Facilitators and Barriers to Teamworking and Patient Centeredness in Multidisciplinary Cancer Teams: Findings of a National Study

Lamb, Ben; Taylor, Cath; Lamb, Johnathan; Strickland, Sophie; Vincent, Charles; Green, J. S. A.; Sevdalis, Nick

doi:10.1245/s10434-012-2676-9

Cited by 118 publications

(134 citation statements)

References 38 publications

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“…15 The preferred team member identified within the literature to take on the role of the keyworker is the Clinical Nurse Specialist or general practitioner. 4,25,26 However, it has been argued that the coordination of care is within the scope of all healthcare professionals (HCPs) and the responsible individual can be any HCP with the knowledge, skills and judgement to support the patient and integrate care. 12 The core responsibilities of a keyworker are summarised in Table 1.…”

Section: Interdisciplinary Collaboration and Holismmentioning

confidence: 99%

The role of the keyworker in breaking down professional culture barriers to providing high-quality palliative care: a literature review

Feuz

2013

J Radiother Pract

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Background: Palliative cancer care is by definition multi-professional in nature. An interdisciplinary approach to disease management emphasising continuity of care results in increased quality of life for patients and families. Complex disease management demands the provision of a full spectrum of high-quality care; requiring both specialist and generalist services. Appointed keyworkers are knowledgeable about patient preferences enabling effective coordination of care and promotes collaborative team-working. The need for diversity in the provision of palliative care is recommended but can challenge effective interdisciplinary collaboration by creating tension and limiting the interdisciplinary team (IDT) from reaching its full potential resulting in adverse outcomes.

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Section: Interdisciplinary Collaboration and Holismmentioning

confidence: 99%

The role of the keyworker in breaking down professional culture barriers to providing high-quality palliative care: a literature review

Feuz

2013

J Radiother Pract

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“…; Lamb et al . ). However, safety culture and team work rest on open and effective communication among clinicians, in particular in situations in which patient safety is jeopardised.…”

Section: Introductionmentioning

confidence: 97%

Frequency of and predictors for withholding patient safety concerns among oncology staff: a survey study

Schwappach

2014

Eur J Cancer Care (Engl)

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Speaking up about patient safety is vital to avoid errors reaching the patient and to improve a culture of safety. This study investigated the prevalence of non-speaking up despite concerns for safety and aimed to identify predictors for withholding voice among healthcare professionals (HCPs) in oncology. A self-administered questionnaire assessed safety concerns, speaking up beliefs and behaviours among nurses and doctors from nine oncology departments. Multiple regression analysis was used to identify predictors for withholding safety concerns. A total of 1013 HCPs returned the completed survey (response rate 65%). Safety concerns were common among responders. Fifty-four per cent reported to recognise their colleagues making potentially harmful errors at least sometimes. A majority of responders reported at least some episodes of withholding concerns about patient safety. Thirty-seven per cent said they remained silent at least once when they had information that might have helped prevent an incident. Respondents believed that a high level of interpersonal, communication and coping skills are necessary to speak up about patient safety issues at their workplace. Higher levels of perceived advocacy for patient safety and psychological safety significantly decreased the frequency of withholding voice. Remaining silent about safety concerns is a common phenomenon in oncology. Improved strategies are needed to support staff in effective communication and make cancer care safer.

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“…This perspective in supported in the literature on person-centered care (e.g. Kitson, Marshall, Bassett, & Zeit, 2012;Lamb et al, 2013;Wynia, Von Kohorn, & Mitchell, 2012) and shared decision-making (Tinsel et al, 2012;van de Bovenkamp, Trappenburg, & Grit, 2009). …”

Section: Introductionmentioning

confidence: 68%

Enhancing patient-engaged teamwork in healthcare: an observational case study

Casimiro

Hall

O’Connor

et al. 2014

Journal of Interprofessional Care

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The purpose of this study was to describe how teamwork that effectively engaged patients and families, manifested itself in an acute rural care setting in order to inform the development of teamwork skills. One hundred and forty participants were included in the study representing providers, patients, family, hospital and clinical support personnel, education specialists and students. Using a modified grounded theory approach, and informed by activity theory, observational field notes and interview transcripts were analyzed. Through the analysis of 343 events of providers interacting with, or exchanging information about, patients, three patterns of teamwork emerged that facilitated patient-engaged care: uniprofessional, multiprofessional and interprofessional. The data indicated that providers navigated between these patterns, as well as others, throughout their workday. Providers should be skilled in applying the construct of situation awareness in order to adopt a pattern of teamwork that best facilitates patient-engaged care. Interventions that can enhance teamwork should focus on: valuing the perspectives of others; developing relational competence and resilience; employing reflective learning and shared decision-making skills; and incorporating principles of change theory for both individuals and systems.

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Facilitators and Barriers to Teamworking and Patient Centeredness in Multidisciplinary Cancer Teams: Findings of a National Study

Cited by 118 publications

References 38 publications

The role of the keyworker in breaking down professional culture barriers to providing high-quality palliative care: a literature review

The role of the keyworker in breaking down professional culture barriers to providing high-quality palliative care: a literature review

Frequency of and predictors for withholding patient safety concerns among oncology staff: a survey study

Enhancing patient-engaged teamwork in healthcare: an observational case study

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