Interprofessional Teamwork and Collaboration Between Community Health Workers and Healthcare Teams

Franklin, Catherine; Bernhardt, Jean M.; Lopez, Ruth Palan; Long-Middleton, Ellen; Davis, Sheila

doi:10.1177/2333392815573312

Cited by 65 publications

(65 citation statements)

References 41 publications

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“…Here, we present the results of a study undertaken in a municipality in Norway, where reablement interventions are realised in home-care services. In the study setting, nurses, nurse assistants, occupational therapists, and physiotherapists form flexible interdisciplinary reablement teams, yielding an integrated and cohesive practice (Franklin, Bernhardt, Lopez, Long-Middleton, & Davis, 2015). Prescribed assessment tools are used at the base line and end of the reablement period.…”

mentioning

confidence: 99%

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

Jokstad

Skovdahl

Landmark

et al. 2018

Health Soc Care Community

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Many welfare states offer reablement, also known as restorative care, as an intervention to promote healthy ageing and support older adults in regaining or maintaining their independence in daily life. Reablement is a time‐limited, intensive, multidisciplinary, person‐centred and goal‐directed rehabilitative intervention. Reablement emanates from the user’s goals, thus user‐involvement is a key factor. The aim of our study was to explore healthcare professionals’ experiences of user‐involvement in reablement. The context for the study was an urban municipality in south‐eastern Norway where reablement had been implemented into home‐care services 1.5 years prior to the study. Eighteen healthcare professionals recruited from home‐care services participated in focus groups. The material was analysed using qualitative content analysis. The findings resulted in one main theme: Transforming user‐involvement from ideal to reality—a demanding process, and four sub‐themes: (a) An ideal of self‐determination and co‐operation; (b) Diverse ability to commit to what user‐involvement requires; (c) Continuous co‐creation processes; and (d) Challenged by old traditions. User‐involvement is a valued ideal that professionals strive towards when providing healthcare. Two main strategies that professionals use to enable user‐involvement were identified here: spending sufficient time and having patience with users during the initial stage of an intervention, and starting an intervention by introducing small tasks that users can master. It was also seen that if the time and arenas for interdisciplinary meetings were lacking, professionals could demonstrate traditional attitudes and practice when faced with limited user‐involvement in the intervention. There is a need for follow‐up over time at the structural, personal, and cultural levels to develop reablement as an intervention with a strong person‐centred approach. The findings of this study have relevance for practice development in several reablement settings.

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mentioning

confidence: 99%

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

Jokstad

Skovdahl

Landmark

et al. 2018

Health Soc Care Community

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“…The success of its outcomes is supported by reports of positive health outcomes with interprofessional teamwork, especially in the management of chronic diseases (Franklin et al, ; Morgan, Pullon, & McKinlay, ). The open communication between the three professions allowed for sharing of comprehensive information.…”

Section: Resultsmentioning

confidence: 98%

“…Each profession's unique background allows for (1) a more comprehensive range of referral resources, (2) greater accountability, and (3) a broader network with which the patron could build rapport. Further research and more focused data analysis are necessary to understand the relationship of increased referral retention rate and the implementation of the interprofessional model (Franklin, Bernhardt, Lopez, Long‐Middleton, & Davis, ).…”

Section: Resultsmentioning

confidence: 99%

Living libraries: Nurse integration in interprofessional homeless health care team

Mariano

Harmon

2018

Public Health Nursing

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Background Despite an increase in national health care service utilization, entry into the health care system remains inequitable. This disparity in health care access disproportionately affects those experiencing homelessness. Because the homeless population faces significant financial and nonfinancial barriers, health care system engagement with these individuals must be reconsidered. Objective This article will describe the piloting of an interprofessional model within an urban library to address barriers to health care access that homeless individuals face. Design The library's unique status as a community hub presents an opportunity for partnership in addressing this population's health care access issues. This community‐based model is the first recorded to utilize three distinct professions—nursing, social work, and library science—in a public library. Results and Conclusions The implementation of this pilot project resulted in a high retention rate of referrals to community health services for those unstably housed and facilitated a system of warm transfers. Although opportunities to improve generalizability exist, this initiative sets the stage for discussion around co‐location of health and social services in a nontraditional community‐based setting to achieve equitable access to health care.

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“…Interprofessional health care practice (IPP) occurs when practitioners from different backgrounds combine their unique disciplinary knowledge, in an effort to provide the highest quality of service to people, living with a particular health care challenge (1,2). IPP has gained wide support as an innovative approach to coping with future health care delivery demands and signi cant efforts have been made to both increase and optimise its occurrence (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

The Professional Contribution of Chiropractors to Danish elite football clubs: A qualitative exploration of role and perceived value in an interprofessional service provision context.

Hostrup

Koza

Myburgh

2020

Preprint

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Background: Interprofessional team-based care has been widely adopted in elite level athletic health and performance practice. Although chiropractors can claim some penetration as health care service providers in high level sport, their position as valued members of interprofessional health care teams, especially those built around traditional medical organisational structures, is unclear. As a first step to map the professional practice landscape of Danish sports chiropractors, this investigation sought to explore the perceived role and value of chiropractors as service providers in elite Danish football clubs. Methods: A comparative qualitative case study using semi-structured individual interviews was conducted. Six Danish Superliga clubs were purposively sampled to compare and contrast instances where chiropractors were absent from the health care team, contracted as in-house health care team members or engaged as external service providers. Triangulated responses were solicited from healthcare co-ordinators, chiropractors and athletes within each club’s organisation through short semi-structured individual interviews. The audio-recorded responses were transcribed verbatim and thematically analysed using a framework approach. Results: Inductive and deductive coding revealed 14 unique codes, which were further organised into 4 code families relating to the role of chiropractors, benefits of utilizing chiropractic care and facilitators and barriers to interprofessional practice. From this framework 3 themes were abstracted, these being: “Broadening horizons”, “In-house preferred to take-away” and “Already covered, or even necessary?”. Conclusion: In this practice context, chiropractors fill the role of musculoskeletal health care service providers. Their perceived value stems from additional expert disciplinary knowledge, improved diagnostic triage and increased treatment flexibility. However, where not utilized, the role of the spinal health expert is questioned and when acknowledged, limited to that of a technician/therapist. It is unclear whether chiropractors can claim core team member status. Further exploration of this interesting context of interprofessional practice is warranted.

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Interprofessional Teamwork and Collaboration Between Community Health Workers and Healthcare Teams

Cited by 65 publications

References 41 publications

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

Living libraries: Nurse integration in interprofessional homeless health care team

The Professional Contribution of Chiropractors to Danish elite football clubs: A qualitative exploration of role and perceived value in an interprofessional service provision context.

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