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Factors that influence engagement in collaborative practice

How 8 health professionals became advocates

Lesley Bainbridge, BSR(PT) MEd
Director of Interprofessional Education in the Faculty of Medicine at the University of British Columbia

Julia Bickford, MA
Research assistant and PhD student in the Faculty of Health Sciences at the University of Western Ontario

Susan Baptiste, OT MHSc PhD
Professor in Rehabilitation Sciences at McMaster University

Susan Brajtman, RN PhD
Assistant Professor in the School of Nursing at the University of Ottawa

Trish Dryden, RMT MEd
Professor of Applied Arts and Health Sciences at Centennial College

Pippa Hall, MD CCFP MEd FCFP
Associate Professor of Family Medicine at the University of Ottawa

Cathy Risdon, MD CCFP FCFP
Associate Professor in Rehabilitation Sciences at McMaster University

Patricia Solomon, PT PhD
Professor in Rehabilitation Sciences at McMaster University

Correspondence to: Julia Bickford, Health Sciences, University of Western Ontario, 208 Arthur and Sonia Labatt Health Sciences Bldg, London, ON N6A 5B9; telephone 519 661-2111, extension 82218; e-mail jmarti73{at}uwo.ca

OBJECTIVE To generate hypotheses regarding factors that might influence engagement in collaborative practice.

DESIGN Qualitative study using in-depth interviews.

SETTING Participants interviewed each other in dyads. The pairing was based upon geographical location and proximity to each other.

PARTICIPANTS Eight professionals from the disciplines of medicine, nursing, occupational therapy, physical therapy, and massage therapy.

METHOD Semistructured interviews, lasting 30 to 45 minutes each, were recorded and transcribed verbatim. The transcripts were read by all research team members using independent content analysis for common words, phrases, statements, or units of text for key themes. At a subsequent face-to-face meeting, the team used an iterative process of comparing and contrasting key themes until consensus was reached. The transcripts were then analyzed further for subthemes using NVivo software.

MAIN FINDINGS Initial findings suggest that some common characteristics grounded in family history, school experiences, social interactions, and professional training might influence collaborative practice choices. The narrative form of the interview broke down interpersonal and interprofessional barriers, creating a new level of trust and respect that could improve professional collaboration.

CONCLUSION This study suggests that life experiences from childhood into later adulthood can and do influence professional choices.