Model of multidisciplinary teamwork in hip fracture care

Model of multidisciplinary teamwork in hip fracture care

Shared responsibility across the multidisciplinary team is fundamental to delivery of hip fracture care.

This recent study, conducted in England, aimed to characterize professionals’ views about the core components of multidisciplinary teamwork in hip fracture care. Forty healthcare professionals including orthopaedic surgeons, orthogeriatricians, physiotherapists and service managers were interviewed.

Four core components of successful multidisciplinary teamwork for hip fracture care and one central underpinning concept were identified:

(1) defined roles and responsibilities,

(2) information transfer processes,

(3) shared goals and

(4) collaborative leadership.

In more detail:

  • Defined roles and responsibilities were promoted through formal care pathways, reinforced through induction and training with clear job plans outlining tasks.
  • Information transfer processes facilitated timely information exchange to appropriate individuals.
  • Well-defined common purpose was hindered by complex interdisciplinary professional relationships, particularly between orthogeriatric and orthopaedic staff, and encouraged through multidisciplinary team meetings and training.
  • Clinical service leads were integral to bridging interdisciplinary boundaries. Mutual trust and respect were based on recognition of the value of different professional groups.
  • Teamwork depended on formal clinical leads with facilitative and motivational roles, and on hospital leadership that created an environment supporting collaboration.
  • Shared responsibility for patients was encouraged by joint orthopaedic and orthogeriatric care models. Staff shared responsibility by assisting colleagues when needed.

According to the authors: "Our findings provide a basis for future training, skills development and assessment of multidisciplinary teamwork for hip fracture care in the UK. Further work is needed to understand leadership configurations in hip fracture care, particularly the role of ‘emergent’ leaders who do not have formal roles but exert considerable influence within teams."

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