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Interdisciplinary collaboration

N Wells1, R Johnson, S Salyer

  • 1Vanderbilt University Graduate School, Nashville, Tennessee, USA.

Clinical Nurse Specialist CNS
|February 13, 1999
PubMed
Summary
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Interdisciplinary collaboration showed a slight decline over 16 months. However, perceived physician involvement significantly enhanced collaboration, regardless of the specific strategy used.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Organizational Behavior

Background:

  • Interdisciplinary collaboration is crucial in acute care settings.
  • Various collaborative practice strategies exist, but their impact on collaboration levels is not fully understood.
  • Physician involvement is often cited as a key factor in team effectiveness.

Purpose of the Study:

  • To investigate the impact of different collaborative practice strategies on interdisciplinary collaboration.
  • To examine the relationship between perceived physician involvement and collaboration levels.
  • To assess changes in collaboration over a 16-month period.

Main Methods:

  • A quasiexperimental study design was employed.
  • Data were collected from 335 licensed staff members across seven general adult units in an academic medical center.

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  • Measures of collaboration and perceived physician involvement were administered at two time points (1993 and 1995).

    • Main Results:

    • A statistically significant decline in overall collaboration was observed over 16 months (p = 0.01).
    • The method used to develop collaborative paths significantly influenced collaboration levels (p = 0.03).
    • Higher perceived physician involvement was consistently related to greater interdisciplinary collaboration, with differences widening over time (p = 0.02).

    Conclusions:

    • While overall collaboration may decline, perceived physician involvement is a critical driver of successful interdisciplinary collaboration.
    • The presence of a case manager, even without formal collaborative paths, was associated with higher collaboration.
    • Strategies focusing on enhancing physician engagement are vital for fostering effective interdisciplinary teamwork.