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Look for an article showing barriers to and drivers of effective collaboration in interprofessional healthcare teams; elaborate a summary of the article explaining the findings and propose possible solutions (or strategies) to avoid the obstacles and improve the drivers.
It can also be done if you have, at your workplace, any situation with barriers and drivers of effective collaboration to improve patient outcomes.
Based on a review of literature, the success of Interprofessional Collaboration (IPC) in healthcare is determined by a complex interplay of systemic, practice-level, and individual factors. IPC is critical for improving patient outcomes, safety, and system efficiency, especially with the rising burden of chronic and complex diseases.1
The obstacles and facilitators to effective IPC can be categorized across three main levels:
| Barriers 🚧 | Drivers 🚀 |
|---|---|
| Hierarchical Roles: A "doctor-centric" or profession-specific culture that discourages equal input and establishes power imbalances. | Role Clarity and Mutual Respect: Clear understanding of one another's professional scopes, skills, and unique contributions. |
| Lack of Trust and Personality Conflicts: Strained interpersonal relationships, stereotypes, or discomfort with team members. | Positive Interpersonal Qualities: Openness, approachability, and willingness to build relationships among team members. |
| Role Ambiguity: Team members being unclear about their own or others' specific responsibilities and boundaries, leading to duplication or gaps in care. | Teamwork is a Core Professional Role: The belief that effective collaboration is an essential part of one's professional identity and responsibility. |
| Barriers 🚧 | Drivers 🚀 |
|---|---|
| Communication Breakdowns: Using discipline-specific jargon, lack of standardized communication tools (like ISBARR), and poor handoff practices. | Effective Communication Channels: Use of standardized tools (like ISBARR), shared electronic health records (EHRs), and regular huddles/debriefings. |
| Time Constraints and Scheduling Conflicts: Difficulty coordinating different professionals' schedules, leading to rushed or incomplete communication. | Co-location and Formal Processes: Working in the same physical space and utilizing formal team processes like case conferences and multidisciplinary team meetings (MDTs). |
| Lack of Leadership Support: Absence of a leader championing and providing resources for collaborative initiatives. | Effective Leadership: Supportive, transformational leaders who model collaborative behavior, empower team members, and ensure the necessary resources are available. |
| Barriers 🚧 | Drivers 🚀 |
|---|---|
| Inadequate Interprofessional Education (IPE): Separate educational silos in training institutions prevent future professionals from learning about, from, and with each |