Workshop 06 Testing the Interprofessional Care Team ‘Destiny’

Workshop 06Testing the Interprofessional Care Team ‘Destiny’

Goals • To reflect on what the team has agreed to be their ‘Team’s IPCP Destiny’ • To reflect on the measures the team will use to assess their testing of the ‘delivery’ of their team’s functioning in a simulated patient situation • To test the ‘Destiny’ and its implementation plan against the parameters set to determine effectiveness using a composite case study in a simulated environment • To identify areas where team collaboration effectiveness is realized and areas where more focus on team enhancement may be needed

Agenda [ ] Review of Team’s Destiny Map [ ] Review of team agreed upon principles/guidelines/plan for provision of team/patient/family meetings [ ] Getting ready to test the team’s IPCP collaboration – Running a Patient/Team Meeting [ ] Instructions for Small Group case work [ ] Delivery of the IPCP Teamwork Meeting [ ] Reflection within small groups on strengths, areas for further work [ ] Trying it again [ ] Reflection/summary of current comfort levels: What further work does the team need to undertake to reach its Team Destiny?

Interprofessional Care Team Goals • (to be completed)

Team Principles for Working Together • (to be completed)

Interprofessional Care Team Working Principles • (to be completed)

The Team’s ‘Destiny Map’ • Creating an interprofessional collaborative patient-centred team meeting session: • Addressing team roles and distributing the work

Now to Test All You Have Learned • Divide into small groups with a patient in each group • Ask the patient to assume the role of the ‘case study patient’ • Ensure those from the same health professions are distributed across the groups

Interprofessional Care Team Planning • Who within your group will serve the role as collaborative leader? • Who will assume the various team tasks?

Small Group Team Meeting Roles • Collaborative leader of the group • Chair of meeting • Note taker for meeting • Guide to keep meeting on track for tasks • Summarizer of agreements • Person to follow up on achievement of planned interventions

Mission Possible • Time to try your collaborative teamwork out in a simulated situation “A PATIENT’S REQUEST FOR ASSISTANCE”

Case Scenario • Read the case scenario • Discuss with your ‘patient’ what s/he is seeking help with • Identify patient goals for the team’s work with her/him • Ask the patient for information related to her/his needs • Explore from each professional’s perspective what interventions might be considered • Enter your small group’s decisions onto Group’s Care Planning Worksheet for sharing with all the team

Continuing Case Planning • Discuss with the patient what s/he would have to do for each of the intervention options to work • Ask the patient which of the intervention options s/he would like to pursue • Set the conditions under which these interventions will be provided • Set a timeline for the patient to come back to the team to discuss her/his progress

Small Group Case Scenario Tasks • Patient’s priorities for care • Patient’s desired goal for care • Negotiated team goal for care • Patient identified problems/issues • Team generated potential interventions • Patient selection of interventions to meet care needs • Team member lead for patient • Patient willingness to achieve outcomes of interventions • Patient determined sequence for interventions • Negotiated conditions for interventions to be provided • Timeline for patient’s return to report progress to reach care goals

Assessing Teamwork Effectiveness • What worked well? • What still needs work? • What surprised individual participants the most? • What made participants feel really good? • What is still worrisome to participants?

Rating Your Team’s Effectiveness • Reflect on the criteria set during Workshop #5 for assessing team effectiveness • Rate your ‘team’ (as a group) on each component using a 1 to 5 rating 1 = poor 2 = reasonable 3 = neither good nor bad 4 = good 5 = very good

Sharing the Work Done Consider within each of your ‘team’ groups: • What worked well? • What still needs work? • What surprised you individually the most? • What made you feel good about your teamwork? • What is still worrisome to you about working in a collaborative team?

Our Group’s Team Meeting Effectiveness

Trying Teamwork Patient-Centred Practice Again … • Working in the same groups, try the case scenario again, focusing on areas where weaknesses were identified • Please use a new set of worksheets

Reflect on Further Practice • How would you rate your teamwork this time? • Was it improved from the first time? • What still needs work?

Readiness for IPC Team Practice • Reflect on where the team is now strong in its collaborative work • Reflect on where the team needs to focus its enhancement in practice • Reflect on how the gap fits with the Team Destiny Map

Next steps • How will the team continue to work towards its IPCP Team Destiny? • (to be completed)

Thank you • For your willingness to go down this ‘path’ of learning to become more collaborative and being more patient/family centred • For your active participation in this workshop series

* Carroll-Johnson, R.M., Redefining interdisciplinary practice. Oncology Nursing Forum,, 2001, p. 619. “… imagine a world where each group’s expertise is held in regard, offered and shared as the need arises. Imagine a time when the patient can determine which kinds of practitioners he or she needs or wants, and then imagine a system that makes those professionals available” *

Workshop 06 Testing the Interprofessional Care Team ‘Destiny’