Introduction on Integrated Science: Multidisciplinarity and Interdisciplinarity in Health

Rezaei, Nima; Saghazadeh, Amene

doi:10.1007/978-3-030-96814-4_1

Cited by 2 publications

(2 citation statements)

References 121 publications

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“…In addition, simply being a member of a multidisciplinary complex care team created meaning for the participants. The team's diverse skills and knowledge were essential for delivering complex healthcare (Rezaei & Saghazadeh, 2022). Laurie explained that without this, the progression of patient care would stall.…”

Section: Resultsmentioning

confidence: 99%

Finding meaning in complex care nursing in a hospital setting

Borghmans,

Laletas,

Fernandes

et al. 2024

Nursing Inquiry

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This study explores the experiences of nurses that provide ‘complex’, generalist healthcare in hospital settings. Complex care is described as care for patients experiencing acute issues additional to multimorbidity, ageing or psychosocial complexity. Nurses are the largest professional group of frontline healthcare workers and patients experiencing chronic conditions are overrepresented in acute care settings. Research exploring nurses’ experiences of hospital‐based complex care is limited, however. This study aims to add to what is known currently. Four ‘complex care’ nurses undertook in‐depth semistructured interviews and their narratives were analysed using the conceptual framework of complex adaptive phenomenology. Two overarching themes constituting the ‘essence’ of complex care nursing were identified: Contextual factors and attribute/value‐based elements. Creating meaningful patient outcomes and feeling part of a team were experienced as fulfilling, whereas time constraints, institutional settings and systemic barriers to comprehensive caregiving diminished the experience of providing complex care. Overall, work meaning presented as a dynamic phenomenon, shaped by personal and professional values, local settings and systemic factors. It is recommended that more expansive research be undertaken to explore the experience of complex care for nurses. Such knowledge can contribute to initiatives that draw a skilled, effective and engaged hospital‐based complex care nursing workforce.

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Section: Resultsmentioning

confidence: 99%

Finding meaning in complex care nursing in a hospital setting

Borghmans,

Laletas,

Fernandes

et al. 2024

Nursing Inquiry

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“…The reflexive thematic analysis approach [31] was flexible enough to enable the author to use their creative and critical thinking skills to draw out the underlying themes from the focus groups. The study design was informed by the concepts of pediatric shared decision making [32], multi/interdisciplinarity [33], and children's rights in health care [34]. In semi-structured focus groups, an interview guide was used to obtain information about the participants' viewpoints on the composition, collaboration, and challenges between peer support groups and members of multidisciplinary teams working in care for children with VSCs and their parents.…”

Section: Designmentioning

confidence: 99%

Challenges in Transition of Care for People with Variations in Sex Characteristics in the European Context

Gramc

2024

Healthcare

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Objective: People with variations in sex characteristics (VSCs) have been receiving inadequate care for many decades. The Chicago consensus statement in 2006 aimed to introduce improved comprehensive care, which would include the transition of care from pediatric to adult services organized by multidisciplinary teams. Yet, the evidence for transitional care is scarce. The aim of this paper is to outline the delivery of transition of care for adolescents and young adults with VSCs. Method: Seven focus groups were conducted with health care professionals and peer support groups by care teams in Central, Northern, and Western Europe. The data from the focus groups were examined using reflexive thematic analysis. Results: Even though the transition of care has been implemented in the last two decades, it remains inadequate. There are differences among countries, as the quality of care depends on available resources and variations in sex characteristics. Moreover, there are significant hurdles to adequate transition of care, as there is lack of time and funding. The lack of adult care providers and psychosocial support often leaves young adults with VSCs to navigate the health care system alone. Conclusion: The outcome of the study shows that the transition of care is organized through the department of pediatric endocrinology. The quality of care varies due to resources and variations in sex characteristics. A lack of adult specialists, and especially psychosocial support, represents the biggest obstacle for young adults and adults in navigating the health care system and for improvements in the provision of health care to adults. There is a risk of re-traumatization, as adolescents and young adults must often repeat their medical history and educate adult care providers who are insufficiently trained and knowledgeable.

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Introduction on Integrated Science: Multidisciplinarity and Interdisciplinarity in Health

Cited by 2 publications

References 121 publications

Finding meaning in complex care nursing in a hospital setting

Finding meaning in complex care nursing in a hospital setting

Challenges in Transition of Care for People with Variations in Sex Characteristics in the European Context

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