Interprofessional collaboration amongst health care professionals in Federal Medical Centre, Owo, Ondo State, Nigeria: A cross-sectional study

Folorunso Timothy Oluwarotimi , Adaja Tomisin Mathew , Folorunso Ajibike Eunice , Akerejola Yemisi Adaiyen , Ashaju Kayode Ismaila , Osuolale Omolade Isiaka

Journal of Hospital Administration ›› 2025, Vol. 14 ›› Issue (2) : 34 -48.

PDF (930KB)
Journal of Hospital Administration ›› 2025, Vol. 14 ›› Issue (2) :34 -48. DOI: 10.63564/jha.v14n2p34
Original Articles
research-article

Interprofessional collaboration amongst health care professionals in Federal Medical Centre, Owo, Ondo State, Nigeria: A cross-sectional study

Author information +
History +
PDF (930KB)

Abstract

Objective: Effective interprofessional collaboration (IPC) is a cornerstone of high-quality healthcare delivery. Given the complexity of healthcare systems, optimal patient outcomes depend on the ability of professionals across disciplines to work cohesively. Conversely, weak collaboration among health workers contributes to poor service quality, a challenge evident in Nigeria. This study explored the perceptions and practices of IPC among healthcare professionals at the Federal Medical Centre, Owo, Ondo State, Nigeria.
Methods: A cross-sectional survey was conducted using the validated Assessment of Interprofessional Collaboration Scale questionnaire, rated on a five-point Likert scale. Data analysis involved mean ± standard deviation for continuous variables and proportions/percentages for categorical data.
Results: A total of 185 respondents participated, with the majority (77.3%) aged between 20-39 years. Females accounted for 61.1% of the sample, though gender distribution varied by profession: nursing remained predominantly female (91.2%), while medical laboratory science was male-dominated (87.5%). Among specialists, laboratory scientists (37.5%), physiotherapists (35%), and doctors (33.3%) had the highest proportions. Doctors and nurses recorded the highest mean scores across most IPC domains, particularly role clarity (4.40 and 4.33, respectively) and trust (4.45 and 4.34). Administrators and “others” consistently recorded the lowest scores (3.12-3.74). ANOVA revealed significant differences across all parameters (p <.001). Post-hoc analysis confirmed stronger doctor-nurse collaboration compared to other groups.
Conclusions: Findings revealed that doctors demonstrated the strongest interprofessional collaboration, followed by nurses and pharmacists. In contrast, physiotherapists, laboratory scientists, administrators, and other cadres reported lower levels of collaboration. Notably, doctors consistently rated themselves highly and were similarly rated by other professional groups. Strengthening IPC across all healthcare professions remains essential to improving teamwork and ensuring better patient outcomes.

Keywords

Healthcare professionals / Interprofessional collaboration / Teamwork

Cite this article

Download citation ▾
Folorunso Timothy Oluwarotimi, Adaja Tomisin Mathew, Folorunso Ajibike Eunice, Akerejola Yemisi Adaiyen, Ashaju Kayode Ismaila, Osuolale Omolade Isiaka. Interprofessional collaboration amongst health care professionals in Federal Medical Centre, Owo, Ondo State, Nigeria: A cross-sectional study. Journal of Hospital Administration, 2025, 14(2): 34-48 DOI:10.63564/jha.v14n2p34

登录浏览全文

4963

注册一个新账户 忘记密码

ACKNOWLEDGEMENTS

We acknowledged the hospital staff of Federal Medical Centre,

Owo, who assisted us in data collection.

AUTHORS CONTRIBUTIONS

FTO Correponding author: Conceptualized, designed the study and wrote the first draft of manustrip. Developed the statistical analysis plan and performed the statistical analyses with ATM. ATM and FTO did literature search and final manustrip write up. FAE, AYA, AKI, OOI: Questionaires administration and data collection. All authors have given final approval for the current version to be published.

FUNDING

No external funding was received.

CONFLICTS OF INTEREST DISCLOSURE

The authors declare they have no conflicts of interest.

INFORMED CONSENT

Obtained.

ETHICS APPROVAL

The Publication Ethics Committee of the Association for Health Sciences and Education. The journal’s policies adhere to the Core Practices established by the Committee on Publication Ethics (COPE).

PROVENANCE AND PEER REVIEW

Not commissioned; externally double-blind peer reviewed.

DATA AVAILABILITY STATEMENT

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

DATA SHARING STATEMENT

The data can be requested from the corresponding author.

OPEN ACCESS

This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).

COPYRIGHTS

Copyright for this article is retained by the author(s), with first publication rights granted to the journal.

References

[1]

Shi Y, Wang X, Chen L. The nurse-physician relationship during the COVID-19 pandemic: A mixed-methods study and model of collaborative attitudes. JMIR Form Res. 2023; 7: e41729. PMid: 36745499. https://doi.org/10.2196/41729

[2]

Sculon D, Lindroth R, Christianson J. Steering patients to safer hospitals? Health Serv Res. 2008; 43(5 Pt 2): 1849-68. PMid: 18761676. https://doi.org/10.1111/j.1475-6773.2008.00889.x

[3]

Kim Y, Oh Y, Lee E, et al. Impact of nurse-physician collaboration, moral distress, and professional autonomy on job satisfaction among nurses acting as physician assistants. Int J Environ Res Public Health. 2022; 19(2): 661-75. PMid: 35055482. https://doi.org/10.3390/ijerph19020661

[4]

Rahayu SA, Prasetyo D. Does power distance in healthcare teams link to patient outcomes? Evidence from multi-disciplinary hospital teams. BMC Health Serv Res. 2024; 24: 83. PMid: 38229081. https://doi.org/10.1186/s12913-023-10534-3

[5]

World Health Organization WHO. Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization; 2010. Available from: https://apps.who.int/iris/handle/10665/70185

[6]

Mohammed ENA. Knowledge, causes, and experience of interprofessional conflict and rivalry among healthcare professionals in Nigeria. BMC Health Serv Res. 2022; 22: 320. PMid: 35264179. https://doi.org/10.1186/s12913-022-07664-5

[7]

Adigwe OP, Mohammed ENA, Onavbavba G. Preventing and mitigating inter-professional conflict among healthcare professionals in Nigeria. J Healthc Leadersh. 2023; 15: 1-9. PMid: 36636738. https://doi.org/10.2147/JHL.S392882

[8]

Opele JK. Inter-professional collaboration and knowledge management practices among clinical workforce in federal tertiary hospitals in Nigeria. Knowl Manag E-Learn. 2022; 14(3): 329-43. https://doi.org/10.34105/j.kmel.2022.14.018

[9]

Halilu SD, Maiyegun AA, Aiyekomogbon JO, et al. Interprofessional collaboration amongst healthcare workers of a tertiary hospital in north-eastern Nigeria. Niger Postgrad Med J. 2024; 31(2): 163-9. PMid: 38826020. https://doi.org/10.4103/npmj.npmj_281_23

[10]

Saragih ID, Arna Uly Tarihoran DET, et al. A systematic review and meta-analysis of outcomes of interprofessional education for healthcare students from seven countries. Nurse Educ Pract. 2023; 71: 103683. PMid: 37433234. https://doi.org/10.1016/j.nepr.2023.103683.

[11]

Jiang Y, Cai Y, Zhang X, et al. Interprofessional education interventions for healthcare professionals to improve patient safety: A scoping review. Med Educ Online. 2024; 29(1): 2391631. PMid: 39188239. https://doi.org/10.1080/10872981.2024.2391631

[12]

Wei H, Horns P, Sears SF, et al. A systematic meta-review of systematic reviews about interprofessional collaboration: facilitators, barriers, and outcomes. J Interprof Care. 2022; 36(5): 735-749. https://doi.org/10.1080/13561820.2021.1973975

[13]

Bouton C, Journeaux M, Jourdain M, et al. Interprofessional collaboration in primary care: What effect on patient health? BMC Prim Care. 2023; 24: 253. PMid: 38031014. https://doi.org/10.1186/s12875-023-02189-0 PMCID: PMC10785376.

[14]

Grant A, Kontak J, Jeffers E, et al. Barriers and enablers to implementing interprofessional primary care teams: a narrative review of the literature using the consolidated framework for implementation research. BMC Prim Care. 2024; 25(1): 25. PMid: 38216867. https://doi.org/10.1186/s12875-023-02240-0

[15]

Rawlinson C, Carron T, Arditi C, et al. An overview of reviews on interprofessional collaboration in primary care: Effectiveness, barriers and facilitators. Int J Integr Care. 2021; 21(2): 32, 1-15. https://doi.org/10.5334/ijic.5589

[16]

Showande SJ, Ibirongbe TP. Interprofessional education and collaborative practice in Nigeria: Pharmacists’ and pharmacy students’ attitudes and perceptions. Curr Pharm Teach Learn. 2023; 15(9): 787-800. PMid: 37482495. https://doi.org/10.1016/j.cptl.2023.07.013

[17]

World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: WHO; 2010.

[18]

Bosch B, Mansell H. Interprofessional collaboration in health care. Can Pharm J (Ott). 2015; 148(4): 176-9. PMid: 26448769. https://doi.org/10.1177/1715163515588106

[19]

Krogstad U, Hofoss D, Hjortdahl P. Doctor and nurse perception of inter-professional co-operation in hospitals. Int J Qual Health Care. 2004; 16(6): 491-7. PMid: 15557359. https://doi.org/10.1093/intqhc/mzh082

[20]

Sweet S, Norman I. The nurse-doctor relationship: A selective literature review. J Adv Nurs. 1995; 22(1): 165-70. PMid: 7560525. https://doi.org/10.1046/j.1365-2648.1995.22010165.x

[21]

Unegbu V, Ayoola O, Oduwole A, et al. Role clarity as a determinant of job satisfaction among library personnel in South- West Nigeria. J Inf Knowl Manag. 2023; 14(1): 126-43. https://doi.org/10.4314/iijikm.v14i1.8

[22]

Gregory PAM, Austin Z. Trust in interprofessional collaboration. Can Pharm J (Ott). 2016; 149(4): 236-45. PMid: 27540406. https://doi.org/10.1177/1715163516647749

[23]

Svensson R. The interplay between doctors and nurses—a negotiated order perspective. Sociol Health Illn. 1996; 18(3): 379-98. https://doi.org/10.1111/1467-9566.ep10934735

[24]

Clark KM. Interprofessional education and collaborative practice: Are we there yet? J Lung Health Dis. 2018; 2(4): 1-5. https://doi.org/10.29245/2689-999X/2017/4.1139

[25]

Ogbimi RI, Adebamowo CA. Questionnaire survey of working relationships between nurses and doctors in University Teaching Hospitals in Southern Nigeria. BMC Nurs. 2006; 5: 2. https://doi.org/10.1186/1472-6955-5-2

[26]

Hojat M, Nasca T, Cohen M, et al. Attitudes toward physician-nurse collaboration: A cross-cultural study. Nurs Res. 2001; 50(2): 123-8. PMid: 11302292. https://doi.org/10.1097/00006199-200103000-00008

[27]

Masibo RM, Kibusi SM, Masika GM. Gender dynamics in nursing profession: Impact on practice in Tanzania. BMC Health Serv Res. 2024; 24: 1179. PMid: 39363160. https://doi.org/10.1186/s12913-024-11641-5

[28]

Miller PA. Nurse-physician collaboration in an intensive care unit. Am J Crit Care. 2001; 10(5): 341-50. PMid: 11548567. https://doi.org/10.4037/ajcc2001.10.5.341

[29]

Steinbrook R. Nursing in the crossfire. N Engl J Med. 2002; 346(22): 1757-66. PMid: 12037165. https://doi.org/10.1056/NEJM200205303462225

[30]

Thomas EJ, Sexton BJ, Helmreich RL. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med. 2003; 31(3): 956-9. PMid: 12627011. https://doi.org/10.1097/01.CCM.0000056183.89175.76

[31]

Adebayo AM, Ilesanmi OS. Collaboration between doctors and nurses in a Nigerian tertiary hospital. Int J Collaborative Soc. 2016; 9(1): 165.

[32]

Baggs JG, Schmitt MH, Mushlin AI, et al. Association between nurse-physician collaboration and patient outcomes in ICUs. Crit Care Med. 1999; 27(9): 1991-8. PMid: 10507630. https://doi.org/10.1097/00003246-199909000-00045

[33]

Adebayo AM, Ilesanmi OS. Collaboration between doctors and nurses in a tertiary health facility in South West Nigeria: Implication for effective healthcare delivery. Int J Collaborative Soc. 2016; 9(1): 165.

[34]

Thomson S. Nurse-physician collaboration: a comparison of the attitudes of nurses and physicians in the medical-surgical patient care setting. Medsurg Nurs. 2007; 16(2): 87-91, 104. PMid: 17547265.

[35]

Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011; 2: 53-5. PMid: 28029643. https://doi.org/10.5116/ijme.4dfb.8dfd

[36]

Elsous A, Radwan M, Mohsen S. Nurses’ and physicians’ attitudes toward nurse-physician collaboration: A survey from Gaza Strip, Palestine. Nurs Res Pract. 2017; 2017: 7406278. PMid: 28326194. https://doi.org/10.1155/2017/7406278

PDF (930KB)

325

Accesses

0

Citation

Detail

Sections
Recommended

/