Interdisciplinary Teams in Long-Term Care Facilities: Clinical Effectiveness and Guidelines - CADTH RAPID RESPONSE REPORT: SUMMARY OF ABSTRACTS

Page created by Martha Ortiz
 
CONTINUE READING
CADTH RAPID RESPONSE REPORT: SUMMARY OF ABSTRACTS

Interdisciplinary Teams in
Long-Term Care Facilities:
Clinical Effectiveness and
Guidelines

Service Line:       Rapid Response Service
Version:            1.0
Publication Date:   January 4, 2018
Report Length:      6 Pages
Authors: Kelsey Seal, Charlene Argáez

    Cite As: Interdisciplinary teams in long-term care f acilities: clinical ef fectiveness and guidelines. Ottawa: CADTH; 2018 Jan. (CADTH rapid response report:
    summary of abstracts).

    Acknowledgments:

    Disclaimer: The inf ormation in this document is intended to help Canadian health care decision-makers, health care prof essionals, health sy stems leaders,
    and policy -makers make well-inf ormed decisions and thereby improv e the quality of health care serv ices. While pat ients and others may access this document,
    the document is made av ailable f or inf ormational purposes only and no representations or warranties are made with respect to its f itness f or any particular
    purpose. The inf ormation in this document should not be used as a substitute f or prof essional medical adv ice or as a substitute f or the application of clinical
    judgment in respect of the care of a particular patient or other prof essional judgment in any decision-making process. The Canadian Agency f or Drugs and
    Technologies in Health (CADTH) does not endorse any inf ormation, drugs, therapies, treatments, products, processes, or serv ic es.

    While care has been taken to ensure that the inf ormation prepared by CADTH in this document is accurate, complete, and up -to-date as at the applicable date
    the material was f irst published by CADTH, CADTH does not make any guarantees to that ef f ect. CADTH does not guarantee and is not responsible f or the
    quality , currency , propriety , accuracy, or reasonableness of any statements, information, or conclusions contained in any third-party materials used in preparing
    this document. The v iews and opinions of third parties published in this document do not necessarily state or ref lect those o f CADTH.

    CADTH is not responsible f or any errors, omissions, injury , loss, or damage arising f rom or relating to the use (or misuse) of any inf ormation, statements, or
    conclusions contained in or implied by the contents of this document or any of the source materials.

    This document may contain links to third-party websites. CADTH does not hav e control ov er the content of such sites. Use of third-party sites is gov erned by
    the third-party website owners’ own terms and conditions set out f or such sites. CADTH does not make any guarantee with respect to a ny inf ormation
    contained on such third-party sites and CADTH is not responsible f or any injury , loss, or damage suf f ered as a result of using such third -party sites. CADTH
    has no responsibility f or the collection, use, and disclosure of personal inf ormation by third-party sites.

    Subject to the af orementioned limitations, the v iews expressed herein are those of CADTH and do not necessarily represent the v iews of Canada’s f ederal,
    prov incial, or territorial gov ernments or any third party supplier of inf ormation.

    This document is prepared and intended f or use in the context of the Canadian health care sy stem. The use of this document ou tside of Canada is done so at
    the user’s own risk.

    This disclaimer and any questions or matters of any nature arising f rom or relating to the content or use (or misuse) of this document will be gov erned by and
    interpreted in accordance with the laws of the Prov ince of Ontario and the laws of Canada applicable therein, and all proceed ings shall be subject to the
    exclusiv e jurisdiction of the courts of the Prov ince of Ontario, Canada.

    The copy right and other intellectual property rights in this document are owned by CADTH and its licensors. These rights are protected by the Canadian
    Copyright Act and other national and international laws and agreements. Users are permitted to make copies of this document f or non-commercial purposes
    only , prov ided it is not modif ied when reproduced and appropriate credit is giv en to CADTH and its licensors.

    About CADTH: CADTH is an independent, not-f or-prof it organization responsible f or prov iding Canada’s health care decision-makers with objectiv e ev idence
    to help make inf ormed decisions about the optimal use of drugs, medical dev ices, diagnostics, and procedures in our health ca re sy stem.

    Funding: CADTH receiv es f unding f rom Canada’s f ederal, prov incial, and territorial gov ernments, with the exception of Quebec.

SUMMARY OF ABSTRACTS Interdisciplinary Teams in Long-Term Care Facilities                                                                                                  2
Research Questions
                                             1. What is the clinical effectiveness regarding the use of an interdisciplinary team for the
                                                care of patients in long-term facilities?
                                             2. What are the evidence-based guidelines for the professional composition and use of an
                                                interdisciplinary team for the care of patients in long-term care facilities?

                                              Key Findings
                                             No relevant literature was found regarding the use of an interdisciplinary team for the care
                                             of patients in long-term facilities.

                                              Methods
                                             A limited literature search was conducted on key resources PubMed, CINAHL, The
                                             Cochrane Library, University of York Centre for Reviews and Dissemination (CRD)
                                             databases and a focused Internet search. No methodological filters were applied to limit
                                             retrieval by publication type. The search was limited to English language documents
                                             published between January 1, 2012 and December 14, 2017. Internet links were provided,
                                             where available.

                                              Selection Criteria
                                             One reviewer screened citations and selected studies based on the inclusion criteria
                                             presented in Table 1.

Table 1: Selection Criteria
Population                 Patients (any age) in long-term care facilities

Intervention               Interdisciplinary team care

Comparator                 Q1. Any comparator (e.g., different team compositions, staffing mix, staffing ratios)
                           Q2. No comparator necessary

Outcomes                   Q1.Clinical effectiveness (e.g., positive clinical outcomes, improved lived experience for residents,
                           increased safety)
                           Q2. Guidelines for the professional composition and use of an interdisciplinary team for the care of patients
                           in long-term care facilities

Study Designs              Health technology assessments, systematic reviews, meta-analyses, randomized controlled studies, non-
                           randomized studies, evidence-based guidelines

SUMMARY OF ABSTRACTS Interdisciplinary Teams in Long-Term Care Facilities                                                                   3
Results
                                             No health technology assessments, systematic reviews, meta-analyses, randomized
                                             controlled trials, non-randomized studies, or evidence-based guidelines were found
                                             regarding the use of an interdisciplinary team for the care of patients in long-term facilities.

                                             References of potential interest are provided in the appendix.

                                              Overall Summary of Findings
                                             No relevant literature was found regarding the use of an interdisciplinary team for the care
                                             of patients in long-term facilities; therefore, no summary can be provided.

                                              References Summarized
                                              Health Technology Assessments
                                             No literature identified.

                                              Systematic Reviews and Meta-analyses
                                             No literature identified.

                                              Randomized Controlled Trials
                                             No literature identified.

                                              Non-Randomized Studies
                                             No literature identified.

                                              Guidelines and Recommendations
                                             No literature identified.

SUMMARY OF ABSTRACTS Interdisciplinary Teams in Long-Term Care Facilities                                                                   4
Appendix — Further Information
                                              Systematic Reviews – Publication Out-of-Date
                                             1. Hodgkinson B, Haesler EJ, Nay R, O’Donnell MH, McAuliffe LP. Effectiveness of
                                                staffing models in residential, subacute, extended aged care settings on patient and
                                                staff outcomes. Cochrane Syst Rev; 2011 Jun. Available from:
                                                 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006563.pub2/full

                                              Non-Randomized Studies
                                              Alternative Intervention
                                             2. PH, Hung CH, Chen YC. The impact of three nursing staffing models on nursing
                                                outcomes. J Adv Nurs. 2015 Aug;71(8):1847-56.
                                                PubMed: PM25740052

                                              Publication Under Review
                                             3. McGillis Hall L. Nurse staffing models, resident outcomes and system cost outcomes in
                                                long-term care [Internet]. Toronto (ON): Linda McGillis Hall; 2017 [cited 2018 Jan 2].
                                                Under Review.
                                                Available from: https://www.mcgillishall.com/nurse-staffing-models-resident-outcomes-
                                                and-system-cost-outcomes-in-long-term-care/

                                              Qualitative Studies
                                             4. Tsakitzidis G, Anthierens S, Timmermans O, Truijen S, Meulemans H, Van Royen P.
                                                Do not confuse multidisciplinary task management in nursing homes with
                                                interprofessional care! Prim Health Care Res Dev. 2017 Nov;18(6):591-602.
                                                PubMed: PM28625197

                                             5. Fleischmann N, Tetzlaff B, Werle J, Geister C, Scherer M, Weyerer S, et al.
                                                Interprofessional collaboration in nursing homes (interprof): a grounded theory study of
                                                general practitioner experiences and strategies to perform nursing home visits. BMC
                                                Fam Pract. 2016 Aug 30;17(1):123. Available from:
                                                http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5006263
                                                PubMed: PM27576357

                                             6. Hurtado DA, Berkman LF, Buxton OM, Okechukwu CA. Schedule control and nursing
                                                home quality: exploratory evidence of a psychosocial predictor of resident care. J Appl
                                                Gerontol. 2016 Feb;35(2):244-53. Available from:
                                                http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4346551
                                                PubMed: PM25186313

                                              Review Articles
                                             7. Hsu AT, Berta W, Coyte PC, Laporte A. Staffing in Ontario's long-term care homes:
                                                differences by profit status and chain ownership. Can J Aging. 2016 Jun;35(2):175-89.
                                                PubMed: PM27223577

SUMMARY OF ABSTRACTS Interdisciplinary Teams in Long-Term Care Facilities                                                                  5
8. Rome V, Harris -Kojetin LD. Variation in residential care community nurse and aide
                                                staffing levels: United States, 2014. Natl Health Stat Report. 2016 Feb 19;(91):1-11.
                                                PubMed: PM26905720

                                             9. Harden JT, Burger SG. They are called nursing homes for a reason: RN staffing in long-
                                                term care facilities. J Gerontol Nurs. 2015 Dec;41(12):15-20.
                                                PubMed: PM26594951

                                             10. Clark MA, Roman A, Rogers ML, Tyler DA, Mor V. Surveying multiple health
                                                 professional team members within institutional settings: an example from the nursing
                                                 home industry. Eval Health Prof. 2014 Sep;37(3):287-313. Available from:
                                                 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380513
                                                 PubMed: PM24500999

                                             11. Lin H. Revisiting the relationship between nurse staffing and quality of care in nursing
                                                 homes: an instrumental variables approach. J Health Econ. 2014 Sep;37:13-24.
                                                 PubMed: PM24887707

                                             12. Kennerly SM, Yap T, Miller E. A nurse-led interdisciplinary leadership approach
                                                 targeting pressure ulcer prevention in long-term care. Health Care Manag (Frederick ).
                                                 2012 Jul;31(3):268-75.
                                                 PubMed: PM22842762

                                              Additional References
                                             13. Griffith P, Compton G, Lundrigan B. Staffing: getting the right mix [Internet]. Ottawa
                                                 (ON): Canadian Nursing Association; 2012 Dec [cited 2018 Jan 2] CNA Web inar Series:
                                                 Progress in Practice.
                                                 Available from: https://cna-aiic.ca/~/media/cna/page-content/pdf-
                                                 fr/staff_mix_webinar_presentation_e.pdf

SUMMARY OF ABSTRACTS Interdisciplinary Teams in Long-Term Care Facilities                                                                   6
You can also read