Related Experiment Video
Updated: Jan 15, 2026
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
"If I do not coordinate it, who else will?" professionals' experiences with informal coordination in complex
Randi Skumsnes1,2, Karen Synne Groven3,4, Hilde Thygesen5
1Centre for Diaconia and Professional Practice, VID Specialized University, Oslo, Norway.
Purpose:
This study aimed to explore healthcare professionals' experiences with informal coordination across healthcare levels in complex neurological rehabilitation services in Norway.
Method:
Semi-structured qualitative interviews were held with fourteen healthcare professionals working in rehabilitation services and representing different professions and healthcare-level workplaces. The transcribed data material was analysed using reflexive thematic analysis and discussed applying perspectives of person-centred rehabilitation.
Findings:
Two themes were developed that related to participants' experiences with informal coordination as supplementing perceived gaps or shortcomings in formal coordination [1]: Engagement and taking initiative in commitments to the patient [2], Challenges and dilemmas with informal coordination.
Conclusion:
In managing intricate neurological rehabilitation services across various professions and organisations, informal coordinating activities are essential to complement formal structures. While informal coordination is vital for achieving relational and person-centred rehabilitation, it can lead to challenges related to role ambiguity and unclear responsibilities.Our findings are relevant for rehabilitation and disability studies, as interprofessional collaboration and coordination are fundamental to service delivery. Further research is needed to explore how to integrate formal and informal coordination in complex neurological rehabilitation.
Related Concept Videos
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:26Aneurysm III: Interprofessional Care
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
01:19Restorative Care
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:18Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...