Helseprofesjoners samhandling – en litteraturstudie

Vik, Erlend

doi:10.18261/issn.2464-3076-2018-02-03

Cited by 34 publications

(35 citation statements)

References 45 publications

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“…Many integrated care initiatives have focused on transitions of care between acute hospital and community services 9 . However, despite international concern for ensuring safe and high‐quality transitions for an increasing number of older people, a scoping review shows that health personnel report significant collaboration problems around patient discharge 10 . These problems include incomplete exchange of information between healthcare providers and greater challenges in managing and coordinating care delivery to ensure optimal outcomes 11,12 .…”

Section: Earlier Research On Integrated Care For Older Patientsmentioning

confidence: 99%

Nurses' experiences of transitions of older patients from hospitals to community care. A nation‐wide survey in Norway

Gautun¹,

Bratt

Billings

2020

Health Science Reports

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Background and Aims Moving older patients from hospitals to community services is a critical phase of integrated care. Yet, large‐scale research on the quality of these transitions has been missing. Consequently, it has been difficult to assess to what extent and how patient transitions need to be improved. The purpose of this research was to gather the perspective of nurses involved in the transition of older patients (defined as patients 65 years or older) in Norway. Methods Data were collected in 2017 among Norwegian nurses with two nationwide web‐based surveys, one among nurses working at in‐patient wards in acute hospitals, and another among nurses in home nursing and nursing homes in the community. We sent emails to all nurses who were members of the Norwegian Nurses Organisation (NSS), where most Norwegian nurses are organised. The email included a recommendation by the NSS. Instructions in the email and the online questionnaire ensured that only nurses involved in the transition of older patients participated. The online questionnaire assessed nurses' evaluations of the quality of patient transitions and information exchange between the services involved in patient transitions. Results 4312 nurses working in community care services and 2421 nurses at in‐patient wards at hospitals responded. Both groups were predominantly female (94%), and nearly 90% of Norway's 428 municipalities were included in the study. Compared to hospital nurses, the nurses working in community care experienced lower quality of patient transitions and were less satisfied with the information exchange on patients' condition and needs. Further, when comparing groups of community nurses, we found that nurses in home nursing were more dissatisfied with the quality of transitions and information exchange than nurses in nursing homes. Conclusion We conclude that hospital nurses should have more face‐to‐face or telephone contact with community nurses, and specifically with home nurses. Further, we suggest promoting a mutual understanding of the older patients' pathway from one service to the other, and to improve co‐ordination across the services. We suggest that one means to achieve such improvements is to use multi‐disciplinary discharge teams, while another is to develop case management or care navigator roles specific to the discharge process.

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Section: Earlier Research On Integrated Care For Older Patientsmentioning

confidence: 99%

Nurses' experiences of transitions of older patients from hospitals to community care. A nation‐wide survey in Norway

Gautun¹,

Bratt

Billings

2020

Health Science Reports

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“…De senere årene har det vaert betydelig forskning på interorganisatorisk og tverrfaglig samarbeid i velferdstjenester, både i Norge (Bjørkquist & Jerndahl Fineide, 2019;Pedersen, 2019;Vabø & Vabo, 2014;Vik, 2018;Willumsen, 2009) og internasjonalt (Amelung et al, 2017;Ferlie, Fitzgerald, McGivern, Dopson, & Bennett, 2013). Til tross for den omfattende forskningen har to nye litteraturgjennomganger av utvalgt forskning på samarbeid observert at teoretiske begrepsapparat i relativt liten grad brukes for å forstå samarbeid og hvilke elementer det påvirkes av (Andreassen, Breit, & Saltkjel, 2020;Anvik et al, 2019).…”

Section: Innledningunclassified

Organisatoriske blikk på samarbeid i velferdstjenester

Breit¹,

Andreassen²

2021

TFV

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Til tross for at samarbeid innebaerer organisering, utføres i organisasjoner og utgjør et organisatorisk virkemiddel for myndighetene, benyttes organisasjonsteoretiske begrepsapparat sjelden for å forstå og analysere samarbeid i velferdstjenestene. I denne artikkelen argumenterer vi for at teoriutvikling eller teoriutdyping er nødvendig for å utvikle forståelsen av samarbeid på tvers av ulik empirisk forskning og forskningstradisjoner, og i saerlig grad for nytten av organisasjonsteori i dette henseendet. Vi gjør dette ved å beskrive et rammeverk bestående av seks ulike organisatoriske 'blikk' på samarbeid: mikroblikket, mesoblikket, makroblikket, det vide blikket, det lange blikket og det dype blikket. Innenfor hvert blikk beskriver vi utvalgte organisasjonsteoretiske perspektiver og hvordan de kan anvendes i studier av samarbeid i velferdstjenestene.

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“…Omsorgstjenesten preges av både intern og ekstern samhandling og oppgavefordeling (Vik, 2018). Formålet med å innføre EPJ har vaert å samle og strukturere pasientinformasjon, og gjøre den tilgjengelig og oppdatert for helsepersonell til enhver tid (Helse-og omsorgsdepartementet, 2012; Shiells, Diaz Baquero, Štěpánková & Holmerová, 2020).…”

Section: Diskusjonunclassified