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Complex caring needs without simple solutions: the experience of interprofessional collaboration among staff caring for older persons with multimorbidity at home care settings
Karolinska Institutet.
Karolinska Institutet.
Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.ORCID-id: 0000-0003-3393-7484
2017 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, nr 2, s. 342-350Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Older persons with multimorbidity being cared for at home often have complex needs which can´t be met by one player. Interprofessional collaboration is therefore considered necessary if care is to be organised according to the needs of the elderly. To achieve coherent healthcare, municipalities and regions need to develop this area.

Aim: The aim of the study was to illustrate how various professionals belonging to homemaker services, home care services in municipality and Hospital-Based Home Care Services experience their collaboration in caring for older persons with multimorbidity.

Method: Eleven informants took part in the study and individual interviewed. The material was analysed using a hermeneutic data analysis.

Result: The result shows that collaboration between players contains various types of experiences which influence not only the staff who are involved in collaboration but also the result of the collaboration itself. The informants´ experience of collaboration was defined by trust and distrust and by security and insecurity. These influenced both the staff who were involved in collaboration and the result of collaboration itself.

Conlusion: Complex situations could not be solved with simple models. Instead a flexible approach appears necessary with focus shifted from structures to interpersonal relations and interactions. Therefor the different professions have to work as a transprofessional team where close interactions, flexibility and improvisation is a key to success.   

Relevance to clinical practice: A transprofessional approach to teamwork collaboration can blur professional boundaries and take the competence of all staff into account when home health care to older people with multimorbidity is to be provided by multiple caregivers. This is suggested as an approach with potential to provide high quality and safe care to a vulnerable population.

sted, utgiver, år, opplag, sider
2017. Vol. 31, nr 2, s. 342-350
Emneord [en]
Multimorbidity, Collaboration, Teamwork, Hermeneutic, Hospital based home care services, Home care services
HSV kategori
Identifikatorer
URN: urn:nbn:se:hkr:diva-15438DOI: 10.1111/scs.12352ISI: 000404644100015PubMedID: 27439763OAI: oai:DiVA.org:hkr-15438DiVA, id: diva2:927741
Tilgjengelig fra: 2016-05-13 Laget: 2016-05-13 Sist oppdatert: 2017-08-21bibliografisk kontrollert

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