BackgroundThere are few studies that examine the processes that interdisciplinary teams engage in and how we can design health information systems (HIS) to support those team processes. This was an exploratory study with two purposes: (1) To develop a framework for interdisciplinary team communication based on structures, processes and outcomes that were identified as having occurred during weekly team meetings. (2) To use the framework to guide 'e-teams' HIS design to support interdisciplinary team meeting communication.MethodsAn ethnographic approach was used to collect data on two interdisciplinary teams. Qualitative content analysis was used to analyze the data according to structures, processes and outcomes.ResultsWe present details for team meta-concepts of structures, processes and outcomes and the concepts and sub concepts within each meta-concept. We also provide an exploratory framework for interdisciplinary team communication and describe how the framework can guide HIS design to support 'e-teams'.ConclusionThe structures, processes and outcomes that describe interdisciplinary teams are complex and often occur in a non-linear fashion. Electronic data support, process facilitation and team video conferencing are three HIS tools that can enhance team function.
Social workers play an important role in the delivery of Hospice Palliative Care in many diverse settings. The profession brings a unique perspective to end-of-life care that reflects and supports the holistic philosophy of Hospice Palliative Care. Despite the prominent and longstanding position of social work in this area, the role and functions of social workers had not been clearly defined. A Canadian task group of social work practitioners and educators utilized a modified Delphi process to consult front line clinicians nationally, and thereby achieved consensus regarding the identification and description of eleven core competencies in Hospice Palliative Care. These competencies are relevant for social workers at different experience levels across care settings. They can be used to inform social work practice, as well as professional development and educational curricula in this area.
The collapsed BRAT risk levels show moderately good inter-rater reliability over clinical judgement alone. This study provides introductory evidence of a tool that can be used both prior to and following a death and, in conjunction with professional judgment, can assess the likelihood of bereavement complications.
This study examined activities related to the provision of psychosocial care by counsellors in the hospice/palliative care setting. A qualitative design using written reports was used in an urban Canadian hospice/palliative care program. A convenient sample of 13 counsellors indicated the activities they typically performed in their work with patients and families. Thematic analysis of the activities directly related to patient and family care was performed and then validated by presenting these activities back to the counsellors in a group setting. Seven themes resulted: 1) companioning; 2) psychosocial assessment, planning, and evaluation; 3) counselling interventions; 4) facilitation and advocacy; 5) patient and family education; 6) consultation and reporting; and 7) team support. These thematic findings confirmed those of previous studies and also highlighted two additional findings. Team support was seen as an activity that directly affected client care, and there was a strong emphasis on the activity of companioning the dying and their families. Also discussed are implications of these results, as well as suggestions for further research. Resume I Cette etude se penche sur les taches de travail des conseillers dispensant des services dans Ie cadre d'un programme de soins palliatifs dans un nopltal urbain au Canada. Ainsi, on a fait une etude de nature qualitative en utilisant les rapports ecrits comme mode de cueillette de donnees. Treize conseillers ont ete choisis et on leur a demande de repondre par ecrit adeux questions ouvertes, I'une portant sur les taches specifiquernent liees aux soins aux malades et, a leur famille et I'autre se rapportant plutot au travail. A partir des reponses, l'equlpe de recherche a fait I'analyse thematique des taches reliees aux soins des malades et leur famille et a de nouveau reuni Ie groupe de conseillers afin de leur presenter les resultats et les faire valider. Les conseillers ont regroupe ces taches selon sept themes principaux soient : 1) la presence physique; 2) l'evaluation psychosociale et la planification des interventions; 3) Ie conseil et les interventions; 4) la mediation et la representation; 5) l'education des patients et leur famille; 6) la consultation et les rapports; 7) Ie soutien dans l'equipe de soins. Ces conclusions, quant aux themes retenus, confirment les resultats d'etudes anterieures mais tout en attirant I'attention sur deux nouvelles thernatiques. Le soutien dans l'equipe a ete retenu comme I'un des themes ayant un impact sur les soins aux malades et on accordait beaucoup d'importance a un autre theme soit la presence physique aupres des mourants et leur famille. L'article se termine par une discussion sur les consequences de ces resultats et offre des suggestions pour de futures recherches.
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