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Workshop - Understanding and managing inter- and intra- team conflict in paediatric palliative care
Session Description
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This workshop is limited to 50 participants
Jenny Hynson
Paediatric Palliative Care Australia and New Zealand
Background
One of the characteristic features of children’s palliative care is prognostic uncertainty. Many of the illnesses encountered progress in ways that can be difficult to predict and while welcome, therapeutic innovations add further to the uncertainty. Even the most experienced clinicians struggle to know if and when any given child’s condition might deteriorate. This makes decision-making challenging. When should this child be referred to a specialist palliative care service? What interventions are and are not in their best interest? The answers to these questions may be viewed differently by different clinicians depending on their values, experience and belief systems. Added to this are the emotional responses that clinicians can experience. Grief, guilt and a desire to ‘fix’ problems can all influence how clinicians think and act.
Providing palliative care to children with life-limiting conditions requires sophisticated team work both within the specialist palliative care team itself and between the multitude of teams often involved. The diagnostic diversity encountered in this area means that specialist paediatric palliative care providers must work with multidisciplinary teams from a range of paediatric specialties such as neurology, oncology, neonatology and cardiology. There is the added complexity of working with clinicians from community palliative care, disability, education and general practice. All of these teams will have their own value systems, world views and philosophies of practice.
All of these factors create an environment in which conflict can arise. In turn, conflict can impact negatively on patient care and lead to moral distress and burnout for clinicians.
This workshop will explore what drives conflict between individual health professionals and teams and offers participants an opportunity to learn new skills in working through ethical dilemmas, moral distress and conflict.
While the workshop will explore intra- and inter-team conflict in the paediatric setting, the strategies discussed will have broader application across palliative care.
Aims and Objectives
This workshop is limited to 50 participants
Jenny Hynson
Paediatric Palliative Care Australia and New Zealand
Background
One of the characteristic features of children’s palliative care is prognostic uncertainty. Many of the illnesses encountered progress in ways that can be difficult to predict and while welcome, therapeutic innovations add further to the uncertainty. Even the most experienced clinicians struggle to know if and when any given child’s condition might deteriorate. This makes decision-making challenging. When should this child be referred to a specialist palliative care service? What interventions are and are not in their best interest? The answers to these questions may be viewed differently by different clinicians depending on their values, experience and belief systems. Added to this are the emotional responses that clinicians can experience. Grief, guilt and a desire to ‘fix’ problems can all influence how clinicians think and act.
Providing palliative care to children with life-limiting conditions requires sophisticated team work both within the specialist palliative care team itself and between the multitude of teams often involved. The diagnostic diversity encountered in this area means that specialist paediatric palliative care providers must work with multidisciplinary teams from a range of paediatric specialties such as neurology, oncology, neonatology and cardiology. There is the added complexity of working with clinicians from community palliative care, disability, education and general practice. All of these teams will have their own value systems, world views and philosophies of practice.
All of these factors create an environment in which conflict can arise. In turn, conflict can impact negatively on patient care and lead to moral distress and burnout for clinicians.
This workshop will explore what drives conflict between individual health professionals and teams and offers participants an opportunity to learn new skills in working through ethical dilemmas, moral distress and conflict.
While the workshop will explore intra- and inter-team conflict in the paediatric setting, the strategies discussed will have broader application across palliative care.
Aims and Objectives
- To better understand the drivers of conflict between health professionals and teams
- To examine some of the more commonly encountered ethical dilemmas and potential approaches to thinking these through
- To better understand the origins and manifestations of moral distress
- To explore strategies for resolving conflict Key Learnings
- Recognition of the factors that drive conflict
- Approaches to ethical dilemmas
- Approaches to managing moral distress
- Basic skills in mediating disputes between individuals and teams
