Communication Among Interdisciplinary Teams

Rose ShandrowFranciscan Health System

August 7, 2008

Objectives To affirm the need for communicating

effectively with interdisciplinary team members

To highlight communication challenges To identify communication strategies and

processes

Necessity of Communication

Spirit

Spirit

MindBody

Body

Mind

Spirit

Necessity of Communication

To show how tending to the spiritual care needs of the person is valuable in the healing process.

To articulate the value of the work of chaplains in a way that is understood by corporate thinkers and by other disciplinary team members.

To articulate how the role of chaplains is integral in the operations of the institutions

Communication Challenges

“Spiritual Care” is intangible and is challenging to describe.

Different understanding/interpretations/perspective of the role of chaplains

Lack of common language Attitudes

FHS Spiritual Care Performance Improvement Project

Phase I: When chaplains are called to provide assistance, what needs are they asked to address?

Phase II: What specific functions do chaplains perform to address these needs?

Phase III: What are the observable outcomes resulting from the chaplain function?

Result: Spiritual Assessment Framework

Careful Listening Empathic Reflecting

Gentle Querying Insightful Interpreting

Establishing Rapport

Crisis Ministry Supportive Validating Informing Presence and Networking Resource Enhancing

Instructing Religious Support Spiritual Support Spiritual Counseling Facilitating Self Forgiveness Reconciling Estrangement

Grief Support Grief Counseling End of Life Care Adjustment Counseling

Emotional Support

Spiritual/Religious Concerns

Loss / Adjustment A S S E S S I N G

Ethics Consultation

Family Systems Facilitating Advocacy Mental Health/Addictions Referral Family Referral Love Life Consulting

Advocacy /Referral

Spiritual Assessment Form

What are the needs?

What did we provide?

What is the plan of care?

Pastoral Care EncountersDepartment

Able to identify the workload of the chaplains

Family31%

Patients51%

Staff18%

4%14%

11%

50%

5%

16%

Phone

Pager

STAROrders

DirectContact

Code

DirectStaff

Types of Referrals

0

5000

10000

15000

20000

25000

30000

Spiritual Care Needs 26116 6493 12,249 2297

Emotional Support Loss & AdjustmentSpiritual & Religious

SupportAdvocacy/Referral/Ethics

Spiritual Care Needs Addressed

Types of Functions to Address Needs

0

2000

4000

6000

8000

10000

12000

1

Emotional Support

Crisis Ministry

Supportive Validating

Informing

Presence & Networking

Resource Enhancing

Types of Functions to Address Needs

0

500

1000

1500

2000

2500

3000

1

Loss/Adjustment

Grief Support

Grief Counseling

EOL Spiritual Care

AdjustmentCounseling

Types of Functions to Address Needs

0

1000

2000

3000

4000

5000

6000

1

Spiritual & Religious Support

Instructing

Religious Support

Spiritual Support

Spiritual Counseling

Self Forgiveness

Estrangement

Types of Functions to Address Needs

0

100

200

300

400

500

600

700

800

900

1

Advocacy & Referral

Ethics Consultation

Family Facilitating

Advocacy

Addiction Referral

Family Referral

Love Life

Spiritual Care NeedsClinical Area

0%

20%

40%

60%

80%

1

Spiritual Care Needs AddressedEmergency Department

Emotional Support

Loss and Adjustment

Spiritual & ReligiousSupport

Advocacy, Referral,Ethics

0%

5%

10%

15%

20%

25%

30%

1

Emotional Support--ED

Crisis Ministry

Supportive Validating

Informing

Presence & Networking

Resource Enhancing

Spiritual Care NeedsStaff

0%

10%

20%

30%

40%

50%

60%

70%

1

Spiritual Care Needs AddressedStaff

Emotional Support

Loss and Adjustment

Spiritual & ReligiousSupport

Advocacy, Referral,Ethics

0%

5%

10%

15%

20%

25%

30%

35%

40%

1

Emotional Support--Staff

Crisis Ministry

Supportive Validating

Informing

Presence & Networking

Resource Enhancing

18

7 - Prior Grief Major past loss being currently grieved

19

7. Prior Grief

Grief Counseling

•Mentions previous loss•Expresses emotion•Receives validation•Shares reminiscences •Cries while talking about the lost loved one•Receives referral for further grief assistance•Expresses greater hope

FunctionFunction Desired OutcomesDesired Outcomes

Grief Counseling Outcomes(%)

0

10

20

30

40

50

60

70

80

90

1

Mention of the Loss

Observable Emotion

Receives Validation

Reminisces

Shows Tears

Considers Referrals

Signs of New Hope

Spiritual Care and Mission Integration at Franciscan Health System

Clinical activities

Multidisciplinary concept Spiritual Assessment

Emotional support Loss & Adjustment support Religious/Spiritual support Advocacy/Referrals/Ethics

Measurements

Mission related activities

Para-liturgical ceremonies Blessing Rites Memorials for Staff CHI Feast Days

Staff support Care for Caregivers Healthy U Reflections Cornerstone Employee Assistance

Committees Diversity Committee Plan of Care Committee Disaster Preparedness Committee Ethics Committee Process Improvement Teams

Presentations Community Support

Parent Support Group-Memorial Service Deanery Relationships Archdiocesan relationships

Communication Techniques Define terms Document services rendered Define roles and responsibilities

Distinguish between direct care giver and educator Make rounds Use metrics to reflect opportunities for

collaboration Integrate with Mission

Questions?