背景:医疗保健是一个复杂且发散的系统,具有不确定性,不可预测性,和多层次的利益相关者。利益相关者之间的关系是多方面和动态的,需要持续的人际关系,网络,和共同进化。关键是要有一个有证据的理论来解释这一现象,团结多方面的利益相关者的努力。
目的:为了描述循证理论的发展,融合护理理论,召集医疗保健利益相关者共同努力,实现最佳健康结果。
方法:融合护理理论是在理论提出者发表的实证研究和文献综述的基础上,采用理论综合方法发展起来的。经验证据分为:患者和家庭,医疗保健提供者,医疗机构,以及患者和医疗保健提供者的自我护理。
结果:融合护理理论包括四个概念:包罗万象的组织护理,医疗保健专业协作护理,以人为本的精准护理,以及患者和医疗保健提供者的自我护理。实现融合护理是一个需要所有利益相关者共同努力的过程。从研究证据中出现了六个主要的促进者:能力,同情,问责制,信任,分享,和参与。
结论:本文介绍了循证融合护理理论的发展过程。医疗系统很复杂,需要满足多个利益相关者的需求。融合医疗理论致力于团结医疗利益相关者,债券资源,并联合起来实现最佳医疗结果。该理论的基础是关怀文化,这是组织和团队行为的基本代码,也是最佳健康结果的基础。
BACKGROUND: Healthcare is a complex and divergent system with uncertainty, unpredictability, and multi-layered stakeholders. The relationships among the stakeholders are multifaceted and dynamic, requiring continual interpersonal connections, networks, and co-evolution. It is pivotal to have an evidence-informed theory to explain the phenomenon, uniting the multifaceted stakeholders\' efforts.
OBJECTIVE: To describe the development of an evidence-informed theory, the Convergent Care Theory, assembling healthcare stakeholders to work together and achieve optimal health outcomes.
METHODS: The Convergent Care Theory was developed using a theory synthesis approach based on empirical research and literature reviews published by the theory-proposing author. The empirical evidence was categorized into: patients and families, healthcare providers, healthcare organizations, and patients\' and healthcare providers\' self-care.
RESULTS: The Convergent Care Theory includes four concepts: all-inclusive organizational care , healthcare professional collaborative care, person-centered precision care, and patients \' and healthcare providers\' self-care. Achieving convergent care is a process requiring all stakeholders to work together. Six major facilitators emerged from the research evidence: competence, compassion, accountability, trusting, sharing, and engaging.
CONCLUSIONS: This article introduced the development process of the evidence-informed Convergent Care Theory. Healthcare systems are complex, with multiple stakeholders\' needs to meet. The Convergent Care Theory strives to unite healthcare stakeholders, bond resources, and join forces to achieve optimal healthcare outcomes. The underpinning of the theory is a caring culture, which is an underlying code for organizational and team behaviors and the foundation of optimal health outcomes.