Year 4 MBBS Interprofessional Education Guide
2015-16
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)