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Table 8 Level of integration, care home staff support and training

From: A systematic review of integrated working between care homes and health care services

Study Model 1. Care staff involved in team meetings/joint working 2. Level of care home staff support 3. Training for care home staff Training details Level and features of integration
Llewellyn-Jones, 1999 Multidisciplinary case conferences Duration of intervention only - no information on length Duration of intervention only - no information on length Micro Close collaboration between health care professionals and care home staff
King, 2001 Multidisciplinary consultation & collaboration √ Senior nursing staff only Duration of intervention only - 8 months × × Micro Close collaboration between health care professionals and care home staff
Opie, 2002 Multidisciplinary consultation & collaboration × Duration of intervention Only - 4 weeks × × Micro Close collaboration between health care professionals and care home staff
Schmidt, 1998 Multidisciplinary team meetings Duration of intervention only 1 year × × Micro Close collaboration between health care professionals and care home staff
Vu, 2007 Multidisciplinary consultation & collaboration Duration of intervention only1 year Training wound management. No details Micro Close collaboration between health care professionals and care home staff
Crotty, 2004 Multidisciplinary case conferences Duration of intervention only 1 year Half day workshop on managing challenging behaviours Micro Close collaboration between health care professionals and care home staff
Joseph, 1998 Multidisciplinary care Ongoing weekly meetings to discuss deaths, hospitalisations and complications 6 hours of seminars every year. Ongoing training and feedback in the management of acute conditions Macro Nurse practitioners employed to provide additional primary care Managed care Hospital avoidance
Kane, 2004 Multidisciplinary care No information Ongoing support but no details Ongoing no information on the amount. Focus on training care home staff to improve resident's care Macro Nurse practitioners employed to provide additional primary care Managed care Hospital avoidance
Goodman, 2007 Multidisciplinary consultation & collaboration Duration of intervention only approximately monthly over 6 months Duration of intervention One training session for care home staff in one care home Micro Close collaboration between health care professionals and care home staff
Szczepura, 2008 Multidisciplinary care Ongoing over 2 years Ongoing over 2 years Macro Dedicated nursing and physiotherapy In-reach team Dedicated care home beds Hospital avoidance Joint NHS - local authority initiative.
Proctor, 1998 Multidisciplinary Training - high level of staff involvement Duration of intervention 6 months, weekly visits by specialist nurse Duration of intervention - 7 one hour seminars by multidisciplinary team on topics chosen by care staff Micro Close collaboration between health care professionals and care home staff
Knight, 2007 Collaborative working using integrated care pathways Duration of intervention only 3 years Duration of intervention only Micro Close collaboration between health care professionals and care home staff
Mathews, 2006 Collaborative working using integrated care pathways Duration of intervention only No information Duration of intervention 3 hours on palliative care Macro Close collaboration between health care professionals and care home staff Care pathways NHS funded bed
Doherty, 2008 Care home support team Ongoing 1 year Ongoing No details Meso Dedicated care home support team established by NHS
Hasson, 2008 Link nurses in care homes Duration of intervention, monthly meetings over 3 years Duration of intervention only-nine 3 hour training sessions Micro Close collaboration between health care professionals and care home staff
Avis, 1999 District nurses supporting care home staff Duration of intervention only 2.5 years Duration of intervention Only. At least 6 training sessions no details on length Micro Close collaboration between health care professionals and care home staff
Hockley, 2005 Champions identified in care homes Duration of intervention Only 1 year. Regular clinical support no information on frequency Duration of intervention - Monthly collaborative learning and monthly action learning sets Micro Close collaboration between health care professionals and care home staff