Skip to main content

Table 1 Students’ suggestions for improved interprofessional working

From: Intra- and interprofessional practices through fresh eyes: a qualitative analysis of medical students’ early workplace experiences

Relationship building• Healthcare professionals taking time to introduce themselves to colleagues when visiting wards would help to avoid misunderstandings
• Weekly multi-disciplinary team lunch could facilitate relationship building, practitioner wellbeing, and mitigate shifting teams
• Active support for good relationships between different members of the MDT would help facilitate a multidisciplinary approach to problems
Patient dignity• Interprofessional and interpersonal issues should be dealt with away from patients
• Holding MDT meetings behind doors and not in the open ward would help to preserve patient confidentiality and dignity
Support for novices and juniors• Actively inviting junior nurses, doctors and midwives to speak up and ask for help could help to overcome hierarchy
• Written guides would help to support new doctors and locums to work more effectively in unfamiliar contexts
• Keeping a list of patients consented for medical students to see on a ward would mean that students would not have to keep asking senior nursing staff
Interfaces between services• Give paramedics direct access to patient records to support diagnosis, improve care and reduce admissions
• Give hospitals access to primary care patient records to improve A&E efficiency and safety
• Primary care doctors would benefit from direct telephone access to specialists, to consult on the effective care of complex conditions, improving patient confidence in their care
• Centralising patient records would avoid duplication of scans, tests and investigations, and facilitate sharing of expertise
Collaborative practices• Doctors and nurses could come together to explain results to patients, draw on each other’s skills, to ensure is information is both correct and communicated well
• Nursing staff could proactively share the workload of surgeons during surgical admission, giving surgeons more time to respond to patient questions and concerns during the consent process
• Include surgeons in MDT meetings to give them opportunities to meet new staff and to discuss the care of their patients
• Enable pharmacists to join the main ward round rather than conduct their own, to help to avoid fragmentation of care and disruption to patients
• Involve junior staff (as witnessed on a labour ward) to give more patients a voice through their closest carer
• Institute multidisciplinary ward rounds to give junior midwives more of a voice
• Multidisciplinary primary care meetings, to discuss regular or complex patients, would help to share expertise and understanding
• A mid-day huddle would help ensure that developments and issues were communicated verbally across the team, reducing errors
• Team huddles, rather than relying on others to find and read notes, would allow questions, improve care and facilitate the discharge process
• Greater use of traffic light systems on ward whiteboards would help to communicate task prioritisation and coordinate patient discharge
• ‘Parking’ questions until a handover presentation had been completed would help to ensure that there was an organised flow of information