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Cited by 1Interprofessional Education and CollaborationGeriatric Care and Nursing HomesInterdisciplinary Research and Collaboration

Which actions contribute to the development of an interprofessional learning and working culture in nursing homes? A realist action study

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Verbeek, Frank H O, Nouwens, Elvira S, Lovink, Marleen Hermien, Huisman-de Waal, Getty, Fluit, Cornelia R M G, Laurant, Miranda, van Vught, Anneke J A H·2024·BMJ Open
DOI 10.1136/bmjopen-2024-085096PMC PMC11418486
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Abstract

OBJECTIVE: Insights about what actions contributed to the development of an interprofessional learning and working culture were lacking for nursing homes. This study aimed to provide insight into the context and actions that trigger mechanisms for the development of an interprofessional learning and working culture in nursing homes. STUDY DESIGN: Realist evaluation action research was conducted from 2019 to 2023. SETTING AND PARTICIPANTS: 11 teams in 6 Dutch nursing homes. PRIMARY AND SECONDARY OUTCOME MEASURES: Questionnaires, focus group interviews and observations were used to identify actions, context factors and mechanisms. We used retroductive analysis to discuss how actions were related to the development of the culture. Actions were evaluated in terms of context and manner in which they contribute to the development. RESULTS: 21 actions were identified and clustered into two themes. Theme 1: improving person-centred care. Actions activated the mechanisms of critical reflective behaviour and collective ownership in a context of, among other things, clear roles and tasks, a stable and competent team, the presence of case managers and facilitating organisational factors such as time for reflection. Theme 2: getting to know and understand each other's expertise. Actions activated respectful relationships, collective ownership of goals and feeling appreciated for your work in a context of, among other things, team members who meet regularly and management supporting interprofessional working. CONCLUSIONS: This research sheds light on how and in what manner-specific actions contribute to the development of an interprofessional learning and working culture in nursing homes. Depending on the context, the actions triggered the following mechanisms: critical reflective behaviour, collective ownership of goals, respectful/caring relationships and feeling appreciated for your work. These mechanisms are the underlying drivers of an interprofessional learning and working culture. This study provides valuable guidance for fostering collaborative and effective interprofessional dynamics in nursing homes.

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Authors
Verbeek, F. H. O., Nouwens, E. S., Lovink, M. H., Huisman-de Waal, G., Fluit, C. R. M. G., Laurant, M., & van Vught, A. J. A. H.
Affiliations
  • HAN University of Applied Sciences (NL)
  • Radboud University Nijmegen (NL)
  • IQ Healthcare, Department of Nursing Sciences, Radboud University, Nijmegen, The Netherlands
  • Organisation of Care and Services, HAN University of Applied Sciences, Nijmegen, The Netherlands
Corresponding author
Verbeek, Frank H O
ORCID
Venue
BMJ Open
Publisher
BMJ
Published
2024-09
Volume
14
Issue
9
Pages
e085096
ISSN
2044-6055 (ISSN-L)
DOI
10.1136/bmjopen-2024-085096
PMC
PMC11418486
OpenAlex
W4402696754
Cited by
1
References
3
Citations by year
2025: 1
FWCI
0.59
Type
journal article
Language
en
Open access
Licence
Locations
  • BMJ Open (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
the Netherlands Organization for Health Research and Development, ZonMw (516012518)
Topics
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Social Sciences › Decision Sciences › Information Systems and Management › Interdisciplinary Research and Collaboration
Keywords
interprofessional collaboration, nursing homes, person-centred care, collective ownership, respectful relationships, case managers, management support, interprofessional working
MeSH terms
Health Services Research, Humans, Interprofessional Relations, Learning, Netherlands, Nursing Homes, Patient Care Team, Organizational Culture, Focus Groups, Patient-Centered Care

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