Interprofessional Teamwork and Collaboration Between Community Health Workers and Healthcare Teams: An Integrative Review

Catherine M Franklin, Jean M Bernhardt, Ruth Palan Lopez, Ellen R Long-Middleton, Sheila Davis, Catherine M Franklin, Jean M Bernhardt, Ruth Palan Lopez, Ellen R Long-Middleton, Sheila Davis

Abstract

Objectives: Community Health Workers (CHWs) serve as a means of improving outcomes for underserved populations. However, their relationship within health care teams is not well studied. The purpose of this integrative review was to examine published research reports that demonstrated positive health outcomes as a result of CHW intervention to identify interprofessional teamwork and collaboration between CHWs and health care teams.

Methods: A total of 47 studies spanning 33 years were reviewed using an integrative literature review methodology for evidence to support the following assumptions of effective interprofessional teamwork between CHWs and health care teams: (1) shared understanding of roles, norms, values, and goals of the team; (2) egalitarianism; (3) cooperation; (4) interdependence; and(5) synergy.

Results: Of the 47 studies, 12 reported at least one assumption of effective interprofessional teamwork. Four studies demonstrated all 5 assumptions of interprofessional teamwork.

Conclusions: Four studies identified in this integrative review serve as exemplars for effective interprofessional teamwork between CHWs and health care teams. Further study is needed to describe the nature of interprofessional teamwork and collaboration in relation to patient health outcomes.

Keywords: access to care; collaboration; community health; community health worker; interprofessional teamwork.

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Viswanathan M, Kraschnewski J, Nishikawa B, et al. Outcomes of community health worker interventions. Evid Rep Technol Assess. Assessment No. 181. AHRQ Publication No. 09-E014 Rockville, MD: Agency for Healthcare Research and Quality; June 2009.
    1. The New England Comparative Effectiveness Public Advisory Council. Community health workers: a review of program evolution, evidence on effectiveness and value, and status of workforce development in New England: The Institute for Clinical and Economic Review. Web site . Published May 24, 2013. Updated, July, 2013. Accessed April 2, 2014.
    1. Massachusetts Department of Public Health. Community health workers in Massachusetts: improving health care and public health. 2009. Web site . Published December, 2009. Accessed April 6, 2014.
    1. American Public Health Association. Support for community health workers to increase health access and to reduce health inequities. Policy number 20091. Web site . Updated 2009. Published November 10, 2009. Accessed April 2, 2014.
    1. U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Health Profession. Community health workers evidence-based models toolbox: HRSA office of rural health policy. 2011. Web site . Published August, 2011. Accessed July 10, 2014.
    1. U.S. Department of Health and Human Services Bureau of Health Professions. Community health worker national workforce study. 2007. Web site . Published March, 2007. Accessed March 10, 2014.
    1. Center for Disease Control and Prevention. Addressing chronic disease through community health workers: a policy and systems-level approach. 2011. Web site. . Published 2011. Accessed July 7, 2014.
    1. Institute of Medicine. A population-based policy and systems change approach to prevent and control hypertension. The National Academies Press. Web site . Published February 22, 2010. Accessed April 12, 2014.
    1. One hundred eleventh Congress of the United States of America. Patient protection and affordable care act, 42 (USC). 2010. Pub L No. 111-148, 124 Stat 855. Ammended May 1, 2010.
    1. Centers for Disease Control and Prevention. Community health workers/promotores de salud: critical connections in communities. Web site . Accessed July 7, 2014.
    1. Institute of Medicine. Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. National Academies Press; 2001. Web site . Published March, 2001. Accessed April 12, 2014.
    1. World Health Organization (WHO). Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization, Department of Human Resources for Health; 2010. Web site . Published 2010. Accessed August 16, 2014.
    1. Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: report of an expert panel. Washington, DC: Interprofessional Education Collaborative; 2011. Web site . Accessed on August 16, 2014.
    1. Agency for Healthcare Research and Quality. Patient centered medical home: resource center. Web site . Updated 2014. Accessed August 16, 2014.
    1. American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association. Joint principles of the patient-centered medical home. Del Medical J. 2008;80 (1):21–22.
    1. National Partnership for Women and Families. Patient-centered medical home. Web site . Published 2014. Updated 2015. Accessed August 16, 2014.
    1. Institute of Medicine. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. The future of nursing: leading change, advancing health. National Academies Press; 2010. Web site . Published 2011. Accessed April 12, 2014.
    1. Blue Cross Blue Shield. Blue Cross and Blue Shield patient-centered medical home programs are improving the practice and delivery of primary care in communities nationwide. Available June 4, 2012. Web site . Published June 4, 2012. Accessed August 16, 2014.
    1. Archer J, Bower P, Gilbody S, et al. Collaborative care for depression and anxiety problems. Cochrane Database Syst Rev. 2012;10:1–277.
    1. Bower P, Campbell S, Bojke C, Sibbald B. Team structure, team climate and the quality of care in primary care: an observational study. Qual Saf Health Care. 2003;12 (4):273–279.
    1. Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM., Jr Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. J Am Coll Surg. 2007;205 (6):778–784.
    1. Schmid AA, Kapoor JR, Miech EJ, et al. A multidisciplinary stroke clinic for outpatient care of veterans with cerebrovascular disease. J Multidiscip Healthc. 2011;4:111–118. doi:10.2147/JMDH.S17154.
    1. Richardson LP, Ludman E, Lindenbaum J, et al. Collaboartive care for adolescents with depression in primary care: a randomized clinical trial. JAMA. 2014;312 (8):809–816.
    1. Thota AB, Sipe TA, Byard GJ, et al. Collaborative care to improve the management of depressive disorders: a community guide systematic review and meta-analysis. Am J Prev Med. 2012;42 (5):525–538.
    1. Pape GA, Hunt JS, Butler KL, et al. Team-based care approach to cholesterol management in diabetes mellitus: two-year cluster randomized controlled trial. Arch Intern Med. 2011;171 (16):1480–1486.
    1. Howard-Thompson A, Farland MZ, Byrd DC, et al. Pharmacist-physician collaboration for diabetes care: cardiovascular outcomes. Ann Pharmacother. 2013;47 (11):1471–1477.
    1. Sorbero ME, Farley DO, Mattke S, Lovejoy SL. Outcome measures for effective teamwork in inpatient care: final report. Rand Corporation; 2008. Web site . Accessed August 16, 2014.
    1. Raab CA, Will SEB, Richards SL, O'Mara E. The effect of collaboration on obstetric patient safety in three academic facilities. J Obstet Gynecol Neonatal Nurs. 2013;42 (5):606–616.
    1. Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304 (15):1693–1700.
    1. Zatzick D, Russo J, Lord SP, et al. Collaborative care intervention targeting violence risk behaviors, substance us, and posttraumatic stress and depressive symptoms in injured adolescents: a randomized clinical trial. JAMA Pediatrics. 2014;168 (8):532–539.
    1. Abramson JS, Mizrahi T. When social workers and physicians collaborate: positive and negative interdisciplinary experiences. Soc Work. 1996;41 (3):270–281.
    1. Baggs JG, Ryan A. Intensive care unit nurse-physician collaboration and nurse satisfaction. Nurs Econ. 1990;8 (6):386–392.
    1. D'amour D, Oandasan I. Interprofessionality as the field of interprofessional practice and interprofessional education: an emerging concept. J Interprof Care. 2005;19 (S1):8–20.
    1. Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2009;3 (CD000072):1–30.
    1. Buscemi J, Steglitz J, Spring B. The impact of team science collaborations in health care: a synopsis and comment on Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Transl Behav Med. 2012;2 (4):378–379.
    1. Scholtes PR, Joiner BL, Streibel BJ. The Team Handbook. 3rd ed Madison, WI: Oriel; 2003.
    1. Rice AH. Interdisciplinary collaboration in health care: education, practice, and research. Natl Acad Pract Forum. 2000;2 (1):59–73.
    1. Barr O. Interdisciplinary teamwork: consideration of the challenges. Br J Nurs. 1997;6 (17):1005–1010.
    1. Gage M. From independence to interdependence: creating synergistic healthcare teams. J Nurs Adm. 1998;28 (4):17–26.
    1. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52 (5):546–553.
    1. Agency for Healthcare Research and Quality. Methods guide for effectiveness and comparative effectiveness reviews. Web site . Published October, 2007. Updated January, 2014. Accessed July 7, 2014.
    1. Beckham S, Bradley S, Washburn A, Taumua T. Diabetes management: utilizing community health workers in a Hawaiian/Samoan population. J Health Care Poor Underserved. 2008;19 (2):416–427.
    1. Lujan J, Ostwald SK, Ortiz M. Promotora diabetes intervention for Mexican Americans. Diabetes Educ. 2007;33 (4):660–670.
    1. Jandorf L, Gutierrez Y, Lopez J, Christie J, Itzkowitz SH. Use of a patient navigator to increase colorectal cancer screening in an urban neighborhood health clinic. J Urban Health. 2005;82 (2):216–224.
    1. Levine DM, Bone LR, Hill MN, et al. The effectiveness of a community/academic health center partnership in decreasing the level of blood pressure in an urban African-American population. Ethn Dis. 2003;13 (3):354–361.
    1. Williams JH, Belle GA, Houston C, Haire-Joshu D, Auslander WF. Process evaluation methods of a peer-delivered health promotion program for African American women. Health Promot Pract. 2001;2 (2):135–142.
    1. Auslander W, Haire-Joshu D, Houston C, Rhee CW. A controlled evaluation of staging dietary patterns to reduce the risk of diabetes in african-american women. Diabetes Care. 2002;25 (5):809–814.
    1. Gary TL, Bone LR, Hill MN, et al. Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban african americans. Prev Med. 2003;37 (1):23–32.
    1. Gary TL, Hill-Briggs F, Batts-Turner M, Brancati FL. Translational research principles of an effectiveness trial for diabetes care in an urban african american population. Diabetes Educ. 2005;31 (6):880–889.
    1. Schuler ME, Nair P, Black MM, Kettinger L. Mother-infant interaction: effects of a home intervention and ongoing maternal drug use. J Clin Child Psychol. 2000;29 (3):424–431.
    1. Korfmacher J, O'Brien R, Hiatt S, Olds D. Differences in program imp nurses and paraprofessionals providing home visits during pregnancy and infancy: a randomized trial. Am J Public Health. 1999;89 (12):1847–1851.
    1. Wang EA, Hong CS, Samuels L, Shavit S, Sanders R, Kushel M. Transitions clinic: creating a community-based model of health care for recently released California prisoners. Public Health Rep. 2010;125 (2):171–177.
    1. Wang EA, Hong CS, Shavit S, Sanders R, Kessell E, Kushel MB. Engaging individuals recently released from prison into primary care: a randomized trial. Am J Public Health. 2012;102 (9):e22–e29.
    1. Spencer MS, Rosland AM, Kieffer EC, et al. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. Am J Public Health. 2011;101 (12):2253–2260.
    1. Sixta CS, Ostwald S. Texas-Mexico border intervention by promotores for patients with type 2 diabetes. Diabetes Educ. 2008;34 (2):299–309.
    1. Krieger J, Takaro TK, Song L, Beaudet N, Edwards K. A randomized controlled trial of asthma self-management support comparing clinic-based nurses and in-home community health workers: the Seattle–King county healthy homes II project. Arch Pediatr Adolesc Med. 2009;163 (2):141–149.
    1. D'Amour D, Ferrada-Videla M, San Martin Rodriguez L, Beaulieu M. The conceptual basis for interprofessional collaboration: core concepts and theoretical frameworks. J Interprof Care. 2005;19 (S1):116–131.
    1. Institute of Medicine. Primary care and public health: exploring integration to improve population health. The National Academies Press. 2012. Web site . Published 2012. Accessed June 16, 2014.
    1. Bond MA, Haynes MC, Toof RA, Holmberg MD, Quinteros JR. Healthdiversity: practices that support diverse staffing in community health centers. University of Massachusetts, Lowell: Center for Women and Work. 2011. Web site . Accessed August 16, 2014.
    1. Whelan EM. The importance of community health centers: engines of economic activity and job creation. Center for American Progress. Web site . Published August 9, 2010. Accessed June 16, 2014.
    1. Islam N, Nadkatni SK, Zahn D, Skillman M, Kwon SC, Trinh-Shevrin C. Integrating community health workers within Patient Protection and Affordable Care Act implementation. J Public Health Management Practice. 2015;21 (1):42–50. doi:10.1097/PHH.0000000000000084.
    1. Matiz LA, Pereyz PJ, Jacotin PG, Cruz C, Ramirez-Diaz E, Nieto AR. The impact of integrating community health workers into patient-centered medical home. J Prim Care Community Health. 2014;5 (4):271–274. doi:10.1177/2150131914540694.
    1. Wennerstrom A, Bui T, Harden-Barrios J, Price-Haywood EG. Integrating community health workers into a patient-centered medical home to support disease self management among Vietnamese American: lessons learned. Health Promot Pract. 2015;6 (1):72–83. doi:10.1177/1524839914547760.

Source: PubMed

3
Iratkozz fel