Issues in Interprofessional Practice

1. Issues in Interprofessional Practice Tara Fenwick, Professor of Professional Education Director, ProPEL Research Network

2. Different logics of practice Different frames of the problem

3. Appreciating difference

4. Conflict over what is the priority, and what is the right thing to do Dismissal or lack of full usage of one another’s potential contributions Overlapping services, but not joined up Practitioners governed by different larger structures, rules, routines and schedules Mutual trust issues

5. Clarify the shared issue/problem space, and different strengths Different contributions – recognise what unique perspective, resources and competency strengths each partner brings Different boundaries – of standards of practice, of professional responsibility, of knowledge Different key objectives Specific professional language

6. find bridging devicesbrokers, boundary crosserscreate new practice spacesboundary objects

7. Learn from existing practices • lessons from rural police • taking time to build relationships • strategic rule bending • calculated risk taking • invite yourself to their meetings

8. Attend to hierarchies conflicts played out among directors/heads of different services – e.g. protecting boundaries, decision-making authority, budgets attend to histories – e.g. command and control ideals, conventional practice spheres

9. Work through issues of interprofessional practice Appreciate difference – in priority, practices, structures Anticipate communication difficulties Recognise influence of history Clarify the shared issue Make different meanings & priorities explicit Make explicit each group’s unique skills, knowledge, powers Initiate contact and educate – e.g. explain what police can contribute to a particular issue Leadership is critical Inter-professional training