Search: id:"swepub:oai:gup.ub.gu.se/275694" >
Flawed communicatio...
Flawed communications: Health professionals' experience of collaboration in the care of frail elderly patients
-
- Hansson, Anders, 1953- (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,University Health Care Research Centre, Region Örebro County; Örebro University, School of Medical Sciences, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden
-
- Svensson, Ann, 1962- (author)
- Högskolan Väst,Avd för informatik
-
- Hedman Ahlström, Britt, 1954- (author)
- Högskolan Väst,Avdelningen for hälsopromotion och vårdvetenskap
-
show more...
-
- Larsson, Lena Gunvor (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Academy of Sahlgrenska, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
-
- Forsman, Berit, 1956- (author)
- Högskolan Väst,Avdelningen för omvårdnad - grundnivå
-
- Alsén, Pia, 1956- (author)
- Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå
-
show less...
-
(creator_code:org_t)
- 2017-07-12
- 2018
- English.
-
In: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 46:7, s. 680-689
- Related links:
-
https://gup.ub.gu.se...
-
show more...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
https://urn.kb.se/re...
-
show less...
Abstract
Subject headings
Close
- Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals' experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees' own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Communication barriers
- community health services
- discharge planning
- prescription drugs
- frail
- qualitative content-analysis
- physician communication
- hospital
- discharge
- public-health
- continuity
- Communication barriers
- Vårdvetenskap
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
-
Hansson, Anders, ...
-
Svensson, Ann, 1 ...
-
Hedman Ahlström, ...
-
Larsson, Lena Gu ...
-
Forsman, Berit, ...
-
Alsén, Pia, 1956 ...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
-
MEDICAL AND HEAL ...
-
and Health Sciences
-
and Public Health Gl ...
-
- MEDICAL AND HEALTH SCIENCES
-
MEDICAL AND HEAL ...
-
and Health Sciences
-
and Nursing
- Articles in the publication
-
Scandinavian Jou ...
- By the university
-
University of Gothenburg
-
Örebro University
-
University West