How do nurses and physicians assess inter‐professional collaboration in long‐term care homes? A survey study

Reese, Christina; Sehlbrede, Matthias; Brühmann, Boris A.; Farin, Erik

doi:10.1002/nop2.912

Cited by 8 publications

(7 citation statements)

References 42 publications

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“…In other countries, for example in Germany, nursing homes mainly employ nursing staff/assistants. The nurses could consult the physician, but there is no frequent or daily collaboration with a general physician [ 44 ]. In that case, professionals from other professions are available remotely from other organisations [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Facilitators for developing an interprofessional learning culture in nursing homes: a scoping review

Verbeek

Lierop

Meijers

et al. 2023

BMC Health Serv Res

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Background Healthcare professionals in nursing homes face complex care demands and nursing staff shortages. As a result, nursing homes are transforming into home-like personalised facilities that deliver person-centred care. These challenges and changes require an interprofessional learning culture in nursing homes, but there is little understanding of the facilitators that contribute to developing such a culture. This scoping review aims to identify those facilitators. Methods A scoping review was performed in accordance with the JBI Manual for Evidence Synthesis (2020). The search was carried out in 2020–2021 in seven international databases (PubMed, Cochrane Library, CINAHL, Medline, Embase, PsycINFO and Web of Science). Two researchers independently extracted reported facilitators that contribute to an interprofessional learning culture in nursing homes. Then the researchers inductively clustered the extracted facilitators into categories. Results In total, 5,747 studies were identified. After removing duplicates and screening titles, abstracts and full texts, 13 studies that matched the inclusion criteria were included in this scoping review. We identified 40 facilitators and clustered them into eight categories: (1) shared language, (2) shared goals, (3) clear tasks and responsibilities, (4) learning and sharing knowledge, (5) work approaches, (6) facilitating and supporting change and creativity by the frontline manager, (7) an open attitude, and (8) a safe, respectful and transparent environment. Conclusion We found facilitators that could be used to discuss the current interprofessional learning culture in nursing homes and identify where improvements are required. Further research is needed to discover how to operationalise facilitators that develop an interprofessional learning culture in nursing homes and to gain insights into what works, for whom, to what extent and in what context.

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Section: Discussionmentioning

confidence: 99%

Facilitators for developing an interprofessional learning culture in nursing homes: a scoping review

Verbeek

Lierop

Meijers

et al. 2023

BMC Health Serv Res

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“…Differences in JASSIC scores might reflect the influence of experiences in training courses and clinical practice 23 . Although some reports have compared IPC between two professions, 18,19 few have compared IPC among multiple professions. The comparison in this study revealed higher scores for physicians and social workers.…”

Section: Discussionmentioning

confidence: 99%

Current status of interprofessional competency among healthcare professions in Japan: A cross‐sectional web‐based survey

Goto

Haruta

2022

J of Gen and Family Med

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Background: Self-assessment of professionals' interprofessional competency is meaningful for benchmarking oneself and helping to identify training needs. We aimed to clarify differences in self-assessment of interprofessional competency in Japan by profession and type of facility. Methods:We conducted a cross-sectional study using a web survey among primary healthcare providers in Japan, especially members of the Japan Primary Care Association, between June and October 2020. After sampling using the e-mail list, we used an exponential nondiscriminative snowball method as purposive sampling through key professional informants between November 2020 and February 2021.The questionnaire covered items including participant demographics (age, gender, years of experience as professionals, years of experience working at the current institution, attendance type (regular or part-time work), administrative experience, profession, and facility type) and included the Japanese version of the Self-assessment Scale of Interprofessional Competency (JASSIC). Differences between healthcare professions (physician, nurse, pharmacist, rehabilitation therapist, and social worker) and between types of facility (university hospital, medium-sized hospital, small hospital, and clinics) were compared using the Kruskal-Wallis test.Results: A total of 593 people responded to the survey. Their mean age was 41.2 ± 11.3 years, and 312 (52.6%) were female. JASSIC scores of physicians and social workers were significantly higher than those of rehabilitation therapists (p < 0.01).Concerning facilities, professionals working in clinics rated themselves higher than those in medium-sized hospitals (p < 0.01). Conclusions:We revealed that self-assessment of interprofessional competency in Japan varied by profession and type of facility.

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“…Zu den zeitnah umzusetzenden Handlungsempfehlungen gehören die berufsgruppenübergreifende Kommunikation, Kooperation und Beratung, die zu einer verbesserten Patientensicherheit führen [ 47 ] und eine Reduktion der Hospitalisierungen aus dem Pflegeheim erwarten lassen [ 27 , 32 , 34 ]. Eine erste Inventarisierung von Kooperationen zwischen Ärzteschaft und Pflegefachpersonal in Deutschland lieferte mögliche Ansatzpunkte für Verbesserungen [ 29 ]. Diese wurden in dem Projekt „CoCARE“ mittels regelmäßiger ärztlicher Visiten, einer gemeinsamen Patientenakte und Medikamentenkontrollen adressiert [ 30 ].…”

Section: Diskussionunclassified

Pflegeheim-sensitive Krankenhausfälle und Ansätze zur Verringerung der Hospitalisierung von Pflegeheimbewohnerinnen und -bewohnern

Valk-Draad

Bohnet-Joschko

2023

Bundesgesundheitsbl

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Zusammenfassung Hintergrund Interventionen zur Vermeidung von potenziell risikobehafteten Krankenhauseinweisungen aus dem Pflegeheim sind von hoher Bedeutung für Patientensicherheit und Versorgungsqualität. Ein Katalog Pflegeheim-sensitiver Krankenhausfälle (PSK) bildet die Grundlage für die Entwicklung von Handlungsempfehlungen. Methoden In zwei vorangegangenen Forschungsphasen entwickelte ein Expertenpanel einen Katalog mit 58 PSK mittels eines angepassten Delphi-Verfahrens (die RAND/UCLA Appropriateness Methode). Dieses Verfahren wurde von der Nord-Amerikanischen gemeinnützigen Research and Development Organisation (RAND) und Klinikern der Universität von Kalifornien in Los Angeles (UCLA) entwickelt. In der hier vorgestellten dritten Projektphase wurden zunächst in einem Expertenworkshop Interventionsansätze zu deren Reduktion entwickelt. Die Ergebnisse wurden anschließend durch sechs Gutachtende aus themenverwandten Sektoren bewertet, ergänzt und systematisch zur Erstellung von Handlungsempfehlungen verwendet. Mögliche Umsetzungshürden wurden berücksichtigt und der Zeithorizont der Wirksamkeit abgeschätzt. Ergebnis Die Handlungsempfehlungen betreffen Bereiche der Kommunikation, Kooperation, Dokumentation und Versorgungskompetenz sowie einrichtungsbezogene, finanzielle und rechtliche Aspekte. Einzelne Indikationsbündel demonstrieren die Relevanz für das deutsche Gesundheitswesen. Zur Erhöhung der Wirksamkeit empfehlen die Sachverständigen eine sinnvolle Kombination von Handlungsempfehlungen. Diskussion Durch eine Optimierung multidisziplinärer Kommunikation und Kooperation, kombiniert mit einem – auch digitalen – Ausbau der Infrastruktur bei Schaffung einrichtungsbezogener rechtlicher Voraussetzungen und Vergütungsstrukturen, könnten fast 35 % aller Hospitalisierungen aus dem Pflegeheim, rund 220.000 Krankenhausfälle in Deutschland, vermieden werden. Die für Maßnahmen erforderlichen Ausgaben könnten aus Einsparungen durch vermiedene Krankenhausaufenthalte in Höhe von 768 Mio. € refinanziert werden.

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How do nurses and physicians assess inter‐professional collaboration in long‐term care homes? A survey study

Cited by 8 publications

References 42 publications

Facilitators for developing an interprofessional learning culture in nursing homes: a scoping review

Facilitators for developing an interprofessional learning culture in nursing homes: a scoping review

Current status of interprofessional competency among healthcare professions in Japan: A cross‐sectional web‐based survey

Pflegeheim-sensitive Krankenhausfälle und Ansätze zur Verringerung der Hospitalisierung von Pflegeheimbewohnerinnen und -bewohnern

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