Building and maintaining interprofessional collaborative practice in eyecare: Learnings from the Queensland Paediatric Optometry Alignment Program.
collaborative
eyecare
interprofessional
ophthalmology
optometry
paediatric
Journal
Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)
ISSN: 1475-1313
Titre abrégé: Ophthalmic Physiol Opt
Pays: England
ID NLM: 8208839
Informations de publication
Date de publication:
Jan 2024
Jan 2024
Historique:
revised:
18
10
2023
received:
16
04
2023
accepted:
25
10
2023
pubmed:
27
11
2023
medline:
27
11
2023
entrez:
27
11
2023
Statut:
ppublish
Résumé
The Queensland Children's Hospital Paediatric Optometry Alignment Program commenced with a pilot phase to assess its feasibility, effectiveness and acceptability. This study identified the barriers that hinder effective interprofessional collaboration and the facilitators that contribute to its success, and assessed changes in optometrists' satisfaction since the pilot phase of the collaborative care programme. Qualitative deductive and inductive content analysis was applied to open-ended free-text survey responses collected in 2018 from the optometrists involved in the Program's pilot phase. The responses were coded using the Theoretical Domains Framework (TDF) to categorise barriers and facilitators into key themes. Key behavioural determinants were mapped to the COM-B (Capability, Opportunity, Motivation-Behaviour) elements of the Behaviour Change Wheel model to identify intervention strategies. Intervention recommendations were derived from behaviour change mapping and compared with programme quality improvement initiatives. A cross-sectional explanatory survey informed by the TDF was conducted within the current 2023 cohort, and a longitudinal comparative analysis was carried out using data from the 2018 survey. Among the 97 surveys distributed in 2018, 44 respondents participated; from this group, 38 individuals contributed a total of 200 free-text responses. Facilitators (240 comments) outnumbered barriers (65 comments). Key facilitators were accessible and timely care, professional development, confidence and positive outcome beliefs. Barriers included communication, information handover, credibility, relationships and skill gaps. Optometrists actively engaged in the programme in 2023 reported heightened satisfaction with their involvement, increased confidence and greater engagement in paediatric eyecare delivery. However, challenges in clinical information transfer persist. The interprofessional collaborative model of paediatric eyecare has contributed efficiencies within the health system by building paediatric care capacity in the community, fostering professional credibility and promoting interdisciplinary trust. Insights gained should prove valuable for other paediatric eyecare services exploring hospital-to-community care models.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
52-70Informations de copyright
© 2023 The Authors. Ophthalmic and Physiological Optics published by John Wiley & Sons Ltd on behalf of College of Optometrists.
Références
Ford BK, Angell B, Liew G, White A, Keay L. Improving patient access and reducing costs for glaucoma with integrated hospital and community care: a case study from Australia. Int J Integr Care. 2019;19:5. https://doi.org/10.5334/ijic.4642
Tahhan N, Ford BK, Angell B, Liew G, Nazarian J, Maberly G, et al. Evaluating the cost and wait-times of a task-sharing model of care for diabetic eye care: a case study from Australia. BMJ Open. 2020;10:e036842. https://doi.org/10.1136/bmjopen-2020-036842
Bentley SA, Green CM, Malesic L, Siggins T, Escott C, O'Keefe M, et al. Establishing a collaborative model of glaucoma care in an Australian public hospital setting. Invest Ophthalmol Vis Sci. 2019;60:ARVO E-Abstract 1020.
Huang J, Hennessy MP, Kalloniatis M, Zangerl B. Implementing collaborative care for glaucoma patients and suspects in Australia. Clin Exp Ophthalmol. 2018;46:826-828.
Jamous KF, Kalloniatis M, Hennessy MP, Agar A, Hayen A, Zangerl B. Clinical model assisting with the collaborative care of glaucoma patients and suspects. Clin Exp Ophthalmol. 2015;43:308-319.
Long JC, Blakely B, Mahmoud Z, Ly A, Zangerl B, Kalloniatis M, et al. Evaluation of a hospital-based integrated model of eye care for diabetic retinopathy assessment: a multimethod study. BMJ Open. 2020;10:e034699. https://doi.org/10.1136/bmjopen-2019-034699
O'Connor PM, Harper CA, Brunton CL, Clews SJ, Haymes SA, Keefe JE. Shared care for chronic eye diseases: perspectives of ophthalmologists, optometrists and patients. Med J Aust. 2012;196:646-650.
Tsonis S. The role and benefits of collaborative care through task sharing in eye health service delivery. Carlton, VIC: University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences; 2015.
Waldman CW, Hoppe E, Chung I, Cameron DJ, Yadav NK, Pham CT, et al. Interprofessional eye care: a vision that really works. In: Waldman SD, Bowlin S, editors. Building a patient-centered interprofessional education program. Hershey, Pennsylvania: IGI Global; 2020.
Webber AL, McKinlay L, Newcomb D, Dai SH, Gole GA. The Paediatric Optometry Alignment Program-a model of interprofessional collaborative eyecare. Clin Exp Optom. 2022;106:178-186.
The State of Queensland (Queensland Audit Office). Improving access to specialist outpatient services. Report 8:2021-22.2021. [cited 2022 Dec] https://www.qao.qld.gov.au/reports-resources/reports-parliament/improving-access-specialist-outpatient-services
Elam AR, Lee PP. Barriers to and suggestions on improving utilization of eye care in high-risk individuals: focus group results. Int Sch Res Notices. 2014;2014:527831. https://doi.org/10.1155/2014/527831
Stein JD, Andrews C, Musch DC, Green C, Lee PP. Sight-threatening ocular diseases remain underdiagnosed among children of less affluent families. Health Aff. 2016;35:1359-1366.
Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62:107-115.
Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7:37. https://doi.org/10.1186/1748-5908-7-37
Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:42. https://doi.org/10.1186/1748-5908-6-42
Skoien W, Page K, Parsonage W, Ashover S, Milburn T, Cullen L. Use of the Theoretical Domains Framework to evaluate factors driving successful implementation of the accelerated chest pain risk evaluation (ACRE) project. Implement Sci. 2016;11:136. https://doi.org/10.1186/s13012-016-0500-9
Toomey M, Gyawali R, Stapleton F, Ho KC, Keay L, Jalbert I. Facilitators and barriers to the delivery of eye care by optometrists: a systematic review using the theoretical domains framework. Ophthalmic Physiol Opt. 2021;41:782-797.
Michie S, Atkins L, West R. The behaviour change wheel: a guide to designing interventions. Surrey, UK: Sliverback Publishing; 2014.
Moore JE, Khan S. Designing for implementation course and workbook. Toronto, Ontario: The Center for Implementation; 2020.
Wilson S, Ctori I, Shah R, Conway ML, Willis SJ, Suttle C. An investigation of barriers and enablers to community eye care for children in England: a qualitative descriptive study. Ophthalmic Physiol Opt. 2023;43:710-724.
Kemper AR, Clark SJ, Freed GL. Services provided for preschool-aged children with suspected amblyopia. J Pediatr Ophthalmol Strabismus. 2003;40:279-282.
Rawlinson C, Carron T, Cohidon C, Arditi C, Hong QN, Pluye P, et al. An overview of reviews on interprofessional collaboration in primary care: barriers and facilitators. Int J Integr Care. 2021;21:32. https://doi.org/10.5334/ijic.5589
Nguyen OK, Kruger J, Greysen SR, Lyndon A, Goldman LE. Understanding how to improve collaboration between hospitals and primary care in postdischarge care transitions: a qualitative study of primary care leaders' perspectives. J Hosp Med. 2014;9:700-706.
Lott BE, Anderson EJ, Villa Zapata L, Cooley J, Forbes S, Taylor AM, et al. Expanding pharmacists' roles: pharmacists' perspectives on barriers and facilitators to collaborative practice. J Am Pharm Assoc. 2021;61:213-220.e1.
Overbeck G, Davidsen AS, Kousgaard MB. Enablers and barriers to implementing collaborative care for anxiety and depression: a systematic qualitative review. Implement Sci. 2016;11:165. https://doi.org/10.1186/s13012-016-0519-y
LaDonna KA, Taylor T, Lingard L. Why open-ended survey questions are unlikely to support rigorous qualitative insights. Acad Med. 2018;93:347-349.
O'Cathain A, Thomas KJ. “Any other comments?” Open questions on questionnaires-a bane or a bonus to research? BMC Med Res Methodol. 2004;4:25. https://doi.org/10.1186/1471-2288-4-25
Morton SM, Bandara DK, Robinson EM, Carr PE. In the 21st century, what is an acceptable response rate? Aust N Z J Public Health. 2012;36:106-108.
Chan S, Shah P, Tan K, Ford BK, Webber AL, Keay L. Integration of hospital and community care for paediatric ophthalmology: a mixed methods study. Ophthalmic Physiol Opt. 2023;43:997-1006.
Clinical Excellence Queensland. Specialist outpatient strategy-new models of care. Brisbane, QLD: Queensland Government; 2018 [updated 2020 May 15; cited 2020 Sep 19]; Available from: https://clinicalexcellence.qld.gov.au/improvement-exchange/new-sopd-moc