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Frailty and Interprofessional Collaboration.

Marion C E Briggs¹, Janet E McElhaney

¹Northern Ontario School of Medicine, Sudbury, Canada.

Interdisciplinary Topics in Gerontology and Geriatrics

|August 25, 2015

Summary

Interprofessional collaboration is crucial for frail older patients in hospitals. Understanding clinical practice processes like representation, sense-making, and improvisation aids implementation of best practices in patient care.

Area of Science:

Geriatric Medicine
Healthcare Management
Medical Education

Background:

Interprofessional collaboration is vital for frail older patients.
Hospital settings present unique challenges for interprofessionalism due to dynamic environments and complex patient populations.
Teaching units in acute care further complicate collaboration with frequent team changes.

Purpose of the Study:

To highlight the importance of interprofessional collaboration in hospital care for frail older adults.
To explore challenges and facilitators of implementing best practices in this setting.
To describe key processes influencing practice change in clinical settings.

Main Methods:

The chapter emphasizes a conceptual approach, describing interdependent processes in clinical practice.

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Focuses on representation, sense-making, and improvisation as mechanisms for practice change.

Integrates the patient as a central element of the teaching team.

Main Results:

Implementing 'best practice' interventions for hospitalized frail older adults is challenging in routine care.
Interprofessionalism can enhance learning and patient care when contextual factors are considered.
The described processes offer insight into adapting practices to local contexts.

Conclusions:

Effective interprofessional collaboration requires understanding and navigating complex clinical processes.
Context-specific implementation strategies are essential for improving care for frail older patients.
Person-centered care should remain the primary focus during practice adaptation and implementation.