Ndibu Muntu Keba Kebe Nicolas, Chiocchio François, Bamvita Jean-Marie, Fleury Marie-Josée
Department of Management, Evaluation and Health Policy, School of Public Health, Université de Montréal, Montreal, QC, Canada.
Telfer School of Management, University of Ottawa, Ottawa, ON, Canada.
SAGE Open Med. 2019 Mar 29;7:2050312119841467. doi: 10.1177/2050312119841467. eCollection 2019.
This study aims at identifying profiles of mental health professionals based on individual, interactional, structural and professional role characteristics related to interprofessional collaboration.
Mental health professionals ( = 315) working in primary health care and specialized mental health teams in four Quebec local service networks completed a self-administered questionnaire eliciting information on individual, interactional, structural and professional role characteristics.
Cluster analysis identified four profiles of mental health professionals. Those with the highest interprofessional collaboration scores comprised two profiles labeled "highly collaborative female professionals with fewer conflicts and more knowledge sharing and integration" and "highly collaborative male professionals with fewer conflicts, more participation in decision-making and mutual trust." By contrast, the profile labeled "slightly collaborative professionals with high seniority, many conflicts and less knowledge integration and mutual trust" had the lowest interprofessional collaboration score. Another profile positioned between these groups was identified as "moderately collaborative female psychosocial professionals with less participation in decision-making."
Organizational support, participation in decision-making, knowledge sharing, knowledge integration, mutual trust, affective commitment toward the team, professional diversity and belief in the benefits of interdisciplinary collaboration were features associated with profiles where perceived interprofessional collaboration was higher. These team qualities should be strongly encouraged by mental health managers for improving interprofessional collaboration. Training is also needed to promote improvement in interprofessional collaboration competencies.
本研究旨在根据与跨专业协作相关的个人、互动、结构和专业角色特征，确定心理健康专业人员的概况。
在魁北克四个地方服务网络的初级卫生保健和专业心理健康团队中工作的315名心理健康专业人员完成了一份自我管理问卷，该问卷收集了有关个人、互动、结构和专业角色特征的信息。
聚类分析确定了心理健康专业人员的四种概况。跨专业协作得分最高的人员包括两种概况，分别标记为“冲突较少、知识共享和整合较多的高度协作女性专业人员”和“冲突较少、更多参与决策和相互信任的高度协作男性专业人员”。相比之下，标记为“资历高、冲突多、知识整合和相互信任少的轻度协作专业人员”的概况跨专业协作得分最低。在这些群体之间定位的另一种概况被确定为“参与决策较少的中度协作女性心理社会专业人员”。
组织支持、参与决策、知识共享、知识整合、相互信任、对团队的情感承诺、专业多样性以及对跨学科协作益处的信念是与跨专业协作感知较高的概况相关的特征。心理健康管理人员应大力鼓励这些团队素质，以改善跨专业协作。还需要进行培训，以促进跨专业协作能力的提高。
