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

Nadine Boesten (UGent) , Melissa De Regge (UGent) , Kristof Eeckloo (UGent) , Mark Leys, Paul Gemmel (UGent) and Berthold Rudy Meijboom (UGent)
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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
Case study, Hospital, Multidisciplinary team meeting, Nurse involvement, Patient-centred decision-making, Speaking up, CANCER TEAMS, EMPLOYEE SILENCE, DECISION-MAKING, CARE, VOICE, IMPROVEMENT, MANAGEMENT, SAFETY

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MLA
Boesten, Nadine, et al. “Speak up! Factors That Influence Involvement of Nurses in Oncological Multidisciplinary Team Meetings.” JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT, vol. 38, no. 7, 2024, pp. 1026–49, doi:10.1108/jhom-06-2023-0191.
APA
Boesten, N., De Regge, M., Eeckloo, K., Leys, M., Gemmel, P., & Meijboom, B. R. (2024). Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings. JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT, 38(7), 1026–1049. https://doi.org/10.1108/jhom-06-2023-0191
Chicago author-date
Boesten, Nadine, Melissa De Regge, Kristof Eeckloo, Mark Leys, Paul Gemmel, and Berthold Rudy Meijboom. 2024. “Speak up! Factors That Influence Involvement of Nurses in Oncological Multidisciplinary Team Meetings.” JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT 38 (7): 1026–49. https://doi.org/10.1108/jhom-06-2023-0191.
Chicago author-date (all authors)
Boesten, Nadine, Melissa De Regge, Kristof Eeckloo, Mark Leys, Paul Gemmel, and Berthold Rudy Meijboom. 2024. “Speak up! Factors That Influence Involvement of Nurses in Oncological Multidisciplinary Team Meetings.” JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT 38 (7): 1026–1049. doi:10.1108/jhom-06-2023-0191.
Vancouver
1.
Boesten N, De Regge M, Eeckloo K, Leys M, Gemmel P, Meijboom BR. Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings. JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT. 2024;38(7):1026–49.
IEEE
[1]
N. Boesten, M. De Regge, K. Eeckloo, M. Leys, P. Gemmel, and B. R. Meijboom, “Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings,” JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT, vol. 38, no. 7, pp. 1026–1049, 2024.
@article{01JNXASYFESQBC9AZGK0WPBBDV,
  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.}},
  author       = {{Boesten, Nadine and De Regge, Melissa and Eeckloo, Kristof and Leys, Mark and Gemmel, Paul and Meijboom, Berthold Rudy}},
  issn         = {{1477-7266}},
  journal      = {{JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT}},
  keywords     = {{Case study,Hospital,Multidisciplinary team meeting,Nurse involvement,Patient-centred decision-making,Speaking up,CANCER TEAMS,EMPLOYEE SILENCE,DECISION-MAKING,CARE,VOICE,IMPROVEMENT,MANAGEMENT,SAFETY}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{1026--1049}},
  title        = {{Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings}},
  url          = {{http://doi.org/10.1108/jhom-06-2023-0191}},
  volume       = {{38}},
  year         = {{2024}},
}

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