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Enhancing Interdisciplinary Team Collaboration in Palliative Care through Effective Communication

This resource explores the essential principles of interdisciplinary collaboration within palliative care teams. It highlights the significance of effective communication in team meetings for conflict resolution and collaborative problem-solving, emphasizing shared responsibilities to provide holistic care. Key aspects such as the emergence of new tasks, the integration of diverse expertise, and the importance of including patients and families are discussed. Strategies to combat groupthink and enhance team dynamics are also examined, ensuring the delivery of optimal care for patients facing terminal illness.

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Enhancing Interdisciplinary Team Collaboration in Palliative Care through Effective Communication

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  1. COMFORT* • Communication (narrative) • Orientation and opportunity • Mindful presence • Family • Openings • Relating • Team * Wittenberg-Lyles, E., Goldsmith, J., Ferrell, B., & Ragan, S. (2012). Communication and palliative nursing. New York: Oxford.

  2. Objectives • Describe the main principles of interdisciplinary team collaboration • Recognize team meetings as a place to collaborate and resolve conflict • Identify a communication skill to practice with interdisciplinary team members • Identify a communication skill to practice to ensure effective team meetings

  3. Interdisciplinary Collaboration • Sharing resources • Shared power • Respect credibility/expertise • Focus on task and relational communication

  4. Model of Interdisciplinary Collaboration Interdependence & flexibility • Characterized by interaction in order to: • Accomplish Goals and Share information • Maintain flexibility for each new case • Psychospiritualcare (Grey, 1996): • meets psychosocial, spiritual, and coping needs of patients/families laboring with terminal illness Grey, R. (1996). The psychospiritual care matrix: a new paradigm for hospice care giving. Am J HospPalliat Care, 13(4), 19-25.

  5. Model of Interdisciplinary Collaboration Newly created tasks & responsibilities • Emerge through information sharing • Collaborate to maximize members’ expertise • Work collaboratively to serve patient & family • Accessibility allows frequency/ease of contact

  6. Model of Interdisciplinary Collaboration Collective ownership of goals • Share responsibility to produce holistic care • Team joined by experience • Patient/family viewed as important part of team • Shared common purpose 7

  7. Model of Interdisciplinary Collaboration Reflection on process • Awareness of collaborative processes • Collectively review team processes • Evaluate own process *Least ranked aspect of collaboration 8

  8. Team Meetings • Enables communication to produce plan of care for each patient • Allows elements of interdisciplinary collaboration to emerge • Collaborative process involves conflict 9

  9. Groupthink • Cohesive group members • Emphasize unanimity • Focus on group cohesion/relations over decision-making • Leads to poor decision-making and lack of collaboration • Obstructs effective group discussion and conflict resolution

  10. When Groupthink Occurs • Embrace least effective decisions • Suppressed disagreements • Perceive conflict as more work • Unable to consider: • All aspects of information • Alternative solutions • Fail to understand risk of failure 11

  11. Aspects that influence groupthink • Relational Factors • Self-Censorship • Organizational influences • Structural constraints 12

  12. Ways to combat Groupthink • Discussions should start by stating the patient’s goal of care • Designate a team member to play devil’s advocate • Rotate leadership of team meeting Adapted from: Wynne Whyman (2005). A question of leadership: What can leaders do to avoid groupthink. Leadership in Action, 25(2), 12.

  13. Assessing team experiences • Do discussions include family, other healthcare professionals involved? • Does the team have designated time for sharing frustrations about plans of care (e.g., specific patient/family)? • Does the team address patient safety issues?

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