Interprofessional Collaboration among Nurses and Doctors in Neonatal Intensive Care Unit at a Private Hospital in Karachi
DOI:
https://doi.org/10.5281/zenodo.17733464Abstract
Inter-professional Collaboration (IPC) is needed in neonatal intensive care units (NICUs) to enhance patient outcomes, decrease hospital stays, and enhance quality of care. This qualitative exploratory study examined the views of nine nurses and nine doctors in a tertiary care hospital in Karachi, Pakistan, about IPC, as well as its facilitators and constrains. With purposive sampling and semi-structured interviews conducted in English and Urdu, thematic analysis identified three key themes: healthcare professionals' positive attitude towards IPC and its effects on patient outcomes; important facilitators like effective communication, respect for one another, trust, and professional expertise; and major barriers like lack of organizational support, power imbalance, increased workload, and system issues. Attendees highlighted IPC's critical contribution to enhancing care and urged its more robust integration into education, practice, and policy to promote a collaborative healthcare culture.
Keywords:
Interprofessional, collaboration, Nurses, Physician, Doctors, Neonatal Intensive Care Unit
References
Ahmadieh, A., Mansour, M., & Saleh, N. (2019). Interprofessional education: The key to unlocking interprofessional collaboration. Journal of Interprofessional Care, 33(5), 573- 576. https://doi.org/10.1080/13561820.2019.1609641
Aghamohammadi, M., Soltani, F., & Momeni, S. (2019). Nurse-physician collaboration in intensive care units: A descriptive correlational study. Iranian Journal of Nursing and Midwifery Research, 24(2), 93-99. https://doi.org/10.4103/ijnmr.IJNMR_42_18
Alsallum, M., Al Ghamdi, A., & Alzahrani, A. (2019). Nurses' attitudes towards interprofessional collaboration in Saudi Arabia. Journal of Nursing Management, 27(4), 753-760. https://doi.org/10.1111/jonm.12741
Boev, C., Xia, Y., & Landers, T. (2022). Exploring the factors influencing nurse-physician collaboration and patient outcomes. Journal of Nursing Care Quality, 37(2), 89-97. https://doi.org/10.1097/NCQ.0000000000000603
Chew, K. S., Durning, S. J., & van Merriënboer, J. J. (2019). Facilitators and barriers to interprofessional collaboration in hospitals: A systematic review. Journal of Interprofessional Care, 33(2), 150-160. https://doi.org/10.1080/13561820.2018.1538940
Dyess, S., Sherman, R., Opalinski, A., & Eggenberger, T. (2019). Structured interprofessional education to improve teamwork and collaboration. Nurse Educator, 44(2), 92-96. https://doi.org/10.1097/NNE.0000000000000566
Filizli, M., & Önler, E. (2020). Physicians' and nurses' perspectives on interprofessional collaboration: A comparative study. Journal of Nursing Management, 28(3), 512-519. https://doi.org/10.1111/jonm.12933
Hossny, E. M., & Sabra, H. (2020). Perceptions of interprofessional collaboration among nurses and physicians in Egyptian hospitals. International Journal of Nursing Practice, 26(1), e12700. https://doi.org/10.1111/ijn.12700
Kaifi, J., Alotaibi, N., & Ibrahim, N. (2021). Interprofessional collaboration and its impact on patient care outcomes in hospitals. International Journal of Health Policy and Management, 10(7), 415-423. https://doi.org/10.34172/ijhpm.2020.92
Karanikola, M. N., Doulougeri, K., & Papathanassoglou, E. D. (2014). The role of trust in nurse-physician collaboration in the ICU: A literature review. Intensive & Critical Care Nursing, 30(1), 1-9. https://doi.org/10.1016/j.iccn.2013.07.002
Matusov, J., Garcia, L., & Harrison, K. (2022). Exploring barriers to effective interprofessional collaboration: A qualitative study among nurses and physicians. Journal of Nursing Scholarship, 54(2), 215-223. https://doi.org/10.1111/jnu.12789
Melkamu, Y., Mulugeta, A., & Getachew, B. (2020). Interprofessional collaboration among healthcare professionals: A systematic review of challenges and enablers. BMC Health Services Research, 20(1), 1-10. https://doi.org/10.1186/s12913-020-05123-3
Yamamoto, K. (2022). Association between interdisciplinary collaboration and leadership ability in ICU nurses: A cross-sectional study. Journal of Nursing Research, 30(2), e202. https://doi.org/10.1097/jnr.0000000000000483
Verd-Aulí, X., Maqueda-Palau, M., & Miró-Bonet, M. (2021). Interprofessional collaboration in joint clinical sessions in an intensive care unit: Perceptions of nurses and physicians. Enferm Intensiva (Engl Ed), 32(1), 3-10. https://doi.org/10.1016/j.enfi.2020.02.004
(Colaboración interprofesional en las sesiones clínicas conjuntas en una Unidad de Cuidados Intensivos: percepciones de enfermeras y médicos.)
Bornman, J., & Louw, B. (2023). Leadership Development Strategies in Interprofessional Healthcare Collaboration: A Rapid Review. Journal of healthcare leadership, 15, 175–192. https://doi.org/10.2147/JHL.S405983
Suter, E., Deutschlander, S., Mickelson, G., Nurani, Z., Lait, J., Harrison, L., Jarvis-Selinger, S., Bainbridge, L., Achilles, S., Ateah, C., Ho, K., & Grymonpre, R. (2012). Can interprofessional collaboration provide health human resources solutions? A knowledge synthesis. Journal of interprofessional care, 26(4), 261–268. https://doi.org/10.3109/13561820.2012.663014
Ghattas, A. H. S., & Abdou, H. A. (2025). Challenges and best practices for moving forward in interprofessional collaboration in critical care units: nurses' perspectives. BMC nursing, 24(1), 317. https://doi.org/10.1186/s12912-025-02860-0
Stadick, J. L. (2020). Understanding health care professionals' attitudes towards working in teams and interprofessional collaborative competencies: A mixed methods analysis. Journal of Interprofessional Education & Practice, 21, 100370.
Fagerdal, B., Lyng, H. B., Guise, V., Anderson, J. E., Thornam, P. L., & Wiig, S. (2022). Exploring the role of leaders in enabling adaptive capacity in hospital teams–a multiple case study. BMC Health Services Research, 22(1), 908.
Priyadarshi, M., & Kumar, S. (2020). Accountability in healthcare in India. Indian Journal of Community Medicine, 45(2), 125-129.
Vatn, L., & Dahl, B. M. (2022). Interprofessional collaboration between nurses and doctors for treating patients in surgical wards. Journal of interprofessional care, 36(2), 186–194. https://doi.org/10.1080/13561820.2021.1890703
El-Awaisi, A., Yakti, O. H., Elboshra, A. M., Jasim, K. H., AboAlward, A. F., Shalfawi, R. W., ... & Major, S. (2024). Facilitators and barriers to interprofessional collaboration among health professionals in primary healthcare centers in Qatar: a qualitative exploration using the “Gears” model. BMC Primary Care, 25(1), 316. https://doi.org/10.1186/s12875-024-02537-8
Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye, P., Peytremann-Bridevaux, I., & Gilles, I. (2021). An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators. International journal of integrated care, 21(2), 32. https://doi.org/10.5334/ijic.5589
Mboineki, J. F., Chen, C., Gerald, D. D., & Boateng, C. A. (2019). The current status of nurses–doctors collaboration in clinical decision and its outcome in Tanzania. Nursing open, 6(4), 1354-1362.
Kim, Y., Oh, Y., Lee, E., & Kim, S. J. (2022). Impact of nurse–physician collaboration, moral distress, and professional autonomy on job satisfaction among nurses acting as physician assistants. International journal of environmental research and public health, 19(2), 661.
Kato, H., Clouser, J. M., Talari, P., Vundi, N. L., Adu, A. K., Karri, K., Isaacs, K. B., Williams, M. V., Chadha, R., & Li, J. (2022). Bedside Nurses' Perceptions of Effective Nurse-Physician Communication in General Medical Units: A Qualitative Study. Cureus, 14(5), e25304. https://doi.org/10.7759/cureus.25304
Jiang, Z. (2023). Professional values and job satisfaction neonatal intensive care unit nurses and influencing factors: A descriptive correlational study. International Journal of Africa Nursing Sciences, 18, 100512. https://doi.org/10.1016/j.ijans.2022.100512
Abeje, W., Tegegne, B., Tefera, Z., Zenebe, Y., Yimam, W., Desu, B., Andargie, Y., Amare, M., Kassa, M., & W/Selassie, M. (2025). Factors affecting decision making among nurse managers working in government hospitals. Frontiers in health services, 4, 1475402. https://doi.org/10.3389/frhs.2024.1475402
El-Awaisi, A., Awaisu, A., Aboelbaha, S., Abedini, Z., Johnson, J., & Al-Abdulla, S. A. (2021). Perspectives of Healthcare Professionals Toward Interprofessional Collaboration in Primary Care Settings in a Middle Eastern Country. Journal of multidisciplinary healthcare, 14, 363–379. https://doi.org/10.2147/JMDH.S286960
Lapierre, A., Bérubé, M., Giroux, M., Tardif, P. A., Turcotte, V., Mercier, É., ... & Moore, L. (2024). Interprofessional interventions that impact collaboration and quality of care across inpatient trauma care continuum: A scoping review. Injury, 111873.
Ullah, W. (2023). Perceptions of intensive care nurses and physicians regarding interprofessional collaboration in intensive care unit of a tertiary care hospital in Karachi: An exploratory qualitative study.
Gazi, M. A. I., Yusof, M. F., Islam, M. A., Amin, M. B., & bin S Senathirajah, A. R. (2024). Analyzing the impact of employee job satisfaction on their job behavior in the industrial setting: An analysis from the perspective of job performance. Journal of Open Innovation: Technology, Market, and Complexity, 10(4), 100427.
Geese, F., & Schmitt, K. U. (2023). Interprofessional Collaboration in Complex Patient Care Transition: A Qualitative Multi-Perspective Analysis. Healthcare (Basel, Switzerland), 11(3), 359. https://doi.org/10.3390/healthcare11030359
Stadick, J. L. (2020). Understanding health care professionals' attitudes towards working in teams and interprofessional collaborative competencies: A mixed methods analysis. Journal of Interprofessional Education & Practice, 21, 100370.
Saeed, M., Mukhtar, M., & Afzal, M. (2024). Professional Autonomy Among Nurses and Its Effect on Quality of Care Among Patients Transferred from Intensive Care Unit to General Unit: Professional Autonomy and Patient Care Quality in ICU Transfers. Journal of Health and Rehabilitation Research, 4(3), 1-5.
Osman, I. M., Mohamud, F. A., Hilowle, F. M., Sahal Snr, S. M., Hassan, I. I., Haji Mohamud, R. Y., ... & Barud, A. A. (2025). Attitudes of Nurses and Physicians Towards Nurse-Physician Interprofessional Collaboration in a Tertiary Hospital in Somalia: Cross-Sectional Study. Journal of Multidisciplinary Healthcare, 2075-2082.
Zwarenstein, M., Goldman, J., & Reeves, S. (2009). Interprofessional collaboration: effects of practice‐based interventions on professional practice and healthcare outcomes. Cochrane database of systematic reviews, (3).
Zechariah, S., Ansa, B. E., Johnson, S. W., Gates, A. M., & Leo, G. (2019). Interprofessional Education and Collaboration in Healthcare: An Exploratory Study of the Perspectives of Medical Students in the United States. Healthcare (Basel, Switzerland), 7(4), 117. https://doi.org/10.3390/healthcare7040117
Albright, K., Navarro, E. I., Jarad, I., Boyd, M. R., Powell, B. J., & Lewis, C. C. (2022). Communication strategies to facilitate the implementation of new clinical practices: a qualitative study of community mental health therapists. Translational behavioral medicine, 12(2), 324–334. https://doi.org/10.1093/tbm/ibab139
D'Souza, A. N., Canoso, A., & Smith, L. J. (2021). Improving communication on medical ward rounds with patients who speak limited English with implementation of medical communication charts. BMJ Open Quality, 10(3), e001389.
Heip, T., Van Hecke, A., Malfait, S., Van Biesen, W., & Eeckloo, K. (2022). The Effects of Interdisciplinary Bedside Rounds on Patient Centeredness, Quality of Care, and Team Collaboration: A Systematic Review. Journal of patient safety, 18(1), e40–e44. https://doi.org/10.1097/PTS.0000000000000695
Maran, E., Matsuda, L. M., Cavalcanti, A. B., Magalhães, A. M. M. D., Marcon, S. S., Haddad, M. D. C. F. L., ... & Costa, M. A. R. (2022). Effects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study. Revista Brasileira de Enfermagem, 75(3), e20210934.
Zechariah, S., Ansa, B. E., Johnson, S. W., Gates, A. M., & Leo, G. D. (2019, October). Interprofessional education and collaboration in healthcare: an exploratory study of the perspectives of medical students in the United States. In Healthcare (Vol. 7, No. 4, p. 117). MDPI.
Spaulding, E. M., Marvel, F. A., Jacob, E., Rahman, A., Hansen, B. R., Hanyok, L. A., Martin, S. S., & Han, H. R. (2021). Interprofessional education and collaboration among healthcare students and professionals: a systematic review and call for action. Journal of interprofessional care, 35(4), 612–621. https://doi.org/10.1080/13561820.2019.1697214
Spijkers, A. S., Akkermans, A., Smets, E. M. A., Schultz, M. J., Cherpanath, T. G. V., van Woensel, J. B. M., van Heerde, M., van Kaam, A. H., van de Loo, M., Willems, D. L., & de Vos, M. A. (2022). How doctors manage conflicts with families of critically ill patients during conversations about end-of-life decisions in neonatal, pediatric, and adult intensive care. Intensive care medicine, 48(7), 910–922. https://doi.org/10.1007/s00134-022-06771-5
Verhaegh, K. J., Seller-Boersma, A., Simons, R., Steenbruggen, J., Geerlings, S. E., de Rooij, S. E., & Buurman, B. M. (2017). An exploratory study of healthcare professionals’ perceptions of interprofessional communication and collaboration. Journal of Interprofessional Care, 31(3), 397–400. https://doi.org/10.1080/13561820.2017.1289158
Ahmed, S., Hakeem, T. A., Farah, S., & Naz, S. (2025). Legitimizing Dispossession: A CDA of Settler Colonialism in Zionist Texts. Siazga Research Journal, 4(2), 74-83.
Ahmed, S., Jabeen, R., & Khan, D. S. (2023). Mediating Role of Leadership Self-Efficacy between Formal Developmental Experiences and Leadership Effectiveness: In Pakistani Higher Education Institutions. Siazga Research Journal, 2(3), 140–146. https://doi.org/10.58341/srj.v2i3.19
Ahmed, S., Khan, D. S., & Mehmood, A. S. (2023). Let them play: A systematic review investigating the benefits of free play in emotional development of children. Academy of Education and Social Sciences Review, 3(4), 509-520.
Ahmed, S., Khan, D. S., Ahmad, N., Ghazi, M. H., & Vveinhardt, J. (2024). Echoes of Stress: Maternal psychological distress in the intersection of work and pregnancy within Pakistani higher education. Revista Ártemis., 37(1), 112-133.
Ahmed, S., Maham, & Abbasi, M. S. (2025). Silencing the Mother Tongue: Language Flattening and Identity Loss in Exit West. Journal of Social Horizons, 2(3), 12-19. https://doi.org/10.5281/zenodo.16752193
Arif, W., Ahmed, S., Saeed, M., & Khan, D. S. (2025). Language as Dual Capital: Linguistic Predictors of Inclusion in Pakistani Business Context. International Journal of Emerging Business and Economic Trends, 4(1), 93-105.
Fiaz, H., Khadim, H., Shereen, K., & Ahmed, S. (2025). Adoption, Challenges, and Technology-Driven Solutions for Computer-Assisted Language Learning in Higher Education: Enhancing EFL Instructions. Bulletin of Multidisciplinary Studies, 2(1), 90–99. https://doi.org/10.5281/zenodo.15251969
Hashmi, Z., Ashraf, A., & Ahmed, S. (2025). Beyond the Classroom: Exploring the Motivational Impact of Globalization on EFL Learners. Journal of Social Horizons, 2(2), 64-73. https://doi.org/10.5281/zenodo.15616017
Husain, I., Qureshi, A. A., & Hussain, N. (2019). The economy of modern Sindh: opportunities lost and lessons for the future. Oxford University Press.
Qadr, T., Abbasi, S. F., & Ahmed, S. (2024). Cultivating Positivity: Role of Gratitude and Psychological Well-Being among Undergraduate Psychology Students. International Journal of Trends and Innovations in Business & Social Sciences, 2(3), 332-343.
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