“It's Not Us Versus Them”: Building Cross-Disciplinary Relationships in the Perioperative Period

Sasnal, Marzena; Lorenz, Karl; McCaa, Matthew; Wu, Adela; Morris, Arden M.; Schenker, Yael; Shreve, Scott; Giannitrapani, Karleen F.

doi:10.1016/j.jpainsymman.2022.12.140

Journal of Pain and Symptom Management

2023

DOI: 10.1016/j.jpainsymman.2022.12.140

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“It's Not Us Versus Them”: Building Cross-Disciplinary Relationships in the Perioperative Period

Marzena Sasnal

Karl Lorenz

Matthew McCaa³

et al.

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Cited by 5 publications

(2 citation statements)

References 36 publications

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“…Recent work by Sasnal et al explored interdisciplinary clinician perspectives on building cross-disciplinary relationships between palliative care clinicians and surgeons. Interdisciplinary interviews revealed that successful collaborative relationships between palliative care and surgeons had 6 central features including mutual trust, mutual respect, perceived usefulness, shared clinical objectives, effective communication, and organizational enablers . Did the surgeons and palliative care clinicians from Bansal et al perceive themselves to be a team?…”

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“…Interdisciplinary interviews revealed that successful collaborative relationships between palliative care and surgeons had 6 central features including mutual trust, mutual respect, perceived usefulness, shared clinical objectives, effective communication, and organizational enablers. 3 Did the surgeons and palliative care clinicians from Bansal et al 1 perceive themselves to be a team? Teams can be conceptualized as a group of individuals who identify as working together toward a common shared goal.…”

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Teaming Up With Palliative Care to Improve Perioperative Goals of Care Communication

Giannitrapani

2023

JAMA Netw Open

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Delivering care in alignment with patient goals is a critical aspect of serious illness care. Eliciting and documenting high-risk patients' goals, particularly in advance of a surgical procedure, is central to advanced care planning and definitionally good quality care. Achieving documentation of goals that truly reflect patient wishes as they face dynamically changing circumstances of treatment, improvement, and decline is challenging to operationalize. Advanced directive (AD) designation of a health care power of attorney and/or a living will represents a discrete and measurable outcome of good care communication.Bansal et al 1 make a novel contribution by demonstrating that palliative and surgical workflow integration are associated with increased AD designation for patients facing surgery. Specifically, in a surgical oncology clinic at a comprehensive cancer center, the authors 1 evaluated the integration of early palliative care consultations into the surgical workflow. Their study 1 demonstrates that with a Open Access. This is an open access article distributed under the terms of the CC-BY License.

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Teaming Up With Palliative Care to Improve Perioperative Goals of Care Communication

Giannitrapani

2023

JAMA Netw Open

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Strategies to Improve Perioperative Palliative Care Integration for Seriously Ill Veterans

Giannitrapani,

Sasnal,

McCaa

et al. 2023

Journal of Pain and Symptom Management

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Strategies to foster stakeholder engagement in residency coaching: a CFIR-Informed qualitative study across diverse stakeholder groups

Sasnal,

Jensen,

Mai

et al. 2024

Medical Education Online

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Introduction Coaching interventions in graduate medical education have proven successful in increasing technical and communication skills, reducing errors, and improving patient care. Effective stakeholder engagement enhances the relevance, value, and long-term sustainability of interventions, yet specific strategies for stakeholder engagement remain uncertain. The purpose of this article is to identify strategies to foster engagement of diverse stakeholder groups in coaching interventions. Material and Methods We conducted 35 semi-structured interviews between November 2021 and April 2022 with purposively sampled key stakeholders that captured participants’ perspectives on physicians’ communication training needs, roles, and involvement in, as well as contextual factors, facilitators, barriers, and improvement strategies of the multi-departmental Communication Coaching Program at our institution. We utilized the Consolidated Framework of Implementation Research to guide data collection and analysis. An analytic approach relied on team-based thematic analysis with high inter-coder agreement between three raters (Cohen’s kappa coefficient 0.83). Several validation techniques were used to enhance the credibility and trustworthiness of the study. Results Analysis of transcribed interviews with stakeholders directly involved in the Communication Coaching Program, including 10 residents, 10 faculty coaches, 9 medical education leaders, and 8 programmatic sponsors, revealed five key engagement strategies: (1) embrace collaborative design, (2) enable flexible adjustments and modifications, (3) secure funding, (4) identify champions, and (5) demonstrate outcomes. Additionally, a patient-centered approach to delivering the best possible patient care emerged as a primary objective that linked all stakeholder groups. Discussion Evaluating the experiences of key stakeholders in the Communication Coaching Program helped identify targetable strategies to facilitate participant engagement across all organizational levels. The analysis also revealed universal alignment around the importance of providing high-quality patient care. Insights from this work provide guidance for clinical training programs moving toward the implementation of coaching interventions.

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“It's Not Us Versus Them”: Building Cross-Disciplinary Relationships in the Perioperative Period

Cited by 5 publications

References 36 publications

Teaming Up With Palliative Care to Improve Perioperative Goals of Care Communication

Teaming Up With Palliative Care to Improve Perioperative Goals of Care Communication

Strategies to Improve Perioperative Palliative Care Integration for Seriously Ill Veterans

Strategies to foster stakeholder engagement in residency coaching: a CFIR-Informed qualitative study across diverse stakeholder groups

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