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Hyewon Shin,Angela Kabbe,Olivia Palermo,Molly Yost 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): The use of multidisciplinary teamwork has been found to result in effective care for patients with cancer in general but there is a lack of research surrounding teamwork in adolescent and young adult patients with cancer. This integrative review examines the teamwork among health care providers determining the plan of care for this population. Method(s): The preferred reporting items for systematic reviews and meta-analysis guidelines informed this review of studies that were conducted from 2000 to 2020. Eligible studies involved health care providers caring for a young patient diagnosed with cancer between 15-39 years of age, encompassed at least one phase of the cancer care continuum (cancer diagnosis to survivorship), and included multidisciplinary teamwork among health care providers. Result(s): Ten articles met inclusion criteria. Four themes were identified: 1) unique features of multidisciplinary teams in adolescent and young adult cancer care; 2) components of the multidisciplinary team effort; 3) how multidisciplinary teams were implemented, and ; 4) the impact of the multidisciplinary teams. These populations have psychosocial and informational needs related to their developmental stages. Multidisciplinary team efforts varied and included education and care delivery foci. Medicine, nursing, and social work were the commonly included disciplines on multidisciplinary teams. Communication and team member cooperation were deemed important to multidisciplinary team processes. Conclusion(s): Multidisciplinary team efforts demonstrated positive impacts on adolescent and young adult cancer care and improved outcomes. Emerging evidence indicates multidisciplinary teams have positive impacts on the experience and outcomes of this population. Further research focused on evaluating existing multidisciplinary team efforts for adolescent and young adult patients with cancer are needed. The development of comprehensive cancer care programs utilizing multidisciplinary teams should be considered.
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