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Published in: Journal of Occupational Rehabilitation 1/2011

01-03-2011

Transdisciplinary Teamwork: The Experience of Clinicians at a Functional Restoration Program

Authors: Carrie Cartmill, Sophie Soklaridis, J. David Cassidy

Published in: Journal of Occupational Rehabilitation | Issue 1/2011

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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.
Literature
1.
go back to reference Delva D, Jamieson M, Lemieux M. Team effectiveness in academic primary health care teams. J Interprof Care. 2008;22(6):598–611.CrossRefPubMed Delva D, Jamieson M, Lemieux M. Team effectiveness in academic primary health care teams. J Interprof Care. 2008;22(6):598–611.CrossRefPubMed
2.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
3.
go back to reference Sands R. ‘Can you overlap here’? A question for an interdisciplinary team. Discourse Process. 1993;4:419–36. Sands R. ‘Can you overlap here’? A question for an interdisciplinary team. Discourse Process. 1993;4:419–36.
4.
go back to reference 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.CrossRef 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.CrossRef
5.
go back to reference Hermsen MA, Ten Have HAMJ. Palliative care teams: effective through moral reflection. J Interprof Care. 2005;19(6):561–8.CrossRefPubMed Hermsen MA, Ten Have HAMJ. Palliative care teams: effective through moral reflection. J Interprof Care. 2005;19(6):561–8.CrossRefPubMed
6.
go back to reference 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.PubMed 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.PubMed
7.
go back to reference Edwards J, Smith P. Impact of interdisciplinary education in underserved areas: health professions collaboration in Tennessee. J Prof Nurs. 1998;14:144–9.CrossRefPubMed Edwards J, Smith P. Impact of interdisciplinary education in underserved areas: health professions collaboration in Tennessee. J Prof Nurs. 1998;14:144–9.CrossRefPubMed
8.
go back to reference Ellingson LL. Communication, collaboration, and teamwork among health care professionals. Commun Res Trends. 2002;21(3):1–43. Ellingson LL. Communication, collaboration, and teamwork among health care professionals. Commun Res Trends. 2002;21(3):1–43.
9.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
10.
go back to reference Mayer TG, Gatchel RJ. Functional restoration for spinal disorders: the sports medicine approach. Philadelphia: Lea & Febiger; 1988. Mayer TG, Gatchel RJ. Functional restoration for spinal disorders: the sports medicine approach. Philadelphia: Lea & Febiger; 1988.
12.
go back to reference Mostrom E. The wisdom of practice: situated expertise, teaching and learning in a transdisciplinary rehabilitation clinic. Doctoral dissertation, Michigan State University. 1996. Mostrom E. The wisdom of practice: situated expertise, teaching and learning in a transdisciplinary rehabilitation clinic. Doctoral dissertation, Michigan State University. 1996.
13.
go back to reference Wieland D, Kramer BJ, Waite MS, Rubenstein LZ. The interdisciplinary team in geriatric care. Am Behav Sci. 1996;39:655–64.CrossRef Wieland D, Kramer BJ, Waite MS, Rubenstein LZ. The interdisciplinary team in geriatric care. Am Behav Sci. 1996;39:655–64.CrossRef
14.
go back to reference 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. 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.
15.
go back to reference Pike AW. Moral outrage and moral discourse in nurse-physician collaboration. J Prof Nurs. 1991;7:351–63.CrossRefPubMed Pike AW. Moral outrage and moral discourse in nurse-physician collaboration. J Prof Nurs. 1991;7:351–63.CrossRefPubMed
16.
go back to reference Strauss AL, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed. Thousand Oaks: Sage Publications Inc; 1998. Strauss AL, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed. Thousand Oaks: Sage Publications Inc; 1998.
17.
go back to reference Creswell JW. Qualitative inquiry and research design: choosing among five traditions. Thousand Oaks: Sage Publications Inc; 1998. Creswell JW. Qualitative inquiry and research design: choosing among five traditions. Thousand Oaks: Sage Publications Inc; 1998.
18.
go back to reference Benton D. Grounded theory. In: Cormack DFS, editor. The research process in nursing. 2nd ed. London: Blackwell; 1991. Benton D. Grounded theory. In: Cormack DFS, editor. The research process in nursing. 2nd ed. London: Blackwell; 1991.
19.
go back to reference Morgan D. Qualitative content analysis: a guide to paths not taken. Qual Health Res. 1993;3(1):112–21.CrossRefPubMed Morgan D. Qualitative content analysis: a guide to paths not taken. Qual Health Res. 1993;3(1):112–21.CrossRefPubMed
20.
go back to reference Nvivo. (Version 8). [Computer software: qualitative data analysis program]. Melbourne (Aus): QSR International Pty Ltd; 2006. Nvivo. (Version 8). [Computer software: qualitative data analysis program]. Melbourne (Aus): QSR International Pty Ltd; 2006.
21.
go back to reference Kalisch BJ, Begeny SM. Improving nursing unit teamwork. JONA. 2005;35(12):550–6.CrossRef Kalisch BJ, Begeny SM. Improving nursing unit teamwork. JONA. 2005;35(12):550–6.CrossRef
22.
go back to reference Vyt A. Interprofessional and transdisciplinary teamwork in health care. Diabetes Metab Res Rev. 2008;24(Suppl 1):S106–9.CrossRefPubMed Vyt A. Interprofessional and transdisciplinary teamwork in health care. Diabetes Metab Res Rev. 2008;24(Suppl 1):S106–9.CrossRefPubMed
23.
go back to reference 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. 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.
24.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
Metadata
Title
Transdisciplinary Teamwork: The Experience of Clinicians at a Functional Restoration Program
Authors
Carrie Cartmill
Sophie Soklaridis
J. David Cassidy
Publication date
01-03-2011
Publisher
Springer US
Published in
Journal of Occupational Rehabilitation / Issue 1/2011
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-010-9247-3

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