Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 19
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Andrews, Gavin J. 2016. Geographical thinking in nursing inquiry, part one: locations, contents, meanings. Nursing Philosophy,


    Bonciani, Manila Barsanti, Sara and Matarrese, Daniela 2016. Esperienze di integrazione nell'assistenza primaria basate sulla co-location dei servizi: quali prospettive per il modello della Casa della Salute?. MECOSAN, Issue. 96, p. 81.


    Craig, Shelley Frankford, Rachel Allan, Kate Williams, Charmaine Schwartz, Celia Yaworski, Andrea Janz, Gwen and Malek-Saniee, Sara 2016. Self-reported patient psychosocial needs in integrated primary health care: A role for social work in interdisciplinary teams. Social Work in Health Care, Vol. 55, Issue. 1, p. 41.


    Fernando, Oshan Coburn, Natalie G. Nathens, Avery B. Hallet, Julie Ahmed, Najma and Gotlib Conn, Lesley 2016. Interprofessional communication between surgery trainees and nurses in the inpatient wards: Why time and space matter. Journal of Interprofessional Care, p. 1.


    Harrod, Molly Weston, Lauren E. Robinson, Claire Tremblay, Adam Greenstone, Clinton L. and Forman, Jane 2016. “It goes beyond good camaraderie”: A qualitative study of the process of becoming an interprofessional healthcare “teamlet”. Journal of Interprofessional Care, Vol. 30, Issue. 3, p. 295.


    Kyle, Richard G. Atherton, Iain M. Kesby, Mike Sothern, Matthew and Andrews, Gavin 2016. Transfusing our lifeblood: Reframing research impact through inter-disciplinary collaboration between health geography and nurse education. Social Science & Medicine,


    Lahey, William and Fierlbeck, Katherine 2016. Legislating collaborative self-regulation in Canada: A comparative policy analysis. Journal of Interprofessional Care, Vol. 30, Issue. 2, p. 211.


    Schadewaldt, Verena McInnes, Elizabeth Hiller, Janet E. and Gardner, Anne 2016. Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia – a multiple case study using mixed methods. BMC Family Practice, Vol. 17, Issue. 1,


    Colantonio, Angela 2015. Rethinking Rehabilitation.


    Kennedy, Norelee Armstrong, Claire Woodward, Oonagh and Cullen, Walter 2015. Primary care team working in Ireland: a qualitative exploration of team members’ experiences in a new primary care service. Health & Social Care in the Community, Vol. 23, Issue. 4, p. 362.


    Morgan, Sonya Pullon, Susan and McKinlay, Eileen 2015. Observation of interprofessional collaborative practice in primary care teams: An integrative literature review. International Journal of Nursing Studies, Vol. 52, Issue. 7, p. 1217.


    Forman, Jane Harrod, Molly Robinson, Claire Annis-Emeott, Ann Ott, Jessica Saffar, Darcy Krein, Sarah L. and Greenstone, Clinton L. 2014. First Things First: Foundational Requirements for a Medical Home in an Academic Medical Center. Journal of General Internal Medicine, Vol. 29, Issue. S2, p. 640.


    Chan, Engle Angela Lam, Winsome and Lam Yeung, Syrine Kit-Sum 2013. Interprofessional Competence: A Qualitative Exploration of Social Work and Nursing Students’ Experience. Journal of Nursing Education, Vol. 52, Issue. 9, p. 509.


    Hilts, L. Howard, M. Price, D. Risdon, C. Agarwal, G. and Childs, A. 2013. Helping primary care teams emerge through a quality improvement program. Family Practice, Vol. 30, Issue. 2, p. 204.


    MacNaughton, Kate Chreim, Samia and Bourgeault, Ivy Lynn 2013. Role construction and boundaries in interprofessional primary health care teams: a qualitative study. BMC Health Services Research, Vol. 13, Issue. 1,


    Gotlib Conn, Lesley Reeves, Scott Dainty, Katie Kenaszchuk, Chris and Zwarenstein, Merrick 2012. Interprofessional communication with hospitalist and consultant physicians in general internal medicine: a qualitative study. BMC Health Services Research, Vol. 12, Issue. 1,


    Sarma, Sisira Devlin, Rose Anne Thind, Amardeep and Chu, Man-Kee 2012. Canadian family physicians’ decision to collaborate: Age, period and cohort effects. Social Science & Medicine, Vol. 75, Issue. 10, p. 1811.


    Hetlevik, Øystein and Gjesdal, Sturla 2010. Norwegian GPs' participation in multidisciplinary meetings: A register-based study from 2007. BMC Health Services Research, Vol. 10, Issue. 1,


    McPherson, Charmaine M. and McGibbon, Elizabeth A. 2010. Rural interprofessional primary health care team development and sustainability: establishing a research agenda. Primary Health Care Research & Development, Vol. 11, Issue. 04, p. 301.


    ×
  • Primary Health Care Research & Development, Volume 10, Issue 2
  • April 2009, pp. 151-162

The impact of space and time on interprofessional teamwork in Canadian primary health care settings: implications for health care reform

  • Ivy F. Oandasan (a1), Lesley Gotlib Conn (a2), Lorelei Lingard (a3), Allia Karim (a2), Difat Jakubovicz (a4), Cynthia Whitehead (a5), Karen-Lee Miller (a6), Natalie Kennie (a7) and Scott Reeves (a8)
  • DOI: http://dx.doi.org/10.1017/S1463423609001091
  • Published online: 01 April 2009
Abstract
Aim

This paper explores the impact of space and time on interprofessional teamwork in three primary health care centres and the implications for Canadian and other primary health care reform.

Background

Primary health care reform in Canada has emphasized the creation of interprofessional teams for the delivery of collaborative patient-centred care. This involves the expansion and transformation of existing primary health care centres into interprofessional family health teams (FHT) promising to provide patients better access, more comprehensive care, and improved utilization of individual health professionals. Benefits for providers include improved workplace satisfaction and organizational efficiencies. Currently, there is little evidence for how effective interprofessional teamwork happens and little is known about how to create high-functioning teams in the primary health care setting.

Methods

We used ethnographic observations and interviews to gain a deep understanding of the nature of interprofessional teamwork. Three academic family health centres participated in a total of 139 h of observation and 37 interviews. Team members in all three centres from the disciplines of medicine, nursing, physiotherapy, occupational therapy, social work, dietetics, pharmacy, and office administration participated in this study.

Findings

We found that both the quantity and quality of interprofessional communication and collaboration in primary health care is significantly impacted by space and time. Across our research sites, the physical layout of clinical space and the temporal organization of clinical practice led to different approaches to, and degrees of success with, interprofessional teamwork. Varied models of interprofessional collaboration resulted when these factors came together in different ways. These findings have important implications for the transition to interprofessional family health teams in Canada and beyond.

Copyright
Corresponding author
Correspondence to: Ivy F. Oandasan (MD CCFP MHSc FCFP), Office of Interprofessional Education at the University Health Network, Toronto Western Hospital, 750 Dundas Street West, Suite. 302 Toronto, Ontario M6J 3S3. Email: ivy.oandasan@uhn.on.ca
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

S. Baxter S. Brumfitt 2008: Once a week is not enough: evaluating current measures of teamworking in stroke. Journal of Evaluation in Clinical Practice 14, 241247.

S.L. Dieleman , K.B. Farris , D. Feeny , J.A. Johnson , R.T. Tsuyuki S. Brilliant 2004: Primary health care teams: team members’ perceptions of the collaborative process. Journal of Interprofessional Care 18, 7578.

D. Grinspun 2007: Healthy workplaces: the case for shared clinical decision making and increased full-time employment. Healthcare Papers 7, (Suppl), 8591.

A. Hansson , F. Friberg , K. Segesten , B. Gedda B. Mattsson 2008: Two sides of the coin: general practitioners’ experience of working in multidisciplinary teams. Journal of Interprofessional Care 22, 516.

E. Hummers-Pradier , C. Scheidt-Nave , H. Martin , S. Heinemann , M.M. Kochen W. Himmel 2008: Simply no time? Barriers to GPs’ participation in primary health care research. Family Practice 25, 105112.

J. Liaschenko 1994: The moral geography of home care. Advances in Nursing Science 17, 1625.

J. Molyneux 2001: Interprofessional teamworking: what makes teams work well? Journal of Interprofessional Care 15, 2935.

J. Meuser , T. Bean , J. Goldman S. Reeves 2006: Family health teams: a new Canadian interprofessional initiative. Journal of Interprofessional Care 20, 436438.

T. Ostbye , K.S.H. Yarnall , K.M. Krause , K.I. Pollak , M. Gradison J.L. Michener 2005: Is there time for management of patients with chronic diseases in primary care? Annals of Family Medicine 3, 209214.

S. Reeves S. Lewin 2004: Hospital-based interprofessional collaboration: strategies and meanings. Journal of Health Services Research and Policy 9, 218225.

S. Reeves , A. Russell , M. Zwarenstein , C. Kenaszchuk , L. Gotlib Conn , D. Doran , L. Sinclair , L. Lingard , I. Oandasan , K. Thorpe , Z. Austin , J. Beales , W. Hindmarsh , C. Whiteside , B. Hodges , L. Nasmith , I. Silver , K.-L. Miller , V. Vogwill S. Straus 2007: Structuring communication relationships for interprofessional teamwork (SCRIPT): a Canadian initiative aimed at improving patient-centred care. Journal of Interprofessional Care 21, 111114.

A. Shaw , S. de Lusignan G. Rowlands 2005: Do primary care professionals work as a team: a qualitative study. Journal of Interprofessional Care 19, 396405.

M. Tai-Seale , T.G. McGuire W. Zhang 2007: Physician and patient behaviour: time allocation in primary care office visits. Health Services Research 42, 18711894.

C. Thompson , L. Dalgleish , T. Bucknall , C. Estabrooks , A.M. Hutchinson , K. Fraser , R. Rien de Vos , J. Binnekade , G. Barrett J. Saunders 2008: Nurses’ risk assessment decisions: a signal detection analysis. Nursing Research 57, 302311.

D.S. Thompson , K. O’Leary , E. Jensen , S. Scott-Findlay , L. O-Brien-Pallas C.A. Estabrooks 2008: The relationship between busyness and research utilization: it is about time. Journal of Clinical Nursing 17, 539548.

A. Xyrichis K. Lowton 2007: What fosters or prevents interprofessional teamworking in primary and community care? A literature review. International Journal of Nursing Studies 45, 140153.

K.S.H. Yarnall , K.I. Pollak , T. Ostbye , K.M. Krause J.L. Michener 2003: Primary care: is there enough time for prevention? American Journal of Public Health 93, 635641.

G.J. Andrews 2006: Geographies of health in nursing. Health & Place 12, 110118.

S. Halford P. Leonard 2003: Space and place in the construction and performance of gendered nursing identities. Journal of Advanced Nursing 42, 201208.

F. Rapport , M.A. Doel G. Elwyn 2007: Snapshots and snippets: general practitioners’ reflections on professional space. Health & Place 13, 532544.

F. Rapport , M.A. Doel , D. Greaves G. Elwyn 2006: From manila to monitor: biographies of general practitioner workspaces. Health (London) 10, 233251.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Primary Health Care Research & Development
  • ISSN: 1463-4236
  • EISSN: 1477-1128
  • URL: /core/journals/primary-health-care-research-and-development
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: