Interprofessional Management of (Risk of) Malnutrition and Sarcopenia: A Grounded Theory Study from the Perspective of Professionals

被引:2
作者
Boxum, Sandra D. [1 ,2 ]
van Exter, Sabien H. [3 ]
Reinders, Jan-Jaap [1 ,4 ,5 ]
Koenders, Niek [6 ]
Drenth, Hans [1 ,7 ,8 ]
van den Berg, Manon G. A. [3 ]
Tieland, Michael [9 ,10 ]
Spoorenberg, Sophie L. W. [11 ]
Finnema, Evelyn J. [12 ,13 ,14 ]
van der Wees, Philip J. [2 ,3 ,6 ]
Jager-Wittenaar, Harriet [1 ,3 ,15 ]
机构
[1] Hanze Univ Appl Sci, Res Grp Hlth Ageing Allied Hlth Care & Nursing, Groningen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Sci Dept IQ Hlth, Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Gastroenterol & Hepatol Dietet, NL-6500 HB Nijmegen, Netherlands
[4] Univ Groningen, Univ Med Ctr Groningen, Ctr Dent & Oral Hyg, Groningen, Netherlands
[5] Univ Groningen, Univ Med Ctr Groningen, Res Inst SHARE, Res Grp Interprofess Educ IPE,Lifelong Learning Ed, Groningen, Netherlands
[6] Radboud Univ Nijmegen, Med Ctr, Dept Rehabil, Nijmegen, Netherlands
[7] ZuidOostZorg, Org Elderly Care, Drachten, Netherlands
[8] Univ Groningen, Univ Med Ctr Groningen, Dept Primary & Long Term Care, Groningen, Netherlands
[9] Amsterdam Univ Appl Sci, Fac Sports & Nutr, Ctr Expertise Urban Vital, Amsterdam, Netherlands
[10] Deakin Univ, Inst Phys Act & Nutr, Sch Exercise & Nutr Sci, Geelong, Vic, Australia
[11] Primary Care Grp Dokter Drenthe, Assen, Netherlands
[12] Univ Groningen, Univ Med Ctr Groningen, Hlth Sci Nursing Sci & Educ, Groningen, Netherlands
[13] NHL Stenden Univ Appl Sci, Res Grp Living Wellbeing & Care Older People, Leeuwarden, Netherlands
[14] Hanze Univ Appl Sci, Res Grp Nursing Diagnost, Groningen, Netherlands
[15] Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Dept Physiotherapy Human Physiol & Anat, Res Unit Expt Anat, Brussels, Belgium
关键词
malnutrition; sarcopenia; interprofessional; older adults; OLDER-PEOPLE; PRIMARY-CARE; OF-LIFE; HEALTH; COMMUNITY; ADULTS; DEFINITIONS; NUTRITION; EDUCATION; EXERCISE;
D O I
10.2147/JMDH.S474090
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: As our global population ages, malnutrition and sarcopenia are increasingly prevalent. Given the multifactorial nature of these conditions, effective management of (risk of) malnutrition and sarcopenia necessitates interprofessional collaboration (IPC). This study aimed to understand primary and social care professionals' barriers, facilitators, preferences, and needs regarding interprofessional management of (risk of) malnutrition and sarcopenia in community-dwelling older adults. Methods: We conducted a qualitative, Straussian, grounded theory study. We collected data using online semi-structured focus group interviews. A grounded theory data analysis was performed using open, axial, and selective coding, followed by developing a conceptual model. Results: We conducted five online focus groups with 28 professionals from the primary and social care setting. We identified five selective codes: 1) Information exchange between professionals must be smooth, 2) Regular consultation on the tasks, responsibilities, and extent of IPC is needed; 3) Thorough involvement of older adults in IPC is preferred; 4) Coordination of interprofessional care around the older adult is needed; and 5) IPC must move beyond healthcare systems. Our conceptual model illustrates three interconnected dimensions in interprofessional collaboration: professionals, infrastructure, and older adults. Conclusion: Based on insights from professionals, interprofessional collaboration requires synergy between professionals, infrastructure, and older adults. Professionals need both infrastructure elements and the engagement of older adults for successful interprofessional collaboration.
引用
收藏
页码:4677 / 4692
页数:16
相关论文
共 43 条
[1]   Following Interprofessional Education: Health Education Students' Experience in a Primary Interprofessional Care Setting [J].
Al-Jayyousi, Ghadir Fakhri ;
Rahim, Hanan Abdul ;
Hassan, Diana Alsayed ;
Awada, Sawsan Mohammed .
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE, 2021, 14 :3253-3265
[2]  
[Anonymous], 2016, INTERPROFESSIONAL ED
[3]  
[Anonymous], 2019, Human Resources for Health Observer Series No. 24
[4]   Barriers to the Integration of Care in Inter-Organisational Settings: A Literature Review [J].
Auschra, Carolin .
INTERNATIONAL JOURNAL OF INTEGRATED CARE, 2018, 18 (01)
[5]   Supporting nutrition in frail older people: a qualitative study exploring views of primary care and community health professionals [J].
Avgerinou, Christina ;
Bhanu, Cini ;
Walters, Kate ;
Croker, Helen ;
Tuijt, Remco ;
Rea, Jennifer ;
Hopkins, Jane ;
Kirby-Barr, Maggie ;
Kharicha, Kalpa .
BRITISH JOURNAL OF GENERAL PRACTICE, 2020, 70 (691) :E138-E145
[6]  
Barr H., 2006, Effective interprofessional education
[7]   Healthcare professionals' perceptions of malnutrition management and oral nutritional supplement prescribing in the community: A qualitative study [J].
Browne, Sarah ;
Kelly, Lucy ;
Geraghty, Aisling A. ;
Reynolds, Ciara Me ;
McBean, Laura ;
McCallum, Kimberley ;
Clyne, Barbara ;
Bury, Gerard ;
Perrotta, Carla ;
Kennelly, Sharon ;
Bradley, Catriona ;
McCullagh, Laura ;
Finnigan, Karen ;
Clarke, Sarah ;
Bardon, Laura A. ;
Murrin, Celine ;
Gibney, Eileen R. ;
Castro, Patricia Dominguez ;
Corish, Clare A. .
CLINICAL NUTRITION ESPEN, 2021, 44 :415-423
[8]   An Overview of Reviews on Interprofessional Collaboration in Primary Care: Effectiveness [J].
Carron, Tania ;
Rawlinson, Cloe ;
Arditi, Chantal ;
Cohidon, Christine ;
Hong, Quan Nha ;
Pluye, Pierre ;
Gilles, Ingrid ;
Peytremann-Bridevaux, Isabelle .
INTERNATIONAL JOURNAL OF INTEGRATED CARE, 2021, 21 (02)
[9]   ESPEN guidelines on definitions and terminology of clinical nutrition [J].
Cederholm, T. ;
Barazzoni, R. ;
Austin, P. ;
Ballmer, P. ;
Biolo, G. ;
Bischoff, S. C. ;
Compher, C. ;
Correia, I. ;
Higashiguchi, T. ;
Hoist, M. ;
Jensen, G. L. ;
Malone, A. ;
Muscaritoli, M. ;
Nyulasi, I. ;
Pirlich, M. ;
Rothenberg, E. ;
Schindler, K. ;
Schneider, S. M. ;
de van der Schueren, M. A. E. ;
Sieber, C. ;
Valentini, L. i ;
Yu, J. C. ;
Van Gossum, A. ;
Singer, P. .
CLINICAL NUTRITION, 2017, 36 (01) :49-64
[10]   Organizational Identification and Commitment: Correlates of Sense of Belonging and Affective Commitment [J].
Celeste Davila, Ma ;
Jimenez Garcia, Gemma .
SPANISH JOURNAL OF PSYCHOLOGY, 2012, 15 (01) :244-255