Journal
JOURNAL OF INTERPROFESSIONAL CARE
Volume 22, Issue 6, Pages 621-629Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/13561820802380027
Keywords
Hospice; interdisciplinary team; communication; information flow
Funding
- National Institutes of Health (NIH) National Cancer Institute [R21 CA 120179]
- Patient and Family Participation in Hospice Interdisciplinary Teams
- NATIONAL CANCER INSTITUTE [R21CA120179] Funding Source: NIH RePORTER
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The aim of this study was to explore the information flow of hospice interdisciplinary meetings focusing on information access, exchange and documentation. The study participants were members of four hospice interdisciplinary teams in the Midwestern United States. Team members included a diverse range of professionals including physicians, nurses, social workers, bereavement counselors, and others. A total of 81 patient care discussions were videotaped and transcribed. A content analysis revealed several themes that needed to be addressed to improve the overall information flow, such as access to and recording of information, documentation of services, obtaining information from absent team members, data redundancy and updating of recorded information. On average, 5% of all utterances when discussing a patient case were focused on soliciting information from the member who had access to the patient chart. In 12.3% of all discussions, members referred to an absent member who could have provided additional information. In 8.6% of all discussions the same facts were repeated three times or more. Based on the findings we propose guidelines that can address potential informational gaps and enhance team communication in hospice.
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