Team Care for the Care Team: A Scoping Review of the Relational Dimensions of Collaboration in Healthcare Contexts.

Examining team care for the care team, this scoping literature review highlights the relational and compassionate dimensions of collaboration and teamwork that can alleviate healthcare worker suffering and promote well-being in challenging contexts of care. Its goal is to provide greater conceptual clarity about team care and examine the contextual dimensions regarding the needs and facilitators of team care. Analysis of the 48 retained texts identified three broad types of communicative practice that constitute team care: sharing; supporting; and leading with compassion. The environmental conditions facilitating team care included a caring team culture and specific and accessible organizational supports. These results are crystallized into a conceptual model of team care that situates team care within a system of team and organizational needs and anticipated outcomes. Gaps in the literature are noted and avenues for future research are suggested.

Maori elders' perspectives of end-of-life family care: whanau carers as knowledge holders, weavers, and navigators.

Background: There is growing interest in palliative care within Indigenous communities, and within Aotearoa New Zealand, of the significant role that Maori (Indigenous people) families play in caring for older relatives. This study explored the centrality of culture in how Maori extended families (whanau) in Aotearoa New Zealand interpret and enact family-based care roles within the Maori world (Te Ao Maori). Methods: Applying Maori-centered and community-based participatory research principles, we examined 17 interviews with older Maori who shared experiences of palliative care for a partner or family member. The thematic analysis used a cultural-discursive framework incorporating Maori principles of wellbeing and values expressed within the care relationship. Results: The findings centered on three whanau roles in palliative care: whanau as (1) Holders and protectors of Maori knowledge; (2) Weavers of spiritual connection; and (3) Navigators in different worlds. Conclusion: The study problematizes the notion of a single 'primary caregiver', privileges whanau as an inter-woven relational, dynamic care network, and encourages health professionals to recognize the cultural embeddedness of dominant approaches to palliative care.

The Socialization of Unpaid Family Caregivers: A Scoping Review.

As unpaid family caregiving of older adults becomes increasingly prevalent, it is imperative to understand how family caregivers are socialized and how they understand the caregiving role. This PRISMA-ScR-based scoping review examines the published literature between 1995-2019 on the socialization of potential and current unpaid family caregivers of older adults. Of 4,599 publications identified, 47 were included. Three perspectives of socialization were identified: (1) role acculturation; (2) role negotiation and identification; and (3) specialized role learning. The findings show how socialization involves different contexts (e.g., cultures), imperatives for action (e.g., circumstances), socialization agents (e.g., family), processes (e.g., modeling), and internal (e.g., normalization) and external (e.g., identification) consequences for caregivers. Future research could fruitfully explore how caregivers manage key turning points within the socialization process, disengage from the caregiving role, and negotiate the socialization and individualization processes within diverse cultural and funding contexts.