Understanding interprofessional collaboration in the context of chronic disease management for older adults living in communities: a concept analysis.
OBJECTIVE
To report a concept analysis of interprofessional collaboration in the context of chronic disease management, for older adults living in communities.


BACKGROUND
Increasing prevalence of chronic disease among older adults is creating significant burden for patients, families and healthcare systems. Managing chronic disease for older adults living in the community requires interprofessional collaboration across different health and other care providers, organizations and sectors. However, there is a lack of consensus about the definition and use of interprofessional collaboration for community-based chronic disease management.


METHODS
Concept analysis.


METHODS
Electronic databases CINAHL, Medline, HealthStar, EMBASE, PsychINFO, Ageline and Cochrane Database were searched from 2000 - 2013.


METHODS
Rodgers' evolutionary method for concept analysis.


RESULTS
The most common surrogate term was interdisciplinary collaboration. Related terms were interprofessional team, multidisciplinary team and teamwork. Attributes included: an evolving interpersonal process; shared goals, decision-making and care planning; interdependence; effective and frequent communication; evaluation of team processes; involving older adults and family members in the team; and diverse and flexible team membership. Antecedents comprised: role awareness; interprofessional education; trust between team members; belief that interprofessional collaboration improves care; and organizational support. Consequences included impacts on team composition and function, care planning processes and providers' knowledge, confidence and job satisfaction.


CONCLUSIONS
Interprofessional collaboration is a complex evolving concept. Key components of interprofessional collaboration in chronic disease management for community-living older adults are identified. Implications for nursing practice, education and research are proposed.
School of Nursing, McMaster University, Hamilton, Ontario, Canada.
Sue
http://orcid.org/0000-0003-1169-6309
S
Bookey-Bassett
School of Nursing, McMaster University, Hamilton, Ontario, Canada.
Maureen
M
Markle-Reid
School of Nursing, McMaster University, Hamilton, Ontario, Canada.
Colleen A
CA
Mckey
School of Nursing, McMaster University, Hamilton, Ontario, Canada.
Noori
N
Akhtar-Danesh
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002908:Chronic Disease / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D057187:Independent Living / Q000592:standards*; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic
chronic disease; community; concept analysis; interprofessional collaboration; nursing; older adults