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Inter-professional communication during the transition of acutely hospitalized older patients with dementia needs improvement.
Heeren, M.J., Langelaan, M., Jong, C. de, Groot, J.F.de. Inter-professional communication during the transition of acutely hospitalized older patients with dementia needs improvement. International Journal for Quality in Health Care Poster abstract from the 18th International Conference on Integrated Care, Utrecht, 23-25 May 2018
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ABSTRACT:
Background
Good collaboration and communication between professionals working in home
environment, e.g. the dementia case manager and general practitioner GP and those working
in the hospital, e.g. ward nurses, physicians and transitional care nurses, is essential during
care transitions between home and hospital for patients with dementia to ensure patient
safety and continuum of care. This study aimed to explore the current experienced
collaboration between healthcare professionals involved in care transitions of unplanned
hospitalized elderly people with dementia.
Methods
This prospective observational study took place among healthcare professionals in
the region of The Hague in the Netherlands, during 2016. Main outcomes included descriptive
quantitative analysis of experienced collaboration with other healthcare professionals using
the validated ‘Relational Coordination Survey for Patient Care’, looking at inter-professional
communication and collaboration. Qualitative information was obtained with a purposive
designed open question to inquire about any problems they had experienced in the
collaboration with other healthcare providers.
Results
A mix of dementia case managers n=21, GPs n=23, ward nurses n=70, physicians n=14
and transitional care nurses n=14 filled out the questionnaire. Relational Coordination
between healthcare providers within the hospital was experienced as good. However,
collaboration between professionals working within the home situation of the patient and
those working at the hospital collaboration was experienced as poor to fair.
Conclusion: Results of this study show that effective collaboration needs enhanced interprofessional communication during transition of care to deliver the necessary complex and
continuum of care.
Lessons learned
From the qualitative data we learned that further steps should focus on the
development of technical interventions to facilitate communication and a more effective role
for the dementia case manager.
Background
Good collaboration and communication between professionals working in home
environment, e.g. the dementia case manager and general practitioner GP and those working
in the hospital, e.g. ward nurses, physicians and transitional care nurses, is essential during
care transitions between home and hospital for patients with dementia to ensure patient
safety and continuum of care. This study aimed to explore the current experienced
collaboration between healthcare professionals involved in care transitions of unplanned
hospitalized elderly people with dementia.
Methods
This prospective observational study took place among healthcare professionals in
the region of The Hague in the Netherlands, during 2016. Main outcomes included descriptive
quantitative analysis of experienced collaboration with other healthcare professionals using
the validated ‘Relational Coordination Survey for Patient Care’, looking at inter-professional
communication and collaboration. Qualitative information was obtained with a purposive
designed open question to inquire about any problems they had experienced in the
collaboration with other healthcare providers.
Results
A mix of dementia case managers n=21, GPs n=23, ward nurses n=70, physicians n=14
and transitional care nurses n=14 filled out the questionnaire. Relational Coordination
between healthcare providers within the hospital was experienced as good. However,
collaboration between professionals working within the home situation of the patient and
those working at the hospital collaboration was experienced as poor to fair.
Conclusion: Results of this study show that effective collaboration needs enhanced interprofessional communication during transition of care to deliver the necessary complex and
continuum of care.
Lessons learned
From the qualitative data we learned that further steps should focus on the
development of technical interventions to facilitate communication and a more effective role
for the dementia case manager.
ABSTRACT:
Background
Good collaboration and communication between professionals working in home
environment, e.g. the dementia case manager and general practitioner GP and those working
in the hospital, e.g. ward nurses, physicians and transitional care nurses, is essential during
care transitions between home and hospital for patients with dementia to ensure patient
safety and continuum of care. This study aimed to explore the current experienced
collaboration between healthcare professionals involved in care transitions of unplanned
hospitalized elderly people with dementia.
Methods
This prospective observational study took place among healthcare professionals in
the region of The Hague in the Netherlands, during 2016. Main outcomes included descriptive
quantitative analysis of experienced collaboration with other healthcare professionals using
the validated ‘Relational Coordination Survey for Patient Care’, looking at inter-professional
communication and collaboration. Qualitative information was obtained with a purposive
designed open question to inquire about any problems they had experienced in the
collaboration with other healthcare providers.
Results
A mix of dementia case managers n=21, GPs n=23, ward nurses n=70, physicians n=14
and transitional care nurses n=14 filled out the questionnaire. Relational Coordination
between healthcare providers within the hospital was experienced as good. However,
collaboration between professionals working within the home situation of the patient and
those working at the hospital collaboration was experienced as poor to fair.
Conclusion: Results of this study show that effective collaboration needs enhanced interprofessional communication during transition of care to deliver the necessary complex and
continuum of care.
Lessons learned
From the qualitative data we learned that further steps should focus on the
development of technical interventions to facilitate communication and a more effective role
for the dementia case manager.
Background
Good collaboration and communication between professionals working in home
environment, e.g. the dementia case manager and general practitioner GP and those working
in the hospital, e.g. ward nurses, physicians and transitional care nurses, is essential during
care transitions between home and hospital for patients with dementia to ensure patient
safety and continuum of care. This study aimed to explore the current experienced
collaboration between healthcare professionals involved in care transitions of unplanned
hospitalized elderly people with dementia.
Methods
This prospective observational study took place among healthcare professionals in
the region of The Hague in the Netherlands, during 2016. Main outcomes included descriptive
quantitative analysis of experienced collaboration with other healthcare professionals using
the validated ‘Relational Coordination Survey for Patient Care’, looking at inter-professional
communication and collaboration. Qualitative information was obtained with a purposive
designed open question to inquire about any problems they had experienced in the
collaboration with other healthcare providers.
Results
A mix of dementia case managers n=21, GPs n=23, ward nurses n=70, physicians n=14
and transitional care nurses n=14 filled out the questionnaire. Relational Coordination
between healthcare providers within the hospital was experienced as good. However,
collaboration between professionals working within the home situation of the patient and
those working at the hospital collaboration was experienced as poor to fair.
Conclusion: Results of this study show that effective collaboration needs enhanced interprofessional communication during transition of care to deliver the necessary complex and
continuum of care.
Lessons learned
From the qualitative data we learned that further steps should focus on the
development of technical interventions to facilitate communication and a more effective role
for the dementia case manager.