Supporting and Inhibiting Factors in the Implementation of Inter-professional Collaboration in Nursing

Authors

  • I Ketut Astawa Institut Teknologi dan Kesehatan Bali
  • NLP Dina Susanti Institut Teknologi dan Kesehatan Bali
  • Ni Luh Dwi Indrayani Institut Teknologi dan Kesehatan Bali
  • Made Dian Shanti Kusuma Institut Teknologi dan Kesehatan Bali

DOI:

https://doi.org/10.37287/ijghr.v8i1.545

Keywords:

hospital, inter-professional collaboration

Abstract

Inter-professional collaboration has a positive impact on patient outcomes and enhances job satisfaction. However, its implementation faces numerous challenges. To date, no literature review has systematically summarized the factors influencing nurses' participation in collaborative practice. This literature review aims to systematically summarize the factors affecting the implementation of inter-professional collaboration (IPC) among nurses. This scoping review adopts the PCC (Population, Content, Context) approach, where the population consists of nurses, the content focuses on inter-professional collaboration, and the context is hospital settings. Article searches were conducted in two databases, PubMed and Science Direct, covering the period from 2020 to 2025, using keywords: “inter-professional collaboration” AND “nurse” AND “hospital” AND “factor.” The search yielded 727 articles, with 15 included in the review.  Eligible full text articles underwent critical appraisal, followed by data extraction, including details such as author names, publication year, country, title, objectives, research methods, findings, and research gaps the supporting factors for IPC implementation by nurses include effective communication practices, enhanced collaborative competencies, and the implementation of inter-professional education. Conversely, the barriers to IPC implementation by nurses involve unclear role definitions, poor organizational management, weak leadership, as well as high stress and workload. These findings highlight the numerous challenges in IPC implementation among nurses. The development and implementation of policies that support IPC are crucial.

References

Aceto, G., Persico, V., & Pescapé, A. (2018). The role of Information and Communication Technologies in healthcare: taxonomies, perspectives, and challenges. Journal of Network and Computer Applications, 107, 125–154. https://doi.org/10.1016/J.JNCA.2018.02.008

Baumgarten, M., Brødsgaard, A., Nørholm, V., Foss, N. B., & Bunkenborg, G. (2023). Interprofessional Collaboration Between Nurses and Physicians in the Perioperative Period. Journal of PeriAnesthesia Nursing, 38(5), 724–731. https://doi.org/10.1016/J.JOPAN.2022.12.002

Cheng, Q., Duan, Y., Wang, Y., Zhang, Q., & Chen, Y. (2021a). The physician-nurse collaboration in truth disclosure: from nurses’ perspective. BMC Nursing, 20(1). https://doi.org/10.1186/S12912-021-00557-8

Cheng, Q., Duan, Y., Wang, Y., Zhang, Q., & Chen, Y. (2021b). The physician-nurse collaboration in truth disclosure: from nurses’ perspective. BMC Nursing, 20(1). https://doi.org/10.1186/S12912-021-00557-8,

Cohen-Mekelburg, S., Rosenblatt, R., Gold, S., Shen, N., Fortune, B., Waljee, A. K., Saini, S., Scherl, E., Burakoff, R., & Unruh, M. (2019). Fragmented Care is Prevalent Among Inflammatory Bowel Disease Readmissions and is Associated With Worse Outcomes. The American Journal of Gastroenterology, 114(2), 276–290. https://doi.org/10.1038/S41395-018-0417-9

Coolen, E., Engbers, R., Draaisma, J., Heinen, M., & Fluit, C. (2020). The use of SBAR as a structured communication tool in the pediatric non-acute care setting: bridge or barrier for interprofessional collaboration? Journal of Interprofessional Care. https://doi.org/10.1080/13561820.2020.1816936,

D’Amour, D., Ferrada-Videla, M., San Martin Rodriguez, L., & Beaulieu, M. D. (2005). The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks. Journal of Interprofessional Care, 19(SUPPL. 1), 116–131. https://doi.org/10.1080/13561820500082529

Degu, T., Amsalu, E., Kebede, A., & Adal, O. (2023). Inter-professional collaboration and associated factors among nurses and physicians in specialized public hospitals, the northwest, Ethiopia: mixed method multi-centered cross-sectional study. BMC Health Services Research, 23(1), 286. https://doi.org/10.1186/S12913-023-09200-5

Djaharuddin, I., Aras, I., Masadah, R., Yusuf, I., Idris, I., Rasyid, H., & Nelwan, B. (2023). Factors Influencing the Implementation of Interprofessional Collaborative Practice in Teaching Hospital Setting: A Mixed-Method Study. Journal of Advances in Medical Education & Professionalism, 11(4), 213. https://doi.org/10.30476/JAMP.2023.98987.1821

Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional communication in healthcare: An integrative review. Nurse Education in Practice, 19, 36–40. https://doi.org/10.1016/J.NEPR.2016.04.005

Gilbert, G. L., & Kerridge, I. (2022). What is needed to sustain improvements in hospital practices post-COVID-19? a qualitative study of interprofessional dissonance in hospital infection prevention and control. BMC Health Services Research, 22(1), 504. https://doi.org/10.1186/S12913-022-07801-0

Gittell, J. H., Godfrey, M., & Thistlethwaite, J. (2013). Interprofessional collaborative practice and relational coordination : Improving healthcare through relationships. August 2012, 210–213. https://doi.org/10.3109/13561820.2012.730564

González-López, M. M., Esquinas-López, C., Romero-García, M., Benito-Aracil, L., Martínez-Momblan, M. A., Villanueva-Cendán, M., Jaume-Literas, M., Hospital-Vidal, M. T., & Delgado-Hito, P. (2024). Intensity of Interprofessional Collaboration and related factors in Intensive Care Units. A descriptive cross-sectional study with an analytical approach. Enfermería Intensiva (English Ed.), 35(3), 188–200. https://doi.org/10.1016/j.enfie.2023.10.002

Hoxha, G., Simeli, I., Theocharis, D., Vasileiou, A., & Tsekouropoulos, G. (2024). Sustainable Healthcare Quality and Job Satisfaction through Organizational Culture : Approaches and Outcomes. 1–17.

Jabbar, S., Noor, H., Butt, G., Zahra, S., Irum, A., Manzoor, S., Mukhtar, T., & Aslam, M. (2023). A Cross-Sectional Study on Attitude and Barriers to Interprofessional Collaboration in Hospitals Among Health Care Professionals. Inquiry : A Journal of Medical Care Organization, Provision and Financing, 60. https://doi.org/10.1177/00469580231171014

Jepkosgei, J., English, M., Adam, M. B., & Nzinga, J. (2022). Understanding intra- and interprofessional team and teamwork processes by exploring facility-based neonatal care in kenyan hospitals. BMC Health Services Research, 22(1). https://doi.org/10.1186/S12913-022-08039-6,

Kurniasih, D. A. A., Setiawati, E. P., Pradipta, I. S., & Subarnas, A. (2022). Interprofessional collaboration in the breast cancer unit: how do healthcare workers see it? BMC Women’s Health, 22(1), 227. https://doi.org/10.1186/S12905-022-01818-7/TABLES/1

L. Gleeson, L., O’Brien, G. L., O’Mahony, D., & Byrne, S. (2023). Interprofessional communication in the hospital setting : a systematic review of the qualitative literature. Journal of Interprofessional Care, 37(2), 203–213. https://doi.org/10.1080/13561820.2022.2028746

Li, J., Talari, P., Kelly, A., Latham, B., Dotson, S., Manning, K., Thornsberry, L., Swartz, C., & Williams, M. V. (2018). Interprofessional Teamwork Innovation Model ( ITIM ) to promote communication and patient-centred , coordinated care. February, 1–10. https://doi.org/10.1136/bmjqs-2017-007369

Mäki-Asiala, M., Kaakinen, P., & Pölkki, T. (2022). Interprofessional Collaboration in the Context of Pain Management in Neonatal Intensive Care: A Cross-Sectional Survey. Pain Management Nursing, 23(6), 759–766. https://doi.org/10.1016/J.PMN.2022.08.006

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35(2), 112–117. https://doi.org/10.1177/08404704211063584/ASSET/4212D160-0BF2-496A-80E4-B1F4EED983E2/ASSETS/IMAGES/LARGE/10.1177_08404704211063584-FIG1.JPG

Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open, 8(8), e022202. https://doi.org/10.1136/BMJOPEN-2018-022202

Ohta, R., & Maejima, S. (2021). Challenges and solutions in nurse practitioners’ work for interprofessional collaboration at rural community hospitals: The grounded theory approach. Journal of Interprofessional Education & Practice, 23, 100421. https://doi.org/10.1016/J.XJEP.2021.100421

Osman, I. M., Mohamud, F. A., Hilowle, F. M., Snr, S. M. S., Hassan, I. I., Mohamud, R. Y. H., Ali, T. A., & Barud, A. A. (2025). Attitudes of Nurses and Physicians Towards Nurse-Physician Interprofessional Collaboration in a Tertiary Hospital in Somalia: Cross-Sectional Study. Journal of Multidisciplinary Healthcare, 18, 2075. https://doi.org/10.2147/JMDH.S511008

Patel, H., Perry, S., Badu, E., Mwangi, F., Onifade, O., Mazurskyy, A., Walters, J., Tavener, M., Noble, D., Chidarikire, S., Lethbridge, L., Jobson, L., Carver, H., MacLellan, A., Govind, N., Andrews, G., Kerrison-Watkin, G., Lun, E., & Malau-Aduli, B. S. (2025). A scoping review of interprofessional education in healthcare: evaluating competency development, educational outcomes and challenges. BMC Medical Education, 25(1), 409. https://doi.org/10.1186/S12909-025-06969-3/PEER-REVIEW

Pawłowicz-Szlarska, E., Sawościan, M., Lipińska, K., Kendyś, K., & Nowicki, M. (2022). Interprofessional collaboration in the renal care settings: Experiences in the COVID-19 era. Advances in Clinical and Experimental Medicine, 31(7). https://doi.org/10.17219/ACEM/146777,

Pomare, C., Long, J. C., Churruca, K., Ellis, L. A., & Braithwaite, J. (2020). Interprofessional collaboration in hospitals: a critical, broad-based review of the literature. Journal of Interprofessional Care, 34(4), 509–519. https://doi.org/10.1080/13561820.2019.1702515

Prior, A., Vestergaard, C. H., Vedsted, P., Smith, S. M., Virgilsen, L. F., Rasmussen, L. A., & Fenger-Grøn, M. (2023). Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. BMC Medicine, 21(1). https://doi.org/10.1186/S12916-023-03021-3

Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye, P., Peytremann-Bridevaux, I., & Gilles, I. N. G. R. I. D. (2021). An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators. International Journal of Integrated Care, 21(2), 32. https://doi.org/10.5334/IJIC.5589

Saeed, S., Hegazy, N. N., Malik, M. G. R., Abbas, Q., Atiq, H., Ali, M. M., Aslam, A., Hashwani, Y., & Ahmed, F. B. (2024). Transforming the delivery of care from “I” to “We” by developing the crisis resource management skills in pediatric interprofessional teams to handle common emergencies through simulation. BMC Medical Education, 24(1). https://doi.org/10.1186/S12909-024-05459-2,

Sorensen, D., Cristancho, S., Soh, M., & Varpio, L. (2024). Team Stress and Its Impact on Interprofessional Teams: A Narrative Review. Teaching and Learning in Medicine, 36(2), 163–173. https://doi.org/10.1080/10401334.2022.2163400,

Stangt, K. C. (2009). The Problem of Fragmentation and the Need for Integrative Solutions. Annals of Family Medicine, 7(2), 100. https://doi.org/10.1370/AFM.971

Vaseghi, F., Yarmohammadian, M. H., & Raeisi, A. (2022). Interprofessional Collaboration Competencies in the Health System: A Systematic Review. Iranian Journal of Nursing and Midwifery Research, 27(6), 496. https://doi.org/10.4103/IJNMR.IJNMR_476_21

Vatn, L., & Dahl, B. M. (2022a). Interprofessional collaboration between nurses and doctors for treating patients in surgical wards. Journal of Interprofessional Care, 36(2), 186–194. https://doi.org/10.1080/13561820.2021.1890703

Vatn, L., & Dahl, B. M. (2022b). Interprofessional collaboration between nurses and doctors for treating patients in surgical wards. Journal of Interprofessional Care, 36(2), 186–194. https://doi.org/10.1080/13561820.2021.1890703,

WHO. (2025). Hospitals. https://www.who.int/health-topics/hospitals#tab=tab_1

Yusra, R. Y., Findyartinib, A., & Soemantri, D. (2019). Healthcare professionals ’ perceptions regarding interprofessional collaborative practice in Indonesia. Journal of Interprofessional Education & Practice, 15(January), 24–29. https://doi.org/10.1016/j.xjep.2019.01.005

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Published

2025-10-26

How to Cite

Astawa, I. K., Susanti, N. D., Indrayani, N. L. D., & Kusuma, M. D. S. (2025). Supporting and Inhibiting Factors in the Implementation of Inter-professional Collaboration in Nursing. Indonesian Journal of Global Health Research, 8(1), 277–292. https://doi.org/10.37287/ijghr.v8i1.545

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