Interprofessional working

Evidence-Based Healthcare: The Importance of Effective Interprofessional Working for High Quality Veterinary Services, a UK Example

Tierney Kinnison, Stephen A May

Published:  29/11/2016    in:  Articles
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Interprofessional working
Abstract

Objective:

To highlight the importance of evidence-based research, not only for the consideration of clinical diseases and individual patient treatment, but also for investigating complex healthcare systems, as demonstrated through a focus on veterinary interprofessional working.

Background:

Evidence-Based Veterinary Medicine (EBVM) was developed due to concerns over inconsistent approaches to therapy being delivered by individuals. However, a focus purely on diagnosis and treatment will miss other potential causes of substandard care including the holistic system. Veterinary services are provided by interprofessional teams; research on these teams is growing.

Evidentiary value:

This paper outlines results from four articles, written by the current authors, which are unique in their focus on interprofessional practice teams in the UK. Through mixed methods, the articles demonstrate an evidence base of the effects of interprofessional working on the quality of service delivery.

Results:

The articles explored demonstrate facilitators and challenges of the practice system on interprofessional working and the outcomes, including errors. The results encourage consideration of interprofessional relationships and activities in veterinary organisations. Interprofessional working is an example of one area which can affect the quality of veterinary services.

Conclusion:

The papers presented on veterinary interprofessional working are an example of the opportunities for future research on various topics within evidence-based healthcare.

Application:

The results are pertinent to members of veterinary teams seeking to improve their service delivery, to educators looking to enhance their students’ understanding of interprofessional working, and to researchers, who will hopefully be encouraged to consider evidence-based healthcare more holistically. 


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References

  1. Arlt, S. P. Haimerl, P. and Heuwieser, W. (2012) Training evidence-based veterinary medicine by collaborative development of critically appraised topics. Journal of Veterinary Medical Education, 39 (2), pp. 111–8 http://dx.doi.org/10.3138/jvme.1111.112R
  2. Braun, V. and Clarke, V. (2006) Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), pp. 77–101 http://dx.doi.org/10.1191/1478088706qp063oa
  3. Cockcroft, P. D. and Holmes, M. A. (2003) Handbook of Evidence-Based Veterinary Medicine. Oxford, UK: Blackwell Publishing Ltd.
  4. Collin, K. Paloniemi, S. and Mecklin, J. (2010) Promoting inter-professional teamwork and learning – the case of a surgical operating theatre. Journal of Education and Work, 23 (1), pp.  43–63 http://dx.doi.org/10.1080/13639080903495160
  5. de Buck, P. D. M. et al. (2002) Communication between Dutch rheumatologists and occupational physicians in the occupational rehabilitation of patients with rheumatic diseases. Annals of the Rheumatic Diseases, 61 (1), pp. 62–65 http://dx.doi.org/10.1136/ard.61.1.62
  6. Engeström, Y. (2008) From Teams to Knots: Activity-theoretical studies of collaboration and learning at work. Cambridge: Cambridge University Press.
  7. Gallagher, T. et al. (2003) Patients’ and Physicians’ Attitudes Regarding the Disclosure of Medical Errors. JAMA, 289 (8), pp. 1001–1007.
  8. Gawande, A. (2007). Better. London: Profile Books Ltd.
  9. Gawande, A. (2011). The Checklist Manifesto: How to Get Things Right. London, UK: Profile Books Ltd.
  10. Hutchins, E. (1995). Cognition in the Wild. Cambridge: Massachusetts Institute of Technology.
  11. Irvine, R. et al. (2002) Interprofessionalism and ethics: consensus or clash of cultures? Journal of Interprofessional Care, 16 (3), pp. 199–210 http://dx.doi.org/10.1080/13561820220146649
  12. Kalra, J. (2004) Medical errors: an introduction to concepts. Clinical Biochemistry, 37 (12), pp. 1043–51. http://dx.doi.org/10.1016/j.clinbiochem.2004.08.007
  13. Keene, B. (2000) Towards Evidence-Based Veterinary Medicine. Journal of Veterinary Internal Medicine, 14 (2), pp. 118–119 http://dx.doi.org/10.1111/j.1939-1676.2000.tb02223.x
  14. Kinnison, T. Guile, D. and May, S. A. (2015a) Errors in Veterinary Practice: Preliminary Lessons for Building Better Veterinary Teams. The Veterinary Record, 177 (19), p. 492 http://dx.doi.org/10.1136/vr.103327
  15. Kinnison, T. Guile, D. and May, S. A. (2015b) Veterinary Team Interactions Part Two: The Personal Effect. The Veterinary Record, 177 (21) p. 541 http://dx.doi.org/10.1136/vr.103313
  16. Kinnison, T. Guile, D. and May, S. A. (2016) The case of veterinary interprofessional practice: From one health to a world of its own. Journal of Interprofessional Education & Practice, 4, pp. 51–57 http://dx.doi.org/10.1016/j.xjep.2016.05.005
  17. Kinnison, T. May, S. A. and Guile, D. (2015c) Veterinary Team Interactions Part One: The Practice Effect. The Veterinary Record, 177 (16), pp. 419 http://dx.doi.org/10.1136/vr.103312
  18. Mellanby, R. J. and Herrtage, M. E. (2004) Survey of mistakes made by recent veterinary graduates. The Veterinary Record, 155 (24), pp. 761–765.
  19. Oxtoby, C. et al. (2015) We need to talk about error: causes and types of error in veterinary practice. Veterinary Record, 177 (17), p. 438 http://dx.doi.org/10.1136/vr.103331
  20. Patterson, K. et al. (2001) Crucial conversations: Tools for talking when stakes are high. New York: McGraw-Hill.
  21. Proudman, C. J. et al. (2002) Long-term survival of equine surgical colic cases. Part 1: patterns of mortality and morbidity. Equine Veterinary Journal, 34(5), 432–437 http://dx.doi.org/10.2746/042516402776117845
  22. Reason, J. (2000) Human error: models and management. BMJ, 320 (7237), pp. 768–770 http://dx.doi.org/10.1136/bmj.320.7237.768
  23. Reason, J. (2004). Beyond the organisational accident: the need for “error wisdom” on the frontline. Quality & Safety in Health Care, 13 (S2), pp. ii28-33 http://dx.doi.org/10.1136/qshc.2003.009548
  24. Reeves, S. et al. (2016) A BEME systematic review of the effects of interprofessional education: BEME Guide 39. Medical Teacher, 38 (7), p. 656 http://dx.doi.org/10.3109/0142159X.2016.1173663
  25. Sackett, D. L. et al. (1996) Evidence based medicine: what it is and what it isn’t. BMJ, 312 (7023) p. 71 http://dx.doi.org/10.1136/bmj.312.7023.71
  26. Steele, M. et al. (2013) Online tools for teaching evidence-based veterinary medicine. Journal of Veterinary Medical Education, 40 (3), pp. 272–7 http://dx.doi.org/10.3138/jvme.0113-010R1
  27. Sweeney, K. G. MacAuley, D. and Pereira Gray, D. (1998) Personal significance: The third dimension. Lancet, 351 (9096), pp. 134–136 http://dx.doi.org/10.1016/S0140-6736(97)06316-2
  28. Syed, M. (2015) Black Box Thinking: The Surprising Truth About Success. London: John Murray.
  29. Wachter, R. M. and Pronovost, P. J. (2009) Balancing “ No Blame ” with Accountability in Patient Safety. The New England Journal of Medicine, 361 (14), pp. 1401–1406 http://dx.doi.org/10.1056/NEJMsb0903885
  30. Widmark, C. et al. (2011) Barriers to collaboration between health care, social services and schools. International Journal of Integrated Care, 11 (3), pp. 1-9  http://dx.doi.org/10.5334/ijic.653
  31. Wigren, C. (2007). Assessing the quality of qualitative research in entrepreneurship. In H. Neergaard & J. . Ulhoi (Eds.), Handbook of Qualitative Research Methods in Entrepreneurship. Cheltenham: Edward Elgar publishing http://dx.doi.org/10.4337/9781847204387.00026


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