Dissertation
Interprofessional collaboration between pediatric music therapists and multidisciplinary team members in hospitals: an explanatory sequential mixed methods study
Doctor of Philosophy (Ph.D.), Drexel University
Sep 2022
DOI:
https://doi.org/10.17918/00001329
Abstract
Interprofessional collaboration strengthens health systems and enhances patient-centered care, but can be difficult to achieve for a variety of reasons. This explanatory sequential mixed methods study employed a survey, followed by a multiple case study, to describe factors that contribute to and inhibit interprofessional collaboration. For the survey, pediatric music therapists (n = 37) were surveyed regarding their workplace characteristics, collaborative relationships, perceived barriers and facilitators of collaboration, and perceptions of support for their work. The findings suggest that servant leadership style, interpersonal team processes, and perceptions of thriving at work act as predictors of interprofessional collaboration. Facilitators of collaboration included having many opportunities for information exchange with multidisciplinary coworkers. Barriers to collaboration included lack of time and perceived inequality between music therapy and other disciplines. For the multiple case study, four cases of music therapy programs were studied in-depth to describe how interprofessional collaboration is enacted and sustained, and to arrive at cross-case assertions regarding interprofessional collaboration with pediatric music therapists. The four cases were selected to include variety in the size of the music therapy team, the department in which the music therapy program was housed, the region of the United States in which the program was located, and the age of the music therapy program. Twenty-eight participants completed data collection. Sources of data included scores on standardized instruments measuring interprofessional collaboration and the servant leadership behavior of the focal music therapist, quantified data regarding referrals to the music therapy program, interviews, documents, and the reflexive journaling of the researcher. The results imply that organizations integrating pediatric music therapists into multidisciplinary teams should ensure that adequate time and opportunities are afforded for the pediatric music therapist to establish an understanding of the unique contributions they can make to existing programs and services. Future research would benefit from focusing on how members of different disciplines navigate shared goals in the provision of patient-centered care. Future research should also investigate the power dynamics between newer and more established healthcare disciplines, and how these power dynamics affect the newer discipline's efforts toward integration on a multidisciplinary team.
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Details
- Title
- Interprofessional collaboration between pediatric music therapists and multidisciplinary team members in hospitals
- Creators
- Clarissa Jean Lacson
- Contributors
- Joke Bradt (Advisor)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- xx, 193 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Creative Arts Therapies; College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991019104705104721