Abstract
Aikman challenges readers to think more broadly about the benefits served by multidisciplinary team meetings in health care. Focusing on the way in which professionals actually speak in these settings, the chapter draws out relational features of interactions. Aikman makes connections with how MDT meetings could mitigate worker burnout and compassion fatigue by providing restorative spaces for staff to support each other, build more effective learning cultures by increasing interpersonal risk-taking and psychological safety, and ultimately enable teams to deliver more compassionate health care; the converse also being indicated. The chapter highlights specific linguistic strategies that professionals could integrate in their meeting practice including how to seek support, air frustration and name tensions.
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References
Abu-Bader, S. H. (2000). Work satisfaction, burnout, and turnover among social workers in Israel: A causal diagram. International Journal of Social Welfare, 9, 191–200.
Chinai, N., Bintcliffe, F., Armstrong, E., Teape, J., Jones, B., & Hosie, K. (2013). Does every patient need to be discussed at a multidisciplinary team meeting? Clinical radiology, 68(8), 780–784.
Cocker, F., & Joss, N. (2016). Compassion fatigue among healthcare, emergency and community service workers: A systematic review. International Journal of Environmental Research and Public Health, 13(6), 618.
Das, M. (2014). CAT and the mind-body conundrum of chronic pain. Reformulation (Summer), 29–32.
Dev, V., Fernando, A. T., Lim, A. G., & Consedine, N. S. (2018). Does self-compassion mitigate the relationship between burnout and barriers to compassion? A cross-sectional quantitative study of 799 nurses. International Journal of Nursing Studies, 81, 81–88.
Drew, P., & Heritage, J. (1992). Talk at work: Interaction in institutional settings. Cambridge: Cambridge Univeristy Press.
Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383.
Figley, C. R. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. In B. H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. 3–28). Baltimore, MD: The Sidran Press.
Frankel, A., Haraden, C., Federico, F., & Lenoci-Edwards, J. (2017). A framework for safe, reliable, and effective care. White paper. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare.
Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41.
Henshall, L. E., Alexander, T., Molyneux, P., Gardiner, E., & McLellan, A. (2018). The relationship between perceived organisational threat and compassion for others: Implications for the NHS. Clinical Psychology & Psychotherapy, 25(2), 231–249.
Heritage, J. (2012). The epistemic engine: Sequence organization and territories of knowledge. Research on Language & Social Interaction, 45(1), 30–52.
Heritage, J., & Sefi, S. (1992). Dilemmas of advice: Aspects of the delivery and reception of advice in interactions between health visitors and first-time mothers. In P. Drew & J. Heritage (Eds.), Talk at work: Interaction in institutional settings. Cambridge: Cambridge Univeristy Press.
Hutchby, I., & Wooffitt, R. (2008). Conversation analysis (2nd ed.). Cambridge: Polity Press.
Jefferson, G. (1988). On the sequential organization of troubles-talk in ordinary conversation. Social Problems, 35(4), 418–441.
Kailainathan, P., Humble, S., Dawson, H., Cameron, F., Gokani, S., & Lidder, G. (2017). A national survey of pain clinics within the United Kingdom and Ireland focusing on the multidisciplinary team and the incorporation of the extended nursing role. British Journal of Pain, 12(1), 47–57.
Manley, K. (2008). ‘The way things are done around here’—Developing a culture of effectiveness: A pre-requisite to individual and team effectiveness in critical care. Australian Critical Care, 21(2), 83–85.
Mannion, R. (2014). Enabling compassionate healthcare: Perils, prospects and perspectives. International Journal of Health Policy and Management, 2(3), 115.
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52(1), 397–422.
Matthias, M. S., Parpart, A. L., Nyland, K. A., Huffman, M. A., Stubbs, D. L., Sargent, C., & Bair, M. J. (2010). The patient–provider relationship in chronic pain care: Providers’ perspectives. Pain Medicine, 11(11), 1688–1697.
Mental Health Commission. (2006). Multidisciplinary team working: From theory to practice. Dublin: Mental Health Commission.
Murray, M., Logan, T., Simmons, K., Kramer, M. B., Brown, E., Hake, S., & Madsen, M. (2009). Secondary traumatic stress, burnout, compassion fatigue and compassion satisfaction in trauma nurses. American Journal of Critical Care, 18(3), e1–e17.
Nembhard, I. M., & Edmondson, A. C. (2006). Making it safe: The effects of leader inclusiveness and professional status on psychological safety and improvement efforts in health care teams. Journal of Organizational Behavior, 27(7), 941–966.
Onyett, S., Pillinger, T., & Muijen, M. (1997). Job satisfaction and burnout among members of community mental health teams. Journal of Mental Health, 6(1), 55–66.
Potter, J., & Hepburn, A. (2005). Qualitative interviews in psychology: Problems and possibilities. Qualitative research in Psychology, 2(4), 281–307.
Scott, T., Mannion, R., Marshall, M., & Davies, H. (2003). Does organisational culture influence health care performance? A review of the evidence. Journal of Health Services Research & Policy, 8(2), 105–117.
Stevanovic, M., & Peräkylä, A. (2012). Deontic authority in interaction: The right to announce, propose, and decide. Research on Language & Social Interaction, 45(3), 297–321.
Svennevig, J. (2012). Interaction in workplace meetings. Discourse Studies, 14(1), 3–10.
Ten Have, P. (2007). Doing conversation analysis: A practical guide. London: Sage.
Acknowledgements
I would like to thank the five teams that took part in this project. I appreciate their willingness to allow researchers to be party to the way they conduct their work.
I would particularly like to thank each of psychologists in the team who acted as points of liaison for their respective teams.
Thanks go to my supervisors: Cordet Smart for attention to detail and unerring enthusiasm throughout the project; and Sarah Baldrey for her central role in facilitating introductions with chronic pain care teams.
I was fortunate to be part of a Conversation Analysis Research Group based at the University of Plymouth. Thank you to them for the steady flow of critical thinking and fresh perspectives on data. With special thanks to Nicole Parish, my colleague, friend and fellow CA researcher, for her endless ability to inspire and find ways we can share our research with the world.
Most of all I would like to thank my partner, Chris, for his support and being the voice in my head encouraging my own self-care.
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Aikman, L. (2018). ‘Unspoken’ Outcomes: The Unintended Consequences of Interactions in MDT Meetings as Supporting Staff Well-Being and the Delivery of Compassionate Care. In: Smart, C., Auburn, T. (eds) Interprofessional Care and Mental Health. The Language of Mental Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-98228-1_6
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DOI: https://doi.org/10.1007/978-3-319-98228-1_6
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