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首页> 外文期刊>Scandinavian journal of caring sciences. >Complex caring needs without simple solutions: the experience of interprofessional collaboration among staff caring for older persons with multimorbidity at home care settings
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Complex caring needs without simple solutions: the experience of interprofessional collaboration among staff caring for older persons with multimorbidity at home care settings

机译：没有简单解决方案的复杂关怀需求：在家庭护理环境中为更老年人提供员工讲解员工思想协作的经验

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Background Older persons with multimorbidity being cared for at home often have complex needs which cannot be met by one single caregiver. Interprofessional collaboration is therefore considered necessary if care is to be organised according to the needs of the older person. To achieve coherent health care, municipalities and county councils need to develop their collaboration. Aim The aim of this study was to illustrate how various professionals belonging to homemaker services, home care services in municipality and hospital‐based home care services experience collaboration in caring for older persons with multimorbidity. Method A hermeneutic approach was used. Eleven informants participated in the study and were individually interviewed. Findings The findings show that collaboration between players comprises various types of experiences which influence not only the staff who are involved in collaboration but also the outcome of the collaboration itself. The informants’ experience of collaboration was defined by distrust and trust and by insecurity and security. To focus on patients’ needs and to develop the collaboration further, it was important for informants to take the relations into account and have a reflective and questioning approach. This attitude resulted in a feeling of trust and security, and a flexible and critical approach without boundary drawings between basic and specialised care. Conclusion and relevance of practice Complex situations cannot be solved with simple models. Instead, a flexible approach appears necessary with focus shifting from structures to interpersonal relations and interactions. Therefore, the different professionals have to work as a transprofessional team where close interactions, flexibility and improvisation are keys to success. The transprofessional team approach is suggested to have the potential to take the competence of all staff into account when high‐quality home health care to older persons with multimorbidity is to be provided by multiple caregivers.
机译：背景上老人在家里被关心的多重人数经常有复杂的需求，这是一个看护人无法满足的。因此，如果要根据老年人的需求组织护理，则认为侦查协作是必要的。为实现连贯的医疗保健，市政当局和县议会需要发展他们的合作。目的这项研究的目的是说明各种专业人员如何如何属于家庭主妇服务，市政家庭护理服务以及基于医院的家庭护理服务在关注多元化的老年人员中的合作。方法使用致癌方法。 11个线人参加了这项研究，被单独采访了。调查结果表明，玩家之间的合作包括各种类型的经验，这些经历不仅影响参与合作的工作人员，而且影响合作本身的结果。通知人员的合作经验是由不信任和信任和不安全和安全的界定。要专注于患者的需求并进一步发展合作，信息人员很重要，以应对这一关系并具有反思和质疑方法。这种态度导致了信任和安全的感觉，以及一种灵活和批判的方法，没有基础和专业护理之间的边界图。结论和实践复杂情况的相关性不能用简单的模型解决。相反，焦点从结构转移到人际关系和交互所必需的灵活方法。因此，不同的专业人士必须作为一个跨专业的团队工作，其中互动，灵活性和即兴创作是成功的关键。跨专业团队方法建议在多个护理人员提供高质量的家庭医疗保健时，有可能承担所有员工的能力，以考虑到多重护理人员的老年人。

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