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Artykuły w czasopismach na temat "Interprofessional boundaries"

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Jakobsen, Helene Filstad, i Cathrine Filstad. "Crossing Knowledge Boundaries in Interprofessional Collaborations". Nordic Journal of Studies in Policing 7, nr 02 (9.12.2020): 121–36. http://dx.doi.org/10.18261/issn.2703-7045-2020-02-04.

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Comeau-Vallée, Mariline, i Ann Langley. "The Interplay of Inter- and Intraprofessional Boundary Work in Multidisciplinary Teams". Organization Studies 41, nr 12 (16.05.2019): 1649–72. http://dx.doi.org/10.1177/0170840619848020.

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The challenges of managing interprofessional boundaries within multidisciplinary teams are well known. However, the role of intraprofessional relations in influencing the dynamics of interprofessional collaboration remain underexplored. Our qualitative study offers a fine-grained analysis of the interplay between inter- and intraprofessional boundary work among three professional groups in a multidisciplinary team over a period of two years. Our contribution to the literature is threefold. First, we identify various forms of “competitive” and “collaborative” boundary work that may occur simultaneously at both inter- and intraprofessional levels. Second, we reveal the dynamic interplay between inter- and intraprofessional boundary negotiations over time. Third, we theorize relationships between the social position of professional groups, and the uses and consequences of competitive and collaborative boundary work tactics at intra- and interprofessional levels. Specifically, we show how intraprofessional conflict within high-status groups may affect interprofessional dynamics, we reveal how intraprofessional and interprofessional boundaries may be mobilized positively to support collaborative relations, and we show how mobilization within lower-status groups around interprofessional boundary grievances can paradoxically lead to further marginalization.
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Jones, Isabel F. "The theory of boundaries: Impact on interprofessional working". Journal of Interprofessional Care 21, nr 3 (styczeń 2007): 355–57. http://dx.doi.org/10.1080/13561820701257383.

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King, Olivia, Susan Nancarrow, Sandra Grace i Alan Borthwick. "Interprofessional role boundaries in diabetes education in Australia". Health Sociology Review 28, nr 2 (2.04.2019): 162–76. http://dx.doi.org/10.1080/14461242.2019.1600380.

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Sauzet, Sofie. "Et tværprofessionelt ansvar?" Forskning i Pædagogers Profession og Uddannelse 6, nr 1 (11.04.2022): 14. http://dx.doi.org/10.7146/fppu.v6i1.132318.

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DK resumé Det tværprofessionelle samarbejde mellem pædagoger og lærere i skolen begrebsliggøres på forskellig vis i danske uddannelsesbekendtgørelser til lærer- og pædagoguddannelsen fra 1986-2017. I artiklen analyseres tre varianter over det tværprofessionelle samarbejde i uddannelsesbekendtgørelsestekster, der læses som sammenvævede med velfærdssektorielle moderniserings-, professionaliserings- og reformprocesser. Analysen viser, at uddannelsesbekendtgørelserne fremskriver en tiltagende specialisering og differentiering af det tværprofessionelle samarbejde og betoner et stadig mere modsætningsfuldt og komplekst ansvar for lærere og pædagoger i det tværprofessionelle samarbejde. Det er et modsætningsfuldt ansvar for både at kende til og kommunikere egen og andres faglighed, forstå grænserne imellem professionerne og tage hensyn hertil, og bryde med de selvsamme grænser. Samtidig er det et komplekst ansvar, hvor professionerne både skal udvikle på samarbejdet og på betingelserne for samarbejdet. Ved at adressere det tværprofessionelle samarbejde som et midlertidigt resultat, tæt forbundet til velfærdsektorielle bevægelser, peger artiklen på, at professionernes kernebegreber ikke udvikles i et vakuum. Og artiklen viser, hvordan begrebsliggørelser af det tværprofessionelle samarbejde er med til at forme forståelser af, og betingelser for, professionernes fagligheder og samarbejdsobjekter. – Samtidig med, at betingelserne for samarbejdet justeres i velfærdsuddannelserne og velfærdsarbejdet, hvor stadig mere ambitiøse forhåbninger om hvad det tværprofessionelle kan løse af problemer, foldes ud. Abstract – UKIn this article I show three variations of the concept of interprofessional collaboration between teachers and pedagogues in schools, in the ministerial orders for the programmes for teachers and pedagogues from 1986-2017. The article analyses variations in the concept of interprofessional collaboration as closely entangled with concomitant tendencies and processes in the welfare sector. Through the analysis it is argued that the ministerial orders for the professional programmes have involved a continuous specialization and differentiation of interprofessional collaboration, and an intensified and contradictory responsibilization of the professionals for knowing about, and manifesting, their own expertise, and the expertise of others, understanding the boundaries between the professions and solving tasks in caring for these differences. – While they are expected to overcome these boundaries and innovate on their conditions for collaborating interprofessionally. By addressing the concept of interprofessional collaboration as closely entangled with concomitant processes and tendencies in the welfare state, the article argues that the core concepts of the professions are not made in a vacuum. Rather, the article shows how conceptualizations unfold – whilst conditions for collaborating are adjusted and contradictory responsibilities are developed, as welfare reforms unfold with increasingly complex ambitions towards what problems interprofessional collaboration might solve.
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Smith, Tony. "?Skill transfer? and interprofessional boundaries in rural and remote radiography". Australian Journal of Rural Health 15, nr 4 (sierpień 2007): 273–74. http://dx.doi.org/10.1111/j.1440-1584.2007.00907.x.

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Santy, J. "Interprofessional boundaries between nursing and physiotherapy in the orthopaedic setting". Journal of Orthopaedic Nursing 3, nr 2 (maj 1999): 88–94. http://dx.doi.org/10.1016/s1361-3111(99)80031-4.

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Bjørke, Gerd, i Nina E. Haavie. "Crossing boundaries: Implementing an interprofessional module into uniprofessional Bachelor programmes". Journal of Interprofessional Care 20, nr 6 (styczeń 2006): 641–53. http://dx.doi.org/10.1080/13561820600991801.

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Siebert, Sabina. "Symbolic demarcation: the role of status symbols in preserving interprofessional boundaries". Journal of Professions and Organization 7, nr 1 (1.03.2020): 47–69. http://dx.doi.org/10.1093/jpo/joaa004.

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Abstract Interprofessional demarcation is one of the key themes in the study of the professions. This study aims to understand the symbolic resources activated when an elite profession faces challenges to its task jurisdiction from a new, emerging profession. I attempt to answer the following question: ‘How are status symbols used to maintain jurisdictional boundaries between professions?’ I analyzed ethnographic material concerning one of the most elite and ancient professions: Scottish advocates—known as barristers outside Scotland. I found that when faced with competition from other professions, advocates engaged in differentiation through the use of status symbols such as professional dress in and out of court, ceremonies, and everyday rituals. I observed two concurrent processes of differentiation: the maintenance of stability of status symbols and the maintenance of mobility of status symbols, that is, the ongoing cycle of imitation and avoidance, which happens on the boundary of two competing professions. Building on the Simmel effect (1890), I argue that imitation and distinctiveness preserve professional differentiation, and that managing the stability of some symbols and the mobility of others allow elite professionals to maintain their superior status.
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Pichonnaz, David, Alexandre Lambelet i Valérie Hugentobler. "Disagreements in Nursing Homes. Analysing the Competition between Occupations with Fuzzy Boundaries". Swiss Journal of Sociology 46, nr 1 (1.03.2020): 97–115. http://dx.doi.org/10.2478/sjs-2020-0005.

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AbstractThis article looks at interprofessional disagreements about how care should be provided in nursing homes for elderly people. The article shows that, while work is discussed by referring to four general principles, their prioritization remains a point of contention. This priority ranking is specific to the norms of each profession involved, which are not always compatible.
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Rozprawy doktorskie na temat "Interprofessional boundaries"

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MacNaughton, Kate. "The Dynamics of Role Construction in Interprofessional Primary Health Care Teams". Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23544.

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This qualitative study explores how roles are constructed within interprofessional health care teams. It focuses on elucidating the different types of role boundaries, the influences on role construction and the implications for professionals and patients. A comparative case study was conducted with two interprofessional primary health care teams. The data collection included a total of 26 interviews (13 with each team) and non-participant observations of team meetings (2-3 meetings at each site). Thematic analysis was used to analyze the data and a model was developed to represent the emergent findings. The role boundaries are organized around interprofessional interactions (autonomous-collaborative boundaries) and the distribution of tasks (interchangeable-differentiated boundaries). Salient influences are categorized as structural, interpersonal and individual dynamics. The implications of role construction include professional satisfaction and more favourable wait times for patients. The elements in this conceptual model may be transferable to other interprofessional primary health care teams. It may benefit these teams by raising awareness of the potential impact of various within-team influences on role construction.
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Clancy, Ann. "Perceptions of public health nursing practice On borders and boundaries, visibility and voice". Doctoral thesis, Nordic School of Public Health NHV, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3704.

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Aim: The aim of this comprehensive thesis is to explore different perceptions of public health nursing practice. The intention being to contribute to developing the service, theoretically and practically, in throe with current and future public health needs. Methods: The thesis comprises five studies. Public health nurses, young people, parents and decision makers are interviewed and share their perceptions of public health nursing practice (studies I, II, III and IV). Consultations at local child health clinics, clinics for young people and at school health services are observed (study III). A cross sectional study amongst a sample of doctors, public health nurses, midwives and child protection workers is carried out (study V). The first four studies have an explorative, descriptive design. Study V, with its focus on interprofessional collaboration, is based on the results of studies I, II, and IV. Findings: Study I, a case study, provides a backdrop for the remaining four studies. It focuses on changes the nurses have faced during the period 1984-2005. The results point to issues of visibility and that respect is more important for the nurses than authority or status. Study II is a philosophical study based on interviews with public health nurses. It gives an introduction to the philosophy of Emmanuel Levinas and develops a novel theoretical and practical understanding of aspects of responsibility in public health nursing. Study III shows the importance of relationships with service users in public health nursing practice; and that not only pleasantness but also honesty and openness are important. This study has contributed to further developing models of public health nursing interventions. Decision makers in study IV point to the challenges public health nurses face regarding collaboration, visibility and boundaries. Study V is a cross sectional questionnaire study that focuses on interprofessional collaboration. The results show that size of municipality can influence frequency of meeting points and views on issues relating to collaboration; and that mental health services are those most missed in collaborative relationships. The findings warrant further research and should be of interest when organising municipal health- and social services in Norway. Conclusions: The thesis concludes that service users and decision makers are satisfied with public health nursing services, but that public health nurses face challenges related to collaboration, to boundaries for knowledge and involvement, and in making their health promotive function visible
Denne doktorgradsavhandling: Perceptions of public health nursing practice - on borders and boundaries, visibility and voice, fokuserer på ulike oppfatninger av helsesøsters praksis. Helsesøstre, ungdom, foreldre, samt lokale politikere og administratorer er intervjuet om deres syn på helsesøstertjenesten. Konsultasjoner på helsestasjon for barn, ungdom og i skolehelsetjenesten er observert. Et utvalg av samarbeidspartnere har svart på et spørreskjema om samarbeidsforhold. Avhandlingen består av fem studier. De første fire studier har eksplorativ, deskriptiv design. Studie V er en tverrsnittsstudie som bygger på resultatene fra studiene I,II, og IV. Avhandlingen har til hensikt å løfte frem områder som respondentene mener fortjener oppmerksomhet og som kan ha praktiske og teoretiske implikasjoner for utvikling av tjenesten. Studie I, en case studie danner et bakteppe for de andre studiene. Den fokuserer på endringer i helsesøstertjenesten i perioden 1984-2005. Resultatene fra denne studien peker på helsesøstrenes opplevelse av usynlighet og at respekt er mer viktig for helsesøstrene i studien enn autoritet og status. Studie II er en filosofisk studie basert på intervjuer med helsesøstre. Den gir en introduksjon til Levinas’ filosofi og utvikler en dypere forståelse for teoretiske og praktiske aspekter av etisk ansvar i helsesøsters praksis. Studie III peker på betydningen av relasjoner i helsesøsters praksis. Det var viktig at konsultasjonene var hyggelige for helsesøstrene og brukerne, men ærlighet og åpenhet var også vesentlig for gode relasjoner. Beslutningstakere i studie IV peker på utfordringer helsesøstre har når det gjelder samarbeid, usynlighet, samt grenser for deres kunnskap og involvering. Studie V er en spørreskjemaundersøkelse som fokuserer på samarbeid. Resultatene viser at kommunestørrelse har betydning for hyppighet av møtepunkter og syn på samarbeid og at psykiske helsetjenester er savnet mest i samarbeidsrelasjoner. Disse funn burde være av interesse i fremtidig organisering av helse- og sosialtjenester. Avhandlingen konkluderer med at foreldre, ungdom og beslutningstakere er fornøyde med helsesøstertjenesten, men at helsesøstre står overfor viktige utfordringer i samarbeidsrelasjoner, i forhold til grenser for involvering og i å synliggjøre deres helsefremmende funksjon
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Smith, Anthony Neil. "Remote X-Ray Operator Radiography: A Case Study In Interprofessional Rural Clinical Practice". Thesis, 2006. http://hdl.handle.net/1959.13/24909.

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In some rural and remote locations in New South Wales and elsewhere in Australia, a limited range of radiographic examinations may be performed by nurses and general practitioners if there is no radiographer available. These so called remote x-ray operators are licensed under the New South Wales Radiation Control Act 1990. This study aimed to investigate the experiences and perceptions of remote x-ray operator radiography and examine the role of remote operators in New South Wales from the perspective of a cohort of rural radiographers and nurse and GP remote x-ray operators involved in frontline delivery of rural radiographic services. Methodology Semi-structured in-depth interviews were performed with twenty rural radiographers, ten rural nurses and seven rural general practitioners from various rural communities in New South Wales. Interview questions explored the informants’ knowledge, opinions and values, experience and behaviour, and attitudes and feelings in relation to remote x-ray operator radiography. Interviews were tape-recorded and transcribed. Data analysis was subsequently performed using an iterative process based on a modified grounded theory methodology. Data labelling and comparative analysis were carried out in parallel with data collection, allowing progressive modification of the interview theme list to ensure that theoretical saturation was achieved. Results Data analysis led to the emergence of three key concepts, together with their relevant themes and sub-themes. The primary key concept, ‘Dimensions of Practice’, was inclusive of the central precepts of remote x-ray operator radiography. It includes themes titled ‘Licence Conditions and Limitations’, ‘Competency Requirements’ and ‘Image Quality and Practice Standards’. The key concept of ‘Service Provision and Equity of Access’, represents the realities of clinical practice in the rural and remote health care setting. It includes themes of ‘Clinical Management and Decision Making’, ‘Access and Availability’, ‘Patient Expectations’ and ‘Commitment to Service’. The third key concept is ‘Professional Roles and Relationships’, which deals with the interactions that take place between individual practitioners and the factors that influence them. It encompasses the xii themes of ‘Boundary Delineation’, ‘Professional Status and Esteem’ and ‘Interprofessional Conflict and Collaboration’. Relationships between the key concepts, via their themes and sub-themes were also explored. Conclusions Analysis of the data led to the development of a conceptual model and a single story line that represent the perspectives of the study informants. Remote x-ray operator radiography takes place at the intersection of the occupational worlds of rural radiographers, nurses and general practitioners. Remote operators provide a valuable service that prevents rural residents having to travel to access minor radiographic examinations. However, the quality of the radiography they perform is below the standard expected of radiographers. Improvements in collaborative teamwork could improve the quality of service, although interprofessional communication is stifled by status and hierarchical relationships. The remote x-ray operator experience may inform the development of future models of health care.
PhD Doctorate
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Smith, Anthony Neil. "Remote X-Ray Operator Radiography: A Case Study In Interprofessional Rural Clinical Practice". 2006. http://hdl.handle.net/1959.13/24909.

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In some rural and remote locations in New South Wales and elsewhere in Australia, a limited range of radiographic examinations may be performed by nurses and general practitioners if there is no radiographer available. These so called remote x-ray operators are licensed under the New South Wales Radiation Control Act 1990. This study aimed to investigate the experiences and perceptions of remote x-ray operator radiography and examine the role of remote operators in New South Wales from the perspective of a cohort of rural radiographers and nurse and GP remote x-ray operators involved in frontline delivery of rural radiographic services. Methodology Semi-structured in-depth interviews were performed with twenty rural radiographers, ten rural nurses and seven rural general practitioners from various rural communities in New South Wales. Interview questions explored the informants’ knowledge, opinions and values, experience and behaviour, and attitudes and feelings in relation to remote x-ray operator radiography. Interviews were tape-recorded and transcribed. Data analysis was subsequently performed using an iterative process based on a modified grounded theory methodology. Data labelling and comparative analysis were carried out in parallel with data collection, allowing progressive modification of the interview theme list to ensure that theoretical saturation was achieved. Results Data analysis led to the emergence of three key concepts, together with their relevant themes and sub-themes. The primary key concept, ‘Dimensions of Practice’, was inclusive of the central precepts of remote x-ray operator radiography. It includes themes titled ‘Licence Conditions and Limitations’, ‘Competency Requirements’ and ‘Image Quality and Practice Standards’. The key concept of ‘Service Provision and Equity of Access’, represents the realities of clinical practice in the rural and remote health care setting. It includes themes of ‘Clinical Management and Decision Making’, ‘Access and Availability’, ‘Patient Expectations’ and ‘Commitment to Service’. The third key concept is ‘Professional Roles and Relationships’, which deals with the interactions that take place between individual practitioners and the factors that influence them. It encompasses the xii themes of ‘Boundary Delineation’, ‘Professional Status and Esteem’ and ‘Interprofessional Conflict and Collaboration’. Relationships between the key concepts, via their themes and sub-themes were also explored. Conclusions Analysis of the data led to the development of a conceptual model and a single story line that represent the perspectives of the study informants. Remote x-ray operator radiography takes place at the intersection of the occupational worlds of rural radiographers, nurses and general practitioners. Remote operators provide a valuable service that prevents rural residents having to travel to access minor radiographic examinations. However, the quality of the radiography they perform is below the standard expected of radiographers. Improvements in collaborative teamwork could improve the quality of service, although interprofessional communication is stifled by status and hierarchical relationships. The remote x-ray operator experience may inform the development of future models of health care.
PhD Doctorate
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Randell, Rebecca, J. Greenhalgh, J. Hindmarsh, S. Honey, A. Pearman, Natasha Alvarado i D. Dowding. "How do team experience and relationships shape new divisions of labour in robot-assisted surgery? A realist investigation". 2019. http://hdl.handle.net/10454/17758.

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Yes
Safe and successful surgery depends on effective teamwork between professional groups, each playing their part in a complex division of labour. This article reports the first empirical examination of how introduction of robot-assisted surgery changes the division of labour within surgical teams and impacts teamwork and patient safety. Data collection and analysis was informed by realist principles. Interviews were conducted with surgical teams across nine UK hospitals and, in a multi-site case study across four hospitals, data were collected using a range of methods, including ethnographic observation, video recording and semi-structured interviews. Our findings reveal that as the robot enables the surgeon to do more, the surgical assistant's role becomes less clearly defined. Robot-assisted surgery also introduces new tasks for the surgical assistant and scrub practitioner, in terms of communicating information to the surgeon. However, the use of robot-assisted surgery does not redistribute work in a uniform way; contextual factors of individual experience and team relationships shape changes to the division of labour. For instance, in some situations, scrub practitioners take on the role of supporting inexperienced surgical assistants. These changes in the division of labour do not persist when team members return to operations that are not robot-assisted. This study contributes to wider literature on divisions of labour in healthcare and how this is impacted by the introduction of new technologies. In particular, we emphasise the need to pay attention to often neglected micro-level contextual factors. This can highlight behaviours that can be promoted to benefit patient care.
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Książki na temat "Interprofessional boundaries"

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Martin, Beyerlein Michael, Johnson Douglas A i Beyerlein Susan T, red. Complex collaboration: Building the capabilities for working across boundaries. Amsterdam: Elsevier JAI, 2004.

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Harry, Daniels, red. Activity theory in practice: Promoting learning across boundaries and agencies. New York: Routledge, 2009.

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1945-, Levine Harold Gary, i Levine Paula L, red. Managing boundaries in the health professions. Springfield, Ill., USA: C.C. Thomas, 1993.

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Fitzgerald, Louise. Interprofessional Interactions and their Impact on Professional Boundaries. Redaktorzy Ewan Ferlie, Kathleen Montgomery i Anne Reff Pedersen. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780198705109.013.7.

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Previous debates on the system of professions predominantly focused on medicine or a single profession. This chapter argues for an examination of the interactions between differing professions/occupations as an alternative approach to analyzing shifting professional boundaries. The chapter explores empirical data on professional interactions across the entire system from the medical profession to unqualified assistants. Two core themes emerge—firstly, minimal role blurring between doctors and nurses, but more substantive workplace blurring between nurses and health care assistants (HCAs); and secondly, significant role merging between doctors and managers with the gradual, variable development of an elite of medical managers. This chapter argues professional interactions are revealing. They illuminate the extent of autonomy of individual professions; and one discovers novel issues of power, professional control and accountability.
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(Editor), Michael M. Beyerlein, Douglas Johnson (Editor) i Susan Beyerlein (Editor), red. Complex Collaboration, Volume 10: Building the Capabilities for Working Across Boundaries (Advances in Interdisciplinary Studies of Work Teams). JAI Press, 2004.

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Sally, Glen, i Leiba Tony, red. Multi-professional learning for nurses: Breaking the boundaries. Houndmills, Basingstoke, Hampshire: Palgrave, 2002.

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(Editor), Donald E. Gelfand, Richard Raspa (Editor), Sherylyn H. Briller (Editor) i Stephanie Myers, Ph.D. Schim (Editor), red. End-of-Life Stories: Crossing Disciplinary Boundaries. Springer Publishing Company, 2005.

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Raspa, Richard, Stephanie Myers Schim, Donald E. Gelfand i Sherylyn H. Briller. End-of-life Stories: Crossing Disciplinary Boundaries. Springer Publishing Company, Incorporated, 2005.

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Części książek na temat "Interprofessional boundaries"

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Straub, Christine, Sebastian Bode, Lukas Nock i Irina Cichon. "Interprofessional Training Wards: Transcending Boundaries—Learning and Working Together". W Innovative Staff Development in Healthcare, 199–212. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-81986-6_13.

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Soubhi, Hassan, Sandra Coulombe, Dominique Labbée, Liliane Asseraf-Pasin, Sharon Hatcher, Ariane Girard i Stéphane Allaire. "Implementing Interprofessional and Citizenship Education in a Regional University: Carving Paths, Crossing Boundaries in Complex Adaptive Systems". W Leading Research and Evaluation in Interprofessional Education and Collaborative Practice, 79–98. London: Palgrave Macmillan UK, 2016. http://dx.doi.org/10.1057/978-1-137-53744-7_5.

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Kelly, Timothy B., Laura R. Bronstein i Debra McPhee. "Social work ethics crossing multinational and interprofessional boundaries". W Exploring the dynamics of personal, professional and interprofessional ethics, 247–62. Policy Press, 2014. http://dx.doi.org/10.1332/policypress/9781447308997.003.0016.

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Hall, Christopher, i Stef Slembrouck. "Working within frames and across boundaries in core group meetings in child protection". W Interprofessional Collaboration and Service Users, 83–114. Policy Press, 2021. http://dx.doi.org/10.1332/policypress/9781447356639.003.0005.

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The chapter describes how information sharing and multi-agency coordination is established as a central concern of child protection policy and procedure in England. It looks at Core Group Meetings as the ‘control room’ of multi-agency work. The analysis draws on framing and boundary work to explore how professionals from different agencies contribute to multi-agency meetings and examines the activities of the chair in terms of framing turns and topics. It demonstrates how different professionals ensure that their presence is established in the meeting. The conclusion is that managing professional contributions involves complex boundary work by all participants.
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Hall, Christopher, i Stef Slembrouck. "Working within frames and across boundaries in core group meetings in child protection". W Interprofessional Collaboration and Service Users, 83–114. Policy Press, 2021. http://dx.doi.org/10.2307/j.ctv1gbrw72.10.

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Mulkerin, Colleen M., Katherine S. Lepak i Sara Z. Morrison. "Palliative Care Consultation". W The Oxford Textbook of Palliative Social Work, redaktorzy Terry Altilio, Shirley Otis-Green i John G. Cagle, 309–19. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197537855.003.0028.

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Palliative care consultation can address and reflect the alignment of the field of palliative care and the profession of social work. In this chapter we discuss the growth of palliative care in the United States. There are a variety of practice models, inclusive of teams, that utilize consultation etiquette norms or indicator driven consultation. Indicator driven models may involve disease specific criteria, utilization criteria, or institutional priorities to trigger consultation. The evolution of palliative care is symbiotic with professional societies’ recognition and advocacy for integrated palliative care as a standard of care exemplified by the confluence of the Quadruple Aim and palliative care. . The components of excellence in palliative care consultation are discussed via a synopsis of goals of care and through the domains of palliative social work practice. A focus on opportunities for micro, mezzo, and macro approaches is considered within a structure that attends to clinical boundaries, peer support and intentional collaboration. Collaboration is a principal element in healthcare systems; this chapter introduces a framework for understanding the components that contribute to effective collaboration essential to the pivotal social work role as a liaison between the patient/family and members of the interprofessional team. Transitions are identified as crucial moments when social work can provide continuity of relationship and identify the meaning connected to changing health, function and relationships. Palliative care contributes to improving healthcare that is vital to patient-family experience, healthy teams, and thriving healthcare systems.
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