چکیده (انگلیسی):

Background:The number of people suffering from one or more chronic conditions is rising, resulting in an
increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care
plans support the management of complex health care demands of patients with chronic illnesses. This study aims
to get an overview of the scientific literature on developing interprofessional shared care plans.
Methods:We conducted a scoping review of the scientific literature regarding the development of
interprofessional shared care plans. A systematic database search resulted in 45 articles being included, 5 of which
were empirical studies concentrating purely on the care plan. Findings were synthesised using directed content
analysis.
Results:This review revealed three themes. The first theme was the format of the shared care plan, with the
following elements: patient’s current state; goals and concerns; actions and interventions; and evaluation. The
second theme concerned the development of shared care plans, and can be categorised as interpersonal,
organisational and patient-related factors. The third theme covered tools, whose main function is to support
professionals in sharing patient information without personal contact. Such tools relate to documentation of and
communication about patient information.
Conclusion:Care plan development is not a free-standing concept, but should be seen as the result of an
underlying process of interprofessional collaboration between team members, including the patient. To integrate
the patients’ perspectives into the care plans, their needs and values need careful consideration. This review
indicates a need for new empirical studies examining the development and use of shared care plans and
evaluating their effects.