Skip to main content
Top
Published in: BMC Health Services Research 1/2022

Open Access 01-12-2022 | Care | Research

Municipal healthcare professionals’ interprofessional collaboration during older patients’ transitions in the municipal health and care services: a qualitative study

Authors: Marianne Eika, Sigrun Hvalvik

Published in: BMC Health Services Research | Issue 1/2022

Login to get access

Abstract

Background

Interprofessional collaboration is vital to assist patients towards a healthy transition in the municipal health and care services. However, no study has so far investigated municipal health care providers’ inter-professional collaboration during older patients’ transition in the municipal health and care services. The aim of this study is therefore to describe and explore what influence health care providers’ inter-professional collaboration within and across municipal facilities during older patients’ transitions in the municipal health and care services.

Method

The study has a descriptive, interpretive design. Focus group interviews and individual interviews with municipal health care providers different professions were performed.

Results

Municipal health care providers’ inter-professional collaboration during older patients transitions in the municipal health and care services was challenging. Two main themes were identified: The patient situation itself and Professional. Personal, and Practical circumstances. The results show that the municipal priority of patients staying at home as long as possible facilitated inter-professional collaboration across the short-term care facility and the home care services. Inter-professional collaboration across facilities with the long-term care facility was downgraded and health care providers in this facility had to cope as best they could.

Conclusion

Prioritising and facilitating inter-professional collaboration between the short-term care facility and the home care services, contributed to health care providers experiencing doing a proper and safe patient assistance. Yet, this priority was at a cost: Health care providers in the long-term care facility, and in particular registered nurses felt squeezed and of less worth in the municipal health and care services. It was a strain on them to experiencing unplanned and often rushed patient transition into long-term care facility. To focus on municipal inter-professional and inter-facility collaboration during patients in transition to long-term care placement is vital to maintain the patients, and the health care providers working in these facilities.
Appendix
Available only for authorised users
Literature
7.
go back to reference Hvalvik S, Reierson IA. Striving to maintain a dignified life for the patient in transition: next of kin’s experiences during the transition process of an older person in transition from hospital to home. Int J Qual Stud Health Well-being. 2015;10. https://doi.org/10.3402/qhw.v10.26559. Hvalvik S, Reierson IA. Striving to maintain a dignified life for the patient in transition: next of kin’s experiences during the transition process of an older person in transition from hospital to home. Int J Qual Stud Health Well-being. 2015;10. https://​doi.​org/​10.​3402/​qhw.​v10.​26559.
12.
go back to reference Abelsen B, Gaski M, Noedland SI, Stephansen A. Samhandlingsreformens konsekvenser for det kommunale pleie- og omsorgstilbudet. (the consequences of the coordination reform for the municipal care services in Norway). Stavanger: International Research Institute of Stavanger [IRIS]; 2014. Abelsen B, Gaski M, Noedland SI, Stephansen A. Samhandlingsreformens konsekvenser for det kommunale pleie- og omsorgstilbudet. (the consequences of the coordination reform for the municipal care services in Norway). Stavanger: International Research Institute of Stavanger [IRIS]; 2014.
14.
go back to reference Røsstad T, Garåsen H, Steinsbekk A, Sletvold O, Grimsmo A. Development of a patient-centred care pathway across healthcare providers: a qualitative study. BMC Health Serv Res. 2015;13(1):1–9. Røsstad T, Garåsen H, Steinsbekk A, Sletvold O, Grimsmo A. Development of a patient-centred care pathway across healthcare providers: a qualitative study. BMC Health Serv Res. 2015;13(1):1–9.
18.
go back to reference Naess G. Sykepleie til eldre i hjemmesykepleien. In: Kirkevold M, Brodtkorb AH, Ranhoff AH, editors. Geriatrisk sykepleie God omsorg til den gamle pasienten. Oslo: Gyldendal Akademiske; 2020. p. 245–61. Naess G. Sykepleie til eldre i hjemmesykepleien. In: Kirkevold M, Brodtkorb AH, Ranhoff AH, editors. Geriatrisk sykepleie God omsorg til den gamle pasienten. Oslo: Gyldendal Akademiske; 2020. p. 245–61.
20.
go back to reference Sogstad M, Skinner MS. Samhandling og informasjonsflyt når eldre flytter mellom ulike helse- og omsorgstilbud i kommunen. (coordination of care and information sharing when elderly patients move between different health and care services at the municipal level). Tidsskrift Omsorgsforskning. 2020;2(6):137–53. https://doi.org/10.18261/issn.2387-5984-2020-02-10.CrossRef Sogstad M, Skinner MS. Samhandling og informasjonsflyt når eldre flytter mellom ulike helse- og omsorgstilbud i kommunen. (coordination of care and information sharing when elderly patients move between different health and care services at the municipal level). Tidsskrift Omsorgsforskning. 2020;2(6):137–53. https://​doi.​org/​10.​18261/​issn.​2387-5984-2020-02-10.CrossRef
21.
go back to reference Berg S, Michelet M, Strandnæs MG. Overganger og brudd i pasientforløp for eldre – oppsummering av kunnskap og forskningsresultater. Nasjonal kompetansetjeneste. Aldring Helse. 2017;3:1-37. Berg S, Michelet M, Strandnæs MG. Overganger og brudd i pasientforløp for eldre – oppsummering av kunnskap og forskningsresultater. Nasjonal kompetansetjeneste. Aldring Helse. 2017;3:1-37.
22.
go back to reference Samuelson M, Tedeschi P, Aarendonk D, Cuesta CDL, Groenewegen P. Improving interprofessional collaboration in primary care: position paper of the European forum for primary care. Qual Prim Care. 2012;20(4):303–12.PubMed Samuelson M, Tedeschi P, Aarendonk D, Cuesta CDL, Groenewegen P. Improving interprofessional collaboration in primary care: position paper of the European forum for primary care. Qual Prim Care. 2012;20(4):303–12.PubMed
23.
go back to reference Kralik D, Visentin K, Van Loon A. Transition: a literature review. In: Meleis AI, editor. Transition theory – middle-range and situation-specific theories in nursing research and practice. New York: Springer Publishing Company; 2010. p. 72–83. Kralik D, Visentin K, Van Loon A. Transition: a literature review. In: Meleis AI, editor. Transition theory – middle-range and situation-specific theories in nursing research and practice. New York: Springer Publishing Company; 2010. p. 72–83.
24.
go back to reference Chick N, Meleis AI. Transitions: a nursing concern. In: Meleis AI, editor. Transition theory – middle-range and situation-specific theories in nursing research and practice. New York: Springer Publishing Company; 2010. p. 24–38. Chick N, Meleis AI. Transitions: a nursing concern. In: Meleis AI, editor. Transition theory – middle-range and situation-specific theories in nursing research and practice. New York: Springer Publishing Company; 2010. p. 24–38.
29.
go back to reference McDaniel RR Jr, Driebe DJ, Lanham HJ. Health care organizations as complex systems: new perspectives on design and management. In: Goes J, Savage GT, Friedman L, editors. Annual review of health care management: revisiting the evolution of health systems organizations. UK, N America, Japan, India, Malaysia, China: Emerald Group Publishing Limited; 2013. p. 3–26.CrossRef McDaniel RR Jr, Driebe DJ, Lanham HJ. Health care organizations as complex systems: new perspectives on design and management. In: Goes J, Savage GT, Friedman L, editors. Annual review of health care management: revisiting the evolution of health systems organizations. UK, N America, Japan, India, Malaysia, China: Emerald Group Publishing Limited; 2013. p. 3–26.CrossRef
33.
go back to reference Hamre GA, Berntsen KE, Monteiro E. Kvalitetssikring av legemiddelhåndtering i et samhandlingsperspektiv. In: Aanestad M, Olaussen I, editors. IKT og samhandling i helsesektoren – Digitale lappetepper eller sømløs intergrasjon. Trondheim: Tapir akademisk forlag; 2010. p. 119–33. Hamre GA, Berntsen KE, Monteiro E. Kvalitetssikring av legemiddelhåndtering i et samhandlingsperspektiv. In: Aanestad M, Olaussen I, editors. IKT og samhandling i helsesektoren – Digitale lappetepper eller sømløs intergrasjon. Trondheim: Tapir akademisk forlag; 2010. p. 119–33.
43.
go back to reference Krueger RA, Casey MA. Focus groups. A practical guide for applied research. Sage. 5th ed. Los Angeles: Sage; 2014. Krueger RA, Casey MA. Focus groups. A practical guide for applied research. Sage. 5th ed. Los Angeles: Sage; 2014.
46.
go back to reference Gubrium JF, Holstein JA. The new language of qualitative methods. New York & Oxford: Oxford University Press; 1997. Gubrium JF, Holstein JA. The new language of qualitative methods. New York & Oxford: Oxford University Press; 1997.
55.
go back to reference Hartford Kvæl LA, Debesay J, Bye AA, Bergland A. Health- care professionals’ participation among older patients in intermediate care: at the intersection between profession, market, and bureaucracy. Health Expect. 2019:1–10. https://doi.org/10.1111/hex.12896. Hartford Kvæl LA, Debesay J, Bye AA, Bergland A. Health- care professionals’ participation among older patients in intermediate care: at the intersection between profession, market, and bureaucracy. Health Expect. 2019:1–10. https://​doi.​org/​10.​1111/​hex.​12896.
58.
go back to reference Vike H, Debesay J, Haukelien H. Tilbakeblikk på velferdsstaten. Oslo: Gyldendal Akademiske; 2016. Vike H, Debesay J, Haukelien H. Tilbakeblikk på velferdsstaten. Oslo: Gyldendal Akademiske; 2016.
60.
go back to reference Tregunno D, Zimmermann B. A Möbius band: paradoxes of accountability for nurse managers. In: Lindberg C, Nash S, Lindberg C, editors. On the edge: nursing inn the age of complexity. New Jersey: Plexus Press; 2008. p. 159–85. Tregunno D, Zimmermann B. A Möbius band: paradoxes of accountability for nurse managers. In: Lindberg C, Nash S, Lindberg C, editors. On the edge: nursing inn the age of complexity. New Jersey: Plexus Press; 2008. p. 159–85.
69.
go back to reference Naess G, Wyller TB, Kirkevold M. Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders. J Multidisc Healthc. 2019;12:675–90. https://doi.org/10.2147/jmdh.s212283.CrossRef Naess G, Wyller TB, Kirkevold M. Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders. J Multidisc Healthc. 2019;12:675–90. https://​doi.​org/​10.​2147/​jmdh.​s212283.CrossRef
Metadata
Title
Municipal healthcare professionals’ interprofessional collaboration during older patients’ transitions in the municipal health and care services: a qualitative study
Authors
Marianne Eika
Sigrun Hvalvik
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Care
Published in
BMC Health Services Research / Issue 1/2022
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-022-08226-5

Other articles of this Issue 1/2022

BMC Health Services Research 1/2022 Go to the issue