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 |