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Interprofessional education in primary care for the elderly: a pilot study

机译：老年人初级保健的专业间教育：一项试点研究

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Background The Dutch health care system faces huge challenges with regard to the demand on elderly care and the competencies of nurses and physicians required to meet this demand. At present, the main focus of health care in the Netherlands lies on illness and treatment. However, (frail) elderly need care and support that takes their daily functioning and well-being into consideration as well. Therefore, health care professionals, especially those professionals working in primary care such as GPs and practice nurses, will be challenged to a paradigm shift in emphasis from treating illness to promoting health (healthy ageing). Interprofessional education is necessary to realise this shift in professional behaviour. Evidence indicates that interprofessional education (IPE) can play a pivotal role in enhancing the competencies of professionals in order to provide elderly care that is both effectively, integrated and well-coordinated. At present, however, IPE in primary care is rarely utilised in the Netherlands. Therefore, the aim of this pilot study was to develop an IPE program for GPs and practice nurses and to evaluate the feasibility of an IPE program for professionals with different educational backgrounds and its effect on the division of professionals’ tasks and responsibilities. Methods Ten GPs and 10 practice nurses from eight primary care practices in two provinces in the north of the Netherlands, Groningen and Drenthe (total population about 1.1 million people), participated in the pilot IPE program. A mixed methods design including quantitative and qualitative methods was used to evaluate the IPE program. Results During the program, tasks and responsibilities, in particular those related to the care plan, shifted from GP to practice nurse. The participants’ attitude toward elderly (care) changed and the triage instrument, the practical tool for prioritising preferences of the elderly and discussing their medication use, was considered to have an added value to the development of the care plan. Conclusions The results of this pilot study show that an interprofessional education program for professionals with different educational backgrounds (GPs and practice nurses) is feasible and has an added value to the redefining of tasks and responsibilities among GPs and practice nurses.
机译：背景技术在对老年人护理的需求以及满足该需求所需的护士和医师的能力方面，荷兰医疗体系面临着巨大的挑战。目前，荷兰医疗保健的主要重点在于疾病和治疗。但是，（虚弱的）老年人需要照顾和支持，也要考虑到他们的日常工作和幸福。因此，医疗保健专业人员，尤其是那些从事初级保健工作的专业人员，例如全科医生和执业护士，将面临从治疗疾病到促进健康（健康老龄化）的重心转变。为了实现职业行为的这种转变，跨职业教育是必要的。有证据表明，职业间教育（IPE）在提高专业人才的能力方面可以发挥关键作用，以便提供有效，综合和协调良好的老年人护理。但是，目前，荷兰很少在初级保健中使用IPE。因此，本试验研究的目的是为全科医生和执业护士制定IPE计划，并评估针对具有不同教育背景的专业人员制定IPE计划的可行性及其对专业人员任务和职责划分的影响。方法来自荷兰北部两个省格罗宁根和德伦特省（总人口约110万人）的八个初级保健机构的10名全科医生和10名执业护士参加了IPE试点计划。包括定量和定性方法的混合方法设计用于评估IPE程序。结果在计划期间，任务和职责，特别是与护理计划有关的任务和职责，从GP转到了执业护士。参与者对老年人（护理）的态度发生了变化，分类工具是优先考虑老年人喜好并讨论其用药情况的实用工具，被认为对护理计划的开发具有附加价值。结论这项初步研究的结果表明，针对具有不同教育背景的专业人员（全科医生和执业护士）进行跨专业教育计划是可行的，并且对重新定义全科医生和执业护士的任务和职责具有附加价值。

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