Attitudes and Behavior towards Interprofessional Collaboration among Healthcare Professionals in a Large Academic Medical Center

• Published in: Healthcare (Basel) 2020-09, Vol.8 (3), p.323
• Main Authors: Ansa, Benjamin E., Zechariah, Sunitha, Gates, Amy M., Johnson, Stephanie W., Heboyan, Vahé, De Leo, Gianluca
• Format: Article
• Language: English
• Subjects: academic medical center; Attitudes; behavior; Beliefs, opinions and attitudes; Collaboration; Communication; Core competencies; Dietitians; Distance learning; Employees; Health services; healthcare professionals; Intensive care; interprofessional collaboration; Interprofessional education; Likert scale; Medical personnel; Medicine; Moral education; Nurse practitioners; Nurses; Patients; Physical therapists; Physicians; Primary care; Professional ethics; Seminars; Social workers; Teams; Teamwork; Treatment outcomes; Work environment
• ISSN: 2227-9032; 2227-9032
• DOI: 10.3390/healthcare8030323

The increasing rates of comorbidities among patients and the complexity of care have warranted interprofessional collaboration (IPC) as an important component of the healthcare structure. An initial step towards assessing the effectiveness of collaboration requires the exploration of the attitudes and experience of healthcare professionals towards IPC. This online survey aimed to examine the attitudes of healthcare professionals working in a large public academic medical center toward IPC in patient care and the healthcare team, and their behavior and experience regarding IPC. The rankings, according to the perceived importance among the respondents, of the four Interprofessional Education Collaborative (IPEC) core competencies (values/ethics, roles/responsibilities, interprofessional communication, teams/teamwork) were assessed. There were strong but varying levels of consensus among healthcare professionals (N = 551) that IPC facilitates efficient patient care, improves patient problem-solving ability, and increases better clinical outcomes for patients. They acknowledged that IPC promotes mutual respect within the healthcare team and providers’ ability to make optimal patient care decisions. However, overall more than 35% of the respondents did not attend multidisciplinary education sessions (grand rounds, seminars, etc.), and about 23% did not participate in bedside patient care rounds. Interprofessional communication was ranked as the most important IPEC core competence. Although the attitude towards IPC among healthcare professionals is strongly positive, many healthcare professionals face challenges in participating in IPC. Institutional policies that facilitate interprofessional learning and interactions for this group of healthcare professionals should be formulated. Online distance learning and interactions, and simulation-enhanced interprofessional education, are options for addressing this barrier. Hospital administrators should facilitate conducive work environments that promote IPC, based on IPEC core competencies, and promote programs that address the challenges of IPC.