Patients' perspectives on interprofessional collaboration between health care professionals during hospitalization: a qualitative systematic review.
Journal
JBI evidence synthesis
ISSN: 2689-8381
Titre abrégé: JBI Evid Synth
Pays: United States
ID NLM: 101764819
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
entrez:
20
8
2020
pubmed:
20
8
2020
medline:
15
5
2021
Statut:
ppublish
Résumé
The objective of this review was to gain a better understanding of the interprofessional collaboration between health care professionals from the patients' point of view during hospitalisation; the influence of interprofessional collaboration on patient care, safety, and well-being; and patients' perspectives of their role in the interprofessional collaboration process. Interprofessional collaboration is a key factor in improving patient health care outcomes and safety through better communication between health care professionals, better teamwork, and better care coordination. However, implementing interprofessional collaboration in the clinical setting can prove complex. Patients are increasingly interested in becoming partners within the health care system. They have the potential to contribute to their own safety and to observe professionals during the care process, thus gaining a better understanding of the interprofessional collaboration process and facilitating changes in the behavior of health care professionals. This review considered qualitative research and mixed-method studies. Participants were hospitalized patients. Studies were included when they explored i) patients' perceptions of interprofessional collaboration, ii) the influence of interprofessional collaboration on patients' care, safety, or well-being, or iii) patients' perceptions of their own role in interprofessional collaboration. Qualitative studies focusing only on the care process or families' points of view were excluded. Searches of six databases including MEDLINE, CINAHL, Embase, Web of Science, PsycINFO, and Sociological Abstract, limited to English, French, and German were conducted from March 2017 to June 2018. Assessment of methodological quality of studies was performed using the JBI Qualitative Assessment and Review Instrument. Data were extracted using the standardized data extraction tool from JBI. Data synthesis following the JBI approach of meta-aggregation was performed. The level of confidence for each synthesized finding was established based on ConQual. A total of 22 studies were included, which resulted in 89 findings and 24 categories. Eight synthesized findings were generated: patients' perceptions of interprofessional collaboration based on personal experiences and observations; patients' experiences with effective or ineffective interprofessional communication; patients' experience with power imbalance and paternalistic attitudes; patients' perceptions of key factors for a confident relationship with the interprofessional health care team; patients' need for comprehension of discussions between health care professionals; patients' perceptions of their role in an interprofessional health care team; patients' perceptions of opportunities for empowerment in interprofessional health care teams; and patients' need for humanizing care from interprofessional health care teams. The level of confidence of synthesized findings varied from low to moderate according to ConQual. This systematic review synthesized the perspectives of hospitalized patients regarding interprofessional collaboration and their perceived role in collaborative practices. Hospitalized patients observe interprofessional collaboration, either directly or indirectly, and the way interprofessional collaboration is performed may impact both their care and their well-being. However, little evidence has been found regarding the impact of interprofessional collaboration on patient safety. Patients' perspectives on their perceived role is not unanimous; some patients want to play an active role in the collaborative process, whereas others prefer to trust the health care professionals' expertise. Health care professionals should consider patients' preferences and act accordingly regarding both the collaborative process and the inclusion of the patients in collaborative practices.
Identifiants
pubmed: 32813373
doi: 10.11124/JBISRIR-D-19-00121
pii: 02174543-202006000-00004
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1208-1270Références
Institute of Medicine. To err is human: building a safer health system. Washington: National Academies Press; 2000.
World Health Organization. Framework for action on interprofessional education and collaborative practice [Internet]. Geneva: WHO; 2010.
World Health Organization. Patient safety: making health care safer [Internet]. Geneva: WHO; 2017.
Vincent C. Improving the quality and safety of healthcare in Switzerland: reflections on the federal strategy: second report of the Scientific Advisory Board [Internet]. Berne: Federal Office of Public Health; 2017.
Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care 2003; 18 (2):71–75.
Farzi S, Irajpour A, Saghaei M, Ravaghi H. Causes of medication errors in intensive care units from the perspective of healthcare professionals. J Res Pharm Pract 2017; 6 (3):158–165.
Bartlett G, Blais R, Tamblyn R, Clermont RJ, MacGibbon B. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ 2008; 178 (12):1555–1562.
Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care 2010; 48 (11):941–946.
Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington: National Academies Press; 2001.
Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ 2012; 344:e1717.
Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev 2009; (3):CD000072.
Gagliardi AR, Dobrow MJ, Wright FC. How can we improve cancer care? A review of interprofessional collaboration models and their use in clinical management. Surg Oncol 2011; 20 (3):146–154.
Gausvik C, Lautar A, Miller L, Pallerla H, Schlaudecker J. Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. J Multidiscip Healthc 2015; 8:33–37.
Pritts KE, Hiller LG. Implementation of physician and nurse patient rounding on a 42-bed medical unit. Medsurg Nurs 2014; 23 (6):408–413.
Puntillo KA, McAdam JL. Communication between physicians and nurses as a target for improving end-of-life care in the intensive care unit: challenges and opportunities for moving forward. Crit Care Med 2006; 34: (11 Suppl): S332–S340.
Martin JS, Ummenhofer W, Manser T, Spirig R. Interprofessional collaboration among nurses and physicians: making a difference in patient outcome. Swiss Med Wkly 2010; 140:w13062.
Fox A, Reeves S. Interprofessional collaborative patient-centred care: a critical exploration of two related discourses. J Interprof Care 2015; 29 (2):113–118.
Price S, Doucet S, Hall LM. The historical social positioning of nursing and medicine: implications for career choice, early socialization and interprofessional collaboration. J Interprof Care 2014; 28 (2):103–109.
Sollami A, Caricati L, Sarli L. Nurse-physician collaboration: a meta-analytical investigation of survey scores. J Interprof Care 2015; 29 (3):223–229.
D’Amour D, Goulet L, Labadie JF, Martin-Rodriguez LS, Pineault R. A model and typology of collaboration between professionals in healthcare organizations. BMC Health Serv Res 2008; 8:188.
San Martin-Rodriguez L, Beaulieu M-D, D’Amour D, Ferrada-Videla M. The determinants of successful collaboration: a review of theoretical and empirical studies. J Interprof Care 2005; 19 (sup1):132–147.
Howe A. Can the patient be on our team? An operational approach to patient involvement in interprofessional approaches to safe care. J Interprof Care 2006; 20 (5):527–534.
Masso Guijarro P, Aranaz Andres JM, Mira JJ, Perdiguero E, Aibar C. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care 2010; 19 (2):144–147.
Vincent C. The essentials of patient safety [Internet]. Chichester: Wiley-Blackwell; 2012.
Thorarinsdottir K, Kristjansson K. Patients’ perspectives on person-centred participation in healthcare: a framework analysis. Nurs Ethics 2014; 21 (2):129–147.
Pomey MP, Ghadiri DP, Karazivan P, Fernandez N, Clavel N. Patients as partners: a qualitative study of patients’ engagement in their health care. PLoS One 2015; 10 (4):e0122499.
Canadian Interprofessional Health Collaborative. A national interprofessional competency framework [Internet]. Vancouver: University of British Columbia; 2010 [cited 2018 Aug 31]. Available from: https://phabc.org/wp-content/uploads/2015/07/CIHC-National-Interprofessional-Competency-Framework.pdf.
Alavi M, Irajpour A, Abdoli S, Saberizafarghandi MB. Clients as mediators of interprofessional collaboration in mental health services in Iran. J Interprof Care 2012; 26 (1):36–42.
Bakker DA, Fitch MI, Gray R, Reed E, Bennett J. Patient-health care provider communication during chemotherapy treatment: the perspectives of women with breast cancer. Patient Educ Couns 2001; 43 (1):61–71.
Pullon S, McKinlay E, Stubbe M, Todd L, Badenhorst C. Patients’ and health professionals’ perceptions of teamwork in primary care. J Prim Health Care 2011; 3 (2):128–135.
Longtin Y, Sax H, Leape LL, Sheridan SE, Donaldson L, Pittet D. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc 2010; 85 (1):53–62.
Bilodeau K, Dubois S, Pepin J. Interprofessional patient-centred practice in oncology teams: utopia or reality? J Interprof Care 2015; 29 (2):106–112.
Vincent CA, Coulter A. Patient safety: what about the patient? Qual Saf Health Care 2002; 11 (1):76–80.
Risjord M. Rethinking concept analysis. J Adv Nurs 2009; 65 (3):684–691.
Lockwood C, Porrit K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M. Aromataris E, Munn Z, et al. Chapter 2: Systematic reviews of qualitative evidence. JBI, JBI Reviewer's Manual [Internet]. Adelaide:2017.
Didier A, Campbell J, Franco L, Serex M, Staffoni-Donadini L, Gachoud D, et al. Patient perspectives on interprofessional collaboration between healthcare professionals during hospitalization: a qualitative systematic review protocol. JBI Database System Rev Implement Rep 2017; 15 (8):2020–2027.
Hogg C, Williamson C. Whose interests do lay people represent? Towards an understanding of the role of lay people as members of committees. Health Expect 2001; 4 (1):2–9.
Jordan J, Dowswell T, Harrison S, Lilford RJ, Mort M. Health needs assessment. Whose priorities? Listening to users and the public. BMJ 1998; 316 (7145):1668–1670.
Arnstein SR. A ladder of citizen participation. J Am I Planners 1969; 35 (4):216–224.
Morone JA, Marmor TR. Representing consumer interests: the case of American health planning. Ethics 1981; 91 (3):431–450.
Aromataris E, Munn Z, (editors). JBI Reviewer's Manual [Internet]. Adelaide: JBI; 2017 [cited Dec 2018]. Available from: https://reviewersmanual.joannabriggs.org/.
Munn Z, Porritt K, Lockwood C, Aromataris E, Pearson A. Establishing confidence in the output of qualitative research synthesis: the ConQual approach. BMC Med Res Methodol 2014; 14:108.
Tobin GA, Begley CM. Methodological rigour within a qualitative framework. J Adv Nurs 2004; 48 (4):388–396.
Guba EG, Lincoln YS. Epistemological and methodological bases of naturalistic inquiry. ECTJ 1982; 30 (4):233–252.
Moher D, Liberati A, Tetzlaff J, Altman D. the PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement. PLoS Med 2009; 6 (7):e1000097.
Aasen EM. A comparison of the discursive practices of perception of patient participation in haemodialysis units. Nurs Ethics 2015; 22 (3):341–351.
Aasen EM, Kvangarsnes M, Heggen K. Perceptions of patient participation amongst elderly patients with end-stage renal disease in a dialysis unit. Scand J Caring Sci 2011; 26 (1):61–69.
Baillie L, Gallini A, Corser R, Elworthy G, Scotcher A, Barrand A. Care transitions for frail, older people from acute hospital wards within an integrated healthcare system in England: a qualitative case study. Int J Integr Care 2014; 14 (1):e009.
Berkwitt A, Grossman M. A qualitative analysis of pediatric patient attitudes regarding family-centered rounds. Hosp Pediatr 2015; 5 (7):357–362.
Bilodeau K, Dubois S, Pepin J. The care continuum with interprofessional oncology teams: Perspectives of patients and family. Can Oncol Nurs J 2015; 25 (1):23–36.
Conneeley AL. Interdisciplinary collaborative goal planning in a post-acute neurological setting: a qualitative study. Br J Occup Ther 2004; 67 (6):248–255.
Cotton EA. Patient participation on health care teams [dissertation]. [Denver]: University of Denver; 1999.
Cracknell D. Incorporating client and staff perceptions toward a goal of client-centred care to enhance interdisciplinary team effectiveness within the healthcare setting. Victoria, Canada: Royal Roads University; 2007.
Henry BW, McCarthy DM, Nannicelli AP, Seivert NP, Vozenilek JA. Patients’ views of teamwork in the emergency department offer insights about team performance. Health Expect 2013; 19 (3):702–715.
Hewitt G, Sims S, Greenwood N, Jones F, Ross F, Harris R. Interprofessional teamwork in stroke care: is it visible or important to patients and carers? J Interprof Care 2015; 29 (4):331–339.
Howarth AM, Swain NR, Treharne GJ. First-time mothers’ perspectives on relationships with and between midwives and doctors: insights from a qualitative study of giving birth in New Zealand. Midwifery 2012; 28 (4):429–434.
Huby G, Brook JH, Thompson A, Tierney A. Capturing the concealed: interprofessional practice and older patients’ participation in decision-making about discharge after acute hospitalization. J Interprof Care 2007; 21 (1):55–67.
Innes K, Crawford K, Jones T, Blight R, Trenham C, Williams A, et al. Transdisciplinary care in the emergency department: a qualitative analysis. Int Emerg Nurs 2016; 25:27–31.
Jarrett N. Patients’ experiences of inter- and intra-professional communication (IIPC) in the specialist palliative care context. Int J Disabil Hum Dev 2009; 8 (1):51–58.
Kroll T, Neri MT. Experiences with care co-ordination among people with cerebral palsy, multiple sclerosis, or spinal cord injury. Disabil Rehabil 2003; 25 (19):1106–1114.
Lamb BW, Jalil RT, Shah S, Brown K, Allchorne P, Vincent C, et al. Cancer patients’ perspectives on multidisciplinary team working: an exploratory focus group study. Urol Nurs 2014; 34 (2):83–91, 102.
Maneze D, Dennis S, Chen HY, Taggart J, Vagholkar S, Bunker J, et al. Multidisciplinary care: experience of patients with complex needs. Aust J Prim Health 2014; 20 (1):20–26.
Mishra SR, Haldar S, Pollack AH, Kendall L, Miller AD, Khelifi M, et al. “Not just a receiver": understanding patient behavior in the hospital environment. Proc SIGCHI Conf Hum Factor Comput Syst 2016; 2016:3103–3114.
O’Driscoll W, Livingston G, Lanceley A, a’ Bháird CN, Xanthopoulou P, Wallace I, et al. Patient experience of MDT care and decision-making. Ment Health Rev 2014; 19 (4):265–278.
Pellatt GC. Patients, doctors, and therapists perceptions of professional roles in spinal cord injury rehabilitation: do they agree? J Interprof Care 2007; 21 (2):165–177.
Zakzesky D, Klink K, McAndrew N, Schroeter K, Johnson G. Bridges and barriers: patients’ perceptions of the discharge process including multidisciplinary rounds on a trauma unit. J Trauma Nurs 2015; 22 (5):232–239.
Van Dongen JJJ, Habets IGJ, Beurskens A, van Bokhoven MA. Successful participation of patients in interprofessional team meetings: a qualitative study. Health Expect 2016; 20 (4):724–733.
Oishi A, Murtagh FE. The challenges of uncertainty and interprofessional collaboration in palliative care for non-cancer patients in the community: a systematic review of views from patients, carers and health-care professionals. Palliat Med 2014; 28 (9):1081–1098.
Holyoake D. Who's the boss “Children's perception of hospital hierarchy”. Paediatr Nurs 1999; 11 (5):33–36.
Corser WD. A conceptual model of collaborative nurse-physician interactions: the management of traditional influences and personal tendencies. Sch Inq Nurs Pract 1998; 12 (4):325–341.
Pullon S. Competence, respect and trust: key features of successful interprofessional nurse-doctor relationships. J Interprof Care 2008; 22 (2):133–147.
Stein LI. The doctor-nurse game. Arch Gen Psychiatry 1967; 16 (6):699–703.
McCormack B, McCane T. Person-Centred Practice in Nursing and Health Care: Theory and Practice. 2nd ed.Chichester: Wiley Blackwell; 2016.
Schoeb V, Staffoni L, Keel S. Influence of interactional structure on patient's participation during interprofessional discharge planning meetings in rehabilitation centers. J Interprof Care 2017; 27 (71):153–61.