Punshon Geoffrey, Endacott Ruth, Aslett Phillippa, Brocksom Jane, Fleure Louisa, Howdle Felicity, Masterton Morven, O'Connor Anita, Swift Adrian, Trevatt Paul, Leary Alison
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.
Clin Nurse Spec. 2017 Jul/Aug;31(4):210-218. doi: 10.1097/NUR.0000000000000308.
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.
The study consisted of a national survey with descriptive statistics and thematic analysis.
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.
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.
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.
英国前列腺癌护理工作由各类泌尿外科和泌尿肿瘤学护士提供。一项全国性研究调查了在多学科团队（MDT）中工作的经历。
该研究包括一项带有描述性统计和主题分析的全国性调查。
对英国全人群调查中的一个数据子集（n = 285）进行二次分析，该子集涉及专科护理人员及其提供的服务。收集了关于在多学科团队中工作经历的数据。
45%的受访者认为他们在一个运作良好的多学科团队中工作，12%的人认为他们在一个运作不良的多学科团队中工作，3.5%的人觉得多学科团队会议令人生畏。此外，34%的护士觉得他们能够在会议中建设性地挑战多学科团队的所有成员。开放式问题中出现的主题包括其他团队成员对非医疗问题缺乏兴趣、在会议中建设性地挑战决策或观点的能力，以及患者表达意愿的机会很少。
尽管护士具备专业知识和经验，但他们在多学科团队中的经历各不相同，且往往是负面的。有必要确保所有参与者都能做出贡献，并且他们的意见能被听取和重视。应更加重视患者的非医疗需求。
