Goto R1, Haruta J1
1University of Tsukuba, Tsukuba, Japan
Background: As the aging of the world advances globally, frail elderly who have complex needs associated with physical and psychosocial change are increasing. To meet these needs, it is necessary to facilitate interprofessional collaboration and trans-professional collaboration (TPC). With TPC in lack of healthcare resources, professionals' skills can be mutually interchangeable while each professional commit him/her to the role of beyond own professional. However, few papers show how TPC occurs. Thus, in this research, we focused on the TPC with caregivers and a physical therapist (PT) in a nursing home because the caregivers should assist residents' function based on the perspective of rehabilitation as their own roles in a shortage of healthcare staff in Japan.
Purpose: The objective of this study was to clarify how caregivers in a nursing home acquired the rehabilitation skills through collaboration with a PT and can commit themselves to nursing-care for the life of residents to utilize residents' abilities.
Methods: An ethnographic study design was adopted. The target facility was a nursing home located in Japan. As a researcher who is PT (RG), he had worked once a week at the nursing home from June 2016 to March 2017. He created field notes on how the caregivers provided nursing-care for residents and what they communicated with PT, and he additionally wrote down his own reflection. Caregivers also took short informal interviews by PT about the relationship with the residents of the nursing home. Ultimately, we conducted a theme analysis to clarify the collaboration process from the above data.
Results: Caregivers, at first, viewed rehabilitation as outside of their own role and were resistant to invasion as own role. Through working with the PT, they began to better understand what was the quality of life of residents and became less reluctant to support life based on the residents' sense of autonomy. They tried to practice resident-centered nursing-care while conflicting between the risk of their own roles and the reward for the life of residents. When the PT approved the caregivers' actions to assist the resident's function for daily living, they could commit themselves to the nursing-care for the life of residents and had successful experience as a new role through gaining the feedback by the PT.
Conclusion(s): The process of TPC followed the sequence of understanding other professional roles, the dilemma on new role of co-production, the trials out of original role to be approved by other professionals and the commitment to t on resident-centered perspective.
Implications: Based on these TPC process, in which the processionals can understand the role of other professionals, resist to invasion as a new role, conflict between new and original role, and commit to new role, we can facilitate the TPC practice. We propose, as a new model, that PT can transfer the perspectives of rehabilitation to other professionals (especially welfare staffs) as an evangelist.
Keywords: Transprofessional collaboration, nursing home, caregivers
Funding acknowledgements: Nothing.
Purpose: The objective of this study was to clarify how caregivers in a nursing home acquired the rehabilitation skills through collaboration with a PT and can commit themselves to nursing-care for the life of residents to utilize residents' abilities.
Methods: An ethnographic study design was adopted. The target facility was a nursing home located in Japan. As a researcher who is PT (RG), he had worked once a week at the nursing home from June 2016 to March 2017. He created field notes on how the caregivers provided nursing-care for residents and what they communicated with PT, and he additionally wrote down his own reflection. Caregivers also took short informal interviews by PT about the relationship with the residents of the nursing home. Ultimately, we conducted a theme analysis to clarify the collaboration process from the above data.
Results: Caregivers, at first, viewed rehabilitation as outside of their own role and were resistant to invasion as own role. Through working with the PT, they began to better understand what was the quality of life of residents and became less reluctant to support life based on the residents' sense of autonomy. They tried to practice resident-centered nursing-care while conflicting between the risk of their own roles and the reward for the life of residents. When the PT approved the caregivers' actions to assist the resident's function for daily living, they could commit themselves to the nursing-care for the life of residents and had successful experience as a new role through gaining the feedback by the PT.
Conclusion(s): The process of TPC followed the sequence of understanding other professional roles, the dilemma on new role of co-production, the trials out of original role to be approved by other professionals and the commitment to t on resident-centered perspective.
Implications: Based on these TPC process, in which the processionals can understand the role of other professionals, resist to invasion as a new role, conflict between new and original role, and commit to new role, we can facilitate the TPC practice. We propose, as a new model, that PT can transfer the perspectives of rehabilitation to other professionals (especially welfare staffs) as an evangelist.
Keywords: Transprofessional collaboration, nursing home, caregivers
Funding acknowledgements: Nothing.
Topic: Education: clinical; Education: continuing professional development
Ethics approval required: Yes
Institution: University of Tsukuba
Ethics committee: Faculty of medicine, medical ethics committee
Ethics number: 1057
All authors, affiliations and abstracts have been published as submitted.
