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Cited by 556Interprofessional Education and CollaborationTeam Dynamics and PerformanceInterdisciplinary Research and Collaboration

What fosters or prevents interprofessional teamworking in primary and community care? A literature review

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Xyrichis, Andreas, Lowton, Karen·2008·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2007.01.015
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Abstract

Background The increase in prevalence of long-term conditions in Western societies, with the subsequent need for non-acute quality patient healthcare, has brought the issue of collaboration between health professionals to the fore. Within primary care, it has been suggested that multidisciplinary teamworking is essential to develop an integrated approach to promoting and maintaining the health of the population whilst improving service effectiveness. Although it is becoming widely accepted that no single discipline can provide complete care for patients with a long-term condition, in practice, interprofessional working is not always achieved. Objectives This review aimed to explore the factors that inhibit or facilitate interprofessional teamworking in primary and community care settings, in order to inform development of multidisciplinary working at the turn of the century. Design A comprehensive search of the literature was undertaken using a variety of approaches to identify appropriate literature for inclusion in the study. The selected articles used both qualitative and quantitative research methods. Findings Following a thematic analysis of the literature, two main themes emerged that had an impact on interprofessional teamworking: team structure and team processes. Within these two themes, six categories were identified: team premises; team size and composition; organisational support; team meetings; clear goals and objectives; and audit. The complex nature of interprofessional teamworking in primary care meant that despite teamwork being an efficient and productive way of achieving goals and results, several barriers exist that hinder its potential from becoming fully exploited; implications and recommendations for practice are discussed. Conclusions These findings can inform development of current best practice, although further research needs to be conducted into multidisciplinary teamworking at both the team and organisation level, to ensure that enhancement and maintenance of teamwork leads to an improved quality of healthcare provision.

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  • The broad categories of factors and their relative importance within the gears model are consistent with reviews that primarily identified qualitative studies.

    “The broad categories of factors and their relative importance within the gears model as portrayed here are consistent with reviews that primarily identified qualitative studies that examine factors that influence IPCT collaboration [4, 20, 55, 56].”

    From ‘Gearing Up’ to improve interprofessional collaboration in primary care: a systematic review and conceptual framework (2016) · cites this paper as [55]

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Authors
Xyrichis, A., & Lowton, K.
Affiliations
King's College London (GB)
Corresponding author
Xyrichis, Andreas
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2008-01
Volume
45
Issue
1
Pages
140-153
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2007.01.015
OpenAlex
W1995112310
Cited by
556
References
52
Citations by year
2026: 9 · 2025: 22 · 2024: 18 · 2023: 25 · 2022: 26 · 2021: 35 · 2020: 34 · 2019: 38 · 2018: 33 · 2017: 49 · 2016: 48 · 2015: 35 · 2014: 44 · 2013: 36 · 2012: 33
FWCI
32.84
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
  • Sussex Research Online (University of Sussex) (submittedVersion, cc-by-nc-nd)
  • Figshare (submittedVersion, cc-by-nc-nd)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
  • Social Sciences › Psychology › Social Psychology › Team Dynamics and Performance
  • Social Sciences › Decision Sciences › Information Systems and Management › Interdisciplinary Research and Collaboration
Keywords
multidisciplinary team, primary care, community-based care, barriers to teamwork, team structure, team processes, organizational support, chronic disease, team meetings, auditing, team composition
MeSH terms
Attitude of Health Personnel, Chronic Disease, Communication, Community Health Services, Conflict, Psychological, Cooperative Behavior, United Kingdom, Group Processes, Health Services Needs and Demand, Humans, Interprofessional Relations, Leadership, Organizational Objectives, Outcome and Process Assessment, Health Care, Patient Care Team, Primary Health Care, Research Design, Social Support, Socialization, Nursing Research, Information Storage and Retrieval, Professional Role, Qualitative Research

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