Interprofessional education and collaboration between general practitioner trainees and practice nurses in providing chronic care; a qualitative study

• Published in: BMC medical education Vol. 20; no. 1; p. 290
• Main Authors: van der Gulden, R, Haan, N D Scherpbier-de, Greijn, C M, Looman, N, Tromp, F, Dielissen, P W
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 03-09-2020; BioMed Central; BMC
• Subjects: Chronic care; Chronic illnesses; Coding; Collaboration; Cooperation; Cooperative Behavior; Data Analysis; Data Collection; Disease management; Expertise; Family physicians; Focus Groups; General Practitioners; GP training practice; GP training program; Humans; Interprofessional collaboration; Interprofessional Education; Interprofessional Relations; Interviews; Knowledge; Learning Activities; Medical education; Nurses; Opportunities; Patient-centered care; Practice nursing; Primary care; Qualitative Research; Resistance (Psychology); Role Models; Semi Structured Interviews; Skills; Supervisors; Trainees; Training; Transcripts (Written Records); Netherlands; Interprofessional education; Chronic care; GP training program; GP training practice; Interprofessional collaboration
• ISSN: 1472-6920; 1472-6920
• DOI: 10.1186/s12909-020-02206-1

Effective interprofessional collaboration (IPC) is essential for the delivery of chronic care. Interprofessional education (IPE) can help support IPC skills. This makes IPE interesting for GP practices where chronic care is delivered by GPs together with practice nurses, especially for GP trainees who have to learn to collaborate with practice nurses during their training. The aim of this study is to gain insights in how IPE and IPC occur between GP trainees and practice nurses during the delivery of chronic care in GP training practices.
We conducted a qualitative research using semi structured focus groups and interviews with GP trainees, practice nurses and GP supervisors. All respondents were primed to the subject of IPE as they had followed an interprofessional training on patient-centred communication. The verbatim transcripts of the focus groups and interviews were analysed using thematic analysis.
Despite the overall positive attitude displayed by respondents towards IPE and IPC, the occurrence of IPE and IPC in GP training practices was limited. Possible explanations for this are impeding factors such as limited knowledge, prejudice, lack of role models and a hierarchical organisational structure. Contributing to IPE and IPC use was the integration of IPE in daily practice, e.g. via recurring scheduled meetings.
We found a limited occurrence of IPE and IPC in GP training practices. Our results show a discrepancy between respondents enthusiasm for IPE and IPC and their actual behaviour. IPE activities have to be initiated in GP training practices, otherwise, despite good intentions, IPE and IPC will be ineffective.