Technology supporting cooperative practice: A Norwegian municipality׳s implementation of electronic plan

Billington, Mary Genevieve; Gjerstad, Brita; Nødland, Svein Ingve

doi:10.1016/j.hlpt.2017.06.002

Cited by 2 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Implementing such new communication tools can meet challenges of technical, organisational and social issues [ 43 ]. For example, a Norwegian study showed that implementation and use of e-ICPs was impeded by practical limitations, insufficient time and preferences for more familiar and personal ways of communicating, like telephone or email [ 44 ]. Despite strong policy imperatives, ICPs have remained significantly underused in Norway.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to communication in rehabilitation services across healthcare levels: a qualitative case study in a Norwegian context

Skumsnes,

Thygesen,

Groven

2023

BMC Health Serv Res

View full text Add to dashboard Cite

Background People with problems in functioning following severe injury or illness often need multiple and combined interventions in their rehabilitation processes. In these processes, communication and collaboration between the involved healthcare professionals are essential. Despite efforts in research and policy, communication across hospital and primary healthcare services and within the primary healthcare settings remains challenging. In one region of Norway, a new intermunicipal rehabilitation team has been established to supplement the traditional services and context-bound research is needed to gain insight into the complexity of the new communication structures that are developing. The aim of this study was to explore facilitators and barriers to communication to inform further improvement of the services. Methods A qualitative case study design was used to explore the exchange of patient information in the rehabilitation processes of four patients. Data collection included participant observations in communication situations and an exploration of the electronic patient records of these four patients. Reflexive thematic analysis was used to analyse the empirical data. Results The complex rehabilitation processes explored involved a large number of actors across healthcare organisational levels. Lacking a common culture for rehabilitation, poor access to written information and unclear responsibility for sharing information across organisational boundaries seemed to represent barriers to interprofessional communication. Joint meetings, the use of common rehabilitation tools and language and establishing informal communication channels served to facilitate communication. Conclusion The intermunicipal team collaborating across different organisational levels added complexity to communication structures, but also facilitated interprofessional communication by promoting formal and informal ways of exchanging information. However, the intricate organisational divisions of healthcare provision in the Norwegian context represent boundaries which can be difficult to overcome. Therefore, cross-organisational coordination services should be developed.

show abstract

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to communication in rehabilitation services across healthcare levels: a qualitative case study in a Norwegian context

Skumsnes,

Thygesen,

Groven

2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Implementing new digital communication tools across healthcare levels and departments can meet challenges of technical, organisational and social issues (46). In a study exploring technology implementation and use of e-ICPs, Billington et al concluded that implementation was impeded by practical limitations such as technical problems, insu cient time and personal preferences for more familiar and personal forms of communication like telephone and email (47). Harsløf et al found that despite strong policy imperatives, ICPs have remained signi cantly underused in Norway, suggesting that this emerges from both ambiguous understanding of rehabilitation and the municipalities' self-government as how to organise their services (48).…”

Section: The Complexity Of Digital Information Structuresmentioning

confidence: 99%

Facilitators and barriers to communication in rehabilitation services across healthcare levels: A qualitative case study in a Norwegian context

Skumsnes

Thygesen

Groven

2023

Preprint

View full text Add to dashboard Cite

Background People experiencing functional decline following injury or illness often need multiple and combined interventions in their rehabilitation processes. This means that collaboration and coordination between the involved healthcare professionals are essential. Interprofessional collaboration has, to a large extent, been explored in previous research, which has indicated the importance of facilitators of communication. Despite efforts in both research and policy, challenges in practice continue, both in the collaboration across specialist and primary levels of healthcare and within primary healthcare. Context-bound research is needed to gain insight into the complexity of these communication challenges. In this study we explore facilitators and barriers to communication in the context of neurological rehabilitation from specialist care at hospital to municipality primary care in a region of Norway. We address the transfer and exchange of relevant patient information between involved healthcare professionals.Methods A qualitative case study design was used to explore the exchange of patient information in the neurological rehabilitation processes for four patients. The data collection included participant observations in communication situations and an exploration of the electronic patient records of the same four patients. Reflexive thematic analysis was used to code and analyse the data, and the theory of practice architecture was used to interpret and structure the findings.Results We found three main barriers to communication: lack of a common understanding and culture for rehabilitation, poor access to written information and unclear authority and responsibilities for sharing information. These barriers are intertwined and influence communication practices.Conclusion The chains of interventions in the rehabilitation process depend on extensive information exchange among many of the health professionals involved, making collaboration complex. The barriers to exchanging relevant patient information need to be acknowledged as well as how informal relations among the involved facilitate the flow of information. More extensive use of joint communication tools may contribute to handling the complexity and to reducing barriers to communication.

show abstract

Technology supporting cooperative practice: A Norwegian municipality׳s implementation of electronic plan

Cited by 2 publications

References 12 publications

Facilitators and barriers to communication in rehabilitation services across healthcare levels: a qualitative case study in a Norwegian context

Facilitators and barriers to communication in rehabilitation services across healthcare levels: a qualitative case study in a Norwegian context

Facilitators and barriers to communication in rehabilitation services across healthcare levels: A qualitative case study in a Norwegian context

Contact Info

Product

Resources

About