Collaboration between hospital and primary care nurses: a literature review

Lemetti, Terhi; Stolt, Minna; Rickard, Norman As; Suhonen, Riitta

doi:10.1111/inr.12147

Cited by 26 publications

(65 citation statements)

References 36 publications

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“…Changes towards shorter hospital stay and hospital nurses undertaking increasingly complex and technological tasks are challenging frail older patients' fundamental care needs (Kitson & Soerensen, ) and make requirements for nurses across sectors to secure safe and timely transfer of patients with complex needs (Hesselink, Schoonhoven et al, ; Lemetti, Stolt, Rickard, & Suhonen, ). Transitional care is defined as a set of actions designed to ensure the coordination and continuity of health care, as patients transfer between different locations or different levels of care within the same location (Coleman, Boult, & American Geriatrics Society Health Care Systems Committee, ).…”

Section: Introductionmentioning

confidence: 99%

“…Nurse collaboration has a positive impact on patient outcome (Gardner, ; McNeil, Strasser, Lightfoot, & Pong, ) and plays a central role in processing information and coordination of care needed for successful care transition (Apker, Propp, Zabava, & Ford, and Nancee Hofmeister, ). However, there is a lack of detailed knowledge regarding how nurses collaborate across different healthcare settings (Lemetti et al, ). Collaboration can be defined as a process related to sharing and working together with others towards a common goal.…”

Section: Introductionmentioning

confidence: 99%

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“It is two worlds” cross‐sectoral nurse collaboration related to care transitions: A qualitative study

Petersen

Foged

Nørholm

2019

Journal of Clinical Nursing

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Aims and objectives To explore how the hospital and home care nurses talk about and experience cross‐sectoral collaboration related to the transitional care of frail older patients. Background Effective communication and collaboration between nurses involved in care transition are crucial for a safe patient handover. Organisational systems to support cross‐sectoral collaboration have been developed but do not always promote the intended dialogue and precise and useful exchange of information. Other factors may also be of importance to an effective and constructive cross‐sectoral nurse collaboration. Design A qualitative design using thematic analysis. Methods Data were extracted from 24 focus group interviews conducted with registered nurses from eight hospital wards and six municipalities and a total of 165 hr of observations conducted in three hospital wards and three municipalities. The study was reported according to the COREQ guidelines. Results The perception of nursing and care differed across sectors. The nurses expressed having shared goals for the patients—however, these goals derived from different values, the perception of nursing and approach to the patients. The lack of knowledge of each other's working conditions created assumptions and preconceptions, which affected communication and collaboration related to planning and executing care transition negatively. Conclusions The nurses perceived the hospital and home care as" two worlds". The collaboration between the nurses was characterised by insufficient communication and preconceptions rather than concrete knowledge and different cultures and professional identities. It can be questioned whether cross‐sectoral collaboration between nurses should be characterised as interprofessional rather than intraprofessional collaboration as the features of the nurses' collaboration. Relevance to clinical practice Organisational and political systems should recognise that nurses in different sectors are taking care of various aspects of nursing when planning on policies to support cross‐sectoral collaboration. More possibilities for nurses across sectors to meet should be made available.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“It is two worlds” cross‐sectoral nurse collaboration related to care transitions: A qualitative study

Petersen

Foged

Nørholm

2019

Journal of Clinical Nursing

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“…Collaboration has been defined as a process which includes two or more participants (9), working together (10), in an equal partnership in terms of power, knowledge and expertise (9,11,12); with shared responsibilities and goals (9)(10)(11)13), and a commitment to those goals (9). Collaboration between nurses requires: personal competence and opportunities to collaborate (12)(13)(14); an awareness and understanding of roles; and effective communication skills (12,13,15).…”

Section: Introductionmentioning

confidence: 99%

Older patients’ experiences of nurse‐to‐nurse collaboration between hospital and primary health care in the care chain for older people

Lemetti

Voutilainen

Stolt

et al. 2019

Scandinavian Caring Sciences

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Background Nurse‐to‐nurse collaboration between nurses working in hospital and primary health care in the older people care chain is essential to ensure the continuity of care. The nature of good collaboration in this context is understood usually from the perspective of collaborating nurses. However, there seems to be a lack of research about this collaboration from the older patient's perspective who are at the centre of the collaboration. Aims and objectives To describe older patient's experiences of the collaboration between hospital and primary healthcare nurses delivering care to older people. Design A qualitative approach based on a descriptive phenomenological methodology was used. Methods Individual interviews were conducted using a purposeful sample of older patients (n = 18) who were cared for both in hospital and primary healthcare organisations. A qualitative data analysis method informed by Giorgi was used. Results The essence of the experience of nurse‐to‐nurse collaboration between hospital and primary health care was expressed as follows: the meaning of collaboration; the elements of collaboration valued; the visibility of collaboration; older patient involvement in collaboration; interaction within collaboration; and future expectations of collaboration. Conclusions Although nurse‐to‐nurse collaboration between hospital and primary health care was not often visible to older patients, they highlighted the importance of this collaboration to ensure the continuity of care. The participants would have liked to be part of the collaborating group, at the centre of care, cared for by motivated nurses who had a clear understanding of their patients’ health status. This study emphasises the need for improving collaboration between hospital and primary healthcare nurses by making it more visible and facilitating older patients’ participation. The results demonstrate the need to understand patient perspectives in the development of care and the services provided for older people.

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“…While not an easy task, clinical managers must take action to resolve this type of inequity or risk having morale, recruitment and retention problems among nursing staff. [46,47] Another strategy healthcare organizations could consider to improve collaboration among nurses is to adopt a collaborative practice model or framework. Using a framework such as the National Interprofessional Competency Framework (NICF) would assist nurses to jointly understand the competencies required to engage in collaborative practice.…”

Section: Discussionmentioning

confidence: 99%

A mixed-methods pilot study of the factors that influence collaboration among registered nurses and registered practical nurses in acute care

Moore

Prentice

Salfi

2017

CNS

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Objective: Staffing models employing registered nurses (RNs) and registered practical nurses (RPN) have created the opportunity for enhanced collaboration in acute care settings. However, little is understood about how these nurses collaborate and the factors that influence their collaboration. The purpose of this pilot study was to examine the factors that influenced collaboration among RNs and RPNs at one acute care hospital in Canada in order to understand and improve nursing collaborative practice. Methods: Using an explanatory, sequential mixed methods design, data were collected over several months in 2016 from the nurses using a questionnaire and individual telephone interviews. Sixty-five RNs and RPNs working on medical, surgical and emergency units completed the "Nurse-Nurse Collaboration Scale" survey and ten RNs and RPNs participated in the telephone interviews. Results: Quantitative analysis showed lower scores among younger nurses across most domains of the survey: conflict management, communication, shared processes, coordination and professionalism. Qualitative analysis revealed working to full scope of practice was a facilitator of RN-RPN collaboration, and older age and poor interpersonal skills were barriers to successful collaboration. Conclusions: The results provide discussion for identification of strategies to improve collaborative practice among nurses such as establishing joint education programs for RNs and RPNs, and the use of models or frameworks to guide collaborative practice in healthcare organizations.

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Collaboration between hospital and primary care nurses: a literature review

Cited by 26 publications

References 36 publications

“It is two worlds” cross‐sectoral nurse collaboration related to care transitions: A qualitative study

“It is two worlds” cross‐sectoral nurse collaboration related to care transitions: A qualitative study

Older patients’ experiences of nurse‐to‐nurse collaboration between hospital and primary health care in the care chain for older people

A mixed-methods pilot study of the factors that influence collaboration among registered nurses and registered practical nurses in acute care

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