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Professional Practice and Patient Care: Multidisciplinary Teamwork in Geriatric Wards

Published online by Cambridge University Press:  14 November 2008

Helen Evers
Affiliation:
Senior Research Fellow, Department of Sociology, University of Warwick, Coventry, England.

Abstract

This paper aims to examine aspects of the nature of multidisciplinary teamwork in geriatric care. First, some of the medical profession's current views of teamwork in geriatrics will be summarized. Second, case studies from a research project on care of geriatric patients in hospital will be used to illustrate some of the strengths and limitations of the adoption of a teamwork approach by health care professionals. Evidence from research suggests that under only a few circumstances does care of the geriatric patient match the images of teamwork as portrayed in the professional literature. This finding in part reflects piecemeal developments in interprofessional responsibilities and relationships in policy and practice of care of the elderly.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1982

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References

NOTES

1 Webb, A. L. and Hobdell, M., ‘Co-ordination and Teamwork in the Health and Personal Social Services’. In Teamwork in the Personal Social Services and Health Care. Lonsdale, S., Webb, A. L. and Briggs, T. L. (eds), Croom Helm, London, 1980.Google Scholar

2 Fairhurst, E., ‘Teamwork as Panacea: Some underlying assumptions’. Unpublished paper read at Annual Conference of the Medical Sociology Group of the British Sociological Association, University of Warwick, 09 1977.Google Scholar

3 Brocklehurst, J. C., ‘Inculcation of Appropriate Attitudes and Skills. In Care of the Elderly. Exton-Smith, A. N. and Grimley Evans, J. (eds), Academic Press, London, 1977.Google Scholar

4 Hodkinson, H. M., An Outline of Geriatrics, Academic Press, London, 1975.Google Scholar

5 Webb, A. L. and Hobdell, M., op. cit.Google Scholar

6 Hughes, E. C., (1956) ‘Social Role and the Division of Labor’. Reprinted in The Sociological Eye, Aldine–Atherton, Chicago, Illinois, 1971.Google Scholar

7 Stacey, M., ‘The Division of Labour Revisited or Overcoming the Two Adams’. Paper read at 30th Annual Conference of the British Sociological Association, University of Lancaster, 04 1980Google Scholar. To be published in a collection of papers, Allen and Unwin, London.

8 British Geriatrics Society and Royal College of Nursing, Improving Geriatric Care in Hospital, Royal College of Nursing, London, 1975.Google Scholar

9 National Corporation for the Care of Old People, Continuing Care Project: Organizing aftercare. N.C.C.O.P., London, 1979.Google Scholar

10 Fairhurst, E., 1977, op. cit.Google Scholar

11 Webb, A. L. and Hobdell, M., op. cit.Google Scholar

12 Barker, J., ‘The Relationship of “Informal” Care to “Formal” Social Services: Who helps people deal with social and health problems if they arise in old age?’ In Teamwork in the Personal Social Services and Health Care., op. cit.Google Scholar

13 Fairhurst, E., ‘What do you do?’ Multiple realities in occupational therapy and rehabilitation. In Medical Work: Realities and routines. Eds. Atkinson, P. and Heath, C., Gower Publishing Co., Famborough, 1981.Google Scholar

14 Webb, A. L. and Hobdell, M., op. cit.Google Scholar

15 Hodkinson, H. M., op. cit.Google Scholar

16 British Geriatrics Society and Royal College of Nursing, op. cit.

17 Report of the Royal Commission on the National Health Service, Cmnd. 7165, H.M.S.O., 1979.

18 Dingwall, R., ‘Problems of Teamwork in Primary Care’. In Teamwork in the Personal Social Services and Health Care, op. cit.Google Scholar

19 Fairhurst, E., 1977, op. cit.Google Scholar

20 Strauss, A., ‘The Hospital and its Negotiated Order’. In The Hospital in Modern Society. Freidson, E. (ed.), Free Press, New York, 1963.Google Scholar

21 Davies, C. and Francis, A., ‘Perceptions of Structure in National Health Service Hospitals’. In The Sociology of the National Health Service. Ed. Stacey, M., Sociological Review Monograph, 22, University of Keele, Keele, Staffs, 1976.Google Scholar

22 Chalmers, G. L., Caring for the Elderly Sick, Pitman Medical, Tunbridge Wells, 1980.Google Scholar

23 McIntosh, J. and Dingwall, R., ‘Teamwork in Theory and Practice’. In Readings in the Sociology of Nursing. Dingwall, R. and McIntosh, J. (eds), Churchill Livingstone, Edinburgh, 1978.Google Scholar

24 Miller, E. J. and Gwynne, G. V., A Life Apart: A pilot study of residential institutions for the physically handicapped and the young chronic sick, Tavistock, London, 1972.Google Scholar

25 Hughes, E. C., 1956, op. cit.Google Scholar

26 Goffman, E., Asylums. Anchor Books, Doubleday & Co., New York, 1961.Google Scholar

27 Brown, G. W., ‘The Mental Hospital as an Institution’, Social Science and Medicine 7, 1973, 407–24.CrossRefGoogle ScholarPubMed

28 King, R. D., Raynes, N. V. and Tizard, J., Patterns of Residential Care, Rout-ledge and Kegan Paul, London, 1971.Google Scholar

29 Wells, T. J., Problems in Geriatric Nursing Care, Churchill Livingstone, Edinburgh, 1973.Google Scholar

30 Irvine, E. E., Bagnall, D. K. and Smith, B. J., The Older Patient: A textbook of geriatrics, Hodder and Stoughton, London, 3rd Edition, 1978.Google Scholar

31 Hodkinson, H. M., op. cit.Google Scholar

32 Brocklehurst, J. C., Textbook of Geriatric Medicine and Gerontology, Churchill Livingstone, Edinburgh, 1973.Google Scholar

33 Irvine, E. E., Bagnall, D. K. and Smith, B. J., op. cit.Google Scholar

34 Brown, G. W., op. cit.Google Scholar

35 Webb, A. L. and Hobdell, M., op. cit.Google Scholar

36 Townsend, P., ‘The needs of the elderly and the planning of hospitals’. In Needs of the elderly. Canvin, R. W. and Pearson, N. G. (eds). University of Exeter, 1973.Google Scholar

37 Grimley Evans, J., ‘Institutional care: Current issues in the U.K.’ In Care of the elderly. Exton-Smith, A. N. and Grimley Evans, J. (eds), Academic Press, London, 1977.Google Scholar

38 Hughes, E. C., (1951) ‘Studying the Nurse's Work. Reprinted in: The Sociological Eye, Aldine-Atherton, Chicago, Illinois, 1971.Google Scholar