Cargando…

The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement

BACKGROUND: Reablement is an early and time-limited home-based rehabilitation intervention that emphasizes intensive, goal-oriented, and multidisciplinary assistance for people experiencing functional decline. Few empirical studies to date have examined the experiences of the integrated multidiscipl...

Descripción completa

Detalles Bibliográficos
Autores principales: Hjelle, Kari Margrete, Skutle, Olbjørg, Førland, Oddvar, Alvsvåg, Herdis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098780/
https://www.ncbi.nlm.nih.gov/pubmed/27843324
http://dx.doi.org/10.2147/JMDH.S115588
_version_ 1782465827093610496
author Hjelle, Kari Margrete
Skutle, Olbjørg
Førland, Oddvar
Alvsvåg, Herdis
author_facet Hjelle, Kari Margrete
Skutle, Olbjørg
Førland, Oddvar
Alvsvåg, Herdis
author_sort Hjelle, Kari Margrete
collection PubMed
description BACKGROUND: Reablement is an early and time-limited home-based rehabilitation intervention that emphasizes intensive, goal-oriented, and multidisciplinary assistance for people experiencing functional decline. Few empirical studies to date have examined the experiences of the integrated multidisciplinary teams involved in reablement. Accordingly, the aim of this study was to explore and describe how an integrated multidisciplinary team in Norway experienced participation in reablement. METHODS: An integrated multidisciplinary team consisting of health care professionals with a bachelor’s degree (including a physiotherapist, a social educator, occupational therapists, and nurses) and home-based care personnel without a bachelor’s degree (auxiliary nurses and nursing assistants) participated in focus group discussions. Qualitative content analysis was used to analyze the resulting data. RESULTS: Three main themes emerged from the participants’ experiences with participating in reablement, including “the older adult’s goals are crucial”, “a different way of thinking and acting – a shift in work culture”, and “a better framework for cooperation and application of professional expertise and judgment”. The integrated multidisciplinary team and the older adults collaborated and worked in the same direction to achieve the person’s valued goals. The team supported the older adults in performing activities themselves rather than completing tasks for them. To facilitate cooperation and application of professional expertise and judgment, common meeting times and meeting places for communication and supervision were necessary. CONCLUSION: Structural factors that promote integrated multidisciplinary professional decisions include providing common meeting times and meeting places as well as sufficient time to apply professional knowledge when supervising and supporting older persons in everyday activities. These findings have implications for practice and suggest future directions for improving health care services. The shift in work culture from static to dynamic service is time consuming and requires politicians, community leaders, and health care systems to allocate the necessary time to support this approach to thinking and working.
format Online
Article
Text
id pubmed-5098780
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-50987802016-11-14 The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement Hjelle, Kari Margrete Skutle, Olbjørg Førland, Oddvar Alvsvåg, Herdis J Multidiscip Healthc Original Research BACKGROUND: Reablement is an early and time-limited home-based rehabilitation intervention that emphasizes intensive, goal-oriented, and multidisciplinary assistance for people experiencing functional decline. Few empirical studies to date have examined the experiences of the integrated multidisciplinary teams involved in reablement. Accordingly, the aim of this study was to explore and describe how an integrated multidisciplinary team in Norway experienced participation in reablement. METHODS: An integrated multidisciplinary team consisting of health care professionals with a bachelor’s degree (including a physiotherapist, a social educator, occupational therapists, and nurses) and home-based care personnel without a bachelor’s degree (auxiliary nurses and nursing assistants) participated in focus group discussions. Qualitative content analysis was used to analyze the resulting data. RESULTS: Three main themes emerged from the participants’ experiences with participating in reablement, including “the older adult’s goals are crucial”, “a different way of thinking and acting – a shift in work culture”, and “a better framework for cooperation and application of professional expertise and judgment”. The integrated multidisciplinary team and the older adults collaborated and worked in the same direction to achieve the person’s valued goals. The team supported the older adults in performing activities themselves rather than completing tasks for them. To facilitate cooperation and application of professional expertise and judgment, common meeting times and meeting places for communication and supervision were necessary. CONCLUSION: Structural factors that promote integrated multidisciplinary professional decisions include providing common meeting times and meeting places as well as sufficient time to apply professional knowledge when supervising and supporting older persons in everyday activities. These findings have implications for practice and suggest future directions for improving health care services. The shift in work culture from static to dynamic service is time consuming and requires politicians, community leaders, and health care systems to allocate the necessary time to support this approach to thinking and working. Dove Medical Press 2016-11-02 /pmc/articles/PMC5098780/ /pubmed/27843324 http://dx.doi.org/10.2147/JMDH.S115588 Text en © 2016 Hjelle et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Hjelle, Kari Margrete
Skutle, Olbjørg
Førland, Oddvar
Alvsvåg, Herdis
The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement
title The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement
title_full The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement
title_fullStr The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement
title_full_unstemmed The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement
title_short The reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement
title_sort reablement team’s voice: a qualitative study of how an integrated multidisciplinary team experiences participation in reablement
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098780/
https://www.ncbi.nlm.nih.gov/pubmed/27843324
http://dx.doi.org/10.2147/JMDH.S115588
work_keys_str_mv AT hjellekarimargrete thereablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement
AT skutleolbjørg thereablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement
AT førlandoddvar thereablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement
AT alvsvagherdis thereablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement
AT hjellekarimargrete reablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement
AT skutleolbjørg reablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement
AT førlandoddvar reablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement
AT alvsvagherdis reablementteamsvoiceaqualitativestudyofhowanintegratedmultidisciplinaryteamexperiencesparticipationinreablement