Patterson Christine, Arthur Heather, Peachey Gladys, Vohra Julie, Price David, Pearson Dave, Mariani Rob
School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Adv Med Educ Pract. 2013 May 14;4:117-25. doi: 10.2147/AMEP.S43462. Print 2013.
Resources to support change are needed for solo practitioners who are transitioning to family health teams (FHTs) which involve multiple health disciplines working together to provide team-based care.
THE PURPOSE OF THIS PROJECT WAS: (1) to explore the use of an online resource, the Interprofessional Resource Centre (IRC), when planning for interprofessional change and; (2) to explore the experience of planning interprofessional change.
Six FHTs organized under the structure of one Local Health Integrated Network (LHIN) in Ontario, Canada.
Participants in six FHTs were directed to the IRC to support planning interprofessional change. In addition, two of the six FHTs participated in pilot site meetings with investigators where they received in-person support to apply the information from the IRC to an interprofessional activity.
Pilot site participants reported the IRC was useful for planning, but they cited lack of time to use it as a key barrier. When planning for interprofessional change, providers experienced challenges with physician buy-in and team dynamics. As a strategy for change, providers would like to learn from other FHTs who have experienced success with interprofessional change; at the LHIN level, they saw a need for more educational opportunities. Participation was found to be low among those only receiving online support.
Based on the results of the study, it appears that online resource centers do have some value in knowledge translation when combined with in-person meetings. In exploring the planning of interprofessional change in primary health care teams, it was found that buy-in with physicians is a key challenge.
对于正在向家庭健康团队（FHT）过渡的个体执业者而言，需要资源来支持变革，家庭健康团队涉及多个健康学科共同协作以提供基于团队的护理。
本项目的目的是：（1）在规划跨专业变革时探索使用在线资源——跨专业资源中心（IRC）；（2）探索规划跨专业变革的经验。
在加拿大安大略省一个地方卫生综合网络（LHIN）的架构下组建的六个家庭健康团队。
六个家庭健康团队的参与者被引导至跨专业资源中心，以支持规划跨专业变革。此外，六个家庭健康团队中的两个参与了与研究人员的试点现场会议，在会议上他们获得了现场支持，以便将跨专业资源中心的信息应用于一项跨专业活动。
试点现场的参与者报告称跨专业资源中心对规划很有用，但他们指出缺乏时间使用它是一个关键障碍。在规划跨专业变革时，提供者在医生的支持和团队动态方面遇到了挑战。作为变革策略，提供者希望向在跨专业变革方面取得成功的其他家庭健康团队学习；在地方卫生综合网络层面，他们认为需要更多的教育机会。结果发现，仅接受在线支持的人群参与度较低。
基于研究结果，在线资源中心在与现场会议相结合时，似乎在知识转化方面具有一定价值。在探索初级卫生保健团队的跨专业变革规划时，发现获得医生的支持是一个关键挑战。
