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

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).

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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.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences > School of Health Sciences Faculty of Health and Medical Sciences
Authors :	Name Email ORCID Taylor, Cath cath.taylor@surrey.ac.uk Sippitt, Joanna M Collins, Gary McManus, Chris Richardson, Alison Dawson, Jeremy Richards, Michael Ramirez, Amanda J
Date :	29 June 2010
DOI :	10.1186/1472-6963-10-187
Copyright Disclaimer :	© 2018 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.
Uncontrolled Keywords :	Team member; Team performance; Direct patient care; Clinical nurse specialist; Total mesorectal excision surgery
Depositing User :	Diane Maxfield
Date Deposited :	02 Aug 2018 15:05
Last Modified :	02 Aug 2018 15:05
URI:	http://epubs.surrey.ac.uk/id/eprint/848843

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