Team Meetings in Specialist Palliative Care: Asking Questions as a Strategy Within Interprofessional Interaction

Arber, Anne

doi:10.1177/1049732308322588

Cited by 45 publications

(42 citation statements)

References 43 publications

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“…However, there is evidence from this study and others that despite social work training or palliative care team membership there is room for improvement in communication [57, 58]. It is not enough to be a ‘good communicator’ with patients and families, these skills must be carried into interactions with other staff members as well [59]. Careful attention to communication will go far to facilitate collaboration.…”

Section: Discussionmentioning

confidence: 86%

Ward social workers’ views of what facilitates or hinders collaboration with specialist palliative care team social workers: A grounded theory

Firn

Preston²,

Walshe³

2017

BMC Palliat Care

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BackgroundInpatient, generalist social workers in discharge planning roles work alongside specialist palliative care social workers to care for patients, often resulting in two social workers being concurrently involved in the same patient’s care. Previous studies identifying components of effective collaboration, which impacts patient outcomes, care efficiency, professional job satisfaction, and healthcare costs, were conducted with nurses and physicians but not social workers. This study explores ward social workers’ perceptions of what facilitates or hinders collaboration with palliative care social workers.MethodsGrounded theory was used to explore the research aim. In-depth qualitative interviews with masters trained ward social workers (n = 14) working in six hospitals located in the Midwest, United States were conducted between February 2014 and January 2015. A theoretical model of ward social workers’ collaboration with palliative care social workers was developed.ResultsThe emerging model of collaboration consists of: 1) trust, which is comprised of a) ability, b) benevolence, and c) integrity, 2) information sharing, and 3) role negotiation. Effective collaboration occurs when all elements of the model are present.ConclusionCollaboration is facilitated when ward social workers’ perceptions of trust are high, pertinent information is communicated in a time-sensitive manner, and a flexible approach to roles is taken. The theoretical model of collaboration can inform organisational policy and social work clinical practice guidelines, and may be of use to other healthcare professionals, as improvements in collaboration among healthcare providers may have a positive impact on patient outcomes.

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Section: Discussionmentioning

confidence: 86%

Ward social workers’ views of what facilitates or hinders collaboration with specialist palliative care team social workers: A grounded theory

Firn

Preston²,

Walshe³

2017

BMC Palliat Care

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“…However, there are few studies of communication in acute care IP team meetings, as most research on IP team meetings and case discussions has focused on other care contexts, such as long-term geriatric care (Bokhour, 2006), palliative and hospice care (Arber, 2008;Wittenberg-Lyles, Parker Oliver, Demiris, & Regehr, 2010), or psychiatry (Vuokila-Oikkonen et al, 2002), where teams meet less frequently but for longer periods of time and discuss fewer patients (see also Lanceley, Savage, Menon, & Jacobs, 2007;Opie, 2000). The specificity of this acute care context, with its time pressure and biomedical dominance, likely impacts greatly on the format and routinized nature of discussions.…”

Section: Discussionmentioning

confidence: 99%

“…Increasingly, however, communication is considered in the IP literature from a constructivist perspective similar to the one adopted here: as consequential social action (Sigman, 1995) through which social realities are enacted, contested, and maintained (e.g., Arber, 2008;Crepeau, 2000;Ellingson, 2002Ellingson, , 2003Rowland, 2011;Vuokila-Oikkonen, Janhonen, Saarento, & Harri, 2002). As ethnomethodologists and conversation analysts have pointed out, communication involves actors reciprocally paying attention to one another as well as to contextual cues and the topic at hand (Heritage, 1984;Leiter, 1980).…”

Section: Implications For Interprofessional Practicementioning

confidence: 99%

Mapping Collective Sensemaking in Communication: The Interprofessional Patient Case Review in Acute Care Rounds

Fox¹,

Gilbert²

2015

Health &Amp; Interprofessional Practice

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INTRODUCTION Observational studies of the actual practices of interprofessional collaborative practice (ICP) are needed to complement research on the determinants and consequences of collaboration. This naturalistic study of team communication maps a key practice: the patient case review in daily rounds. Here, ICP is conceptualized as collective sensemaking, or the joint description of the patient's situation and associated action planning-a fundamentally communicative practice.

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“…In practice, the OHH is increasingly developing a multidisciplinary approach characteristic of a palliative care team [27]. A culture increasingly supportive of palliative care and a progressively better knowledge about ANT services may have helped to spur this transition.…”

Section: Discussionmentioning

confidence: 99%

The National Tumor Association Foundation (ANT): A 30 year old model of home palliative care

et al. 2010

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BackgroundModels of palliative care delivery develop within a social, cultural, and political context. This paper describes the 30-year history of the National Tumor Association (ANT), a palliative care organization founded in the Italian province of Bologna, focusing on this model of home care for palliative cancer patients and on its evaluation.MethodsData were collected from the 1986-2008 ANT archives and documents from the Emilia-Romagna Region Health Department, Italy. Outcomes of interest were changed in: number of patients served, performance status at admission (Karnofsky Performance Status score [KPS]), length of participation in the program (days of care provided), place of death (home vs. hospital/hospice), and satisfaction with care. Statistical methods included linear and quadratic regressions. A linear and a quadratic regressions were generated; the independent variable was the year, while the dependent one was the number of patients from 1986 to 2008. Two linear regressions were generated for patients died at home and in the hospital, respectively. For each regression, the R square, the unstandardized and standardized coefficients and related P-values were estimated.ResultsThe number of patients served by ANT has increased continuously from 131 (1986) to a cumulative total of 69,336 patients (2008), at a steady rate of approximately 121 additional patients per year and with no significant gender difference. The annual number of home visits increased from 6,357 (1985) to 904,782 (2008). More ANT patients died at home than in hospice or hospital; this proportion increased from 60% (1987) to 80% (2007). The rate of growth in the number of patients dying in hospital/hospice was approximately 40 patients/year (p < 0.01), vs. approximately 177 patients/year for patients who died at home. The percentage of patients with KPS < 40 at admission decreased from 70% (2003) to 30% (2008); the percentage of patients with KPS > 40 increased. Mean days of care for patients with KPS > 40 exceeded mean days for patients with KPS < 40 (p < 0.001). Patients and caregivers reported high satisfaction with care in each year of assessment; in 2008, among 187 interviewed caregivers, 95% judged the quality of doctors' assistance, and 91% judged the quality of nurses' assistance, to be "optimal."ConclusionsThe ANT home care model of palliative care delivery has been well-received, with progressively growing numbers of patients served. It has resulted in a greater proportion of home deaths and in patients' accessing palliative care at an earlier point in the disease trajectory. Changes in ANT chronicle palliative care trends in general.

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Team Meetings in Specialist Palliative Care: Asking Questions as a Strategy Within Interprofessional Interaction

Cited by 45 publications

References 43 publications

Ward social workers’ views of what facilitates or hinders collaboration with specialist palliative care team social workers: A grounded theory

Ward social workers’ views of what facilitates or hinders collaboration with specialist palliative care team social workers: A grounded theory

Mapping Collective Sensemaking in Communication: The Interprofessional Patient Case Review in Acute Care Rounds

The National Tumor Association Foundation (ANT): A 30 year old model of home palliative care

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