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Prof dr Bart Van Rompaey , department of nursing and midwifery

Transmural cooperation between general practioners and nursing staff in residential care facilities. Prof dr Bart Van Rompaey , department of nursing and midwifery Jolien De Cock MS department of nursing and midwifery Prof dr Johan Wens , department of general practice

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Prof dr Bart Van Rompaey , department of nursing and midwifery

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  1. Transmural cooperation between general practioners and nursing staff in residential care facilities Prof dr Bart Van Rompaey, department of nursing and midwifery Jolien De Cock MS department of nursing and midwifery Prof dr Johan Wens, department of general practice Prof dr Tinne Dilles, Nurse and Pharmaceutical Care Research Group

  2. Outline of the presentation • Background • Methodology • Results • Conclusions • Take home message

  3. Background Transmural cooperation? • Transmural care (Aeyels et al. 2011, Directory General Organisation of Healthcare Facilities, Belgium) All kinds of care, patient tailored, based on agreements… between specialised and general care givers, given a shared responsibility superordinating different profession-related responsibilities • Cooperation (Knowles et al. 2015, BMC Family Practice 16-2) A multidisciplinary approach to patient care including structured care plans, follow-up and improvement of interprofessional communication

  4. Background • Patients are free to choose their general practioner (GP) in • Free choice remains in a residential care facility (RCF) • 2/3 (of n=176) facilities deal with 11 to 30 GP’s • GP’s: • The visit and care for older people is not a priority • A patient visit in a RCF lasts 5 minutes (Theile et al 2011, BMC Family Practice 12-12) • Indicate a need for easy and accessible communication with the staff • 56% patient contact, 26% indirect patient activities, 18% non patient activities (van Hassel et al 2014, Huisarts en wetenschap 4) • Double patient data file • GP’s patient file • RCF’s patient care file

  5. Aim and research questions Toobtaininsight in the transmural cooperation betweenGP’sand the staff in RCF Strenghts Limitations Challenges Recommendations • How do nurses andGP’sexperiencetransmural cooperation? • Which factors seemtoinfluencethistransmural cooperation? • What are opportunitiestoimprovethistransmural cooperation?

  6. Methodology • Qualitative design: phenomenology using a descriptive approach • Semi structured interview - topic list based on literature review /discussion • Convenience sample • Interviewees • Informed consent • RCF older than 2010 • 6 Head nurses of RCF (2 yrs) • 8 GP’s (no CRA) • Recored, transcribed whitin 24 hrs • Coding • Thematic clustering

  7. Population

  8. Results - topics • Perception of the cooperation • Expectations • Continuity of care • Relation GP – nurse • Factors influencing the cooperation • Opportunities for improvement

  9. Results - Perception of the cooperation

  10. Results - Expectations

  11. Results - Continuity of care

  12. Results - Relation GP – nurse

  13. Results - Factors influencing the cooperation

  14. Results - Opportunities for improvement

  15. Conclusions • Good cooperation often related to attitude and personality of GP • Hierarchic relation leads to poor appreciation and denial of recommendations • Nurses has to collect all information and provide it in a structured way • EPD solves most problems when all caregivers have complete access to the data

  16. Take home message This presentation aims at rising the awareness and the respect for the aspects of each profession in transmural care. A well designed and easy to use electronic patient file with respect to all caregivers is needed for a fast and continuous information in interdisciplinary residential care.

  17. Transmural cooperation between general practioners and nursing staff in residential care facilities

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