Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Health Soc Care Community. 2022 Feb;30(2):403-414. doi: 10.1111/hsc.13266. Epub 2021 Mar 11.
Health and social care professionals' competencies have traditionally been separated because of the different aims of the two professions. These competencies need to be integrated, to make sure that seamless services are provided that meet the often complex needs of patients and clients in a coordinated and timely way. The aim of this integrative review was to identify, describe and synthetise previous studies on integrated competencies in health and social care. Electronic literature searches were carried out on the CINAHL, ProQuest, PsycInfo, PubMed, Scopus and SocIndex databases for peer-reviewed scientific papers that were published in English between 1 January 2007 and 31 December 2019. This identified 3,231 papers, after duplicates were removed, and 18 focused on the integration of social workers' competencies with health care. Other types of integration were not found. The value added by integrating social workers' competencies with health care focused on engaging working orientation, improving communication with family members, increasing understanding of service resources and mastering successful discharge procedures so that they met comprehensive, complex health and well-being needs. Social workers added value when they worked with multi-professional teams, but there were challenges to integrating competencies and these were related to professional collaboration and fragmented leadership. In future, more attention needs to be paid to diversifying and optimising the integration of professional health and social care competencies that meet clients' and patients' care and service needs. It is also vital to focus on developing the professional and leadership strategies that are needed to combine those competencies.
健康和社会保健专业人员的能力传统上是分开的，因为这两个专业的目标不同。这些能力需要整合，以确保提供无缝服务，以协调和及时的方式满足患者和客户的复杂需求。本次综合回顾的目的是确定、描述和综合以前关于健康和社会保健综合能力的研究。在 CINAHL、ProQuest、PsycInfo、PubMed、Scopus 和 SocIndex 数据库中，对发表在 2007 年 1 月 1 日至 2019 年 12 月 31 日期间的英文同行评审科学论文进行了电子文献检索。在去除重复项后，共确定了 3231 篇论文，其中 18 篇论文集中讨论了社会工作者能力与医疗保健的整合。没有发现其他类型的整合。将社会工作者的能力与医疗保健相结合的增值点集中在参与工作方向、改善与家庭成员的沟通、增加对服务资源的理解以及掌握成功的出院程序上，以满足全面、复杂的健康和福祉需求。当社会工作者与多专业团队合作时，他们会增加价值，但在整合能力方面存在挑战，这些挑战与专业合作和分散的领导力有关。未来，需要更加关注多样化和优化整合专业健康和社会保健能力，以满足客户和患者的护理和服务需求。关注发展结合这些能力所需的专业和领导策略也至关重要。
