Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism

Braithwaite, J; Westbrook, M; Nugus, P; Greenfield, D; Travaglia, J; Runciman, W; Ruth Foxwell, A; Boyce, RA; Devinney, T; Westbrook, J

Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism

Braithwaite, J Westbrook, M Nugus, P Greenfield, D Travaglia, J

Runciman, W Ruth Foxwell, A Boyce, RA Devinney, T

Westbrook, J

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Publication Type:: Journal Article
Citation:: International Journal for Quality in Health Care, 2013, 25 (1), pp. 8 - 15
Issue Date:: 2013-02-01

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Field	Value	Language
dc.contributor.author	Braithwaite, J	en_US
dc.contributor.author	Westbrook, M	en_US
dc.contributor.author	Nugus, P	en_US
dc.contributor.author	Greenfield, D	en_US
dc.contributor.author	Travaglia, J https://orcid.org/0000-0002-7537-0466	en_US
dc.contributor.author	Runciman, W	en_US
dc.contributor.author	Ruth Foxwell, A	en_US
dc.contributor.author	Boyce, RA	en_US
dc.contributor.author	Devinney, T https://orcid.org/0000-0002-4867-1861	en_US
dc.contributor.author	Westbrook, J	en_US
dc.date.issued	2013-02-01	en_US
dc.identifier.citation	International Journal for Quality in Health Care, 2013, 25 (1), pp. 8 - 15	en_US
dc.identifier.issn	1353-4505	en_US
dc.identifier.uri	http://hdl.handle.net/10453/23435
dc.description.abstract	Objective: To compare four health professions' attitudes towards interprofessional collaboration (IPC) and their evaluations of a programme aimed at enhancing IPC across a health system. Design: Questionnaire survey. Setting: Australian Capital Territory health services. Participants: Sample of medical (38), nursing (198), allied health (152) and administrative (30) staff. Intervention(s): A 4-year action research project to improve IPC. Main Outcome Measure(s): Questionnaire evaluating the project and responses to the 'Attitudes toward Health Care Teams' and 'Readiness for Interprofessional Learning' scales. Results: Significant professional differences occurred in 90% of the evaluation items. Doctors were the least and administrative staff most likely to agree project aims had been met. Nurses made more favourable assessments than did allied health staff. Doctors made the most negative assessments and allied health staff the most neutral ratings. Improved interprofessional sharing of knowledge, teamwork and patient care were among the goals held to have been most achieved. Reduction in interprofessional rivalry and improved trust and communication were least achieved. Average assessment of individual goals being met was agree (31.9%), neutral (56.9%) and disagree (11.2%). On the two attitude scales, allied health professionals were most supportive of IPC, followed by nurses, administrators and doctors. Conclusions: Although overall attitudes towards IPC were favourable, only a third of participants reported that project goals had been achieved indicating the difficulties of implementing systems change. The response profiles of the professions differed. As in the previous research, doctors were least likely to hold favourable attitudes towards or endorse benefits from social or structural interventions in health care. © The Author 2012. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.	en_US
dc.relation	http://purl.org/au-research/grants/arc/LP0775514
dc.relation.ispartof	International Journal for Quality in Health Care	en_US
dc.relation.isbasedon	10.1093/intqhc/mzs071	en_US
dc.subject.classification	Health Policy & Services	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Administrative Personnel	en_US
dc.subject.mesh	Allied Health Personnel	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Australian Capital Territory	en_US
dc.subject.mesh	Cooperative Behavior	en_US
dc.subject.mesh	Health Personnel	en_US
dc.subject.mesh	Interprofessional Relations	en_US
dc.subject.mesh	Medical Staff	en_US
dc.subject.mesh	Nursing Staff	en_US
dc.subject.mesh	Organizational Culture	en_US
dc.subject.mesh	Organizational Innovation	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Continuing differences between health professions' attitudes: The saga of accomplishing systems-wide interprofessionalism	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	25	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
dc.location.activity	Sydney, Australia
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - CMOS - Centre for Management and Organisation Studies
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

Objective: To compare four health professions' attitudes towards interprofessional collaboration (IPC) and their evaluations of a programme aimed at enhancing IPC across a health system. Design: Questionnaire survey. Setting: Australian Capital Territory health services. Participants: Sample of medical (38), nursing (198), allied health (152) and administrative (30) staff. Intervention(s): A 4-year action research project to improve IPC. Main Outcome Measure(s): Questionnaire evaluating the project and responses to the 'Attitudes toward Health Care Teams' and 'Readiness for Interprofessional Learning' scales. Results: Significant professional differences occurred in 90% of the evaluation items. Doctors were the least and administrative staff most likely to agree project aims had been met. Nurses made more favourable assessments than did allied health staff. Doctors made the most negative assessments and allied health staff the most neutral ratings. Improved interprofessional sharing of knowledge, teamwork and patient care were among the goals held to have been most achieved. Reduction in interprofessional rivalry and improved trust and communication were least achieved. Average assessment of individual goals being met was agree (31.9%), neutral (56.9%) and disagree (11.2%). On the two attitude scales, allied health professionals were most supportive of IPC, followed by nurses, administrators and doctors. Conclusions: Although overall attitudes towards IPC were favourable, only a third of participants reported that project goals had been achieved indicating the difficulties of implementing systems change. The response profiles of the professions differed. As in the previous research, doctors were least likely to hold favourable attitudes towards or endorse benefits from social or structural interventions in health care. © The Author 2012. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/23435