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Tytuł:
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A Typology of Interprofessional Teamwork in Acute Geriatric Care: A Study in 55 units in Belgium.
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Autorzy:
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Piers, Ruth D.
Versluys, Karen J. J.
Devoghel, Johan
Lambrecht, Sophie
Vyt, André
Van Den Noortgate, Nele J.
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Temat:
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GERIATRIC health care teams
INTERPROFESSIONAL relations
GERIATRICS
NURSE-patient relationships
MEDICAL decision making
PHYSICIAN-patient relations
GERIATRIC care units
TEAMS in the workplace
ELDER care
ATTITUDE (Psychology)
CLUSTER analysis (Statistics)
CORPORATE culture
MEDICAL cooperation
MEDICAL personnel
MEDICAL referrals
MEETINGS
NURSES
PHYSICIANS
PROBABILITY theory
QUALITY assurance
QUESTIONNAIRES
REFLECTION (Philosophy)
RESEARCH
DECISION making in clinical medicine
PROFESSIONAL practice
JOB performance
CROSS-sectional method
DESCRIPTIVE statistics
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Źródło:
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Journal of the American Geriatrics Society; Sep2017, Vol. 65 Issue 9, p2064-2070, 7p, 1 Diagram, 2 Charts, 1 Graph
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Terminy geograficzne:
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BELGIUM
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Objectives To explore the quality of interprofessional teamwork in acute geriatric care and to build a model of team types. Design Cross-sectional multicenter study. Setting Acute geriatric units in Belgium. Participants Team members of different professional backgrounds. Measurements Perceptions of interprofessional teamwork among team members of 55 acute geriatric units in Belgium were measured using a survey covering collaborative practice and experience, managerial coaching and open team culture, shared reflection and decision-making, patient files facilitating teamwork, members' belief in the power of teamwork, and members' comfort in reporting incidents. Cluster analysis was used to determine types of interprofessional teamwork. Professions and clusters were compared using analysis of variance. Results The overall response rate was 60%. Of the 890 respondents, 71% were nursing professionals, 20% other allied health professionals, 5% physicians, and 4% logistic and administrative staff. More than 70% of respondents scored highly on interprofessional teamwork competencies, consultation, experiences, meetings, management, and results. Fewer than 55% scored highly on items about shared reflection and decision-making, reporting incidents from a colleague, and patient files facilitating interprofessional teamwork. Nurses in this study rated shared reflection and decision-making lower than physicians on the same acute geriatric units ( P < .001). Using the mean score on each of the six areas, four clusters that differed significantly in all areas were identified using hierarchical cluster analysis and scree plot analysis ( P < .001). Conclusion Interprofessional teamwork in acute geriatric units is satisfactory, but shared reflection and decision-making needs improvement. Four types of interprofessional teamwork are identified and can be used to benchmark the teamwork of individual teams. [ABSTRACT FROM AUTHOR]
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