Caoimhe Nic a Bháird, Penny Xanthopoulou, Georgia Black, Susan Michie, Nora Pashayan and Rosalind Raine
Previous research has identified a need for greater clarity regarding the functions of multidisciplinary team (MDT) meetings in UK community mental health services. The purpose of…
Abstract
Purpose
Previous research has identified a need for greater clarity regarding the functions of multidisciplinary team (MDT) meetings in UK community mental health services. The purpose of this paper is to identify the functions of these meetings by systematically reviewing both primary research and academic discussion papers.
Design/methodology/approach
Papers relating to adult community mental health teams (CMHTs) in the UK and published between September 1999 and February 2014 were reviewed and appraised using NICE quality checklists. The search was broad in scope to include both general CMHTs and specialist CMHTs such as early intervention psychosis services and forensic mental health teams. A thematic synthesis of the findings was performed to develop an overarching thematic framework of the reported functions of MDT meetings.
Findings
None of the 4,046 studies identified directly investigated the functions of MDT meetings. However, 49 mentioned functions in passing. These functions were categorised into four thematic domains: discussing the care of individual patients, teamwork, team management and learning and development. Several papers reported a lack of clarity about the purpose of MDT meetings and the roles of different team members which hindered effective collaboration.
Practical implications
Without clearly agreed objectives for MDT meetings, monitoring their effectiveness is problematic. Unwarranted variation in their functioning may undermine the quality of care.
Originality/value
This is the first systematic review to investigate the functions of CMHT MDT meetings in the UK. The findings highlight a need for empirical research to establish how MDT meetings are being used so that their effectiveness can be understood, monitored and evaluated.
Details
Keywords
William O'Driscoll, Gill Livingston, Anne Lanceley, Caoimhe Nic a' Bháird, Penny Xanthopoulou, Isla Wallace, Manonmani Manoharan and Rosalind Raine
The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors…
Abstract
Purpose
The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved.
Design/methodology/approach
Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts.
Findings
The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care.
Research limitations/implications
It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties.
Practical implications
In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan.
Originality/value
The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients.
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Keywords
Ansar Abbas, Dian Ekowati and Fendy Suhariadi
The current research review aims to provide a conceptual framework for future research on individual psychological distance in leadership tasks.
Abstract
Purpose
The current research review aims to provide a conceptual framework for future research on individual psychological distance in leadership tasks.
Design/methodology/approach
Through literature review, the authors developed an intended research framework.
Findings
The need of intended framework from theoretical perspective, meta-analysis and situational analysis is presented in this paper. The discussion on a present study about the various aspects of individual perspective, strategic leadership and its link with organizational outcomes are hypothetically aligned in the framework.
Originality/value
Strategic change management is the process of managing change in an organization. Change is critical to measure existing structures in the thoughtful way. Mapping individual behavior change is a difficult task, and organizational goals, objectives and missions are an important element of the learning process. Through this framework, the authors attempt to reach the model.