Hvad er ledelse af brugerinddragelse? En gennemgang af mål og tre individuelle brugerinddragelsesmodeller

Holm-Petersen, Christina; Navne, Laura Emdal

doi:10.7146/tfss.v0i22.20823

Cited by 4 publications

(2 citation statements)

References 48 publications

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“…One questionnaire targeted patients’ perspective while the other targeted caregivers’ perspective. The development of the questionnaires was inspired by Danish recommendations to patient-reported outcome data, 18 address involvement, information, safety, understanding and consistency. Participating patients and caregivers were recruited in the period of 2018–2019 with the help of the nurses working in ATO, and they were interviewed within 3 weeks.…”

Section: Methodsmentioning

confidence: 99%

Municipal acute care teams as a flexible solution for the treatment of acutely ill patients at-home: a mixed-method study of patients’ and caregivers’ experiences with an acute care team

et al. 2021

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ObjectiveDevelopment of initiatives to reduce hospitalisations is a major focus of healthcare planning. Strengthening the community with municipal acute care teams or units is a newly implemented Danish initiative aimed at preventing hospitalisations and supporting more flexible services. This study aims to describe patients treated by a municipal acute care team and to explore patients’ and caregivers’ experiences with at-home treatment.DesignA mixed-method study consisting of descriptive statistics of patients treated by an acute care team, and quantitative and qualitative data from follow-up telephone questionnaires with patients and caregivers.SettingThe acute care team, ‘Acute Team Odense’ (ATO), in the Odense Municipality, Denmark.ParticipantsPatients treated by ATO and their caregivers. ATO treated 3231 patients (5676 contacts) in the period of 2018–2019.ResultsAverage number of new contacts per day was 7.8, and the median treatment-length was 1 day. Patients were referred by various healthcare providers and most often by general practitioners, municipal staff and hospital staff. The median age of the patients was 80 years, and 20% were independent before the treatment. In total, 787/5676 contacts received at-home intravenous therapy, which corresponded to 3.6 hospital beds saved per day. The questionnaires were completed by 307/478 patients and 168/254 caregivers. Most respondents stated they would prefer at-home treatment in future similar situations as it enabled them to maintain their lives. Several respondents also experienced that ATO avoided hospitalisations or reduced hospital stays, which was described as a relief.ConclusionATO was frequently used, indicating the demand for community-based acute healthcare. The patients and caregivers experienced that this solution avoided hospitalisations and allowed them to maintain their lives, and this was described as less burdensome. As a result of these findings, this initiative has been continued with an ongoing focus on searching for possibilities aimed to prevent hospitalisations.

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Section: Methodsmentioning

confidence: 99%

Municipal acute care teams as a flexible solution for the treatment of acutely ill patients at-home: a mixed-method study of patients’ and caregivers’ experiences with an acute care team

et al. 2021

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“…introduktionen har min nysgerrighed gået på at undersøge, hvilke potentielle nye forståelser for ledelse i hospitalsvaesenet der kan identificeres ved at anskue praksis med teoretiske briller om Capacity Building som en ny forståelsestilgang. Jeg betraeder dermed en ny sti inden for ledelse i hospitalsvaesenet end de allerede veletablerede ledelsestilgange (Holm-Petersen, 2015;Andersen, et.al., 2019;Kjeldsen & Andersen, 2021;Torfing, 2013;Jakobsen et.al., 2016).…”

Section: Generaliserbarhed Af Programteorienunclassified

Ledelse af Capacity Building i Hospitalsvæsenet: Belyst ved projekt Sikkert Patientflow i Region Midtjylland, Danmark

Antonsen

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Impact of caller’s degree-of-worry on triage response in out-of-hours telephone consultations: a randomized controlled trial

Gamst‐Jensen

Christensen

Lippert

et al. 2019

Scand J Trauma Resusc Emerg Med

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Background Telephone triage entails assessment of urgency and direction of flow in out-of-hours (OOH) services, while visual cues are inherently lacking. Triage tools are recommended but current tools fail to provide systematic assessment of the caller’s perspective. Research demonstrated that callers can scale their degree-of-worry (DOW) in a telephone contact with OOH services, but its impact on triage response is undetermined. The aim of this study was to investigate the association between call-handlers’ awareness of the caller’s DOW and the telephone triage response. Methods A randomized controlled trial at a Danish OOH service using telephone triage with quantitative analyses and qualitative process evaluation. Prior to contact with a call-handler, callers were asked to rate their DOW on a five-point scale. Calls were randomized to show or not show DOW on the call-handlers’ screens. Triage response (telephone consultation or face-to-face consultation) was analysed using Chi-square tests. Process evaluation incorporated a quantitative and qualitative assessment of intervention implementation and fidelity. Results Of 11,413 calls, 5705 were allocated to the intervention and 5708 to the control group. No difference in number of face-to-face consultations was detected between the two groups (OR 1.05, 95% CI 0.98 to 1.14, p = 0.17). The process evaluation showed that call-handlers did not use the DOW systematically and were reluctant to use DOW. Conclusion Awareness of DOW did not affect the triage response, but this finding could reflect a weak implementation strategy. Future studies should emphasise the implementation strategy to determine the effect of DOW on triage response. Trial registration Registration number, Clinicaltrials.gov NCT02979457 . Electronic supplementary material The online version of this article (10.1186/s13049-019-0618-2) contains supplementary material, which is available to authorized users.

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Hvad er ledelse af brugerinddragelse? En gennemgang af mål og tre individuelle brugerinddragelsesmodeller

Cited by 4 publications

References 48 publications

Municipal acute care teams as a flexible solution for the treatment of acutely ill patients at-home: a mixed-method study of patients’ and caregivers’ experiences with an acute care team

Municipal acute care teams as a flexible solution for the treatment of acutely ill patients at-home: a mixed-method study of patients’ and caregivers’ experiences with an acute care team

Ledelse af Capacity Building i Hospitalsvæsenet: Belyst ved projekt Sikkert Patientflow i Region Midtjylland, Danmark

Impact of caller’s degree-of-worry on triage response in out-of-hours telephone consultations: a randomized controlled trial

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