Abstract:
AIMS AND OBJECTIVES:To explore how community nurses experience the collaboration with general practitioners and specialist palliative home care team nurses in palliative home care and the perceived factors influencing this collaboration. BACKGROUND:The complexity of, and the demand for, palliative home care is increasing. Primary palliative care is provided by community nurses and general practitioners, often in collaboration with palliative home care team nurses. Although these professionals may each individually be part of a fixed team, a new temporary team is often composed for every new palliative patient. These membership changes, referred to as team membership fluidity, challenge professionals to work effectively. DESIGN AND METHODS:A qualitative research design, using semi-structured interviews with community nurses. Participant selection happened through regional palliative care networks in Belgium. The network's palliative home care team nurses selected community nurses with whom they recently collaborated. Twenty interviews were conducted. A constant comparative analysis approach was used. Consolidated criteria for reporting qualitative research guidelines were followed. RESULTS:Formal interprofessional team meetings were not common practice. The other's approachability and knowing each other positively influenced the collaboration. Time constraints, the general practitioners' lack of expertise, communication style, hierarchy perception and income dependency negatively influenced the collaboration with general practitioners and determined palliative home care team nurses' involvement. The coping strategies of community nurses balanced between a behaviour focused to the patient and to the professional relationship. Specialist palliative home care team nurses were relied upon for their expertise but also to mediate when community nurses disagreed with general practitioners. CONCLUSION:Community nurses showed to be highly adaptable within the fluid team. Strikingly, dynamics described in the doctor-nurse game 50 years ago are still present today and affect the interprofessional communication. Interprofessional education interventions can contribute to improved interprofessional collaboration. RELEVANCE TO CLINICAL PRACTICE:The study findings uncovered critical knowledge gaps in interprofessional collaboration in palliative home care. Insights are relevant for and related to professional well-being and workplace learning.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Mertens F,De Gendt A,Deveugele M,Van Hecke A,Pype Pdoi
10.1111/jocn.14969subject
Has Abstractpub_date
2019-10-01 00:00:00pages
3680-3690issue
19-20eissn
0962-1067issn
1365-2702journal_volume
28pub_type
杂志文章abstract:AIMS AND OBJECTIVES:To examine the domains and the domain-specific characteristics within a peripheral arterial disease health-related quality of life framework for their usefulness in defining critical limb ischaemia health-related quality of life. BACKGROUND:Critical Limb Ischaemia presents a highly individualised s...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13623
更新日期:2017-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the clinical characteristics of rejection after upper abdominal cluster transplantation. BACKGROUND:Abdominal organ cluster transplantation is used to treat multiple abdominal organ diseases. Delay in monitoring and treatment can lead to graft failure. DESIGN:A descriptive study. M...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12079
更新日期:2013-06-01 00:00:00
abstract:AIMS:To explore nurses' perceived facilitators and barriers to assessing for alcohol use in Taiwan. BACKGROUND:Excessive alcohol use has been associated with health, social and legal problems. Helping health care providers to detect and treat hazardous or harmful drinkers is an important worldwide issue. DESIGN:A cro...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02590.x
更新日期:2009-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate room temperature and relative humidity affecting nurses' comfort and protection in wearing N95 respirators during clinical bedside procedures. BACKGROUND:N95 respirators are most commonly used to protect healthcare workers against airborne diseases. The elastic head straps required f...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14268
更新日期:2018-04-01 00:00:00
abstract::In Britain, nursing development units (NDUs) have provided a focus for change and innovation in nursing since the early 1980s. This paper explores the approaches to change in these areas of practice. A review of both the management of change and feminist literature has been conducted. By identifying the similarities b...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1996.tb00244.x
更新日期:1996-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the effects of hospital-family holistic care model based on 'Timing It Right' on the health outcome of patients with permanent colostomy. BACKGROUND:Colorectal cancer is a common malignant tumour of digestive system, which seriously threatens human life and health. Colostomy is one of th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.15199
更新日期:2020-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To test the hypothesis that fatigue and sleep disturbance account for a significant amount of variation in eating styles among people with type 2 diabetes (T2D). BACKGROUND:Healthy eating is an important component of diabetes self-care but remains a major challenge. In people with T2D, symptoms of ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14883
更新日期:2019-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore and describe nurses' role in the rehabilitation and care of patients in one subacute care facility in Melbourne, Australia. BACKGROUND:The role of nurses in subacute care and within the rehabilitation team is evolving and remains unclear. DESIGN:Mixed methods. METHODS:Fourteen nurses f...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15235
更新日期:2020-07-01 00:00:00
abstract:AIM:The aim of this study was to explore the point prevalence of malnutrition and the targeting of nutritional interventions in relation to undernutrition risk before and after an intervention. BACKGROUND:Malnutrition risk and the precision in targeting nutritional treatment are indicators of quality of care. Knowledg...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03179.x
更新日期:2010-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the levels and causes of work-related frustration among senior nurses. BACKGROUND:Role changes and the associated expectations and setbacks faced by senior middle-aged nurses can easily result in low morale. Therefore, working setbacks experienced by senior nurses must be investigate...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13241
更新日期:2016-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper aims to explore the concept of risk in pregnancy. BACKGROUND:Notions of risk and 'not knowing' have always surrounded pregnant women, although in the last two decades trends of increased consumer confidence and midwifery activism have together promoted a greater appreciation of pregnancy...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02480.x
更新日期:2009-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore Singapore hospice nurses' perspectives of spirituality and spiritual care. DESIGN:A descriptive, cross-sectional design was used. BACKGROUND:Spiritual care is integral to providing quality end-of-life care. However, patients often report that this aspect of care is lacking. Previous stu...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12358
更新日期:2013-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the effect of the introduction of an electronic nursing documentation system on the efficiency of documentation in a residential aged care facility. BACKGROUND:Modern technology has the potential to free caregivers in residential aged care facilities from their burden of paper documentat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04157.x
更新日期:2012-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the experiences and perceptions of hospital staff caring for dying patients in a dedicated patient/family room (named Lotus Room). BACKGROUND:Dying in hospital is a common outcome for people across the world. However, noise and activity in acute environments present barriers to quality e...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12845
更新日期:2015-08-01 00:00:00
abstract:AIM:The purpose of the study is to examine factors associated with do-not-resuscitate orders, do-not-hospitalise orders and hospice care in older nursing home residents at admission. BACKGROUND:Although hospice care is viewed as the 'gold standard,' geographic availability and financial reimbursement limits its use. T...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03346.x
更新日期:2011-02-01 00:00:00
abstract:AIM AND OBJECTIVES:To describe the (a) prevalence and perceptions of cardiovascular disease and related health conditions in African Americans with osteoarthritis pain, (b) their knowledge of cardiovascular safety of commonly prescribed analgesics for osteoarthritis and (c) frequency of high-risk analgesic use. BACKGR...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15292
更新日期:2020-07-01 00:00:00
abstract::Newly admitted residents in long-term care facilities are particularly vulnerable to depression and the early recognition and treatment of depression is therefore crucial around the time of admission to a home. Staff from 30 nursing and residential homes were asked to assess newly admitted residents for depression usi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2000.00390.x
更新日期:2000-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the knowledge, attitudes and practices of paediatric nurses in Hong Kong towards adolescent sexual health issues. BACKGROUND:In Hong Kong, teens are becoming more sexually permissive. As a result, early sexual activity, Sexually transmitted diseases (STD) and unplanned pregnancies among ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12869
更新日期:2015-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To systematically review the common composition and the analytical methods performed to derive symptom clusters in patients receiving haemodialysis, and to examine their common predictive and outcome variables. BACKGROUND:Patients receiving haemodialysis may suffer from multiple and interactive sym...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13644
更新日期:2017-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the extent to which parental readiness for hospital discharge mediates the relationship between quality of discharge teaching and parental self-efficacy in parents of preterm infants. BACKGROUND:Parental readiness for hospital discharge and self-efficacy should be considered to establish...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15405
更新日期:2020-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine the vaccination status of pregnant women during pregnancy and factors affecting their vaccination. BACKGROUND:Immunisation provided through vaccination is one of the most effective ways to reduce or prevent the risks of disease, disability and death. Maternal and newborn health may be ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12351
更新日期:2014-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the structure of the Essentials of Magnetism II (EOMII) scale using data from nurses working in England; and to describe the impact of different aspects of the nursing work environment on nurse-assessed care quality (NACQ). BACKGROUND:The EOMII Scale was developed in the United States to...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.13783
更新日期:2017-09-01 00:00:00
abstract:AIM:The aim was to identify the factors that were perceived as most important as facilitators or barriers to the introduction and intended use of a new tool in the emergency department among nurses and a geriatric team. BACKGROUND:A high incidence of functional decline after hospitalisation for acute medical illness h...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13275
更新日期:2016-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify and critically appraise studies addressing the implementation of education for children aged 2-12 years undergoing elective surgical procedures and to determine whether education is associated with improvements in children's anxiety and other emotions. BACKGROUND:Children undergoing sur...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12187
更新日期:2014-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether the scale used for assessment of hospital ward patients could predict in-hospital and 30-day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in-hospital and 30-day mortality compared to pati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14728
更新日期:2019-04-01 00:00:00
abstract::There is very little work that discusses the pain experience following fractured shaft of femur. Therefore, an exploratory phenomenological study of the individual experience of pain following a traumatic fracture of the shaft of femur was conducted. Two key themes emerged: the injury experience and the pain experienc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00506.x
更新日期:2001-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the psychometric properties of the Trait Meta-Mood Scale in the nursing context and to determine the relationships between emotional intelligence, self-esteem, alexithymia and death anxiety. BACKGROUND:The Trait Meta-Mood Scale is one of the most widely used self-report measures for asse...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12259
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Ulcerative colitis is a chronic disease of unknown aetiology characterized by alternating periods of remission and relapses. The difficulties in the patients with ulcerative colitis daily life mostly arise from symptoms associated with bowel inflammation but there are many patients who have difficulties desp...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.00955.x
更新日期:2005-01-01 00:00:00
abstract:AIMS:This paper reviews placebo and placebo effects and their measurement and application to nursing. Ethical and methodological issues are also discussed. Implications for nursing and recommendations for future study are offered. BACKGROUND:Placebos have been used for decades in clinical trials but discussion about c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2006.01373.x
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:An emergency department is typically a place of high activity where practitioners care for unanticipated presentations, which yields a flow culture so that actions that secure available beds are prioritised by the practitioners. OBJECTIVES:How does the flow culture in an emergency department influence nurse...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13092
更新日期:2016-02-01 00:00:00