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Interprofessional education on complex patients in nursing homes: a focus group study
BACKGROUND: An ageing population leads up to increasing multi-morbidity and polypharmacy. This demands a comprehensive and interprofessional approach in meeting patients’ complex needs. This study describes graduate students’ experiences of working practice based in interprofessional teams with comp...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464088/ https://www.ncbi.nlm.nih.gov/pubmed/34560852 http://dx.doi.org/10.1186/s12909-021-02867-6 |
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author | Svensberg, K. Kalleberg, B. G. Rosvold, E. O. Mathiesen, L. Wøien, H. Hove, L. H. Andersen, R. Waaktaar, T. Schultz, H. Sveaass, N. Hellesö, R. |
author_facet | Svensberg, K. Kalleberg, B. G. Rosvold, E. O. Mathiesen, L. Wøien, H. Hove, L. H. Andersen, R. Waaktaar, T. Schultz, H. Sveaass, N. Hellesö, R. |
author_sort | Svensberg, K. |
collection | PubMed |
description | BACKGROUND: An ageing population leads up to increasing multi-morbidity and polypharmacy. This demands a comprehensive and interprofessional approach in meeting patients’ complex needs. This study describes graduate students’ experiences of working practice based in interprofessional teams with complex patients’ care needs in nursing homes. METHOD: Students from advanced geriatric nursing, clinical nutrition, dentistry, medicine and pharmacy at the University of Oslo in Norway were assigned to groups to examine and develop a care plan for a nursing home patient during a course. Focus groups were used, 21 graduate students participating in four groups. Data were collected during spring 2018, were inductively analysed according to a thematic analysis method (Systematic Text Condensation). An analytical framework of co-ordination practices was applied to get an in-depth understanding of the data. RESULTS: Three themes were identified: 1) Complex patients as learning opportunities- an eye-opener for future interprofessional collaboration 2) A cobweb of relations, and 3) Structural facilitators for new collective knowledge. Graduate university students experienced interprofessional education (IPE) on complex patients in nursing homes as a comprehensive learning arena. Overall, different co-ordination practices for work organization among the students were identified. CONCLUSIONS: IPE in nursing homes facilitated the students’ scope from a fragmented approach of the patients towards a relational and collaborative practice that can improve patient care and strengthen understanding of IPE. The study also demonstrated the need for preparatory teamwork training to gain maximum benefit from the experience. Something that can be organized by the education institutions in the form of a stepwise learning module and as an online pre-training course in interprofessional teamwork. Further, focusing on the need for well thought through processes of the activity by the institutions and the timing the practice component in students’ curricula. This could ensure that IPE is experienced more efficient by the students. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-021-02867-6. |
format | Online Article Text |
id | pubmed-8464088 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-84640882021-09-27 Interprofessional education on complex patients in nursing homes: a focus group study Svensberg, K. Kalleberg, B. G. Rosvold, E. O. Mathiesen, L. Wøien, H. Hove, L. H. Andersen, R. Waaktaar, T. Schultz, H. Sveaass, N. Hellesö, R. BMC Med Educ Research BACKGROUND: An ageing population leads up to increasing multi-morbidity and polypharmacy. This demands a comprehensive and interprofessional approach in meeting patients’ complex needs. This study describes graduate students’ experiences of working practice based in interprofessional teams with complex patients’ care needs in nursing homes. METHOD: Students from advanced geriatric nursing, clinical nutrition, dentistry, medicine and pharmacy at the University of Oslo in Norway were assigned to groups to examine and develop a care plan for a nursing home patient during a course. Focus groups were used, 21 graduate students participating in four groups. Data were collected during spring 2018, were inductively analysed according to a thematic analysis method (Systematic Text Condensation). An analytical framework of co-ordination practices was applied to get an in-depth understanding of the data. RESULTS: Three themes were identified: 1) Complex patients as learning opportunities- an eye-opener for future interprofessional collaboration 2) A cobweb of relations, and 3) Structural facilitators for new collective knowledge. Graduate university students experienced interprofessional education (IPE) on complex patients in nursing homes as a comprehensive learning arena. Overall, different co-ordination practices for work organization among the students were identified. CONCLUSIONS: IPE in nursing homes facilitated the students’ scope from a fragmented approach of the patients towards a relational and collaborative practice that can improve patient care and strengthen understanding of IPE. The study also demonstrated the need for preparatory teamwork training to gain maximum benefit from the experience. Something that can be organized by the education institutions in the form of a stepwise learning module and as an online pre-training course in interprofessional teamwork. Further, focusing on the need for well thought through processes of the activity by the institutions and the timing the practice component in students’ curricula. This could ensure that IPE is experienced more efficient by the students. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-021-02867-6. BioMed Central 2021-09-24 /pmc/articles/PMC8464088/ /pubmed/34560852 http://dx.doi.org/10.1186/s12909-021-02867-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Svensberg, K. Kalleberg, B. G. Rosvold, E. O. Mathiesen, L. Wøien, H. Hove, L. H. Andersen, R. Waaktaar, T. Schultz, H. Sveaass, N. Hellesö, R. Interprofessional education on complex patients in nursing homes: a focus group study |
title | Interprofessional education on complex patients in nursing homes: a focus group study |
title_full | Interprofessional education on complex patients in nursing homes: a focus group study |
title_fullStr | Interprofessional education on complex patients in nursing homes: a focus group study |
title_full_unstemmed | Interprofessional education on complex patients in nursing homes: a focus group study |
title_short | Interprofessional education on complex patients in nursing homes: a focus group study |
title_sort | interprofessional education on complex patients in nursing homes: a focus group study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464088/ https://www.ncbi.nlm.nih.gov/pubmed/34560852 http://dx.doi.org/10.1186/s12909-021-02867-6 |
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