SynthesisBMJ open2025
Healthcare professional perspective on barriers and facilitators of multidisciplinary team working in acute care setting: a systematic review and meta-synthesis.
Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Addressing the evidence gap: exploratory insights into dual challenges of mild cognitive impairment and hematologic cancer in older adults through mixed methods and social listening study.European geriatric medicine · 2026Pooled it
- Application of the integrated rehabilitation-clinical-nutrition management model in geriatric rehabilitation patients: a narrative review.Frontiers in public health · 2026Pooled it
- Evaluation of intensive care nurses' attitudes toward the importance of care-focused nurse-patient interaction and associated factors.BMC nursing · 2026Article
- Post-intensive care syndrome: why multidisciplinary care is not enough?Intensive care medicine · 2026Article
- Roles, Barriers and Facilitators of Multidisciplinary Teams Supporting People With Stage 3 and 4 Pressure Injuries in Hospital and Home Settings: A Scoping Review.International wound journal · 2026Article
- Exploring working conditions and job stability of midwives in Spain: results from a cross-sectional national survey.BMC pregnancy and childbirth · 2026Article
- Integrating Nutrition and Physical Activity into the EXEMIG/01 Interdisciplinary Model for Chronic and High-Frequency Migraine.Nutrients · 2026Article
- "It's the biggest not one-size-fits-all service I've ever worked in": the realities of delivering a 'Complications of Excess Weight' service for children and young people in England from a multidisciplinary team perspective.BMC health services research · 2026Article
- Breast Cancer Multi-Disciplinary Team Meetings in a Resource-Constrained System: Are Patients Receiving the Treatment Recommended?World journal of surgery · 2026Article
- Refinement and Preliminary Validation of the Technological Competency as Caring in Healthcare Instrument (TCCHI): Psychometric Evaluation of a Concise Three-Factor Model.Healthcare (Basel, Switzerland) · 2026Article
- Explainable AI in hospital clinical decision support systems: A scoping review of healthcare professionals' perspectives.PLOS digital health · 2026Article
- Review
- Prescription Support Practice for Pharmacy Students: Pre-Post Educational Intervention Study.JMIR medical education · 2026Article
- Case Report: Interdisciplinary approach to managing behavioural and psychological symptoms of dementia and delirium in acute care.Frontiers in dementia · 2026Article
- An Umbrella Review of Relational Enablers of Psychological Safety and Identity-Related Gaps in the Evidence: Implications for Healthcare and Organizational Settings.Journal of healthcare leadership · 2026Review
- Factors Influencing Perceived Multidisciplinary Team Meeting Effectiveness in Teams Addressing Work-Related Respiratory Diseases: A Qualitative Study.Journal of multidisciplinary healthcare · 2026Article
- Artificial intelligence in multidisciplinary tumor boards enhancing decision making and clinical outcomes in oncology.iScience · 2025Review
- Multiprofessional Interventions for Frailty in Patients with Heart Failure: A Comprehensive Review.Current heart failure reports · 2025Review
- ASO Author Reflections: Overcoming Clinical Barriers and Realizing Reciprocal Benefits of Multidisciplinary Conferences.Annals of surgical oncology · 2025Article
- Promoting Speaking Up Through Interprofessional Identity Triggers in a Mixed-Profession Simulation Scenario: Two Group Double-Blinded Pre-Test-Only Design.Journal of multidisciplinary healthcare · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA multidisciplinary team is essential to providing high-quality, patient-centred care. However, its effectiveness can be either hindered or facilitated by various factors, such as the need for rapid decision-making, which may compromise patient outcomes despite individual efforts. The aim of this study is to synthesise the factors that may act as barriers and facilitators to the work of multidisciplinary teams in managing labour within acute care settings.
designA systematic qualitative review and meta-synthesis was conducted following the five-step methodology proposed by Sandelowski DATA SOURCE: Three databases (Medline, Embase and Scopus) were systematically searched without time restrictions up to 25 May 2024. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Qualitative studies exploring perspectives, experiences and other similar factors were included. These studies were assessed for methodological quality using the Critical Appraisal Skills Programme. DATA EXTRACTION AND SYNTHESIS: The reviewers independently searched, screened and coded the results of the included studies. Data were synthesised using the method proposed by Thomas and Harden.
resultsSeventeen studies were included in the meta-synthesis. Four key dimensions emerged, reflecting both the barriers and the facilitators of multidisciplinary team performances: (1) organisational variables, (2) individual variables, (3) collaborative variables and (4) role variables. A total of 36 variables were identified, which could function as barriers (n=6; eg, high staff turnover), facilitators (n=6; eg, strong listening skills) or both (n=24; eg, team climate), depending on the context.
conclusionsThis meta-synthesis identifies specific barriers and facilitators and variables that can act as both. Understanding these factors enables targeted interventions to enhance the performance of multidisciplinary teams in clinical practice, particularly in acute care settings. PROSPERO REGISTRATION NUMBER: CRD42022297395.
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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.