Strategies for Developing an Interdisciplinary Approach in Complex Patient Care
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Themes
Interdisciplinary approach, complex patient care, care teams, conventional care units, multi-disciplinary follow-up, patient involvement, communication regulation, care plans, liaison teams
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Abstract
This document explores the strategies that care teams in conventional care units can use to develop an interdisciplinary approach during complex patient care. Based on a research question and empirical exploration, the document highlights the importance of multi-disciplinary follow-up, patient involvement, communication regulation, and care plans through team meetings. The document also discusses the role of liaison teams and the need for specific approach in complex care situations.
Extract
[...] How does the follow-up of care for a patient proceed? How do you communicate with the care unit? How can you be sure that the indicated care is correctly respected (in the event that the team transmits the information incorrectly)? When a patient is relocated from your care unit, do you visit them? Can you act autonomously based on an oral request or do you need a prescription for certain acts? How does the physiotherapist's intervention unfold? From the call (step to the end of hospitalization? [...]
[...] In this context concerning the shared clinical reasoning of this internship site, a questioning emerges: « To which strategies can the caring team of a conventional care unit resort in order to develop an interdisciplinary approach during complex care interventions? 2. Theoretical exploration of the research problem 2.1 Exploration of the initial question Within this first part, it seems essential to define several theoretical concepts related to the initial question. 2.1.1 Complex care This particular concept that encompasses part of the patients that the hospital welcomes can be defined in several ways. [...]
[...] How are care projects created within your day hospital geriatric unit? Who comes up with the idea of a care project? 13. Is there a specific discipline that could trigger a care project more quickly? If so, which one? Can any discipline start a PGS? Is there a "conductor" for this project? 14. In your opinion, what are the advantages of working in a team? On the other hand, what are the disadvantages? 15. What would you like to change to improve this team work? 16. [...]
[...] Interdisciplinarity is already present through neurology, geriatrics and other care units with complex care. Collaboration is evident in geriatric departments since the objective is common to each discipline and all staff follow the same direction. It is a great advantage, especially when the doctor requests additional examinations and paramedical interventions. They are rarely discussed and quickly carried out. In the sense of the team, everyone is on an equal footing, subordination is absent and they form a unit where everyone can express themselves. [...]
[...] Problematic At the end of the theoretical and empirical exploration, it seems clear that interdisciplinarity has a real benefit for patient care. Especially when care is complex. As defined in the theoretical exploration, care is considered complex when it is a therapeutic approach for a patient with multiple needs and requires a multidisciplinary intervention to specifically meet the patient's needs. Following the analysis of interviews with various healthcare professionals, this definition seems to correspond to the caregivers' vision. Depending on the hospital department where this interdisciplinary approach is implemented, it is adapted according to the operating habits or specific to the patient profile. [...]
