Background: Frailty and multimorbidity are common among patients in geriatric rehabilitation care (GRC). Proper care of these patients involves multiple professionals which requires optimal interprofessional collaboration to provide the best possible support. Interprofessional collaboration (IPC) goes beyond multi-professional collaboration. It requires professionals to think beyond the expertise of their own discipline and work on joint outcomes in which the patient is actively involved. This study describes the development of the GRC teams of an elderly care organization towards the IPC. Methods: Mixed method pre-post study of 15 months. The interprofessional training program comprised team trainings, webinars, and online team sessions. Data was aggregated by administering the Extended Professional Identity Scale (EPIS) and QuickScan Interprofessional Collaboration (QS) measurements to GRC staff and by observations of the multi-professional team consultation (MPC) meetings of six GRC teams of an organization for elderly care in Drachten and Dokkum in the Netherlands. ADL independence (Barthel Index) and number of inpatient days were analyzed before and after the project. Results: Pretest healthcare professional response was 106, patients for analyses was 181; posttest response was 84, patients was 170. The EPIS shows improvement on “interprofessional belonging” (P =.001, 95%CI: 0.57–2.21), “interprofessional commitment” (P =.027, 95%CI: 0.12–1.90), and overall “interprofessional identity” (P =.013, 95%CI: 0.62 − 5.20). On the QS, all domains improved; “shared values” (P =.009, 95%CI: 0.07 − 0.47), “context” (P =.005, 95%CI: 0.08 − 0.44), “structure & organization” (P =.001, 95%CI: 0.14 − 0.56), “group dynamics & interaction” (P
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Gepubliceerd interview in ICT&health: Zorgaanbieder Omring heeft samen met Hogeschool InHolland een bijzonder lectoraat in het leven geroepen om inzichtelijk te maken welke kansrijke innovaties op het gebied van zorg en behandeling en technologie toepasbaar en uiteindelijk bewezen effectief zijn voor geriatrische revalidatie. Ook heeft Omring samen met onderwijsorganisatie Vonk het practoraat zorgtechnologie ingesteld. Het doel is praktijkgericht onderzoek te koppelen aan toekomstbestendige ouderenzorg, aan innovatie en aan professionalisering in het onderwijs en de beroepspraktijk.
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ABSTRACT Background: We investigated if the addition of an inter-professional student-led medication review team (ISP-team) to standard care can increase the number of detected ADRs and reduce the number of ADRs 3 months after an outpatient visit. Research design and methods: In this controlled clinical trial, patients were allocated to standard care (control group) or standard care plus the ISP team (intervention group). The ISP team consisted of medical and pharmacy students and student nurse practitioners. The team performed a structured medication review and adjusted medication to reduce the number of ADRs. Three months after the outpatient visit, a clinical pharmacologist who was blinded for allocation performed a follow-up telephone interview to determine whether patients experienced ADRs. Results: During the outpatient clinic visit, significantly more (p < 0.001) ADRs were detected in the intervention group (n = 48) than in the control group (n = 10). In both groups, 60–63% of all detected ADRs were managed. Three months after the outpatient visit, significantly fewer (predominantly mild and moderately severe) ADRs related to benzodiazepine derivatives and antihypertensive causing dizziness were detected in the patients of the intervention group. Conclusions: An ISP team in addition to standard care increases the detection and management of ADRs in elderly patients resulting in fewer mild and moderately severe ADRs
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