identification, development, and assessment of specific knowledge, skill, and behavioural competencies. To address the challenge of identification, the authors propose 133 competencies based on a collaborative practice model developed from six qualitative case studies. To address the challenge of development, the authors propose the mobilization of simulation-based training (SBT) grounded in detailed scenarios linked to their model. Finally, for the challenge of assessment, the researchers propose an assessment instrument and a novel collaborative practice index. The authors also provide discussions on digitizing the SBT as part of future work.

Ecotourism STUDY ON ECOTOURISM DEVELOPMENT IN KAPOTA ISLAND, WAKATOBI REGENCY, SOUTHEAST SULAWESI PROVINCE

The current paper aims to identify the distribution of ecotourism attractions, identify the strengths, weaknesses, opportunities, and threats of ecotourism development, as well as formulate appropriate development strategies. Qualitative descriptive analysis was employed by relying on various methodologies including direct observation, unstructured interview, focus group discussion, and documentation study. It was found that Kapota Island possesses tremendous ecotourism resources and potentials due to its abundant biodiversity, such as coral reefs, mangroves, seagrass meadows, beaches, dive spots, cave, lake, landscapes, customary and traditional culture, as well as historical heritages. The island’s diversity and uniqueness remain pristine/maintained due to the support given by the Wakatobi National Park Office (Balai Taman Nasional Wakatobi – TNW), customary institutions, and local communities. Accordingly, future development strategies include: (a) integration in the development of ecotourism destinations, local island based industry, collaborative marketing through digital tourism and organization of local operators; (b) orientation towards community based ecotourism to strengthen empowerment and participation of local communities; (c) capacity building of ecotourism actors and operators (tourism awareness group, Kapota customary institution, and Village Owned Enterprise administrators); and (d) increase of collaborative capacity among stakeholders.

Towards greater collective impact: Building collaborative capacity in Cork city’s LCDC

Collaboration is an important means of tackling local socio-economic challenges. This paper looks at how the collaborative capacity of Ireland’s community development leaders can be improved. The most recent efforts to establish a more coordinated and coherent approach to community development saw the introduction of a new local committee structure, known as local community development committees (LCDCs). LCDCs were expected to enhance collaboration between public, private and third sector socio-economic partners. However, effective intersectoral collaboration is often difficult to attain. A programme of capacity building can play a key part in supporting collaborative working between local leaders. Based on the findings from a place-based leadership development workshop, this paper discusses the barriers to collaboration facing community development leaders and how these might be overcome. Surfacing and working through tensions to enable clarity, through enhanced mutual understanding and strong relationships across community development committees, is vitally important. To this end, a practical and evidence-based approach to improving collaboration between local leaders is argued for.