Nurses' Challenges to Developing Interpersonal Relationships During Integrated Care for Complex Patients.
Ahtisham Younas, Shahzad Inayat, Alberto Dal Molin and 1 others
PMID 37571875WHAT IT FOUND
Nurses caring for complex patients in Pakistan said some families withheld information, controlled access, and became aggressive, while physician power struggles and fragmented team communication made integrated care harder.
Key findings
01Nurses said family members withheld critical information, ignored worsening symptoms, delayed access to care, and controlled treatment.
02Nurses reported that some patients and family members became aggressive, including attacking staff, and that these behaviors affected providers and other patients.
03Nurses described fragmented team communication and undervalued viewpoints, which broke information channels used for integrated care planning.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The findings are nurses' perceptions, not patient or family reports. The study included only 19 nurses from 2 public hospitals in Pakistan, so the results may not transfer to other settings. Interviews were virtual because of the pandemic, which may have limited detail. Translation from Urdu and English may have lost some meaning. The study reports nurses' perceptions, not tested interventions or patient outcomes.
Declared interests
The authors declared no potential conflicts of interest and received no financial support for the research, authorship, or publication.
The easy way to misread this
Do not read these themes as proof that families are negligent or that team conflicts cause poor care. They are perceptions from 19 nurses in 2 public hospitals in Pakistan, and the study reports nurses' views, not patient outcomes.