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Published on: February 27, 2014
A joint transdisciplinary approach for paediatric inflammatory bowel disease: Integrating nursing, dietetic and
King-Chi Yau1,2, Laura Tesser2, Kay Crook2
1Research Department of Clinical, Educational and Health Psychology University College London London UK.
Insights
A new transdisciplinary model for pediatric inflammatory bowel disease (pIBD) integrates nursing, dietetic, and psychological care in joint appointments. This innovative approach aims for holistic symptom management and improved patient support in pIBD care.
Area of Science:
- Pediatric Gastroenterology
- Inflammatory Bowel Disease Research
- Healthcare Delivery Models
Background:
- Pediatric inflammatory bowel disease (pIBD) is a chronic condition with significant gastrointestinal, nutritional, and psychosocial challenges.
- Multidisciplinary team (MDT) support is standard for pIBD, but delivery varies, often relying on fragmented, discipline-specific appointments.
- Existing models may not fully address the complex, interconnected needs of children and adolescents with pIBD.
Purpose of the Study:
- To describe an innovative transdisciplinary model for pediatric inflammatory bowel disease (pIBD) care.
- To integrate nursing, dietetic, and psychological expertise into a unified, joint appointment system.
- To evaluate the potential benefits and challenges of this integrated care model.
Main Methods:
- Description of a novel transdisciplinary care model for pIBD.
- Integration of nursing, dietetic, and psychological services within joint patient appointments.
- Utilisation of reflective practice methodology to analyze the model's impact.
Main Results:
- The transdisciplinary model offers potential benefits such as more holistic symptom management for pIBD.
- Enhanced access to specialist input and reduced stigma associated with psychological support were identified.
- Improved cross-disciplinary learning among healthcare professionals was observed, alongside potential implementation challenges like role ambiguity.
Conclusions:
- The described transdisciplinary model represents an innovative approach to pediatric inflammatory bowel disease (pIBD) care.
- This integrated model has the potential to improve symptom management, patient access, and professional collaboration.
- Further research and careful implementation are needed to address challenges and optimize this model for pIBD patient outcomes.
Abstract:
Paediatric inflammatory bowel disease (pIBD) is a long-term, immune-mediated condition characterised by fluctuating gastrointestinal symptoms, nutritional risk and psychosocial difficulties. Although multidisciplinary team (MDT) support is considered the gold standard, there is considerable variation in how it is delivered, and it remains common for healthcare services to rely on separate discipline-specific appointments within the MDT. Here, we describe a transdisciplinary model for pIBD that integrates nursing, dietetic and psychological expertise within a joint appointment. Through the methodology of reflective practice, we identify several potential benefits, including more holistic symptom management, enhanced access to specialist input, reduced stigma around psychological support and improved cross-disciplinary learning. Potential implementation challenges include implementation feasibility, role ambiguity and demands on some service users. To the best of our knowledge, this paper represents an innovative model of care for pIBD.
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