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首页> 外文期刊>Journal of interprofessional care >Examining the nature of interprofessional practice: An initial framework validation and creation of the InterProfessional Activity Classification Tool (InterPACT)
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Examining the nature of interprofessional practice: An initial framework validation and creation of the InterProfessional Activity Classification Tool (InterPACT)

机译：检查贸易辩护实践的性质：初步框架验证和创建侦探活动分类工具（Interpact）

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The practice of, and research on interprofessional working in healthcare, commonly referred to as teamwork, has been growing rapidly. This has attracted international policy support flowing from the growing belief that patient safety and quality of care can only be achieved through the collective effort of the multiple professionals caring for a given patient. Despite the increasing policy support, the evidence for effectiveness lags behind: while there are supporting analytic epidemiological studies, few reliable intervention studies have been published and so we have yet to confirm a causal link. We argue that this lag in evidence development may be because interprofessional terms (e.g. teamwork, collaboration) remain conceptually unclear, with no common terminology or definitions, making it difficult to distinguish interventions from each other. In this paper, we examine published studies from the last decade in order to elicit current usage of terms related to interprofessional working; and, in so doing, undertake an initial empirical validation of an existing conceptual framework by mapping its four categories (teamwork, collaboration, coordination and networking) against the descriptions of interprofessional interventions in the included studies. We searched Medline and Embase for papers describing interprofessional interventions using a standard approach. We independently screened papers and classified these under set categories following a thematic approach. Disagreements were resolved through consensus. Twenty papers met our inclusion criteria. Identified interprofessional work interventions fall into a range, from looser to tighter links between members. Definitions are inconsistently and inadequately applied. We found the framework to be a helpful and practical tool for classifying such interventions more consistently. Our analysis enabled us to scrutinise the original dimensions of the framework, confirm their usefulness and consistency, and reveal new sub-categories. We propose a slightly revised typology and a classification tool (InterPACT) for future validation, with four mutually exclusive categories: teamwork, collaboration, coordination and networking. Consistent use, further examination and refinement of the new typology and tool may lead to greater clarity in definition and design of interventions. This should support the development of a reliable and coherent evidence base on interventions to promote interprofessional working in health and social care.
机译：医疗保健中的竞争工作的做法和研究常见于团队合作，一直在迅速发展。这引起了国际政策支持，这些政策支持从日益增长的信念中，患者安全和护理质量只能通过关注给定患者的多个专业人士的集体努力来实现。尽管政策支持日益增长，但有效性的证据落后：虽然有支持分析流行病学研究，但仍有很少的可靠干预研究已经发布，因此我们尚未确认因果关系。我们认为这一滞后的证据发展可能是因为思想术语（例如，团队合作，协作）在概念上不清楚，没有共同的术语或定义，使得难以区分彼此的干预措施。在本文中，我们从过去十年中审查了已发表的研究，以引起当前使用与侦听工作相关的条款;因此，在此过程中，通过将其四类（团队合作，协作，协调和网络）映射在内的研究中的争议干预措施的描述来对现有概念框架进行现有概念框架的初步实证验证。我们搜索了Medline并开设了使用标准方法描述思想措施的论文。我们独立筛选论文，并在主题方法按照规定的类别下分类。分歧是通过共识解决的。二十篇论文达到了纳入标准。确定的侦查工作干预措施落入范围，从宽松到成员之间的更严格的联系。定义不一致和不充分应用。我们发现该框架是一个有用而实用的工具，用于更加持续分类此类干预措施。我们的分析使我们能够审查框架的原始维度，确认其有用性和一致性，并揭示新的子类别。我们提出了一个略微修改的类型化和分类工具（互补），用于将来的验证，具有四种互斥类别：团队合作，协作，协调和网络。一致使用，新型类型和工具的进一步检查和改进可能导致干预措施的定义和设计中的更明显的清晰度。这应该支持在干预措施方面的发展，以促进卫生和社会关怀的思想思想。

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