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Tytuł pozycji:

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

Tytuł :
A nation-wide cross-sectional study of variations in homecare nurses' assessments of informational continuity - the importance of horizontal collaboration and municipal context.
Autorzy :
Veenstra M; Norwegian Social Research, Oslo Metropolitan University, Oslo, Norway. .; Centre for Care research, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway. .
Skinner MS; Centre for Care research, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
Sogstad MKR; Centre for Care research, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
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Źródło :
BMC health services research [BMC Health Serv Res] 2020 May 25; Vol. 20 (1), pp. 464. Date of Electronic Publication: 2020 May 25.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: London : BioMed Central, [2001-
MeSH Terms :
Continuity of Patient Care/*organization & administration
Documentation/*standards
Home Care Services/*organization & administration
Nurses, Community Health/*psychology
Adult ; Aged ; Cross-Sectional Studies ; Female ; General Practitioners/psychology ; Health Services Research ; Humans ; Male ; Middle Aged ; Norway ; Nurses, Community Health/statistics & numerical data ; Physician-Nurse Relations ; Urban Health Services/organization & administration
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Grant Information :
256644 Research Council of Norway
Contributed Indexing :
Keywords: Community health; Continuity of patient care; Cross-sectional survey; Home nursing; Informational continuity; Multilevel analyses, horizontal collaboration
Entry Date(s) :
Date Created: 20200527 Date Completed: 20201204 Latest Revision: 20201214
Update Code :
20210623
PubMed Central ID :
PMC7249293
DOI :
10.1186/s12913-020-05313-3
PMID :
32450876
Czasopismo naukowe
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).
Conclusions: Documentation systems have a limited focus on long-term care needs of older care recipients beyond clinical and medical information. There is a potential for enhanced communication- and care-pathways between GPs, the allotment office and nurses in homecare services. This can support the coordinating role of homecare nurses in ensuring informational continuity for older adults with prolonged and complex care needs and help develop the facilitating role of (electronic) documentation systems.
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