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Research

Reaching consensus on GP interprofessional competencies: a nominal group study

Stijn Duijn, Anneke van Dijk-de Vries, Nynke D Scherpbier-de Haan, Diana HJM Dolmans, Jean WM Muris and Marloes A van Bokhoven
BJGP Open 2022; 6 (3): BJGPO.2021.0243. DOI: https://doi.org/10.3399/BJGPO.2021.0243
Stijn Duijn
1 Department of Family Medicine, Maastricht University, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands
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  • ORCID record for Stijn Duijn
Anneke van Dijk-de Vries
1 Department of Family Medicine, Maastricht University, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands
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  • For correspondence: anneke.vandijk@maastrichtuniversity.nl
Nynke D Scherpbier-de Haan
2 Department of General Practice and Elderly Care Medicine, University Medical Centre Groningen, Groningen, The Netherlands
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Diana HJM Dolmans
3 Department of Educational Development & Research, Maastricht University, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht, The Netherlands
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Jean WM Muris
1 Department of Family Medicine, Maastricht University, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands
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Marloes A van Bokhoven
1 Department of Family Medicine, Maastricht University, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands
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Article Figures & Data

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    Figure 1. Schematic overview of the study design

Tables

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    Table 1. Participant characteristics and group characteristics
    Professional backgroundGroup 1 (n = 7)Group 2 (n = 6)Group 3 (n = 5)
    GP222
    Psychologist2–2
    Physiotherapist11–
    Dietician1––
    Occupational therapist1––
    District nurse–1–
    Pharmacist–1–
    Social worker–1–
    Educationalist––1
    Sex (# female)552
      Mean Range Mean Range Mean Range
    Age in years46.7135–5650.0033–6252.7545–64
    Years in practice22.006–3319.0010–3222.756–38
    Main professional activitiesa
    Patient care462
    Education211
    Research1––
    Policymaking–14
    • aSome participants stated two main activities

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    Table 2. Final ranking
    Themes and competenciesPoints (%)a
    Theme 1: Professional identity development and role definition by the GP
    • Knows the expertise, tasks, and work processes, and with that the (im)possibilities of collaborative partners, and can use this knowledge in daily care practice.

    • Knows their own expertise, tasks, and work processes and can use this knowledge in daily care practice, and with that is conscious of own possibilities and boundaries.

    • Shows awareness of the importance of interprofessional collaboration and is prepared to collaborate interprofessionally.

    300 (17.7%)260 (15.3%)225 (13.2%)
    Theme 2: Developing and executing shared care plans for individual patients
    • Makes shared decisions with patients, patients' families and carers, and healthcare professionals.

    • Is available for consultation, knows how to make priorities and to set boundaries.

    • Sees who can take the lead in a care plan and dares to delegate.

    • Informs collaborative partners proactively and on time.

    • Recognises and uses the possibilities of collaboration in the problem analysis.

    • Knows the social network and context of the patient.

    320 (18.8%)235 (13.8%)185 (10.9%)185 (10.9%)185 (10.9%)180 (10.6%)
    Theme 3: Initiating and maintaining interprofessional collaborative partnerships
    • Works out agreements with collaborative partners regarding roles, care goals, responsibilities, possibilities for up-scaling, and feedback moments.

    • Develops a shared vision with other primary care professionals regarding the collaborative partnership.

    • Initiates and maintains collaborative relationships with individual collaborative partners as well as within an interprofessional collaborative network proactively.

    • Evaluates the agreements and the collaboration itself with collaborative partners.

    • Shows leadership, expressed by decisiveness, direction, inspiration, creativity, delegation, negotiation, maintaining structure, conflict management, and overseeing progress.

    445 (26.2%)310 (18.2%)210 (12.4%)175 (10.3%)175 (10.3%)
    • aCumulative number of allocated points by all participants (% of total allocated points in each theme).

Supplementary Data

  • Van_Dijk_de_Vries_BJGPO.2021.0243.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Reaching consensus on GP interprofessional competencies: a nominal group study
Stijn Duijn, Anneke van Dijk-de Vries, Nynke D Scherpbier-de Haan, Diana HJM Dolmans, Jean WM Muris, Marloes A van Bokhoven
BJGP Open 2022; 6 (3): BJGPO.2021.0243. DOI: 10.3399/BJGPO.2021.0243

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Reaching consensus on GP interprofessional competencies: a nominal group study
Stijn Duijn, Anneke van Dijk-de Vries, Nynke D Scherpbier-de Haan, Diana HJM Dolmans, Jean WM Muris, Marloes A van Bokhoven
BJGP Open 2022; 6 (3): BJGPO.2021.0243. DOI: 10.3399/BJGPO.2021.0243
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Keywords

  • interprofessional collaboration
  • competency framework
  • workforce
  • nominal group
  • Primary health care
  • General practitioners

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