Inter-organisational collaboration in palliative care trajectories for nursing home residents: A nation-wide mixed methods study among key persons

IF 0.8 Q4 NURSING
Sofie Hermans, A. Sevenants, Anja Declercq, N. Broeck, L. Deliens, Joachim Cohen, C. Audenhove
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引用次数: 3

Abstract

Introduction Multiple care organisations, such as home care services, nursing homes and hospitals, are responsible for providing an appropriate response to the palliative care needs of older people admitted into long-term care facilities. Integrated palliative care aims to provide seamless and continuous care. A possible organisational strategy to help realise integrated palliative care for this population is to create a network in which these organisations collaborate. The aim is to analyse the collaboration processes of the various organisations involved in providing palliative care to nursing home residents. Method A sequential mixed-methods study, including a survey sent to 502 participants to evaluate the collaboration between home and residential care, and between hospital and residential care, and additionally three focus group interviews involving a purposive selection among the survey participants. Participants are key persons from the nursing homes, hospitals and home care organisations that are part of the 15 Flemish palliative care networks dispersed throughout the region of Flanders, Belgium. Results Survey data were gathered from 308 key persons (response rate: 61%), and 16 people participated in three focus group interviews. Interpersonal dimensions of collaboration are rated higher than structural dimensions. This effect is statistically significant. Qualitative analyses identified guidelines, education, and information-transfer as structural challenges. Additionally, for further development, members should become acquainted and the network should prioritise the establishment of a communication infrastructure, shared leadership support and formalisation. Discussion The insights of key persons suggest the need for further structuration and can serve as a guideline for interventions directed at improving inter-organisational collaboration in palliative care trajectories for nursing home residents.
疗养院居民姑息治疗轨迹中的组织间合作:一项针对关键人群的全国性混合方法研究
多种护理组织,如家庭护理服务、养老院和医院,负责为入住长期护理机构的老年人的姑息治疗需求提供适当的响应。综合姑息治疗旨在提供无缝和持续的护理。一个可能的组织战略,以帮助实现综合姑息治疗的人口是建立一个网络,其中这些组织合作。目的是分析参与为养老院居民提供姑息治疗的各种组织的合作过程。方法采用顺序混合方法研究,包括对502名参与者进行调查,以评估家庭和住宿护理之间的合作,以及医院和住宿护理之间的合作,另外还有三次焦点小组访谈,其中包括对调查参与者进行有目的的选择。参与者是来自养老院、医院和家庭护理组织的关键人物,这些组织是分散在比利时法兰德斯地区的15个佛兰德缓和医疗网络的一部分。结果共收集308名关键人物(回复率61%)的调查数据,16人参加了3次焦点小组访谈。人际协作维度的评价高于结构维度。这种效应在统计上是显著的。定性分析确定了指导方针、教育和信息传递是结构性挑战。此外,为了进一步发展,成员应该相互熟悉,网络应该优先建立通信基础设施,共同领导支持和正规化。关键人物的见解表明需要进一步的结构,并可以作为干预的指导方针,旨在改善养老院居民在姑息治疗轨迹中的组织间合作。
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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