Evidence map›Paper›PMID 38730368›Full record

ArticleBMC primary care2024

Identifying strategies to support implementation of interprofessional primary care teams in Nova Scotia: Results of a survey and knowledge sharing event.

Amy Grant, Rachel Giacomantonio, Kelly Lackie, Adrian MacKenzie, Elizabeth Jeffers, Julia Kontak, Emily Gard Marshall, Susan Philpott, Debbie Sheppard-LeMoine, Elizabeth Lappin and 5 more

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Amy GrantMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Rachel GiacomantonioMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Kelly LackieSchool of Nursing, Dalhousie University, Nova Scotia, Canada.
Adrian MacKenzieMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Elizabeth JeffersMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Julia KontakMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Emily Gard MarshallDepartment of Family Medicine, Dalhousie University, Nova Scotia, Canada.
Susan PhilpottDepartment of Health and Wellness, Government of Nova Scotia, Nova Scotia, Canada.
Debbie Sheppard-LeMoineDepartment of Nursing, St. Francis Xavier University, Nova Scotia, Canada.
Elizabeth LappinMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Alice BruceMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Amy MireaultMaritime SPOR SUPPORT Unit, Nova Scotia Health, Nova Scotia, Canada.
Deanna BeckPrimary Health Care and Chronic Disease Management Network, Nova Scotia Health, Nova Scotia, Canada.
Lindsay CormierPrimary Health Care and Chronic Disease Management Network, Nova Scotia Health, Nova Scotia, Canada.
Ruth Martin-MisenerSchool of Nursing, Faculty of Health, Dalhousie University, PO Box 15000, 5869 University Avenue, Halifax, NS, B3H 4R2, Canada. ruth.martin-misener@dal.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterprofessional primary care teams (IPCTs) work together to enhance care. Despite evidence on the benefits of IPCTs, implementation remains challenging. This research aims to 1) identify and prioritize barriers and enablers, and 2) co-develop team-level strategies to support IPCT implementation in Nova Scotia, Canada.

methodsHealthcare providers and staff of IPCTs were invited to complete an online survey to identify barriers and enablers, and the degree to which each item impacted the functioning of their team. Top ranked items were identified using the sum of frequency x impact for each response. A virtual knowledge sharing event was held to identify strategies to address local barriers and enablers that impact team functioning.

resultsIPCT members (n = 117), with a mix of clinic roles and experience, completed the survey. The top three enablers identified were access to technological tools to support their role, standardized processes for using the technological tools, and having a team manager to coordinate collaboration. The top three barriers were limited opportunity for daily team communication, lack of conflict resolution strategies, and lack of capacity building opportunities. IPCT members, administrators, and patients attended the knowledge sharing event (n = 33). Five strategies were identified including: 1) balancing patient needs and provider scope of practice, 2) holding regular and accessible meetings, 3) supporting team development opportunities, 4) supporting professional development, and 5) supporting involvement in non-clinical activities.

interpretationThis research contextualized evidence to further understand local perspectives and experiences of barriers and enablers to the implementation of IPCTs. The knowledge exchange event identified actionable strategies that IPCTs and healthcare administrators can tailor to support teams and care for patients.

Indexed as

Interprofessional RelationsPatient Care TeamPrimary Health CareAdultCooperative BehaviorFemaleHealth PersonnelHumansInformation DisseminationMaleNova ScotiaSurveys and QuestionnairesCollaborative family practiceConsolidated Framework for Implementation ResearchImplementationInterprofessional teamsPrimary careWorkforce

Identifiers

PMID38730368
PMCPMC11083844

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.