THE WEAKNESS OF TEAMWORK BETWEEN NURSES AND PHYSIOTHERAPISTS IN CARING FOR STROKE PATIENTS IN HUNGARY
Author(s)
József Betlehem, BSc, MSc, deputy director general1, Melinda Horváth, BSc, physioterpist1, Imre Boncz, MD, MSc, department head2, Andor Sebestyén, MD, MBA, deputy director21University of Pécs, Pécs, Hungary; 2 National Health Insurance Fund Administration (OEP), Budapest, Hungary
OBJECTIVES: In the rehabilitation process of stroke patient the caring aspect becomes more important today which is delivered by many professionals. Lot of cost analysis studies show the meaning of coherent and permanent patient care in stroke. Our study examines the dedicated role of nurses and physiotherapists of the team in providing a fluent and adjusted care for stroke patients. METHODS: In 9 Hungarian stroke institutions/units (who are declared as stroke units officially) 30 physiotherapists and 30 qualified nurses working in the same teams were asked with a pilot tested self fill in questionnaire between 01.11-30.11.2005. 52 questionnaires were usable for data analysis. The data analysis was done by SPSS 11.0. The main association between variables were counted with chi-square at level 0.5. The variables used a Likert type scale with five points (1-5). RESULTS: The response rate was 86%. The majority of respondents work in the stroke care more than 1 year (physiotherapist 78%, nurses 85%). There were no significant differences in estimating ‘high' the importance of teamwork in the rehabilitation process of stroke patients. A lot of activities carried out by nurses and physiotherapist in caring for stroke patients overlap each other. The teamwork was seen complementary and coherent in the following fields: passive movements, laying the patient, giving mental support for the patient. The professional collaboration of nurses and physiotherapist are valued significantly higher by nurses than physiotherapists. CONCLUSIONS: Competency lists for nurses and physiotherapists should be more clear in the examined places. More focus should be paid on the teamwork meetings where nurses and physiotherapists can discuss and adjust the flow of the patient care.
Conference/Value in Health Info
2006-10, ISPOR Europe 2006, Copenhagen, Denmark
Value in Health, Vol. 9, No.6 (November/December 2006)
Code
PST5
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Treatment Patterns and Guidelines
Disease
Cardiovascular Disorders