醫學研究

The symbiosis of neuro-interventionists: From parallel practice to interdisciplinary patient care

Chan ALC, Yu SCH, Wong G, Lee KT, Leung CSF, Wong LKS, Leung TW. Cerebrovasc Dis. 2012 Sep;34 Suppl 1:65. doi: 10.1159/000341759. PMID: 22965283.

Abstracts of the Asia Pacific Stroke Conference 2012, the Annual Conference of the Asia Pacific Stroke Organization (APSO). Tokyo, Japan. September 10-12, 2012.

Abstract

Backgrounds: We have delivered neuro-interventional service through a team-oriented approach comprising of specialists from radiology, neurosurgery and neurology since 2006. The impact and optimal framework of this collaboration remain unclear.

Methods: Institutional Review Board approved the study. We aimed to evaluate this collaborative model by a quantitative frame-work construct survey on 4 major aspects: philosophy (believes in benefits of interprofessional collaboration, knowledge of each other’s treatment approach), trust, process (knowledge exchange, physician centrality, conflicts) and outcomes (job satisfaction, personal growth, intention to leave, research output). Doctors, nurses and radiographers were invited by mail to complete the survey. One-way ANOVA test or Kruskal-Wallis test were used for statistical analyses.

Results: Thirty-eight team-members (38/53, 71.7%) completed the questionnaire. Within the continuum from parallel practice to integrative model,24 responders (63.2%) defined the current mode of collaboration as multidisciplinary, integrative or interdisciplinary. Majority of doctors (66.7%) and radiographers (62.5%) expressed a strong believe in benefits of interprofessional collaboration but only 28.6% nurses agreed. Doctors showed a stronger believe that the collaboration enable a better clinical outcome after endovascular intervention (p = 0.013). While most doctors enjoyed a high degree of autonomy and more opportunities for personal growth and research through the collaboration, most nurses and radiographers had less autonomy and described the collaboration as physician oriented (all p<0.05). Conclusions: A collaborative paradigm for neurointerventional service may improve the clinical outcome of patients. However, the protocol-driven model may diminish autonomy and job satisfaction of nurses and radiographers.

Citation:

Chan ALC, Yu SCH, Wong G, Lee KT, Leung CSF, Wong LKS, Leung TW.  The Symbiosis of Neuro-Interventionists: From Parallel Practice to Interdisciplinary Patient Care. Cerebrovasc Dis. 2012 Sep;34 Suppl 1:65. doi: 10.1159/000341759. PMID: 22965283.

https://doi.org/10.1159/000341759