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Interprofessional collaboration within fluid teams: Community nurses' experiences with palliative home care
Fien Mertens1,2, Anneleen De Gendt1, Myriam Deveugele1
1Department of Public Health and Primary Care, Ghent University, Belgium.
Journal of Clinical Nursing
|June 20, 2019
Summary
Community nurses adapt to fluid palliative home care teams, but challenges like time constraints and hierarchy persist. Improving interprofessional education can enhance collaboration and professional well-being.
Area of Science:
- Nursing
- Palliative Care
- Healthcare Collaboration
Background:
- Palliative home care demand is rising, requiring effective collaboration between community nurses, general practitioners, and specialist palliative home care teams.
- Team membership fluidity in palliative care presents challenges to effective interprofessional work.
Purpose of the Study:
- To explore community nurses' experiences with collaboration in palliative home care.
- To identify factors influencing collaboration between community nurses, general practitioners, and specialist palliative home care team nurses.
Main Methods:
- Qualitative research design utilizing semi-structured interviews with 20 community nurses.
- Participant selection through regional palliative care networks in Belgium.
- Constant comparative analysis guided by Consolidated criteria for reporting qualitative research.
Main Results:
- Formal interprofessional meetings were uncommon; approachability and familiarity positively impacted collaboration.
- Time constraints, perceived GP expertise gaps, communication styles, hierarchy, and income dependency negatively affected collaboration.
- Community nurses balanced patient-focused and relationship-focused coping strategies, relying on specialist teams for expertise and mediation.
Conclusions:
- Community nurses demonstrated adaptability in fluid teams, yet outdated doctor-nurse dynamics persist, impacting communication.
- Interprofessional education is recommended to improve collaboration and address knowledge gaps in palliative home care.
- Findings offer insights into professional well-being and workplace learning in palliative care settings.
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