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The Care of Older Adults Experiencing Cognitive Challenges: How Interprofessional Teams Collaborate*

Published online by Cambridge University Press:  18 September 2017

Sherry Dahlke*
Affiliation:
Faculty of Nursing, University of Alberta
Salima Meherali
Affiliation:
University of Alberta
Thane Chambers
Affiliation:
University of Alberta Libraries
Rosalie Freund-Heritage
Affiliation:
Alberta Health Services
Kim Steil
Affiliation:
Glenrose Rehabilitation Hospital
Adrian Wagg
Affiliation:
Department of Medicine, University of Alberta
*
Correspondence and requests for reprints should be sent to / La correspondance et les demandes de tirés à part doivent être adressées à : Sherry Dahlke, Ph.D. Faculty of Nursing, University of Alberta 11405, 87th Avenue Edmonton, AB T6G 1C9 <Sherry.Dahlke@ualberta.ca>

Abstract

We conducted a scoping study to examine how interprofessional health care teams improve the outcomes of older adults experiencing cognitive challenges. We searched Ovid, Medline 1946, and MEDLINE In-Process and other non-indexed citations, using the concepts multi or interdisciplinary care teams, confusion or cognitive impairment, and elderly adults. Of 4,554 articles the review yielded, 34 relevant to our inquiry, using Arksey and O’Malley’s methodological framework. Twenty-nine per cent of authors reported on the processes interprofessional teams use to achieve positive outcomes for older adults. They highlighted the importance of communication, staff strategies, and education interventions in achieving outcomes with older adults and in supporting interprofessional collaboration. The review revealed knowledge gaps about the processes teams use to collaborate in caring for older adults experiencing cognitive challenges, and how to best incorporate older adults and their families’ perspectives in team decisions. More research to understand processes interprofessional teams use is needed.

Résumé

Nous avons réalisé un examen de portée pour évaluer comment les équipes interprofessionnelles en santé permettent d’améliorer l’état de santé de personnes âgées affectées par des défis cognitifs. Nous avons effectué notre recherche dans les bases Ovid, Medline 1946 et MEDLINE In-Process & other non-indexed citations, en utilisant trois principaux concepts : équipes de soins multidisciplinaires ou interdisciplinaires, confusion ou trouble cognitif, personnes âgées. L’examen de portée a rassemblé 4554 articles. Le cadre méthodologique d’Arksey et O’Malley’s a été utilisé pour examiner 34 articles jugés pertinents pour le sujet à l’étude. Bien que 71 % des auteurs n’ont pas rapporté les processus utilisés par les équipes interprofessionnelles pour atteindre des résultats positifs chez les personnes âgées affectées par des défis cognitifs, cela a été réalisé par 29 % des auteurs, qui ont souligné l’importance de la communication, des stratégies d’implication du personnel et des formations pour appuyer la réussite des soins sur le plan des résultats escomptés chez les personnes âgées et pour fournir un soutien adéquat pour la collaboration interprofessionnelle. L’examen de portée a mis en évidence des lacunes dans les connaissances actuelles concernant les processus utilisés par les équipes interprofessionnelles pour collaborer en vue de la prestation de soins aux personnes âgées affectées par des défis cognitifs, et les défis de l’incorporation optimale des perspectives des personnes âgées et de leur famille dans les décisions d’équipe. Davantage d’études sont nécessaires pour comprendre les processus utilisés par les équipes interprofessionnelles dans le cadre de la communication entre les membres de l’équipe, mais aussi pour celle liée aux autres cliniciens, aux personnes âgées et à leur famille.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2017 

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Footnotes

*

Funds were received from the Faculty of Nursing, University of Alberta, Establishment Grant.

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