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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...

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Autores principales: Younas, Ahtisham, Inayat, Shahzad, Dal Molin, Alberto, Durante, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
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.
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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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