Samhandling i kommunale helse- og omsorgstjenester – en studie av hjemmesykepleieres erfaringer

Kassah, Bente Lilljan Lind; Tønnessen, Siri

doi:10.18261/issn.2464-3076-2016-04-04

Cited by 16 publications

(18 citation statements)

References 16 publications

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“…In these instances, municipal health care services typically involve multiple care encounters over time with visits from more than one, often many, carer(s) [3]. Recent decentralization policies in Norway have contributed to a differentiation of municipal care services [4] with increased responsibilities for homecare nurses towards a higher number of older adults with complex care needs [5][6][7][8]. Unless relevant social, medical and nursing information is available and is transferred between carers and across care settings to connect care encounters, continuity of care is threatened [3,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

A nation-wide cross-sectional study of variations in homecare nurses’ assessments of informational continuity – the importance of horizontal collaboration and municipal context

Veenstra

Skinner

Sogstad

2020

BMC Health Serv Res

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Background: Numerous studies have revealed challenges associated with ensuring informational continuity in municipal care services for older adults with comprehensive, prolonged and complex care needs. Most research is qualitative and on the micro-level. The aim of the current study is to map variation in homecare nurses' assessments of available information in the municipalities' documentation system and investigate the extent to which these assessments are associated with perceived quality of collaborations and with municipal context. Methods: We used data from a nationwide web-based survey among 1612 nurses working with older adults (65+) in homecare services in Norway. Responses from individual homecare nurses were linked with municipal-level data from the public registers. Data were analysed with descriptive statistics and multilevel regression analyses. Results: Information on the recipients' medications and medical condition was considered most often available (42.8 and 20.0% responding very often/always), whereas information related to psychosocial needs and future follow-up was perceived less available (4.5 and 6.7% responding very often/always). Homecare nurses' perceptions of the quality of collaboration with the GP and the allotment office were independently and positively associated with assessments of informational continuity (ß =0.86 and ß =0.96). A modest share of the total variation (8%) in assessments of informational continuity was at the structural level of municipality. Small municipalities (< 5000 inhabitants) had, on average, better informational continuity compared to larger municipalities (ß =-0.47).

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Section: Introductionmentioning

confidence: 99%

A nation-wide cross-sectional study of variations in homecare nurses’ assessments of informational continuity – the importance of horizontal collaboration and municipal context

Veenstra

Skinner

Sogstad

2020

BMC Health Serv Res

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“…Betydinga av ein møtestad for samhandling for deling og utvikling av kunnskap vert understreka og etterspurt (Hjelle et al, 2016;Kassah & Tønnessen, 2016;Lo, Waldahl & Antonsen, 2019). Mangelen på ein slik møtestad kan føre til fragmentert oppgåvefordeling (E. .…”

Section: Diskusjonunclassified

“…Vidare kan helsetenestene opplevast som separate siloar som ikkje samhandlar (Goodwin et al, 2017;Hellesø et al, 2019). For å få til god samhandling mellom ulike fagpersonar, vil det vere nyttig med kjennskap til faktorar som fremmar og hemmar samhandlinga (Kassah & Tønnessen, 2016;C. F. Moe et al, 2019).…”

Section: Introduksjonunclassified

Samhandling om kvardagsrehabilitering – ein kvalitativ studie

Sandvoll

Ruud

Sæterbakken

2020

TFO

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Studiar om fagpersonar sine erfaringar med samhandling om kvardagsrehabilitering er etterspurt. Hensikta med studien var å utforske og beskrive korleis tilsette erfarer samhandling om kvardagsrehabilitering. Gjennom 13 kvalitative intervju fekk vi innsikt i korleis tilsette i heimetenestene erfarer samhandlinga. Informantane beskriv ei ambivalens i samhandlinga. På den eine sida opplever informantane god samhandling i teamet, felles forståing for oppgåvene og lite konfliktar innanfor teamet. Samstundes erfarer informantane at samhandlinga med resten av heimetenestene er meir utfordrande. Denne ambivalensen kan forståast som at informantane opplever å stå i eit spenningsfelt mellom ope og lukka samarbeid. Vidare er fleksibilitet i samhandlinga viktig for at arbeidsoppgåvene skal bli gjort og kvardagen skal fungere. Informantane må ofte prioritere oppgåver i heimetenesta framfor kvardagsrehabilitering, og ta att oppdrag med kvardagsrehabilitering seinare på dagen. Fleksibiliteten er saerleg utfordrande for informantane med delt stilling i kvardagsrehabiliteringsteam og ordinaer heimeteneste. Prioriteringa av hasteoppgåver bremsar arbeidet med kvardagsrehabilitering. Informantane beskriv korleis digitalisering lettar samhandlinga mellom for eksempel fastlege, sjukehus og heimetenesta. Elektroniske verktøy fungerer som ein møteplass for samhandling. Det er behov for vidare utforsking av korleis digitalisering bidreg i samhandlinga om kvardagsrehabilitering.

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“…Sykepleiernes opplevelse av et økt behov for samarbeid etter innføringen av Samhandlingsreformen er i samsvar med tidligere studier (Kassah & Tønnessen, 2016;Saeterstrand et al, 2015). En av hovedårsakene er en større kompleksitet i arbeidet i hjemmesykepleien etter innføringen av reformen (Gautun & Syse, 2013).…”

Section: Forskjellene I Behov For Samarbeidunclassified

Samarbeidets vilkår etter Samhandlingsreformen - en enkeltcase-studie

Løken

Kirchhoff

2018

NorTidHelse

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The home nursing care is responsible for providing health care to patients with chronic and complex disorders in the municipality. This requires interprofessional collaboration between the nurses and general practitioners (GP`s). This article explores how the Coordination Reform has affected the collaboration between GP`s and nurses in the home nursing care, and what organisational factors are important for the collaboration. The results are based on a case study with focus group interviews including 20 nurses and in depth interviews with four GP`s. Analysis revealed that the Coordination reform has led to an asymmetry in the need for collaboration where the nurses have an increase in the need for collaboration. In addition, nurses wanted more meetings in patients` homes to discuss patients' health care needs. However, the funding system attached to the GP`s and their role as self-employed was an organisational barrier meeting nurses' needs.

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Samhandling i kommunale helse- og omsorgstjenester – en studie av hjemmesykepleieres erfaringer

Cited by 16 publications

References 16 publications

A nation-wide cross-sectional study of variations in homecare nurses’ assessments of informational continuity – the importance of horizontal collaboration and municipal context

A nation-wide cross-sectional study of variations in homecare nurses’ assessments of informational continuity – the importance of horizontal collaboration and municipal context

Samhandling om kvardagsrehabilitering – ein kvalitativ studie

Samarbeidets vilkår etter Samhandlingsreformen - en enkeltcase-studie

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