Samhandling om kvardagsrehabilitering - ein kvalitativ studie

Abstract

Studiar om fagpersonar sine erfaringar med samhandling om kvardagsrehabilitering er etterspurt. Hensikta med studien var å utforske og beskrive korleis tilsette erfarer samhandling om kvardagsrehabilitering. Gjennom 13 kvalitative intervju fekk vi innsikt i korleis tilsette i heimetenestene erfarer samhandlinga. Informantane beskriv ei ambi- valens i samhandlinga. På den eine sida opplever informantane god samhandling i teamet, felles forståing for oppgåvene og lite konfliktar innanfor teamet. Samstundes erfarer informantane at samhandlinga med resten av heimetenestene er meir utfordrande. Denne ambivalensen kan forståast som at informantane opplever å stå i eit spenningsfelt mellom ope og lukka samarbeid. Vidare er fleksibilitet i samhandlinga viktig for at arbeidsoppgåvene skal bli gjort og kvardagen skal fungere. Informantane må ofte prioritere oppgåver i heimetenesta framfor kvardags- rehabilitering, og ta att oppdrag med kvardagsrehabilitering seinare på dagen. Fleksibiliteten er særleg utfordrande for informantane med delt stilling i kvardagsrehabiliteringsteam og ordinær heimeteneste. Prioriteringa av hasteopp- gåver bremsar arbeidet med kvardagsrehabilitering. Informantane beskriv korleis digitalisering lettar samhandlinga mellom for eksempel fastlege, sjukehus og heimetenesta. Elektroniske verktøy fungerer som ein møteplass for samhandling. Det er behov for vidare utforsking av korleis digitalisering bidreg i samhandlinga om kvardagsrehabilitering.

Research on collaboration and professionals’ experience of reablement is needed. The purpose of this study was to explore and describe how home care staff experience collaboration with reablement. Through interviews with 13 informants in home care services we gained insight into how the informants experience this. The informants describe an ambivalent experience. On one hand, the informants experience good interaction inside the reablement team, with little conflicts. At the same time, they describe how the collaboration with the rest of the home care services was more challenging. This ambivalence can be understood as informants’ experience of a tension between relational cooperation and operationally closed collaboration. Flexibility in the collaboration seems important to complete all tasks done during the day. Informants describe how they must prioritize tasks in home care above reablement and perform reablement later. In particular, informants in shared positions expressed challenges related to flexibility. The flexibility inhibits the work on reablement. The informants describe how digitization improves the collaboration between for example the general practitioner, hospital, and home care service. Digital tools have become an important venue for collaboration. Further research to explore how these electronic tools can contribute to collaboration in reablement is needed.