Yinusa Gladys, Scammell Janet, Murphy Jane, Ford Gráinne, Baron Sue
Department of Nursing Science, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, UK.
Ageing and Dementia Research Centre, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, UK.
J Multidiscip Healthc. 2021 Feb 22;14:459-491. doi: 10.2147/JMDH.S255256. eCollection 2021.
Multidisciplinary approaches to nutritional care are increasingly emphasized and recommended. However, there is little evidence of how different disciplines work together collaboratively to deliver optimum quality care to adult in-patients. This scoping review aimed to describe the existing literature on multidisciplinary collaboration to identify the various disciplines involved and the features that influence collaborative working in implementing multidisciplinary food and nutritional care with adult in-patients.
Multiple databases were searched, including MEDLINE Complete, Embase, CINAHL Complete, HMIC, and Scopus, from their inception to December 2019. Data were retrieved from eligible studies. A narrative description of findings is reported with respect to the disciplines involved, the aspects of nutritional care explored, and the collaborative processes categorized using the input, process, and outcome framework.
Thirty-one studies with heterogeneous study designs met the eligibility criteria. Studies were undertaken in six countries. Findings show a wide diversity of multidisciplinary collaborations in various aspects of nutritional care in all studies. Multidisciplinary nutritional care provision was facilitated by several processes, including training and development, communication and information sharing, and clinical leadership and management support. Outcomes were reported at the patient, team, and organizational levels.
This review reveals the significance of the interrelationship between different disciplines and their complementary contributions towards the delivery of optimal food and nutritional care. Key aspects include the involvement of different disciplines, the clarification of roles and multidisciplinary interrelationships, communication, information sharing, clinical leadership, and management support, all of which facilitated collaborative working. Our review uncovered that these features can significantly influence multidisciplinary working. This review is the first to present literature concerning the attributes that affect collaborative working. Further research is recommended specifically around multidisciplinary nutritional care processes and conditions that allow for better collaborative working.
多学科营养护理方法越来越受到重视和推荐。然而，几乎没有证据表明不同学科如何协同工作，为成年住院患者提供最佳质量的护理。本范围综述旨在描述关于多学科合作的现有文献，以确定所涉及的各个学科，以及在为成年住院患者实施多学科食品和营养护理时影响合作工作的特征。
检索了多个数据库，包括MEDLINE Complete、Embase、CINAHL Complete、HMIC和Scopus，检索时间从各数据库建库至2019年12月。从符合条件的研究中检索数据。根据所涉及的学科、探索的营养护理方面以及使用输入、过程和结果框架分类的合作过程，对研究结果进行叙述性描述。
31项研究设计各异的研究符合纳入标准。这些研究在六个国家开展。研究结果显示，在所有研究的营养护理各个方面，多学科合作存在广泛差异。多学科营养护理的提供得益于多个过程，包括培训与发展、沟通与信息共享以及临床领导和管理支持。在患者、团队和组织层面报告了结果。
本综述揭示了不同学科之间相互关系的重要性，以及它们对提供最佳食品和营养护理的互补贡献。关键方面包括不同学科的参与、角色和多学科相互关系的明确、沟通、信息共享、临床领导和管理支持，所有这些都促进了合作工作。我们的综述发现，这些特征可显著影响多学科工作。本综述首次呈现了有关影响合作工作属性的文献。建议围绕多学科营养护理过程以及有助于更好地开展合作工作条件进行进一步研究。
