Geschlechtsrollenorientierung und interdisziplinäre Zusammenarbeit im Gesundheitswesen

Erfahrungen bei der Anwendung einer interprofessionellen Anamnese im Krankenhaus

Experiences with the application of an interprofessional anamnesis in hospitals - A qualitative accompanying study Abstract. Background: Interprofessional cooperation is a key issue today when addressing quality improvement and process optimization in the healthcare sector. Interprofessional documentation systems play an important role here.

AIM

This article describes the experiences of 19 nurses and physicians in an acute care hospital before and after the introduction of an interprofessional anamnesis. The aim was to show whether and how interprofessional cooperation changed during the ten months study period.

METHODS

The data are based on three group discussions at three different times with six to seven newly recruited participants in an interprofessional composition. The data analysis was carried out using the documentary method after Bohnsack.

RESULTS

The group discussions document different phases of a developing interprofessional cooperation. By recognizing different professional perspectives and process structures, areas of responsibility could be clarified and trust could be built. This enabled the participants to benefit from the new cooperation and to introduce further common improvement requests.

CONCLUSIONS

An interprofessionally developed working tool, such as shared instruments for taking and recording the anamnesis, can have a positive influence on interprofessional cooperation. Interprofessional exchange formats appear to have a beneficial effect on this development process.

Terminology for interprofessional collaboration: definition and current practice

OBJECTIVES

Interprofessional collaboration leads to an improvement in health care. This call for increased interprofessional collaboration has led to national and international recommendations for interprofessional learning and education. The GMA has taken up this challenge and has implemented a working group on "interprofessional education in the health professions" to address this topic. The terminology used to describe collaboration among the health professions seems to vary and does not reflect any clear consensus. The aim of this paper is to identify the different terms used to describe collaboration between health professions and to analyse their use in German journals.

METHODS

The terms frequently used to describe collaboration between health professionals were identified and defined. German medical journals were then pragmatically analyzed regarding the use of the terms interprof* and interdiszip*.

RESULTS

The German terms for interprofessional and interdisciplinary were not used consistently in the journals reviewed.

CONCLUSION

There seems to be no agreement on the use of terms to describe the collaboration between health professions. Consistent terminology should be used as a basis for promoting collaboration and improving understanding among the parties involved.

[From the nursing home to hospital and back again… A mixed methods study on hospital transfers from nursing homes]

Hospital transfers from nursing homes are frequent, costly, often preventable, and can have negative effects on the residents' health. The present study investigated the current situation in Carinthia (Austria) regarding the characteristics of relocated nursing home residents, the proportion of avoidable transfers, the consequences of relocation from the physicians' and nurses' perspectives and ways for improving nursing home care. Retrospectively, the documentations of a regional hospital (N=4149), a rescue service (N=10754), and a social insurance agency (N=7051) were analysed; qualitative interviews with physicians (N=25) and nursing administrators (N=16) were conducted. A considerable proportion of these transports seemed to be avoidable: for example, about 40% of the ambulatory treatments in the emergency department of the investigated hospital were inappropriate. Options for improving the current situation will be discussed.