Collaboration: A critical exploration of the care continuum

Penny, Robyn; Windsor, Carol

doi:10.1111/nin.12164

Cited by 11 publications

(11 citation statements)

References 54 publications

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“…In this way, disconnectedness is considered a most pervasive characteristic, described as ‘associated with disruption of the linkages on which the person's feelings or security depend’ (Meleis, , p. 26). A close collaboration between all parties is therefore suggested as not only an important goal but also a way of dealing with healthcare complexities and ambiguities of neonatal care and neonatal hospital transfers (Penny & Windsor, ).…”

Section: Discussionmentioning

confidence: 99%

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

et al. 2018

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Transfers of critically ill neonates are frequent phenomena. Even though parents' participation is regarded as crucial in neonatal care, a transfer often means that parents and neonates are separated. A systematic review of the parents' experiences of neonatal transfer is lacking. This paper describes a meta-study addressing qualitative research about parents' experiences of neonatal transfer. Through deconstruction and reflections of theories, methods, and empirical data, the aim was to achieve a deeper understanding of theoretical, empirical, contextual, historical, and methodological issues of qualitative studies concerning parents' experiences of neonatal transfer over the course of this meta-study (2000-2017). Meta-theory and meta-method analyses showed that caring, transition, and family-centered care were main theoretical frames applied and that interviewing with a small number of participants was the preferred data collection method. The meta-data-analysis showed that transfer was a scary, unfamiliar, and threatening experience for the parents; they were losing familiar context, were separated from their neonate, and could feel their parenthood disrupted. We identified 'wavering and wandering' as a metaphoric representation of the parents' experiences. The findings add knowledge about meta-study as an approach for comprehensive qualitative research and point at the value of meta-theory and meta-method analyses.

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Section: Discussionmentioning

confidence: 99%

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

et al. 2018

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“…One was an unpublished PhD thesis (Penny, 2015). Nine studies (10 articles) with a qualitative design were included.…”

Section: Study Characteristicsmentioning

confidence: 99%

Midwives’ and health visitors’ collaborative relationships: A systematic review of qualitative and quantitative studies

Aquino

Olander

Needle

et al. 2016

International Journal of Nursing Studies

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Review methods Papers were included if they explored one or a combination of: the areas of practice in which midwives and health visitors worked collaboratively; the methods that midwives and health visitors employed when communicating and collaborating with each other; the effectiveness of collaboration between midwives and health visitors; and whether collaborative practice between midwives and health visitors meet clinical guidelines. Papers were assessed for study quality. Permanent repository link ResultsEighteen papers (sixteen studies) met the inclusion criteria. The studies found that midwives and health visitors reported valuing interprofessional collaboration, however this was rare in practice. Findings show that collaboration could be useful across the service continuum, from antenatal care, transition of care/handover, to postnatal care. Evidence for the effectiveness of collaboration between these two groups was equivocal and based on selfreported data. In relation, multiple enablers and barriers to collaboration were identified. Communication was reportedly key to interprofessional collaboration. ConclusionsInterprofessional collaboration was valuable according to both midwives and health visitors, however, this was made challenging by several barriers such as poor communication, limited resources, and poor understanding of each other's role. Structural barriers such as physical distance also featured as a challenge to interprofessional collaboration. Although the findings are limited by variable methodological quality, these were consistent across time, geographical locations, and health settings, indicating transferability and reliability.

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“…Critical to this philosophy is the engagement of patients and families as full partners in health care . Healthcare partnerships, involvement in patient care and shared decision‐making are fundamental to the concepts of participation and collaboration . Engagement and involvement are synonyms for participation , and they occur through reciprocal relationships and dialogue .…”

Section: Introductionmentioning

confidence: 99%

Patient and family members’ perceptions of family participation in care on acute care wards

Mackie

Mitchell

Marshall

2018

Scandinavian Caring Sciences

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Background Hospital leaders, policymakers and healthcare professionals are realising the benefits of delivering care that promotes family participation because it is known to enhance the quality of care, and improve patient satisfaction. Aim The aim of this study was to explore, from the perspective of patients and family members within an adult acute care ward: (a) their beliefs and attitudes towards family participation in patient care and (b) staff behaviours that support or hinder family participation in patient care. Design and methods A naturalistic approach with an exploratory sequential design was used in a medical assessment and planning unit of a regional referral hospital in Australia. Purposeful maximum variation sampling was used to recruit patients and family members who differed in age, ethnicity, relationship to patient and gender. Observer‐as‐participant observation data and semi‐structured interviews were undertaken. Following separate inductive content analysis, data were triangulated. Results Thirty‐two patients and 26 family members were recruited. Thirty hours of observational data were gathered. Eighteen patients and 15 family members were interviewed. Analysis uncovered two contrasting categories: (a) disconnected communication and (b) family influence quality. Conclusion The findings of our study demonstrated that most patients and families perceived staff communication as disconnected and inadequate, which constrained them from engaging in care processes or decision‐making. However, when family felt empowered and participated in patient care, the quality of health care was enhanced. Healthcare professionals can use these findings to make informed evidence‐based changes to the way they practice and communicate to ensure family participation in patient care is optimised in the acute care setting.

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Collaboration: A critical exploration of the care continuum

Cited by 11 publications

References 54 publications

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

Midwives’ and health visitors’ collaborative relationships: A systematic review of qualitative and quantitative studies

Patient and family members’ perceptions of family participation in care on acute care wards

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