Name: Cindy Murphy

SNHS 450 IPE Grand Rounds Team Observation

As you watch the IPE Grand Rounds demonstration, watch for the following elements of an effective
team:

Leadership: The team has a clear leader or leadership structure that allows tasks to move forward and
people on the team to contribute

Communication: The individuals on the team had good communication skills and appropriate systems
were in place to promote team communication

Team Culture/Psychological Safety: The interaction demonstrated a culture of trust, and value of team
member contributions

Expertise: The team included appropriate members and allowed all members to be experts in their area
by demonstrating shared respect and understanding of each team member’s role, with autonomy of
practice and shared power

In addition to the elements above emphasized in your reading, Nancarrow et al. (2013) found the
following elements are needed for an effective interdisciplinary team. As you watch grand rounds look
for these elements and note where you see them.

Element to look for: What did you see in relation to this element?

Leadership - Gary was the first to talk (SW) (which created

an organic leader) and brought up first that
they want to facilitate better outcomes for
him and his family, which brought everyone
onto the same page if they weren't already

- The leader talked directly/called on Sarah

Welch (PT) directly to start the conversation

- Reiterated almost everyone’s points after

they spoke and brought in new facts and
things to address that hadn’t been addressed
previously

Agreed on team values - Everyone talked about their plan of care and
concerns with obvious intent to help Jorge
get better and empathizing with knowing that
there are a lot of concerns and steps to think
about for his best outcome
Name: Cindy Murphy

- At the end, everyone checked with everyone

and to see if everyone was in agreement

Trust: everyone’s contribution is valued - Gary related and elaborated on what PT

Sarah did

- Nutrition also talked about agreeing with PT

Sarah’s recommendations for their goal as
well

- Everyone seemed to be actively listening and

elaborating on everyone else’s insight and
thoughts

Evidence of infrastructure to facilitate - gary asked Sarah D to elaborate more bc she

communication and patient care knows Jorge better than all of them to
facilitate better plan of care

- They talk about his community violence

Patient focused with a process to incorporate - Talking about options they will give him and
patient feedback see what he would prefer or like or want
from all the feedback

- They talked about their plan of care as if they

were not definitive and that they will need to
speak later to him and his family to figure out
the best plan of care

- Referenced nursing because that is the

person who last saw him and knows him the
best, which is a good reference for
communication with the patient

Team communication strategies/process - Sarah D (nursing) - asked for help directly for
each discipline and understanding well what
the disciplines know and are able to control
and do

- Every discipline referenced each discipline at

least once throughout the entire process
whether to reiterate one thing they said,
agreeing on something, or adding onto a goal
that both of them have and can contribute to
Name: Cindy Murphy

Appropriate mix of professionals on the team - Very broad and sufficient group of
to meet needs of team function and expertise professionals that talked about his mental,
needed physical, nutritional, and medical health.

- Talked about a potential dental consult for

mouth issues that shows how thorough their
care is

The team has a process to access other - They all had great communication with each
professionals when needed other and talked about their goals for the
plan of care, and plans moving forward

Evidence of role interdependence while - The SW/leader apologize for interrupting

respecting individual roles and professional someone
autonomy
- Other members of the team also was very
respectful of not interrupting others during
their presentations and was apologetic if they
were to have interrupted someone

- Everyone talked about their roles and their

specific goals while also having some slight
overlap with other disciplines and reiterating
that it was brought up before