Managing change in the care of children with complex needs: healthcare providers’ perspectives
Article first published online: 20 JUL 2011
© 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 67, Issue 12, pages 2551–2560, December 2011
How to Cite
Law, J., McCann, D. and O’May, F. (2011), Managing change in the care of children with complex needs: healthcare providers’ perspectives. Journal of Advanced Nursing, 67: 2551–2560. doi: 10.1111/j.1365-2648.2011.05761.x
- Issue published online: 20 NOV 2011
- Article first published online: 20 JUL 2011
- Accepted for publication 26 April 2011
- allied health profession;
- complex needs;
law j., mccann d. & o’may f. (2011) Managing change in the care of children with complex needs: healthcare providers’ perspectives. Journal of Advanced Nursing67(12), 2551–2560.
Aim. This paper is a report of a descriptive qualitative study of the role and activities of nursing and allied health professionals caring for children with complex needs in a community setting.
Background. Health care is changing in terms of service provision and delivery, with an increased focus on person-centred care, prevention and community-based services. The role of nursing and allied health professionals is central to these changes but is not well described in terms of capacity, or the knowledge and skills required to meet increasing demand.
Method. Within four Health Boards, semi-structured telephone interviews were conducted in 2007 with three nursing and four allied health managers, followed by four focus groups with 15 nursing and 11 allied health practitioners; in addition, three nurses and one speech therapist were interviewed by telephone.
Results. Respondents identified challenges related to communication and information systems, equity of service provision, family-centred care and partnership working. Generic and specialized knowledge and skills are needed, although providing the right skills in the right place can often prove problematic with potential implications for service provision.
Conclusion. Findings support the adoption of integrated partnership working, going beyond the identification of key professionals, to developing a set of criteria against which future service provision could be judged. Research priorities were identified; comparative evaluation of services, better understanding of the transition process and a clearer sense of the individual’s response to the increasing customization of services.