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Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings

Nadine Boesten (Department of Public Health, Faculteit Geneeskunde en Farmacie, Vrije Universiteit Brussel, Brussel, Belgium) (Faculty of Econmics and Business Administration, Ghent University, Ghent, Belgium)
Melissa De Regge (Strategic Policy Cell, University Hospital Ghent, Gent, Belgium) (Faculty of Econmics and Business Administration, Ghent University, Ghent, Belgium)
Kristof Eeckloo (Strategic Policy Cell, University Hospital Ghent, Gent, Belgium) (Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium)
Mark Leys (Department of Public Health, Faculteit Geneeskunde en Farmacie, Vrije Universiteit Brussel, Brussel, Belgium)
Paul Gemmel (Faculty of Econmics and Business Administration, Ghent University, Ghent, Belgium)
Bert R. Meijboom (Tranzo, Tilburg University, Tilburg, Netherlands)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 21 June 2024

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Abstract

Purpose

Nurses are capable of acting as advocates for patients since they hold valuable knowledge on patient preferences and their psychosocial needs. Yet, in practice they tend to contribute little to multidisciplinary team meetings (MDTMs). This study analyses the factors that influence whether or not nurses will speak up and increase patient-centred decision-making in MDTMs.

Design/methodology/approach

A multiple case study with cross-case comparison of twelve tumour groups across two Belgian hospitals was conducted. Data collection involved fifty structured non-participant observations and 41 semi-structured interviews with participants from the twelve tumour groups.

Originality/value

This study yields factors that increase the opportunities for nurses to speak up in MDTMs to enhance patient-centred decision-making. The findings help in the design of future interventions concerning multidisciplinary teamwork, that address nurses’ contributions to augment patient-centred care.

Keywords

Acknowledgements

The authors would like to thank Masters’ students from Ghent University, Belgium for their support in collecting the data. There were no external funding sources for this study.

Citation

Boesten, N., De Regge, M., Eeckloo, K., Leys, M., Gemmel, P. and Meijboom, B.R. (2024), "Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings", Journal of Health Organization and Management, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/JHOM-06-2023-0191

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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