Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/16738
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dc.contributor.authorMcNeil, Karenen
dc.contributor.authorMitchell, Rebeccaen
dc.contributor.authorParker, Vicki Ten
dc.date.accessioned2015-02-19T17:02:00Z-
dc.date.issued2015-
dc.identifier.citationScandinavian Journal of Caring Sciences, 29(1), p. 73-82en
dc.identifier.issn1471-6712en
dc.identifier.issn0283-9318en
dc.identifier.urihttps://hdl.handle.net/1959.11/16738-
dc.description.abstractRationale and Aim: While interprofessional practice has been promoted as a solution to the challenges besetting rural health services, current evidence does not offer a clear explanation as to why it is effective in some domains and yet is not successful in others. At the same time, rural clinicians are frequently faced with major workforce pressures and this has a significant influence on professional practice. The aim of this study was to explore how these pressures impact on rural interprofessional practice. Method: This study is part of a larger project investigating factors that enhance and detract from effective interprofessional working. We utilised a modified realistic evaluation approach to analyse the context, mechanisms and outcomes of rural interprofessional practice. Approval for this study was granted by an accredited research ethics committee. Semi-structured interviews were conducted with 22 rural clinicians who were purposively recruited from a range of settings, roles, locations and professions. Findings and Discussion: We found that clinicians often invested in interprofessional practice because of the need to manage intense workloads and this necessitated sharing of responsibilities across disciplines and blurring of role boundaries. Paradoxically, participants noted that workload pressures hampered interprofessional working if there were long-term skill shortages. Sharing workload and responsibility is an important motivator for rural practitioners to engage in interprofessional practice; however, this driver is only effective under circumstances where there are sufficient resources to facilitate collaboration. In the context of intransient resource challenges, rural health service managers would be best to focus on enabling IPP through facilitating role understanding and respect between clinicians. This is most feasible via informal workplace learning and allowing time for teams to reflect on collaborative processes.en
dc.languageenen
dc.publisherWiley-Blackwell Publishing Ltden
dc.relation.ispartofScandinavian Journal of Caring Sciencesen
dc.titleThe paradoxical effects of workforce shortages on rural interprofessional practiceen
dc.typeJournal Articleen
dc.identifier.doi10.1111/scs.12129en
dc.subject.keywordsNursingen
local.contributor.firstnameKarenen
local.contributor.firstnameRebeccaen
local.contributor.firstnameVicki Ten
local.subject.for2008111099 Nursing not elsewhere classifieden
local.subject.seo2008920210 Nursingen
local.subject.seo2008920506 Rural Healthen
local.profile.schoolSchool of Healthen
local.profile.emailkmcneil@une.edu.auen
local.profile.emailvparker3@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.identifier.epublicationsrecordune-20140311-180029en
local.publisher.placeNorwayen
local.format.startpage73en
local.format.endpage82en
local.identifier.scopusid84923093403en
local.peerreviewedYesen
local.identifier.volume29en
local.identifier.issue1en
local.contributor.lastnameMcNeilen
local.contributor.lastnameMitchellen
local.contributor.lastnameParkeren
dc.identifier.staffune-id:kmcneilen
dc.identifier.staffune-id:vparker3en
local.profile.orcid0000-0002-0834-9528en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.identifier.unepublicationidune:16973en
local.identifier.handlehttps://hdl.handle.net/1959.11/16738en
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
local.title.maintitleThe paradoxical effects of workforce shortages on rural interprofessional practiceen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorMcNeil, Karenen
local.search.authorMitchell, Rebeccaen
local.search.authorParker, Vicki Ten
local.uneassociationUnknownen
local.identifier.wosid000350285500007en
local.year.published2015en
local.subject.for2020420599 Nursing not elsewhere classifieden
local.subject.seo2020200307 Nursingen
local.subject.seo2020200508 Rural and remote area healthen
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