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首页> 外文OA文献 >What are the views of hospital-based generalist palliative care professionals on what facilitates or hinders collaboration with in-patient specialist palliative care teams?:a systematically constructed narrative synthesis
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What are the views of hospital-based generalist palliative care professionals on what facilitates or hinders collaboration with in-patient specialist palliative care teams?:a systematically constructed narrative synthesis

机译：医院的综合性姑息治疗专业人员对促进或阻碍与住院专家姑息治疗团队合作的看法是什么？：系统构建的叙事综合

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Background: Hospital-based specialist palliative care services are common, yet existing evidence of inpatient generalist providers’ perceptions of collaborating with hospital-based specialist palliative care teams has never been systematically assessed. Aim: To assess the existing evidence of inpatient generalist palliative care providers’ perceptions of what facilitates or hinders collaboration with hospital-based specialist palliative care teams. Design: Narrative literature synthesis with systematically constructed search. Data sources: PsycINFO, PubMed, Web of Science, Cumulative Index of Nursing and Allied Health Literature and ProQuest Social Services databases were searched up to December 2014. Individual journal, citation and reference searching were also conducted. Papers with the views of generalist inpatient professional caregivers who utilised hospital-based specialist palliative care team services were included in the narrative synthesis. Hawker’s criteria were used to assess the quality of the included studies. Results: Studies included (n = 23) represented a variety of inpatient generalist palliative care professionals’ experiences of collaborating with specialist palliative care. Effective collaboration is experienced by many generalist professionals. Five themes were identified as improving or decreasing effective collaboration: model of care (integrated vs linear), professional onus, expertise and trust, skill building versus deskilling and specialist palliative care operations. Collaboration is fostered when specialist palliative care teams practice proactive communication, role negotiation and shared problem-solving and recognise generalists’ expertise. Conclusion: Fuller integration of specialist palliative care services, timely sharing of information and mutual respect increase generalists’ perceptions of effective collaboration. Further research is needed regarding the experiences of non-physician and non-nursing professionals as their views were either not included or not explicitly reported.
机译：背景：以医院为基础的专家姑息治疗服务是很普遍的，但是，尚未有系统地评估住院通才提供者与医院的专家姑息治疗团队合作的现有证据。目的：评估现有的住院综合性姑息治疗提供者对促进或阻碍与医院专科姑息治疗团队合作的看法。设计：叙事文学综合，系统地构建搜索。数据来源：截至2014年12月，检索了PsycINFO，PubMed，Web of Science，护理和相关健康文献累积索引和ProQuest社会服务数据库。还进行了个别期刊，引文和参考文献检索。叙事综合报告中包含了以住院医师为基础的姑息治疗团队服务为基础的综合住院专业护理人员的观点的论文。霍克的标准用来评估纳入研究的质量。结果：包括的研究（n = 23）代表了各种住院通才姑息治疗专业人员与专家姑息治疗合作的经验。许多通才专家都拥有有效的协作经验。五个主题被确定为改善或减少有效协作：护理模型（集成与线性），专业责任，专业知识和信任，技能建设与学习，专家姑息治疗操作。当专家姑息治疗团队进行主动沟通，角色协商和共同解决问题并认可通才专家时，就会促进协作。结论：专科姑息治疗服务的充分整合，及时的信息共享和相互尊重增加了通才对有效合作的看法。非医生和非护理专业人员的经验需要进一步研究，因为他们的观点未包括在内或未明确报道。

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