General practitioners’ perceptions of their role and their collaboration with district nurses in wound care

Friman, Anne; Edström, Desirée Wiegleb; Edelbring, Samuel

doi:10.1017/s1463423618000464

Cited by 4 publications

(6 citation statements)

References 32 publications

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“…They could see that these interactions were important. This is in line with earlier studies where an interprofessional method of working was seen as a way of increasing knowledge and improving communication between GPs and both district nurses and specialists (Chen et al, 2015;Friman et al, 2018). Such an approach could also improve the continuity of leg ulcer treatment (Öien et al, 2016).…”

Section: Discussionsupporting

confidence: 85%

“…While GPs see the treatment of leg ulcers as quite straightforward, it is an etiological diagnosis, an action that lies within the GPs expertise, which is the basis for all future treatment (Mooij and Huisman, 2016). Thus, GPs need to work together with other healthcare professionals to lay the groundwork for effective treatment (Friman et al, 2018). One aspect of this, as Hansson (2008) suggests, is that compared to GPs, district nurses' circumstances give them better opportunities to follow up with patients during longer and regularly scheduled visits, a view that is also shared by Templeton and Telford (2010).…”

Section: Discussionmentioning

confidence: 99%

“…The interviews lasted approximately 30 minutes and were recorded and transcribed verbatim. Some of this collected data has been analyzed in an earlier study by Friman et al (2018).…”

Section: Data Collectionmentioning

confidence: 99%

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General practitioners’ knowledge of leg ulcer treatment in primary healthcare: an interview study

Friman

Edström

Ebbeskog

et al. 2020

Prim Health Care Res Dev

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Aim: To describe general practitioners’ (GPs’) knowledge and the development of their knowledge regarding leg ulcer treatment when treating patients with leg ulceration at primary healthcare centers. Background: Earlier research regarding GPs’ knowledge of leg ulcer treatment in a primary healthcare context has focused primarily on the assessment of wounds and knowledge of wound care products. Less is known about GPs’ understandings of their own knowledge and knowledge development regarding leg ulceration in the everyday clinical context. This study, therefore, sets out to highlight these aspects from the GPs’ perspective. Methods: Semi-structured interviews were conducted with 16 individual GPs working at both private and county council run healthcare centers. The data were analyzed inductively using a thematic analysis. Results: Four themes were identified. ‘Education and training’ describe the GPs’ views regarding their knowledge and knowledge development in relation to leg ulcer treatment. ‘Experience’ refers to GPs’ thoughts about the importance of clinical experience when treating leg ulcers. ‘Prioritization’ describes the issues GPs raised around managing the different knowledge areas in their clinical work. ‘Time constraints’ explore the relationship between GPs’ sense of time pressure and their opportunities to participate in professional development courses. Conclusions: The study shows that the GPs working in primary healthcare are aware of the need for ongoing competence development concerning leg ulceration. They describe their current knowledge of leg ulcer treatment as insufficient and point to the lack of relevant courses that are adapted for their level of knowledge and the limited opportunities for clinical training.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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General practitioners’ knowledge of leg ulcer treatment in primary healthcare: an interview study

Friman

Edström

Ebbeskog

et al. 2020

Prim Health Care Res Dev

Self Cite

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“…Patients with leg ulcers were not placed on the GP’s regular schedule. The patients were treated by a nurse and the physician was only occasionally involved in the treatment, which is common practice in the Swedish context of treating leg ulcers in primary care [ 17 ]. Therefore, there was no observation of a GP in the primary care setting to perform.…”

Section: Resultsmentioning

confidence: 99%

“…Lack of interprofessional collaboration may be a reality for students in their future clinical practice, and they should be aware of the consequences. In Sweden, interprofessional collaboration in primary care with regard to leg ulcers is often rather limited [ 17 ]. Exploring current professional practice in the students’ local context can provide a pedagogical value in discussing even deficits in relation to an ideal picture.…”

Section: Discussionmentioning

confidence: 99%

Using interviews and observations in clinical practice to enhance authenticity in virtual patients for interprofessional education

2020

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Background Interprofessional collaboration is increasingly important in healthcare, but interprofessional education (IPE) faces challenges, such as different study programmes with varied schedules and campuses. These challenges can be met, in part, by using web-based virtual patients (VPs) as a tool in IPE. However, demands for relevant patient presentations and clinical practice increase when VPs are used by students from different programmes. The aim of this study was to improve the presentation of professional perspectives regarding nurses and physicians and their collaboration in order to increase the clinical authenticity of existing VPs. Methods Clinical observations were conducted to gain familiarity with the context. Semi-structured interviews were performed with individual nurses and physicians with experience of patients with leg ulcers. The interviews were recorded, transcribed and analysed using thematic analysis. Results The clinical observations exposed a lack of interprofessional collaboration in practice with regard to patients with leg ulcers. The interview analysis resulted in two themes: Clinical care and Organizational structure. The theme Clinical care included nursing with a holistic approach to the patient and awareness of the patient’s well-being, including nutrition and home situation. The theme Organizational structure revealed a lack of teamwork in primary care. The interviewees stressed learning together and sharing responsibility, and they emphasised the importance of implementing interprofessional learning in the education of nurses and physicians in order to stimulate future teamwork. The VP should offer a broad medical history so that healthcare students are made aware of how a disease can affect the patient’s social situation, and thereby illustrate the importance of interprofessional collaboration. The information should also be comprehensive and clear, leading to a diagnosis, so the student can gain clinical knowledge and build a foundation for discussion of treatment. Conclusions Interviews and observations in clinical practice can be used to enhance authenticity in VPs for interprofessional learning. A thorough look at authentic clinical environments can enrich and improve educational settings using VPs, and it can highlight the challenges students can encounter in clinical care of the patient and in an organisation with regard to interprofessional collaboration.

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Collaboration amongst general practitioners and gynaecologists working in primary health care in Germany: a cross-sectional study

Trusch

Heintze

Petelos

et al. 2021

Prim Health Care Res Dev

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Aim: This cross-sectional study is the first one to explore the collaboration of the influencing factors thereof amongst general practitioners (GPs) and gynaecologists (Gyns) working in primary care in urban and rural settings in Germany. Background: The number of women aged ≥ 50 years is predicted to increase in the next years in Germany. This coincides with the ageing of primary care specialists providing outpatient care. Whereas delegation of tasks to nurses as a form of interprofessional collaboration has been the target of recent studies, there is no data regarding collaboration amongst physicians in different specialisations working in primary care. We explored collaboration amongst GPs and Gyn regarding the healthcare provision to women aged ≥ 50 years. Methods: A quantitative postal survey was administered to GPs and Gyns in three federal states in Germany, focusing on care provision to women aged ≥ 50 years. A total of 4545 physicians, comprising 3514 GPs (67% of the total GP population) randomly selected, and all 1031 Gyns practicing in these states received the postal survey in March 2018. A single reminder was sent in April 2018 with data collection ending in June 2018. Multiple logistic regressions were performed for collaboration, adjusted by age and sex, alongside descriptive methods. Findings: The overall response rate was 31% (1389 respondents): 861 GPs (25%) and 528 Gyns (51%), with the mean respondent age being 54.4 years. Seventy-two per cent were female. Key competencies of collaboration are associated with working in rural federal states and with network participation. Physicians from rural states [odds ratio (OR) = 1.5, 95% confidence interval (CI) = 1.2, 1.9] and physicians in networks (OR = 3.0, CI = 2.3, 3.9) were more satisfied with collaboration. Collaboration to deliver services for women aged ≥ 50 years is more systematic amongst GPs and Gyns who are members of a network; increased networking could improve collaboration, and ultimately, outcomes too.

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General practitioners’ perceptions of their role and their collaboration with district nurses in wound care

Cited by 4 publications

References 32 publications

General practitioners’ knowledge of leg ulcer treatment in primary healthcare: an interview study

General practitioners’ knowledge of leg ulcer treatment in primary healthcare: an interview study

Using interviews and observations in clinical practice to enhance authenticity in virtual patients for interprofessional education

Collaboration amongst general practitioners and gynaecologists working in primary health care in Germany: a cross-sectional study

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