Thought leadership articles from leading academic journals and trade magazines are identified and analyzed for answers to the six question-types central to decision making (what, why, how, when, where, who).
Balancing Ethical Uncertainty: The Dance of Interprofessional Roles
The feature article is examined for answers to six question-types associated with decision making at hospitals to improve interprofesional (IP) collaborations between nurses, doctors, social workers, pastoral care, genetics counselors, and others. Specifically, the analysis identifies the strategy (what, why) and implementation (how) associated with IP collaborations in context (when, where), while identifying who needs the insights.
Payne, C., & Farrell, K. (2015). Balancing Ethical Uncertainty: The Dance of Interprofessional Roles. Hospital Topics, 93(4), 77–83. JOUR. (view source article)
Interprofessional (IP) education has emerged globally as a means of improving overall healthcare quality, and to increase healthcare provider understanding of other roles. However, in situations of moral uncertainly, there are not clear procedures to address IP role interactions when tension and conflict emerge. This study reports secondary analysis findings from data in a large study related to moral distress in IP ethics consultations and collaborations. A basic qualitative, exploratory approach was utilized for data analysis with overtones of grounded theory. Eleven IP participants representing five disciplines comprised the sample. A model of IP role interaction was constructed from themes which were revealed to identify distinct facilitating actions and barriers as components of IP interactions serving to balance ethical decision making in the context of patient care. Specific role boundaries of the professions identified uncertainty as they interacted with multiple healthcare roles in patient care dilemmas.
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Each role involved in interprofessional collaborations is likely to have role-based differences in perceptions about strategies and the effectiveness of implementation.
For example, a pastoral care worker indicated "care is dependent upon a nurse's or tech--doctor's experience and do you want chaplaincy or religion. It's not consistent." (emphasis added).
The four strategies are identified by the authors as having a significant impact upon the outcomes of provider moral uncertainty and patient/family quality of care.
Ideas from thought leadership are important, but readiness to make decisions with precision remains a serious issue, unless there is data from your organization. If you like the sixQ model of interprofessional role interactions, why don’t you use it to assess your hospital? Did you know sixQ can turn any framework into a custom assessment?