Interprofessional Teamwork in Care for Children with Autism Spectrum Disorder

ABSTRACT: Collaborative interprofessional work can be a key factor in increasing the efectiveness of care ofered to children with autism spectrum disorder. Tus, this study aimed to analyze publications focusing on interprofessional collaboration in the care of children with autism spectrum disorder. An integrative review was carried out including studies originating from the following databases: Virtual Health Library/Latin American and Caribbean Center on Health Sciences Information (VHL/BIREME), PubMed, Scopus, Medical Literature Analysis and Retrieval System Online (MEDLINE-OVID), Embase, Web of Science and Cumulative Index to Nursing and Allied Health Literature (CINAHL), from 2016 to 2021. Te 375 publications were hosted on the Rayyan platform and evaluated in double blind. Te PRISMA fowchart was used. Te results of the eight studies included show that the implementation of collaborative practices, organizational system and policy formulation contribute to the formation of efective models of interventions in cases of autism. Te studies demonstrated the need for research in the area of Education; adherence of those responsible during treatment; and improvement in communication and integration between school and family. Te analyzes showed that professionals need specific training in order to understand interprofessional work as a dynamic process in which different professions must work in an integrated way to identify demands, build intervention plans and (re)know the roles and responsibilities of team professionals.

摘要：跨专业协作是提升自闭症谱系障碍（Autism Spectrum Disorder）儿童照护有效性的关键因素之一。因此，本研究旨在分析以自闭症谱系障碍儿童照护中的跨专业合作为主题的相关文献。本研究采用整合性综述方法，纳入了2016至2021年间来自以下数据库的研究：虚拟健康图书馆/拉美与加勒比健康科学信息中心（Virtual Health Library/Latin American and Caribbean Center on Health Sciences Information，VHL/BIREME）、PubMed、Scopus、医学文献分析与检索系统在线版（Medical Literature Analysis and Retrieval System Online，MEDLINE-OVID）、Embase、Web of Science以及护理学与相关健康文献累积索引（Cumulative Index to Nursing and Allied Health Literature，CINAHL）。本次共纳入375篇文献，均上传至Rayyan平台并采用双盲法进行评审，研究采用PRISMA流程图呈现文献筛选流程。最终纳入的8项研究结果显示，协作实践的落地、组织体系的完善以及政策的制定，有助于构建针对自闭症谱系障碍儿童的有效干预模式。上述研究表明，该领域亟需开展三方面的研究：教育学相关研究、照护过程中照护者的依从性提升研究，以及家校沟通与融合机制的优化研究。分析结果还显示，专业人员需接受针对性培训，以将跨专业工作理解为一项动态协同过程：不同专业背景的从业者需以整合方式共同开展工作，明确照护需求、制定干预计划，并重新厘清团队成员的角色与职责。