Jenny Nilsson, Helena Salminen, Eva Toth-Pal, Hans Ranch Lundin
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引用次数: 0
Abstract
Background: Interprofessional collaborative practice (ICP) benefits patients with complex conditions such as osteoporosis that require care from multiple professions. ICP is not consistently applied in osteoporosis management in primary healthcare today.
Objectives: To explore how an ICP intervention promoting co-creation of osteoporosis management was conducted and how it was experienced by nurses and physicians in primary healthcare.
Methods: The intervention part was guided by participatory health research approach. In total, 12 nurses and physicians from five primary healthcare centres participated in three workshops aimed at supporting co-creation of local osteoporosis management. The evaluation part consisted of group and individual interviews and surveys capturing self-reported experiences. Data were analysed using qualitative content analysis with inductive approach.
Results: Participants reviewed local osteoporosis management and co-created work procedures tailored to their settings. The analysis generated three categories with seven subcategories. The categories were innovative learning processes, perceived effects, and factors influencing changes in work procedures. Innovative learning processes described shared learning, reflection, and adaptation in developing work procedures. Perceived effects included expected benefits for patients, changes in professional roles, and increased interprofessional collaboration. Participants described a strengthened role for nurses in osteoporosis management. Factors influencing changes in work procedures included organizational, professional, and resource-related conditions. The survey findings supported those from the interviews.
Conclusion: A participatory approach facilitated collaborative revision of osteoporosis management by leveraging local knowledge and promoting interprofessional learning. Participatory health research appears useful for developing ICP in managing complex conditions such as osteoporosis in primary healthcare.
期刊介绍：
Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries.
Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration.
The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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