Interdisciplinary collaboration in hospice team meetings

Abstract

Hospice and palliative care teams provide interdisciplinary care to seriously-ill and terminally-ill patients and their families. Care teams are comprised of medical and non-medical disciplines and include volunteers and lay workers in healthcare. The authors explored the perception of collaboration among hospice team members and actual collaborative communication practices in team meetings. The data set consisted of videotaped team meetings, some of which included caregiver participation, and team member completion of a survey. Findings revealed that the team's reflection on process was most likely to occur in team meetings, however least likely to occur when caregivers were present. Although team members had a high perception of interdependence and flexibility of roles, this was less likely to be enacted in team meetings with and without the presence of caregivers. Caregiver participation in team meetings had a positive impact on collaborative communication and the potential benefit of caregiver inclusion in team meetings is explored.

Keywords:

• End-of-life care
• interdisciplinary collaboration
• mixed methodology

Acknowledgments

This study was funded by the National Cancer Institute R21 CA120179: Patient and family participation in hospice interdisciplinary teams, Debra Parker Oliver, PI.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.