Additional file 1: of An overview of systematic reviews on the collaboration between physicians and nurses and the impact on patient outcomes: what can we learn in primary care?

Search terms. Presents the search terms used within the different databases. (DOCX 12 kb

Additional file 2: of An overview of systematic reviews on the collaboration between physicians and nurses and the impact on patient outcomes: what can we learn in primary care?

Reference list of primary research articles. Presents the references of all the primary research articles included in the systematic reviews. (DOCX 64 kb

Table_1_Quality criteria of nature-based interventions in healthcare facilities: a scoping review.XLSX

IntroductionImplementing integrated nature-based interventions that simultaneously serve human health and the restoration of biodiversity in healthcare facilities is considered a promising strategy. As an emerging field of research and practice in healthcare, identification of quality criteria is necessary to support desired outcomes related to biodiversity, human health and intervention processes. This study is part of a larger research project in collaboration with the Flemish Agency of Nature and Forest in Belgium.MethodsA scoping review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews, in PubMed, Medline, Web of Science and Scopus. A step-by-step tabular screening process was conducted to identify relevant studies and reviews of nature-based interventions, published in English between January 2005 and April 2023. A qualitative content analysis was conducted and the results were then presented to the project steering group and a panel of stakeholders for refinement.ResultsAfter filtering on the eligibility criteria, and with focus on healthcare facilities, 14 articles were included in this study. A preliminary nature-based interventions quality framework with a set of quality indicators has been developed.DiscussionWhen designing integrated nature-based interventions, a needs analysis of users and the outdoor environment should be conducted. Next, the integration of a One Health and biodiversity perspective and the application of a complex intervention framework, could support the quality of the design and implementation of nature-based interventions in healthcare facilities and facilitate their assessment. In future work, more rigorous research into the design and implementation of integrated nature-based interventions is needed to test and refine the quality criteria in practice.</p

Dotplot: Multivariate regression model for association between dementia stages (CDR code) and gait variables adjusted for gender in five walking conditions for all participants and for age-stratified groups (two-way ANOVA).

<p>Dotplot_all: Main effect test of CDR on gait parameter, for all ages combined. A 2-way ANOVA model was fitted, with main effects for CDR score and gender but without the interaction term. The dotplot shows the negative logarithm (10-based) of the p-value for the main effect of CDR score.Dotplot_5070: Main effect test of CDR score on gait parameter (age 50 to 70). Dotplot_7080: Main effect test of CDR score on gait parameter (age 70–80). Dotplot_80plus: Main effect test of CDR score on gait parameter (above age 80).</p

Multivariable logistic regression Models 1 and 2.

<p>ROC: receiver operating characteristic. AUC: area under the curve. Walking conditions: UP = Usual pace, FP = Fast pace, SP = Slow pace, CW = count walk, AW = animal walk.</p

Multivariable logistic regression Models 1 and 2.

<p>ROC: receiver operating characteristic. AUC: area under the curve. Walking conditions: UP = Usual pace, FP = Fast pace, SP = Slow pace, CW = count walk, AW = animal walk.</p

Video-recording consultations for educational purposes in out-of-hours primary care: patients and physicians are willing to participate

<p>Video-recordings of consultations are used by general practitioner (GP) trainees to enable reflection on aspects of knowledge, skills and attitudes. Typically, these recordings are made during office hours in general practice, but little is known about using video-recording during out of hours (OOH) care, which is an important and distinct part of a GP’s work. To be able to record consultations during OOH care (i.e. at the emergency department (ED) and at the General Practitioner Cooperative (GPC)), patients must be willing to cooperate and give informed consent. Therefore, it was of interest to investigate potential barriers in these OOH settings.</p> <p>A questionnaire on demographics and attitudes regarding consent was administered to patients and physicians at the ED and at the GPC in Sint-Niklaas, Belgium.</p> <p>A total of 346 questionnaires were completed, 23 by physicians and 323 by patients. A majority of the patients (225/286 (79%)) would consent to video-recording the consultation, without physical examination. Almost all physicians (21/23) would agree to participate. Overall, 85% (260/323) of the patients agree when only the doctor was being recorded. Patients were neutral in recording in 79% (88/224) at the GPC and 57% (56/99) at the ED. Shyness or embarrassment was present in 32% (71/224), and 28% (28/99) at the GPC and ED, respectively. We did not find any significant differences in giving consent or feelings between patients at the GPC and ED.</p> <p>A vast majority of both patients and physicians would consent to video-recording their consultation in OOH primary care settings (GPC and ED), with possible concerns about privacy, shame and discomfort.</p

Dotplot: Association between dementia stages (CDR code) and gait variables (one-way ANOVA).

<p>Dotplot_all: Association between CDR score and gait (all ages combined). The dotplot shows the negative logarithm (10-based) of the p-values for the one-way ANOVA between gait parameter and CDR score. Strong associations with a small p-value correspond to large values of the–log(p). Each line in the plot corresponds to one gait parameter. On each line, five dots are shown for the 5 walking conditions. Dotplot_5070: Association between CDR score and gait (age 50 to 70). Dotplot_7080: Association between CDR score and gait (age 70–80). Dotplot_80plus: Association between CDR score and gait (above age 80). CDR: Clinical Dementia rating. DTC: dual task cost.</p

TI_HT_DP_Data

Data features: - The original questionnaires that were sent to the English or French-speaking experts for each round of the Delphi procedure. It includes explanations about the research projects and the related concepts, and detailed results of the nominal groups. - All the experts' answers and comments for each round of the Delphi procedure. - A table of the scores for both rounds.For more detailed info on the files included, see "readme" fil

Data_Sheet_2_Development of a toolkit to improve interprofessional collaboration and integration in primary care using qualitative interviews and co-design workshops.PDF

BackgroundDespite numerous attempts to improve interprofessional collaboration and integration (IPCI) in primary care, patients, care providers, researchers, and governments are still looking for tools and guidance to do this more efficiently. To address these issues, we decided to develop a generic toolkit, based on sociocracy and psychological safety principles, to guide care providers in their collaboration within and outside their practice. Finally, we reasoned that, in order to obtain integrated primary care, different strategies should be combined.MethodsDevelopment of the toolkit consisted of a multiyear co-development process. Data originating from 65 care providers, through 13 in-depth interviews and five focus groups were analysed and subsequently evaluated in eight co-design workshop sessions, organised with a total of 40 academics, lecturers, care providers and members of the Flemish patient association. Findings from the qualitative interviews and co-design workshops were gradually, and inductively adapted and transformed into the content for the IPCI toolkit.ResultsTen themes were identified: (i) awareness of the importance of interprofessional collaboration, (ii) the need for a self-assessment tool to measure team performance, (iii) preparing a team to use the toolkit, (iv) enhancing psychological safety, (v) developing and determining consultation techniques, (vi) shared decision making, (vii) developing workgroups to tackle specific (neighbourhood) problems, (viii) how to work patient-centred, (ix) how to integrate a new team member, and (x) getting ready to implement the IPCI toolkit. From these themes, we developed a generic toolkit, consisting of eight modules.ConclusionIn this paper, we describe the multiyear co-development process of a generic toolkit for the improvement of interprofessional collaboration. Inspired by a mix of interventions from in and outside healthcare, a modular open toolkit was produced that includes aspects of Sociocracy, concepts as psychological safety, a self-assessment tool and other modules concerned with meetings, decision-making, integrating new team members and population health. Upon implementation, evaluation and further development and improvement, this compounded intervention should have a beneficial effect on the complex problem of interprofessional collaboration in primary care.</p