Year 4 MBBS Interprofessional Education Guide

Appendix 2: SHEEP Framework

The below is an adaptation of Rosenorn-Lanng  SHEEP Sheet (2014:10/11), offering a brief range of elements for you to use in your analysis of your ‘case’.  Under these main headings we are sure that you will be able to construct many more of your own.

 

System

Culture

e.g. hospital, department, professional etc.

 

Cultural differences between professions

Information systems

e.g. manual – patient notes etc.

Automated etc.

 

Uniprofessional or shared record systems.

Protocols & Guidelines

e.g. national, local, checklists etc

 

Uniprofessional or shared MDT protocols and guidelines

Organisational flow

e.g. clinical departments, HR, finance department.

 

Different work and shift patterns of professions within MDT

Human Interactions

Team dynamics

e.g. multidisciplinary team roles, preferred styles, conflict etc

Interactions

e.g. between MDT team members, with patients etc.

 

Communications

e.g. ambiguity, duplication, listening.

 

Differences in professional jargon/acronyms between MDT members etc.

Leadership

e.g. leadership style, lack of leadership,  

Autonomy of different professions etc

Environment

 

 

 

Location

e.g. complexity, journeys between locations etc

 

MDT in shared location or separate locations

Ergonomics

e.g. immovable structures, movable structures etc

Interruptions

e.g. People, phones, bleeps etc

 

Safety

e.g. safety controls, biochemical hazards etc

Equipment

 

 

 

Problems with the equipment itself

e.g. fitness for task, readiness for use, etc.

Drugs

e.g. prescribing abbreviations, illegibility, ambiguity, etc.

User interactions

e.g. knowledge or skill, preference, procedures checks, etc

Human tissue, Blood products

e.g. collection, processing, administration, etc.

Personal

 

 

 

Problems

e.g. mood, confidence, lack of self awareness, etc.

Pathology

e.g. tired, hungry, unwell, stressed, etc.

Life events

e.g. family issues, relationships, moving house, bereavement, etc

Attitudes

e.g. poor morale, lack of planning, lack of team fit, etc.

 

Attitudes between professions within MDT.

Positive - trust & respect OR

Negative - disrespect, mistrust, fear, antagonism

 

 

(NB For the full sheet of element see Figure 1.3. in Rosenorn-Lanng  text book pp 10-11)