Dennerlein Sebastian, Treasure-Jones Tamsin, Lex Elisabeth, Ley Tobias
2016
The role of collaboration and shared understanding in interprofessional teamwork
AMEE - International Conference of Medical Education 2016 AMEE 2016
Background: Teamworking, within and acrosshealthcare organisations, is essential to deliverexcellent integrated care. Drawing upon an alternationof collaborative and cooperative phases, we exploredthis teamworking and respective technologicalsupport within UK Primary Care. Participants usedBits&Pieces (B&P), a sensemaking tool for tracedexperiences that allows sharing results and mutuallyelaborating them: i.e. cooperating and/orcollaborating.Summary of Work: We conducted a two month-longcase study involving six healthcare professionals. InB&P, they reviewed organizational processes, whichrequired the involvement of different professions ineither collaborative and/or cooperative manner. Weused system-usage data, interviews and qualitativeanalysis to understand the interplay of teamworkingpracticeand technology.Summary of Results: Within our analysis we mainlyidentified cooperation phases. In a f2f-meeting,professionals collaboratively identified subtasks andassigned individuals leading collaboration on them.However, these subtasks were undertaken asindividual sensemaking efforts and finally combined(i.e. cooperation). We found few examples ofreciprocal interpretation processes (i.e. collaboration):e.g. discussing problems during sensemaking ormonitoring other’s sensemaking-outcomes to makesuggestions.Discussion: These patterns suggest that collaborationin healthcare often helps to construct a minimalshared understanding (SU) of subtasks to engage incooperation, where individuals trust in other’scompetencies and autonomous completion. However,we also found that professionals with positivecollaboration history and deepened SU were willing toundertake subtasks collaboratively. It seems thatacquiring such deepened SU of concepts andmethods, leads to benefits that motivate professionalsto collaborate more.Conclusion: Healthcare is a challenging environmentrequiring interprofessional work across organisations.For effective teamwork, a deepened SU is crucial andboth cooperation and collaboration are required.However, we found a tendency of staff to rely mainlyon cooperation when working in teams and not fullyexplore benefits of collaboration.Take Home Messages: To maximise benefits ofinterprofessional working, tools for teamworkingshould support both cooperation and collaborationprocesses and scaffold the move between them