Vpliv integriranih kliničnih poti na komuniciranje v timu – z vodstvom in s pacienti
integrativni pregled literature
Ključne besede:
integrirane klinične poti, komuniciranje v timu, komuniciranje z vodstvom, komuniciranje s pacienti, sodelovanje v timu, bolnišnicePovzetek
Integrirane klinične poti (IKP) so orodje za kakovostno obravnavo pacientov, ki pripomore k spodbujanju komuniciranja in sodelovanja med ponudniki zdravstvenih storitev ter njimi in pacienti. Zato je bil namen sistematične pregledne študije izčrpno pregledati znanstvene članke s področja vpliva IKP na komuniciranje v timu, z vodstvom in s pacienti, ki so izšli v letih 2010–2020. Za iskanje člankov so bile uporabljene baze podatkov, in sicer: Cinahl, Ebsco in Medline, PubMed, Google Učenjak in Cobiss. S podrobnejšo analizo branja besedil posameznih člankov je bilo od 282 znanstvenih člankov v raziskavo vključenih 12 člankov, ki so ustrezali omejitvenim kriterijem. Analiza rezultatov je pokazala, da so dokazi razmeroma slabe kakovosti, obenem pa ponujajo nasprotujoče si rezultate o vplivu IKP na komuniciranje v timu in s pacienti, čeprav večina člankov navaja njihov pozitiven vpliv. Rezultati študije tudi kažejo, da je IKP treba prilagoditi posamezni situaciji in potrebam posameznih timov ter doseči podporo vodstva, še posebej pa je treba poenotiti različne IT-sisteme. Nadomeščanje neposrednega komuniciranja z digitalnim sproža dodatne ovire pri komuniciranju v timu.
Literatura
Allen, D. (2014). Lost in translation? ‘Evidence’ and the articulation of institutional logics in integrated care pathways: from positive to negative boundary object? Sociology of Helath & Illness, 36, št. 4, str. 807–822. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: 10.1111/1467-9566.12111.
Aquino, M. R. J., Mullis, R., Moore, C., Kreit, E., Lim, L., McKevitt, C. idr. (2020). “It’s Difficult, There’s No Formula”: Qualitative Study of Stroke Related Communication Between Primary and Secondary Healthcare Professionals. International Journal of Integrated Care, 20, št. 4, str. 1–10. Pridobljeno dne 10. 2. 2020 s svetovnega spleta: https://doi.org/10.5334/ijic.5465.
Berwick, D. M., Nolan, T. W. in Whittington, J. (2008). The triple aim: care, health, and cost. Health Affairs, 27, št. 3, str. 759–769. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: https://doi.org/10.1377/ hlthaff.27.3.759.
Bodenheimer, T. and Sinsky, C. (2014). From Truple to Quadruple Aim: Care for Patient Requires Care of the Provider. Annales of Family Medicine, 12, št. 6, str. 537–576.
Busetto, L., Luijkx, K. G., Calciolari, S., Ortiz, L. G. G. and Vrijhoef, H. J. M. (2018). Barriers and Facilitators of Workforce Changes in Integrated Care. International Journal of Integrated Care, 18, št. 2, str. 1–13.
Busetto, L., Luijkx, K. G., Elissen, A. M. J. and Vrijhoef, H. J. M. (2016). Intervention types and outcomes of integrated care for diabetes mellitus type 2: A systematic review. Journal of Evaluation in Clinical Practice, 22, št. 3, str. 299–310. Pridobljeno dne 19. 2. 2020 s svetovnega spleta: https://doi. org/10.1111/jep.12478
Caring for quality in health. (2017). OECD. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: https://www.oecd.org/els/health-systems/Caring-for-Quality-in-Health-Final-report.pdf
Cramm, J. M. in Nieboer, A. P. (2011). Professionals' views on interprofessional stroke team functioning. International journal of integrated care, 11, št. E081. Pridobljeno dne 10. 2. 2020 s svetovnega spleta: https://doi.org/10.5334/ijic.657.
Curry, N. in Ham, C. (2010). Clinical and service integration: The route to improved outcomes. London: The King's Fund.
De Luc, K., Kitchiner, D., Layton, A., Morris, E., Murray, Y. and Overill, S. (2001). Developing Care Pathways: The Handbook. Routledge: London.
Deneckere, S., Euwema, M., Lodewijckx, C., Panella, M., Sermeus, W. and Vanhaecht, K. (2012). The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes. Implementation science, 7, št. 47. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: https://doi.org/10.1186/1748-5908-7-47.
Deneckere, S., Euwema, M., Van Herck, P., Lodewijckx, C., Panella, M., Sermeus, W. and Vanhaecht, K. (2012). Care pathways lead to better teamwork: Results of systemic review. Social Science & Medicine, 30, str. 1–5 .
Drewes, H. W., Steuten, L. M., Lemmens, L. C., Baan, C. A., Boshuizen, H. C. in Elissen, A. M. (2012). The effectiveness of chronic care management for heart failure: meta-regression analyses to explain the heterogeneity in outcomes. Health Services Research, 47, št. 5, str. 1926–59. Pridobljeno dne 17. 2. 2020 s svetovnega spleta: https://doi. org/10.1111/j.1475-6773.2012.01396.x.
Everink, I. H. J., van Haastregt, J. C. M., Maessen, J. M. C., Schols, J. M. A in Kempen, G. I. J. M. (2017). Process evaluation of an integrated care pathway in geriatric rehabilitation for people with complex health problems. BMC Health Services Research, 17, št. 34. Pridobljeno dne 10. 2. 2020 s svetovnega spleta https://doi.org/10.1186/s12913-016-1974-5
Gawande, A. A., Zinner, M. J., Studdert, D. M. and Brennan, T. A. (2003). Analysis of errors reported by surgeons at three teaching hospitals. Surgery, 133, št. 6, str. 614–621.
Green, J. (2006). Patient choice: a sociological perspective. Journal of Health Services Research and Policy, 11, št. 3, str. 129–132.
Greenberg, C. C., Regenbogen, S. E., Studdert, D. M., Lipsitz, S. R., Rogers, S. O. and Zinner, M. J. (2007). Patterns of communication breakdowns resulting in injury to surgical patients. Journal of the American College of Surgeons, 204, št. 4, str. 533–540.
Harrison, S. (2009). Co-optation, commodification and the medical model: governing UK medicine since 1991. Public Administration, 87, št. 2, str. 184–197.
Harrison, S. and Ahmad, W. I. U. (2000). Medical autonomy and the UK state 1975 to 2025. Sociology, 34, št. 1, str. 129–146.
Hellesø, R., Melby, L., Brattheim, B. and Toussaint, P. (2016). Integrating patient care across Norwegian healthcare settings – a ten-year perspective. International Journal of Integrated Care, 16, št. 6, str. 1–8. Pridobljeno dne 17. 2. 2020 s svetovnega spleta: http://doi.org/10.5334/ijic.2810
Hogan, C., Barry, M., Burke, M. and Joyce, P. (2011). Healthcare professionals' experiences of the implementation of integrated care pathways. International Journal of Health Care Quality Assurance, 24, št. 5, str. 334–347.
Joint Commission on Accreditation of Health Care Organizations. (2006). Root causes for sentinel events. Pridobljeno dne 17. 2. 2020 s svetovnega spleta: http://www.jointcommission.org/Sentinel_Event_Statistics/.
Kerrissey, M., Clark, J., Friedberg, M., Fryer, A., Jiang, W., Tietscher, M. idr. (2016) Associations between patients’ perceptions of care integration and organizational features of medical groups in the United States. International Journal of Integrated Care, 16, št. 6, str. 1–8. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: http://doi.org/10.5334/ijic.2821
Kiselev, J., Mellenthin, E. and Steinhagen-Thissen, E. (2017). Attitudes of health professionals and patients in a geriatric hospital towards patient involvement. International Journal of Integrated Care, 17, št. 5, str. 1–8. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: doi. dx.doi.org/10.5334/ijic.3486.
Latina, R., Salomone, K., D'Angelo, D., Coclite, D., Castellini, G., Gianola, S. idr. (2020). Towards a New System for the Assessment of the Quality in Care Pathways: An Overview of Systematic Reviews. International Journal of Environmental Research and Public Health, 17, št. 22. Pridobljeno dne 18. 2. 2020 s svetovnega spleta doi: 10.3390/ijerph17228634.
Leonard, M., Graham, S. and Bonacum, D. (2004). The human factor: the critical importance of effective teamwork and communication in providing safe care. Quality and Safety in Health Care, 13, št. S1, str. i85–90.
Levina, N. and Vaast, E. (2005). The emergence of boundary spanning competence in practice: implications for implementation and use of information systems MIS Quarterly, 20, št. 2, str. 335–363.
Lo, L. (2011). Teamwork and Communication in Healthcare: A Literature review. Edmonton: Canadian Patient Safety Institute.
Materand, W., Adwairi, M. and Ibrahim, R. (2018). Enhanced Teamwork Communication Model for Electronic Clinical Pathways in Healthcare. The Open Bioinformatics Journal, 11, 140–163.
Meeuwissen, J. A. C., Lemmens, L. C., Drewes, H. W., Lemmens, K. M. M., Steuten, L. M. G. and Elissen, A. M. J. (2012). Meta-analysis and meta-regression analyses explaining heterogeneity in outcomes of chronic care management for depression: implications for person-centered mental healthcare. The International Journal of Person Centered Medicine, 2, št. 4, str. 716–758.
Miquel Gómez, A., González González, A. I., Plaza Nohales, C., García Fernandez, P., Herrero, A., Dodero Solano, J. idr. (2018). Professional experience in an integrated care model. International Journal of Integrated Care, 18, št. 2, str. 1–8. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: http://doi.org/10.5334/ijic.s2233.
Morey, J. C., Simon, R., Jay, G. D., Wears, R. L., Salisbury, M. and Dukes, K. A. (2002). Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the Med Teams project. Health Services Research, 37, št. 6, str. 1553–1581.
Panella, M., Marchisio, S. and Di Stanislao, F. (2003). Reducing clinical variations with clinical pathways: Do pathways work? International Journal of Quality in Health Care, 15, št. 6. str. 509–521. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: https://doi.org/10.1093/intqhc/mzg057.
Pinder, R., Petchey, R., Shaw, S. and Carter, Y. (2005). What's in a care pathway? Towards a cultural cartography of the new NHS. Social Health Illness, 27, št. 6, str. 759–779.
Polit, D. F. and Beck, C. T. (2014). Essentials of Nursing Research. 8th edition. Wolters Kluver Health, Lippicott, William & Wilkins.
Prip, A., Moller, K. A., Nielsen, D. L., Jarden, M., Olsen, M. H. in Kjaergaard Danielsen, A. (2018). The Patient–Healthcare Professional Relationship and Communication in the Oncology Outpatient Setting: A Systematic Review. Cancer Nursing, 41, št. 5, str. E11–22.
Schrijvers, G. in Goodwin, N. (2010). Looking back whilst moving forward: observations on the science and application of integrated care over the past 10 years and predictions for what the next 10 years may hold. International Journal of Integrated Care, 10. Pridobljeno dne 17. 2. 2020 s svetovnega spleta: https://doi.org/10.5334/ijic.572.
Schrijvers, G., van Hoorn, A. in Huiskes, N. (2012). The Care Pathway Concept: concepts and theories: an introduction. International Journal of Integrated Care, 12, št. 6. Pridobljeno dne 18. 2. 2020 s svetovnega spleta: http://doi.org/10.5334/ijic.812.
Schuur, J. D., Baugh, C. W., Hess, E. P., Hilton, J. A., Pines, J. M. and Asplin, B. R. (2011). Critical pathways for post-emergency outpatient diagnosis and treatment: Tools to improve the value of emergency care. Academic Emergency Medicine Journal, 18, št. 6, str. e52–e63. Pridobljeno dne 11. 2. 2020 s svetovnega spleta https://doi.org/10.1111/j.1553-2712.2011.01096.x.
Sutcliffe, K. M., Lewton, E. in Rosenthal, M. M. (2004). Communication failures: an insidious contributor to medical mishaps. Academic Medicine, 79, št. 2, str. 186–194.
Suter, E., Oelke, N. D., Dias da Silva Lima, M. A., Stiphout, M., Janke, R., Witt, R. R. idr. (2017). Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis. International Journal of Integrated Care, 17, št. 6. Pridobljeno dne 11. 2. 2020 s
svetovnega spleta: http://doi.org/10.5334/ijic.3931.
Wanzer, M. B., Booth-Butterfield, M. and Gruber, K. (2004). Perceptions of health care providers’ communication: Relationships between patient-centered communication and satisfaction. Health Care Communication, 16, št. 3, str. 363–384.
Zachariae, R., Pederson, C. G., Jensen, A. B., Ehrnrooth, E., Rossen, P. B. and Von der Maase, H. (2003). Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease. British Journal of Cancer, št. 88, str. 658 –665.
