基于证据的融合关怀理论:协力实现最佳健康结局
The development of an evidence-informed Convergent Care Theory:Working together to achieve optimal health outcomes
摘要
Abstract
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.Purpose: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 ev-idence 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 fa-cilitators emerged from the research evidence:competence,compassion,accountability,trusting,sharing,and engaging.Conclusion: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.关键词
关怀文化/协作关怀/融合关怀/卫生人员/组织文化/精准照护/自我护理Key words
Caring culture/Collaborative care/Convergent care/Health personnel/Organizational culture/Precision care/Self-care引用本文复制引用
Holly Wei..基于证据的融合关怀理论:协力实现最佳健康结局[J].国际护理科学（英文）,2022,9(1):11-25,后插1,16.基金项目
This study is supported in part by the University of Louisville School of Nursing and CCI Research Foundation.I also want to acknowledge the research scholarship and fund-ing support received during the initial research studies,including but not limited to Leininger Culture Care Scholarship Award from the International Association for Human Caring （）
Jane Winningham Smith Scholarship from the School of Nursing at the University of North Carolina at Chapel Hill,North Carolina （）
Dr.Lester Sauvage Research Fund from the Hope Heart Institute,Seattle,Washington （）
East Carolina University College of Nursing graduate department seed grant （）
the NINR T32NR007091 grant from the School of Nursing at the University of North Carolina at Chapel Hill （）
Nursing Research Award from the North Carolina Nurses Association （）
Uni-versity of Louisville School of Nursing （）
CCI Research Foundation. （）
