Advanced

Essentials of Teamcare in Randomized Controlled Trials of Multidisciplinary or Interdisciplinary Interventions in Somatic Care : A Systematic Review

Fridlund, Bengt LU ; Andersson, Ewa LU ; Bala, Sidona-Valentina LU ; Dahlman, Gull-Britt LU ; Kristensson Ekwall, Anna LU ; Glasdam, Stinne LU ; Hommel, Ami LU ; Lindberg, Catharina LU ; Persson, Eva I LU and Rantala, Andreas LU , et al. (2015) In Open Journal of Nursing p.1089-1101
Abstract (Swedish)
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 as- sumptions to identify, appraise and synthesize all empirical evidence... (More)
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 as- sumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligi- bility 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 posi- tive 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 (Less)
Please use this url to cite or link to this publication:
author
, et al. (More)
(Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Open Journal of Nursing
issue
5
pages
1089 - 1101
publisher
Scientific Research
ISSN
2162-5336
DOI
10.4236/ojn.2015.512116
language
Swedish
LU publication?
yes
id
cc11eed2-cee7-4305-bd75-dda014e99d00
date added to LUP
2016-12-08 13:36:24
date last changed
2016-12-08 13:38:09
@article{cc11eed2-cee7-4305-bd75-dda014e99d00,
  abstract     = {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 as- sumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligi- bility 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 posi- tive 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},
  author       = {Fridlund, Bengt and Andersson, Ewa and Bala, Sidona-Valentina and Dahlman, Gull-Britt and Kristensson Ekwall, Anna and Glasdam, Stinne and Hommel, Ami and Lindberg, Catharina and Persson, Eva I and Rantala, Andreas and Sjöström-Strand, Annica and Wihlborg, Jonas and Samuelson, Karin},
  issn         = {2162-5336},
  language     = {swe},
  month        = {12},
  number       = {5},
  pages        = {1089--1101},
  publisher    = {Scientific Research},
  series       = {Open Journal of Nursing},
  title        = {Essentials of Teamcare in Randomized Controlled Trials of Multidisciplinary or Interdisciplinary Interventions in Somatic Care : A Systematic Review},
  url          = {http://dx.doi.org/10.4236/ojn.2015.512116},
  year         = {2015},
}