A patient-centred team-coaching concept for medical rehabilitation

Abstract

Team coaching enhances teamwork and subsequently improves patient-centredness in medical rehabilitation clinics. Even though interprofessional teamwork is regarded as a crucial factor in medical rehabilitation, to date no evaluated team-coaching approaches are available for improving interprofessional teamwork in medical rehabilitation in Germany. Based on a systematic literature search and interviews with staff, managers, and patients of rehabilitation clinics, we developed a team-coaching approach that is standardized in its process but based on the individual needs and requests of each clinic. It takes a systemic perspective and is goal-oriented and solution-focused. The approach mainly serves to provide impulses to make use of resources within the team and to support a self-directed organisational learning process. It is manualized and can, therefore, be used by professionals aiming to improve interprofessional teamwork in their clinic. A multi-centre, cluster-randomized controlled study that was conducted to evaluate the team-coaching approach showed positive results. Team organization, knowledge integration, and responsibility can be improved, and, therefore, the implementation of the patient-centred team-coaching approach in interprofessional rehabilitation teams can be recommended.

Person-Centered Rehabilitation Model: Framing the Concept and Practice of Person-Centered Adult Physical Rehabilitation Based on a Scoping Review and Thematic Analysis of the Literature

“…82,85,[111][112][113][114][115]118,134 Open, honest, transparent, and reassuring communication may also securely unfold about interventions, unfavorable prognosis, recovery expectations, or slower progress. 51,54,[58][59][60]62,72,82,99,106,116,120,123,135 Finally, within holistic principles, professionals are attentive and responsive to the person's physical comfort needs, 21,51,62,112,116,117,136 including pain issues, 62 fatigue or other symptoms, 48 and how the person experiences and copes with the symptoms. 44 Focused on meanings, hope, and strengths-beyond addressing deficits With the advent of impairments, persons may not develop or lose occupational roles and functioning and, with that, their sense of self, self-efficacy, and self-worth (ie, sense of being valuable and competent).…”

Developing tailored theoretically informed goal-setting interventions for rehabilitation services: a co-design approach

“…Data specific to each site were presented in PowerPoint presentations and infographics to promote discussion throughout the first co-design workshop. Ideas to bridge evidence-practice gaps using previously published goal-setting examples were discussed including; the goal-setting and action planning framework and client workbook [ 10 ], teamworking strategies [ 37 , 38 ], shared decision-making aids [ 39 ], goal-setting education and training [ 40 , 41 ] and audit and feedback [ 31 ]. As a component of the Behaviour Change Wheel questioning strategies used during the workshops to facilitate clinicians to a consensus agreement on interventions to be implemented were based on the APEASE criteria (Affordable, Practical, Effective/cost effective, Acceptable, Safe, Equitable) [ 30 ].…”

The role of Interdisciplinary Teams in Physical and Rehabilitation Medicine

“…The family and patient are an integral part of the team, and regular meetings with the team should be organized to discuss patient progress and future plans (43).…”

“…Each professional discipline should commit to attendance at this meeting in order to maximize effective team-working. In times of economic austerity such resource commitment may be a challenge to many organizations, but effective teamwork requires good communication and involvement of all staff (43).…”