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Hierarchies in interprofessional training.

Erika Gergerich1, Daubney Boland2, Mary Alice Scott3

  • 1School of Social Work, New Mexico State University , Las Cruces , NM , USA.

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|November 2, 2018
PubMed
Summary
This summary is machine-generated.

Interprofessional healthcare teams can improve patient care, but hierarchy, particularly physician leadership, causes conflict and marginalization. Addressing these hierarchical issues is crucial for effective teamwork.

Keywords:
Focus groupsHealth and social careInterprofessional educationQualitative methodconflictleadership

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Area of Science:

  • Healthcare Management
  • Interprofessional Education
  • Team Dynamics

Background:

  • Poor communication among healthcare professionals can lead to adverse patient outcomes.
  • Historically hierarchical healthcare systems often position physicians as leaders.
  • Interprofessional care teams offer a model to improve healthcare delivery and patient services.

Purpose of the Study:

  • To analyze qualitative data from an interprofessional training program.
  • To identify challenges related to hierarchy within interprofessional healthcare teams.
  • To explore potential alternative models for healthcare delivery and teamwork.

Main Methods:

  • Qualitative analysis of data collected from journals, participant observation, and focus groups.
  • Study involved family medicine residents, pharmacy students, nurse practitioner students, and counseling psychology students.
  • Data gathered during a four-day interprofessional training program.

Main Results:

  • Three key themes emerged regarding hierarchy: tension over physician leadership, experiences of marginalization by team members, and unresolved hierarchy issues.
  • Physician-as-leader or "quarterback" role created tension within the team.
  • Team members reported feeling marginalized in interprofessional settings.

Conclusions:

  • Hierarchical structures in healthcare teams can impede effective interprofessional collaboration.
  • Unresolved issues of hierarchy and marginalization negatively impact team functioning.
  • Exploring alternative, less hierarchical models of teamwork is essential for optimizing healthcare delivery.