van Eck Marcel, Ettema Roelof, Cloin Mariëlle, Van Regenmortel Tine
Tilburg School of Social & Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.
Research Group Personalized Integrated Care, Institute for Nursing Studies, Utrecht University of Applied Sciences, the Netherlands.
Int J Integr Care. 2024 Aug 7;24(3):13. doi: 10.5334/ijic.7768. eCollection 2024 Jul-Sep.
Families with multiple and complex problems often deal with multiple professionals and organizations for support. Integrated social care supposedly prevents the fragmentation of care that often occurs.We identified facilitators and barriers experienced by families receiving integrated social care and by the professionals who provide it.
We performed a scoping review following Arksey and O'Malley's framework, using the following databases: PsycINFO, Web of Science Core Collection, Psychology and Behavioral Sciences Collection, CINAHL, PubMed, and Medline. Furthermore, conducted a thematic analysis. The results were divided into facilitators and barriers of integrated social care.
We identified 278 studies and finally included sixteen in our scoping review. We identified facilitators, including: linking formal care with informal networks, promoting collaboration among professionals e.g., working in pairs, and professionals autonomy. We identified barriers, including: time constraints, tasks outside professionals' expertise, along with resistance to integrated collaboration among organizations. These findings can enhance the advancement of social integrated care as a promising approach to support families facing multiple and complex problems.
To empower families, integrated social care requires a systematic approach based on trust. It involves coordinated care, shared decision-making, informal networks and the participation of all family members, including children.
面临多重复杂问题的家庭通常需要与多个专业人士和组织打交道以获得支持。综合社会护理据称可以防止经常出现的护理碎片化情况。我们确定了接受综合社会护理的家庭以及提供该护理的专业人士所经历的促进因素和障碍。
我们按照阿克西和奥马利的框架进行了一项范围综述，使用了以下数据库：心理学文摘数据库（PsycINFO）、科学网核心合集（Web of Science Core Collection）、心理学与行为科学合集（Psychology and Behavioral Sciences Collection）、护理学与健康领域数据库（CINAHL）、医学期刊数据库（PubMed）和医学在线数据库（Medline）。此外，还进行了主题分析。结果分为综合社会护理的促进因素和障碍。
我们识别出278项研究，最终在范围综述中纳入了16项。我们确定的促进因素包括：将正式护理与非正式网络联系起来、促进专业人士之间的协作（例如结对工作）以及专业人士的自主权。我们确定的障碍包括：时间限制、专业人士专业知识以外的任务，以及组织间对综合协作的抵触。这些发现可以推动社会综合护理的发展，这是一种支持面临多重复杂问题家庭的有前景的方法。
为增强家庭能力，综合社会护理需要一种基于信任的系统方法。它涉及协调护理、共同决策、非正式网络以及所有家庭成员（包括儿童）的参与。
