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Nursing Research and Practice
Volume 2013, Article ID 794743, 9 pages
http://dx.doi.org/10.1155/2013/794743
Research Article

Interdisciplinary Team Collaboration during Discharge of Depressed Older Persons: A Norwegian Qualitative Implementation Study

Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Vestfold University College, P.O. Box 2243, 3101 Tønsberg, Norway

Received 25 February 2013; Revised 23 April 2013; Accepted 23 April 2013

Academic Editor: Karen Ousey

Copyright © 2013 Anne Lise Holm and Elisabeth Severinsson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In order to deliver effective care, it is necessary to organise interdisciplinary activities for older persons who suffer from depressive disorders. This paper evaluated the interdisciplinary team members’ perceptions of cooperation in the discharge planning of depressed older persons based on the Chronic Care Model (CCM). A qualitative implementation design was used, data were collected by means of multistage focus groups, and a thematic analysis was performed. Three themes emerged: lack of effective team leadership in the community, the need to change the delivery system, and enhancing self-management support for depressed older persons as well as the participation of their families. It was concluded that nurse managers must find ways of supporting the depressed older persons by better structuring the care, increasing cooperation with organisational leadership, and creating an environment characterised by trust and mutual respect. Distrust can have serious implications for discharge planning collaboration. The development of a common vision of transparency in the organization is important as is a policy of change among leadership and in clinical practice.