Improving the experience of hip fracture care: A multidisciplinary collaborative approach to implementing evidence-based, person-centred practice

“Partners rather than just providers…”: A qualitative study on health care professionals’ views on implementation of multidisciplinary group meetings in the North West London Integrated Care Pilot

“…Lack of standardised procedures were previously shown to constitute a barrier to health professionals’ productive participation in multidisciplinary group meetings [ 16 ] and in this study participants offered a range of ideas on how to overcome this problem. Effective multidisciplinary work can also help health professionals change their everyday practice [ 15 ] and help patients understand the health care process [ 19 ]. There is potential that these findings can help to achieve tangible benefits since young health professionals are positive towards multidisciplinary working, learning and collaboration [ 20 ].…”

“…Therefore, complementary behaviour together with enhanced understanding of the standardised procedures can lead to better outcomes. Consequently, multidisciplinary groups have the potential to improve communication and improve patients’ understanding of the care process [ 19 ]. It is promising that recent evidence indicates that young medical, nursing and other health professional students are positive towards inter-professional collaboration and learning [ 20 ].…”

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

“…Corresponding with the findings of Christie et al, we found that the daily meetings with the purpose of improving the patient journey and creating shared understandings and goals enhanced interprofessional collaboration. Whereas Christie et al introduced a participatory process by inviting the healthcare professionals to participate in meetings over a limited period of time outside work settings [ 8 ], in the unit under study here the process aimed to establish a collaborative framework directly connected with patient care and treatment. It appears that whereas frequent meetings can improve interprofessional collaboration and the patient care pathway, in themselves they do not ensure improvement if shared goal-setting is absent [ 7 ].…”

“…In particular, the absence of goal-setting among interprofessional teams appeared to continue to challenge progress [ 7 ]. In another study, 16 clinical leaders from different disciplines participated in facilitated action meetings aiming at exploring collaborative approaches to the implementation of person-centred hip fracture care [ 8 ]. Christie et al found that individuals, teams and management entertained essentially different expectations of goals and outcomes of the patient pathway.…”

“…Overall, the findings indicate that 1) care continued to be delivered by distinct “service units”, 2) the professions worked independently of each other and 3) communication was insufficient; thus contributing to fragmented treatment and care. However, the introduction of facilitated action meetings was found to enhance communication by developing a patient-centred approach, shared values and overall understanding of the necessity of professionals’ different competences [ 8 ]. With Christie’s focus on the clinical leaders’ perception, the aim of our study was to describe clinical healthcare professionals’ views on and experiences with working in an interprofessional orthogeriatric unit.…”