Collaboration among various professions often faces barriers owing to divergent perspectives, priorities, and expertise shaped by distinct socialization processes. These differences can hinder effectiveness, efficiency, and workforce well-being. The Extended Professional Identity Theory (EPIT) addresses this issue by fostering an interprofessional identity without weakening professional identities. Drawing from psychological theories, EPIT explains the coexistence of interprofessional and professional identities, and predicts associated behaviors. It also emphasizes the importance of combining interprofessional identity formation with developing interprofessional competencies and adapting to environmental factors to achieve synergy in (temporary or permanent) mixed profession groups. Introduced in 2018, EPIT research initially relied on the measurement of congruent interprofessional behaviors as indirect indicators of interprofessional identity that could not yet be measured. An experiment demonstrated that enhancing social identification in mixed profession groups with interprofessional assignments reduced the social hierarchy within 6 h across three meetings. The 2020 development of the Extended Professional Identity Scale (EPIS) confirmed interprofessional identity as a three-dimensional social construct. So far, several scientific studies have supported many propositions of EPIT. These propositions are related to dimensionality and various psychometric properties, cross-cultural similarities, evidence and clues for interprofessional identity formation, and its predictive validity in interprofessional education and collaborative practice. Türkiye is among several countries (e.g., the Netherlands, Belgium, Germany, Lithuania, Finland, and Indonesia) where EPIT-based interprofessional identity is being investigated. To illustrate contextual differences and their potential cross-cultural implications, it is valuable to explore how interprofessional identity adds value in the Turkish context. This approach facilitates understanding the regional implications of interprofessional identity, including interprofessional education initiatives, increased university engagement, the development of measurement instruments, challenges and future directions, and national and international collaborations. This paper aims to explain and clarify EPIT propositions compared to other theories, describe current evidence, and outline future research directions, with a focus on developments within the Turkish context as a showcase.
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Research on interprofessional identity using the Extended Professional Identity Theory (EPIT) has shown promising results in measuring this identity, predicting interprofessional collaboration, and improving team outcomes. However, EPIT-based interprofessional identity has not been studied in Türkiye due to the absence of a Turkish version of the Extended Professional Identity Scale (EPIS). We aimed to develop and validate a Turkish EPIS, the EPIS-TR, and explore interprofessional identities across eight different professions. A cross-cultural adaptation of EPIS was made by linguistic validation, followed by analysis of psychometric properties using a sample of students from four Turkish universities and eight professions/programs (n = 405). Confirmatory factor analysis and reliability analyses were performed. Differences between professions were explored with ANOVA and a post hoc test. Three out of seven goodness-of-fit indices showed acceptable fit (x2/df =.004; RMSEA =.07; GFI =.94), and others showed excellent fit (SRMR =.04; AGFI =.91; CFI =.97; NNFI =.96). The internal consistency of the EPIS-TR is.93. The EPIS-TR scale has strong psychometric properties. The construct validity of the EPIS-TR was similar to that of the original version. The interprofessional identity scores of the different professions were mostly similar. Based on these findings, the EPIS-TR is well suited for measuring interprofessional identity.
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The purpose of this study was to develop and evaluate an interprofessional identity measurement instrument based on Extended Professional Identity Theory (EPIT). The latter states that interprofessional identity is a social identity superordinate to a professional identity consisting of three interrelated interprofessional identity characteristics: belonging, commitment and beliefs. Scale development was based on five stages: 1) construct clarification, 2) item pool generation, 3) review of initial item pool, 4) shortening scale length (EFA to determine top four highest factor loadings per subscale; 97 dental and dental hygiene students), and 5) cross-validation and construct validity confirmation (CFA; 152 students and 48 teachers from six curricula). Explained variance of the EPIS was 65%. Internal consistency of the subscales was 0.79, 0.81 and 0.80 respectively and 0.89 of the overall scale. CFA confirmed three-dimensionality as theorized by EPIT. Several goodness-of-fit indexes showed positive results: CFI = 0.968 > 0.90, RMSEA = 0.039 < 0.05, and SRMR = 0.056 ≤ 0.08. The factor loadings of the CFA ranged from 0.58 to 0.80 and factors were interrelated. The Extended Professional Identity Scale (EPIS) is a 12-item measurement instrument with high explained variance, high internal consistency and high construct validity with strong evidence for three-dimensionality.
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Onderzoeksvraag/Doelstelling: Samenwerking in de gezondheidszorg wordt versterkt door de ontwikkeling van een gezamenlijke interprofessionele identiteit, wat leidt tot effectieve teamwork. De effectiviteit van interprofessionele samenwerking hangt in grote mate af van de mate waarin professionals erin slagen een interprofessionele identiteit te ontwikkelen. Om deze identiteitsontwikkeling te meten, die de drie kernaspecten van identiteit (interprofessionele verbondenheid, interprofessionele commitment en interprofessionele overtuigingen) omvat, werd de Extended Professional Identity Scale (EPIS) in Nederland ontwikkeld en gevalideerd. Het lijkt een robuust instrument te zijn voor het meten van interprofessionele identiteit.Het doel van deze studie is om een cross-culturele adaptatie van de EPIS-G (Duitstalige versie) uit te voeren en de constructvaliditeit ervan te bevestigen.Methoden: De vertaling werd uitgevoerd volgens de richtlijnen voor de "Guidelines for translation and intercultural adaptation for self-reported measures". De gezicht- en constructvaliditeit werden bevestigd tijdens het vertaalproces. Een confirmatorische factoranalyse (CFA) werd uitgevoerd met 199 antwoorden van studenten geneeskunde, fysiotherapie, verpleegkunde, ergotherapie en logopedie.Resultaten: Tijdens het vertalen werden de woorden en formuleringen van de originele EPIS zoveel mogelijk behouden. Aanpassingen werden alleen gemaakt wanneer de verantwoordelijke vertaler dit noodzakelijk achtte. Alle afwijkingen werden binnen het team besproken, met aandacht voor omgangstaal en de specifieke taal van de gezondheidszorgberoepen, totdat consensus werd bereikt. De voorlopige resultaten wijzen erop dat de gezicht- en inhoudsvaliditeit door het vertaalproces zijn bevestigd. Cronbach's alpha voor de interne consistentie van de volledige 12-item schaal van de EPIS bedroeg 0,89.Discussie: EPIS-G lijkt geschikt te zijn om de meting van interprofessionele identiteit bij een Duitstalige populatie in de gezondheidszorg te meten. Interprofessionele identiteit kan variëren tussen verschillende beroepsgroepen.Belangrijkste boodschap: In het onderwijs kan de EPIS-G worden ingezet om een interprofessionele identiteit te bevorderen. In een klinische context kan het gebruik van de EPIS-G potentiële ondersteuningsbehoeften signaleren bij het ontwikkelen van een interprofessionele identiteit, wat een cruciale factor is voor succesvolle interprofessionele gezondheidszorg.
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Conference organized by the Faculty of Social Sciences of Eötvös Loránd University, Hilscher Rezső Social Policy Association, Gyere Association and CARe Europe 3 Foreword 5 Section 1. Transition from institutional to recovery-oriented community care: challenges throughout Europe 5 Zsolt Bugarszki: Introduction 7 Jan Pfeiff er: Developments in Central and Eastern Europe with regard to transition from Institutional to Community Care 13 Robert van Voren: Reform of the mental health system in Eastern Europe and in the former Soviet Republics 17 Jean-Pierre Wilken: Developments in Western Europe with regard to transition from traditional to recovery oriented care 21 Dirk den Hollander: Recognition of power and the power of recognition
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