Molde University College, Molde, Norway.
Stavanger University, Stavanger, Norway.
Scand J Caring Sci. 2023 Sep;37(3):677-686. doi: 10.1111/scs.13152. Epub 2023 Jan 29.
The problem of a lack of nurses is expected to worsen in the future. With an ever-increasing number of elderly patients with multimorbidity and a shortage of healthcare professionals, primary care must innovatively organise their services to offer more sustainable healthcare services. Organising healthcare services in a community virtual ward has been found to improve the quality of life for vulnerable elderly populations.
The aim of the study was to explore healthcare professionals' experiences of interprofessional collaboration in care for patients with multimorbidity in a community virtual ward in the Norwegian context.
Focus group interviews were conducted in this qualitative exploratory study. A purposive sample of 17 healthcare professionals working in a community virtual ward in Norway was interviewed. Data were analysed using thematic analysis.
The study results show that healthcare professionals recognise a need for patient involvement in the community virtual ward to offer more sustainable healthcare services at home. Furthermore, the results show how healthcare professionals experience the use of assessment tools and whiteboard meetings as useful tools for facilitating interprofessional collaboration. The study results also describe how interprofessional and holistic follow-up with patients with multimorbidity contributes to increased focus on health promotion in the community virtual ward.
We found that interprofessional collaboration in community virtual wards may be a sustainable way of organising healthcare services for patients with multimorbidity living at home. Interprofessional collaboration with a patient-centred and health promotion approach, seems to increase the quality of the follow-up for patients with multimorbidity living at home. Additionally, mutual interprofessional trust and respect seems to be essential for making use of the unique expertise of different professions in the follow-up for patients with multimorbidity. In the future, both the patient's voice and opinion of their next of kin should be considered in the development of more sustainable homecare services.
预计未来护士短缺问题将更加严重。随着患有多种疾病的老年患者人数不断增加，以及医疗保健专业人员短缺，初级保健必须创新地组织服务，提供更可持续的医疗保健服务。在社区虚拟病房中组织医疗服务已被发现可以提高弱势老年人群的生活质量。
本研究旨在探讨挪威社区虚拟病房中多患者护理中医疗保健专业人员的跨专业协作经验。
本定性探索性研究采用焦点小组访谈。对挪威社区虚拟病房中 17 名从事护理工作的医疗保健专业人员进行了有针对性的抽样访谈。使用主题分析对数据进行分析。
研究结果表明，医疗保健专业人员认识到患者参与社区虚拟病房的必要性，以提供更可持续的家庭医疗服务。此外，研究结果还展示了医疗保健专业人员如何体验使用评估工具和白板会议作为促进跨专业协作的有用工具。研究结果还描述了多患者的跨专业和整体随访如何有助于增加社区虚拟病房中健康促进的重点。
我们发现，社区虚拟病房中的跨专业协作可能是组织多患者居家医疗服务的一种可持续方式。以患者为中心和促进健康的跨专业协作方法，似乎可以提高居家多患者的随访质量。此外，相互的跨专业信任和尊重似乎对于在多患者的随访中利用不同专业的独特专业知识至关重要。在未来，患者的声音及其近亲的意见都应考虑在更可持续的家庭护理服务的发展中。
