Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design
Background Frail older adults constitute a significant vulnerable group with complex healthcare needs requiring collaboration between various care providers and professions. Despite this requirement, there are considerable knowledge gaps in how to achieve effective collaboration. Preventive measures...
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BMJ Publishing Group
2025-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/2/e081925.full |
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| author | Åsa Larsson Ranada Elisabet Rothenberg Helle Wijk Martina Karin Boström Pia Skott Anette Erichsen |
| author_facet | Åsa Larsson Ranada Elisabet Rothenberg Helle Wijk Martina Karin Boström Pia Skott Anette Erichsen |
| author_sort | Åsa Larsson Ranada |
| collection | DOAJ |
| description | Background Frail older adults constitute a significant vulnerable group with complex healthcare needs requiring collaboration between various care providers and professions. Despite this requirement, there are considerable knowledge gaps in how to achieve effective collaboration. Preventive measures such as addressing pressure ulcers, falls, malnutrition and poor oral health often receive low priority compared with treating diseases or injuries. This study aims to enhance our understanding of how care collaboration in the preventive care process (PcP) using the Senior alert (SA) register could improve patient safety and equality of care for frail older adults in Sweden.Methods This study, conducted over 4 years, employs an explanatory mixed methods design, divided into three phases. The study protocol comprises the two first phases.Phase 1 (quantitative) Data from SA (2019–2021) will be analysed to compare municipalities regarding the quality of registration in the PcP. Municipalities with high and low compliance indices will be identified and analysed together with data on demographics, socioeconomics and organisation from Statistics Sweden.Phase 2 (qualitative) Focus group interviews will be conducted in residential care units in the municipalities identified in phase 1 with interprofessional teams and older persons/next of kin. Additionally, 30 semi-structured individual interviews with residential care managers and other relevant stakeholders will explore obstacles and opportunities for effective care collaboration.Discussion We foresee that the results will contribute to the development of a model for effective PcP and care collaboration that can be used to improve patient safety and quality of care for frail older adults. This model can be tested and upscaled to achieve a more effective and equitable healthcare system.Ethics and dissemination The study has been approved by the Swedish ethical review authority. Dissemination plans involve publications, data deposition and engagement with healthcare stakeholders to ensure the practical application of the findings. |
| format | Article |
| id | doaj-art-9ba1dc58a8a9431f8c8067480cc28bc5 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-9ba1dc58a8a9431f8c8067480cc28bc52025-02-12T07:00:08ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2023-081925Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study designÅsa Larsson Ranada0Elisabet Rothenberg1Helle Wijk2Martina Karin Boström3Pia Skott4Anette Erichsen5Department of Health, Medicine and Caring Sciences, Linkoping University Department of Health Medicine and Caring Sciences, Linkoping, SwedenHealth Sciences, Kristianstad University, Kristianstad, SwedenUniversity of Gothenburg, Goteborg, SwedenDepartment of Quality Improvement and Leadership, Jönköping Academy For Improvement of Health and Welfare, Jönköping University Hälsohögskolan, Jonkoping, SwedenPublic Dental Services, Department of Orofacial Medicine, Stockholm University, Stockholm, SwedenInstitutionen för vårdvetenskap och hälsa, University of Gothenburg, Goteborg, SwedenBackground Frail older adults constitute a significant vulnerable group with complex healthcare needs requiring collaboration between various care providers and professions. Despite this requirement, there are considerable knowledge gaps in how to achieve effective collaboration. Preventive measures such as addressing pressure ulcers, falls, malnutrition and poor oral health often receive low priority compared with treating diseases or injuries. This study aims to enhance our understanding of how care collaboration in the preventive care process (PcP) using the Senior alert (SA) register could improve patient safety and equality of care for frail older adults in Sweden.Methods This study, conducted over 4 years, employs an explanatory mixed methods design, divided into three phases. The study protocol comprises the two first phases.Phase 1 (quantitative) Data from SA (2019–2021) will be analysed to compare municipalities regarding the quality of registration in the PcP. Municipalities with high and low compliance indices will be identified and analysed together with data on demographics, socioeconomics and organisation from Statistics Sweden.Phase 2 (qualitative) Focus group interviews will be conducted in residential care units in the municipalities identified in phase 1 with interprofessional teams and older persons/next of kin. Additionally, 30 semi-structured individual interviews with residential care managers and other relevant stakeholders will explore obstacles and opportunities for effective care collaboration.Discussion We foresee that the results will contribute to the development of a model for effective PcP and care collaboration that can be used to improve patient safety and quality of care for frail older adults. This model can be tested and upscaled to achieve a more effective and equitable healthcare system.Ethics and dissemination The study has been approved by the Swedish ethical review authority. Dissemination plans involve publications, data deposition and engagement with healthcare stakeholders to ensure the practical application of the findings.https://bmjopen.bmj.com/content/15/2/e081925.full |
| spellingShingle | Åsa Larsson Ranada Elisabet Rothenberg Helle Wijk Martina Karin Boström Pia Skott Anette Erichsen Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design BMJ Open |
| title | Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design |
| title_full | Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design |
| title_fullStr | Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design |
| title_full_unstemmed | Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design |
| title_short | Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design |
| title_sort | obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults a study protocol for a mixed methods study design |
| url | https://bmjopen.bmj.com/content/15/2/e081925.full |
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