跨領域團隊合作與共同照護能力為現代醫師、護理師及醫事人員養成之必要項目之一。而從實證醫學的角度來看,跨領域團隊合作照護已被證實可以減少臨床失誤、提升病人滿意度、減少醫療糾紛、增進溝通與資訊共享以及醫療人員專業照護極大化。跨領域團隊合作的全人照顧於緩和療護實踐展現無遺,其「六全照顧」展現的就是跨領域團隊合作的全人照顧。緩和療護運用「跨領域團隊合作」照顧病人,除了疼痛症狀有顯著改善外,可確認並處理病人與照顧者的需求,增進其對照顧的滿意度,且能緩解照顧者的焦慮,促進病人與維持家屬照顧者的生活品質。如何落實跨領域團隊合作的全人照顧理念與實踐是當前醫護同仁及相關專業領域人員需要積極面對與學習探討的重要課題,本文就以臺中榮民總醫院緩和療護團隊為例,分享跨領域團隊合作的全人照顧之相關面向發展與實踐。
Interprofessional collaborative practice is one of the essential skills for doctors, nurses and medical personnel to develop. From the perspective of evidence-based medicine, interprofessional collaborative practice has been proven to reduce clinical errors, improve patient satisfaction, reduce medical disputes, enhance communication, information sharing, and maximizing professional care of medical staff. The holistic care of cross-disciplinary teamwork has fully demonstrated in palliative care practice. The "6C Holistic Care" demonstrates holistic care through cross-disciplinary teamwork. Palliative care applies "cross-disciplinary teamwork" to care for patients. In addition to significantly improving pain symptoms, it can identify and address the needs of patients and caregivers, increase their satisfaction with caring services, relieving caregivers' anxiety, promoting patient care, and hence maintaining the quality of life for the family caregivers. In terms of implementing the holistic care concept and practice of cross-disciplinary teamwork, it is an important issue that current medical colleagues and personnel from relevant professional fields require to actively face, learn and discuss. This article uses the palliative care team of Taichung Veterans General Hospital as an example to share cross-disciplinary development and practice of aspects related to holistic care in the field of teamwork.