Analysis of multidisciplinary clinical practice in cancer care and factors related to the professional roles of the care teams: A qualitative and quantitative evaluation in the framework of the Catalan Health System
[eng] INTRODUCTION: The last 20 years have seen significant progress in cancer control, driven by multiple advances in different areas such as technology, surgery procedures, medical treatments, but also by innovation in the delivery and organization of cancer services. As more specialists and profe...
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| Tipo de recurso: | tesis doctoral |
| Estado: | Versión publicada |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Universidad de Barcelona |
| Repositorio: | Dipòsit Digital de la UB |
| OAI Identifier: | oai:diposit.ub.edu:2445/218902 |
| Acceso en línea: | https://hdl.handle.net/2445/218902 http://hdl.handle.net/10803/693707 |
| Access Level: | acceso abierto |
| Palabra clave: | Medicina clínica Càncer Infermeria oncològica Clinical medicine Cancer Oncology nursing |
| Sumario: | [eng] INTRODUCTION: The last 20 years have seen significant progress in cancer control, driven by multiple advances in different areas such as technology, surgery procedures, medical treatments, but also by innovation in the delivery and organization of cancer services. As more specialists and professionals become involved, the challenges of management, coordination and communication between multiple specialists and levels of care increase. As a result, complexity and the likelihood of fragmented care naturally grow. Therefore, to better address the growing complexity and improve outcomes, health systems have sought innovative ways to deliver high-quality cancer care more effectively and efficiently. These innovations include the development of collaborative approaches, such as implementing specialized care through multidisciplinary teams for each tumor type, and advanced practice nurse roles. Multidisciplinary teams are recognized as the gold standard for organizing care and to treat cancer at all stages, which is specially reflected at multidisciplinary team meetings as the main decision-making body. However, despite the abundance evidence supporting their positive impact, their independent benefit on survival is still scarce and controversial. In addition, multidisciplinary team meetings have been promoted and implemented in Catalonia over the last decades, but an evaluation of their potential benefits at a local level is needed. In parallel to the development of multidisciplinary teams, advanced practice nurses have been integrated into oncology care in Catalonia. Advanced practice nurses bring great value to health systems. Nevertheless, their implementation has been uneven and without any kind of recognition and/or regulation at the regional or national level. The optimal integration into the healthcare workforce of the role depends on the environment surrounding their implementation. However, little attention has been paid to understanding the characteristics of the specific context in which their development and integration take place in Catalonia or Spain. HYPOTHESIS: The specific organization of multidisciplinary cancer teams influences the performance of professional roles, particularly those of advanced practice nurses, and affects the outcomes of the decision-making process of treated patients. PRINCIPAL OBJECTIVE: To analyze the impact of multidisciplinary clinical practice in cancer care and factors related to professional roles, particularly those of advanced practice nurses in care teams. |
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