Team approach in palliative care: A Narrative review
Abstract
Background: aging of population, high incidence of cancer and chronic diseases have led to the focus of medical care on managing symptoms of the disease, raising the ability of patients, quality of life and helping patients and their families cope with threatening illnesses. The comprehensive management of cancer patients in the palliative care system is not possible except through interdisciplinary and multidisciplinary approaches. In these approaches, the focus is on the patient and the family as well as the best care for the patient. This study aims at investigating and introducing a team approach as the basis of palliative care as well as its advantages and its implementation barriers.Methods: This paper was a literature review using a detailed search in the databases: Science Direct, Scopus, SID, PubMed, Magiran as well as reviewing articles and clinical trials between 2000 and 2017.Results: Teamwork approach is a process in which a group of health professionals cooperate with one another to promote health, prevent and treat diseases and provide other health services. Increasing patients’ satisfaction and survival, providing coordinated care, helping patients to make decisions and be engaged in their own treatment, reducing the cost of treatment, and using evidence-based guidelines in managing the symptoms are the advantages of teamwork to the patient providing the proper environment for learning and increasing the knowledge and skills of members, leading to creativity and problem solving in group members. Financial problems, lack of workforce, inadequate time, and poor communication skills are among the barriers for implementation of this approach.Conclusion: In spite of the obstacles and challenges faced in the implementation of teamwork, attempts have been made to eliminate the barriers in order to institutionalize and implement this approach for palliative care, having advantages for both patients and the organization.Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Je¬mal A. Global cancer statistics, 2012. CA: a cancer journal for clinicians. 2015;65(2):87-108.
Gelband H, Sloan FA. Cancer control opportunities in low-and middle-income countries: National Academies Press; 2007.
Rasaf MR, Ramezani R, Mehrazma M, Rasaf MRR, As¬adi-Lari M. Inequalities in cancer distribution in tehran; a disaggregated estimation of 2007 incidencea by 22 districts. International journal of preventive medicine. 2012;3(7):483.
Cancer IAFRo. GLOBOCAN 2012: Estimated Cancer Inci¬dence, Mortality and Prevalence Worldwide in 2012. Geneva. 2012.
O'Connor NR, Moyer ME, Behta M, Casarett DJ. The impact of inpatient palliative care consultations on 30-day hospital read¬missions. Journal of palliative medicine. 2015;18(11):956-61.
Jongen JL, Overbeck A, Stronks DL, van Zuylen L, Booms M, Huygen FJ, et al. Effectiveness of a multidisciplinary con¬sultation team for cancer pain and palliative care in a large university hospital in the Netherlands. BMJ supportive & pal¬liative care. 2011:bmjspcare-2011-000087.
Ellis P. The importance of multidisciplinary team manage¬ment of patients with non-small-cell lung cancer. Current on¬cology. 2012;19(Suppl 1):S7.
Vissers KC, Brand MW, Jacobs J, Groot M, Veldhoven C, Verhagen C, et al. Palliative medicine update: a multidiscipli¬nary approach. Pain Practice. 2013;13(7):576-88.
Nelson JE, Bassett R, Boss RD, Brasel KJ, Campbell ML, Cortez TB, et al. Models for structuring a clinical initiative24.to enhance palliative care in the intensive care unit: a report from the IPAL-ICU Project (Improving Palliative Care in the ICU). Critical care medicine. 2010;38(9):1765.
Forrest S, Barclay S. Palliative care: a task for everyone. Br J Gen Pract. 2007;57(539):503-.
Pediatrics AAo. Clinical practice guidelines for quality pal¬liative care. Pediatrics. 2014:peds. 2014-0046.
Oandasan IF, Conn LG, Lingard L, Karim A, Jakubovicz D, Whitehead C, et al. The impact of space and time on in¬terprofessional teamwork in Canadian primary health care settings: implications for health care reform. Primary Health Care Research & Development. 2009;10(2):151-62.
Xyrichis A, Ream E. Teamwork: a concept analysis. Journal of advanced nursing. 2008;61(2):232-41.
Xyrichis A, Lowton K. What fosters or prevents interpro¬fessional teamworking in primary and community care? A literature review. International journal of nursing studies. 2008;45(1):140-53.
Gagliardi AR, Dobrow MJ, Wright FC. How can we im¬prove cancer care? A review of interprofessional collabora¬tion models and their use in clinical management. Surgical oncology. 2011;20(3):146-54.
Clark D. From margins to centre: a review of the his¬tory of palliative care in cancer. The lancet oncology. 2007;8(5):430-8.
Lang DJ, Wiek A, Bergmann M, Stauffacher M, Martens P, Moll P, et al. Transdisciplinary research in sustainability science: practice, principles, and challenges. Sustainability science. 2012;7(1):25-43.
Silbermann M, Pitsillides B, Al-Alfi N, Omran S, Al-Jabri K, Elshamy K, et al. Multidisciplinary care team for cancer patients and its implementation in several Middle Eastern countries. Annals of oncology. 2013;24(suppl_7):vii41-vii7.
Jones A. Multidisciplinary team working: Collaboration and conflict. International Journal of Mental Health Nursing. 2006;15(1):19-28.
Armstrong DG, Bharara M, White M, Lepow B, Bhatnagar S, Fisher T, et al. The impact and outcomes of establishing an integrated interdisciplinary surgical team to care for the diabetic foot. Diabetes/metabolism research and reviews. 2012;28(6):514-8.
Molleman E, Broekhuis M, Stoffels R, Jaspers F. Conse¬quences of participating in multidisciplinary medical team meetings for surgical, nonsurgical, and supporting specialties. Medical Care Research and Review. 2010;67(2):173-93.
Wiebe LA, Von Roenn JH. Working with a palliative care team. The Cancer Journal. 2010;16(5):488-92.
Sarin S, O'Connor GC. First among Equals: The Effect of Team Leader Characteristics on the Internal Dynamics of Cross-Functional Product Development Teams. Journal of Product Innovation Management. 2009;26(2):188-205.
Arber A, Gallagher A. Generosity and the moral imagination in the practice of teamwork. Nursing ethics. 2009;16(6):775-85.
Pawlik TM, Laheru D, Hruban RH, Coleman J, Wolfgang CL, Campbell K, et al. Evaluating the impact of a single-day multidisciplinary clinic on the management of pancreatic can¬cer. Annals of surgical oncology. 2008;15(8):2081-8.
Bjegovich-Weidman M, Haid M, Kumar S, Huibregtse C, McDonald J, Krishnan S. Establishing a community-based lung cancer multidisciplinary clinic as part of a large integrat¬ed health care system: aurora health care. Journal of oncology practice. 2010;6(6):e27-e30.
Department of Human Services: Connecting cancer care. A model for coordinated cancer care in Victoria hwhvgacdcccp. 2011.
Morrison RS, Penrod JD, Cassel JB, Caust-Ellenbogen M, Litke A, Spragens L, Meier DE. Cost savings associated with US hospital palliative care consultation programs. Archives of internal medicine. 2008 Sep 8;168(16):1783-90.
Bakitas M, Lyons KD, Hegel MT, Balan S, Brokaw FC, Se¬ville J, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENA¬BLE II randomized controlled trial. Jama. 2009;302(7):741-9.
O’Malley AS, Reschovsky JD. Referral and consultation communication between primary care and specialist physi¬cians: finding common ground. Archives of internal medi¬cine. 2011;171(1):56-65.
Gómez-Batiste X, Caja C, Espinosa J, Bullich I, Martín¬ez-Muñoz M, Porta-Sales J, et al. The Catalonia World Health Organization demonstration project for palliative care imple¬mentation: quantitative and qualitative results at 20 years. Jour¬nal of pain and symptom management. 2012;43(4):783-94.
Salas E, DiazGranados D, Weaver SJ, King H. Does team training work? Principles for health care. Academic Emer¬gency Medicine. 2008;15(11):1002-9.
Walsh J, Harrison JD, Young JM, Butow PN, Solomon MJ, Masya L. What are the current barriers to effective cancer care coordination? A qualitative study. BMC Health Services Research. 2010;10(1):132.
Emery EE. Interdisciplinary Team Rehabilitation. Encyclo¬pedia of Clinical Neuropsychology. 2011:1340-1.
Ratcheva V. Integrating diverse knowledge through bound¬ary spanning processes–The case of multidisciplinary pro¬ject teams. International Journal of Project Management. 2009;27(3):206-15.
A guide for implementing multidisciplinary care Vgdohs, Melbourne, Victorian, Australian 2007, VGDHS 2007. A guide for implementing multidisciplinary care, Victorian government department of human serv
Hall S, Petkova H, Tsouros AD, Costantini M, Higginson IJ. Palliative care for older people: better practices: World Health Organization Copenhagen; 2011.
Lamb B, Taylor C, Lamb J, Strickland S, Vincent C, Green J, et al. Facilitators and barriers to teamworking and pa¬tient centeredness in multidisciplinary cancer teams: find¬ings of a national study. Annals of surgical oncology. 2013;20(5):1408-16.
Head BA, Schapmire T, Hermann C, Earnshaw L, Faul A, Jones C, et al. The Interdisciplinary Curriculum for Oncology Palliative Care Education (iCOPE): meeting the challenge of interprofessional education. Journal of palliative medicine. 2014;17(10):1107-14.
Irajpour A, Alavi M, Izadikhah A. Situation Analysis and De¬signing an Interprofessional Curriculum for Palliative Care of the Cancer Patients. Iranian Journal of Medical Education. 2015;14(12):1047-56.
Files | ||
Issue | Vol 10 No 1 (2018) | |
Section | Reviews | |
Keywords | ||
palliative care interdisciplinary communication multidisciplinary communication |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |