Estratégias e ferramentas para colaboração interprofissional entre enfermeiras(os) e equipes da atenção primária: revisão de escopo

Keislyane Ketlyn Alves; Carla Cristina Del Valle; Graziele Alves Martins; Amanda Namíbia Pereira Pasklan; Vivian Aline Mininel; Jaqueline Alcântara Marcelino da Silva

doi:10.36517/2175-6783.20252694853

Authors

Keislyane Ketlyn Alves Universidade Federal de São Carlos https://orcid.org/0009-0001-4320-3508
Carla Cristina Del Valle Universidade Federal de São Carlos https://orcid.org/0000-0002-9192-5273
Graziele Alves Martins Universidade Federal de São Carlos https://orcid.org/0000-0003-2334-6154
Amanda Namíbia Pereira Pasklan Universidade Federal do Maranhão https://orcid.org/0000-0001-7193-4861
Vivian Aline Mininel Universidade Federal de São Carlos https://orcid.org/0000-0001-9985-5575
Jaqueline Alcântara Marcelino da Silva Universidade Federal de São Carlos https://orcid.org/0000-0002-8307-8609

DOI:

https://doi.org/10.36517/2175-6783.20252694853

Keywords:

Nurses, Male; Primary Health Care; Interprofessional Relations; Patient Care Team.

Abstract

Objective: to map evidence on tools and strategies for advancing interprofessional collaboration adopted by nurses and teams in Primary Health Care. Methods: a scoping review was done using MEDLINE, LILACS, Web of Science, and SCOPUS databases. The data were analyzed in a double-blind process, considering the inclusion criteria as qualitative, quantitative, mixed methods studies, and reviews published in English, Spanish, and Portuguese and available in full. Results: 17 publications were included, highlighting predominantly qualitative research from Brazil. Strategies and tools to strengthen interprofessional collaboration included interprofessional communication, team meetings, mutual respect, trust, common goals, shared vision among team members, electronic medical records, interprofessional case discussions, intersectoral communication, and shared consultation. Conclusion: the evidence points to tools and strategies involving contributions and valuing collective, integrated, and shared work to advance interprofessional collaboration between nurses and teams in Primary Health Care. Contributions to practice: collaborative practices ensure that users receive quality care.

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References

1. Peduzzi M, Agreli HLF, Silva JAM, Souza HS. Teamwork: revisiting the concept and its development in interprofessional work. Trab Educ Saúde. 2020;18(suppl1):e0024678. doi: https://doi.org/10.1590/1981-7746-sol00246

2. Ministério da Saúde (BR). Portaria nº 2.979, de 12 de novembro de 2019 [Internet]. 2019 [cited Jan. 20, 2025]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2019/prt2979_13_11_2019.html

3. Lukey A, Johnston S, Montesanti S, Donnelly C, Wankah P, Breton M, et al. Facilitating integration through team-based primary healthcare: a cross-case policy analysis of four Canadian provinces. Int J Integr Care. 2021;21(4):12. doi: https://doi.org/10.5334/ijic.5680

4. Peduzzi M, Agreli HLF, Silva JAM, Souza HS. Trabalho em equipe: uma revisita ao conceito e a seus desdobramentos no trabalho interprofissional. Trab Educ Saúde. 2020;18:e0024678. doi: https://doi.org/10.1590/1981-7746-sol00246

5. Caneppele AH, Cucolo DF, Mininel VA, Meireles E, Silva JAM. Interprofessional collaboration in urgency and emergency network teams in the Covid-19 pandemic. Esc Anna Nery. 2020;24(spe):e20200312. doi: https://dx.doi.org/10.1590/2177-9465-EAN-2020-0312

6. Fumagalli IHT, Sudré GA, Matumoto S. Interprofessional collaborative practices in primary health care: a scoping review protocol. Rev Enf Ref. 2021;6:e20130. doi: https://doi.org/10.12707/rv20130

7. Chagas MAC, Santos AM, Jesus NN. Nursing care for the transgender population in primary health care: an integrative review. Investig Educ Enferm. 2023;41(1):e07. doi: https://doi.org/10.17533/udea.iee.v41n1e07

8. Sirimsi MM, Loof H, Broeck KVD, Vliegher K, Pype P, Remmen R, et al. Scoping review to identify strategies and interventions improving interprofessional collaboration and integration in primary care. BMJ Open. 2022;12(10):e062111. doi: https://doi.org/10.1136/bmjopen-2022-062111

9. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020). In: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z (Editors). JBI Manual for Evidence Synthesis. JBI. 2024. doi: https://doi.org/10.46658/JBIMES-24-09

10. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: https://www.bmj.com/content/372/bmj.n71

11. Al Sayah F, Szafran O, Robertson S, Bell NR, Williams B. Nursing perspectives on factors influencing interdisciplinary teamwork in the Canadian primary care setting. J Clin Nurs. 2014;23:2968-79. doi: https://doi.org/10.1111/jocn.12547

12. Peduzzi M, Aguiar C, Lima AMV, Montanari PM, Leonello VM, Oliveira MR. Expansion of the interprofessional clinical practice of Primary Care nurses. Rev Bras Enferm. 2019;72(suppl 1):114-21. doi: https://dx.doi.org/10.1590/0034-7167-2017-0759

13. Ellery AEL, Pontes RJS, Loiola FA. Common field of expertise of professionals in the Family Health Strategy in Brazil: a scenario construction. Physis. 2013;23(2):415-37. doi: http://doi.org/10.1590/S0103-73312013000200006

14. Pullon S, McKinlay E, Stubbe M, Todd L, Badenhorst C. Patients’ and health professionals’ perceptions of teamwork in primary care. J Prim Health Care. 2011;3(2):128-35. doi: https://doi.org/10.1071/HC11128

15. Goldman J, Meuser J, Rogers J, Lawrie L, Reeves S. Interprofessional collaboration in family health teams: An Ontario-based study. Can Fam Phys [Internet]. 2010 [cited Jan. 20, 2025];56(10):e368-74. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2954101/

16. O’Malley AS, Gourevitch R, Draper K, Bond A, Tirodkar MA. Overcoming challenges to teamwork in patient-centered medical homes: a qualitative study. J Gen Intern Med. 2015;30(2):183-92. doi: https://doi.org/10.1007/s11606-014-3065-9

17. Bruner P, Davey MP, Waite R. Culturally sensitive collaborative care models: exploration of a community-based health center. Fam Syst Health. 2011;29(3):155-70. doi: http://doi.org/10.1037/a0025025

18. Previato GF, Baldissera VDA. Portraits of interprofessional collaborative practice in the primary health care teams. Rev Gaúcha Enferm. 2018;39:e2017-0132. doi: https://dx.doi.org/10.1590/1983-1447.2018.2017-0132

19. Van der Biezen M, Wensing M, Poghosyan L, Van der Burgt R, Laurant M. Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; qualitative study. BMC Health Serv Res. 2017;17(1):589. doi: https://dx.doi.org/10.1186/s12913-017-2548-x

20. Gucciardi E, Espin S, Morganti A, Dorado L. Exploring interprofessional collaboration during the integration of diabetes teams into primary care. BMC Fam Pract. 2016;17:12. doi: http://doi.org/10.1186/s12875-016-0407-1

21. Pullon S, Morgan S, Macdonald L, McKinlay E, Gray B. Observation of interprofessional collaboration in primary care practice: a multiple case study. J Interprof Care. 2016;30(6):787-94. doi: https://doi.org/10.1080/13561820.2016.1220929

22. Joynes V, Kerr M, Treasure-Jones T. Exploring informal workplace learning in primary healthcare for continuous professional development. Educ Prim Care. 2017;28(4):216-22. doi: https://doi.org/10.1080/14739879.2017.1298405

23. Poghosyan L, Norful AA, Martsolf GR. Primary care nurse practitioner practice characteristics: barriers and opportunities for interprofessional teamwork. J Ambul Care Manage. 2017;40(1):77-86. doi: http://doi.org/10.1097/JAC.0000000000000156

24. Schimith MD, Cezar-Vaz MR, Xavier DM, Cardoso LS. Communication in health and Interprofessional collaboration in the care for children with chronic conditions. Rev Latino-Am Enfermagem. 2021;29:e3390. doi: https://doi.org/10.1590/1518-8345.4044.3390

25. Lee EA, Hendricks S, LaMothe J, Draucker CB, Wright L. Coaching strategies used to support interprofessional teams in three primary care centers. Clin Nurse Spec. 2020;34(6):263-9. doi: https://doi.org/10.1097/NUR.0000000000000557

26. Ribeiro AA, Giviziez CR, Coimbra EAR, Santos JDD, Pontes JEM, Luz NF, et al. Interprofessional collaboration in primary health care: the team’s intentions versus the reality of work processes. Esc Anna Nery. 2022;26:e20210141. doi: https://doi.org/10.1590/2177-9465-EAN-2021-0141

27. Carney PA, Dickinson WP, Fetter J, Warm EJ, Zierler B, Patton J, et al. An exploratory mixed methods study of experiences of interprofessional teams who received coaching to simultaneously redesign primary care education and clinical practice. J Prim Care Community Health. 2021;12:21501327211023716. doi: https://doi.org/10.1177/21501327211023716

28. Metersky K, Orchard C, Adams T, Hurlock-Chorostecki C. Patients roles in primary care interprofessional teams: a construtivist grounded theory of patient and health care provider perspectives. J Interprof Care. 2022;36(2):1217-30. doi: https://doi.org/10.1080/13561820.2021.1892616

29. Grant A, Kontak J, Jeffers E, Lawson B, Mackenzie A, Burge F, 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. doi: https://doi.org/10.1186/s12875-023-02240-0

30. Toledo PPS, Santos EM, Cardoso GCP, Abreu DMF, Oliveira AB. Electronic health record: a systematic review of the implementation under the National Humanization Policy guidelines. Ciênc Saúde Coletiva. 2021;26(6):2131-40. doi: https://doi.org/10.1590/1413-81232021266.39872020

31. Fox S, Gaboury I, Chiocchio F, Vachon B. Communication and interprofessional collaboration in primary care: from ideal to reality in practice. Health Commun. 2021;36(2):125-35. doi: https://dx.doi.org/10.1080/10410236.2019.1666499

32. Prado CLRS, Peduzzi M, Agreli HLF, Rodrigues LB. Interprofessional communication and user participation in the Family Health Strategy. Saúde Soc. 2023;32(Suppl 2):e220823en. doi: https://doi.org/10.1590/S0104-12902023220823en

33. Bica MC, Cremonese L, Barreto CN, Rodrigues ALM, Alves FQ. Care management in family health strategies in nurses’ perception. Rev Enferm USFM. 2020;10:e74. doi: https://dx.doi.org/10.5902/2179769242518

34. Faquim JPS, Buiatti NBP, Frazao P. The ZOPP method and the organization of interprofessional work focused on prenatal care in two primary healthcare units. Saúde Debate. 2018;42(117):392-407. doi: https://doi.org/10.1590/0103-1104201811704