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Een exploratie naar interprofessionele communicatie en klinisch leiderschap in eerstelijns wijknetwerken voor mensen met dementie

  • 11 min.
  • Proefschrift

Summary

Interprofessional communication and clinical leadership in the development of network-based primary care
Minke Nieuwboer

AIM: To explore preconditions for collaboration in primary dementia care: clinical leadership and interprofessional communication.
METHOD: Systematic review to study clinical leadership in the context of integrated primary care. Mixed methods design: 1) to evaluate a clinical leadership support programme; 2) to explore communication between community nurses and general practitioners.
FINDINGS: Effective leadership support programs are scarce. Leaders’ relational and organizational skills as well as process-management and change-management skills were considered important to improve care integration. By following the DementiaNet leadership-program, professionals improved their leadership skills. Community nurses and general practitioners generally perceived their interprofessional communication as inadequate. Profession-specific factors (e.g., differences in responsibility and profession-specific language) and organizational factors (e.g., lack of shared care plans, no personal contact) negatively influenced communication. Content analysis of actual nurse-doctor communication showed that many conversations lacked structure and conciseness. Confident nurses communicated in a more structured way.
DISCUSSION and CONCLUSION: We found that leaders have a positive impact on the network’s quality improvement. However, primary care professionals’ leadership is currently practiced at a basic level. Communication structure and nurses’ self-confidence in communication with doctors are favourable targets for improvement of interprofessional communication. Therefore, we recommended supportive training and coaching on both preconditions.

Keywords: Primary care, interprofessional communication, clinical leadership, dementia, community care networks

Inleiding

Illustratie (kleur) Proefschrift: Interprofessional communication and clinical leadership in the development of network-based primary care - Minke Nieuwboer

In de komende jaren zal in Nederland het aantal ouderen toenemen en daarmee ook het aantal mensen met een dementie. Nu al hebben naar schatting 270.000 mensen een vorm van dementie en dit heeft een grote invloed op het gezondheidszorgsysteem en de zorgkosten (1). Het overheidsbeleid is erop gericht om mensen met dementie, met hulp van mantelzorg, andere informele zorgverleners en eerstelijns professionals, zo lang mogelijk thuis te laten wonen, om daarmee de zorgkosten te beperken (2).&ellipsis;

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