2023-09-28 14:46:10 +00:00
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abstract: 'Aims and objectives To explore how community nurses experience the
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collaboration with general practitioners and specialist palliative home
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care team nurses in palliative home care and the perceived factors
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influencing this collaboration. Background The complexity of, and the
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demand for, palliative home care is increasing. Primary palliative care
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is provided by community nurses and general practitioners, often in
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collaboration with palliative home care team nurses. Although these
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professionals may each individually be part of a fixed team, a new
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temporary team is often composed for every new palliative patient. These
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membership changes, referred to as team membership fluidity, challenge
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professionals to work effectively. Design and methods A qualitative
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research design, using semi-structured interviews with community nurses.
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Participant selection happened through regional palliative care networks
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in Belgium. The network''s palliative home care team nurses selected
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community nurses with whom they recently collaborated. Twenty interviews
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were conducted. A constant comparative analysis approach was used.
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Consolidated criteria for reporting qualitative research guidelines were
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followed. Results Formal interprofessional team meetings were not common
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practice. The other''s approachability and knowing each other positively
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influenced the collaboration. Time constraints, the general
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practitioners'' lack of expertise, communication style, hierarchy
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perception and income dependency negatively influenced the collaboration
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with general practitioners and determined palliative home care team
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nurses'' involvement. The coping strategies of community nurses balanced
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between a behaviour focused to the patient and to the professional
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relationship. Specialist palliative home care team nurses were relied
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upon for their expertise but also to mediate when community nurses
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disagreed with general practitioners. Conclusion Community nurses showed
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to be highly adaptable within the fluid team. Strikingly, dynamics
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described in the doctor-nurse game 50 years ago are still present today
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and affect the interprofessional communication. Interprofessional
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education interventions can contribute to improved interprofessional
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collaboration. Relevance to clinical practice The study findings
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uncovered critical knowledge gaps in interprofessional collaboration in
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palliative home care. Insights are relevant for and related to
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professional well-being and workplace learning.'
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affiliation: 'Mertens, F (Corresponding Author), Univ Ghent, Dept Publ Hlth \& Primary
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Care, Ghent, Belgium.
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Mertens, Fien; De Gendt, Anneleen, Univ Ghent, Dept Publ Hlth \& Primary Care, Ghent,
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Belgium.
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Deveugele, Myriam, Univ Ghent, Dept Publ Hlth \& Primary Care, Commun Hlth Care,
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Ghent, Belgium.
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Pype, Peter, Univ Ghent, Dept Publ Hlth \& Primary Care, Interprofess Collaborat
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Educ \& Practice, Ghent, Belgium.
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Van Hecke, Ann, Univ Ghent, Dept Publ Hlth \& Primary Care, Univ Ctr Nursing \&
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Midwifery, Ghent, Belgium.
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Mertens, Fien, Univ Ghent, End Of Life Care Res Grp, Ghent, Belgium.
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Mertens, Fien, Vrije Univ Brussel, Brussels, Belgium.
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Pype, Peter, Univ Ghent, End Of Life Care Res Grp, Interprofess Collaborat Educ
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\& Practice, Ghent, Belgium.
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Pype, Peter, Vrije Univ Brussel, Interprofess Collaborat Educ \& Practice, Brussels,
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Belgium.'
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author: Mertens, Fien and De Gendt, Anneleen and Deveugele, Myriam and Van Hecke,
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Ann and Pype, Peter
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author-email: Fientje.mertens@ugent.be
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author_list:
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- family: Mertens
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given: Fien
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- family: De Gendt
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given: Anneleen
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- family: Deveugele
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given: Myriam
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- family: Van Hecke
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given: Ann
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- family: Pype
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given: Peter
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da: '2023-09-28'
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doi: 10.1111/jocn.14969
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eissn: 1365-2702
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files: []
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issn: 0962-1067
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journal: JOURNAL OF CLINICAL NURSING
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keywords: 'ad hoc team; community nursing; fluid team; interprofessional
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collaboration; palliative care; primary health care; qualitative
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research; teamwork'
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keywords-plus: 'OF-LIFE CARE; GENERAL-PRACTITIONERS; HEALTH-CARE; END; BARRIERS;
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FACILITATORS; PHYSICIANS; MEDICINE; TEAMWORK; WORKING'
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language: English
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month: OCT
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number: 19-20
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number-of-cited-references: '53'
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orcid-numbers: 'Van Hecke, Ann/0000-0003-3576-7159
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Pype, Peter/0000-0003-2273-0250'
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pages: 3680-3690
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papis_id: e92d2443402539153c443d48b3717dd5
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ref: Mertens2019interprofessionalcol
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times-cited: '13'
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title: 'Interprofessional collaboration within fluid teams: Community nurses'' experiences
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with palliative home care'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000485989700032
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usage-count-last-180-days: '3'
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usage-count-since-2013: '27'
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volume: '28'
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web-of-science-categories: Nursing
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year: '2019'
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