Abstract
Introduction This research explored the experience of clinicians during the transition from working as an interdisciplinary team to providing a transdisciplinary model of care in a functional restoration program (FRP) for clients with chronic disabling musculoskeletal pain. Methods This qualitative study used a grounded theory approach to data collection and analysis. In depth interviews were conducted to gather data and analysis was performed by the coding of emergent themes. Results Three major themes were identified that contributed towards building a successful transdisciplinary team: the client population; opportunities for communication with colleagues; and an organizational structure that supports transdisciplinary teamwork. Conclusions Transdisciplinary teams with multiple health care providers are suitable for treating patients with complex needs and with injuries that are chronic in nature. However, transdisciplinary teamwork requires input from an organizational level and from a communication level to effectively contribute to both clinician satisfaction and to improved coordination in patient care.
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References
Delva D, Jamieson M, Lemieux M. Team effectiveness in academic primary health care teams. J Interprof Care. 2008;22(6):598–611.
Sargeant J, Loney E, Murphy G. Effective interprofessional teams: “contact is not enough” to build a team. J Contin Educ Health Prof. 2008;28(4):228–34.
Sands R. ‘Can you overlap here’? A question for an interdisciplinary team. Discourse Process. 1993;4:419–36.
Brown B, Crawford P, Darongkamas J. Blurred roles and permeable boundaries: the experience of multidisciplinary working in community mental health. Health Soc Care Commun. 2000;8(6):425–35.
Hermsen MA, Ten Have HAMJ. Palliative care teams: effective through moral reflection. J Interprof Care. 2005;19(6):561–8.
Weingart SN, Simchowitz B, Eng TK, Morway L, Spencer J, Zhu J, et al. The you CAN campaign: teamwork training for patients and families in ambulatory oncology. Jt Comm J Qual Patient Saf. 2009;35(2):63–71.
Edwards J, Smith P. Impact of interdisciplinary education in underserved areas: health professions collaboration in Tennessee. J Prof Nurs. 1998;14:144–9.
Ellingson LL. Communication, collaboration, and teamwork among health care professionals. Commun Res Trends. 2002;21(3):1–43.
Sinclair LB, Lingard LA, Mohabeer RN. What’s so great about rehabilitation teams? An ethnographic study of interprofessional collaboration in a rehabilitation unit. Arch Phys Med Rehabil. 2009;90:1196–201.
Mayer TG, Gatchel RJ. Functional restoration for spinal disorders: the sports medicine approach. Philadelphia: Lea & Febiger; 1988.
Geriatric Interdisciplinary Teams (Chapter 7). In: Beers MH, Berkow R, editors. Internet Edition of The Merck Manual of Geriatrics. [Online]. 2009–2010 [cited 2010 March 15]; [1 screen]. Whitehouse Station (NJ): Merck & Co., Inc. Available from: www.merck.com/pubs/mm_geriatrics/sec1/ch7.htm.
Mostrom E. The wisdom of practice: situated expertise, teaching and learning in a transdisciplinary rehabilitation clinic. Doctoral dissertation, Michigan State University. 1996.
Wieland D, Kramer BJ, Waite MS, Rubenstein LZ. The interdisciplinary team in geriatric care. Am Behav Sci. 1996;39:655–64.
Opie A. Thinking teams thinking clients: issues of discourse and representation in the work of health care teams. Sociol Health Ill. 1997;19:259–80.
Pike AW. Moral outrage and moral discourse in nurse-physician collaboration. J Prof Nurs. 1991;7:351–63.
Strauss AL, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed. Thousand Oaks: Sage Publications Inc; 1998.
Creswell JW. Qualitative inquiry and research design: choosing among five traditions. Thousand Oaks: Sage Publications Inc; 1998.
Benton D. Grounded theory. In: Cormack DFS, editor. The research process in nursing. 2nd ed. London: Blackwell; 1991.
Morgan D. Qualitative content analysis: a guide to paths not taken. Qual Health Res. 1993;3(1):112–21.
Nvivo. (Version 8). [Computer software: qualitative data analysis program]. Melbourne (Aus): QSR International Pty Ltd; 2006.
Kalisch BJ, Begeny SM. Improving nursing unit teamwork. JONA. 2005;35(12):550–6.
Vyt A. Interprofessional and transdisciplinary teamwork in health care. Diabetes Metab Res Rev. 2008;24(Suppl 1):S106–9.
Soklaridis S, Kelner M, Love R, Cassidy JD. The organizational support necessary for integrative health care (IHC): a clinic for artists in a hospital setting. J Complement Integr Med. 2009;6(1):1–17.
Lingard L, Regehr G, Orser B, Reznick R, Baker GR, Doran D, et al. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg. 2008;143(1):12–7.
Acknowledgments
The authors would like to thank all interview participants involved in the study. The study was funded by a Centre of Research Expertise in Improved Disability Outcomes [CREIDO] pilot study grant.
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The authors declare that they have no competing interests.
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Cartmill, C., Soklaridis, S. & David Cassidy, J. Transdisciplinary Teamwork: The Experience of Clinicians at a Functional Restoration Program. J Occup Rehabil 21, 1–8 (2011). https://doi.org/10.1007/s10926-010-9247-3
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DOI: https://doi.org/10.1007/s10926-010-9247-3