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Table 2 Participant quotes related to themes

From: Nursing in an age of multimorbidity

Participant Quote (Q)
Theme (T) 1: Coping with Treatment Burden
 T1Q1: “Competing demands, multiple specialists, burden of treatment come to mind for me” - Participant 7 (Nursing Organisation, England)
 T1Q2: “Polypharmacy can become an issue in comorbidity too, confusing for patients and potentially difficult 2 manage” - Participant 16 (Female, Nurse Researcher, England)
 T1Q3: “Also need to consider the burden on family and carers: they can get burnt out & stressed” - Participant 18 (Female, Nursing Leader - Director, England)
 T1Q4: “need to remember it isn’t just the elderly who have co-morbidities Lots kids complex needs” – Participant 19 (Female, Nurse Researcher, Location not specified)
Theme 2: Delivering Holistic Care
 T2Q1: “Confirming with the patient what those co-morbidities are, ensuring we have the right info & listening” - Participant 6 (Female, Nurse Researcher, England)
 T2Q2: “one thing understanding what matters to them as individuals - not just clinical outcomes” - Participant 2 (Female, Nursing Leader – Chief Nurse, England)
 T2Q3: “Excellent nurse led telephone triage to support a one stop shop works well with our specialist national services” - Participant 5 (Female, Nursing Professor, England)
 T2Q4: “the ability to think and plan care holistically, with critical thinking & analysis underpinning pt. centred care?” - Participant 17 (Female, Nurse Lecturer, England)
 T2Q5: “Caring for the whole person when services, specialties and pathways are fragmented” - Participant 11 (Male, Clinical Academic Nurse, England)
 T2Q6: “absolutely but role of nurse pivotal in bringing it all together and providing continuity of care” - Participant 11 (Male, Clinical Academic Nurse, England)
Theme 3: Developing an Evidence Base
 T3Q1: “Challenge is multi comorbidities. Good evidence re trajectories for individual diseases” - Participant 9 (Female, Nurse Researcher, England)
 T3Q2: “understanding evidence relating to integrated care models important as is providing care along pathways vs just disease specific” - Participant 10 (Female, Nursing Leader – Director, England)
 T3Q3: “we r working on research that may help to bring 2gether knowledge & 2 understand Overlap btwn conditions of MUS” - Participant 16 (Female, Nurse Researcher, England)
Theme 4: Stimulating Learning
 T4Q1: “How to balance need for in-depth specialist knowledge with broad ability to coordinate & manage multi-morbidity?” - Participant 7 (Nursing Organisation, England)
 T4Q2: “Nurses will need to be innovators, facilitators, advocates, experts- so will need diverse skill set to meet diverse needs” - Participant 11 (Male, Clinical Academic Nurse, England)
 T4Q3: “we will have Gen. Z’s caring for Gen. Y’s our skills & preparation will need to keep pace with expectations & tech” - Participant 20 (Male, Nursing Professor, England)
Theme 5: Redesigning Health Services
 T5Q1: “lots nurses can do but need system change to reflect complexity - away from single disease care esp. for older people” - Participant 3 (Female, Staff Nurse, England)
 T5Q2: “How can #FutNur use tech to get closer to where patients are? Rather than expect them to come to us. Best for CYP & elderly” - Participant 19 (Female, Nurse Researcher, Location not specified)
 T5Q3: “Most appro MDT Member Will differ case by case, same as CAF in child safeguarding. Planned meetings, keep on top of needs, reg reassess” - Participant 17 (Female, Nurse Lecturer, England)
 T5Q4: “co-location of social care/support alongside NHS is vital for future joined up care for complex cases” - Participant 1 (Female, Nurse Consultant, England)