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Interdisciplinary Team Collaboration during Discharge of Depressed Older Persons: A Norwegian Qualitative Implementation Study

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  • Anne Lise Holm
  • Elisabeth Severinsson

Abstract

In order to deliver effective care, it is necessary to organise interdisciplinary activities for older persons who suffer from depressive disorders. This paper evaluated the interdisciplinary team members’ perceptions of cooperation in the discharge planning of depressed older persons based on the Chronic Care Model (CCM). A qualitative implementation design was used, data were collected by means of multistage focus groups, and a thematic analysis was performed. Three themes emerged: lack of effective team leadership in the community, the need to change the delivery system, and enhancing self-management support for depressed older persons as well as the participation of their families. It was concluded that nurse managers must find ways of supporting the depressed older persons by better structuring the care, increasing cooperation with organisational leadership, and creating an environment characterised by trust and mutual respect. Distrust can have serious implications for discharge planning collaboration. The development of a common vision of transparency in the organization is important as is a policy of change among leadership and in clinical practice.

Suggested Citation

  • Anne Lise Holm & Elisabeth Severinsson, 2013. "Interdisciplinary Team Collaboration during Discharge of Depressed Older Persons: A Norwegian Qualitative Implementation Study," Nursing Research and Practice, Hindawi, vol. 2013, pages 1-9, May.
  • Handle: RePEc:hin:jnlnrp:794743
    DOI: 10.1155/2013/794743
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    References listed on IDEAS

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    1. Henriksen, E. & Selander, G. & Rosenqvist, U., 2003. "Can we bridge the gap between goals and practice through a common vision? A study of politicians and managers' understanding of the provisions of elderly care services," Health Policy, Elsevier, vol. 65(2), pages 129-137, August.
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    Cited by:

    1. Anne Lise Holm & Anne Lyberg & Ingela Berggren & Sture Åström & Elisabeth Severinsson, 2014. "Going around in a Circle: A Norwegian Study of Suicidal Experiences in Old Age," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-9, December.
    2. Ellen Andvig & Jonn Syse & Elisabeth Severinsson, 2014. "Interprofessional Collaboration in the Mental Health Services in Norway," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-8, March.
    3. Anne Lise Holm & Elisabeth Severinsson, 2014. "Perceptions of the need for improvements in healthcare after implementation of the Chronic Care Model," Nursing & Health Sciences, John Wiley & Sons, vol. 16(4), pages 442-448, December.

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