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Essentials of teamcare in randomized controlled trials of multidisciplinary or interdisciplinary interventions in somatic care : A systematic review

Fridlund, Bengt (author)
Jönköping University,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,HHJ, Avdelningen för omvårdnad,HHJ. ADULT
Andersson, Ewa K. (author)
Blekinge Tekniska Högskola,Jönköping University,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden,Institutionen för hälsa
Bala, Sidona-Valentina (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
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Dahlman, Gull-Britt (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups,Department of Health Sciences, Lund University, Sweden
Kristensson Ekwall, Anna (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
Glasdam, Stinne (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
Hommel, Ami (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
Lindberg, Catharina (author)
Blekinge Tekniska Högskola,Blekinge Institute of Technology,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden,Institutionen för hälsa
Persson, Eva I (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
Rantala, Andreas (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
Sjöström-Strand, Annica (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
Wihlborg, Jonas (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
Samuelson, Karin (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Department of Health Sciences, Lund University, Sweden
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 (creator_code:org_t)
Scientific Research Publishing, 2015
2015
English.
In: Open Journal of Nursing. - : Scientific Research Publishing. - 2162-5336 .- 2162-5344. ; 5:12, s. 1089-1101
  • Research review (peer-reviewed)
Abstract Subject headings
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  • Background: Teamcare should, like all patient care, also contribute to evidence-based practice (EBP). Randomized controlled trials (RCTs) focusing on teamcare have been performed but no study has addressed its essentials. How far this EBP has progressed in different health aspects is generally established in systematic reviews of RCTs.Aim: The aim is to determine the essentials of teamcare including the nurse profession in RCTs of multi- or interdisciplinary interventions in somatic care focusing on the stated context, goals, strategies, content as well as effectiveness of quality of care.Methods: A systematic review was performed according to Cochrane review assumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligibility criteria. The PRISMA statement guided the data selection process of 27 articles from PubMed and CINAHL.Results: Eighty-five percent of RCTs in somatic care showed a positive effectiveness of teamcare interventions, of which interdisciplinary ones showed a greater effectiveness compared with the multidisciplinary approach (100% vs 76%). Also theory-based RCTs presented higher positive effectiveness (85%) compared with non-theory-based RCTs (79%). The RCTs with positive effectiveness showed greater levels for professional-centered ambition in terms of goals and for team-directed initiatives in terms of strategy, and a significantly higher level for patient-team interaction plans in terms of content was shown.Conclusions: Teamcare RCTs are still grounded in the multidisciplinary approach having a professional-centered ambition while interdisciplinary approaches especially those that are theory-based appear to be essential with regard to positive effectiveness and preferable when person-centered careis applied.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Keyword

Teamcare
Randomized Controlled Trial
Somatic Care
Systematic Review
Omvårdnad
Nursing

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