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Cross-boundary working: implications for the multiprofessional team.

Julie Scholes1, Barbara Vaughan

  • 1Centre for Nursing and Midwifery Research, University of Brighton, Westlain House, Village Way, Falmer, BN1 GPH Brighton, UK. j.scholes@bton.ac.uk

Journal of Clinical Nursing
|May 16, 2002
PubMed
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This study examines how cross-boundary working affects multiprofessional teams. It found that new roles can impact team dynamics, highlighting the need for integrated education and policy for successful implementation.

Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Team Dynamics

Background:

  • Cross-boundary working is increasingly prevalent in healthcare.
  • Multiprofessional teams face challenges in coordination and role integration.
  • The Evaluating New Roles in Practice (ENRiP) study addresses these issues.

Purpose of the Study:

  • To explore the impact of cross-boundary working on multiprofessional team functioning.
  • To map the implementation process of new healthcare roles.
  • To identify organizational factors influencing role implementation and understand stakeholder perspectives.

Main Methods:

  • A naturalistic inquiry approach was employed.
  • Data collection included participant observation, interviews, and reflection.

Related Experiment Videos

  • Case studies were a key component of the Evaluating New Roles in Practice (ENRiP) study.
  • Main Results:

    • New roles emerged within the ENRiP study, influencing interprofessional and multiprofessional working.
    • Organizational barriers and levers affecting implementation were identified.
    • The perspectives of role holders, patients, and stakeholders on new roles were explored.

    Conclusions:

    • Cross-boundary working significantly impacts multiprofessional team dynamics.
    • Successful integration of new roles requires careful consideration of organizational context.
    • Future planning must incorporate education and policy to support evolving healthcare roles and practices.