Interprofessional Working: Perceptions of Healthcare Professionals in Nepalese Hospitals

Authors

  • Bachchu Kailash Kaini

  • Kaini Bachchu

Keywords:

interprofessional working, healthcare professionals, perceptions, medical dominance

Abstract

Interprofessional working (IPW) is an essential part of the health service delivery system. Effective delivery of health services relies on the contribution of healthcare professionals (HCPs) from all groups. The aim of the study is to examine how HCPs collaborate and to assess their perceptions of IPW on healthcare delivery. This study follows a qualitative research approach. It was conducted in three hospitals in Nepal using semi-structured interview schedule. Purposive sampling method was used to select the hospitals and the participants. All together thirty-eight HCPs participated in the research. This study suggests that IPW is an integral part of HCPs' life and they viewed it as a booster to support them to deliver the optimal and desired health outcomes. HCPs perceived that organisational support and involvement of service users are important for the successful delivery IPW. Verbal means of communication are mostly used during IPW. Nursing and allied health professionals (AHPs) are more critical to the medical professionals because they feel domination and professional isolation from the medical professionals. This study recognises factors that support IPW and also identifies various barriers to IPW in Nepalese hospitals.

How to Cite

Interprofessional Working: Perceptions of Healthcare Professionals in Nepalese Hospitals. (2016). Global Journal of Medical Research, 16(3), 5-11. https://medicalresearchjournal.org/index.php/GJMR/article/view/

References

Simon Biggs (1997) Interprofessional Collaboration: Problems and Prospects. 186-200. https://doi.org/10.1007/978-1-349-13873-9_10

E. Bope, T. Jost (1994) Interprofessional collaboration: factors that affect form, function and structure. 61-69.

C. Borril, M. West, J. Dawson, D. Shapiro, A. Rees, A. Richards (2002) Team working and effectiveness in health care.

V. Byrnes, C. Chapman, A. O'Riordan, C. Schroder (2009) Collaborative Practice Assessment Tool (CPAT): Developing educational strategies to enhance interprofessional collaborative practice (Paper presented at Health Sciences Education Rounds) Kingston: Office of Interprofessional Education and Practice. 2.

R. Carnwell, J. Buchanan (2005) Effective Practice in Health and Social Care: A Partnership Approach.

Canadian Health Services Research Foundation (2006) Teamwork in Healthcare: Promoting effective teamwork in healthcare in Canada. http://www.chsrf.ca/Migrated/PDF/ResearchReports/CommissionedResearch/teamwork-synthesis-report_e.pdf

Canadian Interprofessional Health Collaborative (CIHC) (2010) A National Interprofessional Competency Framework. http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf

Hazel Colyer (2012) Responsibilities and Accountabilities in Interprofessional Working. 179-194. https://doi.org/10.1007/978-0-230-36907-8_11

K. Devers, R. Frankel (2000) Study Design in Qualitative Research-2: Sampling and Data Collection Strategies. 132, 263-271.

L. Dow, N. Evans (2005) Medicine, In: G. 64-73.

T. Drinka, P. Clark (2000) Healthcare Teamwork: Interdisciplinary practice and teaching.

C. Fagin (1992) Collaboration between nurses and medical doctors: no longer a choice.

Paul Fitzsimmons, Tony White (1997) Crossing boundaries: communication between professional groups. 11(2), 96-101. https://doi.org/10.1108/02689239710177747

Eliot Freidson (1970) Professional Dominance: The social structure of medical care. 209-237. https://doi.org/10.4324/9781315127491-8

E. Freidson (1986) Professional Powers: A study of the institutionalisation of formal knowledge.

Elizabeth Henneman (1995) Nurse‐physician collaboration: a poststructuralist view. 22(2), 359-363. https://doi.org/10.1046/j.1365-2648.1995.22020359.x

E. Henneman, J. Lee, J. Cohel (1995) Collaboration: a concept analysis. 21(1), 103-109. https://doi.org/10.1046/j.1365-2648.1995.21010103.x

R. Holland, J. Battersby, I. Harvey, E. Lanaghan, J. Smith, I. Hay (2005) Systematic review of multidisciplinary interventions in heart failure. 91(7), 899-906. https://doi.org/10.1136/hrt.2004.048389

D. Kenny, B. Adamson (1992) Medicine and the health professions: issues of dominance, autonomy and authority. 15(3), 319-334.

G. Larkin (1983) Occupational Monopoly and Modern Medicine, London: Tavistock.

M. Larson (1977) The Rise of Professionalism: A Sociological Analysis.

A. Leathard (2003) Interprofessional Collaboration: From Policy to Practice in Health and Social Care.

Finlay McAlister, Simon Stewart, Stefania Ferrua, John McMurray (2004) Multidisciplinary strategies for the management of heart failure patients at high risk for admission. 44(4), 810-819. https://doi.org/10.1016/j.jacc.2004.05.055

Carol McWilliam, Sandra Coleman, Catherine Melito, Donnabeth Sweetland, John Saidak, Jennifer Smit, Tracey Thompson, Gordon Milak (2003) Building empowering partnerships for interprofessional care. 17(4), 363-376. https://doi.org/10.1080/13561820310001608195

Sharon Mickan, Steven Hoffman, Louise Nasmith (2010) Collaborative practice in a global health context: Common themes from developed and developing countries. 24(5), 492-502. https://doi.org/10.3109/13561821003676325

C. Miller, M. Freeman, N. Ross (2001) Interprofessional Practice in Health and Social Care: Challenging the Shared Learning Agenda.

Ministry of Health, New Population (MOHP) [Nepal], ICF Inc (2012) Nepal Demographic and Health Survey 2011.

M. Patton (2002) Qualitative evaluation and research methods.

M. Payne (2000) Teamwork in Multiprofessional Care. https://doi.org/10.5040/9781350393134

Edward Pecukonis, Otima Doyle, Donna Bliss (2008) Reducing barriers to interprofessional training: Promoting interprofessional cultural competence. 22(4), 417-428. https://doi.org/10.1080/13561820802190442

Laura Petri (2010) Concept Analysis of Interdisciplinary Collaboration. 45(2), 73-82. https://doi.org/10.1111/j.1744-6198.2010.00167.x

K. Pollard, D. Sellman, B. Senior (2005) The Need for Interprofessional Working. 7-17.

D. Rawson (1994) Going inter-professional: working together for health and welfare Audrey Leathard Going inter-professional: working together for health and welfare Routledge £14.99 0-415-09286-8. 1.

K. Reel, S. Hutchings (2007) Being part of a team: IPC. 137-153.

A. Richardson, J. Storr (2010) Patient safety: a literative review on the impact of nursing empowerment, leadership and collaboration. 57(1), 12-21. https://doi.org/10.1111/j.1466-7657.2009.00757.x

H. Ritter (1983) Collaborative practice: what's in it for medicine?. 7, 31-36.

Andrew Wall (2003) Some ethical issues arising from interprofessional working. 69-78. https://doi.org/10.4324/9780203420690_chapter_5

D. Way, L. Jones, N. Busing (2000) Collaboration in primary care: family doctors and nurse pratctitioner delivering shared care. http://www.eicp.ca/en/toolkit/hhr/ocfp-paper-handout.pdf

Nancy Wells, Rolanda Johnson, Sheron Salyer (1998) Interdisciplinary Collaboration. 12(4), 161-168. https://doi.org/10.1097/00002800-199807000-00014

World Health Organization (WHO) (2010) Framework for action on interprofessional education and collaborative practice. 40. http://whqlibdoc.who

Interprofessional Working: Perceptions of Healthcare Professionals in Nepalese Hospitals

Published

2016-02-01

How to Cite

Interprofessional Working: Perceptions of Healthcare Professionals in Nepalese Hospitals. (2016). Global Journal of Medical Research, 16(3), 5-11. https://medicalresearchjournal.org/index.php/GJMR/article/view/