Trusting parent-professional relationships in interprofessional interventions for expectant and new parents in vulnerable positions: A realist evaluation.

Interprofessional collaboration and trusting parent-professional relationships can be key to delivering interprofessional care to meet the needs of expectant and new parents in vulnerable positions. This, however, presents challenges. This study aimed to gain deeper understanding of how and under wh...

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Publicado en:Journal of Interprofessional Care Vol. 39; no. 3; pp. 408 - 419
Autores principales: Gram, Pernille, Thomsen, Louise Lund Holm, Andersen, Clara Graugaard, Overgaard, Charlotte
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May/Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2025
      vid: 39
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      pub: Taylor & Francis Ltd
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        10.1080/13561820.2023.2183185
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        atl: Trusting parent-professional relationships in interprofessional interventions for expectant and new parents in vulnerable positions: A realist evaluation.
      aug:
        au:
          Gram, Pernille
          Thomsen, Louise Lund Holm
          Andersen, Clara Graugaard
          Overgaard, Charlotte
        affil: Department of Health Science and Technology, The Research Team for Women's, Child & Family Health, Aalborg University, Gistrup, Denmark
      sug:
        subj:
          Maternal Health Services
          Expectant Parents Psychosocial Factors
          Parents Psychosocial Factors
          Multidisciplinary Care Team
          Health Care Delivery
          Interprofessional Relations
          Collaboration
          Professional-Family Relations
          Trust
          Midwife Attitudes Evaluation
          Attitude of Health Personnel Evaluation
          Human
          Denmark
          Funding Source
          Semi-Structured Interview
          Patient Centered Care
          Family Centered Care
          Professional Role
          Consumer Participation
          Coping
          Parenting
          Skill Acquisition
      ab: Interprofessional collaboration and trusting parent-professional relationships can be key to delivering interprofessional care to meet the needs of expectant and new parents in vulnerable positions. This, however, presents challenges. This study aimed to gain deeper understanding of how and under what circumstances trusting parent-professional relationships develop and work within interprofessional team-based care for this group, from the professionals' perspectives. Realist evaluation was undertaken based on 14 semi-structured, realist interviews with midwives and health visitors and 11 observations. Multiple interrelated mechanisms were identified including patient/family-centered care, timely and relevant interprofessional involvement in care, gentle interprofessional bridging, transparency of intervention roles and purposes, and relational continuity. Good interprofessional collaboration was a primary condition for these mechanisms. Developed, trusting relationships supported parents' engagements with interprofessional care and constituted a supportive safety net that promoted parenting skills and coping abilities. We identified harmful mechanisms: distanced encounters, uncertainty of interprofessional involvement, and compromising the safe space. These mechanisms caused distrust and disengagement. Ensuring trusting parent-professional relationships within interprofessional team-based care demands each professional involved competently engages in relational work and interprofessional collaboration. Uncontrollability is thus influenced regarding interpersonal connection and potentially gives an explanation when trust-building efforts fail.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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