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Nakamura K, Siongco KLL, Moncatar TJRT, Tejero LMS, De La Vega SAF, Bonito SR, Javier R, Tsutsui T, Tri Han TD, Vo MTH, Tashiro Y, Al-Sobaihi S, Seino K, Van Vo T, Lorenzo FME, Canila CC. In-service training programme for health and social care workers in the Philippines to strengthen interprofessional collaboration in caring for older adults: a mixed-methods study. Health Res Policy Syst 2022; 20:111. [PMID: 36443768 PMCID: PMC9706821 DOI: 10.1186/s12961-022-00914-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Accepted: 09/16/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND A growing number of older adults require complex care, but coordination among professionals to provide comprehensive and high-quality care is perceived to be inadequate. Opportunities to gain the knowledge and skills important for interprofessional collaboration in the context of geriatric care are limited, particularly for those already in the workforce. A short-term training programme in interprofessional collaboration for health and social care workers in the Philippines was designed and pilot tested. The programme was devised following a review of the literature about geriatric care education and group interviews about training needs. The objectives of this paper are to introduce the training programme and to evaluate its influence on attitudes and readiness to collaborate among participants using both quantitative and qualitative methodologies. METHODS A total of 42 community health workers and 40 health institution workers participated in the training in July 2019. Quantitative indicators were used to evaluate attitudes towards and readiness for collaboration before and after the training. Content analysis was performed of responses to open-ended questions asking participants to evaluate the training. A convergent parallel mixed-methods design was applied to determine the patterns of similarities or differences between the quantitative and qualitative data. RESULTS Significant improvements were seen in scores on the Attitudes Towards Health Care Teams Scale among community health (P < 0.001) and health institution (P < 0.001) staff after the training. Scenario-based case studies allowed participants to work in groups to practise collaboration across professional and institutional boundaries; the case studies fostered greater collaboration and continuity of care. Exposure to other professionals during the training led to a deeper understanding of current practices among health and social care workers. Use of the scenario-based case studies followed by task-based discussion in groups was successful in engaging care professionals to provide patient-centred care. CONCLUSIONS This pilot test of in-service training in interprofessional collaboration in geriatric care improved community and health institution workers' attitudes towards such collaboration. A 3-day training attended by health and social care workers from diverse healthcare settings resulted in recommendations to enhance collaboration when caring for older adults in their current work settings.
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Affiliation(s)
- Keiko Nakamura
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan ,WHO Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
| | - Kathryn Lizbeth L. Siongco
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan ,grid.11159.3d0000 0000 9650 2179College of Nursing, University of the Philippines Manila, Manila, Philippines
| | - TJ Robinson T. Moncatar
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan ,grid.11159.3d0000 0000 9650 2179Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines
| | - Lourdes Marie S. Tejero
- grid.11159.3d0000 0000 9650 2179College of Nursing, University of the Philippines Manila, Manila, Philippines ,grid.11159.3d0000 0000 9650 2179Technology Transfer and Business Development Office, University of the Philippines Manila, Manila, Philippines
| | - Shelley Ann F. De La Vega
- grid.11159.3d0000 0000 9650 2179Institute on Aging, National Institutes of Health, University of the Philippines Manila, Manila, Philippines
| | - Sheila R. Bonito
- grid.11159.3d0000 0000 9650 2179College of Nursing, University of the Philippines Manila, Manila, Philippines
| | - Richard Javier
- grid.11159.3d0000 0000 9650 2179Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines ,grid.11159.3d0000 0000 9650 2179Human Resource Development Office, University of the Philippines Manila, Manila, Philippines
| | - Takako Tsutsui
- grid.266453.00000 0001 0724 9317University of Hyogo, Kobe, Japan
| | - Tran Dai Tri Han
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan ,grid.440798.6University of Medicine and Pharmacy, Hue University, Hue, Viet Nam
| | - Man Thi Hue Vo
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan ,grid.10223.320000 0004 1937 0490ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand
| | - Yuri Tashiro
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan ,WHO Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
| | - Saber Al-Sobaihi
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan
| | - Kaoruko Seino
- grid.265073.50000 0001 1014 9130Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519 Japan ,WHO Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
| | - Thang Van Vo
- grid.440798.6University of Medicine and Pharmacy, Hue University, Hue, Viet Nam
| | - Fely Marilyn E. Lorenzo
- grid.454755.20000 0004 0624 0988Commission on Higher Education of the Philippines, Manila, Philippines
| | - Carmelita C. Canila
- grid.11159.3d0000 0000 9650 2179Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines
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