Measuring Interdisciplinary Perceptions of Collaboration on Hospice Teams

Oliver, Debra Parker; Wittenberg-Lyles, Elaine; Day, Michele

doi:10.1177/1049909106295283

Cited by 51 publications

(37 citation statements)

References 6 publications

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“…In addition, Oliver et al (2006Oliver et al ( , 2007 explored the measurement of collaboration with all hospice disciplines and identified variances between hospice teams. The five teams in the 2006 study of variance all had high mean MIIC scores indicating positive perceptions of interdisciplinary collaboration but there was also significant variance between teams in total collaboration and on the components interdependence, collective ownership of goals, and reflection on team process.…”

Section: Methodsmentioning

confidence: 99%

“…Testing the index demonstrated that it was valid and that it reliably measured social workers' perceptions of team collaboration (Parker-Oliver et al, 2005). The index was modified and validated to explore the perspective of various disciplines as the Modified Index of Interdisciplinary Collaboration (MIIC; Oliver, Wittenberg-Lyles, & Day, 2006& Day, , 2007.…”

Section: Definitions Theoretical Framework and Previous Studies Defmentioning

confidence: 99%

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Interdisciplinary Hospice Team Processes and Multidimensional Pain: A Qualitative Study

Day

2012

Journal of Social Work in End-Of-Life & Palliative Care

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Hospice teams may address multidimensional pain through the synergistic interaction of team members from various professional disciplines during regularly scheduled team meetings. However, the occurrence of that critical exchange has not been adequately described or documented. The purpose of this qualitative study was to explore two processes in team pain palliation: communication and collaboration. Data were gathered through individual interviews and a 1-year observation of team members from two hospices (physicians, nurses, aides, chaplains, social workers). Utilizing constant comparison, 14 final thematic categories were discovered. Use of biopsychosocial/spiritual terms by all team members meant that the team had the common language needed to communicate about multidimensional pain. Interviews and observation revealed a gap in translating multidisciplinary communication in team meetings into collaborative acts for pain treatment. In addition, structural influences inhibited creativity in pain palliation. There was no mutual understanding of the purpose for team meetings, no recognition of the need to reflect on team process, or common definition of leadership. Social work roles in hospice should include leadership that moves teams toward interdisciplinary care for multidimensional pain.

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Section: Methodsmentioning

confidence: 99%

Section: Definitions Theoretical Framework and Previous Studies Defmentioning

confidence: 99%

Interdisciplinary Hospice Team Processes and Multidimensional Pain: A Qualitative Study

Day

2012

Journal of Social Work in End-Of-Life & Palliative Care

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“…Oliver, Wittenberg-Lyles, and Day (2007) identified four markers of interdisciplinary perceptions for hospice. They included a multidisciplinary theory of collaboration, role theory, services integration, and ecological systems theory.…”

Section: Interdisciplinary Teams/gittmentioning

confidence: 99%

Transitions Model: Melding of Psychotherapy and Palliative Care Using Teams

Hyer

Babcock

Robinson

et al. 2011

Clinical Gerontologist

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This article explains a hospital palliative model called the Transitions and Palliative Care Therapy (TPCT) and provides data. In addition, the Geriatric Interdisciplinary Team Treatment (GITT) program, using its experience with hospice and research based knowledge, applied key principles of teamwork to enhance the TPCT team approach. GITT was applied to TPCT for 1 year. The TPCT model is a transitions counselors-based model that is a hospital-centered, interdisciplinary consult service, with a focus on the patient and the family. It employs master's level counselors and mid-level providers, with a much smaller group of palliative care physicians who supervise mid-level practitioners and provide medical input and leadership. Outcomes evaluated were hospital cost, family and staff satisfaction, and number of consults that led to de-escalating treatment. In all cases the GITT model was effective; it assisted with improved cost, better satisfaction, and an increased number of consults.

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“…In addition to mandatory bereavement support, some hospices offer art, massage, or pet therapy. Much research on communication and collaboration has demonstrated the complexity of hospice care the IDT provides (Oliver, Tatum, Kapp, & Wallace, 2010; Oliver, Wittenberg-Lyles, & Day, 2006; Wittenberg-Lyles, Oliver, Demiris, Baldwin, & Regehr, 2008; Wittenberg-Lyles, Oliver, Demiris, & Regehr, 2010). To our knowledge, however, no researchers have specifically explored the setting of hospice care in the United States and its influence on IDT roles and care processes.…”

Section: Roles Of Interdisciplinary Team Membersmentioning

confidence: 99%

Same Agency, Different Teams

et al. 2014

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Tremendous growth in hospice over the past 30 years in the United States has increased the number of terminally ill patients dying at home. Recently, however, more hospice patients are dying at inpatient facilities. To understand the varying perceptions about care in the home and inpatient hospice, we conducted semistructured interviews with 24 interdisciplinary team (IDT) members and analyzed the data using the constant comparative method. Core interdisciplinary tasks, including identifying the focus of energy, tailoring family caregiver involvement, acknowledging who is in charge, and knowing both sides differed in the home and inpatient settings. Despite the overarching umbrella of hospice care, home and inpatient hospice settings create different foci for IDT members, burdens and privileges for family caregivers, and control of the care plan. Key differences between home and inpatient hospice processes of care highlight the complexity of patient-centered end-of-life care in the United States.

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Measuring Interdisciplinary Perceptions of Collaboration on Hospice Teams

Cited by 51 publications

References 6 publications

Interdisciplinary Hospice Team Processes and Multidimensional Pain: A Qualitative Study

Interdisciplinary Hospice Team Processes and Multidimensional Pain: A Qualitative Study

Transitions Model: Melding of Psychotherapy and Palliative Care Using Teams

Same Agency, Different Teams

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