Participants’ characteristics data (N = 7).

IntroductionInterprofessional collaborative care (IPC) is essential for effective healthcare delivery, particularly in managing chronic conditions such as diabetes in primary care settings. However, early-career health professionals (ECHPs) often encounter significant challenges when establishing effective IPC, given its inherent complexity. This study explores how ECHPs in primary care clinics navigate and engage in IPC for diabetes management.MethodsA qualitative study was conducted from 1st December 2021–1st October 2022 at two Malaysian primary care clinics (urban and suburban). Seven ECHPs meeting predefined criteria (6 months to 5 years’ experience, no postgraduate degree) were purposively sampled and interviewed until data saturation. In-depth semi-structured interviews (face-to-face or virtually via Zoom), conducted in either English or Malay, were audio- or video-recorded and transcribed verbatim. Data were analyzed using Braun and Clarke’s reflexive thematic analysis with constant comparison to ensure rigor.ResultsSeven main themes emerged regarding how ECHPs in primary care clinics navigate and engage in interprofessional collaborative practices: (1) Initiating and continuing dialogue, (2) Creating cohesiveness, (3) Effective ways of communication, (4) Having own personal values, (5) Willing to work synergistically, (6) Learning from each other, and (7) Embracing diversities and resolving conflict. These themes represent interrelated components that ECHPs had adopted to effectively engage in interprofessional collaborative practices.ConclusionIPC in diabetes management is a complex system requiring ECHPs to employ interrelated components for effective engagement. ECHPs overcame hierarchical barriers through proactive dialogue, reflecting a shift toward egalitarian teamwork. Digital platforms aided coordination, though face-to-face interactions were preferred for complex cases and direct communication. Team cohesion was strengthened through shared leadership, conflict resolution, and interprofessional learning, enabling ECHPs to adapt and contribute confidently. Educational institutions should integrate emotional intelligence, negotiation skills and digital ethics into IPC curricula. Healthcare organizations must reinforce collaborative practices through policies, mentorship and structured training to bridge theory-practice gaps. Future research should explore informal socialization, peer coaching and long-term digital communication impacts to strengthen IPC support for ECHPs.引言 跨专业协作照护（Interprofessional Collaborative Care, IPC）对于高效医疗服务的开展至关重要，在基层医疗场景中管理糖尿病等慢性病症时尤为关键。然而，早期职业生涯医疗从业者（Early-career Health Professionals, ECHPs）在建立有效的跨专业协作照护体系时，往往因其内在复杂性而面临诸多严峻挑战。本研究旨在探究基层医疗诊所中的早期职业生涯医疗从业者，如何在糖尿病管理中推进并践行跨专业协作照护。 研究方法 本研究于2021年12月1日至2022年10月1日，在马来西亚两家基层医疗诊所（分别位于市区与郊区）开展质性研究。采用目的性抽样法，选取7名符合预设标准的早期职业生涯医疗从业者（从业时长6个月至5年，未获得研究生学位）进行访谈，直至实现数据饱和。访谈采用半结构化深度访谈形式，可通过面对面开展，或借助Zoom（Zoom）以线上形式进行，访谈语言为英语或马来语，全程以音视频录制并逐字转录。数据分析采用Braun与Clarke的反思性主题分析法，并结合持续比较法以保障研究严谨性。 研究结果 针对基层医疗诊所中的早期职业生涯医疗从业者如何推进并践行跨专业协作实践，本研究提炼出7个核心主题：（1）启动并维持对话；（2）构建协作凝聚力；（3）高效沟通的路径；（4）坚守个人职业价值观；（5）乐于协同合作；（6）互相学习共进；（7）包容多样性并化解冲突。上述主题彼此相互关联，共同构成了早期职业生涯医疗从业者为有效开展跨专业协作实践所采用的核心实践要素。 结论 糖尿病管理中的跨专业协作照护是一个复杂系统，需要早期职业生涯医疗从业者运用各相互关联的实践要素，方能实现高效协作。早期职业生涯医疗从业者通过主动对话克服了层级壁垒，这反映出向平等协作团队模式的转变。数字平台为协作协调提供了助力，但针对复杂病例与直接沟通场景，受试者更偏好面对面互动。通过共享领导力、冲突化解以及跨专业学习，团队凝聚力得以强化，帮助早期职业生涯医疗从业者能够从容适应并贡献自身力量。教育机构应将情绪智力、谈判技巧与数字伦理纳入跨专业协作照护课程体系。医疗组织机构需通过政策制定、导师指导以及系统化培训，强化跨专业协作实践，以弥合理论与实践之间的差距。未来研究可探索非正式社交、同伴辅导以及长期数字沟通的影响，以进一步强化对早期职业生涯医疗从业者的跨专业协作照护支持。