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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