HLT 307 Week 3 Discussion Question One

HLT 307 Week 3 Discussion Question One

The focus of this week’s readings is interdisciplinary collaboration. How does Freshman, in the Collaborative Practice and Primary Care textbook, define interdisciplinary collaboration in health care organizations? Is this definition consistent with the current practice in your organization? What would need to change in order to improve interdisciplinary collaboration in your department?

So far, various models of interdisciplinary collaboration in clinical nursing have been presented, however, yet a comprehensive model is not available. The purpose of this study is to review the evidences that had presented model or framework with qualitative approach

HLT 307 Week 3 Discussion Question One
HLT 307 Week 3 Discussion Question One

about interdisciplinary collaboration in clinical nursing.

Methods:
All the articles and theses published from 1990 to 10 June 2014 which in both English and Persian models or frameworks of clinicians had presented model or framework of clinical collaboration were searched using databases of Proquest, Scopus, pub Med, Science Direct, and Iranian databases of Sid, Magiran, and Iranmedex. In this review, for published articles and theses, keywords according with MESH such as nurse-physician relations, care team, collaboration, interdisciplinary relations and their Persian equivalents were used.

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Results:
In this study contexts, processes and outcomes of interdisciplinary collaboration as findings were extracted. One of the major components affecting on collaboration that most of the models had emphasized was background of collaboration. Most of studies suggested that the outcome of collaboration were improved care, doctors and nurses’ satisfaction, controlling costs, reducing clinical errors and patient’s safety.

Conclusion:
Models and frameworks had different structures, backgrounds, and conditions, but the outcomes were similar. Organizational structure, culture and social factors are important aspects of clinical collaboration. So it is necessary to improve the quality and effectiveness of clinical collaboration these factors to be considered.

Keywords: nurse-physician relations, care team, collaboration, interdisciplinary relations
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1. Introduction
Care is a team effort that its continuity is not possible by one person alone (Hall, Weaver, Gravelle & Thibault, 2007). Coordination, communication and working together are crucial for effective care. Interdisciplinary collaboration is defined as a complex phenomenon that is often formed between two or more people from various professional fields to achieve common goals (Houldin, Naylor, & Haller, 2004).

Nowadays, it is required that physician, nursing and other health-related professions in interdisciplinary context provide integrated care in a way that they must be avoided from separation (McCallin, 2001). However, now, the atmosphere of the clinical environment is not satisfactory and in most studies, it is reported that the conditions of interdisciplinary collaboration is poor (Fewster-Thuente, 2011). The best way of relation between these variables is explained in a model. Model is summarized showing of a complex theory and special events, structures and systems (Shearer, 2009).

Model is a set of general and abstract concepts that connect together and refers to interested central phenomenon of a discipline (Fawcett & Desanto-Madeya, 2012). Nursing models or frameworks create a conceptual vision and a guide for nursing practice (Alligood, 2006). So far, different interdisciplinary collaborations have been presented according to the clinical contexts.

Despite there are the different models of collaboration a limited number of models are available for scholars who wish to study interprofessional collaboration (Gaboury, Bujold, Boon & Moher, 2009). Development of models is often done with qualitative approach. The phenomenon of collaboration is a social process and its different dimensions were considered in the qualitative studies.

Therefore, this study was performed with the aim to review the evidences that had presented a model or framework with qualitative approach in interdisciplinary collaboration of clinical nursing. With studying of processes, backgrounds, outcomes, similarities and differences will be obtained comprehensive understanding of this social phenomenon.