title: Essential features influencing collaboration in team-based non-specific back pain rehabilitation: Findings from a mixed methods study.
abstract: The aim of the study presented in this article was to explore how professionals, without guidelines for implementing interprofessional teamwork, experience the collaboration within team-based rehabilitation for people with back pain and how this collaboration influences their clinical practice. This study employed a mixed methods design. A questionnaire was answered by 383 participants and 17 participants were interviewed. The interviews were analysed using content analysis. The quantitative results showed that the participants were satisfied with their team-based collaboration. Thirty percent reported that staff changes in the past year had influenced their clinical practice, of which 57% reported that these changes had had negative consequences. The qualitative findings revealed that essential features for an effective collaboration were shared basic values and supporting each other. Furthermore, aspects such as having enough time for reflection, staff continuity, and a shared view of the team members' roles were identified as aspects which influenced the clinical practice. Important clinical implications for nurturing and developing a collaboration in team-based rehabilitation are to create shared basic values and a unified view of all team members' roles and their contributions to the team. These aspects need to be emphasised on an ongoing basis and not only when the team is formed.
authors.affiliation: a Institute of Environmental Medicine, Intervention and Implementation Research , Karolinska Institutet , Stockholm , Sweden.
authors.forename: Therese
authors.initials: T
authors.lastname: Hellman
authors.affiliation: a Institute of Environmental Medicine, Intervention and Implementation Research , Karolinska Institutet , Stockholm , Sweden.
authors.forename: Irene
authors.initials: I
authors.lastname: Jensen
authors.affiliation: a Institute of Environmental Medicine, Intervention and Implementation Research , Karolinska Institutet , Stockholm , Sweden.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Bergström
authors.affiliation: a Institute of Environmental Medicine, Intervention and Implementation Research , Karolinska Institutet , Stockholm , Sweden.
authors.forename: Elisabeth Björk
authors.initials: EB
authors.lastname: Brämberg
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001416:Back Pain / Q000534:rehabilitation*; D003299:Cooperative Behavior; D005260:Female; D006126:Group Processes; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration; D013548:Sweden; D013997:Time Factors
keywords: Interprofessional collaboration; interprofessional education; mixed methods; rehabilitation; team-based care