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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Enhancing interprofessional teamwork between youth care professionals using an electronic health record; a mixed
Janine Benjamins1,2, Emely de Vet2, Annemien Haveman-Nies2,3
1Icare JGZ, department Jeugdgezondheidszorg, Meppel, the Netherlands.
Implementing a shared electronic patient record (EPR-Youth) in youth care improved professional flexibility and fostered teamwork, though organizational factors also play a key role.
Area of Science:
- Healthcare Informatics
- Teamwork and Collaboration
- Child and Youth Services
Background:
- Interprofessional teamwork is crucial in youth and child healthcare.
- Shared electronic patient records (EPR-Youth) aim to enhance collaboration.
- The impact of EPR-Youth on teamwork components requires investigation.
Purpose of the Study:
- To assess the effect of EPR-Youth implementation on interprofessional teamwork.
- To identify specific teamwork components influenced by the shared record system.
- To explore professionals' perceptions of EPR-Youth's contribution to teamwork.
Main Methods:
- Mixed-methods design comparing pre- and post-implementation data.
- Quantitative surveys assessed five teamwork components (n=117 pre, n=127 post).
- Qualitative focus groups (n=12) explored EPR-Youth's impact on teamwork.
Main Results:
- Significant increase in reported professional flexibility post-EPR-Youth.
- Slight, non-significant improvements in other teamwork components.
- Focus groups indicated enhanced interdependence, collective ownership, and new professional activities.
Conclusions:
- EPR-Youth implementation can foster interprofessional teamwork in youth care.
- Organizational factors and shared definitions of teamwork are essential for successful implementation.
- EPR-Youth alone is insufficient; supportive organizational structures are necessary.
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