PTOTQualitativeNursing open2020

Health and social care professionals' experiences of collaborative planning-Applying the person-centred practice framework.

Ingela Jobe, Birgitta Lindberg, Åsa Engström

PMID 33072387

WHAT IT FOUND

Professionals described collaborative planning after discharge as uneven: teamwork improved in some places, but unclear roles, power tensions, administrative meetings and limited time made person-centred care hard.

They wanted shared definitions, fewer attendees and planning with patients at home.

Key findings

01The new way of working created new roles and responsibilities, but participants said some health centres did not assume responsibility or follow the process.

02Participants said many conferences did not serve their purpose and felt more like an administration tool than an opportunity to agree care with the patient.

03Time pressures and minimum resources were described as risking services patients did not need, instead of building on their capabilities.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

Only 11 professionals from two municipalities were interviewed, so the themes may not apply elsewhere. The analysis used only two domains of the person-centred framework because the data did not include professionals' attributes or the results of collaborative planning. Findings are professionals' reported experiences, not patient outcomes or audited care plans.

The easy way to misread this

Do not read this as evidence that collaborative planning improves patient outcomes. It reports professionals' experiences, not patient results, and no intervention was tested.

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