Ndibu Muntu Keba Kebe Nicolas, Chiocchio François, Bamvita Jean-Marie, Fleury Marie-Josée
a Department of Management, Evaluation and Health Policy , School of Public Health, University de Montréal , Montreal , Quebec , Canada.
b Telfer School of Management , University of Ottawa , Ottawa , Ontario , Canada.
J Interprof Care. 2019 Jan-Feb;33(1):76-84. doi: 10.1080/13561820.2018.1515191. Epub 2018 Aug 29.
This study identified variables associated with interprofessional collaboration (IPC) among 315 mental health (MH) professionals working in primary health care (PHC) and specialized teams, within four Quebec (Canada) local service networks (LSNs). IPC was measured with a validated scale, and independent variables were organized according to a four-block conceptual framework that included Individual, Interactional, Organizational and Professional Role Characteristics. Bivariate and multiple linear regression analyses were performed. Five variables were associated with Interactional Characteristics (knowledge sharing, knowledge integration, affective commitment toward the team, team climate, team autonomy), and one variable with Professional Role (multifocal identification) and Individual Characteristics (age), respectively. Findings suggest the importance of positive team climate, knowledge sharing and knowledge integration, professional and team identification (multifocal identification), team commitment and autonomy for strengthening IPC in MH teams. These results suggest that team managers should remain alert to behavioral changes and tensions in their teams that could signal possible deterioration in IPC, while promoting IPC competencies, and interdisciplinary values and skills, in team activities and training programs. As well, the encouragement of team commitment on the part of senior professionals, and support toward their younger counterparts, may enhance IPC in teams.
本研究在加拿大魁北克省的四个地方服务网络（LSN）中，识别了315名在初级卫生保健（PHC）和专业团队工作的心理健康（MH）专业人员之间与跨专业协作（IPC）相关的变量。IPC通过一个经过验证的量表进行测量，自变量按照一个包含个体、互动、组织和专业角色特征的四块概念框架进行组织。进行了双变量和多元线性回归分析。五个变量与互动特征（知识共享、知识整合、对团队的情感承诺、团队氛围、团队自主性）相关，一个变量分别与专业角色（多焦点认同）和个体特征（年龄）相关。研究结果表明，积极的团队氛围、知识共享和知识整合、专业和团队认同（多焦点认同）、团队承诺和自主性对于加强心理健康团队中的IPC非常重要。这些结果表明，团队管理者在团队活动和培训项目中促进IPC能力、跨学科价值观和技能的同时，应留意团队中可能预示IPC可能恶化的行为变化和紧张关系。此外，鼓励资深专业人员的团队承诺，并支持年轻的同行，可能会增强团队中的IPC。
