title: Interprofessional patient-centred practice in oncology teams: utopia or reality?
abstract: Studies on interprofessional practice usually report professionals' viewpoints and document organizational, procedural and relational factors influencing that practice. Considering the importance of interprofessional patient-centred (IPPC) practice, it seems necessary to describe it in detail in an actual context of care, from the perspective of patients, their families and health-care professionals. The goal of this study was to describe IPPC practice throughout the continuum of cancer care. A qualitative multiple case study was completed with two interprofessional teams from a Canadian teaching hospital. Interviews were conducted with patients, their families and professionals, and observation was carried out. Three themes were illustrated by current team practice: welcoming the person as a unique individual, but still requiring the patient to comply; the paradoxical coexistence of patient-centred discourse and professional-centred practice; and triggering team collaboration with the culmination of the patient's situation. Several influential factors were described, including the way the team works; the physical environment; professionals' and patients'/family members' stance on the collaboration; professionals' stance on patients and their families; and patients' stance on professionals. Finally, themes describing the desired IPPC practice reflect the wish of most participants to be more involved. They were: providing support in line with the patient's experience and involvement; respecting patients by not imposing professionals' values and goals; and consistency and regularity in the collaboration of all members.
authors: Faculty of Nursing, Université de Montréal , Montreal, Quebec , Canada and.
authors: Karine
authors: K
authors: Bilodeau
authors: Sylvie
authors: S
authors: Dubois
authors: Jacinthe
authors: J
authors: Pepin
mesh_terms: D001291:Attitude of Health Personnel; D002170:Canada; D003299:Cooperative Behavior; D004777:Environment; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009369:Neoplasms / Q000628:therapy*; D010348:Patient Care Team / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration*; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D036301:Qualitative Research; D012947:Social Work / Q000458:organization & administration
keywords: Case study; interprofessional practice; oncology; patient-centred practice; teamwork