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A pre-post test evaluation of the impact of the PELICAN MDT-TME Development Programme on the working lives of colorectal cancer team members

A pre-post test evaluation of the impact of the PELICAN MDT-TME Development Programme on the working lives of colorectal cancer team members
A pre-post test evaluation of the impact of the PELICAN MDT-TME Development Programme on the working lives of colorectal cancer team members
Background: the PELICAN Multidisciplinary Team Total Mesorectal Excision (MDT-TME) Development Programme aimed to improve clinical outcomes for rectal cancer by educating colorectal cancer teams in precision surgery and related aspects of multidisciplinary care. The Programme reached almost all colorectal cancer teams across England. We took the opportunity to assess the impact of participating in this novel team-based Development Programme on the working lives of colorectal cancer team members.

Methods: the impact of participating in the programme on team members' self-reported job stress, job satisfaction and team performance was assessed in a pre-post course study. 333/568 (59%) team members, from the 75 multidisciplinary teams who attended the final year of the Programme, completed questionnaires pre-course, and 6-8 weeks post-course.

Results: across all team members, the main sources of job satisfaction related to working in multidisciplinary teams; whilst feeling overloaded was the main source of job stress. Surgeons and clinical nurse specialists reported higher levels of job satisfaction than team members who do not provide direct patient care, whilst MDT coordinators reported the lowest levels of job satisfaction and job stress. Both job stress and satisfaction decreased after participating in the Programme for all team members. There was a small improvement in team performance.

Conclusions: participation in the Development Programme had a mixed impact on the working lives of team members in the immediate aftermath of attending. The decrease in team members' job stress may reflect the improved knowledge and skills conferred by the Programme. The decrease in job satisfaction may be the consequence of being unable to apply these skills immediately in clinical practice because of a lack of required infrastructure and/or equipment. In addition, whilst the Programme raised awareness of the challenges of teamworking, a greater focus on tackling these issues may have improved working lives further
1472-6963
187-[25pp]
Taylor, Cath
9516d655-6e7c-4310-b1e9-e916d1b9de4e
Sippitt, Joanna M.
f85582c7-85e6-4b34-ad11-9890178c1068
Collins, Gary
f295b909-e003-4542-8e43-281036df3060
McManus, Chris
5d45cc5f-aa93-4ce5-ac21-c019d3873403
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Dawson, Jeremy
84b11369-f285-4162-a217-c65b77b71513
Richards, Michael
eae3f93e-60ff-437e-a78e-1040b441d3aa
Ramirez, Amanda J.
6b908bb2-0cdd-435b-ab09-829f8babfd93
Taylor, Cath
9516d655-6e7c-4310-b1e9-e916d1b9de4e
Sippitt, Joanna M.
f85582c7-85e6-4b34-ad11-9890178c1068
Collins, Gary
f295b909-e003-4542-8e43-281036df3060
McManus, Chris
5d45cc5f-aa93-4ce5-ac21-c019d3873403
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Dawson, Jeremy
84b11369-f285-4162-a217-c65b77b71513
Richards, Michael
eae3f93e-60ff-437e-a78e-1040b441d3aa
Ramirez, Amanda J.
6b908bb2-0cdd-435b-ab09-829f8babfd93

Taylor, Cath, Sippitt, Joanna M., Collins, Gary, McManus, Chris, Richardson, Alison, Dawson, Jeremy, Richards, Michael and Ramirez, Amanda J. (2010) A pre-post test evaluation of the impact of the PELICAN MDT-TME Development Programme on the working lives of colorectal cancer team members. BMC Health Services Research, 10 (1), 187-[25pp]. (doi:10.1186/1472-6963-10-187).

Record type: Article

Abstract

Background: the PELICAN Multidisciplinary Team Total Mesorectal Excision (MDT-TME) Development Programme aimed to improve clinical outcomes for rectal cancer by educating colorectal cancer teams in precision surgery and related aspects of multidisciplinary care. The Programme reached almost all colorectal cancer teams across England. We took the opportunity to assess the impact of participating in this novel team-based Development Programme on the working lives of colorectal cancer team members.

Methods: the impact of participating in the programme on team members' self-reported job stress, job satisfaction and team performance was assessed in a pre-post course study. 333/568 (59%) team members, from the 75 multidisciplinary teams who attended the final year of the Programme, completed questionnaires pre-course, and 6-8 weeks post-course.

Results: across all team members, the main sources of job satisfaction related to working in multidisciplinary teams; whilst feeling overloaded was the main source of job stress. Surgeons and clinical nurse specialists reported higher levels of job satisfaction than team members who do not provide direct patient care, whilst MDT coordinators reported the lowest levels of job satisfaction and job stress. Both job stress and satisfaction decreased after participating in the Programme for all team members. There was a small improvement in team performance.

Conclusions: participation in the Development Programme had a mixed impact on the working lives of team members in the immediate aftermath of attending. The decrease in team members' job stress may reflect the improved knowledge and skills conferred by the Programme. The decrease in job satisfaction may be the consequence of being unable to apply these skills immediately in clinical practice because of a lack of required infrastructure and/or equipment. In addition, whilst the Programme raised awareness of the challenges of teamworking, a greater focus on tackling these issues may have improved working lives further

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Published date: 29 June 2010

Identifiers

Local EPrints ID: 159503
URI: http://eprints.soton.ac.uk/id/eprint/159503
ISSN: 1472-6963
PURE UUID: e203fe31-a834-4892-9c9d-bba369339192
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755

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Date deposited: 02 Jul 2010 07:47
Last modified: 14 Mar 2024 02:55

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Contributors

Author: Cath Taylor
Author: Joanna M. Sippitt
Author: Gary Collins
Author: Chris McManus
Author: Jeremy Dawson
Author: Michael Richards
Author: Amanda J. Ramirez

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