Implementation of an interprofessional communication and collaboration intervention to improve care capacity for heart failure management in long-term care

TitleImplementation of an interprofessional communication and collaboration intervention to improve care capacity for heart failure management in long-term care
Publication TypeJournal Article
Year of Publication2017
AuthorsBoscart V.M, Heckman G.A, Huson K., Brohman L., Harkness K.I, Hirdes J., McKelvie R.S, Stolee P.
JournalJ Interprof Care
Volume31
Issue5
Pagination583-592
Date PublishedSep
ISBN Number1356-1820
Accession Number28876202
Keywords*Communication, Adult, Attitude of Health Personnel, Chronic Disease, Cooperative Behavior, Disease Management, Female, Health Knowledge, Attitudes, Practice, heart failure, Heart Failure/*therapy, Homes for the Aged/*organization & administration, Humans, Inservice Training/organization & administration, interprofessional collaboration, interprofessional communication, Interprofessional Relations, Long-Term Care, Male, nursing assistants, Nursing Homes/*organization & administration, Patient Care Team/*organization & administration, Pilot Projects, Professional Role, Qualitative Research, Quality of Health Care/organization & administration, teams, unregulated care providers
Abstract

Heart failure affects up to 20% of nursing home residents and is associated with high morbidity, mortality, and transfers to acute care. A major barrier to heart failure management in nursing home settings is limited interprofessional communication. Guideline-based heart failure management programs in nursing homes can reduce hospitalisation rates, though sustainability is limited when interprofessional communication is not addressed. A pilot intervention, 'Enhancing Knowledge and Interprofessional Care for Heart Failure', was implemented on two units in two conveniently selected nursing homes to optimise interprofessional care processes amongst the care team. A core heart team was established, and participants received tailored education focused on heart failure management principles and communication processes, as well as weekly mentoring. Our previous work provided evidence for this intervention's acceptability and implementation fidelity. This paper focuses on the preliminary impact of the intervention on staff heart failure knowledge, communication, and interprofessional collaboration. To determine the initial impact of the intervention on selected staff outcomes, we employed a qualitative design, using a social constructivist interpretive framework. Findings indicated a perceived increase in team engagement, interprofessional collaboration, communication, knowledge about heart failure, and improved clinical outcomes. Individual interviews with staff revealed innovative ways to enhance communication, supporting one another with knowledge and engagement in collaborative practices with residents and families. Engaging teams, through the establishment of core heart teams, was successful to develop interprofessional communication processes for heart failure management. Further steps to be undertaken include assessing the sustainability and effectiveness of this approach with a larger sample.

DOI10.1080/13561820.2017.1340875
Short TitleJournal of interprofessional careJournal of interprofessional care
Alternate JournalJournal of interprofessional care