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多学科团队会议中的领导力视角;基于 ATLAS 工具在癌症护理中的观察评估。

Leadership perspectives in multidisciplinary team meetings; observational assessment based on the ATLAS instrument in cancer care.

机构信息

Institute of Clinical Sciences, Division of Oncology, Lund University, Sweden; Regional Cancer Centre South, Region Skåne, Lund, Sweden; Department of Oncology and Hematology, Skåne University Hospital, Lund, Sweden.

Institute of Clinical Sciences, Division of Oncology, Lund University, Sweden; Regional Cancer Centre South, Region Skåne, Lund, Sweden.

出版信息

Cancer Treat Res Commun. 2020;25:100231. doi: 10.1016/j.ctarc.2020.100231. Epub 2020 Oct 28.

Abstract

OBJECTIVES

High-quality leadership and chairing skills are central components in team performance during multidisciplinary team (MDT) meetings. We hypothesized that the recently developed A Tumor Leadership Assessment inStrument (ATLAS) could provide relevant information to support more detailed insights into MDT chairing and leadership aspects of relevance for team feedback and targeted improvements.

MATERIALS AND METHODS

The observational assessment instrument ATLAS rates chairing and leadership skills during MDT meetings in 12 predefined domains that include e.g. time management, case prioritization, team involvement, discussion climate and clarity of treatment recommendations. We used ATLAS to prospectively assess 33 MDT meetings in neuro-oncology, sarcoma and hepatobiliary cancer.

RESULTS

The aspects time management, effective case prioritization and provision of clear treatment plans were found to be well-functioning, whereas facilitatation of case discussions, encouragment of team member contributions, keeping the meeting focused and ability to summarize case discussions showed variable and partly weak results.

CONCLUSION

We conclude that the ATLAS instrument effectively captures various aspects of MDT leadership and chairing skills. It may thereby provide relevant information to prioritize initiatives that support and develop effective teamwork and decision-making during MDT meetings.

摘要

目的

高质量的领导能力和主持技巧是多学科团队(MDT)会议中团队表现的核心组成部分。我们假设,最近开发的肿瘤领导能力评估工具(ATLAS)可以提供相关信息,支持更详细地了解与团队反馈和有针对性改进相关的 MDT 主持和领导方面。

材料和方法

观察性评估工具 ATLAS 在 12 个预先确定的领域中评估 MDT 会议期间的主持和领导技能,例如时间管理、病例优先级排序、团队参与、讨论氛围和治疗建议的清晰度。我们使用 ATLAS 前瞻性评估神经肿瘤学、肉瘤和肝胆癌的 33 次 MDT 会议。

结果

发现时间管理、有效病例优先级排序和提供明确的治疗计划方面运作良好,而促进病例讨论、鼓励团队成员的贡献、保持会议重点和总结病例讨论的能力则表现出不同程度的薄弱。

结论

我们得出结论,ATLAS 工具有效地捕捉了 MDT 领导和主持技能的各个方面。它可以提供相关信息,以便确定支持和发展 MDT 会议期间有效团队合作和决策的举措的优先级。

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