Healthcare Professionals' Experiences with Functional Independence Measure (FIM) as a Structured Framework for Interprofessional Team Meetings in Danish Stroke Rehabilitation: A Qualitative Cross-Sectoral Collaborative Study.

IF 1.5 Q3 REHABILITATION
Rehabilitation Research and Practice Pub Date : 2023-09-27 eCollection Date: 2023-01-01 DOI:10.1155/2023/6660296
Jon Damsager Lauesen, Kristian Larsen, Johanne Laursen Lykke, Mona Christensen, Christian Hedelund Arens, Hanne Bigum
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引用次数: 0

Abstract

Purpose: An ethnographic and phenomenological mapping of the experiences of healthcare professionals with the functional independence measure (FIM) in stroke rehabilitation.

Methods: This is a cross-sectoral qualitative study with triangulation of data from two focus group interviews, 15 individual interviews, and 11 participant observations of FIM assessments performed by six different healthcare professions in interprofessional teams. FIM assessments were performed at hospital and in a community rehabilitation centre as interprofessional meetings with a local facilitator certified in FIM.

Results: Three overarching themes, learning space, improved interprofessional collaboration, and transferability, emerged from the data. The use of FIM within the provided structures established an environment that allowed the various healthcare professionals (HCP) to learn with, about, and from each other. This is perceived as promoting interprofessional collaboration and enhancing patient-specific knowledge within the interprofessional team. The established patient-specific knowledge is specific to the individual team and is difficult to transfer intraorganisationally and across sectors.

Conclusion: FIM was a catalyst for improved interprofessional knowledge transfer and interprofessional collaboration within the individual teams, but intraorganisational and cross-sectoral dissemination of patient-specific knowledge was limited.

Abstract Image

医疗保健专业人员使用功能独立性测量(FIM)作为丹麦中风康复跨专业团队会议的结构化框架的经验:一项定性跨部门合作研究。
目的:对医疗保健专业人员在中风康复中使用功能独立性测量(FIM)的经验进行民族志和现象学映射。方法:这是一项跨部门的定性研究,对来自两次焦点小组访谈、15次个人访谈和11名参与者对跨专业团队中六个不同医疗专业进行的FIM评估的观察数据进行了三角测量。职能指令手册评估是在医院和社区康复中心与职能指令手册认证的当地辅导员举行的跨专业会议上进行的。结果:数据显示了三个首要主题,即学习空间、改进跨专业协作和可转移性。在所提供的结构中使用职能指令手册建立了一个环境,允许各种医疗保健专业人员(HCP)相互学习、了解和借鉴。这被视为促进跨专业合作,并增强跨专业团队中患者的特定知识。已建立的特定于患者的知识是针对单个团队的,很难在组织内部和跨部门转移。结论:FIM是改善跨专业知识转移和单个团队内跨专业合作的催化剂,但组织内和跨部门的患者特定知识传播有限。
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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
16
审稿时长
19 weeks
期刊介绍: Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.
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