School of Health Studies, Research group Organization of Healthcare and Services, HAN University of Applied Sciences, Nijmegen, Gelderland, Netherlands
Department of Primary and Community Care, Radboudumc Radboud Institute for Health Sciences, Nijmegen, Gelderland, Netherlands.
BMJ Open. 2022 Mar 23;12(3):e058319. doi: 10.1136/bmjopen-2021-058319.
Healthcare is changing due to the ageing of the general population, complex care demands and growing attention to person-centred care. To deal with these changes and provide the best possible person-centred care, the different professionals in nursing homes should all collaborate intensively. However, most professionals work within the field of their own expertise and share very little knowledge, experiences and insights. A lack of an interprofessional learning and working culture also prevents professionals with different expertise from working and learning intensively together to achieve high-quality person-centred care. There is a gap of knowledge about how to develop such a culture. Our aim is to provide insights into what actions, in what context and to what extent can contribute to an impactful development of an interprofessional learning and working culture.
The realist action research design will be applied. It consists of three iterative steps: plan, act and observe, and reflect. First, we will formulate the theory about interprofessional learning and working culture and measure this culture by means of interviews, focus groups and questionnaires. Second, we will apply the nine principles of Practice Development to coach professionals from six Dutch nursing homes to improve their interprofessional learning and working culture. Finally, we will evaluate the impact of the changed attitudes and skills on healthcare practice.
Approval for the project was given by the Hogeschool van Arnhem en Nijmegen (HAN) Research Ethics Committee, the Netherlands, registration number EACO 164.12/19. All organisations, professionals and residents/family members will be informed verbally and by letter about the study and asked for informed consent. The results will be presented in peer-reviewed scientific journals, professional journals and at symposia and conferences. The findings will be transferred to an online toolbox and e-learning modules for graduated professionals and students.
由于人口老龄化、复杂的护理需求以及对以患者为中心的护理的日益关注，医疗保健正在发生变化。为了应对这些变化并提供尽可能好的以患者为中心的护理，养老院的不同专业人员应该进行深入的合作。然而，大多数专业人员都在自己的专业领域内工作，很少分享知识、经验和见解。缺乏跨专业学习和工作文化也阻止了具有不同专业知识的专业人员紧密合作，共同提供高质量的以患者为中心的护理。对于如何发展这种文化，我们知之甚少。我们的目的是提供深入了解哪些行动、在什么背景下以及在多大程度上可以为跨专业学习和工作文化的发展产生影响。
将应用现实主义行动研究设计。它包括三个迭代步骤：计划、行动和观察以及反思。首先，我们将制定关于跨专业学习和工作文化的理论，并通过访谈、焦点小组和问卷调查来衡量这种文化。其次，我们将应用实践发展的九条原则来指导来自荷兰六家养老院的专业人员，以改善他们的跨专业学习和工作文化。最后，我们将评估改变的态度和技能对医疗保健实践的影响。
该项目已获得荷兰阿纳姆和奈梅亨应用科学大学（HAN）研究伦理委员会的批准，注册号为 EACO 164.12/19。所有组织、专业人员和居民/家庭成员将通过口头和书面形式了解该研究，并被要求同意。结果将在同行评议的科学期刊、专业期刊以及研讨会和会议上发表。研究结果将被转移到在线工具包和电子学习模块中，供毕业专业人员和学生使用。
