Table 8.
Level of integration, care home staff support and training
| Study | Model | 1. Care staff involved in team meetings/joint working | 2. Level of care home staff support | 3. Training for care home staff | Training details | Level and features of integration |
|---|---|---|---|---|---|---|
| Llewellyn-Jones, 1999 | Multidisciplinary case conferences |
√ | Duration of intervention only - no information on length |
√ | Duration of intervention only - no information on length |
Micro Close collaboration between health care professionals and care home staff |
| King, 2001 | Multidisciplinary consultation & collaboration |
√ Senior nursing staff only |
Duration of intervention only - 8 months |
× | × |
Micro Close collaboration between health care professionals and care home staff |
| Opie, 2002 | Multidisciplinary consultation & collaboration |
× | Duration of intervention Only - 4 weeks |
× | × |
Micro Close collaboration between health care professionals and care home staff |
| Schmidt, 1998 | Multidisciplinary team meetings |
√ | Duration of intervention only 1 year |
× | × |
Micro Close collaboration between health care professionals and care home staff |
| Vu, 2007 | Multidisciplinary consultation & collaboration |
√ | Duration of intervention only1 year |
√ | Training wound management. No details |
Micro Close collaboration between health care professionals and care home staff |
| Crotty, 2004 | Multidisciplinary case conferences |
√ | Duration of intervention only 1 year |
√ | Half day workshop on managing challenging behaviours |
Micro Close collaboration between health care professionals and care home staff |
| Joseph, 1998 | Multidisciplinary care |
√ | Ongoing weekly meetings to discuss deaths, hospitalisations and complications | √ | 6 hours of seminars every year. Ongoing training and feedback in the management of acute conditions |
Macro Nurse practitioners employed to provide additional primary care Managed care Hospital avoidance |
| Kane, 2004 | Multidisciplinary care |
No information | Ongoing support but no details | √ | Ongoing no information on the amount. Focus on training care home staff to improve resident's care |
Macro Nurse practitioners employed to provide additional primary care Managed care Hospital avoidance |
| Goodman, 2007 | Multidisciplinary consultation & collaboration |
√ | Duration of intervention only approximately monthly over 6 months |
√ | Duration of intervention One training session for care home staff in one care home |
Micro Close collaboration between health care professionals and care home staff |
| Szczepura, 2008 | Multidisciplinary care |
√ | Ongoing over 2 years |
√ | Ongoing over 2 years |
Macro Dedicated nursing and physiotherapy In-reach team Dedicated care home beds Hospital avoidance Joint NHS - local authority initiative. |
| Proctor, 1998 | Multidisciplinary Training - high level of staff involvement |
√ | Duration of intervention 6 months, weekly visits by specialist nurse |
√ | Duration of intervention - 7 one hour seminars by multidisciplinary team on topics chosen by care staff |
Micro Close collaboration between health care professionals and care home staff |
| Knight, 2007 | Collaborative working using integrated care pathways | √ | Duration of intervention only 3 years |
√ | Duration of intervention only |
Micro Close collaboration between health care professionals and care home staff |
| Mathews, 2006 | Collaborative working using integrated care pathways | √ | Duration of intervention only No information |
√ | Duration of intervention 3 hours on palliative care |
Macro Close collaboration between health care professionals and care home staff Care pathways NHS funded bed |
| Doherty, 2008 | Care home support team | √ | Ongoing 1 year |
√ | Ongoing No details |
Meso Dedicated care home support team established by NHS |
| Hasson, 2008 | Link nurses in care homes | √ | Duration of intervention, monthly meetings over 3 years |
√ | Duration of intervention only-nine 3 hour training sessions |
Micro Close collaboration between health care professionals and care home staff |
| Avis, 1999 | District nurses supporting care home staff | √ | Duration of intervention only 2.5 years |
√ | Duration of intervention Only. At least 6 training sessions no details on length |
Micro Close collaboration between health care professionals and care home staff |
| Hockley, 2005 | Champions identified in care homes | √ | Duration of intervention Only 1 year. Regular clinical support no information on frequency |
√ | Duration of intervention - Monthly collaborative learning and monthly action learning sets |
Micro Close collaboration between health care professionals and care home staff |