Facilitating factors and barriers to teamwork for hospital care for stroke

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.18012

Keywords:

Stroke; Interdisciplinary Health Team; Medical Care Team; Patient Care Teams; Hospital.

Abstract

Objectives: To identify facilitators and barriers to the work carried out by multidisciplinary and interdisciplinary teams to stroke patients in hospitals and to identify the health professionals involved. Method: An integrative review was carried out with the search for bases: Virtual Health Library, CINAHL, Cochrane, Embase, PEDro, ProQuest, PubMed, Scopus and Web of Science. Including primary studies published between 2014 and 2020, in English, Portuguese and Spanish, you have a complete report that will answer the guiding question of the review. Results: Selected primary study forums, whose results show a diversity of work carried out by the teams, due to the high demand for care needed by the population with stroke. There is a wide range of professionals in the teams, with only nurses present in all of them. Barriers and facilitators for or teamwork were identified, related to the specific needs of patients. Collaboration and communication appeared as facilitators. The barriers found were insufficient time and lack of involvement of team members. Conclusions: It is important to understand how the different professionals of the teams work together with stroke patients, as it is so crucial to comprehensively assess the context of their personalities and plan chronic care, in a holistic way.

Author Biographies

Daniela Carrogi-Vianna, Universidade Estadual de Campinas

I am a student, doctoral student at the Faculty of Nursing / FENF / UNICAMP.

Ana Railka de Souza Oliveira-Kumakura, Universidade Estadual de Campinas

Professor of the Postgraduate Course at the Faculty of Nursing/FENF/UNICAMP

José Luiz Tatagiba Lamas, Universidade Estadual de Campinas

Professor of the Postgraduate Course at the Faculty of Nursing/FENF/UNICAMP

References

Abhijit, L., Cheever, C., Healey, L., Hurley, K., Kim, L. & Creutzfeldt, C. (2019). Operationalization of the Transition to Comfort Measures Only in the Neurocritical Care Unit: A Quality Improvement Project. American Journal of Hospice & Palliative Medicine. 36(1):38-44. https://doi.org/10.1177/1049909118790069.

Amatangelo, M. & Thomas, S. (2020). Priority Nursing Interventions Caring for the Stroke Patient. Critical Care Nursing Clinics of North America. 32(1):67-84. https://doi.org/10.1016/j.cnc.2019.11.005.

Baatiema, L., Aikins, A., Sarfo, F., Abimbola, S., Ganle, J. & Somerset, S. (2020). Improving the quality of care for people who had a stroke in alow-/middle-income country: A qualitative analysis of healthcare professionals’ perspectives. Health Expectations. 00:1–11. https://doi: 10.1111/hex.13027.

Becker. S., Korner, M., Muller, C., Lippenberger, C., Rundel, M. & Zimmermann, L. (2017). Development and pilot testing of an interprofessional patient-centered team training programme in medical rehabilitation clinics in Germany: a process evaluation. Medical Education. 17:120, 1-9. https://doi: 10.1186/s12909-017-0960.

Bjerkreim, A., Thomassen, L., Waje_Andreassen, U., Selvik, H. & Naess, H. (2016). Hospital Readmission after Intracerebral Hemorrhage. Journal of Stroke and Cerebrovascular Diseases. 25(1), 157-62. https://doi: 10.1016/j.jstrokecerebrovasdis.

Coupland, A. P., Thapar, A., Qureshi, M.I., Jenkins, H. & Davies A.H. (2017). The definition of stroke. Journal of the Royal Society of Medicine. 110(1), 9-12. https://doi/full/10.1177/0141076816680121.

Dinius, J., Philipp, R., Ernstmann, N., Heier, L., Goritz, A., Pfisterer_Heise, S., Hammerschmidt, J., Bergelt, C., Hammer, A. & Korner, M. (2020). Inter-professional teamwork and its association with patient safety in German hospitals—A cross sectional study. Plos One. 15(5):1-15. https://doi.org/10.1371/journal.pone.0233766.

Feigin, V.L., Nichols, E., Alam, T., Bannick, M.S., Beghi, E., Blake, N. & Vos, T. (2019). Global, regional, and national burden of neurological disorders, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(5), 459-480. https://doi:10.1016/S1474-4422(18)30499-X.

Feigin, V.L., Norrving, B. & Mensah, G.A. (2017). Global burden of stroke. Circulation Research. 120 (3), 439–448. https://doi: 10.1055/s-0038-1649503.

Hustoft, M., Biringer, E., Gjesdal, S., Abmus, J. & Hetlevik, O. (2018) Relational coordination in interprofessional teams and its effect on patient-reported benefit and continuity of care: a prospective cohort study from rehabilitation centres in Western Norway. BMC Health Services Research. 18:719, 1-9. https://doi: 10.1186/s12913-018-3536-5.

Intercollegiate Stroke Working Party. (2017). National Clinical Guidelines for Stroke. 4th ed. London: Royal College of Physicians. https://www.strokeaudit.org/SupportFiles/Documents/Guidelines/2016-National-Clinical-Guideline-for-Stroke-5t-(1).aspx.

Johnson, J., Smith, G. & Wilkinson, A. (2015). Factors that influence the decision-making of an interdisciplinary rehabilitation team when choosing a discharge destination for stroke survivors. Canadian Journal of Neuroscience Nursing. 37(2):26-32. https://europepmc.org/article/med/26647491.

Kilpatrick, K., Paquette, L., Jabbour, M., Tchouaket, E., Fernandez, N., Hakim, G., Landry, V., Gauthier, N., Beaulieu, M.D. & Dubois, C. (2020). Systematic review of the characteristics of brief team interventions to clarify roles and improve functioning in healthcare teams. PloS One. 15(6):e0234416. https://doi.org/10.1371/ journal.pone.0234416.

Koton, S. & Rexrode, K.M. (2017). Trends in stroke incidence in the United States. Neurology. 89 (10): 982. https://doi:10.1212/wnl.0000000000004342.

Kushner, D. & Strasser, D. (2020). Stroke Inpatient Rehabilitation Team Conferences: Leadership and Structure Improve Patient Outcomes. Journal of Stroke and Cerebrovascular Diseases. 29(4):1-9. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104622.

Liberati, E.G., Gorli, M. & Scaratti, G. (2016). Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care. Social Science & Medicine. 150:31-9. https://doi:10.1016/j.socscimed.2015.12.002.

Mendes K.D.S., Silveira R.C.C.P. & Galvão, C.M. (2008). Revisão integrativa da literatura: um método de pesquisa para incorporar evidências em saúde e enfermagem. Texto e Contexto Enfermagem. 17 (4): 758-64. https://doi.org/10.1590/S0104-07072008000400018.

Mother, D., Liberati, A., Tetzlaff, J. & Altman, D.G. (2009). The PRISMA Group. Preferred Reporting Items for Sistematic Reviews and Meta-Analyses: The PRISMA Statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of Clinical Epidemiology. 62(10):1006-12. https://doi:10.1371/journal.pmed.1000100.

Munce S.E.P., Graham, I.D. & Salbach N.M. (2017). Perspectives of health care professionals on the facilitators and barriers to the implementation of a stroke rehabilitation guidelines cluster randomized controlled trial. BMC Health Services Research. 17(1):440. https://doi:10.1186/s12913-017-2389-7.

Ngangue, P., Forques, C., Nguyen, T., Sasseville, M., Gallagher, F., Loignon, C., Stewart, M., Belle, B., Chouinard, M.C. & Fortin, M. (2020). Patients, caregivers and health-care professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care: A qualitative study. Health Expectations. 23. 318-327. https://doi: 10.1111/hex.13035.

Obana, M., Furuya, I., Matsubara, C., Tohara, H., Inaji, M., Miki, K., Numasawa, Y. & Minakuchi, S. (2019). Effect of a collaborative transdisciplinary team approach on oral health status in acute stroke patients. Journal of Oral Rehabilitation. 46:1170–1176. https://doi.org/10.1111/joor.12855.

Philip B.G. (2019). The global burden of stroke: persistent and disabling. Lancet. 18, 417, March 11. https://doi: 10.1016/ S1474-4422(19)30030-4.

Plant, S. & Tyson S.F. (2018). A multicentre study of how goal-setting is practised during inpatient stroke rehabilitation. Clinical Rehabilitation. 32(2):263-272. https://doi: 10.1177/0269215517719485.

Ranford, J., Asiello, J., Cloutier, A., Cortina,K., Thorne, H., Erler, K., Frazier, N., Sadlak, C., Rude, A. & Lin, D. (2019). Interdisciplinary Stroke Recovery Research: The perspective of Occupational Therapists in Acute Care. Frontiers in Neurology. V. 10, p.1-6. https://doi: 10.3389/fneur.2019.01327.

Schiavi, M., Costi, S., Pellegrini, M., Formisano, D., Borghi, S. & Fugazzaro, S. (2018). Occupational therapy for complex inpatients with stroke: identification of occupational needs in post-acute rehabilitation setting. Disability and rehabilitation. 40(9):1026-1032. https://doi.org/10.1080/09638288.2017.1283449.

Schwarzbach, C. & Grau, A.J. (2020). Complications after stroke: Clinical challenges in stroke aftercare. Der Nervenarzt. 91(10): 920-925. https://doi.org/ 10.1007/s00115-020-00988-9.

Singh, M., Hynie, M., Rivera, T., Macisaac, L., Gladman, A., & Cheng, A. (2015). An evaluation study of the implementation of stroke best practice guidelines using a Knowledge Transfer Team approach. Canadian Journal of Neuroscience Nursing. 37(1):24-33. https://pubmed.ncbi.nlm.nih.gov/26152100/.

Singh, R., Küçükdeveci, A., Grabljevec, K. & Gray, A. (2018). The Role of Interdisciplinary Teams in Physical and Rehabilitation Medicine. Journal of Rehabilitation Medicine. V.50. P. 673-678. https://doi: 10.2340/16501977-2364.

Stillwel, S.B., Fineout-Overholt, E., Melnyk, B.M. & Williamson, K.M. (2010). Evidence-based practice, step by step: searching for the evidence. American Journal of Nursing. 110(5):41-7. https://doi: 10.1097/01.naj.0000372071.24134.7e.

Swank, C. (2020). The impact of a patient-directed activity program on functional outcomes and activity participation after stroke during inpatient rehabilitation-a randomized controlled trial. Clinical Rehabilitation. 34(4):504-514. https://doi.org/10.1177/0269215519901153.

Ursi, E.S. & Galvão, C.M. (2006). Prevenção perioperatória de lesão de pele: revisão integrativa da literatura. Revista Latino-Americana de Enfermagem. jan / fev; 14 (1): 124-31. https://doi.org/10.1590/S0104-11692006000100017.

Voogdt_Pruis, H., Ras, T., Van der Dussen, L., Benjaminsen, S., Goossens, P.H., Raats, I., Boss, G., Van Hoef, E.F.M., Lindhout, M., Tjon-A-Tsien, M.R.S. & Vrijhoef, H.J.M. (2019). Improvement of shared decision making in integrated stroke care: a before and after evaluation using a questionnaire survey. BMC Health Services Research. 19(936):1-22. https://doi.org/10.1186/s12913-019-4761-2.

Xiamei, M., Xuemei, C., Zhihui, L. & Lanshu, Z. (2019). Nursing practice in stroke rehabilitation: Perspectives from multi‐disciplinary healthcare professionals. Nursing & Health Sciences. 1–10. https://doi: 10.1111/nhs.12641.

Walton, V., Hogden, A., Long, J., Johnson, J. & Greenfield, D. (2019). How Do Interprofessional Healthcare Teams Perceive the Benefits and Challenges of Interdisciplinary Ward Rounds. Journal of Multidisciplinary Healthcare. V. 12. P. 1023–1032. https://doi: 10.2147/JMDH.S226330.

Yang, S., Franco, T., Wallace, N., Williams, B. & Blackmore, C. (2019). Effectiveness of an Interdisciplinary, Nurse Driven In-Hospital Code Stroke Protocol on In-Patient Ischemic Stroke Recognition and Management. Journal of Stroke and Cerebrovascular Diseases, 28, (12):104398. https://doi: org/10.1016/j.jstrokecerebrovasdis.2019.104398.

Published

28/07/2021

How to Cite

CARROGI-VIANNA, D.; OLIVEIRA-KUMAKURA, A. R. de S.; LAMAS, J. L. T. Facilitating factors and barriers to teamwork for hospital care for stroke. Research, Society and Development, [S. l.], v. 10, n. 9, p. e39010918012, 2021. DOI: 10.33448/rsd-v10i9.18012. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18012. Acesso em: 21 sep. 2021.

Issue

Section

Review Article