ArticleBMC health services research2018
Exploring role clarity in interorganizational spread and scale-up initiatives: the 'INSPIRED' COPD collaborative.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Integrated disease management interventions for patients with chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2021Pooled it
- Systematic review of the characteristics of brief team interventions to clarify roles and improve functioning in healthcare teams.PloS one · 2020Pooled it
- Professional perspectives on roles and structural gaps in interprofessional collaboration for suicide prevention: a qualitative study.Frontiers in psychiatry · 2026Article
- Effects of students' psychological needs satisfaction on interprofessional competencies: a multilevel analysis.BMC medical education · 2025Article
- Power dynamics and intersectoral collaboration for health in low- and middle-income countries: a realist review.Health policy and planning · 2025Article
- Barriers and facilitators of pharmacists' integration in a multidisciplinary home care team: a qualitative interview study based on the normalization process theory.BMC health services research · 2024Article
- Framing asynchronous interprofessional education: a qualitative study on medical, physiotherapy and nursing students.International journal of medical education · 2023Article
- Interprofessional collaboration in primary health care from the perspective of implementation science.Cadernos de saude publica · 2023Article
- Diet and exercise advice and referrals for cancer survivors: an integrative review of medical and nursing perspectives.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Review
- Factors that affect quality of care among mental health providers: Focusing on job stress and resources.Psychiatric rehabilitation journal · 2021Article
- Patient and family views of team functioning in primary healthcare teams with nurse practitioners: a survey of patient-reported experience and outcomes.BMC family practice · 2021Article
- Key characteristics and critical junctures for successful Interprofessional networks in healthcare - a case study.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRole clarification is consistently documented as a challenging process for inter professional healthcare teams, despite being a core tenet of interprofessional collaboration. This paper explores the role clarification process in two previously unexplored contexts: i) in the dissemination phase of a quality improvement (QI) program, and ii) as part of interorganizational partnerships for the care of chronic disease patients.
methodsA secondary analysis using asynchronous purposive coding was conducted on an innovative pan-Canadian Chronic Obstructive Pulmonary Disease QI program.
resultsOur study reveals that the iterative structure of QI initiatives in the spread phase can offer numerous unique benefits to role clarification, with the potential challenge of time commitment. In addition, the role clarification process within interorganizational partnerships proved to be relatively well-structured, characterized by three phases: relationship conceptualization or early contact, familiarization, and finally, role division. Common strategies in the last stage included the establishment of working groups and new information-sharing networks.
conclusionThis article characterizes some ways in which providers and organizational partners negotiate their roles in a changing professional environment. As the movement towards integrated care continues, issues of role clarity are assuming increasing importance in healthcare contexts, and understanding role dynamics can provide valuable insight into the optimization of QI initiatives.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.