A mixed methods evaluation of got care!

2021

Nursing Forum

Self Cite

Models of interprofessional collaborative practice have demonstrated improved outcomes for community-dwelling older adults. However, the concept of interprofessional collaborative practice for community-dwelling older adults needs clarification and a clear definition. A concept analysis based on the method posited by Walker and Avant was conducted to formulate an operational definition of this concept. Defining attributes, antecedents, consequences and empirical referents were identified from a review of the literature. A model case and contrary case were selected to further clarify the concept of interprofessional collaborative practice for community-dwelling older adults. Nurses are ideal leaders of interprofessional teams caring for older adults and can utilize this concept in practice, education and research.

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confidence: 62%

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confidence: 99%

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confidence: 99%

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A concept analysis of interprofessional collaborative practice for community‐dwelling older adults

2021

Nursing Forum

Self Cite

“…A survey of GeriPACT structures found that GeriPACTs may lack the funds to hire enough practitioners, especially those certified in geriatrics (Sullivan, Eisenstein, et al, 2018;Sullivan, Shin, et al, 2018). Population supports the idea that IPCP models may benefit a particular type of older adult, one who has significant risk factors or unmet needs related to their social determinants of health (Montano et al, 2020). This correlates with the assertion from this integrative review that IPCP models must be tailored to the individual client and that a one-size-fits-all approach will not be effective.…”

Section: Discussionmentioning

confidence: 93%

“…Most recently, Montano et al (2020) identified barriers and facilitators to IPCP from the stakeholder perspective for a nurse-led interprofessional education and outreach intervention, GOT Care!.The qualitative arm of this mixed-methods evaluation of GOT Care! used thematic analysis to illuminate the barriers and facilitators to IPCP for a sample of community-dwelling older adults from the perspective of faculty, administrators and clinicians that were involved in the implementation of GOT Care!(Montano et al, 2020). Some of the themes are reflected within the findings of this integrative review, including the need for a dedicated team leader and a shared goal, as well as the logistical barrier of the significant time commitment needed for IPCP models.…”

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confidence: 99%

Barriers and facilitators to interprofessional collaborative practice for community‐dwelling older adults: An integrative review

Journal of Clinical Nursing

Cornell

Gravenstein

2021

Self Cite

Aims and Objectives The aim of this integrative review was to synthesise empirical reports of interprofessional collaborative practice (IPCP) for community‐dwelling older adults and uncover barriers and facilitators related to its success as a model of care for this population. Background IPCP is a model of care that has demonstrated positive outcomes for community‐dwelling older adults. However, a summary of barriers and facilitators to IPCP models has not been presented. Methods An integrative review using the method posited by Whittemore and Knafl was completed to identify barriers and facilitators to IPCP for community‐dwelling older adults. The literature search was reported following PRISMA guidelines. Results Four themes emerged as barriers to IPCP: (1) A (Potential) Logistical Nightmare, (2) All About the Money, (3) If We Can't Test It, Can We Recommend It? and (4) Challenging for the Team, Challenging for the Client. Three themes emerged as facilitators to IPCP: (1) Reducing Resource Waste, (2) The “C” in IPCP and (3) What Matters Most. Conclusions IPCP models for community‐dwelling older adults must adapt to the setting of care and client needs. Interprofessional education opportunities for team members facilitate effective IPCP. Healthcare policies and funding structures need to address IPCP for community‐dwelling older adults for this model to be successful and sustainable. Relevance to Clinical Practice Nurses participate on and lead IPCP teams caring for community‐dwelling older adults and, therefore, need to be aware of barriers and facilitators to this model of care.

Outcomes From an Interprofessional Geriatric Outreach and Training Program

Shellman

Malcolm

2022

Innovation in Aging

Background and Objectives Interprofessional education (IPE) is necessary to train healthcare professionals to work collaboratively for the care of older adults. Geriatric Outreach and Training with Care! (GOT Care!) was an innovative academic training program designed to provide an IPE opportunity for healthcare students and faculty while providing care to community-dwelling older adults. The objectives of this program evaluation were to: (a) examine students’, older adult participants’, and primary care providers’ (PCPs) perceptions toward their participation GOT Care!, and (b) examine patient outcomes to identify program strengths and areas for improvement. Research Design and Methods Formative and summative program evaluation methods were utilized to evaluate student, older adult participant and provider perceptions of participating in GOT Care!. A total of 221 pharmacy, physical therapy, nursing, social work, medicine, and public health students from a single public university in northeastern United States, 38 community-dwelling older adults and 33 PCPs were included. Means, standard deviations and percentages were computed for survey data. The contextual data gathered from interviews and open-ended questions were analyzed using Borkan’s immersion-crystallization approach to generate themes. Results Overall, the students, older adults and PCPs appreciated GOT Care!. Students reported learning about the unique challenges to geriatric care and how to communicate with other professionals. The older adults appreciated the thorough interprofessional assessment and that the students could learn from them. The PCPs noted the unique insights into their patients’ health that would not present at a typical office visit. Discussion and Implications GOT Care! leveraged academic and community partnerships to provide an IPE opportunity and care to vulnerable older adults. Positive outcomes such as older adult, student and PCP satisfaction, and a reduction in emergency department (ED) visits support ongoing utilization and evaluation of these IPE programs.