Interprofessional collaboration in nursing homes (interprof): a grounded theory study of general practitioner experiences and strategies to perform nursing home visits
نویسندگان
چکیده
BACKGROUND Interprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in nursing homes will challenge medical care and the interaction across professions, especially nurses and general practitioners (GPs). The nursing home visit, a key element of medical care, has been underrepresented in research. This study explores GP perspectives on interprofessional collaboration with a focus on their visits to nursing homes in order to understand their experiences and expectations. This research represents an aspect of the interprof study, which explores medical care needs as well as the perceived collaboration and communication by nursing home residents, their families, GPs and nurses. This paper focusses on GPs' views, investigating in particular their visits to nursing homes in order to understand their experiences. METHODS Open guideline-interviews covering interprofessional collaboration and the visit process were conducted with 30 GPs in three study centers and analyzed with grounded theory methodology. GPs were recruited via postal request and existing networks of the research partners. RESULTS Four different types of nursing home visits were found: visits on demand, periodical visits, nursing home rounds and ad-hoc-decision based visits. We identified the core category "productive performance" of home visits in nursing homes which stands for the balance of GPs´ individual efforts and rewards. GPs used different strategies to perform a productive home visit: preparing strategies, on-site strategies and investing strategies. CONCLUSION We compiled a theory of GPs home visits in nursing homes in Germany. The findings will be useful for research, and scientific and management purposes to generate a deeper understanding of GP perspectives and thereby improve interprofessional collaboration to ensure a high quality of care.
منابع مشابه
Interprofessional collaboration and communication in nursing homes: a qualitative exploration of problems in medical care for nursing home residents – study protocol.
AIM This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication. BACKGROUND Rising numbers of residents in nursing homes present a challenge for general practice and nur...
متن کاملInterprofessional collaboration in nursing homes (interprof): development and piloting of measures to improve interprofessional collaboration and communication: a qualitative multicentre study
BACKGROUND Given both the increase of nursing home residents forecast and challenges of current interprofessional interactions, we developed and tested measures to improve collaboration and communication between nurses and general practitioners (GPs) in this setting. Our multicentre study has been funded by the German Federal Ministry of Education and Research (FK 01GY1124). METHODS The measu...
متن کاملIntergenerational relationships process in nursing homes: A grounded theory study
Aims: In the context of the nursing home, intergenerational relationships has of particular importance because people of different ages and from different generations interact with each other. Caregivers, including nurses, can cover a wide range of intergenerational relationships in the form of care provided to the elderly. Despite the importance of intergenerational relationship among the elde...
متن کاملLearning together to work together: interprofessional education for students in a primary care setting in chile.
BACKGROUND AND OBJECTIVES Interprofessional teamwork and collaboration are considered key elements for improving patient outcomes; however, few reports of interprofessional education experiences in primary care directed to students are found in the literature. We describe an educational program in primary care for medical, nursing, and psychology students and report the findings of their percep...
متن کاملSituation Analysis and Designing an Interprofessional Curriculum for Palliative Care of the Cancer Patients
Introduction: Comprehensive palliative care of cancer patients could be achieved by developing interprofessional collaboration through which professionals from a variety of professions come together to meet the clients’ complexity of health care needs. Health professionals are supposed to get ready to perform such an important responsibility. Therefore an interprofessional curriculum for pallia...
متن کامل