A Thematic Analysis of the Multidisciplinary Team Understanding of the 5P Team Formulation Model and Its Evaluation on a Psychosis Rehabilitation Unit.

There is a dearth of research investigating team formulation in mental health services. This research investigated the multidisciplinary team understanding of the 5P team formulation model and its evaluation on a psychosis rehabilitation unit. Six participants were individually interviewed from one multidisciplinary team. The data was analysed using thematic analysis and this resulted in three main themes: The configuration of 5P team formulation on a psychosis rehabilitation unit, team formulation has multiple functions and team formulation does not require transformational change. Participants evidently understood the 5P model. Team formulation functioned as a cognitive learning process that enabled broader knowledge and a deeper understanding of individual clients. It also facilitated staff to have a space to discuss client cases whilst reinforcing team support and working. It was an informal process that was not directly linked to intervention. However, it indirectly influenced clinical practice both at a team and on an individual level. There were no reported drawbacks to team formulation, and it did not require change. Further research in psychosis services is required in order to generalize the findings. It will also be necessary to link team formulation to psychological intervention if it is to achieve its aim.

An interpretative phenomenological analysis exploring the lived experience of individuals dying from terminal cancer in Ireland.

OBJECTIVE: The experience of living with dying has attracted limited research. We utilized interpretive phenomenological analysis to explore the lived experience of individuals with terminal cancer receiving palliative care in Ireland. METHOD: Participants were purposely selected from public interviews that had been conducted between 2006 and 2011. The study included the accounts of eight participants (N = 8; six females and two males) with a diagnosis of terminal cancer. Participant ages ranged from 36 to 68 years. RESULTS: Three master themes emerged from the analysis: the personal impact of diagnosis, the struggle in adjusting to change, and dying in context. The results revealed that participants were still living while simultaneously dying. Interestingly, participants did not ascribe new meaning to their lives. The terminal illness was understood within the framework of the life that had existed before diagnosis. They strove to maintain their normal routines and continued to undertake meaningful activities. Management of unfinished business and creation of a legacy were salient tasks. Social withdrawal was not present; rather, participants engaged in emotional labor to sustain valued roles. However, we found that within the public domain there is a paucity of education and discourse supporting individuals at the end of life. The hospice was noted as an important external resource. Each participant experienced a unique dying process that reflected their context. SIGNIFICANCE OF RESULTS: Healthcare professionals need to recognize the subjectivity of the dying process. Dying individuals require support and options to maintain their personhood.