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系统综述中的系统综述:协作的促进因素、障碍和结果的系统评价。

A systematic meta-review of systematic reviews about interprofessional collaboration: facilitators, barriers, and outcomes.

机构信息

PhD Program, School of Nursing, University of Louisville, Louisville, KY, USA.

College of Nursing, East Carolina University, Greenville, NC, USA.

出版信息

J Interprof Care. 2022 Sep-Oct;36(5):735-749. doi: 10.1080/13561820.2021.1973975. Epub 2022 Feb 6.

DOI:10.1080/13561820.2021.1973975
PMID:35129041
Abstract

Interprofessional collaboration (IPC) is a practice model to promote healthcare quality. Since the World Health Organization highlighted the importance of IPC in 2010, a large volume of IPC-related research has been published. Multiple systematic reviews have been conducted to synthesize the literature from varying perspectives. Although systematic reviews are a compelling approach to synthesizing primary research, a systematic meta-review was needed to summarize the systematic reviews to offer information for healthcare professionals, researchers, and policymakers. This systematic meta-review was designed to synthesize the systematic reviews of IPC, emphasizing the IPC-related facilitators, barriers, and outcomes between 2010 and 2020. An electronic search for systematic reviews was performed in December 2020. The databases searched included PubMed, CINAHL, PsycINFO, and Cochrane Database of Systematic Reviews. Thirty-six systematic reviews met the inclusion criteria. Factors facilitating or impeding IPC were classified into three levels: organization, team, and individual. Major outcomes related to patients, healthcare professionals, and organizations. The facilitators, barriers, and outcomes are mutually interrelated. Highly effective collaboration is a process from relationship building to working together and collaborating. Improving IPC requires organizational, teams, and individuals' combined efforts. When highly effective collaborations occur, all stakeholders can benefit - organizations, professionals, and patients.

摘要

跨专业合作(IPC)是一种促进医疗质量的实践模式。自 2010 年世界卫生组织强调 IPC 的重要性以来,已经发表了大量与 IPC 相关的研究。已经进行了多项系统评价,从不同的角度综合文献。虽然系统评价是综合主要研究的一种引人注目的方法,但需要进行系统的元评价来综合系统评价,为医疗保健专业人员、研究人员和政策制定者提供信息。本系统综述旨在综合 IPC 的系统评价,重点介绍 2010 年至 2020 年间 IPC 相关的促进因素、障碍和结果。2020 年 12 月对系统评价进行了电子检索。搜索的数据库包括 PubMed、CINAHL、PsycINFO 和 Cochrane 系统评价数据库。有 36 项系统评价符合纳入标准。促进或阻碍 IPC 的因素分为三个层次:组织、团队和个人。与患者、医疗保健专业人员和组织相关的主要结果。促进因素、障碍和结果是相互关联的。高度有效的合作是一个从建立关系到共同努力和协作的过程。改善 IPC 需要组织、团队和个人的共同努力。当高度有效的合作发生时,所有利益相关者都可以受益——组织、专业人员和患者。

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