Hermsen Maaike A, Ten Have Henk A M J
University Medical Centre Nijmegen, The Netherlands.
J Interprof Care. 2005 Dec;19(6):561-8. doi: 10.1080/13561820500404871.
Working as a multidisciplinary or interdisciplinary team is an essential condition to provide good palliative care. This widespread assumption is based on the idea that teamwork makes it possible to address the various needs of the patient and family more effectively. This article is about teamwork and about the effectiveness of teams working in palliative care. First, the nature of teamwork will be highlighted. Second, attention will be paid to team effectiveness; what exactly is team effectiveness and with what parameters can it be measured? Third, the nature of moral reflection and moral deliberation in palliative care will be highlighted. A concrete process of moral deliberation will be described. In conclusion, we shall argue that the capacity for moral reflection is a feature of a team working effectively.
作为一个多学科或跨学科团队开展工作是提供优质姑息治疗的必要条件。这一普遍的假设基于这样一种观念,即团队合作能够更有效地满足患者及其家庭的各种需求。本文探讨的是团队合作以及姑息治疗团队的工作成效。首先,将强调团队合作的本质。其次,将关注团队成效;团队成效究竟是什么,又可以用哪些参数来衡量?第三,将突出姑息治疗中道德反思和道德审议的本质。将描述一个具体的道德审议过程。总之,我们将论证道德反思能力是有效运作团队的一个特征。