TY - JOUR
KW - Canada
KW - Communication
KW - Cooperative Behavior
KW - Decision Making
KW - Group Processes
KW - Health Personnel/organization & administration
KW - Humans
KW - Interprofessional Relations
KW - Patient Care Team/organization & administration
KW - Primary Health Care/organization & administration
KW - Social Work/organization & administration
AU - E. Quinlan
AU - S. Robertson
A1 - 
AB - Empirical research on multi-disciplinary health care teams has yet to explore the development of mutual understanding between team members in the course of their collective clinical decision-making. This paper addresses this gap in the literature directly by examining changes in mutual understanding and the extent to which its facilitation is shared by individual members of multi-disciplinary health care teams. A Habermasian theoretical framework is used to operationalize mutual understanding. Social network analysis is used to analyze survey data on team-based clinical decision-making collected from multi-disciplinary health care teams in a Canadian province. The results of the study indicate that mutual understanding between team members ebbs and flows over the course of their collective clinical decisions. Further, as the extent of mutual understanding within the team increases, its facilitation becomes more equally shared among team members. The paper closes by specifying a practical outcome of the future work: a typology of clinical decisions that health care teams are able to use as an evaluation tool to assess how effectively they are making collective clinical decisions. As an evaluation tool, the typology would foster open and deliberative discussion, enable critical self-reflection, and thereby further enhancing mutual understanding within the teams.
BT - Journal of interprofessional care
C5 - General Literature
CP - 5
CY - England
DO - 10.3109/13561820903520385
IS - 5
JF - Journal of interprofessional care
N2 - Empirical research on multi-disciplinary health care teams has yet to explore the development of mutual understanding between team members in the course of their collective clinical decision-making. This paper addresses this gap in the literature directly by examining changes in mutual understanding and the extent to which its facilitation is shared by individual members of multi-disciplinary health care teams. A Habermasian theoretical framework is used to operationalize mutual understanding. Social network analysis is used to analyze survey data on team-based clinical decision-making collected from multi-disciplinary health care teams in a Canadian province. The results of the study indicate that mutual understanding between team members ebbs and flows over the course of their collective clinical decisions. Further, as the extent of mutual understanding within the team increases, its facilitation becomes more equally shared among team members. The paper closes by specifying a practical outcome of the future work: a typology of clinical decisions that health care teams are able to use as an evaluation tool to assess how effectively they are making collective clinical decisions. As an evaluation tool, the typology would foster open and deliberative discussion, enable critical self-reflection, and thereby further enhancing mutual understanding within the teams.
PP - England
PY - 2010
SN - 1469-9567; 1356-1820
SP - 565
EP - 578
EP - 
T1 - Mutual understanding in multi-disciplinary primary health care teams
T2 - Journal of interprofessional care
TI - Mutual understanding in multi-disciplinary primary health care teams
U1 - General Literature
U2 - 20102267
U3 - 10.3109/13561820903520385
VL - 24
VO - 1469-9567; 1356-1820
Y1 - 2010
ER -