Samhandling og informasjonsflyt når eldre flytter mellom ulike helse- og omsorgstilbud i kommunen

Sogstad, Maren; Skinner, Marianne Sundlisæter

doi:10.18261/issn.2387-5984-2020-02-10

Cited by 6 publications

(2 citation statements)

References 35 publications

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“…Healthcare systems' ability to remain stable during and after crises, and also their ability to maintain normal operations under predictable and unpredictable conditions, are often referred to as resilience (Andersen et al, 2019). Resilience is a term originating from physics, describing the robustness of systems, or the ability to regain its original form when subjected to shocks (Sogstad & Skinner, 2020, p. 139). The term refers to processes and capacities that enable individuals, humans, or technical and natural systems to overcome, resist, adapt or recover from crises (Juvet et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Staffs' experiences and strategies to maintain care for individuals with intellectual disabilities living in supported living facilities during the Covid‐19 pandemic

Ersfjord,

Plasil,

Johnsen

2024

Brit J Learn Disabil

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BackgroundWe explored the experiences of staff working in Norwegian community‐based living facilities, caring for people with intellectual disabilities during the Covid‐19 pandemic, and what self‐regulatory strategies staff used to maintain health and care service delivery and contribute to organisational resilience.MethodsA qualitative design was utilized. Data were collected from September 2021 to April 2022 with individual and focus group interviews. In this study, 25 staff members participated. Thematic analysis was conducted.FindingsFive main themes were identified regarding the experiences of staff during the pandemic: Lockdown of facilities, social isolation of residents, lack of health follow‐up, high sick leave rates and communication challenges. Only some of the strategies to mitigate pandemic‐related challenges were based on current Norwegian infection control guidelines. Some strategies were successful while others were not and some were negligent and challenged the delivery of health and care services for the residents.ConclusionsOur study shows that people with intellectual disabilities living in the community‐based living facilities were subjected to human rights violations and violations of the Norwegian infection control law. This was caused by a lack of several important organisational qualities in the facilities.

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Section: Introductionmentioning

confidence: 99%

Staffs' experiences and strategies to maintain care for individuals with intellectual disabilities living in supported living facilities during the Covid‐19 pandemic

Ersfjord,

Plasil,

Johnsen

2024

Brit J Learn Disabil

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“…But, as care becomes more complex, interaction among professionals from home healthcare, nursing homes, general practitioners, specialist care and social care can impose risk . Electronic patient journal systems that do not document and communicate patient information internally and between departments is also a potential safety risk in primary care settings (Bjerkan et al, 2020;Sogstad & Skinner, 2020;Vassbotn et al, 2018). To summarise, minor incidents, discontinuity, and multiple care providers with limited overview of patient status and development may have cumulative negative effects in primary care .…”

Section: Introductionmentioning

confidence: 99%

Exploring the role of managers in quality and safety work in nursing homes and homecare services; A multiple case study

Johannessen¹

2022

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Introduction: Working on quality and safety in nursing home and homecare services is difficult. Ever-increasing demands from an ageing population and political pressure to keep patients at home are among the challenges facing nursing homes and homecare. There is less knowledge of patient safety risks and adverse events in primary care than in specialised healthcare. Aim: This thesis explores the role of managers in quality and safety work in nursing homes and homecare services. Moreover, the thesis designs, implements, and evaluates a leadership intervention in nursing homes and homecare services to support managers’ quality and safety work. Methods: This study was designed as a two-phase longitudinal multiple case study consisting of design and pilot testing; and implementation and evaluation of the SAFE LEAD intervention. The intervention is based on a leadership guide and includes several workshops and learning activities facilitated by researchers. In phase 1, the intervention was designed with researchers, co-researchers and managers from two nursing homes and one homecare service. The pilot test of the leadership intervention was conducted in one nursing home and one homecare service. Data collection consisted of focus group interviews and observation of managers. Phase 2 started by exploring quality and safety challenges as perceived by managers and employees in two nursing homes and two homecare services prior to participation in the leadership intervention. The study then continued with a longitudinal study of the implementation and evaluation of the leadership intervention and its influence on managers quality and safety work. Data collection in phase 2 included focus group interviews, observations, workshops and site visits with managers and employees. Data analyses in phases 1 and 2 included deductive content analysis and interweaving of observation and interview data. Results: The results describe all activities from development to evaluation of a leadership intervention and its influence on managers’ quality and safety improvement work in nursing homes and homecare services. Paper I detailed the involvement of stakeholders and demonstrated how a participatory approach was important for adaptations of a leadership guide to nursing home and homecare contexts. An intervention that managers could use in their work practice was developed and pilot tested in one nursing home and one homecare service. A key finding in Paper I is the role of context and the need to tailor intervention material (web and booklet) to the context and to the needs, time constraints, language, and interests of managers. Paper II explored managers’ and employees’ perceptions of quality and safety challenges in two nursing homes and two homecare services before the intervention took place. Managers and employees found that quality and safety challenges depended on several factors and implied multiple trade-offs. Managers struggled with external change processes, budget cuts that affected common understanding of and commitment to quality and safety improvement at managerial and staff levels. Paper III showed that the intervention workshops and leadership guide contributed to a common understanding and commitment to quality and safety in the management teams. The leadership intervention influenced managers’ work practice in different ways depending on capacity and needs in the organisations. The leadership guide and the workshops created a social and reflexive arena for quality and safety work in which managers could focus on these topics. Moreover, it provided the managers with a tool for clearer sense of quality and safety work in different settings. Managers found it important that someone established a structure and took responsibility for scheduling and organising quality meetings. However, management continuity and the establishment of structures were crucial for the intervention to be adopted. Conclusion: The longitudinal insight in this thesis broadens the understanding of contextual impact on quality and safety work in nursing homes and homecare services and showed the comprehensive work with translating knowledge into practice. The thesis demonstrates the importance of participatory approach and involvement of stakeholders when designing a leadership intervention. Managers and employees perceived interrelated quality and safety challenges and found context work to be time consuming to make quality and safety improvement common efforts in the organisations. The leadership intervention created a place for reflection for managers and brought a more structured process and commitment to organisational quality and safety work.

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Nurses' assessments of horizontal collaboration in municipal health and care services for older adults: A cross‐sectional study

Skinner

Veenstra

Sogstad

2021

Research in Nursing & Health

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Interprofessional and interorganizational collaboration is considered key to achieving high‐quality care and positive patient outcomes, but there is limited research into how nurses working in nursing homes and home care services perceive collaboration with other municipal health and care service providers and how their assessments of collaboration vary with individual characteristics and context. The objective of this study was to map variation in nurses' assessments of horizontal collaboration with core care services for older adults, specifically nursing homes, home care services, general practitioners, the allocation office and physio‐ and occupational therapy services. The study draws on findings from a nationwide cross‐sectional survey on posthospital care for older adults, conducted among nurses working in nursing homes and home care services in Norway (N = 3717). Nurses were asked to assess collaboration with these five services. Independent variables were workplace, age, years at current workplace, part‐time work, postgraduate education, and municipality size. Statistical analyses were conducted using descriptive statistics and analysis of variance (ANOVA). A majority of nurses evaluated horizontal collaboration as good. Collaboration with the home care services was evaluated as best, while collaboration with general practitioners was evaluated as least good. The study showed that workplace and municipality size were important for nurses' assessments of collaboration. Generally, nurses in smaller municipalities evaluated collaboration as better than nurses in larger municipalities. That workplace and municipality size impact on nurses' evaluations of collaboration in municipal care services for older adults is important knowledge for leaders and policy‐makers aiming to improve patient care and teamwork.

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Samhandling og informasjonsflyt når eldre flytter mellom ulike helse- og omsorgstilbud i kommunen

Cited by 6 publications

References 35 publications

Staffs' experiences and strategies to maintain care for individuals with intellectual disabilities living in supported living facilities during the Covid‐19 pandemic

Staffs' experiences and strategies to maintain care for individuals with intellectual disabilities living in supported living facilities during the Covid‐19 pandemic

Exploring the role of managers in quality and safety work in nursing homes and homecare services; A multiple case study

Nurses' assessments of horizontal collaboration in municipal health and care services for older adults: A cross‐sectional study

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