The Experiences of Specialist Nurses Working Within the Uro-oncology Multidisciplinary Team in the United Kingdom.

Clin Nurse Spec

Author Affiliations: Visiting Fellow (Mr Punshon), School of Health and Social Care, London South Bank University; Professor in Clinical Nursing (Critical Care) (Prof Endacott), Plymouth University/Royal Devon and Exeter Hospital Clinical School; Senior Urology Nurse Specialist and BAUN President (Ms Aslett), Basingstoke and North Hampshire Foundation Trust, Hampshire; Urology & Continence Nurse Specialist (Ms Brocksom), St James's University Hospital, Leeds; Lead urology clinical nurse specialist/prostate cancer advanced nurse practitioner (Ms Fleure), Guy's and St Thomas' NHS Foundation Trust; Workforce Analyst (Ms Howdle), Mouchel Management Consulting Limited and Centre for Workforce Intelligence; Head of Outreach (Ms Masterton), Prostate Cancer UK; Research Assistant (Ms O'Connor), Centre for Health and Social Care Innovation, Plymouth University; Consultant (Mr Swift), Mouchel Management Consulting Limited and Centre for Workforce Intelligence; Lead, Cardiovascular, End of Life Care (Mr Trevatt), London Region, NHS England; and Chair of Healthcare & Workforce Modelling (Prof Leary), School of Health and Social Care, London South Bank University, London, UK.

Published: September 2017

Purpose: United Kingdom prostate cancer nursing care is provided by a variety of urology and uro-oncology nurses. The experience of working in multidisciplinary teams (MDT) was investigated in a national study.

Design: The study consisted of a national survey with descriptive statistics and thematic analysis.

Methods: A secondary analysis of a data subset from a UK whole population survey was undertaken (n = 285) of the specialist nursing workforce and the services they provide. Data were collected on the experience of working in the MDT.

Results: Forty-five percent of the respondents felt that they worked in a functional MDT, 12% felt that they worked in a dysfunctional MDT, and 3.5% found the MDT meeting intimidating. Furthermore, 34% of the nurses felt that they could constructively challenge all members of the MDT in meetings. Themes emerging from open-ended questions were lack of interest in nonmedical concerns by other team members, ability to constructively challenge decisions or views within the meeting, and little opportunity for patients' wishes to be expressed.

Conclusions: Despite expertise and experience, nurses had a variable, often negative, experience of the MDT. It is necessary to ensure that all participants can contribute and are heard and valued. More emphasis should be given to patients' nonmedical needs.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5469566PMC
http://dx.doi.org/10.1097/NUR.0000000000000308DOI Listing

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