Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings

被引：3

作者：

Boesten, Nadine ^{[1
,2
]}

De Regge, Melissa ^{[2
,3
]}

Eeckloo, Kristof ^{[3
,4
]}

Leys, Mark ^{[1
]}

Gemmel, Paul ^{[2
]}

Meijboom, Bert R. ^{[5
]}

机构：

[1] Vrije Univ Brussel, Fac Geneeskunde Farm, Dept Publ Hlth, Brussels, Belgium

[2] Univ Ghent, Fac Econ & Business Adm, Ghent, Belgium

[3] Univ Hosp Ghent, Strateg Policy Cell, Ghent, Belgium

[4] Univ Ghent, Fac Med & Hlth Sci, Dept Publ Hlth & Primary Care, Ghent, Belgium

[5] Tilburg Univ, Tranzo, Tilburg, Netherlands

来源：

JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT | 2024年 / 38卷 / 07期

关键词：

Case study; Hospital; Multidisciplinary team meeting; Nurse involvement; Patient-centred decision-making; Speaking up; CANCER TEAMS; EMPLOYEE SILENCE; DECISION-MAKING; CARE; VOICE; IMPROVEMENT; MANAGEMENT; SAFETY;

D O I：

10.1108/JHOM-06-2023-0191

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

PurposeNurses are capable of acting as advocates for patients since they hold valuable knowledge on patient preferences and their psychosocial needs. Yet, in practice they tend to contribute little to multidisciplinary team meetings (MDTMs). This study analyses the factors that influence whether or not nurses will speak up and increase patient-centred decision-making in MDTMs.Design/methodology/approachA multiple case study with cross-case comparison of twelve tumour groups across two Belgian hospitals was conducted. Data collection involved fifty structured non-participant observations and 41 semi-structured interviews with participants from the twelve tumour groups.Originality/valueThis study yields factors that increase the opportunities for nurses to speak up in MDTMs to enhance patient-centred decision-making. The findings help in the design of future interventions concerning multidisciplinary teamwork, that address nurses' contributions to augment patient-centred care.

引用

页码：1026 / 1049

页数：24

共 49 条

[1] Determinants of variable resource use for multidisciplinary team meetings in cancer care [J].