How health professionals conceive and construct interprofessional practice in rural settings : A qualitative study
- Parker, Vicki, McNeil, Karen, Higgins, Isabel, Mitchell, Rebecca, Paliadelis, Penny, Giles, Michelle, Parmenter, Glenda
- Authors: Parker, Vicki , McNeil, Karen , Higgins, Isabel , Mitchell, Rebecca , Paliadelis, Penny , Giles, Michelle , Parmenter, Glenda
- Date: 2013
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 13, no. 500 (2013), p.1-11
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- Description: Background Although interprofessional practice (IPP) offers the potential to enhance rural health services and provide support to rural clinicians, IPP may itself be problematic due to workforce limitations and service fragmentation. Differing socioeconomic and geographic characteristics of rural communities means that the way that IPP occurs in rural contexts will necessarily differ from that occurring in metropolitan contexts. The aim of this study was to investigate the factors contributing to effective IPP in rural contexts, to examine how IPP happens and to identify barriers and enablers. Methods Using Realistic Evaluation as a framework, semi-structured interviews were conducted with health professionals in a range of rural healthcare contexts in NSW, Australia. Independent thematic analysis was undertaken by individual research team members, which was then integrated through consensus to achieve a qualitative description of rural IPP practice. Results There was clear evidence of diversity and complexity associated with IPP in the rural settings that was supported by descriptions of collaborative integrated practice. There were instances where IPP doesn’t and could happen. There were a number of characteristics identified that significantly impacted on IPP including the presence of a shared philosophical position and valuing of IPP and recognition of the benefits, funding to support IPP, pivotal roles, proximity and workforce resources. Conclusions The nature of IPP in rural contexts is diverse and determined by a number of critical factors. This study goes some of the way towards unravelling the complexity of IPP in rural contexts, highlighting the strong motivating factors that drive IPP. However, it has also identified significant structural and relational barriers related to workload, workforce, entrenched hierarchies and ways of working and service fragmentation. Further research is required to explicate the mechanisms that drive successful IPP across a range of diverse rural contexts in order to inform the implementation of robust flexible strategies that will support sustainable models of rural IPP.
- Authors: Parker, Vicki , McNeil, Karen , Higgins, Isabel , Mitchell, Rebecca , Paliadelis, Penny , Giles, Michelle , Parmenter, Glenda
- Date: 2013
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 13, no. 500 (2013), p.1-11
- Full Text:
- Reviewed:
- Description: Background Although interprofessional practice (IPP) offers the potential to enhance rural health services and provide support to rural clinicians, IPP may itself be problematic due to workforce limitations and service fragmentation. Differing socioeconomic and geographic characteristics of rural communities means that the way that IPP occurs in rural contexts will necessarily differ from that occurring in metropolitan contexts. The aim of this study was to investigate the factors contributing to effective IPP in rural contexts, to examine how IPP happens and to identify barriers and enablers. Methods Using Realistic Evaluation as a framework, semi-structured interviews were conducted with health professionals in a range of rural healthcare contexts in NSW, Australia. Independent thematic analysis was undertaken by individual research team members, which was then integrated through consensus to achieve a qualitative description of rural IPP practice. Results There was clear evidence of diversity and complexity associated with IPP in the rural settings that was supported by descriptions of collaborative integrated practice. There were instances where IPP doesn’t and could happen. There were a number of characteristics identified that significantly impacted on IPP including the presence of a shared philosophical position and valuing of IPP and recognition of the benefits, funding to support IPP, pivotal roles, proximity and workforce resources. Conclusions The nature of IPP in rural contexts is diverse and determined by a number of critical factors. This study goes some of the way towards unravelling the complexity of IPP in rural contexts, highlighting the strong motivating factors that drive IPP. However, it has also identified significant structural and relational barriers related to workload, workforce, entrenched hierarchies and ways of working and service fragmentation. Further research is required to explicate the mechanisms that drive successful IPP across a range of diverse rural contexts in order to inform the implementation of robust flexible strategies that will support sustainable models of rural IPP.
Connective enactment and collective accomplishment in professional practices
- Kemmis, Stephen, Hopwood, Nick
- Authors: Kemmis, Stephen , Hopwood, Nick
- Date: 2022
- Type: Text , Journal article
- Relation: Professions and Professionalism Vol. 12, no. 2 (2022), p.
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- Description: Working with others is key to professionalism but little attention has been given to how specific actions contribute to collective practices to secure shared ends in work. This essay considers how professionals’ actions connect with one another in distributed (multi-participant) work practices. Recently, Hopwood, Blomberg, Dahlberg and Abrant Dahlgren identified a new way of viewing how professionals in distributed practices coordinate their actions to accomplish shared ends, in terms of phenomena they describe as “connective enactments” and “collective accomplishments”. In this essay, we explore the possibility that these phenomena have far more general application than the cases studied by Hopwood et al. We use the theory of practice architectures to outline this more general account and test its viability in by examining a case of culinary services practices. This more generalised account may offer new ways to understand features of distributed work practices and enhance professional practice and learning. © 2022 the authors.
- Authors: Kemmis, Stephen , Hopwood, Nick
- Date: 2022
- Type: Text , Journal article
- Relation: Professions and Professionalism Vol. 12, no. 2 (2022), p.
- Full Text:
- Reviewed:
- Description: Working with others is key to professionalism but little attention has been given to how specific actions contribute to collective practices to secure shared ends in work. This essay considers how professionals’ actions connect with one another in distributed (multi-participant) work practices. Recently, Hopwood, Blomberg, Dahlberg and Abrant Dahlgren identified a new way of viewing how professionals in distributed practices coordinate their actions to accomplish shared ends, in terms of phenomena they describe as “connective enactments” and “collective accomplishments”. In this essay, we explore the possibility that these phenomena have far more general application than the cases studied by Hopwood et al. We use the theory of practice architectures to outline this more general account and test its viability in by examining a case of culinary services practices. This more generalised account may offer new ways to understand features of distributed work practices and enhance professional practice and learning. © 2022 the authors.
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