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Inpatient geriatric care in Sweden-Important factors from an inter-disciplinary team perspective
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Geriatrics.
Dalarna Univ, Sch Educ Hlth & Social Studies, S-79188 Falun, Sweden.;Orebro Univ, Sch Hlth Sci, Orebro, Sweden..
2017 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 72, p. 113-120Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to describe factors of importance for the quality of inpatient geriatric care from an inter-disciplinary team perspective, an area that has not been previously studied to our knowledge. The study design was qualitative descriptive with data being collected from focus-group interviews with members of geriatric care teams. The data collection was conducted at a Swedish university hospital with 69 beds for geriatric care. It comprised five group interviews with a total of 32 staff members, including representatives of all the seven professions working with geriatric care. Data was analysed using qualitative content analysis and a thematic framework approach. Three main themes were identified as being perceived as characterising important factors essential for quality geriatric care: Interactive assessment processes, A holistic care approach, and Proactive non-hierarchical interaction. Aspects of Time and Goal-Orientation were additionally running like common threads through these themes and informed them. Accessibility, open communication, and staff continuity were experienced as prerequisites for well-functioning teamwork. Including patients and relatives in care planning and implementation was seen as essential for good care, but was at risk due to budget cuts that imposed shortened hospital stays. To meet the care demands of the growing population of older frail people, more specialised team-based care according to the concept of Comprehensive Geriatric Assessment - which is possibly best provided by older-friendly hospitals - appears as a constructive solution for reaching high degrees of both staff and patient satisfaction in geriatric care. More research is needed in this area.

Place, publisher, year, edition, pages
2017. Vol. 72, p. 113-120
Keywords [en]
Geriatric assessment, Person-centred care, Qualitative research methods, Interview, Holistic view
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:uu:diva-333958DOI: 10.1016/j.archger.2017.06.002ISI: 000408022200018PubMedID: 28623800OAI: oai:DiVA.org:uu-333958DiVA, id: diva2:1165398
Available from: 2017-12-13 Created: 2017-12-13 Last updated: 2017-12-13Bibliographically approved

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Åberg, Anna Cristina

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