4.1 Review

A systematic meta-review of systematic reviews about interprofessional collaboration: facilitators, barriers, and outcomes

Journal

JOURNAL OF INTERPROFESSIONAL CARE
Volume 36, Issue 5, Pages 735-749

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/13561820.2021.1973975

Keywords

Barriers; facilitators; health professionals; interprofessional collaboration; outcomes; patients; nurses; physicians

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Interprofessional collaboration (IPC) is a crucial practice model for improving healthcare quality. Since 2010, there has been a significant amount of research published on IPC, highlighting its importance. This meta-review systematically synthesized the findings of systematic reviews conducted between 2010 and 2020, focusing on facilitators, barriers, and outcomes of IPC. The results highlight the interrelated nature of these factors and emphasize the need for combined efforts from organizations, teams, and individuals to improve IPC.
Interprofessional collaboration (IPC) is a practice model to promote healthcare quality. Since the World Health Organization highlighted the importance of IPC in 2010, a large volume of IPC-related research has been published. Multiple systematic reviews have been conducted to synthesize the literature from varying perspectives. Although systematic reviews are a compelling approach to synthesizing primary research, a systematic meta-review was needed to summarize the systematic reviews to offer information for healthcare professionals, researchers, and policymakers. This systematic meta-review was designed to synthesize the systematic reviews of IPC, emphasizing the IPC-related facilitators, barriers, and outcomes between 2010 and 2020. An electronic search for systematic reviews was performed in December 2020. The databases searched included PubMed, CINAHL, PsycINFO, and Cochrane Database of Systematic Reviews. Thirty-six systematic reviews met the inclusion criteria. Factors facilitating or impeding IPC were classified into three levels: organization, team, and individual. Major outcomes related to patients, healthcare professionals, and organizations. The facilitators, barriers, and outcomes are mutually interrelated. Highly effective collaboration is a process from relationship building to working together and collaborating. Improving IPC requires organizational, teams, and individuals' combined efforts. When highly effective collaborations occur, all stakeholders can benefit - organizations, professionals, and patients.

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