Journals / Research on Education and Psychology / 2025 / Volume: 9 Issue: 2

Multidisciplinary Collaboration and Collaboration Overload in Healthcare Services: Literature Review and Institutional Implications

Pages
—
Publication Date
2025-12-24
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this context, it is important for healthcare institutions to take strategic measures to develop safe and sustainable collaboration strategies, reduce excessive collaboration burdens on employees, and create a sustainable supportive culture.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The diversification of patient needs and the increasing complexity of care processes in healthcare services have made it necessary for professionals from different disciplines to work together.
📊
Key Findings & Data:National and international studies published between 2016 and 2025 were evaluated using a literature review method.
💡
Conclusion & Impact:In this context, it is important for healthcare institutions to take strategic measures to develop safe and sustainable collaboration strategies, reduce excessive collaboration burdens on employees, and create a sustainable supportive culture.
🔬Design:Review & Systematic Survey
📍Scope:2016 Verileri
⚙️Variables:Collaboration · Collaboration fatigue · Collaboration overload

Abstract

The diversification of patient needs and the increasing complexity of care processes in healthcare services have made it necessary for professionals from different disciplines to work together. The aim of this review is to systematically examine the effects of interdisciplinary collaboration in healthcare services on the quality of patient care, employee experience, and organizational outcomes. National and international studies published between 2016 and 2025 were evaluated using a literature review method. The review focused on the contributions of collaboration to healthcare services, its effects on employees, and the potential negative consequences of the burden of collaboration. The sources examined indicate that trust, open communication, role clarity, and managerial support are crucial for successful collaboration. However, placing employees under excessive communication and coordination burdens carries the risk of collaboration fatigue. In this context, it is important for healthcare institutions to take strategic measures to develop safe and sustainable collaboration strategies, reduce excessive collaboration burdens on employees, and create a sustainable supportive culture.

🔖

Cite This Article

Duran, I. (2025). Multidisciplinary Collaboration and Collaboration Overload in Healthcare Services: Literature Review and Institutional Implications. Research on Education and Psychology, Volume: 9 Issue: 2. https://doi.org/10.54535/rep.1816152

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (64)

  1. Adomako, S., & Nguyen, N. P. (2024). Digitalization, inter-organizational collaboration, and technology transfer. The Journal of Technology Transfer, 49(4), 1176–1202. https://doi.org/10.1007/s10961-023-10031-z
  2. Alderwick, H., Hutchings, A. & Mays, N. (2024). Cross-sector collaboration to reduce health inequalities: a qualitative study of local collaboration between health care, social services, and other sectors under health system reforms in England. BMC Public Health 24, 2613. https://doi.org/10.1186/s12889-024-20089-5.
  3. Al- Hamdan, Z. M., Alyahia, M., Al- Maaitah, R., Alhamdan, M., Faouri, I., Al- Smadi, A. M. & Bawadi, H. (2021). The relationship betweenemotional intelligence and nurse-nurse collaboration. Journal of Nursing Scholarship, 0:0, 1–8. https://doi.org/10.1111/jnu.12687.
  4. Allen, D. (2021). Interdisciplinary leadership council: A model for excellence in improving interprofessional collaboration. Nursing Management, 52(10), 51–54. https://doi.org/10.1097/01.NUMA.0000792052.82959.3d
  5. Anderson Cook, C. M., Lu, L., & Parker, P. A. (2019). Effective interdisciplinary collaboration between statisticians and other subject matter experts. Quality Engineering, 31(1), 164–176. https://doi.org/10.1080/08982112.2018.1530357
  6. Aunger, J. A., Millar, R., Rafferty, A. M., Mannion, R., Greenhalgh, J., Faulks, D., & McLeod, H. S. T. (2022). How, when, and why do inter-organisational collaborations in healthcare work? A realist evaluation. PLoS ONE, 17(4), e0266899. https://doi.org/10.1371/journal.pone.0266899
  7. Bakerjian, D., & Wasserman, M. (2023). Interdisciplinary care and care coordination. in geriatric medicine: A person centered evidence based approach. Springer, 1- 17
  8. Barros, V. F. A., & Ramos, I. (2025). Collective attention overload in a global manufacturing company: a case study. Information Systems and e-Business Management, 23(2), 391–422. https://doi.org/10.1007/s10257-024-00693-z
  9. Bulut, A., Sengül, H., Mumcu, İ., & Mumcu, B. (2025). Physician–nurse collaboration in the relationship between professional autonomy and practice behaviors. Nursing Ethics, 32(1), 253–271. https://doi.org/10.1177/09697330241252971
  10. Cadwell, N. D., Roehrich, J. K., & George, G. (2017). Social Value Creation and Relational Coordination I n Publicprivate Collaborations. Journal of Management Studies. 54(6), s. 906-928
  11. Cross, R., & Carboni, I. (2021). When collaboration fails and how to fix it. MIT Sloan Management Review, 62, 24–34.
  12. Cross, R., Rebele, R., & Grant, A. (2016). Collaborative overload: Too much teamwork exhausts employees and saps productivity. Here’s how to avoid it. Harvard Business Review, January–February. https://hbr.org/2016/01/collaborative-overload
  13. Cucolo, D. F., de Oliveira, J. L. C., Rossit, R. A. S., Mininel, V. A., Perroca, M. G., Marcelino da Silva, J. A., … & others. (2024). Effects of interprofessional practice on nursing workload in hospitals: A systematic review. International Journal of Health Planning and Management. https://doi.org/10.1002/hpm.3779
  14. Cummings, G. G., Tate, K., Lee, S., Wong, C. A., Paananen, T., Micaroni, S. P. ve Chatterjee, G. E. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85, 19-60
  15. Didier, A., Dzemaili, S., Perrenoud, B., Campbell, J., Gachoud, D., Serex, M., … Zumstein-Shaha, M. (2020). Patients’ perspectives on interprofessional collaboration between health care professionals during hospitalization: A qualitative systematic review. JBI Evidence Synthesis, 18(6), 1208–1270. https://doi.org/10.11124/JBISRIR-D-19-00121
  16. Dolfsma, W., Mahdad, M., Albats, E. & Materia., V. (2022). Inter-Organizational Collaboration: Units and Levels of Analysis with Multi-Theory Lenses. Journal of Economic Issues Volume 56, https://doi.org/10.1080/00213624.2022.2066451
  17. Duran, I & Altuntaş, S. (2025). The status related to migration and working conditions of nurses who migrated from Türkiye / Türkiye'den göç eden hemşirelerin göç durumu ve çalişma koşullari. ordu üniversitesi, Hemşirelik Çalışmaları Dergisi, 8(1), 97 106. https://doi.org/10.38108/ouhcd.1406120
  18. Dündar, T., Özsoy, S., Topbaş, B. & Aksu, H. (2019). Hemşirelikte mesleki değerler ve etkileyen faktörler. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 35(1), 11-19.
  19. Elsous, A., Radwan, M., & Mohsen, S. (2017). Staff nurses and physicians’ attitudes toward nurse–physician collaboration: A survey from Gaza Strip, Palestine. Nursing Research and Practice, 1–7. https://doi.org/10.1155/2017/7406278
  20. Esenkaya, D. (2021). Cerrahi kliniklerde çalışan hekim ve hemşire işbirliğinin hemşirelerin tıbbi hata yapma eğilimi üzerine etkisi [Yükseklisans tezi]. Yozgat Bozok Üniversitesi, Yozgat.
  21. Filho, E. (2019). Team Dynamics Theory: Nomological network among cohesion, team mental models, coordination, and collective efficacy. Sport Sciences for Health, 15, 1–20. https://doi.org/10.1007/s11332-018-0519-1
  22. Georgiou, E., Papathanassoglou, E., & Pavlakis, A. (2017). Physician‒nurse collaboration and associations with perceived autonomy in Cypriot critical care nurses. Nursing Crital Care, 22(1): 29–39.
  23. Goltz, H. H., Major, J. E., Goffney, J., Dunn, M. W., & Latini, D. (2021). Collaboration between oncology social workers and nurses: A patient-centered interdisciplinary model of bladder cancer care. Paper presented at Seminars in Oncology Nursing.
  24. Gürsoy, E., Şahin, B. M., Daanacı, B. ve Arı, S. (2017). Hemşirelerin akademik-klinik işbirliğine ilişkin görüşleri: Eskişehir örneği. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 10(3), 144-152.
  25. Hedqvist, A.T., C. Lindberg, H., Hagerman, A., Svensson & M. Ekstedt (2024). Negotiating care in organizational borderlands: a grounded theory of inter-organizational collaboration in coordination of care. BMC Health Services Research 24(1), 1438.
  26. Hossny, E. K., & Sabra, H. E. (2021). The attitudes of healthcare professionals towards nurse–physician collaboration. Nursing Open, 8(3), 1406–1416. https://doi.org/10.1002/nop2.756
  27. Kaiser, L., Conrad, S., Neugebauer, E. A. M., & Pietsch, B. (2022). Interprofessional collaboration and patient reported outcomes in inpatient care: A systematic review. Systematic Reviews, 11, Article 169. https://doi.org/10.1186/s13643-022-02027-x
  28. Khalili, H., Thistlethwaite, J., El-Awaisi, A., Pfeifle, A., Gilbert, J., Lising, D., MacMillan, K., Maxwell, B., Grymonpre, R., Rodrigues, F. S., & Xyrichis, A. (2019). Guidance on global interprofessional education and collaborative practice research: Discussion paper. InterprofessionalResearch.Global & Interprofessional. Global.
  29. Khan, A. I., Harris, J. Barnsley, J., & Wodchis W (2022). Exploring Intra and Interorganizational Integration Efforts: The Case of Canada’s Health System. International Journal of Integrated Care, 22(3). https://doi.org/10.5334/ijic.5541
  30. Kim, A., Kim, Y., & Cho, Y. (2023). The consequences of collaborative overload: A long term investigation of helping behavior. Journal of Business Research, 154, 113348. https://doi.org/10.1016/j.jbusres.2022.113348
  31. Lowman, G. H., Kessler, S. R. & Pindek, S. (2023). The permeation of loneliness into the workplace: An examination of robustness and persistence over time. Applied Psychology, 72(4), 781-800. https://doi.org/10.1111/apps.12510
  32. Ma, C. & Stimpfel, A. W. (2018). The association between nurse shift patterns and nurse-nurse and nurse-physician collaboration in acute care hospital units. JONA: The Journal of Nursing Administration, 48(6), 335-341. https://doi.org/10.1097/NNA.000000000000062
  33. Marcomini, I., Pendoni, R., Pauciulo, V., Sansone, V., Milani, L., Terzoni, S., Zibaldo, A., & Rosa, D. (2024). Nurse-to-Nurse Collaboration: A Scoping Review. JONA: The Journal of Nursing Administration, 54(3), 184 189. https://doi.org/10.1097/NNA.0000000000001405
  34. Mertens, F., de Groot, E., Meijer, L., Wens, J., Cherry, M. G., Deveugele, M., … Pype, P. (2018). Workplace learning through collaboration in primary healthcare: A BEME realist review of what works, for whom and in what circumstances: BEME Guide No. 46. Medical Teacher, 40(2), 117–134. https://doi.org/10.1080/0142159X.2017.1390216
  35. Methot, J. R., Lepak, D. P., Shipp, A. J., & Boswell, W. R. (2017). Good citizen interrupted: Calibrating a temporal theory of citizenship behavior. Academy of Management Review, 42, 10–31. https://doi.org/10.5465/amr.2014.0415
  36. Moore, J., Prentice, D. & Salfi, J. (2017). A mixed-methods pilot study of the factors that influence collaboration among registered nursesand registered practical nurses in acute care. Clinical Nursing Studies, 5, 1-11. https://doi.org/10.5430/cns.v5n4p1.
  37. Morley, L., & Cashell, A. (2017). Collaboration in health care. Journal of Medical Imaging and Radiation Sciences, 48(2), 207–216. https://doi.org/10.1016/j.jmir.2017.02.071
  38. Murray, J.-L. K., Hernandez-Santiago, V., Sullivan, F., Hornal, J., Badshah, F., Keatley, B., Galbraith, J., Channer, P., Fearfull, A., Haddow, A., Johnston, E., Ward, M., & O’Carroll, V. (2025). Interprofessional collaborative practice in health and social care for people living with multimorbidity: A scoping review protocol. Systematic Reviews, 14, Article 3. https://doi.org/10.1186/s13643-024-02730-x
  39. Nezami, M. R., de Bruijne, M. L. C., Hertogh, M. J. C. M., & Bakker, H. L. M. (2023). Inter Organizational Collaboration in Interconnected Infrastructure Projects. Sustainability, 15(8), 6721. https://doi.org/10.3390/su15086721
  40. Parizad, N., Lopez, V., Jasemi, M., Gharaaghaji Asl, R., Taylor, A., & Taghinejad, R. (2021). Job stress and its relationship with nurses’ autonomy and nurse–physician collaboration in intensive care unit. Journal of Nursing Management, 29(7), 2084–2091. https://doi.org/10.1111/jonm.13343
  41. Pidoux, V., & Boullier, D. (2024). A conceptual framework for the operationalisation of cooperation analytics in citizen science projects. Theory and Practice in Citizen Science, 3(1), 1–20. https://doi.org/10.5334/cstp.650
  42. Pischke, E. C., Knowlton, J. L., Phifer, C. C., Gutierrez Lopez, J., Propato, T. S., Eastmond, A., … Halvorsen, K. E. (2017). Barriers and solutions to conducting large international, interdisciplinary research projects. Environmental Management, 60(6), 1011–1021. https://doi.org/10.1007/s00267-017-0939-8
  43. Pursio, K., Kankkunen, P., Sanner-Stiehr, E., & Kvist, T. (2021). Professional autonomy in nursing: An integrative review. Journal of Nursing Management, 29(6), 1565–1577. https://doi.org/10.1111/jonm.13282
  44. 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, facilitators and outcomes. International Journal of Integrated Care, 21(4) https://doi.org/10.5334/ijic.5589
  45. Regan, S., Laschinger, H. K. S., & Wong, C. A. (2016). The influence of empowerment, authentic leadership, and professional practice environments on nurses’ perceived interprofessional collaboration. Journal of Nursing Management, 24(1), E54–E61. https://doi.org/10.1111/jonm.12288
  46. Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD000072.pub3
  47. Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. APA PsycArticles: Journal Article, 73(4), 433–450. https://doi.org/10.1037/amp0000298
  48. Sander, L. (2016). Collaboration: Too much of a good thing?. https://theconversation.com/collaboration-too-much-of-a-good-thing-54822.
  49. Sajuyigbe, A. S., Henry, I., Adebanji, A. & Ighomereho, S. O. (2022). Compulsory Citizenship Behavior, Work-Life Balance, and Turnover Intention in Academia: Mediating Effects of Emotional Intelligence. The Journal of Behavioral Science, 17(2), 58–72.
  50. Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together: A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(5), 629–642. https://doi.org/10.1080/13561820.2019.1636007
  51. Schöggl, J.-P., Stumpf, L., & Baumgartner, R. J. (2024). The role of interorganizational collaboration and digital technologies in the implementation of circular economy practices: Empirical evidence from manufacturing firms. Business Strategy and the Environment, 33(3), 2225–2249. https://doi.org/10.1002/bse.3356
  52. Stangl, F. J., Riedl, R., Weitzl, W. J. & Martin, S. (2024). Fatigue and Stress Levels in Digital Collaboration: A Pilot Study with Video Conferencing and the Metaverse. In F. D. Davis, R. Riedl, J. vom Brocke, P.-M. Léger, A. B. Randolph & G. R. Müller-Putz (Eds.), Information Systems and Neuroscience – NeuroIS Retreat 2023 (Lecture Notes in Information Systems and Organisation, Vol. 68, pp. 89-103). Cham: Springer. https://doi.org/10.1007/978-3-031-58396-4_9
  53. Şahin, M., Bektaş, G., Nal, M., & Küçükkurt, A. C. (2025). The mediating role of job satisfaction related to nurse nurse collaboration and turnover intention. BMC Nursing, 24, Article 235. https://doi.org/10.1186/s12912-025-02869-5
  54. Tenzin, J., & Choden, T. (2025). Prevalence of collaborative overload among the academicians under Royal University of Bhutan. International Research Journals – Educational Research, 16(1), 1–6. https://www.interesjournals.org/articles/prevalence-of-collaborative-overload-among-the-academicians-under-royal-university-of-bhutan.pdf
  55. Udensi, C. G., Vunnava, R., & Durojaye, T. J. (2025). Interdisciplinary collaboration in healthcare management: Strengthening healthcare delivery ‒ A review. International Journal of Advanced Multidisciplinary Research and Studies, 5(5), 210–216. https://doi.org/10.62225/2583049X.2025.5.5.4881
  56. Ugirase, S. (2022). The effect of interprofessional conflict resolution on interprofessional collaborative practice among health care provider teams in hospitals [Doctoral dissertation]. The University of Western Ontario.
  57. Vafadar, Z. (2020). The necessity of teamwork and inter-professional collaboration in the intensive care unit. Intensive Care Medicine, 46(5), 759-760.
  58. Vaseghi, F., Yarmohammadian, M. H., & Raeisi, A. (2022). Interprofessional Collaboration Competencies in the Health System: A systematic review. Iranian Journal of Nursing and Midwifery Research, 27(6), 496 504. https://doi.org/10.4103/ijnmr.ijnmr_476_21
  59. Velyka, A., & Guerzoni, M. (2020). The more you ask, the less you get: The negative impact of collaborative overload on performance. arXiv preprint arXiv:2004.13545.
  60. Wei, H., Sewell, K. A., Woody, G. ve Rose, M. A. (2018). The state of the science of nurse work environments in the United States: A systematic review. International Journal of Nursing Sciences, 5(3), 287-300.
  61. Wei, H. (2022). The development of an evidence-informed convergent care theory: Working together to achieve optimal health outcomes. International Journal of Nursing Sciences, 9(1), 11–25.
  62. Wiltjer, H. (2017). Why collaboraion should count as a core value of nursing. Nursing Times, 113(12), 47-48
  63. Witt, M. J., Zottmann, J. M., Wershofen, B., Thistlethwaite, J. E., Fischer, F., & Fischer, M. R. (2023). FINCA – A conceptual framework to improve interprofessional collaboration in health education and care. Frontiers in Medicine, 10, 1213300. https://doi.org/10.3389/fmed.2023.1213300
  64. Zuzelo, P. (2019). Partnering for holistic and safe care: Interprofessional collaboration. Holistic Nursing Practice, 33(5), 259-261. https://doi.org/10.1097/HNP.0000000000000343