Collaborating in healthcare delivery: exploring conceptual differences at the 'bedside'
| Autor: | Judy McKimm, Deborah Rowe, Mark Barrow, Susan Gasquoine |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Interprofessional Relations
education Psychological intervention Nurses Context (language use) Trust Interviews as Topic Individualism Professional Role Nursing Physicians Medicine Humans Learning Cooperative Behavior Qualitative Research Protocol (science) Service (business) Patient Care Team business.industry Collectivism Activity theory General Medicine Interprofessional education business Psychological Theory |
| Popis: | Calls for greater collaboration amongst health professionals and for programmes to support this are not new, nor are they likely to diminish. While various interventions have been adopted to improve collaboration, the literature suggests that these have neither been well-informed with a strong conceptual base nor have they accounted for the context in which the health professionals work. In this study, interviews of senior doctors and nurses in two hospital-based services explored experiences of interprofessional collaboration and the processes involved. A framework based on activity theory was used to analyse the data. The data suggest a dichotomy between nurses as collectivist, protocol and systems-driven and doctors as individualist and autonomy-driven, although this played out differently in each service. Unless such complexities and contextual factors are addressed in the preparation for collaboration it will continue to fall short. |
| Databáze: | OpenAIRE |
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