Objectives: To understand healthcare professionals' experiences and perceptions of nurses' potential or ideal roles in pharmaceutical care (PC). Design: Qualitative study conducted through semi-structured in-depth interviews. Setting: Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants: In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis: All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results: 340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses' autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC. Conclusions: European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.
LINK
Care for older people with multiple chronic conditions and complex care require different disciplines which are often simultaneously involved. Interprofessional collaboration between professionals from medical and social care in the community is necessary to enhance quality of life and support of older people. LinkedIn: https://www.linkedin.com/in/jeroen-dikken-phd-rn-83230765/
PURPOSE: Malnutrition and sarcopenia require dietetic and physiotherapy interventions. In this study, we aimed to compare interprofessional identity of dietitians and physiotherapists, as well as attitudes towards, facilitators and barriers for, and occurrence of interprofessional treatment of malnutrition and sarcopenia by both professions.METHODS: A cross-sectional online survey was distributed from December 4, 2021 until January 31, 2022 through an international online network platform for professionals (LinkedIn). Practitioners working as dietitian or physiotherapist in a healthcare setting were eligible for participation. Outcome measures concerned perceptions regarding shared problem domains, interprofessional treatment, attitudes towards interprofessional treatment, interprofessional identity, facilitators, and barriers. A Chi 2-test, Mann-Whitney U-test, and Spearman's Rho correlation were calculated. RESULTS: Data from 53 physiotherapists and 48 dietitians were included. Malnutrition is considered a shared problem domain by both professions ( U = 1248.000; p = 0.858). While sarcopenia is treated by both professions ( U = 1260.000; p = 0.927), physiotherapists consider sarcopenia more often a shared problem domain compared to dietitians ( U = 1003.000; p = 0.044). Attitudes towards interprofessional treatment were mostly positive (73%, n = 35 and 87%, n = 46 respectively). Interprofessional identity of dietitians was lower compared to physiotherapists (median = 4.0 versus median = 4.3 respectively; U = 875.000, p = 0.007). This was explained by lower interprofessional belonging (median = 4.0 versus median = 4.8 respectively; U = 771.000, p < 0.001) and lower interprofessional commitment (median = 4.0 versus median = 4.3 respectively; U = 942.500, p = 0.023). Interprofessional identity was correlated with efficient means of communication ( r = 0.30, p = 0.003) and bureaucracy ( r = -0.21, p = 0.034). Other barriers reported included available time, financial compensation, interprofessional knowledge, and obtaining extra care. Most reported facilitators concerned role clarity, clarity of expertise, and willingness of others to collaborate. CONCLUSION: Dietitians and physiotherapists have different interprofessional identities, but both are advocates of interprofessional treatment. Both professions mostly treat malnutrition and sarcopenia individually and have different perceptions regarding sarcopenia as shared problem domain. Facilitators were mainly related to clarity and commitment while barriers were mainly related to resources.
The pressure on the European health care system is increasing considerably: more elderly people and patients with chronic diseases in need of (rehabilitation) care, a diminishing work force and health care costs continuing to rise. Several measures to counteract this are proposed, such as reduction of the length of stay in hospitals or rehabilitation centres by improving interprofessional and person-centred collaboration between health and social care professionals. Although there is a lot of attention for interprofessional education and collaborative practice (IPECP), the consortium senses a gap between competence levels of future professionals and the levels needed in rehabilitation practice. Therefore, the transfer from tertiary education to practice concerning IPECP in rehabilitation is the central theme of the project. Regional bonds between higher education institutions and rehabilitation centres will be strengthened in order to align IPECP. On the one hand we deliver a set of basic and advanced modules on functioning according to the WHO’s International Classification of Functioning, Disability and Health and a set of (assessment) tools on interprofessional skills training. Also, applications of this theory in promising approaches, both in education and in rehabilitation practice, are regionally being piloted and adapted for use in other regions. Field visits by professionals from practice to exchange experiences is included in this work package. We aim to deliver a range of learning materials, from modules on theory to guidelines on how to set up and run a student-run interprofessional learning ward in a rehabilitation centre. All tested outputs will be published on the INPRO-website and made available to be implemented in the core curricula in tertiary education and for lifelong learning in health care practice. This will ultimately contribute to improve functioning and health outcomes and quality of life of patients in rehabilitation centres and beyond.
Dutch society faces major future challenges putting populations’ health and wellbeing at risk. An ageing population, increase of chronic diseases, multimorbidity and loneliness lead to more complex healthcare demands and needs and costs are increasing rapidly. Urban areas like Amsterdam have to meet specific challenges of a growing and super divers population often with a migration background. The bachelor programs and the relating research groups of social work and occupational therapy at the Amsterdam University of Applied Sciences innovate their curricula and practice-oriented research by multidisciplinary and cross-domain approaches. Their Centres of Expertise foster interprofessional research and educational innovation on the topics of healthy ageing, participation, daily occupations, positive health, proximity, community connectedness and urban innovation in a social context. By focusing on senior citizens’ lives and by organizing care in peoples own living environment. Together with their networks, this project aims to develop an innovative health promotion program and contribute to the government missions to promote a healthy and inclusive society. Collaboration with stakeholders in practice based on their urgent needs has priority in the context of increasing responsibilities of local governments and communities. Moreover, the government has recently defined social base as being the combination of citizen initiatives, volunteer organizations , caregivers support, professional organizations and support of vulnerable groups. Kraktie Foundations is a community based ethno-cultural organization in south east Amsterdam that seeks to research and expand their informal services to connect with and build with professional care organizations. Their aim coincides with this project proposal: promoting health and wellbeing of senior citizens by combining intervention, participatory research and educational perspectives from social work, occupational therapy and hidden voluntary social work. With a boundary crossing innovation of participatory health research, education and Kraktie’s work in the community we co-create, change and innovate towards sustainable interventions with impact.
Het onderzoek Meaningful Music in Health Care (MiMiC) biedt kansen voor interprofessionele samenwerking van musici en verpleegkundigen. Daarnaast blijkt MiMiC ook tot een versterkt contact tussen patiënten en verpleegkundigen te leiden en tot een toename van compassie van verpleegkundigen. Wat houdt deze interprofessionaliteit precies in en hoe kan deze worden verder vorm krijgen?In Professional Excellence in Meaningful Music in Healthcare (ProMiMiC), beoogt een internationaal consortium van partners uit de muziekwereld en de gezondheidszorg de bestaande live muziek praktijk van MiMiC steviger te verankeren in ziekenhuiszorg. De partners bestaan uit instellingen voor muziekvakonderwijs en ziekenhuizen uit Groningen, Den Haag, Londen en Wenen.Samen hebben alle partners de expertise om praktijkgericht onderzoek naar professionalisering van deze muziekpraktijk uit te voeren. Daarmee kan een bijdrage geleverd worden aan ontwikkelingen als uitkomstgerichte zorg, positieve gezondheid, en een bredere maatschappelijke inzet van musici.Live muziek in het ziekenhuis? MiMiC - Meaningful Music in Health Care – is precies dat: een kleine groep musici die persoonsgerichte improvisaties voor patiënten en verpleegkundigen speelt. De musici maken op de patiëntenkamers muziek ‘op maat’, in interactie met de patiënten, op basis van hun voorkeuren, herinneringen, etc. Dit levert waardevolle momenten van esthetische ervaring en zingeving op, voor zowel patiënten als verpleegkundigen en musici.Sinds 2015 heeft het lectoraat Lifelong Learning in Music van de Hanzehogeschool Groningen samen met het UMCG de MiMiC-praktijk ontwikkeld en onderzocht voor patiënten van chirurgische afdelingen. Persoonsgericht musiceren blijkt goed te realiseren in een medische setting en voor alle betrokkenen zeer betekenisvol te zijn. Patiënten ervaren minder pijn en voelen zich beter. Daarnaast biedt deze innovatieve praktijk musici en verpleegkundigen nieuwe mogelijkheden om zich professioneel verder te ontwikkelen. Daartoe willen we ProMiMiC uitvoeren.ProMiMiC speelt in op de behoefte van musici en verpleegkundigen om beter samen te werken en daarin van elkaar te leren, alsook om persoonsgerichte live muziek te kunnen gebruiken als katalysator voor een compassievolle patiëntrelatie. Met de verdere professionalisering van musici en verpleegkundigen is de MiMiC praktijk geschikt voor brede toepassing in de ziekenhuiszorg. Daarmee kan een bijdrage geleverd worden aan ontwikkelingen als Uitkomstgerichte Zorg, positieve gezondheid, en bredere maatschappelijke inzet van musici.In het consortium zijn uit drie landen hooggekwalificeerde kennisinstellingen op het gebied van muziek en van zorg gebundeld. Samen hebben zij de expertise om in een rijke context toegepast onderzoek naar professionalisering in MiMiC uit te voeren. Dit leidt tot een verbeterde uitvoering van de MiMiC praktijk en hierop aansluitende scholing van studenten en professionals in muziek en zorg. Dit zal musici en verpleegkundigen in staat stellen excellente professionals te zijn m.b.v. gepersonaliseerde live muziek in de zorg.
