METHODS: A longitudinal, interpretive, and comparative multiple (n = 2) case study is proposed. Identity work theory in organizations is adopted as theoretical perspective. Cases are urban primary care multidisciplinary teams from two different Canadian provinces: Quebec and Ontario. Participants are NPs, FPs, managers, and patients. Data gathering involves audio-diaries, individual semi-structured and focus group interviews, observations, and archival material. Narrative and metaphor techniques are adopted for analyzing data collected. Within- and cross-case analysis will be performed.
CONCLUSIONS: For practice, the results of this investigation will: (a) be instrumental for clinicians, primary care managers, and policy decision-makers responsible for the implementation of interdisciplinary teamwork in primary healthcare delivery to improve decision-making processes and primary care team performance over time; (b) inform continuing interdisciplinary professional development educational initiatives that support competency in health professionals\' identity construction in interdisciplinary primary care organizations. For research, the project will contribute to enriching theory about identity construction dynamics in health professions, both in the fields of health services and primary care education research.
方法:纵向,解释性的,并提出了比较多(n=2)案例研究。组织中的身份工作理论被作为理论视角。病例是来自加拿大两个不同省份的城市初级保健多学科小组:魁北克和安大略省。参与者是NP,FPs,经理,和病人。数据收集涉及音频日记,个人半结构化和焦点小组访谈,观察,和档案材料。采用叙事和隐喻技术对收集的数据进行分析。将进行案例分析和跨案例分析。
结论:对于实践,这项调查的结果将:(a)对临床医生有帮助,初级保健经理,和政策决策者负责在初级卫生保健提供中实施跨学科团队合作,以随着时间的推移改善决策过程和初级保健团队绩效;(b)为持续的跨学科专业发展教育举措提供信息,以支持跨学科初级保健组织中卫生专业人员的能力建设。为了研究,该项目将有助于丰富有关卫生专业身份建构动态的理论,在卫生服务和初级保健教育研究领域。