Interprofessional collaboration in Swedish health and social care from a care manager's perspective

Dunér, Anna; Wolmesjö, Maria

doi:10.1080/13691457.2014.908166

Cited by 18 publications

(19 citation statements)

References 26 publications

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“…In de samenwerking tussen sociaal werk en de gezondheidszorg, zie ik naast vormen van win-winsamenwerking ook veel zerosum (Dunér & Wolmesjö, 2015;Swart, 2014). Het gaat erom welke organisatie de meeste professionals mag leveren voor een wijkteam.…”

Section: Onder De Oppervlakteunclassified

Gezond met sociaal werk

Verharen

2016

Maatwerk

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Section: Onder De Oppervlakteunclassified

Gezond met sociaal werk

Verharen

2016

Maatwerk

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“…The HSCPC was organised as a meeting that focused on dialogues between older persons, their family members and different professionals in older persons homes. Research concerning care plannings has also varied and the study foci has been; the content of the plan , the collaboration between health care professionals , the meeting and older persons needs as expressed by themselves . Since planning the care at the hospital is not optimal, initiatives have been taken to perform the discharge planning at home a few days after discharge .…”

Section: Introductionmentioning

confidence: 99%

Health and social care planning in collaboration in older persons’ homes: the perspectives of older persons, family members and professionals

Sundström

Petersson

Rämgård

et al. 2017

Scandinavian Caring Sciences

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Providing health and social care to older persons is challenging, since older persons often have multiple diseases and a complex health situation. Hence many professions and organisations are involved. Lack of interprofessional and interorganisational collaboration leads to fragmented care. Care planning meetings before hospital discharge have long been used to overcome this fragmentation, but meetings conducted at the hospital have limitations in identifying long-term needs at home. A new model for health and social care planning in collaboration (HSCPC) in older persons' homes was introduced in two Swedish municipalities. The aim of this study was to gain a deeper understanding of the HSCPC-meeting from the perspectives of older persons, family members, and professionals. Ten care planning meetings from two municipalities were consecutively included. Interviews in retrospect with ten older persons, eight family members, and ten groups of professionals who had attended the HSCPC-meeting at home were analysed with a hermeneutic approach. Four themes emerged: unspoken agendas and unpreparedness, security and enhanced understanding, asymmetric relationships, and ambiguity about the mission and need for follow-up. The comprehensive interpretation is that the professionals handled the HSCPC-meeting mainly as a routine task, while the older persons and family members viewed it as part of their life course. Older persons are in an inferior institutional, cognitive and existential position. However, meeting together in the home partly reduced their inferior position. Findings from this study provide some general suggestions for how HSCPC-meetings should be designed and developed: attention of power relations, the importance of meeting skills and follow-up.

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“…To give this type of information is something that Dunér and Wolmesjö (2015) found in their study about interprofessional teamwork was suitable to collaborate around.…”

Section: Implications For Policy and Practicementioning

confidence: 99%

“…For this to work, different health care and social care staff need to collaborate in interprofessional teamwork in assessing and identifying needs that are experienced by the person with dementia. Structural barriers (Axelsson & Bihari Axelsson, 2006;Dunér & Wolmesjö, 2015;Åhgren, 2010), and cultural differences in professional training, values, role ambiguity and confusion (Åhgren, 2010) which hinder collaboration must be overcomed. Care managers have argued that profession-specific traditions may be impossible to overcome and cause conflict among the professionals.…”

Section: Implications For Policy and Practicementioning

confidence: 99%

Assessment meetings between care managers and persons living with dementia : Citizenship as practice

Österholm

2016

Linköping Studies in Arts and Sciences

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Interprofessional collaboration in Swedish health and social care from a care manager's perspective

Cited by 18 publications

References 26 publications

Gezond met sociaal werk

Gezond met sociaal werk

Health and social care planning in collaboration in older persons’ homes: the perspectives of older persons, family members and professionals

Assessment meetings between care managers and persons living with dementia : Citizenship as practice

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