Dealing with a non-collaborative physician. How can you improve teamwork with the multidisciplinary team?

Improving teamwork with a non-collaborative physician involves fostering open communication, building trust, and emphasizing the shared goal of patient care. Start by scheduling regular team meetings to discuss patient cases and encourage input from all members, highlighting the value of diverse perspectives. Address conflicts privately and respectfully, seeking to understand the physician's concerns or reasons for non-collaboration. Offering professional development opportunities focused on teamwork and collaboration can also be beneficial. Ultimately, demonstrating a commitment to collaborative practice and patient outcomes can gradually enhance teamwork.

Initiate open and honest discussions with the physician to understand their perspective and concerns about teamwork Communicate in a respectful manner, using objective language and avoiding assumptions Clarify roles and responsibilities for each team member to avoid confusion

Antes de qualquer decisão, cabe identificar a causa raiz do problema e implantar um fluxo de cultura justa. Quais motivos levam esse médico a não contribuir. A melhor forma é uma conversa aberta, clara e transparente, individualmente. Não devemos nos precipitar. Escutar todos envolvidos é necessário

Existe uma cultura antiga centrada no médico que levava a toda e qualquer decisão do tratamento ser definida por ele. Não é mais possível seguirmos nessa cultura. O cuidado centrado no paciente parte do princípio que cada um é único e isso também vale para a equipe de saúde. O médico ainda pode ser o líder do tratamento, mas deve discutir e escutar toda equipe multidisciplinar e também o próprio paciente e familiares para entender eus desejos e angústias. O modelo de assistência deve ser interdisciplinar.

Start by recognizing and respecting the physician's expertise and contributions. Actively listen to their insights and incorporate their suggestions into team decisions. Encouraging them to lead projects or initiatives that align with their strengths reinforces their value within the team. Ensure the physician's input is valued in team discussions and decision-making processes. Foster an inclusive environment by actively seeking their opinions and encouraging them to share their perspectives. When making decisions, explicitly reference their contributions and how they influenced the final outcome. This demonstrates that their input is integral to the team's success, enhancing collaboration and building mutual respect and trust.

Após as conversas iniciais e identificação das causas, devemos criar um plano de ação para solucionar o problema. Esse plano pode ser desde educação com treinamentos, tratamento psicológico, esclarecimentos sobre funções e trabalho em equipe, troca de setor ou função, afastamento temporário ou até mesmo o desligamento desse médico da equipe. O líder deve traçar esse plano com cuidado e utilizando o PDCA, acompanhar seus resultados

Assess Barriers Identify specific barriers to collaboration, such as personality conflicts, communication breakdowns, or differences in priorities Gather input from all team members to gain a comprehensive understanding of the issues Role Clarification Clearly define the roles and responsibilities of each team member, including the physician Ensure that all team members understand their own roles and the roles of others Regularly review and adjust roles as needed to maintain clarity and avoid overlap