Towards a definition of multiple and complex needs in children and youth: Delphi study in Flanders and international survey

Steene, Helena Van den; West, Dirk Van; Glazemakers, Inge

doi:10.21307/sjcapp-2019-009

Cited by 12 publications

(13 citation statements)

References 19 publications

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“…According to the Swedish instructions for the CHS, teamwork between physicians, nurses, and psychologists enables a holistic view of the child and his or her family, in which medical, psychological as well as social circumstances are recognized and considered. An expanded perspective [ 11 ] that facilitates equal health and development in children as well as safe care in cases of complex needs [ 13 , 15 , 17 , 18 ] can be achieved by having team-based visits and parental groups. These findings can have implications for other healthcare settings, dealing with complex needs.…”

Section: Discussionmentioning

confidence: 99%

“…The World Health Organization [11] describes how healthcare professionals from different backgrounds should work together with families to deliver the highest quality of care and to achieve the health goals. There is evidence that teamwork is important for an effective healthcare [12][13][14] to meet the patients' needs [12][13][14][15][16], and to promote equal health and development for children [17,18]. The concepts 'interprofessional teamwork' and 'interprofessional collaboration' are often used interchangeably, which has been problematized in previous research [13][14][15]19].…”

Section: Introductionmentioning

confidence: 99%

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Healthcare professionals’ perceptions about interprofessional teamwork: a national survey within Swedish child healthcare services

Nygren

Tindberg

Eriksson

et al. 2021

BMC Health Serv Res

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Background Globally, interprofessional teamwork is described as a key method to promote health and prevent illness in children, namely, to achieve the goals of Child Healthcare Services (CHS). However, how teamwork should be designed within CHS to achieve the goals is unclear. This study aimed to investigate healthcare professionals’ perceptions about 1) taking part in interprofessional teamwork, 2) team characteristics, and 3) whether the perceptions were related to professional affiliation or workplace. Methods A national cross-sectional survey was conducted using a web-based study-specific questionnaire sent to all accessible nurses, physicians, and psychologists in Swedish CHS (n = 3552). The response rate was 31.5%. To identify possible associations, logistic regressions were conducted. Results Almost all respondents, 1096/1119 (97.9%), reported taking part in some type of interprofessional teamwork within the Swedish CHS. Among those, the most common was team-based visits (82.2%). It was perceived that performing team-based visits resulted in fulfilled goals, expertise exceeding individual team members’ competences, provision of high-quality care, and meeting children’s and families’ needs, to a greater extent, than if not performing team-based visits. Correspondingly, working as a team in parental groups was perceived as resulting in fulfilled goals, meeting the needs of children and their families, and continuity within the team to a greater extent than if not working together in a team. Professional affiliation was associated with different perceptions and types of teamwork. Family Centers were positively associated with all types of teamwork as well as continuity within the team. Conclusions Healthcare professionals’ perceptions about team characteristics were associated with professional affiliation, workplace, and type of teamwork (defined as team activities) within the CHS. Professionals within Swedish CHS, taking part in team-based visits and in interprofessional teamwork in parental groups, perceived that the team fulfilled its goals and met the needs of children and families to a greater extent than professionals not taking part in these types of teamwork. Professionals at Family Centers were more likely to work in teams in different ways. Knowledge about interprofessional teamwork for individuals and groups in Swedish CHS might also be valuable in other healthcare settings, dealing with complex needs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ perceptions about interprofessional teamwork: a national survey within Swedish child healthcare services

Nygren

Tindberg

Eriksson

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

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“…For example, poorly developed integrated care services have been identified as a barrier to comprehensive care delivery for children with complex needs ( 3 ). An integrated care approach was identified as necessary to support a person-centered approach to the care of children with complex care needs ( 4 , 5 ), while cross-sector, integrated and assertive care delivery was identified as necessary for safeguarding the well-being and development of children with complex care needs ( 6 ). Principles of integrated care were also frequently mentioned in the literature reviewed ( 7 – 11 ).…”

Section: Discussionmentioning

confidence: 99%

Increasing the Focus on Children's Complex and Integrated Care Needs: A Position Paper of the European Academy of Pediatrics

et al. 2021

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There is wide variation in terminology used to refer to children living with complex needs, across clinical, research and policy settings. It is important to seek to reconcile this variation to support the effective development of programmes of care for this group of children and their families. The European Academy of Pediatrics (EAP) established a multidisciplinary Working Group on Complex Care and the initial work of this group examined how complex care is defined in the literature. A scoping review was conducted which yielded 87 papers with multiple terms found that refer to children living with complex needs. We found that elements of integrated care, an essential component of care delivery to these children, were repeatedly referred to, though it was never specifically incorporated into a term to describe complex care needs. This is essential for practice and policy, to continuously assert the need for integrated care where a complex care need exists. We propose the use of the term Complex and Integrated Care Needs as a suitable term to refer to children with varying levels of complexity who require continuity of care across a variety of health and social care settings.

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“…[36] For this study, consensus was defined a priori as ≥80% agreement, meaning ≥80% of participants had to rate their agreement as Agree (4) or Strongly Agree (5) on a 5-point Likert scale (Strongly Disagree (1), Disagree (2), Neutral (3), Agree (4), Strongly Agree ( 5)). This threshold was chosen as an appropriate cutoff given that most health science researchers that have conducted Delphi studies to establish agreed definitions have defined consensus as either ≥70%, ≥75%, or ≥80% agreement, [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][66][67][68][69][70][71][72][73][74] with ≥80% being the most stringent level of agreement.…”

Section: Consensusmentioning

confidence: 99%

Establishing Internationally Accepted Conceptual and Operational Definitions of Social Prescribing Through Expert Consensus: A Delphi Study

Muhl

Mulligan

Bayoumi

et al. 2022

Preprint

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IntroductionWith the social prescribing movement gaining traction globally, there is a need for an agreed definition of social prescribing. There are two types of definitions — conceptual and operational, meaning agreement on both types of definitions is needed.ObjectiveThe aim of this study was to establish internationally accepted conceptual and operational definitions of social prescribing.DesignA three-round Delphi study was conducted.MethodsConsensus was defineda priorias ≥80% agreement. In Round 1, participants were asked to list key elements that are essential to the conceptual definition of social prescribing and to provide corresponding statements that operationalize each of the key elements. In Round 2, participants were asked to rate their agreement with items from the first round for inclusion in the conceptual and/or operational definitions of social prescribing. Based on the findings from this round, the conceptual and operational definitions of social prescribing were developed, including long and short versions of the conceptual definition. In Round 3, participants were asked to rate their agreement with the conceptual and operational definitions of social prescribing.ParticipantsThis study involved an international, multidisciplinary panel of experts. The expert panel (n=48) represented 26 different countries across five continents, numerous expert groups, and a variety of years of experience with social prescribing, with the average being 5 years (range = 1-20 years).ResultsAfter three rounds, internationally accepted conceptual and operational definitions of social prescribing were established. The definitions were transformed into the Common Understanding of Social Prescribing (CUSP) conceptual framework.ConclusionThis foundational work offers a common thread — a shared sense of what social prescribing is, which may be woven into social prescribing research, policy, and practice to foster common understanding of this concept.

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Towards a definition of multiple and complex needs in children and youth: Delphi study in Flanders and international survey

Cited by 12 publications

References 19 publications

Healthcare professionals’ perceptions about interprofessional teamwork: a national survey within Swedish child healthcare services

Healthcare professionals’ perceptions about interprofessional teamwork: a national survey within Swedish child healthcare services

Increasing the Focus on Children's Complex and Integrated Care Needs: A Position Paper of the European Academy of Pediatrics

Establishing Internationally Accepted Conceptual and Operational Definitions of Social Prescribing Through Expert Consensus: A Delphi Study

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