Interdisciplinary Teamwork

Susan A Nancarrow,Andrew Booth,Steven Ariss, Tony Smith, Pam Enderby,and Alison Roots

2013. united kingdom.
How does good interdisciplinary team works and what are the principles.

This study using two sources of knowledge to identify the attributes of a good interdisciplinary team;

perceptions of over 253 staff from 11 community rehabilitation and intermediate care teams in the UK. as data sources of feedback from 253 staffs were merged using qualitative content analysis to arrive at a framework that identifies characteristics and proposes ten competencies that support effective interdisciplinary team work.

10 principles of good interdisciplinary team works.
1. clear direction and management of leader ship.
2. appropriate systems to promote communication
3.
rewards and opportunity, morale and motivation
4. Appropriate resources and procedures
5. Appropriate skill mix Sufficient
6. Climate Team culture of trust, valuing contributions, nurturing consensus
7. Individual characteristics Knowledge, experience, initiative,
8. Clarity of vision
9. Quality and outcomes of care Patient-centered focus, outcomes and satisfaction,
10. Respecting and understanding roles Large number of volunteers and data sources, difficulty to classification.

More accuracy by using Triangulation of the data sources to identify the characteristics of a good interdisciplinary team

Using five table to summaries the resources, making clear understanding of effective team work.
Marilyn J,Rantz PhD, RN, FAAN a, Mary Zwygart-Stauffacher RN, PhD, FAAN b , Lanis Hicks PhD c , David Mehr MD, MS d , Marcia Flesner PhD, RN e , Gregory F. Petroski PhD f , Richard W. Madsen PhD f , Jill Scott-Cawiezell RN, PhD, FAAN

2012
A comprehensive multilevel intervention was tested to build organizational capacity to create and sustain improvement in quality of care and subsequently improve resident outcomes in nursing homes in need of improvement.
A randomized, two-group, repeated-measures design was used to test the 2-year multilevel intervention in nursing homes needing to improve quality of care and resident outcomes.

analysis, 155 of the 356 certified skilled nursing homes within the

randomly assigned owners of facilities in the population of qualified facilities to either control or intervention groups.
The intervention did improve quality of care,there were improvements in pressure ulcers and weight loss

Organizational working conditions, staff retention, staffing, and staff mix and most costs were not affected by the intervention. Leadership turnover was surprisingly excessive in both intervention and control groups.

Strength: rich finding from nurse, career and residents.
Explain how does the multilevel intervention been carry on.

Limitation: limited to only nurses, carrer and resident.
Explanation may have miss out such as family to the context of study.
Amanda Griffiths, shirley A. Thomas,Adam Lee Gordon2016

describe the views of healthcare workers on the facilitators of communication with people with dementia in a care setting

8 health worker from two residential carehomes with 32and 52beds
The sampling began with individuals from dementia outreach and care home specialist nursing teams and snowball sampling was used to contact other healthcare workers with experience in dementia.

Semi-structured interviews were conducted in a private room at the participants' place of work and lasted 15–60 (median 34) min. Interviews were audio-recorded and anonymised on transcription.

four overarching categories representing factors considered to facilitate communication with PwD were identified: attributes of a care worker; the practical verbal and non-verbal facilitators; organisational factors of home ethos, leadership and training; and the physical environment.
Limitation: no definition of communication was given by
the
Interviewer

Strength
Well views of health workers
Clearly explain why understanding of dementia was essential to successful communication.