This chapter examines why specialist carers work in teams, the common problems in specialist palliative care teams, patient-centred or management-centred teams, working in a patient-centred team, collective responsibility, moral conflict in the team, moral deficiency, and caring for each other. A patient-centred concept of teamwork is practically and morally preferable to the managerial concept of a tightly bonded and bounded group. Inappropriate attitudes and behaviour of professional team members should be discussed with the person concerned, and attempts made to alter them by explanation and argument. If this fails, the team member should be moved or encouraged to leave, because ultimately the quality of patient care is paramount. Team members have a duty of care to professional colleagues; this arises from respect for their autonomy, and from the kind of love called agape.
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