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Multidisciplinary teams
LAITH ALASADI
video-1520712467.mp4
Multidisciplinary teams
A group composed of
members with varied
but complimentary
experiences,
qualifications, and skills
that contribute to the
achievement of the
organization specific
objectives
Working in Multi-disciplinary Teams
• The changing policy context - a
shift from ‘doing for’ to ‘doing
with’ - co-production, choice,
shared decision-making,
collaboration, coordination and
integration
• improve the quality of care in
large scale change
The Value of Metaphor
Consider your own
organization and your role:
Where do you see yourself?
Are you comfortable in that
position?
Where do you see others in
the team?
Questions
• What do you expect from your teammates?
• What should they expect from you?
What Shapes Our Beliefs and Values
about Multi-disciplinary Team
Working?
• Our life history (personal and professional
experience)
• The socialization process of the profession (e.g.
doctor, dentist, pharmacist, nurse, etc)
• Our previous experience of team working
(positive and negative)
• Personality(ies)
How to work in a multi-disciplinary
teams
• Like families, multi-disciplinary teams can work
brilliantly together – or be totally dysfunctional
1. Define roles and boundaries.
2. Be aware of power dynamics.
3. Taking decisions.
4. Different professionals have different views.
5. Input from service users.
• Every member should feel that they are
contributing
• Every member should feel that others are
contributing
• Every member should do all types of tasks
• Every member should be knowing the other
members of the team
• Every member should be working towards a
common goal in their own creative and distinct
way
LEADING A TEAM
•Multiple Styles
Find your own style
• Lead – don’t be the whole team
You can’t do everything yourself
• Lead – don’t follow
Don’t let the team members drive the team
• Lead – don’t drive
Don’t be a dictator
Philosophies and Approaches
There are three key philosophies in team working:
•Directive
•Integrative
•Elective
Example(s) of further approaches to team working:
•Parallel working
Directive Philosophy
-Hierarchical (status and
power)
-One person directs,
others ‘fall in’
- May determine the way
in which a team work and
learn
Integrative Philosophy
• Commitment to aspects of being a
team member (collaborative care,
team working)
• Complexity of communication is
accepted
• The contribution of individual roles is
understood
• Professional and team contributions
are valued equally
• Members learn from each other and
this supports development
Elective Philosophy
- Staff operate autonomously, linking only
when a need is identified
- Role clarity precludes negotiation of
boundaries
- Brevity of communication, informing
rather than discussing
Key Characteristics of Teams
Teams have the following characteristics:
•Team members have shared objectives in relation to their
work
•Team members interact with each other to achieve these
shared objectives
•Team members have well-defined roles, some of which are
differentiated from each other
•Teams have an organizational identity – they have a
defined organizational function and are recognized as a
team by others outside the team
•The tasks the team perform have consequences that affect
others inside or outside the organization
Benefits of Team Working
Patients Staff Organisation
Empowers patients as
active partners in care
Uses time more efficiently
Integrates health care for a
wide range of problems and
needs
Improves quality of care
and experience by
increasing coordination of
services, especially for
complex problems
Increases professional
satisfaction / experience
Enables the practitioner to
learn new skills and
approaches
Encourages innovation
Allows staff to focus on
individual areas of
expertise
Unleashes assets of all
staff, patients and wider
community
Maximizes resources and
facilities
Harnesses potential for
more efficient delivery of
care
Reduces burden on acute
care facilities as a result of
increased preventive care
Facilitates continuous
quality improvement
efforts (social and financial
return on investment)
MDT requiring:
• Respect and trust between members
• The best use of skill mix within the team
• Agreed clinical governance structure
• Agreed systems and protocols
• An equal voice for all
• Resolution of conflict
• Encouragement of constructive discussion
• Absence of personal agendas
Team Leader’s Roles
• Train teams in group problem-solving
techniques
• Master coaching skills for use with teams
• Help teams choose their own targets and goals
• Monitor and assess performance appraisals
• Monitor and assess the peer discipline process
• Help the teams expand their responsibilities
• Foster innovation in teams
• Monitor team competition to prevent unwanted
behaviours
• Refocus teams when necessary on team goals
• Share information
• Support/build on ideas or proposals
• Respect and acknowledge emotions, be patient
• Deal with negative behaviours in a firm but
friendly manner
• Break down conflicts, confirm agreements,
clarify areas of disagreement, in the team
• Identify your teams strengths and weaknesses
• Increase productivity and efficiency
• Improve their ability to solve problems
• Improve your managerial and leadership skills
• Improve support and trust levels among
employees
• Develop healthy inter-group relations
• Reduce stress in your workplace
Team-working Questionnaire
Task
• A number of statements are
listed that could describe a
team. Indicate how
accurately you think each
statement describes the
team in which you currently
work, or where you work
most of the time
:References
• Borrill, C. and West, M. (2002) Team Working and
Effectiveness in health care: findings from the health care
team effectiveness project, Birmingham: Aston Centre for
Health Service Organisation Research
• Borrill, C. (undated) Team Working Guide for Primary
Healthcare: NHS Health Development Agency
• NHS Institute for Innovation and Improvement and Royal
College of Nursing (2009) Developing and sustaining
Effective Teams – Getting Staring, an introduction and
overview
• The Health Foundation (2012) Cross Sector Working to
Support Large Scale Change
• Blackwell, A., Wilson, L., Boulton, C., and Knell, J. (2010)
Creating Value Across Boundaries; Maximizing the return
from interdisciplinary innovation
Thank you

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multi-disciplinary team

  • 3. Multidisciplinary teams A group composed of members with varied but complimentary experiences, qualifications, and skills that contribute to the achievement of the organization specific objectives
  • 4. Working in Multi-disciplinary Teams • The changing policy context - a shift from ‘doing for’ to ‘doing with’ - co-production, choice, shared decision-making, collaboration, coordination and integration • improve the quality of care in large scale change
  • 5. The Value of Metaphor Consider your own organization and your role: Where do you see yourself? Are you comfortable in that position? Where do you see others in the team?
  • 6. Questions • What do you expect from your teammates? • What should they expect from you?
  • 7. What Shapes Our Beliefs and Values about Multi-disciplinary Team Working? • Our life history (personal and professional experience) • The socialization process of the profession (e.g. doctor, dentist, pharmacist, nurse, etc) • Our previous experience of team working (positive and negative) • Personality(ies)
  • 8. How to work in a multi-disciplinary teams • Like families, multi-disciplinary teams can work brilliantly together – or be totally dysfunctional 1. Define roles and boundaries. 2. Be aware of power dynamics. 3. Taking decisions. 4. Different professionals have different views. 5. Input from service users.
  • 9. • Every member should feel that they are contributing • Every member should feel that others are contributing • Every member should do all types of tasks • Every member should be knowing the other members of the team • Every member should be working towards a common goal in their own creative and distinct way
  • 10. LEADING A TEAM •Multiple Styles Find your own style • Lead – don’t be the whole team You can’t do everything yourself • Lead – don’t follow Don’t let the team members drive the team • Lead – don’t drive Don’t be a dictator
  • 11. Philosophies and Approaches There are three key philosophies in team working: •Directive •Integrative •Elective Example(s) of further approaches to team working: •Parallel working
  • 12. Directive Philosophy -Hierarchical (status and power) -One person directs, others ‘fall in’ - May determine the way in which a team work and learn
  • 13. Integrative Philosophy • Commitment to aspects of being a team member (collaborative care, team working) • Complexity of communication is accepted • The contribution of individual roles is understood • Professional and team contributions are valued equally • Members learn from each other and this supports development
  • 14. Elective Philosophy - Staff operate autonomously, linking only when a need is identified - Role clarity precludes negotiation of boundaries - Brevity of communication, informing rather than discussing
  • 15. Key Characteristics of Teams Teams have the following characteristics: •Team members have shared objectives in relation to their work •Team members interact with each other to achieve these shared objectives •Team members have well-defined roles, some of which are differentiated from each other •Teams have an organizational identity – they have a defined organizational function and are recognized as a team by others outside the team •The tasks the team perform have consequences that affect others inside or outside the organization
  • 16. Benefits of Team Working Patients Staff Organisation Empowers patients as active partners in care Uses time more efficiently Integrates health care for a wide range of problems and needs Improves quality of care and experience by increasing coordination of services, especially for complex problems Increases professional satisfaction / experience Enables the practitioner to learn new skills and approaches Encourages innovation Allows staff to focus on individual areas of expertise Unleashes assets of all staff, patients and wider community Maximizes resources and facilities Harnesses potential for more efficient delivery of care Reduces burden on acute care facilities as a result of increased preventive care Facilitates continuous quality improvement efforts (social and financial return on investment)
  • 17.
  • 18. MDT requiring: • Respect and trust between members • The best use of skill mix within the team • Agreed clinical governance structure • Agreed systems and protocols • An equal voice for all • Resolution of conflict • Encouragement of constructive discussion • Absence of personal agendas
  • 19. Team Leader’s Roles • Train teams in group problem-solving techniques • Master coaching skills for use with teams • Help teams choose their own targets and goals • Monitor and assess performance appraisals • Monitor and assess the peer discipline process • Help the teams expand their responsibilities • Foster innovation in teams
  • 20. • Monitor team competition to prevent unwanted behaviours • Refocus teams when necessary on team goals • Share information • Support/build on ideas or proposals • Respect and acknowledge emotions, be patient • Deal with negative behaviours in a firm but friendly manner • Break down conflicts, confirm agreements, clarify areas of disagreement, in the team
  • 21. • Identify your teams strengths and weaknesses • Increase productivity and efficiency • Improve their ability to solve problems • Improve your managerial and leadership skills • Improve support and trust levels among employees • Develop healthy inter-group relations • Reduce stress in your workplace
  • 22. Team-working Questionnaire Task • A number of statements are listed that could describe a team. Indicate how accurately you think each statement describes the team in which you currently work, or where you work most of the time
  • 23. :References • Borrill, C. and West, M. (2002) Team Working and Effectiveness in health care: findings from the health care team effectiveness project, Birmingham: Aston Centre for Health Service Organisation Research • Borrill, C. (undated) Team Working Guide for Primary Healthcare: NHS Health Development Agency • NHS Institute for Innovation and Improvement and Royal College of Nursing (2009) Developing and sustaining Effective Teams – Getting Staring, an introduction and overview • The Health Foundation (2012) Cross Sector Working to Support Large Scale Change • Blackwell, A., Wilson, L., Boulton, C., and Knell, J. (2010) Creating Value Across Boundaries; Maximizing the return from interdisciplinary innovation