4.1 The core team and the extended team Flashcards
Healthcare teams are complex and always multiprofessional. What are two general structures for multi-professional teams and how do they differ?
Multidisciplinary teams - all members have clearly defined place in health care regimen. Only one (usually MD or RN) makes treatment decisions (with input from other members)
Interdisciplinary teams - shared decision making
Teamwork has been shown to be more efficient for patient care rather than care provided by a single practitioner. What are four of these advantages?
improve quality of service improve quantity of service improves communication and coordination reduced hospitalization time and costs reduced unanticipated admissions better accessibility for patients
If you were to evaluate a palliative care team in a hospital what are three elements you would look at?
Structure
Process
Outcomes
(also output - from chapter 19)
Outline three philosophies of teamwork that may impact the structure of the team and how its members work together
directive philosophy - based on the assumption of hierarchy in the team. One person takes the lead by virtue of status and power and directs the actions of the other members
Integrative philosophy - assumes that each professional’s contribution has equal value.
Elective philosophy - held by professionals who prefer clear and distinct team roles to operate autonomously and only briefly relate to other members when they see a need for it themselves
A new palliative care team has been created at your hospital. You have been chosen to lead the team. List four roles you are likely to take on in this position
keeping purpose, goals and approach relevant and meaningful
building commitment and confidence
strengthening the mix and level of skills
managing external relations, removing obstacles
creating opportunities for others
doing real work
You have been tasked with improving the communication for a community palliative care team. List two strategies you will implement to do this
physical proximity of offices
shared records
frequent, structured meetings
You are a team member on a palliative care committee. A new issue has arisen with respect to the delivery of care at your institution. After describing the problem to the committee, what four decision making steps will you take? What patient factors will guide this process?
describing the problem
presenting and discussing alternative solutions
prioritizing and choosing among the alternatives
assigning and accepting responsibility
deciding on a time frame
patient and family’s needs, wishes, preferences
A new palliative care team was created at your hospital. At a meeting to inform other services about this team, yo are asked what the aims of the new team are. List four
to work alongside the hospital ward team by advising on symptom control and psychosocial/spiritual issues
to support relatives in difficult situations
to support staff in difficult decisions
to educate staff in palliative care
to liaise with hospice/other PC or home care services
What are three components of effective teamwork and list an example of each?
Organizational structure - clear purpose, appropriate culture, specified task, distinct roles, suitable leadership, relevant members, adequate resources
Individual contribution - self knowledge, trust, commitment, flexibility
Team process - coordination, communication, cohesion, decision making, conflict management, social relationships, performance feedback
You are tasked to create a new palliative care team. Who would you chose as a core palliative care team and extended team?
Core team: physician, specialist nurse, social work, admin support and chaplain or spiritual health.
Extended team: psychology, PT, OT, dietitian, pharmacist, music therapy, art therapy.
What are three positive outcomes of hospital palliative care teams?
- improved sx control
- improved patient and family satisfaction
- positive impact on communication and psychosocial aspects of care.
