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Interdisciplinary hospice team processes and multidimensional pain: a qualitative study
1School of Social Work, Missouri State University, Springfield, Missouri 65897, USA. micheleday@missouristate.edu
Journal of Social Work in End-Of-Life & Palliative Care
|March 20, 2012
Summary
Hospice teams communicate about multidimensional pain using shared language. However, effective collaboration for pain management is often hindered by structural issues and a lack of clear team processes.
Area of Science:
- Palliative Care
- Healthcare Team Dynamics
- Interdisciplinary Communication
Background:
- Hospice teams aim to manage multidimensional pain through interdisciplinary collaboration.
- The specific processes of communication and collaboration within these teams remain underexplored.
Purpose of the Study:
- To explore communication and collaboration processes in hospice team pain palliation.
- To identify factors influencing effective interdisciplinary pain management.
Main Methods:
- Qualitative study involving individual interviews and 1-year observation.
- Data collected from physicians, nurses, aides, chaplains, and social workers across two hospices.
- Constant comparison analysis to identify thematic categories.
Main Results:
- A common language (biopsychosocial/spiritual terms) facilitates communication about multidimensional pain.
- A significant gap exists between multidisciplinary communication and collaborative pain treatment actions.
- Structural factors and lack of clarity regarding team meeting purpose, process reflection, and leadership impede effective pain palliation.
Conclusions:
- Social work roles should encompass leadership to foster interdisciplinary care for multidimensional pain.
- Addressing structural influences and enhancing team process understanding is crucial for optimizing hospice pain management.
- Further research is needed to bridge the gap between communication and collaboration in hospice settings.
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