Modeling interprofessional collaboration: an instrumental case study of interprofessional co-facilitation in...

Area of Science:

• Healthcare Education
• Teamwork and Collaboration
• Simulation-Based Training

Background:

• Interprofessional simulation-based team training (ISBTT) aims to enhance healthcare collaboration.
• Co-facilitation by diverse professionals is ideal but uncommon.
• Limited guidelines exist for preparing ISBTT co-facilitators.

Purpose of the Study:

• To examine the influence of structured guidelines on interprofessional co-facilitation in ISBTT.
• To analyze interactions between physician and nurse facilitators post-guideline implementation.

Main Methods:

• Instrumental case study design.
• Observations of ISBTT sessions.
• Interviews with physician and nurse facilitators.

Main Results:

• Guideline implementation led to routine co-facilitation and mutual valuing of contributions.
• Physician facilitators initially dominated discussions; nurse facilitators were hesitant.
• Some physician dominance persisted, particularly with less experienced nurse co-facilitators, who deferred to physicians.

Conclusions:

• Structured guidelines can enhance interprofessional co-facilitation feasibility and modeling of collaborative practice.
• Sustaining equitable co-facilitation requires ongoing support and strategies to mitigate entrenched professional hierarchies.