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Opportunities and difficulties with providing child healthcare through team-based visits in child healthcare services: a focus group study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research Sörmland. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social medicine/CHAP.ORCID iD: 0000-0002-1438-8531
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.ORCID iD: 0000-0003-2857-4746
School of Health, Care and Social Welfare, Mälardalen University, Box 883, 721 23 Västerås, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research Sörmland. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Paediatric Inflammation, Metabolism and Child Health Research. Akademiska sjukhuset, Uppsala, Sweden.ORCID iD: 0000-0003-2648-4413
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2025 (English)In: BMC Primary Care, E-ISSN 2731-4553, Vol. 26, no 1, article id 280Article in journal (Refereed) Published
Abstract [en]

Background

The Swedish Child Healthcare services (CHS) includes team-based visits. Team-based visits are defined as physical meetings where different professionals, including the child and his or her parents, participate at the same time at the same place. This study aimed to explore healthcare professionals’ experiences of these visits to better understand the opportunities and difficulties in meeting the unique needs of children and their families through team-based visits.

Methods

An explorative qualitative design. Data were obtained through seven digital focus group interviews (FGDs) with 34 professionals within CHS, following the guidelines provided by Krueger and Casey.

Results

All professional groups perceived great opportunities with team-based visits. Optimal team-based visits meant accessible and safe family support, based on children’s and families’ needs. Trustful relationships with someone in the team, can promote families’ trust in the team, the assessment process, and healthcare organizations. For optimal team-based visits in CHS, professional competence, as well as organizational structures, are required. However, without enabling factors, here can be opposite effects on all those involved.

Conclusions

Optimal team-based visits in CHS delivered in the right way, at the right time, by the right individuals can be an efficient and comprehensive way to meet the unique needs of children and families.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2025. Vol. 26, no 1, article id 280
Keywords [en]
Child healthcare services, Focus group discussion, Interprofessional teamwork, Team-based visits, Team competence
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-508489DOI: 10.1186/s12875-025-02981-0ISI: 001568449900001PubMedID: 40922033Scopus ID: 2-s2.0-105015164514OAI: oai:DiVA.org:uu-508489DiVA, id: diva2:1785460
Available from: 2023-08-02 Created: 2023-08-02 Last updated: 2025-10-08Bibliographically approved
In thesis
1. Interprofessionella teambesök i svensk barnhälsovård - en resurs att utveckla: En studie om teamarbete ur sjuksköterskors, läkares och psykologers perspektiv
Open this publication in new window or tab >>Interprofessionella teambesök i svensk barnhälsovård - en resurs att utveckla: En studie om teamarbete ur sjuksköterskors, läkares och psykologers perspektiv
2023 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Interprofessional teamwork has been described as a key method in promoting health and preventing illness in children. However, evidence-based knowledge about which form of teamwork in Child Healthcare Services (CHS) that enables a holistic view of the child in his or her family, considering medical, psychological and social circumstances, is required.

This thesis aimed to produce evidence-based knowledge about teams and interprofessional teamwork that could be used in the Swedish CHS, as well as an understanding of influencing factors at the individual, organisational and societal levels based on nurses’, physicians’ and psychologists’ perceptions.

The thesis includes four studies (I–IV) that used quantitative, qualitative and mixed method design to answer the overall purpose of the doctoral thesis. Together, these methods form an exploratory sequential mixed method design. For the quantitative studies (I and II) and the mixed study (III), a national cross-sectional study in the form of a web survey was answered by 1119 nurses, physicians and psychologists engaged in the Swedish CHS. In study IV, an explorative qualitative design was used, and data was obtained from seven digital focus group interviews with nurses, physicians, and psychologists engaged in CHS.

Interprofessional teamwork within the CHS, in the form of physical meetings such as team-based visits and parental groups held by a team, where professionals, the child, and the parents are present at the same time, was found to be important to achieve the goals of the team and meet the unique needs of the child and his/her family. Team-based visits contribute to a holistic view of the child in his/her family where medical, psychological and social circumstances are considered. Healthcare professionals require team-based visits delivered by interprofessional teams, in line with proportionate universalism. However, perceived needs for targeted team-based visits exceed its existence, especially in cases of psychosocial or complex indications.

Based on the findings, there are reasons to consider interprofessional team-based visits in the CHS as an important resource to be developed. For optimal team-based visits within CHS, factors at the individual, organisational and social level are required. These factors include: 1) placing the child at the centre, 2) physical meetings, 3) equality and equity, 4) continuity, 5) trust and confidence, 6) competence and learning, 7) communication, 8) goals and motivation, 9) responsibilities and roles, 10) flexibility, 11) safety and effectiveness and 12) well-being and meaningfulness.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2023. p. 140
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1964
Keywords
Child Healthcare Service, Interprofessional teamwork, Proportional universalism, Barnhälsovård, Teamarbete, Proportionerlig universalism, Team-based visits, Team competence, Mixed method
National Category
Nursing Public Health, Global Health and Social Medicine
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-508488 (URN)978-91-513-1861-5 (ISBN)
Public defence
2023-09-22, Sal IX, Universitetshuset, Biskopsgatan 3, Uppsala, 09:30 (Swedish)
Opponent
Supervisors
Funder
Gillbergska stiftelsen
Available from: 2023-09-01 Created: 2023-08-02 Last updated: 2025-02-20

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Nygren, Ulrika SveaEriksson, LeifTindberg, YlvaNordgren, Lena

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