Young Harris College, Young Harris, Georgia 30582, USA.
Qual Health Res. 2010 Jan;20(1):93-104. doi: 10.1177/1049732309355287.
Despite the development and implementation of team training models in geriatrics and palliative care, little attention has been paid to the nature and process of teamwork. Geriatrics and palliative care in the clinical setting offer an interdisciplinary approach structured to meet the comprehensive needs of a patient and his or her family. Fellowship members of an interdisciplinary geriatric and palliative care team participated in semistructured interviews. Team members represented social work, chaplaincy, psychology, nursing, and medicine. A functional narrative analysis revealed four themes: voice of the lifeworld, caregiver teamwork, alone on a team, and storying disciplinary communication. The content-ordering function of narratives revealed a divergence in team members' conceptualization of teamwork and team effectiveness, and group ordering of narratives documented the collaborative nature of teams. The study findings demonstrate the potential for narratives as a pedagogical tool in team training, highlighting the benefits of reflective practice for improving teamwork and sustainability.
尽管在老年病学和姑息治疗中已经开发和实施了团队培训模式,但很少关注团队合作的性质和过程。临床环境中的老年病学和姑息治疗提供了一种跨学科的方法,旨在满足患者及其家属的综合需求。多学科老年病学和姑息治疗团队的研究员参加了半结构化访谈。团队成员代表社会工作、牧师工作、心理学、护理和医学。功能叙事分析揭示了四个主题:生活世界的声音、护理人员的团队合作、团队中的孤独者和记录学科间沟通的故事。叙事的内容排序功能揭示了团队成员对团队合作和团队有效性的概念化的差异,以及叙事的群体排序记录了团队的协作性质。研究结果表明,叙事作为团队培训的一种教学工具具有潜力,突出了反思实践在提高团队合作和可持续性方面的益处。