A Swiss Health Care Professionals’ Perspective on the Meaning of Interprofessional Collaboration in Health Care of People with MS—A Focus Group Study

Schmid, Fabienne; Rogan, Slavko; Becker, Heidrun

doi:10.3390/ijerph18126537

Cited by 6 publications

(8 citation statements)

References 32 publications

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“…To foster interprofessional collaboration in fall prevention, more time, financial resources, and/or more health care providers are needed. Previous research shows that a lack of human resources and financial compensation constitute serious barriers to interprofessional fall prevention programs [ 39 , 40 , 41 ]. A study from Switzerland highlighted that in the outpatient setting, remuneration for some tasks in interprofessional collaboration is provided only for some but not all health care professionals [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Interprofessional Collaboration in Fall Prevention: Insights from a Qualitative Study

Baumann

Wieber

Volken

et al. 2022

IJERPH

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(1) Background and objective: to explore the experiences of Swiss health care providers involved in a community fall prevention pilot project on barriers and facilitations in interprofessional cooperation between 2016 and 2017 in three regions of Switzerland. (2) Methods: semi-structured interviews with health care providers assessed their perspective on the evaluation of jointly developed tools for reporting fall risk, continuous training of the health care providers, sensitizing media campaigns, and others. (3) Results: One of the project’s strengths is the interprofessional continuous trainings. These trainings allowed the health care providers to extend their network of health care providers, which contributed to an improvement of fall prevention. Challenges of the project were that the standardization of the interprofessional collaboration required additional efforts. These efforts are time consuming and, for some categories of health care providers, not remunerated by the Swiss health care system. (4) Conclusions: On a micro and meso level, the results of the present study indicate that the involved health care providers strongly support interprofessional collaboration in fall prevention. However, time and financial constraints challenge the implementation. On a macro level, potential ways to strengthen interprofessional collaboration are a core element in fall prevention.

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Section: Discussionmentioning

confidence: 99%

Interprofessional Collaboration in Fall Prevention: Insights from a Qualitative Study

Baumann

Wieber

Volken

et al. 2022

IJERPH

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“…PwMS often try to do their best or to improve or maintain their quality of life by themselves. Patients develop coping skills; therefore, healthcare professionals mentioned coping strategies for everyday actions [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

First Insights into Barriers and Facilitators from the Perspective of Persons with Multiple Sclerosis: A Multiple Case Study

Ott¹,

Biller‐Andorno²,

Becker

2022

IJERPH

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Multiple Sclerosis (MS) is a complex, lifelong disease. Its effects span across different areas of life and vary strongly. In Switzerland, there is an intense discussion on how to optimize quality of care and patient safety. Patients should be more involved in the management of health care to improve the quality of care from the patient’s perspective and form a more comprehensive perspective. This multiple-case study explores the question of how persons with MS experience and describe functioning related barriers, facilitating factors, and ethically relevant conflicts. To address this from a comprehensive perspective, the MS core set of the International Classification for Functioning, Disability, and Health (ICF) is used as theoretical framework. To explore barriers, facilitators, and relevant ethical issues, different narrative sources were used for thematic analysis and ICF coding: (a) MS transcripts from DIPEx interviews and (b) an autobiographical book of persons living with MS. Insights that were meaningful for daily practice and education were identified: (a) understanding the importance of environmental circumstances based on narrative sources; (b) understanding the importance of a person’s individual life situation, and the ability to switch perspectives in the medical field; (c) respect for PwMS’ individuality in health care settings; (d) creating meaningful relationships for disease management and treatment, as well as building trust.

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“…NPs may have an impactful influence on the trajectory of care with direct consequences on patients’ outcomes [ 5 – 7 ]. A study with 135 NPs specialized in MS from Canada, the United States, France, Germany, Italy, Spain, and the United Kingdom identified several challenges related to disease knowledge, treatment, monitoring, psychosocial factors and patient communication [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to neurologists, nurse practitioners (NPs) play a critical role in the assessment and management of patients with multiple sclerosis (MS) [ 1 , 2 ]. NPs have a dual liaison function by informing the treating physician of patients´ values and preferences and by facilitating discussions with patients in the shared decision making process [ 3 – 5 ]. This personalized model of care has been associated with higher treatment adherence and better clinical outcomes [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Behavioral aspects of nurse practitioners associated with optimal multiple sclerosis care in Spain

et al. 2021

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Background Nurse practitioners (NPs) play a critical role in the multidisciplinary management of patients with multiple sclerosis (MS). Neurologists´ behavioral characteristics have been associated with suboptimal clinical decisions. However, limited information is available on their impact among NPs involved in MS care. The aim of this study was to assess nurses´ therapeutic choices to understand behavioral factors influencing their decision making process. Methods A non-interventional, cross-sectional, web-based study was conducted. NPs actively involved in the care of patients with MS were invited to participate in the study by the Spanish Society of Neurology Nursing. Participants answered questions regarding their standard practice and therapeutic management of seven simulated relapsing-remitting MS (RRMS) case scenarios. A behavioral battery was used to measure participants´ life satisfaction, mood, positive social behaviors, feeling of helpfulness, attitudes toward adoption of evidence-based innovations, occupational burnout, and healthcare-related regret. The outcome of interest was therapeutic inertia (TI), defined as the lack of treatment escalation when there is clinical and radiological evidence of disease activity. A score to quantify TI was created based on the number of simulated scenarios where treatment intensification was warranted. Results Overall, 331 NPs were invited to participate, 130 initiated the study, and 96 (29%) completed the study. The mean age (SD) was 44.6 (9.8) years and 91.7% were female. Seventy-three participants (76.0%) felt their opinions had a significant influence on neurologists´ therapeutic decisions. Sixteen NPs (16.5%) showed severe emotional exhaustion related to work and 13 (13.5%) had depressive symptoms. The mean (SD) TI score was 0.97 (1.1). Fifty-six of NPs showed TI in at least one case scenario. Higher years of nursing experience (p = 0.014), feeling of helpfulness (p = 0.014), positive attitudes toward innovations (p = 0.046), and a higher intensity of care-related regret (p = 0.021) were associated with a lower risk of TI (adjusted R2 = 0.28). Burnout was associated with higher risk of TI (p = 0.001). Conclusions Although NPs cannot prescribe MS treatments in Spain, their behavioral characteristics may influence the management of patients with RRMS. Continuing education and specific strategies for reducing occupational burnout may lead to better management skills and improve MS care.

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A Swiss Health Care Professionals’ Perspective on the Meaning of Interprofessional Collaboration in Health Care of People with MS—A Focus Group Study

Cited by 6 publications

References 32 publications

Interprofessional Collaboration in Fall Prevention: Insights from a Qualitative Study

Interprofessional Collaboration in Fall Prevention: Insights from a Qualitative Study

First Insights into Barriers and Facilitators from the Perspective of Persons with Multiple Sclerosis: A Multiple Case Study

Behavioral aspects of nurse practitioners associated with optimal multiple sclerosis care in Spain

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