High-quality patient-centered palliative care: interprofessional team members' perceptions of social workers' roles and contribution.

A core tenet of interprofessional collaborative practice (IPCP) is that efficient and effective teams are critical for the delivery of high-quality, patient-centered care. Although palliative care has a history of excellent care, increasing demands and larger patient loads are challenging teams to a...

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Published in:Journal of Interprofessional Care Vol. 38; no. 1; pp. 1 - 10
Main Authors: O'Donnell, Arden, Gonyea, Judith, Wensley, Taylor, Nizza, Megan
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd 2024
Online Access:View this record in EBSCOhost
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      dt: 2024
      vid: 38
      iid: 1
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13561820.2023.2238783
        174756478
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        atl: High-quality patient-centered palliative care: interprofessional team members' perceptions of social workers' roles and contribution.
      aug:
        au:
          O'Donnell, Arden
          Gonyea, Judith
          Wensley, Taylor
          Nizza, Megan
        affil: School of Social Work, Boston University, Boston, USA
      sug:
        subj:
          Palliative Care
          Patient Centered Care
          Interprofessional Relations
          Social Workers
          Social Worker Attitudes
          Professional Role
          Human
          Qualitative Studies
          Semi-Structured Interview
          Models, Theoretical
          Joint Practice
          Hospitals
          Therapeutic Alliance
          Support, Psychosocial
      ab: A core tenet of interprofessional collaborative practice (IPCP) is that efficient and effective teams are critical for the delivery of high-quality, patient-centered care. Although palliative care has a history of excellent care, increasing demands and larger patient loads are challenging teams to adapt and strengthen team functioning in hospital settings. The purpose of this qualitative study was to better understand the IPCP contributions of advanced palliative social workers (PSWs) through the eyes of their colleagues. Twenty-four interprofessional palliative care (IPPC) team members from other professions (i.e. nurse practitioners, physicians, physician assistants) from 16 hospitals across the U.S. participated in 20-minute semi-structured interviews. The Patient-Centered Clinical Method (PCCM) was used as a conceptual model to aid in the interpretation of the data. This model illuminated the centrality of PSWs' role in building and sustaining a therapeutic alliance between the patient and the IPPC team, through assessing and promoting care that centers the patient's experience with illness, creating space to initiate, process and revisit difficult healthcare conversations and helping to modulate the pace and intensity of emotionally laden discussions. PSWs also support the therapeutic relationship with the IPPC team by providing continuity and connection across and during the hospital experience and supporting the well-being of the IPPC team. This study offers novel insights into how PSWs contribute to patient-centered IPPC and furthers the articulation of the role of PSWs in hospital settings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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