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