title: Analysis of team types based on collaborative relationships among doctors, home-visiting nurses and care managers for effective support of patients in end-of-life home care.
abstract: OBJECTIVE
  To define the team types consisting of doctors, home-visiting nurses and care managers for end-of-life care by measuring the collaboration relationship, and to identify the factors related to the team types.
  
  
  METHODS
  A questionnaire survey of 43 teams including doctors, home-visiting nurses and care managers was carried out. The team types were classified based on mutual evaluations of the collaborative relationships among the professionals. To clarify the factors between team types with the patient characteristics, team characteristics and collaboration competency, univariate analysis was carried out with the Fisher's exact test or one-way analysis and multiple comparison analysis.
  
  
  RESULTS
  Three team types were classified: the team where the collaborative relationships among all healthcare professionals were good; the team where the collaborative relationships between the doctors and care managers were poor; and the team where the collaborative relationships among all of the professionals were poor. There was a statistically significant association between the team types and the following variables: patient's dementia level, communication tool, professionals' experience of working with other team members, home-visiting nurses' experience of caring for dying patients, care managers' background qualifications, doctor's face-to-face cooperation with other members and home-visiting nurses' collaborative practice.
  
  
  CONCLUSIONS
  It is suggested that a collaborative relationship would be fostered by more experience of working together, using communication tools and enhancing each professional's collaboration competency. Geriatr Gerontol Int 2017; 17: 1943-1950.
authors.affiliation: Department of Community Health Nursing, Japanese Red Cross College of Nursing, Tokyo, Japan.
authors.forename: Junko
authors.initials: J
authors.lastname: Fujita
authors.affiliation: Department of Community Health Nursing, Japanese Red Cross College of Nursing, Tokyo, Japan.
authors.forename: Sakiko
authors.initials: S
authors.lastname: Fukui
authors.affiliation: Health Administration in Nursing, Chiba University, Chiba, Japan.
authors.forename: Sumie
authors.initials: S
authors.lastname: Ikezaki
authors.affiliation: Department of Community Health Nursing, Japanese Red Cross College of Nursing, Tokyo, Japan.
authors.forename: Chizuru
authors.initials: C
authors.lastname: Otoguro
authors.affiliation: Department of Visiting Nursing, Graduate School of Nursing, Chiba University, Chiba, Japan.
authors.forename: Mayuko
authors.initials: M
authors.lastname: Tsujimura
mesh_terms: D000288:Administrative Personnel / Q000523:psychology; D000368:Aged; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D064691:Nurses, Community Health / Q000523:psychology; D010348:Patient Care Team / Q000458:organization & administration*; D010820:Physicians / Q000523:psychology; D013727:Terminal Care / Q000458:organization & administration*
keywords: end-of-life care; home care services; interdisciplinary health team; professionalism; surveys and questionnaires