Electronic Information Sharing Between Nursing and Adult Social Care Practitioners in Separate Locations: A Mixed-Methods Case Study

Chester, Helen; Hughes, Jane; Bowns, Ian; Abendstern, Michele; Davies, Sue; Challis, David

doi:10.31389/jltc.16

Cited by 3 publications

(51 citation statements)

References 15 publications

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“…The provision of information systems that support data-sharing across organisational and professional boundaries has been identified as a key element in providing integrated care 10,16 and is a long-standing policy objective in the UK. 20 Advances in technology increasingly enable electronic data-sharing; the NHS is tasked with using data and technology to improve health outcomes and is aiming to introduce a digital patient record accessible to health and social care professionals. 19 However, there are a range of challenges in sharing data between health and social care, occurring at both interorganisational and interprofessional levels.…”

Section: Data-sharing Between Health and Social Carementioning

confidence: 99%

“…Of the 24 studies included in the review, reported in 29 papers and one report, the main settings or contexts in which data-sharing took place were primary care (n = 4 studies), 9,12,20,63 the community (n = 8), 18,[64][65][66][67][68][69][70] transitional care (n = 5), 14,23,[71][72][73] palliative care (n = 5) 19,21,[74][75][76] or care home settings (n = 2). 77,78 Few studies (n = 5) 14,20,66,71,77 reported demographic details regarding the service user population that data-sharing was intended to benefit. Most defined their population of focus as older people with care needs (Table 4), although some were conducted in specific populations, for example, adults with dementia (n = 2).…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

“…In 11 studies, study participants were health and social care professionals, 12,14,19,20,[67][68][69][73][74][75]78 11 studies included patients and carers as well as professionals, 9,18,21,23,[63][64][65][66]71,72,77,[79][80][81][82][83][84] in 1 study participants were not clearly reported, 76 while 1 study was conducted solely with older people. 70 Sample sizes ranged from 2 to 220 participants.…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

“…70 Sample sizes ranged from 2 to 220 participants. A total of 13 studies 9,14,18,20,53,64,66,68,70,74,[76][77][78] used a mixed-methods approach and 11 were solely qualitative. 12,19,21,23,65,67,69,71,72,73,75,79,[80][81][82][83] Interviews were used to collect data in all studies, with most obtaining additional data using other methods such as focus groups 9,21,23,63,68,70,77,[79][80][81][82][83][84] and participant observation.…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

“…23,63,65,69,[71][72][73]75,77,[80][81][82][83][84][85] Eight studies conducted document analysis or audits, for example of care plans. 9,14,20,64,68,69,72,76 Data were shared through face-to-face communication (between two or more care professionals, including formal communication, such as multidisciplinary team meetings, and informal communication e.g. 'corridor' conversations), technology-assisted interpersonal communication (e.g.…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

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Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

de Bell,

Zhelev,

Bethel

et al. 2024

Health Soc Care Deliv Res

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Background Sharing data about patients between health and social care organisations and professionals, such as details of their medication, is essential to provide co-ordinated and person-centred care. While professionals can share data in a number of ways – for example, through shared electronic record systems or multidisciplinary team meetings – there are many factors that make sharing data across the health and social care boundary difficult. These include professional hierarchies, inaccessible electronic systems and concerns around confidentiality. Data-sharing is particularly important for the care of older people, as they are more likely to have multiple or long-term conditions; understanding is needed on how to enable effective data-sharing. Objectives To identify factors perceived as influencing effective data-sharing, including the successful adoption of interventions to improve data-sharing, between healthcare and social care organisations and professionals regarding the care of older people. Methods MEDLINE and seven further databases were searched (in March 2023) for qualitative and mixed-methods studies. Relevant websites were searched and citation-chasing completed on included studies. Studies were included if they focused on older people, as defined by the study, and data-sharing, defined as the transfer of information between healthcare and social care organisations, or care professionals, regarding a patient, and were conducted in the United Kingdom. Purposive sampling was used to obtain a final set of studies which were analysed using framework synthesis. Quality appraisal was conducted using the Wallace checklist. Stakeholder and public and patient involvement groups were consulted throughout the project. Results Twenty-four studies were included; most scored highly on the quality appraisal checklist. Four main themes were identified. Within Goals, we found five purposes of data-sharing: joint (health and social care) assessment, integrated case management, transitions from hospital to home, for residents of care homes, and for palliative care. In Relationships, building interprofessional relationships, and therefore trust and respect, between professionals supported data-sharing, while the presence of professional prejudices and mistrust hindered it. Interorganisational Processes and procedures, such as a shared vision of care and operationalisation of formal agreements, for example data governance, supported data-sharing. Within Technology and infrastructure, the use of technology as a tool supported data-sharing, as did professionals’ awareness of the wider care system. There were also specific factors influencing data-sharing related to its purpose; for example, there was a lack of legal frameworks in the area of palliative care. Limitations Data-sharing was usually discussed in the context of wider initiatives, for example integrated care, which meant the information provided was often limited. The COVID-19 pandemic has had significant impacts on ways of working; none of our included studies were conducted during or since the pandemic. Conclusions Our findings indicate the importance of building interprofessional relationships and ensuring that professionals are able to share data in multiple ways. Future work Exploration of the impact of new technologies and ways of working adopted as a result of the COVID-19 pandemic on data-sharing is needed. Additionally, research should explore patient experience and the prevention of digital exclusion among health and social care professionals. Study registration The protocol was registered on PROSPERO CRD42023416621. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR135660), as part of a series of evidence syntheses under award NIHR130538, and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 12. See the NIHR Funding and Awards website for further award information.

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Section: Data-sharing Between Health and Social Carementioning

confidence: 99%

Section: Summary Of Included Studiesmentioning

confidence: 99%

Section: Summary Of Included Studiesmentioning

confidence: 99%

Section: Summary Of Included Studiesmentioning

confidence: 99%

Section: Summary Of Included Studiesmentioning

confidence: 99%

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Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

de Bell,

Zhelev,

Bethel

et al. 2024

Health Soc Care Deliv Res

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Client documents in social work with adults as research data: scoping review of opportunities and challenges

Kuorikoski

2022

Nordic Social Work Research

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Good Practice in the Implementation of Digital Social Care Records: A Rapid Scoping Review (Preprint)

Snow,

Silva-Ribeiro,

Baginsky

et al. 2024

Preprint

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BACKGROUND In the past decade, there has been a rise in the use of digital or electronic records in social care worldwide, capturing information key to service delivery. With the COVID-19 pandemic, the increased need for digital services further accelerated digitisation in health and social care. For example, the UK government created a fund specifically for adult social care providers to adopt digital social care records. These rapid developments offer valuable learning opportunities about digital care record implementation in adult social care settings. OBJECTIVE This rapid scoping review aimed to understand what is known about the implementation of digital social care records in adult social care and how implementation varies across use cases, settings, and broader contexts. METHODS The scoping review methodology was guided by Arksey and O’Malley and refined by Levac et al and the Joanna Briggs Institute. Following Tricco et al, some amendments were made to enable a rapid review. We conducted comprehensive searches based on the concepts of Digital Care Records, Social Care, and Interoperability in MEDLINE, EmCare, Web of Science Core Collection, HMIC Health Management Information Consortium, Social Policy and Practice, and Social Services Abstracts. Studies were limited to those published between 2018 and 2023 in English. One reviewer screened titles and abstracts, while two reviewers extracted data. Qualitative content analysis was conducted on the included studies, mapping findings against Greenhalgh et al’s NASSS (Non-adoption, Abandonment, Scale-up, Spread, Sustainability) framework. RESULTS Our search identified 2499 references. After title and abstract screening, 71 records were selected for full-text review, resulting in 31 references from 29 studies. Studies originated from 11 countries (including one multi-country), with the UK being the most represented (n=10). Studies were most often undertaken in nursing homes/facilities (n=7) with older people as the target population (n=6). Health records were the most investigated record type (n=12). We identified 45 facilitators and 102 barriers to digital care record implementation across 28 studies, spanning six of the seven NASSS framework domains and aligning with five overarching themes that require greater active management with respect to implementation. Intended or actual implementation outcomes were reported in 17 studies. CONCLUSIONS Findings suggest implementing digital care records is particularly complex due to a lack of consensus on what digital care records and expected outcomes and impacts should look like. The literature often lacks clear definitions and robust study designs. To be successful, implementation should consider complexity, while studies should utilise robust frameworks and mixed methods or quantitative designs where appropriate. Future research should consider defining the target population, gathering data on carer/service user experiences, and focusing on digital care records specifically being used in social care.

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Electronic Information Sharing Between Nursing and Adult Social Care Practitioners in Separate Locations: A Mixed-Methods Case Study

Cited by 3 publications

References 15 publications

Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

Client documents in social work with adults as research data: scoping review of opportunities and challenges

Good Practice in the Implementation of Digital Social Care Records: A Rapid Scoping Review (Preprint)

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