Related Experiment Videos
Facilitators and barriers for interdisciplinary collaboration in pediatric palliative care: A cross-sectional survey
Maureen M Kemna1, Marijanne Engel1, Everlien De Graaf1
1Julius Center for Health Sciences and Primary Care, Department of General Practice & Nursing Science, Center of Expertise in Palliative Care Utrecht, University Medical Center Utrecht, Utrecht University, The Netherlands.
Background:
Pediatric palliative care requires input from various healthcare professionals to meet the changing needs of children and their families. Effective interdisciplinary collaboration across care settings is essential to ensure continuity and quality of care.
Aim:
To identify facilitators and barriers for interdisciplinary collaboration within pediatric palliative care as perceived by diverse healthcare professionals.
Design:
Cross-sectional survey in which participants reflected on their most recent pediatric palliative care case, using the Index of Interdisciplinary Collaboration, and reported their satisfaction with care coordination, continuity, and quality in this case.
Setting/Participants:
Physicians, nurses, and paramedical professionals in home care, regional, and academic hospitals who had provided palliative care within the previous 3 years. As pediatric palliative care may extend over a longer period, participants reflected on collaboration during the entire care process for a now-deceased child.
Results:
In total, 208 healthcare professionals participated. Fifteen facilitators and six barriers were identified. Facilitators included role clarity, task flexibility, family participation, and the perceived importance and added value of interdisciplinary collaboration and included active collaboration with home care nurses, Children's Palliative Care Teams and lead clinicians. Barriers related mainly to insufficient communication, limited evaluation, and inadequate organization of interdisciplinary collaboration. Satisfaction with care coordination, continuity and quality was high.
Conclusion:
Improving interdisciplinary collaboration in pediatric palliative care requires strategies that strengthen organizational and managerial structures, while actively engaging both experienced and less experienced professionals across different care settings. Enhancing awareness of each other's roles, needs, and capacities is essential to foster more effective interdisciplinary collaboration.
Related Concept Videos
01:18Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:25Continuing Care
01:21Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:27Ethical Issues
Ethical Concerns in Healthcare:
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...