https://doi.org/10.4081/hls.2024.12376
Multidisciplinary nursing practice in a low-resource setting in Southeast Brazil
Submitted: 10 February 2024
Accepted: 14 March 2024
Published: 28 March 2024
Accepted: 14 March 2024
Abstract Views: 256
PDF: 100
HTML: 4
HTML: 4
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The various specializations available to nurses represent an investment geared toward providing more qualified patient care. However, little is known about the attitudes of specialized nurses toward multidisciplinarity. The purpose of this study was to investigate nurses' perceptions of multidisciplinarity in the field of specialist nurses, as well as to determine how specialization is associated with improved patient care and nurses' age in a low-resource setting in Southeast Brazil. This cross-sectional study included 70 nurses aged ≥18 years with at least one nursing specialty working at the Regional Health Superintendence of Manhuaçu, Minas Gerais, Brazil. The study participants responded to questions about specialization and its importance in the field of health care. The majority of nurse specialists (84.3%) were between the ages of 20 and 40, and 31.4 percent worked in family health. Eighty percent of nurse specialists agreed that nursing specialization was important. More than 75% agreed that specialization promotes higher quality care and that multidisciplinarity is critical for improving patient care. Seventy percent of participants distrusted online health information. There is a relationship between the importance of having a specialty and better patient care (τb=0.293, p=0.002), and between being a specialist nurse and age (τb=-0.272, p=0.004). Nurses have embraced the concept of multidisciplinarity as a way to improve healthcare. However, they were concerned about the qualifications for nursing specialties.
Girard J, Girard J. Defining knowledge management: toward an applied compendium. Online J Appl Knowl Manag 2015;3:1-20.
Li M, Liu H, Zhou J. G-SECI model-based knowledge creation for CoPS innovation: the role of Grey knowledge. J Knowl Manag 2018;22:887–911.
DOI: https://doi.org/10.1108/JKM-10-2016-0458
Subtil CL. Concerns and uncertainties under the view of the nursing history. Cult Cuid 2017;21:16–22.
Kejžar A, Dimovski V, Colnar S. The impact of knowledge management on the quality of services in nursing homes. Front Psychol 2023;13:1106014.
DOI: https://doi.org/10.3389/fpsyg.2022.1106014
Wilson R, Godfrey CM, Sears K, et al. Exploring conceptual and theoretical frameworks for nurse practitioner education: a scoping review protocol. JBI Database System Rev Implement Rep 2015;13:146–55.
DOI: https://doi.org/10.11124/jbisrir-2015-2150
de Meneses AS, Sanna MC. Accessibility and content of electronic information about specialization courses in nursing administration. Rev Esc Enferm USP 2011;45:356–62.
DOI: https://doi.org/10.1590/S0080-62342011000200008
World Health Organization. State of the World’s Nursing Report 2020-Investing in education, jobs and leadership [Internet]. Health Workforce 2020. Available from: https://www.who.int/publications/i/item/9789240003279
Shortell SM, Wu F, Lewis V, et al. A taxonomy of accountable care organizations for policy and practice. Health Serv Res 2014;49:1883–99.
DOI: https://doi.org/10.1111/1475-6773.12234
Fernandes JD, Silva RMO, Silva ACP, et al. Profile of nursing specialization courses in the city of Salvador, Bahia, Brazil. Rev Baiana Enferm 2017;31:e16660.
Oliveira EB, Carvalho RAC, Teixeira E, et al. Factors involved in the training of resident nurses: view of alumni from a residency program. Rev Min Enferm 2017;21:e-1064.
DOI: https://doi.org/10.5935/1415-2762.20170074
Kaiser JA, Westers JB. Nursing teamwork in a health system: a multisite study. J Nurs Manag 2018;26:555–62.
DOI: https://doi.org/10.1111/jonm.12582
Cioffi J, Ferguson L. Team nursing in acute care settings: nurses' experiences. Contemp Nurse 2009;33:2–12.
DOI: https://doi.org/10.5172/conu.33.1.2
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand 2009;53:143–51.
DOI: https://doi.org/10.1111/j.1399-6576.2008.01717.x
Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. PLoS One 2022;17:e0272942.
DOI: https://doi.org/10.1371/journal.pone.0272942
O'Reilly P, Lee SH, O'Sullivan M, et al. Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: an integrative review. PLoS One 2017;12:e0177026.
DOI: https://doi.org/10.1371/journal.pone.0177026
Baker DP, Day R, Salas E. Teamwork as an essential component of high-reliability organizations. Health Serv Res 2006;41:1576–98.
DOI: https://doi.org/10.1111/j.1475-6773.2006.00566.x
Leathard A. Going inter-professional working together for health and welfare. London, New York: Routledge: 1994.
Petrie H. Do you see what I see? The epistemology if interdisciplinary inquiry. J Aesthet Educ 1976;10:29–42.
DOI: https://doi.org/10.2307/3332007
World Health Organization. Primary health care: Now more than ever [Internet]. Geneva: World Health Organization. 2008 [cited 2022 Dec 20]. Available from: https://reliefweb.int/report/world/world-health-report-2008-primary-health-care-now-more-ever
Silva RMO, Fernandes JD, Maurício DMALD, et al. Motivations for the transitional experience of students in the nursing specialization degree. Revista de Enfermagem Referência 2020;5:e20021.
Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract 2006;12:359–65.
DOI: https://doi.org/10.1111/j.1440-172X.2006.00595.x
Feijó AM, Vicente EFR, Petri SM. The use of Likert scales in accounting research. Revista Gestão Organizacional 2020;13:27–41.
DOI: https://doi.org/10.22277/rgo.v13i1.5112
Singh G, Quraishi S. COVID-19 lockdown: challenges faced by Indian students. Psychol Stud 2021;66:303–7.
DOI: https://doi.org/10.1007/s12646-021-00608-9
Arndt S, Turvey C, Andreasen NC. Correlating and predicting psychiatric symptom ratings: Spearman's r versus Kendall's tau correlation. J Psychiatr Res 1999;33:97–104.
DOI: https://doi.org/10.1016/S0022-3956(98)90046-2
Yanoullas S. Feminization or feminilization? Notes on a category. Temporalis 2011;11:271–92.
DOI: https://doi.org/10.22422/2238-1856.2011v11n22p271-292
Zadeh RS, Eshelman P, Setla J, Sadatsafav H. Strategies to improve quality of life at the end of life: interdisciplinary team perspectives. Am J Hosp Palliat Care 2018;35:411–6.
DOI: https://doi.org/10.1177/1049909117711997
Corrêa VAF, Acioli S, Tinoco TF. The care of nurses in the Family Health Strategy: practices and theoretical foundation. Rev Bras Enferm 2018;71:2767–74.
DOI: https://doi.org/10.1590/0034-7167-2018-0383
Gutiérrez-Rodríguez L, García Mayor S, Cuesta Lozano D, et al. Competences of specialist nurses and advanced practice nurses. Enferm Clin 2019;29:328–35.
DOI: https://doi.org/10.1016/j.enfcle.2019.10.003
Wilkes L, Cioffi J, Cummings J, et al. Clients with chronic conditions: community nurse role in a multidisciplinary team. J Clin Nurs 2014;23:844–55.
DOI: https://doi.org/10.1111/jocn.12245
Izidório BHS, Silva HGO, Lopes AJ. Acting nursing: specialties for care. International Journal of Development Research 2021:11:51818–23.
Frota MA, Wermelinger MCMW, Vieira LJES, et al. Mapping nursing training in Brazil: challenges for actions in complex and globalized scenarios. Cien Saude Colet 2020;25:25–35.
DOI: https://doi.org/10.1590/1413-81232020251.27672019
McCrae N. Whither nursing models? The value of nursing theory in the context of evidence-based practice and multidisciplinary health care. J Adv Nurs 2012;68:222–9.
DOI: https://doi.org/10.1111/j.1365-2648.2011.05821.x
Duffy JR. The clinical leadership role of the CNS in the identification of nursing-sensitive and multidisciplinary quality indicator sets. Clin Nurse Spec 2002;16:70–6.
DOI: https://doi.org/10.1097/00002800-200203000-00007
Liu Y-J, Wu L-P, Wang H, et al. The clinical effect evaluation of multidisciplinary collaborative team combined with palliative care model in patients with terminal cancer: a randomised controlled study. BMC Palliat Care 2023;22:71.
DOI: https://doi.org/10.1186/s12904-023-01192-7
Zhang W, Feng X, Deng X, et al. Application of a specialist nurse-led multidisciplinary team model in the perioperative care of patients undergoing simultaneous pancreas and kidney transplantation: randomized controlled trial. Gland Surg 2023;12:619–27.
DOI: https://doi.org/10.21037/gs-23-116
Bostwick WB, Rutherford JN, Patil CL, et al. Envisioning a more expansive future for multidisciplinary nursing scholarship and education. Nurs Outlook 2021;69:507–9.
DOI: https://doi.org/10.1016/j.outlook.2021.03.003
Deering S, Johnston LC, Colacchio K. Multidisciplinary teamwork and communication training. Semin Perinatol 2011;35:89–96.
DOI: https://doi.org/10.1053/j.semperi.2011.01.009
Francisco AM, Costa MCG, Hamamoto CG, Hafner MLMB. Evaluation of formation of nurses: effect of methods of teaching-learning curriculum and assumptions in professional practice. Avaliação: Revista da Avaliação da Educação Superior 2016;21:479–502.
DOI: https://doi.org/10.1590/S1414-40772016000200009
Souza AMA, Cuevas-Budhart MÁ, Pérez Raya F, et al. The implementation of nursing specialties in Spain, 2005-2018: a documental study. Clin Nurse Spec 2020;34:75–84.
DOI: https://doi.org/10.1097/NUR.0000000000000508
Millberg LG, Berg L, Brämberg EB, et al. Academic learning for specialist nurses: a grounded theory study. Nurse Educ Pract 2014;14:714–21.
DOI: https://doi.org/10.1016/j.nepr.2014.08.008
Supporting Agencies
Conselho Nacional de Desenvolvimento Científico e Tecnólogico [CNPq; Grant numbers #301967/2022-9 and #401633/2023-3], Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro [FAPERJ; Grant number #E-26/200.929/2022], Coordenação de Aperfeiçoamento de Pessoal de Nível Superior [CAPES, FinanceCode 001, 88881.708719/2022-01, and 88887.708718/2022-00]How to Cite
Izidório, B. H. S., Avelar, K. E. S., de Souza, F. dos S. L., Dusek, P. M., & Lopes, A. J. (2024). Multidisciplinary nursing practice in a low-resource setting in Southeast Brazil. Healthcare in Low-Resource Settings, 12(2). https://doi.org/10.4081/hls.2024.12376
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.