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INTERDISCIPLINARY CARE 2 Effective Teamwork
Journal of Clinical Nursing, 2014
Aims and objectives. This study investigated nurses' roles and their perspectives on the factors that influence interdisciplinary teamwork within Canadian primary care setting. Background. Interdisciplinary teams have shown to lead to better system-and patient-level outcomes and, accordingly, have became important aspects of healthcare systems especially within primary care settings. Nurses play a key role in these primary care teams, particularly with respect to chronic disease management. Design. A focused ethnography design using semi-structured individual interviews was conducted. Methods. Interviews were conducted with 20 primary care nurses between July 2010-May 2011. Interviews were recorded, transcribed, and content and thematic analysis was performed. Results. Nurses experienced increasing scope of practice and professional responsibility as they transitioned into the primary care setting. Nine major roles of primary care nurses were identified. Several factors that facilitate or hinder teamwork were identified and categorised under four theme areas: (1) organisation/leadership (e.g. having common goals and mandate, unclear descriptions of team members' roles); (2) team relationships (e.g. closed loop of communication, trust, respect);
Journal of Nursing Management, 2015
Critical Care Nursing Clinics of North America, 2008
Acute and critical care nursing today are not constrained by physical boundaries. From high technology settings in metropolitan areas to deployable hospitals in war or disaster zones, we can observe best practices in adult acute and critical care. Where have we come from? Where are we going? Selected past and present models help answer those key questions. In addition, change models, trends for the future, and contextual factors including stress, capacity, and infection are pervasive and bear serious consideration. Nurses and colleagues in caring will use known best practices to help sustain the ongoing development of new models of care to keep patients-and staffsafe. This article describes such selected best practice models for acute and critical care.
There are frequent calls for improving end-of-life care in the United States. In a recent Hastings Center special report, Murray and Jennings cite three areas that require rethinking of current assumptions regarding end-oflife care. These include greater attention to (1) the end-of-life care delivery system, (2) the approach to advance directives and surrogate decisionmaking, and (3) how we manage conflict and disagreement. Conflict is common during end-of-life decisionmaking. In a 2001 study, conflict was identified by at least one member of the clinical team in 78% of 102 cases of intensive care unit patients who were determined to have a likelihood of having treatment withheld or withdrawn. 2 Conflict surrounding end-of-life care typically takes three forms: conflict among the patient's family members, between the family and the health care providers, and conflict that arises among the team members themselves. 3 According to Breen and her co-authors, conflict among staff was identified in 48% of these cases, between staff and family members in 48% of the cases, and among family members in 24% of the cases. 4 Conflict among family members who are tasked with decisionmaking on behalf of patients who are no longer able to decide for themselves is well documented and occasionally takes public focus, as in the unfortunate case of * Debra Gerardi, RN, MPH, J.D. is a mediator and health care conflict engagement specialist providing mediation/ facilitation services, systems design and conflict management training programs for healthcare organizations internationally.
Journal of primary health care
InTRODUCTIOn: Effective teamwork in primary care settings is integral to the ongoing health of those with chronic conditions. This study compares patient and health professional perceptions about teams, team membership, and team members' roles. This study aimed to test both the feasibility of undertaking a collaborative method of enquiry as a means of investigating patient perceptions about teamwork in the context of their current health care, and also to compare and contrast these views with those of their usual health professionals in new Zealand suburban general practice settings.
This paper discusses primary causes of job dissatisfaction among nurses that give rise to conflict, and identifies the integral components needed to create an effective conflict management system.
Critical Care Clinics, 2004
Many intensive care unit (ICU) patients do not survive the ICU experience [1], more die before leaving the hospital. Those who eventually die in the ICU consume a disproportionate amount of ICU resources . In the period before death, these patients may endure physical and emotional consequences of aggressive supportive technologies for longer than necessary, when comfort-care measures would have been more appropriate and more humane . Reports from the Institute of Medicine have advocated greater use of interdisciplinary care to improve care and reduce error . Only recently have a few investigators begun to explore how interdisciplinary collaboration may improve the care experience of ICU patients who eventually die in this setting. These researchers have demonstrated improvement in care.
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