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Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients
BACKGROUND: Individuals with multimorbidity and complexity have multifaceted care needs requiring integrated and collaborative care from nurses, families, and health care teams. Nurses, as the frontline care professionals, should develop therapeutic relationships with patients and their families and...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498654/ https://www.ncbi.nlm.nih.gov/pubmed/37571875 http://dx.doi.org/10.1177/01939459231189789 |
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author | Younas, Ahtisham Inayat, Shahzad Dal Molin, Alberto Durante, Angela |
author_facet | Younas, Ahtisham Inayat, Shahzad Dal Molin, Alberto Durante, Angela |
author_sort | Younas, Ahtisham |
collection | PubMed |
description | BACKGROUND: Individuals with multimorbidity and complexity have multifaceted care needs requiring integrated and collaborative care from nurses, families, and health care teams. Nurses, as the frontline care professionals, should develop therapeutic relationships with patients and their families and professional relationships with health care team members to ensure the delivery of effective integrated care. Failure to develop effective interpersonal and professional relationships can negatively affect patient care. OBJECTIVE: The purpose of this study was to explore nurses’ challenges with developing interpersonal and professional relationships during integrated care for individuals with multimorbidity and complexity. METHODS: A descriptive qualitative design was used. We interviewed a purposive sample of 19 nurses with experience of caring for individuals with multimorbidity and complexity across two hospitals in Pakistan. Semi-structured interviews were used for data collection, and data were analyzed using reflexive thematic analysis. RESULTS: Two challenges were identified affecting the relationships between patients’ families and nurses, and two challenges influencing the professional relationships within the team. Families withheld information, controlled care access of their relatives, posed unrealistic demands, and abused nurses, affecting nurse-family relationships. Power struggles to demonstrate authority in decision-making were common within health care teams, affecting nurses’ professional capacity to provide effective care. CONCLUSIONS: Health care team, patient, and family collaboration is instrumental in improved care for individuals with multimorbidity and complexity. Nurse leaders and health care organizations should take initiatives to address nurses’ interpersonal confrontations to support them in the provision of quality care. |
format | Online Article Text |
id | pubmed-10498654 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-104986542023-09-14 Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients Younas, Ahtisham Inayat, Shahzad Dal Molin, Alberto Durante, Angela West J Nurs Res Research Reports BACKGROUND: Individuals with multimorbidity and complexity have multifaceted care needs requiring integrated and collaborative care from nurses, families, and health care teams. Nurses, as the frontline care professionals, should develop therapeutic relationships with patients and their families and professional relationships with health care team members to ensure the delivery of effective integrated care. Failure to develop effective interpersonal and professional relationships can negatively affect patient care. OBJECTIVE: The purpose of this study was to explore nurses’ challenges with developing interpersonal and professional relationships during integrated care for individuals with multimorbidity and complexity. METHODS: A descriptive qualitative design was used. We interviewed a purposive sample of 19 nurses with experience of caring for individuals with multimorbidity and complexity across two hospitals in Pakistan. Semi-structured interviews were used for data collection, and data were analyzed using reflexive thematic analysis. RESULTS: Two challenges were identified affecting the relationships between patients’ families and nurses, and two challenges influencing the professional relationships within the team. Families withheld information, controlled care access of their relatives, posed unrealistic demands, and abused nurses, affecting nurse-family relationships. Power struggles to demonstrate authority in decision-making were common within health care teams, affecting nurses’ professional capacity to provide effective care. CONCLUSIONS: Health care team, patient, and family collaboration is instrumental in improved care for individuals with multimorbidity and complexity. Nurse leaders and health care organizations should take initiatives to address nurses’ interpersonal confrontations to support them in the provision of quality care. SAGE Publications 2023-08-12 2023-10 /pmc/articles/PMC10498654/ /pubmed/37571875 http://dx.doi.org/10.1177/01939459231189789 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Research Reports Younas, Ahtisham Inayat, Shahzad Dal Molin, Alberto Durante, Angela Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients |
title | Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients |
title_full | Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients |
title_fullStr | Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients |
title_full_unstemmed | Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients |
title_short | Nurses’ Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients |
title_sort | nurses’ challenges to developing interpersonal relationships during integrated care for complex patients |
topic | Research Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498654/ https://www.ncbi.nlm.nih.gov/pubmed/37571875 http://dx.doi.org/10.1177/01939459231189789 |
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