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- Title
THE MODEL OF INTERDISCIPLINARY COLLABORATION IN POSTOPERATIVE SETTING.
- Authors
Sherriff, Julia; Hamadain, Elgenaid; Didlake, Ralph; Benghuzzi, Hamed; Mustain, William; Tucci, ichelle; Sullivan, Donna
- Abstract
Introduction: High-reliability and continually technologically innovative environment of perioperative setting (PS) places increasing demands on adaptability of the interdisciplinary teams (IDT) engaged in its activities. Continual concerns for improvements in safety and facilitation of quality process and outcomes drive the efforts in improving the effectiveness and efficiency of interdisciplinary collaboration (IC) to match or supplant changes in PS brought by ongoing innovation integral to it. The model of ICPS has not been empirically described using objective methodology in peer-reviewed literature. Purpose: The purpose of this research was to explain the model of ICPS from the perceptions of the interdisciplinary team (IDT) of PS. Questions guiding this research were: What are the significant components of ICPS? What are the interrelation patterns of the ICPS factors in the perceptions of IDT professionals? Materials and Methods: This research was conducted under the approval of the internal review board (IRB) of the University of Mississippi Medical Center. This research was based on mixed-methods survey design engaging the population of perioperative professionals at educational and professional meetings. The model of ICPS was defined from the literature review. The assumptions of the model were tested with the partially confirmatory factor analysis (PCFA), exploratory factor analysis (EFA), and the analysis of specific correlations of IC level and its likely significant factors, which were derived with identification of common themes in peer-reviewed literature of theoretic and empiric research on collaboration and convergent in concept teamwork and collegiality. The data input was received from IDT professionals through survey in Research Electronic Data Capture (REDCap). Results: The data were statistically analyzed using SPSS. Five primary factors of ICPS as identified by IDT members include: Collegial Support of Adaptability (r=0.478), Reflexive Decision Making (r=0.457), and Process Development (r=0.495). Three factor components with eigenvalues >1 and factor loading of >0.40 were extracted Generalize Least Square (GLS) and Varimax rotation in SPSS; 74.606% of variance was explained with this model. Guardianship-Stewardship Motivational Conflict Model of ICPS was tested with analysis of correlations of the ICPS factors with IC level. ICPS assumptions were adjusted using the empirical findings. Conclusions: In this study, we were able to identify significant covariates of ICPS pertinent in describing its model. Guardianship-Stewardship ICPS motivational model was adjusted using these findings. Further research could focus on detailing the effects of ICPS factors on levels of IC and technical outcomes.
- Subjects
INTERDISCIPLINARY research; MEDICAL care; PERIOPERATIVE care; EXPLORATORY factor analysis; CONFIRMATORY factor analysis; DECISION making
- Publication
Journal of the Mississippi Academy of Sciences, 2018, Vol 62, Issue 2 Supplement, p252
- ISSN
0076-9436
- Publication type
Article