EFFECTIVENESS OF MULTIDISCIPLINARY TEAM MEMBERS IN A COMPLEX, HIGH-RISK, AND STRESSFUL CRITICAL CARE UNIT (CCU)

2020 ◽  
Vol 4 (2) ◽  
pp. 99
Author(s):  
Fatchima L. Moussa
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Multidisciplinary Team ◽  
Critical Care Unit ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Performance Effectiveness ◽  
Stressful Environment ◽  
Conflict Handling ◽  
Team Structuring

Background: Critical Care Unit (CCU) serves as the most complex unit of the health care sector. The performance of multi-disciplinary team members working in CCU is affected through various factors such as; ineffective leadership, lack of communication, inappropriate team structuring etc. This study aims to evaluate the performance effectiveness of multidisciplinary team members working in the complex, risky and stressful environment of the critical care unit of Alansar General Hospital (AGH). Methods: A descriptive correlational study design is used. Data were collected through a structured questionnaire provided to a sample of 56 nurses working in CCU. Results: Findings indicated that the team working in CCU face problems due to ineffective conflict handling. Competent leadership is effective in providing appropriate team structure. Also, communication between team members helps in making useful decisions by using the knowledge gained through team communication. Conclusion: Multidisciplinary teams must be provided effective training to promote quality communication, knowledge sharing, and proper team structuring to improve quality of health care.

Handling Ethical Dilemmas in Multidisciplinary Teams

2014 ◽  
Author(s):  
Jill Thistlethwaite ◽  
Wendy Hawksworth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Ethical Issues ◽  
Interprofessional Collaboration ◽  
Ethical Dilemmas ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Secondary Health Care

This chapter explores the concept and practice of teamwork and interprofessional collaboration in the support and treatment of clients with mental health problems. Mental health care provision is complex, ethically challenging, and frequently delivered via mental health care teams (MHCT) in both primary and secondary health care settings. We consider how such teams may work together optimally using values-based and client-centered approaches. We discuss the nature of and reasons for conflict arising in multidisciplinary MHCTs, focusing on ethical dilemmas that occur where there is diversity amongst team members in respect of personal, professional, and/or organizational values. The specific ethical issues discussed are: boundary issues; receiving gifts; confidentiality, and involuntary treatment and restraint. Three case studies are used to provide examples of values in action.

Do multidisciplinary teams make a difference to the quality of medical care?

2019 ◽  
Vol 80 (12) ◽  
pp. 696-698
Author(s):  
Sam Marsden ◽  
Liam Dunbar ◽  
Nemandra Sandiford
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Multidisciplinary Team ◽  
Teaching Hospitals ◽  
Multidisciplinary Teams ◽  
Team Management ◽  
Treatment Pathways ◽  
Quality Of Medical Care ◽  
Centres Of Excellence

One of the major modern advances in the organization and delivery of health care has been the introduction of multidisciplinary team management. This approach has reduced mortality levels in patients suffering with cancer and other complex multiorgan pathologies. Many centres of excellence and teaching hospitals have established multidisciplinary teams in order to streamline treatment pathways and optimize patient care. This article presents an overview of multidisciplinary teams, their history, their introduction into mainstream medical care and the issues resulting from their introduction to the treating organizations as well as clinicians.

scholarly journals Age Alone is not Adequate to Determine Healthcare Resource Allocation during the COVID-19 Pandemic

2020 ◽  
Vol 23 (1) ◽  
pp. 152-154 ◽  
Author(s):  
Manuel Montero-Odasso ◽  
David B. Hogan ◽  
Robert Lam ◽  
Kenneth Madden ◽  
Christopher MacKnight ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Resource Allocation ◽  
Critical Care ◽  
Critical Care Unit ◽  
Geriatric Medicine ◽  
Well Being ◽  
Health Care Resource ◽  
Clinical Frailty Scale ◽  
Sole Criterion

Background The Canadian Geriatrics Society (CGS) fosters the health and well-being of older Canadians and older adults worldwide. Although severe COVID-19 illness and significant mortality occur across the lifespan, the fatality rate increases with age, especially for people over 65 years of age. The dichotomization of COVID-19 patients by age has been proposed as a way to decide who will receive intensive care admission when critical care unit beds or ventilators are limited. We provide perspectives and evidence why alternatives approaches should be used Methods   Practitioners and researchers in geriatric medicine and gerontology have led in the development of alternative approaches to using chronological age as the sole criterion for allocating medical resources. Evidence and ethical based recommendations are provided. Results Age alone should not drive decisions for health-care resource allocation during the COVID-19 pandemic. Decisions on health-care resource allocation should take into consideration the preferences of the patient and their goals of care, as well as patient factors like the Clinical Frailty Scale score based on their status two weeks before the onset of symptoms. Conclusions Age alone does not accurately capture the variability of functional capacities and physiological reserve seen in older adults. A threshold of 5 or greater on the Clinical Frailty Scale is recommended if this scale is utilized in helping to decide on access to limited health-care resources such as admission to a critical care unit and/or intubation during the COVID-19 pandemic.

The nurse’s role in coordinating care

2009 ◽  
pp. 1159-1166
Keyword(s):  
Health Care ◽  
Multidisciplinary Team ◽  
Social Care ◽  
Discharge Planning ◽  
Team Work ◽  
Private Health Care ◽  
Public And Private ◽  
Team Members

Multidisciplinary team work1160 Admission1162 Discharge planning1164 The nurse plays a key role in coordinating care and ensuring continuity for the patient while in hospital, on admission, and after discharge into the community. Team members comprise all public and private health care and social care professionals who come into contact with the patient....

scholarly journals Evaluating a Multidisciplinary Team Approach to Elder Abuse

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 273-273
Author(s):  
Carmen Morano ◽  
Erin Berical
Keyword(s):  
Multidisciplinary Team ◽  
Elder Abuse ◽  
Positive Impact ◽  
Practical Knowledge ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Preliminary Evaluation ◽  
Team Members ◽  
Face To Face ◽  
Ongoing Functioning

Abstract This paper presents findings from a University and Community-based Agency collaboration to design and implement a preliminary evaluation of the Elder Abuse Multidisciplinary Team (E-MDT) Intervention. This intervention brings professionals from a variety of fields to investigate and respond to elder abuse. Data from 22 Interviews with staff along with anonymous survey data from E-MDT team members/staff (n=312) sought to establish team successes, challenges in implementation, and ongoing functioning. Themes that emerged in creating successful teams include: Establishing Buy-In and Trust of the team members, The Benefit of sharing experience and practical knowledge with other program sites; and Recognizing the Differences related to Onboarding and Sustaining New programs versus Sustaining Existing Programs. Themes related to responding during COVID revealed challenges such as Adapting to Technology and Inconsistent Access to the Internet. It was noted that remote meetings were easier to attend than face-to-face meetings. Data from the survey found the vast majority of respondents view the E-MDTs as having a positive impact on Clients (93%); while 93% of respondents indicated a positive impact on their Approach to Practice and the service area of their agency. Approximately 80% of the respondents indicated their multidisciplinary teams were Effective. Responses to 3-Open Ended questions included in the survey echoed similar themes from the interviews, as well as comments about their Professional Development and the complexity of responding to elder abuse. The paper will close with a discussion of the strategies used to facilitate the collaboration and complete the evaluation during the COVID-19 pandemic.

INNV-30. USE OF MULTIDISCIPLINARY TEAMS AND MULTIMEDIA APPROACHES TO DEVELOP AND DISSEMINATE SYMPTOM AND DISEASE EDUCATIONAL MATERIALS FOR RARE CENTRAL NERVOUS SYSTEM (CNS) TUMOR PATIENTS

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi112-vi112
Author(s):  
Molly Maher ◽  
Kristin Odom ◽  
Alvina Acquaye ◽  
Orieta Celiku ◽  
Brittany Cordeiro ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Communication ◽  
Multidisciplinary Team ◽  
Symptom Management ◽  
Self Care ◽  
Multidisciplinary Teams ◽  
Evidence Based ◽  
Patient Centered ◽  
Tumor Patients

Abstract BACKGROUND Primary CNS tumors represent less than 2% of all cancers, with the majority of patients receiving care outside of specialty centers. Patients are highly symptomatic while trying to navigate care for their rare disease and evidence-based tumor and symptom education is limited. Our primary objective was to create and disseminate patient-centered content utilizing multidisciplinary teams and health communication to improve access to content. METHODS The multidisciplinary team of neuro-oncology scientists and health care providers developed content from evidence-based sources. The team partnered with communication specialists to ensure health literacy and established outreach strategies for use on social media, e-newsletters, and web- and app-based programs. Web analytic tools assessed outreach and efficacy. RESULTS Educational content for 12 rare tumors and 6 self-care topics was created using evidence-based sources and multidisciplinary team review. Content was published on the National Cancer Institute Comprehensive Oncology Network Evaluating Rare CNS Tumors (NCI-CONNECT) website and disseminated via multimedia platforms, including e-newsletters and social media (private Facebook group and Twitter). Since launching the website in September 2018, visits have increased 2,384%. The content was also shared directly to 6,156 newsletter subscribers, 4,897 Twitter followers with greater than 1 million impressions per year, 407 Facebook members, 9 non-profit advocacy partners, and thousands of attendees at more than 10 patient-focused neuro-oncology events. This outreach approach is now being replicated for symptom management content on the NCI-CONNECT website and a symptom tracking and self-care mobile application launching in 2021. CONCLUSIONS By marrying patient-centered health communication, education, and outreach, our team successfully created highly sought content that reflects the unique needs of CNS tumor patients and their families. This material can educate neuro-oncology patients on their specific tumor, promote self-care, facilitate symptom management, and empower families to advocate for their unique needs, reaching outside traditional health care systems.

A World Apart: How Occupational Therapists, Nurses and Care Managers Perceive Each other in Acute Health Care

2002 ◽  
Vol 65 (10) ◽  
pp. 446-452 ◽  
Author(s):  
Anita Atwal
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Multidisciplinary Team ◽  
Interprofessional Education ◽  
Critical Incident ◽  
Occupational Therapists ◽  
Team Members ◽  
Care Managers

Multidisciplinary teamwork is one of the key processes through which care is managed in the British National Health Service. Working in a multidisciplinary team requires many skills, which include understanding not only one's own role but also that of other professionals. The aim of this paper is to provide an understanding of occupational therapists', nurses' and care managers' perceptions of each other and how these influence interprofessional relationships. In total, nine occupational therapists, nine care managers and 19 nurses within an acute physical health care setting were interviewed using the critical incident approach. The findings revealed that the interprofessional relationships between nurses, care managers and occupational therapists were often problematic owing to role confusion and competing priorities, which influenced communication. To prevent role ambiguity, occupational therapists must define their role clearly. It is suggested that multidisciplinary team members need continuing interprofessional education in order to understand the changing roles in the National Health Service.

A Study of Burnout and Multidisciplinary Team-Working amongst Professional Music Therapists

2000 ◽  
Vol 14 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Barbara Hills ◽  
Ian Norman ◽  
Lucy Forster
Keyword(s):  
Emotional Exhaustion ◽  
Multidisciplinary Team ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Multidisciplinary Teams ◽  
Role Clarity ◽  
Music Therapists ◽  
Team Members ◽  
Professional Identification ◽  
Health And Social Care

This paper reports the findings of a survey of 151 members of the British Association of Professional Music Therapists, conducted in January 1998, to investigate burnout and job satisfaction in relation to multidisciplinary team membership. Information on personal profile and employment characteristics was also sought, as music therapists are such a widely diverse group. Three aspects of burnout (emotional exhaustion, depersonalisation and personal accomplishment) were measured with the Maslach Burnout Inventory (Maslach & Jackson 1981). Factors influencing reward and dissatisfaction in the job were also assessed in relation to multidisciplinary team membership. Personal and team role clarity and team and professional identification were assessed in therapists who were members of multidisciplinary teams. Therapists who were members of multidisciplinary teams were found to have higher levels of personal accomplishment and similar levels of emotional exhaustion and depersonalisation in comparison to those working independently. These results are discussed in relation to previous surveys of other health and social care professionals. Sources of pressure and reward differed between multidisciplinary team members and non-members. Music therapists who were members of multidisciplinary teams were found to have a moderate level of personal role clarity within their team and identified with their profession more than with their multidisciplinary team.

scholarly journals Multidisciplinary team members’ perceptions regarding advanced psychiatric nurses’ attitudes on mental healthcare

2021 ◽  
Vol 26 ◽  
Author(s):  
Eve P. Jacobs ◽  
Sipho W. Mkhize
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Multidisciplinary Team ◽  
Psychosocial Rehabilitation ◽  
Mental Healthcare ◽  
Psychiatric Nurses ◽  
Team Members ◽  
Rehabilitation Programs ◽  
Mental Health Patients

Background: The attitudes of advanced psychiatric nurses significantly contribute to the management, treatment plan and care of the mental healthcare users, and resultantly affects the quality and standards of mental healthcare. Considering these effects, it is imperative to understand how the attitudes of advanced psychiatric nurses are perceived by other multidisciplinary team members.Aim: To describe the perceptions of the multidisciplinary team members regarding advanced psychiatric nurses’ attitudes in clinical practice.Setting: Three mental health institutions were utilised to obtain the perceptions related to the attitudes displayed by advanced psychiatric nurses in the clinical environment.Method: A qualitative research descriptive approach was adopted to obtain in-depth descriptions of the attitudes portrayed by advanced psychiatric nurses. Eight purposefully sampled multidisciplinary team members were interviewed to obtain information. Data were analysed using Colaizzi’s method.Results: Themes and sub-themes emerged. Mental healthcare providers exhibited both negative and positive attitudes towards mental health patients. By perception, unfavorable attitudes hindered effective communication and psychosocial rehabilitation programs for mental health patients. Positivity enhanced feedback during ward rounds and during clinical meetings.Conclusion: Despite the positive impact advanced psychiatric nurses have on mental health care, views regarding mental health patients remain negative. It is recommended that advanced psychiatric nursing education curriculum address negative attitudes, views, and stereotypes. Mental healthcare users need to be provided with psychosocial rehabilitation programs and activities that address advance psychiatric nurses’ lack of initiatives.Contribution: A clear set of principles and protocols underpins the collaborative effort among multidisciplinary teams in mental health care.

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