Virtual integrated primary care teams: Recommendations for team-based care.
Virtual integrated primary care teams: Recommendations for team-based care.
复制标题
虚拟综合初级保健团队：基于团队的护理的建议。
DOI：
10.1037/fsh0000655
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Edelman,David
中科院分区：
文献类型：
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作者：
Mitzel,LukeD;Funderburk,JenniferS;Buckheit,KatherineA;Gass,JulieC;Shepardson,RobynL;Edelman,David
由于COVID-19大流行，综合初级保健团队越来越依赖虚拟护理，包括远程医疗和远程工作的团队成员。这种向虚拟护理的转变可能会对初级保健中基于团队的护理的协调和提供提出挑战。目前的报告使用现存的文献团队提供建议，以支持综合初级保健团队，包括行为健康提供者，在适应和维持虚拟团队为基础的care.MethodWe使用的七个C的框架萨拉斯和同事（2015）组织我们的研究结果和建议，重点是协调，合作，认知，结果综合初级保健团队可能会受益于倾向于隐性和显性形式的协调和使用的汇报，以提高团队的协调。考虑到虚拟团队中信任的潜在挑战，记录护理协调和重新检查如何向初级保健提供者提供反馈可能有利于团队合作。分享团队目标和团队流程的特定方面的交叉训练，例如将基本信息传达给行为健康提供者以进行热烈的交接，可以提高团队的认知。团队也可能受益于调查结果的方式，将非正式的沟通工作流程和使用闭环通信，以减少错过communications.DiscussionThis报告提供了初步建议，根据现存的团队文献，以支持综合初级保健团队在适应虚拟护理。未来的工作应该建立在这份报告的基础上，通过检查虚拟综合初级保健团队，并提供基于证据的建议，以优化虚拟护理。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
IntroductionIntegrated primary care teams are increasingly relying upon virtual care, including both telehealth and team members who are teleworking, due to the COVID-19 pandemic. This shift to virtual care can present challenges for the coordination and provision of team-based care in primary care. The current report uses extant literature on teams to provide recommendations to support integrated primary care teams, including behavioral health providers, in adapting to and sustaining virtual team-based care.MethodWe used the Seven C’s framework by Salas and colleagues (2015) to organize our findings and recommendations, focusing on coordination, cooperation, cognition, and communication.ResultsIntegrated primary care teams may benefit from tending to both implicit and explicit forms of coordination and the use of debriefs to improve team coordination. Given the potential challenge of trust in a virtual team, documentation of care coordination and reexamination of how feedback is provided to primary care providers may benefit team cooperation. Sharing team goals and crosstraining on specific aspects of team processes, such as communicating essential information to behavioral health providers for a warm handoff, may improve the cognition of the team. Teams may also benefit by findings ways to incorporate informal communication into the workflow and using closed-loop communication to decrease missed communications.DiscussionThis report provides initial recommendations based on extant team literature to support integrated primary care teams in adapting to virtual care. Future work should build off this report by examining virtual integrated primary care teams and providing evidence-based recommendations to optimize virtual care.(PsycInfo Database Record (c) 2024 APA, all rights reserved)