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Optimal Care Pathways for People with Lung Cancer- a Scoping Review of the Literature
Conclusions: The limited number of relevant articles found in this review may suggest that an OCP for lung cancer is still in its preliminary stages across the broader health systems. Published on 2020-09-28 10:48:53 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 28, 2020 Category: Nursing Source Type: research

Care Coordination in Palliative Home Care: Who Plays the Key Role?
Background: Clearly identified professionals who are appointed for care coordination are invaluable for ensuring efficient coordination of health care services. However, challenges to identifying roles in palliative care are well documented in literature. Notably, in order to meet high demands on palliative home care settings, many care practitioners perform tasks that surpass the responsibilities and regulations of their role, including care coordination. Without clearly defined roles, standards of care cannot be guaranteed. Yet, little is understood about who plays the key role in palliative home care.Aim: The present st...
Source: International Journal of Integrated Care - September 28, 2020 Category: Nursing Source Type: research

A Realist Synthesis of Interprofessional Collaboration in the Early Years; Becoming Familiar with Other Professionals
Research into interprofessional collaboration (IPC) has predominantly focused on health care and specialized care settings, but there is an increasing interest in interprofesssional ‘teams around the child’ in community-based settings. We conducted a realist synthesis of empirical studies into IPC between youth professionals, often in regular community settings, to explore barriers and facilitators of IPC. Included studies were coded with an elaborated scheme to chart the f ocus of studies and to identify moderators and context-mechanism-outcome configurations of IPC. Professional and normative integration was the main...
Source: International Journal of Integrated Care - September 28, 2020 Category: Nursing Source Type: research

Evaluating Large-Scale Integrated Care Projects: The Development of a Protocol for a Mixed Methods Realist Evaluation Study in Belgium
The objective of this study is to deliver policy recommendations on strategies and best practices to improve care integration in Belgium and to implement a sustainable monitoring system that serves both policy makers and the stakeholders within the ICPs. Some challenges due to the large scale of the project and the multiple stakeholders involved may impede the successful implementation of this proposal. Published on 2020-09-24 10:01:26 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 24, 2020 Category: Nursing Source Type: research

Formal Long-Term Care: Informal Caregivers ’ Subjective Well-Being and Service Utilization
This thesis aimed to elucidate the role of informal caregiver subjective well-being in explaining formal long-term care service (LTCS) use. A systematic review and meta-analysis of literature found that elevated caregiver burden, caregiver depression, and poorer caregiver health status are associated with increased formal LTCS use. Quantitative analyses of longitudinal data collected from stroke survivors and their caregivers revealed that increased caregiving burden and caregiver depression are prospective and concurrent predictors of stroke rehabilitation use at 12-month post-stroke, and that non-distressed caregivers at...
Source: International Journal of Integrated Care - September 22, 2020 Category: Nursing Source Type: research

What Do Parents Expect in the 21st Century? A Qualitative Analysis of Integrated Youth Care
Introduction: To provide integrated Youth Care responsive to the needs of families with multiple problems across life domains, it is essential to incorporate parental perspectives into clinical practice. The aim of this study is to advance our understanding of key components of integrated Youth Care from a parental perspective.Methods: Semi-structured interviews were administered to 21 parents of children receiving Youth Care from integrated care teams in the Netherlands. Qualitative content analysis was conducted by means of a grounded theory approach following qualitative reporting guidelines.Results and discussion: Pare...
Source: International Journal of Integrated Care - August 17, 2020 Category: Nursing Source Type: research

Collaborative Experience Success Stories in Integrated Care of Older People: A Narrative Analysis
Conclusion: It is suggested that storytelling in collaborative experiences is one way of overcoming cultural frictions between different collaborating actors and may contribute to a coherent sense of a collective identity, thus facilitating further collaboration. Published on 2020-08-17 13:38:17 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - August 17, 2020 Category: Nursing Source Type: research

Towards an Integrated Care Organisation from a CEO Perspective
Many experimental projects towards Person-Centred Care (PCC) are successful in the early stages, but founder when the attempt is made to scale them up to encompass the whole organisation. This case study therefore focusses on one manager ’s attempts to extend the successes of a preliminary project ‘Etxean Ondo’ that aimed to provide adequate support for the elderly living at home or in nursing homes, as well as for their families and care professionals. Through in-depth interviews with stakeholders, this qualitative study, bas ed on Grounded Theory, sets out to analyse which behaviours, attitudes and values on the pa...
Source: International Journal of Integrated Care - August 17, 2020 Category: Nursing Source Type: research

Glaucoma Community Care: Does Ongoing Shared Care Work?
Conclusions: Shared care provides an effective option for managing the ongoing care burden in chronic stable glaucoma cases at low risk of vision loss. Published on 2020-08-07 12:21:59 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - August 13, 2020 Category: Nursing Source Type: research

Leadership in Integrated Care Networks: A Literature Review and Opportunities for Future Research
Discussion and conclusion: These findings contribute to the debate on leadership in integrated care networks. They also inform practice, drawing attention to persistent tensions as a core leadership challenge and offering latest scholarly evidence practitioners can use to reflect on and advance their own leadership practice. Published on 2020-08-11 12:08:35 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - August 13, 2020 Category: Nursing Source Type: research

From Crisis to Coordination: Challenges and Opportunities for Integrated Care posed by the COVID-19 Pandemic
Published on 2020-08-12 14:07:52 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - August 13, 2020 Category: Nursing Source Type: research

COVID-19: Lessons for Chile
Published on 2020-07-30 10:30:09 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - July 30, 2020 Category: Nursing Source Type: research

Long-Term Care for Tracheotomised Patients With or Without Invasive Ventilation. Lessons Learned from a Scoping Review of International Concepts
Conclusions: The concepts available in the literature are often poorly described and rarely evaluated. Research is needed on their impact on healthcare quality and outcomes. However, several key characteristics were identified, which should be considered when developing and implementing integrated and needs-based approaches for the patient group in Germany and beyond. Published on 2020-07-17 10:20:10 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - July 18, 2020 Category: Nursing Source Type: research

Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands
Discussion: The majority of health outcomes were positive and the perceived quality of care improved, albeit no clear-cut savings were observed, and the costs were not balanced across stakeholders. The Embrace payment model did not support the integration of health services, despite reforms in long-term care in 2015.Key lessons: Enabling policy and funding are crucial to the sustained implementation of integrated person-centred health services. The payment model should incentivize the integration of care before the necessary changes can be made at organizational and clinical levels towards providing proactive and preventiv...
Source: International Journal of Integrated Care - July 13, 2020 Category: Nursing Source Type: research

The Over 75 Service: Continuity of Integrated Care for Older People in a United Kingdom Primary Care Setting
Continuity of care is concerned with quality of care over a period of time. It describes a process by which service users and their families are co-operatively involved with health and social care professionals in managing their care needs. Continuity of care can be divided into informational, managerial and relational and has been associated with improved user- and service-related outcomes. To date, there have been few studies which examine how continuity of care is developed and maintained in integrated primary care systems. This paper explores continuity of care in an integrated Over 75 Service for people living at home...
Source: International Journal of Integrated Care - July 13, 2020 Category: Nursing Source Type: research