Positive empowerment of Belgian GPs and practice nurses as a key element in the change towards a proactive and integrated care for persons with chronic diseases: lessons from an interprofessional blended training program

Why did we do it? (background): The growing number of people with chronic care needs is putting pressure on general practice. Coping with this pressure while keeping care accessible demands a transition to a more proactive and integrated chronic care. General practitioners and practice nurses do want to organise their care more integrated, but the hectic pace of everyday life does not make change evident. What did we do? During four regional blended training days GPs and practice nurses where supported in the change process towards more integrated care for persons with chronic diseases. The ma... Mehr ...

Verfasser: Kool, Emy
Danhieux, Katrien
D'hanis, Gunther
van Olmen, Josefien
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Verlag/Hrsg.: Ubiquity Press
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-28887496
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://account.ijic.org/index.php/up-j-ijic/article/view/8231

Why did we do it? (background): The growing number of people with chronic care needs is putting pressure on general practice. Coping with this pressure while keeping care accessible demands a transition to a more proactive and integrated chronic care. General practitioners and practice nurses do want to organise their care more integrated, but the hectic pace of everyday life does not make change evident. What did we do? During four regional blended training days GPs and practice nurses where supported in the change process towards more integrated care for persons with chronic diseases. The main goal was to make attendees ‘Aware’ of the need for change, establish the ‘Desire’ for change, provide them with the ‘Knowledge’ and ‘Ability’ they need to achieve change, and to ‘Reinforce’ that attendees continue to work on their change. This ‘ADKAR-change model’ formed the backbone of our training program: In preparation attendees watched a short clip in which we clarified the concept of integrated chronic care and assessed to what extent their practice already provides integrated chronic care using the ACIC questionnaire based on the chronic care model. The training kicked-off with reflections on and best practices of integrated chronic care by local key figures. Then participants were divided in four workshops, each of which zoomed in on a different element of integrated chronic care: self-management support, clinical information systems for population management, interprofessional collaboration and community oriented care. The workshops were asset-based according to the method of appreciative inquiry: Led by a moderator and local expert attendees in each group identified what aspects of integrated care they are already doing, what they aspire to do further and how they can realise this ambition in their practice. Participants got acquainted with tools helpful in the process of setting up a quality improvement project. We supported participants to continue to work on their project by sending them tips and tools on a ...