Collaborating in the context of co-location: a grounded theory study

BMC Family Practice

Research Article

Roberta L. Woodgate¹  Pamela Wener² 

[1] College of Nursing, University of Manitoba, 465 Helen Glass Centre, 89 Curry Place, R3T 2N2, Winnipeg, MB, Canada;Department of Occupational Therapy, College of Rehabilitation Sciences, University of Manitoba, R125-771 McDermot Ave., R3E 0T6, Winnipeg, MB, Canada;

关键词: Mental Health;    Mental Health Service;    Family Physician;    Primary Care Provider;    Primary Care Setting;   

DOI  :  10.1186/s12875-016-0427-x

 received in 2015-11-08, accepted in 2016-03-02,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundMost individuals with mental health concerns seek care from their primary care provider, who may lack comfort, knowledge, and time to provide care. Interprofessional collaboration between providers improves access to primary mental health services and increases primary care providers’ comfort offering these services. Building and sustaining interprofessional relationships is foundational to collaborative practice in primary care settings. However, little is known about the relationship building process within these collaborative relationships. The purpose of this grounded theory study was to gain a theoretical understanding of the interprofessional collaborative relationship-building process to guide health care providers and leaders as they integrate mental health services into primary care settings.MethodsForty primary and mental health care providers completed a demographic questionnaire and participated in either an individual or group interview. Interviews were audio-recorded and transcribed verbatim. Transcripts were reviewed several times and then individually coded. Codes were reviewed and similar codes were collapsed to form categories using using constant comparison. All codes and categories were discussed amongst the researchers and the final categories and core category was agreed upon using constant comparison and consensus.ResultsA four-stage developmental interprofessional collaborative relationship-building model explained the emergent core category of Collaboration in the Context of Co-location. The four stages included 1) Looking for Help, 2) Initiating Co-location, 3) Fitting-in, and 4) Growing Reciprocity. A patient-focus and communication strategies were essential processes throughout the interprofessional collaborative relationship-building process.ConclusionsBuilding interprofessional collaborative relationships amongst health care providers are essential to delivering mental health services in primary care settings. This developmental model describes the process of how these relationships are co-created and supported by the health care region. Furthermore, the model emphasizes that all providers must develop and sustain a patient-focus and communication strategies that are flexible. Applying this model, health care providers can guide the creation and sustainability of primary care interprofessional collaborative relationships. Moreover, this model may guide health care leaders and policy makers as they initiate interprofessional collaborative practice in other health care settings.

【 授权许可】

CC BY   
© Wener and Woodgate. 2016