Concrete Behaviours Expected in Interdisciplinary Teams in Home Nursing Care Inspired by Buurtzorg: Qualitative Descriptive Study.
Benjamin Olivares Bøgeskov, Gry Segoli
PMID 42773732WHAT IT FOUND
Home nursing team meetings were described as well-functioning when everyone spoke, listened, asked, updated records together, and made decisions collectively.
Weak meetings had unclear roles, side conversations, blame, absent staff, and poor space.
Key findings
01The study identified shared understanding, shared solving, and shared deciding as core meeting behaviours.
02High-quality dialogue depended on everyone speaking, listening, and asking, with documentation read and updated during meetings.
03Meetings were described as undermined when relevant staff were absent or when rooms were cramped, noisy, or not private.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The findings come from one municipality's Buurtzorg-inspired teams, so they may not fit other home care systems. The study observed meetings and did not measure patient outcomes, so it cannot show that these behaviours improve care. Some behaviours were seen more clearly in failures than in successes, and the study did not provide objective criteria for a well-functioning team. Technology, documentation, and role practices may not generalise because local meeting rules and municipal structure were specific.
Declared interests
The study was supported by the Municipality of Rudersdal, where the teams were observed. The authors declared no conflicts of interest.
The easy way to misread this
Do not read these behaviours as evidence that interdisciplinary teams improve patient outcomes. The study did not measure clinical results, and it was done in one municipality with local adaptations.