Telfer School of Management, University of Ottawa, Ottawa, Canada.
Psychiatry, Douglas Mental Health University Institute, McGill University, Montreal, Canada.
J Interprof Care. 2024 Sep-Oct;38(5):826-835. doi: 10.1080/13561820.2024.2383239. Epub 2024 Aug 8.
Participation in decision-making is crucial to healthcare workers collaborating across professions. Important correlates of participation in decision-making include task interdependence, informational role self-efficacy, and beliefs in the benefits of interprofessional collaboration. We hypothesised that although task interdependence is directly related to participation in decision-making, the relationship is mediated by informational role self-efficacy. Beliefs in the benefits in interprofessional collaboration act as a mediator. A sample of 315 mental healthcare workers answered validated questionnaires. Conditional processing was used to test the moderated mediation. Generally, the results confirmed our hypotheses. There was a direct relationship between task interdependence and participation in decision-making and it was mediated by informational role self-efficacy, and both relationships depend on whether healthcare workers believe in the benefits of interprofessional collaboration. However, although the moderation effect of beliefs in the benefits of interprofessional collaboration between task interdependence and informational role self-efficacy was positive, the moderation effect was negative for the relationship between task interdependence and participation in decision-making. Although there is an inherent logic in the positive relationships that were found, the negative moderation might be explained by the contrast between the structural view and the volitional view of task interdependence.
参与决策对于跨专业合作的医疗保健工作者至关重要。参与决策的重要相关因素包括任务相互依存、信息角色自我效能感和对跨专业合作益处的信念。我们假设，尽管任务相互依存与参与决策直接相关，但这种关系是通过信息角色自我效能感来中介的。对跨专业合作益处的信念充当了中介。315 名精神卫生保健工作者回答了经过验证的问卷。条件处理用于测试有调节的中介。总的来说，结果证实了我们的假设。任务相互依存与参与决策之间存在直接关系，并且由信息角色自我效能感来中介，这两种关系都取决于医疗保健工作者是否相信跨专业合作的益处。然而，尽管跨专业合作益处的信念在任务相互依存和信息角色自我效能感之间的调节作用是积极的，但对于任务相互依存和参与决策之间的关系，调节作用是消极的。尽管所发现的积极关系具有内在的逻辑，但消极调节可能是由任务相互依存的结构性观点和意志性观点之间的对比所解释的。
