Roles
Mattessich and Monsey (1992) argue that
professionals need to be secure in their
own roles and to know what they can
offer and, in turn, what they can rely on
others to provide in the context of palliative
care (see also Bronstein, 2003).
Further, Billig (1987) identified a solid
professional identity as an important
component of successful teamwork.
However, Aimmermann (1994) found
that in palliative care interdisciplinary
teams, members do not usually work
with these distinct divisions between their
roles. Responsibilities and expectations are
typically blurred, so that what one team
member is 'supposed to do' may overlap
with the expectations of another team
member. This can be explained partly
by the philosophical position underpinning
palliative care, which identifies
clearly the patient/family as the decision
'leader' with patient and family decisions
as the prime drivers in care (Buckingham,
1996). Indeed, Cummings (1998) places
the patient and family at the centre of the
interdisciplinary team. This focus may
render the leadership role redundant and
lead to ambiguity and role blurring being
advocated as a positive aspect of palliative
care interdisciplinary teams (Ryan, 1996).
RolesMattessich and Monsey (1992) argue thatprofessionals need to be secure in theirown roles and to know what they canoffer and, in turn, what they can rely onothers to provide in the context of palliativecare (see also Bronstein, 2003).Further, Billig (1987) identified a solidprofessional identity as an importantcomponent of successful teamwork.However, Aimmermann (1994) foundthat in palliative care interdisciplinaryteams, members do not usually workwith these distinct divisions between theirroles. Responsibilities and expectations aretypically blurred, so that what one teammember is 'supposed to do' may overlapwith the expectations of another teammember. This can be explained partlyby the philosophical position underpinningpalliative care, which identifiesclearly the patient/family as the decision'leader' with patient and family decisionsas the prime drivers in care (Buckingham,1996). Indeed, Cummings (1998) placesthe patient and family at the centre of theinterdisciplinary team. This focus mayrender the leadership role redundant andlead to ambiguity and role blurring beingadvocated as a positive aspect of palliativecare interdisciplinary teams (Ryan, 1996).
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