Background: The number of people with multiple chronic conditions demanding primary care services is increasing. To deal with the complex health care demands of these people, professionals from different disciplines collaborate. This study aims to explore influential factors regarding interprofessional collaboration related to care plan development in primary care. Methods: A qualitative study, including four semi-structured focus group interviews (n = 4). In total, a heterogeneous group of experts (n = 16) and health care professionals (n = 15) participated. Participants discussed viewpoints, barriers, and facilitators regarding interprofessional collaboration related to care plan development. The data were analysed by means of inductive content analysis. Results: The findings show a variety of factors influencing the interprofessional collaboration in developing a care plan. Factors can be divided into 5 key categories: (1) patient-related factors: active role, self-management, goals and wishes, membership of the team; (2) professional-related factors: individual competences, domain thinking, motivation; (3) interpersonal factors: language differences, knowing each other, trust and respect, and motivation; (4) organisational factors: structure, composition, time, shared vision, leadership and administrative support; and (5) external factors: education, culture, hierarchy, domain thinking, law and regulations, finance, technology and ICT. Conclusions: Improving interprofessional collaboration regarding care plan development calls for an integral approach including patient- and professional related factors, interpersonal, organisational, and external factors. Further, the leader of the team seems to play a key role in watching the patient perspective, organising and coordinating interprofessional collaborations, and guiding the team through developments. The results of this study can be used as input for developing tools and interventions targeted at executing and improving interprofessional collaboration related to care plan development.
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Background: The number of people suffering from one or more chronic conditions is rising, resulting in an increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care plans support the management of complex health care demands of patients with chronic illnesses. This study aims to get an overview of the scientific literature on developing interprofessional shared care plans. Methods: We conducted a scoping review of the scientific literature regarding the development of interprofessional shared care plans. A systematic database search resulted in 45 articles being included, 5 of which were empirical studies concentrating purely on the care plan. Findings were synthesised using directed content analysis. Results: This review revealed three themes. The first theme was the format of the shared care plan, with the following elements: patient’s current state; goals and concerns; actions and interventions; and evaluation. The second theme concerned the development of shared care plans, and can be categorised as interpersonal, organisational and patient-related factors. The third theme covered tools, whose main function is to support professionals in sharing patient information without personal contact. Such tools relate to documentation of and communication about patient information. Conclusion: Care plan development is not a free-standing concept, but should be seen as the result of an underlying process of interprofessional collaboration between team members, including the patient. To integrate the patients’ perspectives into the care plans, their needs and values need careful consideration. This review indicates a need for new empirical studies examining the development and use of shared care plans and evaluating their effects.
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Background: The number of people with multiple chronic conditions requiring primary care services increases. Professionals from different disciplines collaborate and coordinate care to deal with the complex health care needs. There is lack of information on current practices regarding interprofessional team (IPT) meetings. Objectives: This study aimed to improve our understanding of the process of interprofessional collaboration in primary care team meetings in the Netherlands by observing the current practice and exploring personal opinions. Methods. Qualitative study involving observations of team meetings and interviews with participants. Eight different IPT meetings (n = 8) in different primary care practices were observed by means of video recordings. Experiences were explored by conducting individual semi-structured interviews (n = 60) with participants (i.e. health care professionals from different disciplines) of the observed team meetings. The data were analysed by means of content analysis. Results: Most participants expressed favourable opinions about their team meetings. However, observations showed that team meetings were more or less hectic, and lacked a clear structure and team coordinator or leader. There appears to be a discrepancy between findings from observations and interviews. From the interviews, four main themes were extracted: (1) Team structure and composition, (2) Patient-centredness, (3) Interaction and (4) Attitude and motivation. Conclusion: IPT meetings could benefit from improvements in structure, patient-centredness and leadership by the chairpersons. Given the discrepancy between observations and interviews, it would appear useful to improve team members’ awareness of aspects that could be improved before training them in dealing with specific challenges.
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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.
