Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

Analysis of Professional Quality Cultivation Strategies for Infant and Child Care Service Talents from the Perspective of Collaboration of Medical Care,Parenting,and Education,and Integration of Industry and Education

The collaboration of medical care,parenting,and education aims to integrate nursing,midwifery,infant and child care services,and management with speech and hearing rehabilitation technology,among other elements related to the infant care industry chain.This integration targets pediatrics talent training in nine infant care positions,including nursing,infant health care and management,and child rehabilitation,to ensure that the capabilities and quality of professional talents can meet the health care needs of infants and young children.This article briefly explains the background of the“collaboration of medical care,parenting,and education,and integration of industry and education.”It analyzes the necessity of cultivating infant and child care service talents based on the perspective of“collaboration of medical care,parenting,and education,and integration of industry and education.”Based on this perspective,we conducted an in-depth study of the cultivation of professional qualities of infant and child care service talents.

Primary care and mental health: Where do we go from here?

Primary care has been dubbed the“de facto”mental health system of the United States since the 1970s.Since then,various forms of mental health delivery models for primary care have proven effective in improving patient outcomes and satisfaction and reducing costs.Despite increases in collaborative care implementation and reimbursement,prevalence rates of major depression in the United States remain unchanged while anxiety and suicide rates continue to climb.Meanwhile,primary care task forces in countries like the United Kingdom and Canada are recommending against depression screening in primary care altogether,citing lack of trials demonstrating improved outcomes in screened vs unscreened patients when the same treatment is available,high false-positive results,and small treatment effects.In this perspective,a primary care physician and two psychiatrists address the question of why we are not making headway in treating common mental health conditions in primary care.In addition,we propose systemic changes to improve the dissemination of mental health treatment in primary care.

The development of an evidence-informed Convergent Care Theory:Working together to achieve optimal health outcomes

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 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.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.