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Interprofessional Work in Serious Illness Communication in Primary Care: A Qualitative Study
Joshua R Lakin1,2,3, Emily Benotti1, Joanna Paladino1,2
11 Ariadne Labs, Brigham and Women's Hospital and Harvard Chan School of Public Health, Boston, Massachusetts.
Journal of Palliative Medicine
|January 29, 2019
Summary
Improving serious illness communication requires interprofessional teams. This study highlights the importance of clear roles, strong relationships, and structured interventions for effective serious illness conversations.
Area of Science:
- Healthcare delivery
- Interprofessional collaboration
- Serious illness communication
Background:
- Serious illness communication is a high-value intervention with increasing demand.
- Interprofessional teams show promise for improving serious illness communication.
- Understanding interprofessional dynamics in this area is crucial.
Purpose of the Study:
- To explore primary care clinicians' perceptions of interprofessional work in serious illness communication.
- To identify factors influencing the effectiveness of interprofessional serious illness communication.
Main Methods:
- Qualitative analysis of semistructured key informant interviews.
- Study participants included physicians, care coordination nurses, and social workers.
- Data were collected from clinicians implementing the Serious Illness Care Program.
Main Results:
- Interprofessional teams, nurses, and individual initiative are vital for serious illness communication.
- Preparation and structured programs enhance communication quality.
- Program implementation can reveal systemic issues limiting effectiveness.
Conclusions:
- Effective serious illness communication programs require clear professional roles and responsibilities.
- Attention to interprofessional and clinician-patient relationships is essential.
- Structured interventions are needed to optimize systemic support for serious illness communication.
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