S F Tyson1, L Burton2, A McGovern3. 1. Stroke Research Centre, School of Nursing, Midwifery and Social Work, University of Manchester, UK Sarah.Tyson@manchester.ac.uk. 2. Stroke Research Centre, School of Nursing, Midwifery and Social Work, University of Manchester, UK Greater Manchester Strategic Clinical Network, UK. 3. Greater Manchester Strategic Clinical Network, UK.
Abstract
OBJECTIVE: To explore how multi-disciplinary team meetings operate in stroke rehabilitation. DESIGN: Non-participant observation of multi-disciplinary team meetings and semi-structured interviews with attending staff. SETTING AND PARTICIPANTS: Twelve meetings were observed (at least one at each site) and 18 staff (one psychologist, one social worker; four nurses; four physiotherapists four occupational therapists, two speech and language therapists, one stroke co-ordinator and one stroke ward manager) were interviewed in eight in-patient stroke rehabilitation units. RESULTS: Multi-disciplinary team meetings in stroke rehabilitation were complex, demanding and highly varied. A model emerged which identified the main inputs to influence conduct of the meetings were personal contributions of the members and structure and format of the meetings. These were mediated by the team climate and leadership skills of the chair. The desired outputs; clinical decisions and the attributes of apparently effective meetings were identified by the staff. A notable difference between the meetings that staff considered effective and those that were not, was their structure and format. Successful meetings tended to feature a set agenda, structured documentation; formal use of measurement tools; pre-meeting preparation and skilled chairing. These features were often absent in meetings perceived to be ineffective. CONCLUSIONS: The main features of operation of multi-disciplinary team meetings have been identified which will enable assessment tools and interventions to improve effectiveness to be developed.
OBJECTIVE: To explore how multi-disciplinary team meetings operate in stroke rehabilitation. DESIGN: Non-participant observation of multi-disciplinary team meetings and semi-structured interviews with attending staff. SETTING AND PARTICIPANTS: Twelve meetings were observed (at least one at each site) and 18 staff (one psychologist, one social worker; four nurses; four physiotherapists four occupational therapists, two speech and language therapists, one stroke co-ordinator and one stroke ward manager) were interviewed in eight in-patientstroke rehabilitation units. RESULTS: Multi-disciplinary team meetings in stroke rehabilitation were complex, demanding and highly varied. A model emerged which identified the main inputs to influence conduct of the meetings were personal contributions of the members and structure and format of the meetings. These were mediated by the team climate and leadership skills of the chair. The desired outputs; clinical decisions and the attributes of apparently effective meetings were identified by the staff. A notable difference between the meetings that staff considered effective and those that were not, was their structure and format. Successful meetings tended to feature a set agenda, structured documentation; formal use of measurement tools; pre-meeting preparation and skilled chairing. These features were often absent in meetings perceived to be ineffective. CONCLUSIONS: The main features of operation of multi-disciplinary team meetings have been identified which will enable assessment tools and interventions to improve effectiveness to be developed.
Authors: Jerôme Jean Jacques van Dongen; Marloes Amantia van Bokhoven; Ramon Daniëls; Stephanie Anna Lenzen; Trudy van der Weijden; Anna Beurskens Journal: Fam Pract Date: 2016-10-18 Impact factor: 2.267
Authors: Jerôme Jean Jacques van Dongen; Marloes Amantia van Bokhoven; Wilhelmus Nicolaas Marie Goossens; Ramon Daniëls; Trudy van der Weijden; Anna Beurskens Journal: Int J Integr Care Date: 2018-01-25 Impact factor: 5.120
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