Geese Franziska, Schmitt Kai-Uwe
Academic-Practice-Partnership, School of Health Professions, Bern University of Applied Sciences, 3008 Bern, Switzerland.
Healthcare (Basel). 2023 Jan 27;11(3):359. doi: 10.3390/healthcare11030359.
Healthcare professionals often feel challenged by complex patients and the associated care needs during care transition. Interprofessional collaboration (IPC) is considered an effective approach in such situations. However, a fragmented healthcare system can limit IPC. This study explored experiences of Swiss healthcare professionals regarding complex patient care transition and the potential of IPC. Professionals from nursing, medicine, psychology, physiotherapy, dietetics and nutrition, social service, occupational therapy, and speech therapy were included. A qualitative between-method triangulation design was applied, with two focus group discussions and ten individual interviews. The combination of different data-collection methods allowed us to explore complex patient care transition and to systematically add perspectives of healthcare professionals from different care settings. Three main themes were identified: (1) Participants described their vision of an ideal complex patient care transition, i.e., the status they would like to see implemented; (2) participants reported challenges in complex patient care transition as experienced today; and (3) participants suggested ways to improve complex patient care transition by IPC. This study highlighted that healthcare professionals regarded IPC as an effective intervention to improve complex patient care transition. It emerged that sustainable implementation of IPC across care organizations is currently limited in Switzerland. In the absence of strong and direct promotion of IPC by the healthcare system, professionals in clinical practice can further promote IPC by finding hands-on solutions to overcome organizational boundaries.
在护理过渡期间,医疗保健专业人员常常感到复杂患者及相关护理需求带来的挑战。跨专业协作(IPC)在这种情况下被认为是一种有效的方法。然而,碎片化的医疗保健系统可能会限制跨专业协作。本研究探讨了瑞士医疗保健专业人员在复杂患者护理过渡方面的经验以及跨专业协作的潜力。纳入了来自护理、医学、心理学、物理治疗、饮食与营养、社会服务、职业治疗和言语治疗等领域的专业人员。采用了定性的方法间三角测量设计,进行了两次焦点小组讨论和十次个人访谈。不同数据收集方法的结合使我们能够探讨复杂患者护理过渡,并系统地增加来自不同护理环境的医疗保健专业人员的观点。确定了三个主要主题:(1)参与者描述了他们对理想的复杂患者护理过渡的愿景,即他们希望看到实现的状态;(2)参与者报告了当今复杂患者护理过渡中遇到的挑战;(3)参与者提出了通过跨专业协作改善复杂患者护理过渡的方法。本研究强调,医疗保健专业人员将跨专业协作视为改善复杂患者护理过渡的有效干预措施。结果表明,目前在瑞士,跨专业协作在各护理组织中的可持续实施受到限制。在医疗保健系统缺乏对跨专业协作的有力直接推动的情况下,临床实践中的专业人员可以通过找到实际解决方案来克服组织界限,进一步推动跨专业协作。