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

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Open Journal of Nursing 2015年第12期5卷 1089-1101页

作者： Bengt Fridlund ewa k.andersson Sidona-Valentina Bala Gull-Britt Dahlman Anna k.Ekwall Stinne Glasdam Ami Hommel Catharina Lindberg Eva I.Persson Andreas Rantala Annica Sjostrom-Strand Jonas Wihlborg karin Samuelson Department of Health Sciences Lund UniversityLundSweden School of Health&Welfare Jonkoping UniversityJonkopingSweden Department of Health Blekinge Institute of TechnologyKarlskronaSweden

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.

关键词： Teamcare Randomized Controlled Trial Somatic Care Systematic Review

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Perinatal mental health in China:views of health system professionals in Shanghai

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Global Health Journal 2019年第3期3卷 73-78页

作者： Simone Schwank Helena Lindgren Birgitta Wickberg Yan Ding ewa andersson Department of Women's and Children's Health Reproductive HealthKarolinska InstitutetTomtebodavagen 18a17177 StockholmSweden Center for Psychoanalytic Training and Research Columbia University1051 Riverside DriveUnit 63New York 10032USA Department of Psychology University of GothenburgPO Box 500Haraldsgatan 141314 GoteborgSweden School of Nursing Fudan University305 Fenglin RoadShanghai 200032China Nursing Department Obstetrics and Gynecology HospitalFudan University419 Fangxie RoadShanghai 200011China

Background:Mental health has recently been receiving a growing amount of attention in China's Mainland,with mental disorders increasingly being recognized as a major public health ***,the treatment gap for mental health care is markedly high in *** research and clinical practice have focused on high-risk physical disorders but overlooked psychosocial factors,especially during the perinatal ***:To explore Chinese professionals'perception and attributions of perinatal mental health in ***:The study was conducted in Shanghai,China,in 2018,drawing on interviews with 15 key informants including health professionals,government officials,and policymakers recruited through snowball *** analysis of the semi-structured interviews was ***:The study yielded insights into the perceptions of perinatal mental health among health professionals in *** themes emerged from the informants'reports:(1)mental health influenced by tradition—describing traditions affecting the perception of mental health at both the societal and individual level;(2)societal changed contributing perinatal mental health problems—referring to a rapidly changing cultural and economic backdrop as a source of stress leading to mental health problems;and(3)existing and required resources—demonstrating a lack of professional training,staff shortages,and inadequacy of resources to provide the required mental health ***:Our results provide new insights into key health professionals'perceptions of mental health problems in *** to seek care owing to a lack of knowledge,and resource shortages in health care systems are obstacles to improve mental health among women in urban China.

关键词： Mental health problems Urban Chinese traditions Public health Perinatal Health care policies Depression Anxiety

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