Evidence map›Paper›PMID 27576357›Full record

ArticleBMC family practice2016

Interprofessional collaboration in nursing homes (interprof): a grounded theory study of general practitioner experiences and strategies to perform nursing home visits.

Nina Fleischmann, Britta Tetzlaff, Jochen Werle, Christina Geister, Martin Scherer, Siegfried Weyerer, Eva Hummers-Pradier, Christiane A Mueller

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 47 citations in OpenAlex.

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  11. Delegating home visits in general practice: a realist review on the impact on GP workload and patient care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Nina FleischmannDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, 37073, Göttingen, Germany. nina.fleischmann@med.uni-goettingen.de.
Britta TetzlaffDepartment of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Jochen WerlePsychiatric Epidemiology and Demographic Change, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, J5, 68159, Mannheim, Germany.
Christina GeisterUniversity of Applied Sciences and Arts, Faculty V - Health, Religious Education, Social Affairs, Blumhardtstraße 2, 30625, Hannover, Germany.
Martin SchererDepartment of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Siegfried WeyererPsychiatric Epidemiology and Demographic Change, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, J5, 68159, Mannheim, Germany.
Eva Hummers-PradierDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, 37073, Göttingen, Germany.
Christiane A MuellerDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, 37073, Göttingen, Germany.
Universitätsmedizin Göttingen · DEHeidelberg University · DEUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in nursing homes will challenge medical care and the interaction across professions, especially nurses and general practitioners (GPs). The nursing home visit, a key element of medical care, has been underrepresented in research. This study explores GP perspectives on interprofessional collaboration with a focus on their visits to nursing homes in order to understand their experiences and expectations. This research represents an aspect of the interprof study, which explores medical care needs as well as the perceived collaboration and communication by nursing home residents, their families, GPs and nurses. This paper focusses on GPs' views, investigating in particular their visits to nursing homes in order to understand their experiences.

methodsOpen guideline-interviews covering interprofessional collaboration and the visit process were conducted with 30 GPs in three study centers and analyzed with grounded theory methodology. GPs were recruited via postal request and existing networks of the research partners.

resultsFour different types of nursing home visits were found: visits on demand, periodical visits, nursing home rounds and ad-hoc-decision based visits. We identified the core category "productive performance" of home visits in nursing homes which stands for the balance of GPs´ individual efforts and rewards. GPs used different strategies to perform a productive home visit: preparing strategies, on-site strategies and investing strategies.

conclusionWe compiled a theory of GPs home visits in nursing homes in Germany. The findings will be useful for research, and scientific and management purposes to generate a deeper understanding of GP perspectives and thereby improve interprofessional collaboration to ensure a high quality of care.

Indexed as

EfficiencyHouse CallsNursing HomesPhysician-Nurse RelationsAdultAgedAppointments and SchedulesCooperative BehaviorFemaleGeneral PractitionersGrounded TheoryHumansInterviews as TopicMaleMiddle AgedPhysician-Patient RelationsGeneral practitionersGrounded theoryInterdisciplinary communicationNursing homesPhysician-nurse relationsPrimary health careQualitative researchResidential facilities

Identifiers

PMID27576357
PMCPMC5006263
OpenAlexW2514335675

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.