Challenges in managing elderly people with diabetes in primary care settings in Norway

Graue, Marit; Dunning, Trisha; Hausken, Marie Fjelde; Rokne, Berit

doi:10.3109/02813432.2013.854445

Cited by 17 publications

(25 citation statements)

References 24 publications

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“…Six studies reported both qualitative and quantitative data [313233343536], ten qualitative only [27293738394041424344], and three quantitative only [283045]. The numbers and characteristics of the participants involved in the included publications are given in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…It was shown that although GPs reported unsatisfactory collaboration with nursing homes [303742], HCNs [27313745] and physiotherapists [29], they lacked the time, experience and training to engage in improving their practice [3031]. Attending to the intrinsic capacities, barriers, needs and interdependencies of primary care requires a systemic approach in which local health and social care managers share responsibility with professionals and lay people in boosting clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care

Sørensen¹,

Stenberg²,

Garnweidner-Holme

2018

Int J Integr Care

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Introduction:Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. As in other European countries, primary care in Norway is challenged by altered patient values and the increased expectations of health administrations to participate in team-based care. This scoping review reports on the organisational, processual, relational and contextual facilitators of collaboration between general practitioners (GP) and other healthcare professionals (HCPs) in primary care.Methods:A systematic search in specialist and Scandinavian databases retrieved 707 citations. Following the inclusion criteria, nineteen studies were considered eligible and examined according to Arksey and O’Malley’s methodological framework for scoping reviews. The retrieved literature was analysed employing a content analysis approach. A group of stakeholders commented on study findings to enhance study validity.Results:Primary care research into MPC is immature and emerging in Norway. Our analysis showed that introducing common procedures for documentation and handling of patient data, knowledge sharing, and establishing local specialised multi-professional teams, facilitates MPC. The results indicate that advancements in work practices benefit from an initial system-level foundation with focus on local management and MPC leadership. Further, our results show that it is preferable to enhance collaborative skills before introducing new professional teams, roles and responsibilities. Investing in professional relations could build trust, respect and continuity. In this respect, sufficient time must be allocated during the working day for professionals to share reflections and engage in mutual learning.Conclusion:There is a paucity of research concerning the application and management of MPC in Norwegian primary care. The work practices and relations between professionals, primary care institutions and stakeholders on a macro level is inadequate. Health care is a complex system in which HCPs need managerial support to harvest the untapped benefits of MPC in primary care. As international research demonstrates, local managers must be supported with infrastructure on a macro level to understand the embedding of practice and look at what professionals actually do and how they work.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care

Sørensen¹,

Stenberg²,

Garnweidner-Holme

2018

Int J Integr Care

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“…A atitude em relação à doença pode ou não ser influenciada pelo conhecimento insatisfatório sobre ela, bem como pelo significado que o indivíduo atribui à condição crônica (12,(20)(21) . Há que se considerar que a motivação e as atitudes do paciente frente à doença não são cristalizadas, pois são influenciadas por componentes cognitivos, motivacionais, emocionais e de conhecimento sobre a doença (22) .…”

Section: Discussionunclassified

“…A gestão da condição crônica pelo próprio indivíduo é essencial, pois pode existir discrepância entre o conhecimento que os profissionais consideram importante para a realização do cuidado e a capacidade de produzi-los (20) .…”

Section: Referênciasunclassified

Fatores Associados Ao Conhecimento E À Atitude Em Relação Ao Diabetes Mellitus

et al. 2017

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RESUMO: O objetivo deste estudo foi identificar fatores associados ao conhecimento e à atitude diante da doença em indivíduos com diabetes. Estudo transversal com 288 indivíduos, mediante entrevista, entre março e setembro de 2014, em seis unidades básicas de saúde no estado do Paraná. O conhecimento insatisfatório sobre a doença (n=194, 67,4%) e a atitude negativa (n=211, 73,4%) foram predominantes. Os fatores associados ao conhecimento insatisfatório foram sexo feminino (p=0,004), baixa escolaridade, ausência de complicações (p=0,011), sem consulta com endocrinologista nos últimos doze meses (p=0,009). Renda maior que dois salários mínimos (p=0,002), circunferência abdominal alterada (p=0,001) e sem realização de exames de sangue nos últimos seis meses (p=0,005) estiveram associados à atitude negativa diante da doença. Evidencia-se a necessidade de intervenções que melhorem o conhecimento dos indivíduos sobre a doença, e que reforcem e estimulem o desenvolvimento e a adoção de comportamentos adequados para o enfrentamento dessa condição crônica. DESCRITORES: Diabetes mellitus; Doença crônica; Conhecimento; Atitude; Autocuidado. FATORES ASSOCIADOS AO CONHECIMENTO E À ATITUDE EM RELAÇÃO AO DIABETES MELLITUS* FACTORS ASSOCIATED WITH KNOWLEDGE AND ATTITUDE OF DIABETIC INDIVIDUALS TOWARDS DIABETES MELLITUSABSTRACT: The present study aimed to identify factors associated to the knowledge and attitude of individuals with diabetes towards the disease. Cross-sectional study in which 288 individuals were interviewed between March and September 2014, in six basic health units in the state of Paraná. Poor knowledge of the disease (n = 194, 67.4%) and negative attitude (n=211, 73,4%) were predominant. Factors associated with unsatisfactory knowledge were female gender (p = 0.004), low educational level, absence of complications (p = 0.011), individuals who had no appointments with an endocrinologist over the last twelve months (p = 0.009). A monthly income higher than two minimum wages (p = 0.002), abnormal waist circumference (p = 0.001) and who had not taken blood tests over the last six months (p = 0.005) were associated with a negative attitude towards the disease. The study highlights the need for interventions to improve the population's knowledge about the disease and encourage the adoption of appropriate behaviors to face this chronic condition. DESCRIPTORS: Diabetes mellitus; Chronic illness; Knowledge; Attitude; Self-care. FACTORES ASOCIADOS AL CONOCIMIENTO Y A LA ACTITUD ACERCA DEL DIABETES MELLITUSRESUMEN: Fue objetivo de este estudio identificar factores asociados al conocimiento y a la actitud delante de la enfermedad por individuos con diabetes. Estudio transversal con 288 individuos, hecho por medio de entrevista, entre marzo y septiembre de 2014, en seis unidades básicas de salud en estado de Paraná. El insuficiente conocimiento acerca de la enfermedad (n=194, 67,4%) y la actitud negativa (n=211, 73,4%) predominaron. Los factores asociados al conocimiento insuficiente fueron sexo femenino (p=0,004), poca ...

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“…Another study explored the experiences and clinical challenges that nurses and nursing assistants face in municipal health service in primary care settings when providing high-quality diabetes care for elderly people [36]. It found that good communication with more experienced health care professionals and access to the right information is particularly important to the staff’s confidence and autonomy in order to make clinical decisions, and that the lack of it was contributory to their experience of not being able to care adequately for the patients.…”

Section: Discussionmentioning

confidence: 99%

Relations between task delegation and job satisfaction in general practice: a systematic literature review

Riisgaard

Nexøe

et al. 2016

BMC Fam Pract

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BackgroundIt has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally increasing, but the literature focusing on its influence on general practitioners' and their staff’s job satisfaction appears to be sparse even though job satisfaction is acknowledged as an important factor associated with both patient satisfaction and medical quality of care. Therefore, the overall aim of this study was 1) to review the current research on the relation between task delegation and general practitioners' and their staff’s job satisfaction and, additionally, 2) to review the evidence of possible explanations for this relation.MethodsA systematic literature review. We searched the four databases PubMed, Cinahl, Embase, and Scopus systematically. The immediate relevance of the retrieved articles was evaluated by title and abstract by the first author, and papers that seemed to meet the aim of the review were then fully read by first author and last author independently judging the eligibility of content.ResultsWe included four studies in the review. They explored views and attitudes of the staff, encompassing nurses as well as practice managers. Only one of the included studies also explored general practitioners' views and attitudes, hence making it impossible to establish any syntheses on this relation. According to the studies, the staff’s overall attitude towards task delegation was positive and led to increased job satisfaction, probably because task delegation comprised a high degree of work autonomy.ConclusionsThe few studies included in our review suggest that task delegation within general practice may be seen by the staff as an overall positive issue contributing to their job satisfaction, primarily due to perceived autonomy in the work. However, because of the small sample size comprising only qualitative studies, and due to the heterogeneity of these studies, we cannot draw unambiguous conclusions although we point towards tendencies.

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Challenges in managing elderly people with diabetes in primary care settings in Norway

Cited by 17 publications

References 24 publications

A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care

A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care

Fatores Associados Ao Conhecimento E À Atitude Em Relação Ao Diabetes Mellitus

Relations between task delegation and job satisfaction in general practice: a systematic literature review

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