A doctor cannot fully treat a patient with breathing problems without the assistance of a respiratory therapist or ensure the complete recovery of an injured patient without the help of a physical therapist. The Authors. This will commonly include a primary or tertiary care team working with allied health professionals – such as dieticians, physiotherapists or mental … Abbreviations: CCI = Collaborative care intervention, CIs = confidence intervals, HF = heart failure, QoL = quality of life, RCTs = randomized controlled trials, SMDs = standard mean differences. Direct-care interventions. These findings confirmed that collaborative care intervention effectively improves the quality of life as well as psychological (anxiety) and physical (6-min walk test) functions in patients with chronic heart failure compared with routine care. [9]. The work cannot be changed in any way or used commercially without permission from the journal. Although there are multiple compelling palliative care requirements in HF, the patients are generally not examined by palliative care experts in outpatient clinics, since the number of palliative care experts is limited.[5]. Formal analysis: Xiaoting Cui, Wenyi Dong, Haiyan Li. Sherwood A, Blumenthal JA, Koch GG, et al. The doctor would be concerned with the aspect of diagnosing her with lung CA and prescribing treatment such as chemo, radiation, etc.. A nurse would be more concerned about her response to the disease and would use a nursing diagnosis such as … Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in Team-Driven. Furthermore, face-to-face interventions conferred a greater improvement of the QoL compared with telephone-only interventions. [2]. - nurses manage collaborative problems using physician/provider-prescribed and nursing/prescribed interventions to minimize the complications of the event. Data collection and analysis: Significantly improved QoL was found in the CCI group compared with the routine care group (SMD = 0.60, 95%CI 0.27–0.94, Pheterogeneity < .001, I2 = 94.1%) (Fig. Healthcare and the provision of healthcare services are highly complex with a vast number of disciplines or professions that contribute to the total care of the patient. The quality of the randomized controlled trials (RCTs) included was evaluated using the Cochrane Collaboration's tool for assessing the risk of bias. Vol. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive, [10]. [8] The assessment included the following components: random sequence generation, allocation concealment, blinding of patients and study personnel, blinding of outcome assessment, completeness of outcome data, selective reporting of outcomes, and other bias to validity. This site needs JavaScript to work properly. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Furthermore, face-to-face interventions resulted in a greater improvement of the QoL compared with telephone-only interventions. In this study, we found that collaborative care intervention effectively improved anxiety compared with routine care intervention. Registered users can save articles, searches, and manage email alerts. Data curation: Wenyi Dong, Hongxiao Zheng, Haiyan Li. 26 4B). Nursing interventions should be: \"Ten Lessons in Collaboration\". As with pharmacological interventions, nonpharmacological interventions have expected outcomes like a reported or observed decrease in the levels of pain and discomfort and increased levels of comfort as reported by the patient … Effect of psychosocial interventions on, The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. Nurses Nursing. HF has similar morbidity and mortality as many types of cancer, conferring a lower quality of life than most chronic diseases. Characteristics of studies included in this, Risk of bias assessment for the randomized trials included in the. Five studies assessed the effect of collaborative care intervention on 6-min walk test in patients with chronic heart failure. Many doctors are abusive toward nurses, and the reasons vary from doctor to doctor. All registration fields are required. The meta-analysis based on public literature is not applicable for ethical approval. Therefore, we performed a systematic review and meta-analysis of published studies to provide a comprehensive assessment of the efficacy of collaborative care intervention in patients with chronic heart failure. The concept of collaborative competence is characterized by collection of diverse knowledge from a multitude of collaborating contributors (Gilbert, 2013). Palliative Care in, [28]. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by-nc-nd/4.0, March 2019 - Volume 98 - Issue 13 - p e14867, Collaborative care intervention for patients with chronic heart failure: A systematic review and meta-analysis, Articles in Google Scholar by Xiaoting Cui, MS, Other articles in this journal by Xiaoting Cui, MS, Crush versus Culotte stenting techniques for coronary bifurcation lesions: A systematic review and meta-analysis of clinical trials with long-term follow-up, Short-term Follow-up US Leads to Higher False-positive Results Without Detection of Structural Recurrences in PTMC, Hyper Expression of Mucin 5ac Indicates Poor Cancer Prognoses: A Meta-Analysis, Eosinophilic Cholangitis—A Challenging Diagnosis of Benign Biliary Stricture: A Case Report, Analysis of Postsurgical Health-Related Quality of Life and Quality of Voice of Patients With Laryngeal Carcinoma. These gains were moderate and affected health care processes rather than outcomes. Two investigators independently searched for eligible studies assessing the effect of collaborative care intervention in patients with chronic heart failure. 6). Of all the professionals nurses need to collaborate with, doctors are not only the most common, but can also be the most difficult. Rogers JG, Patel CB, Mentz RJ, et al. The Begg's test revealed the existence of publication bias for QoL (Begg's test P = .027; Egger's test P = .156) (Fig. Furthermore, significantly improved anxiety level (SMD = 0.33, 95%CI 0.12–0.55, Pheterogeneity = .612, I2 = 0%) and 6-min walk test (SMD = 0.46, 95%CI 0.29–0.64, Pheterogeneity = .458, I2 = 0%) were found in the CCI group compared with the routine care group. Bekelman DB, Havranek EP, Becker DM, et al. The Board of Registered Nursing would like to notify you that the Cybersecurity & Infrastructure Security Agency, Federal Bureau of Investigation, and the Department of Health and Human Services have credible information of an increased and imminent cybercrime threat to U.S. hospitals and healthcare providers. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. Structured assessments by telephone or remote monitoring may be inefficient as they mainly focus on HF, which accounts for less than half of all readmissions. These symptoms tend to persist, although the best guidelines are based on the management of HF, and a symptom-oriented approach to palliative care may be beneficial. A randomized trial of the efficacy of multidisciplinary care in, [17]. Many nurses are intimidated by doctors, especially when they are new. There were no differences in mortality rates or the type of care to which patients were discharged. For more information, please refer to our Privacy Policy. Selection criteria: Randomised trials, controlled before-and-after studies and interrupted time series of interventions to improve collaboration between nursing and medical professionals sharing patient care in primary or hospital care settings. About 40% of HF patients suffer from major anxiety. *FREE* shipping on qualifying offers. Cui, Xiaoting MSa,*; Dong, Wenyi BSb; Zheng, Hongxiao BSa; Li, Haiyan BSa, aDepartment of Cardiology, Beijing He Ping Li Hospital. Dunbar SB, Reilly CM, Gary R, et al. doi: 10.1002/14651858.CD000072.pub3. Keyword Highlighting Allocation concealment was not mentioned in any of the studies, so potential selection bias may be present. only consisted of 16 studies, while the current study analyzed data from 21 studies. Increasing collaboration improved outcomes of importance to patients and to health care managers. Secondly, language can also introduce a bias. Riegel B, Carlson B, Glaser D, et al. Supplemental Digital Content is available for this article. - they are the primary responsibility of the RN caring for the patient. Varma S, McElnay JC, Hughes CM, et al. USA.gov. Heart failure (HF) is a global public health issue affecting between 1% and 2% of adults, and more than 10% of individuals over the age of 70. 2016 Jul 11;16:174. doi: 10.1186/s12909-016-0697-y. The data were assessed by fixed- and random effects models, respectively. The nursing care plan (NCP) is the end product of the planning step. [30] performed a meta-analysis of psychosocial intervention in patients with chronic heart failure, and demonstrated that psychosocial intervention is an efficacious means of QoL improvement. Or collaborative intervention nursing type of care to Alleviate symptoms and Adjust to Illness ( )... When they are the primary responsibility of the complete set of features - certain physiologic complications nurses. 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