Reflections on two years after establishing an orthogeriatric unit: A focus group study of healthcare professionals' expectations and experiences

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Resumé

Background: For decades hospitals have been "vertically" organized, with the risk that specialization leads to fragmented and one-sided views of patient care and treatment that may cause poor communication and coordination of care and treatment. Two years after the introduction of an orthogeriatric unit for elderly patients admitted with fragility fractures, we studied the involved healthcare professionals' perspectives and experiences with working in an interprofessional organization. Methods: We performed four focus groups interviews with 19 healthcare workers representing different professions. The interviews were analysed using systematic text condensation (STC). Results: Three themes were identified: 1) A patient-centred approach, 2) An opportunity for professional growth and 3) The benefits of interprofessional collaboration. The interviewees emphasized in particular the systematic and frequent face-to-face communication enabled by the interprofessional team meetings as essential to their feeling of enhanced collegial solidarity. All groups expressed their respect for other groups' competences and their vital contributions to good orthogeriatric care. However, collaboration was challenged by the groups' divergent views of the patients and of the relevance of the information given in the weekly meetings. Heavy workloads were also mentioned. The opportunity for professional growth was also felt to be imperilled by some professionals. Conclusions: All participants indicated their view that the orthogeriatric organization had improved the quality of care and treatment. Furthermore, good communication, mutual respect for other professional competences and shared goals were found to have enhanced interprofessional collaboration and improved the sense of having a shared mission. However, differences in approaches and expectations continued to challenge the orthogeriatric model after 2 years. Neither did all professionals find orthogeriatric care professionally challenging.

OriginalsprogEngelsk
Artikelnummer602
TidsskriftB M C Health Services Research
Vol/bind17
Antal sider9
ISSN1472-6963
DOI
StatusUdgivet - 25. aug. 2017

Fingeraftryk

Focus Groups
Communication
Delivery of Health Care
Organizations
Interviews
Professional Competence
Quality of Health Care
Growth
Workload
Mental Competency

Emneord

  • ortogeriatri
  • Focus Groups
  • healthcare workers
  • Expectations
  • Experience

Citer dette

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title = "Reflections on two years after establishing an orthogeriatric unit: A focus group study of healthcare professionals' expectations and experiences",
abstract = "Background: For decades hospitals have been {"}vertically{"} organized, with the risk that specialization leads to fragmented and one-sided views of patient care and treatment that may cause poor communication and coordination of care and treatment. Two years after the introduction of an orthogeriatric unit for elderly patients admitted with fragility fractures, we studied the involved healthcare professionals' perspectives and experiences with working in an interprofessional organization. Methods: We performed four focus groups interviews with 19 healthcare workers representing different professions. The interviews were analysed using systematic text condensation (STC). Results: Three themes were identified: 1) A patient-centred approach, 2) An opportunity for professional growth and 3) The benefits of interprofessional collaboration. The interviewees emphasized in particular the systematic and frequent face-to-face communication enabled by the interprofessional team meetings as essential to their feeling of enhanced collegial solidarity. All groups expressed their respect for other groups' competences and their vital contributions to good orthogeriatric care. However, collaboration was challenged by the groups' divergent views of the patients and of the relevance of the information given in the weekly meetings. Heavy workloads were also mentioned. The opportunity for professional growth was also felt to be imperilled by some professionals. Conclusions: All participants indicated their view that the orthogeriatric organization had improved the quality of care and treatment. Furthermore, good communication, mutual respect for other professional competences and shared goals were found to have enhanced interprofessional collaboration and improved the sense of having a shared mission. However, differences in approaches and expectations continued to challenge the orthogeriatric model after 2 years. Neither did all professionals find orthogeriatric care professionally challenging.",
keywords = "ortogeriatri, Focus Groups, healthcare workers, Expectations, Experience, Focus group, Healthcare professional, Interprofessional collaboration, Orthogeriatric care, Attitude of Health Personnel, Humans, Middle Aged, Focus Groups, Cooperative Behavior, Interprofessional Relations, Male, Organizational Innovation, Orthopedics/organization & administration, Health Services Research, Health Personnel/psychology, Interdisciplinary Communication, Health Services for the Aged/organization & administration, Program Development, Adult, Female, Aged, Program Evaluation, Geriatrics",
author = "Charlotte Abrahamsen and Birgitte N{\o}rgaard and Eva Draborg and Nielsen, {Dorthe Susanne}",
year = "2017",
month = "8",
day = "25",
doi = "10.1186/s12913-017-2550-3",
language = "English",
volume = "17",
journal = "B M C Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Reflections on two years after establishing an orthogeriatric unit

T2 - A focus group study of healthcare professionals' expectations and experiences

AU - Abrahamsen, Charlotte

AU - Nørgaard, Birgitte

AU - Draborg, Eva

AU - Nielsen, Dorthe Susanne

PY - 2017/8/25

Y1 - 2017/8/25

N2 - Background: For decades hospitals have been "vertically" organized, with the risk that specialization leads to fragmented and one-sided views of patient care and treatment that may cause poor communication and coordination of care and treatment. Two years after the introduction of an orthogeriatric unit for elderly patients admitted with fragility fractures, we studied the involved healthcare professionals' perspectives and experiences with working in an interprofessional organization. Methods: We performed four focus groups interviews with 19 healthcare workers representing different professions. The interviews were analysed using systematic text condensation (STC). Results: Three themes were identified: 1) A patient-centred approach, 2) An opportunity for professional growth and 3) The benefits of interprofessional collaboration. The interviewees emphasized in particular the systematic and frequent face-to-face communication enabled by the interprofessional team meetings as essential to their feeling of enhanced collegial solidarity. All groups expressed their respect for other groups' competences and their vital contributions to good orthogeriatric care. However, collaboration was challenged by the groups' divergent views of the patients and of the relevance of the information given in the weekly meetings. Heavy workloads were also mentioned. The opportunity for professional growth was also felt to be imperilled by some professionals. Conclusions: All participants indicated their view that the orthogeriatric organization had improved the quality of care and treatment. Furthermore, good communication, mutual respect for other professional competences and shared goals were found to have enhanced interprofessional collaboration and improved the sense of having a shared mission. However, differences in approaches and expectations continued to challenge the orthogeriatric model after 2 years. Neither did all professionals find orthogeriatric care professionally challenging.

AB - Background: For decades hospitals have been "vertically" organized, with the risk that specialization leads to fragmented and one-sided views of patient care and treatment that may cause poor communication and coordination of care and treatment. Two years after the introduction of an orthogeriatric unit for elderly patients admitted with fragility fractures, we studied the involved healthcare professionals' perspectives and experiences with working in an interprofessional organization. Methods: We performed four focus groups interviews with 19 healthcare workers representing different professions. The interviews were analysed using systematic text condensation (STC). Results: Three themes were identified: 1) A patient-centred approach, 2) An opportunity for professional growth and 3) The benefits of interprofessional collaboration. The interviewees emphasized in particular the systematic and frequent face-to-face communication enabled by the interprofessional team meetings as essential to their feeling of enhanced collegial solidarity. All groups expressed their respect for other groups' competences and their vital contributions to good orthogeriatric care. However, collaboration was challenged by the groups' divergent views of the patients and of the relevance of the information given in the weekly meetings. Heavy workloads were also mentioned. The opportunity for professional growth was also felt to be imperilled by some professionals. Conclusions: All participants indicated their view that the orthogeriatric organization had improved the quality of care and treatment. Furthermore, good communication, mutual respect for other professional competences and shared goals were found to have enhanced interprofessional collaboration and improved the sense of having a shared mission. However, differences in approaches and expectations continued to challenge the orthogeriatric model after 2 years. Neither did all professionals find orthogeriatric care professionally challenging.

KW - ortogeriatri

KW - Focus Groups

KW - healthcare workers

KW - Expectations

KW - Experience

KW - Focus group

KW - Healthcare professional

KW - Interprofessional collaboration

KW - Orthogeriatric care

KW - Attitude of Health Personnel

KW - Humans

KW - Middle Aged

KW - Focus Groups

KW - Cooperative Behavior

KW - Interprofessional Relations

KW - Male

KW - Organizational Innovation

KW - Orthopedics/organization & administration

KW - Health Services Research

KW - Health Personnel/psychology

KW - Interdisciplinary Communication

KW - Health Services for the Aged/organization & administration

KW - Program Development

KW - Adult

KW - Female

KW - Aged

KW - Program Evaluation

KW - Geriatrics

U2 - 10.1186/s12913-017-2550-3

DO - 10.1186/s12913-017-2550-3

M3 - Journal article

C2 - 28841861

VL - 17

JO - B M C Health Services Research

JF - B M C Health Services Research

SN - 1472-6963

M1 - 602

ER -