ABSTRACT
Chapter 9 describes how PHCPs do not work in isolation and so are likely to be affected by what is going on beyond them as individual clinicians. This chapter contextualizes the model of exemplary interaction within the group of factors that is particular to the immediate work environment, that is, settings and teamwork, and discusses how these factors can constrain or facilitate exemplary practice. The three separate pediatric settings (neonatal intensive care, pediatric oncology, and hospice) that were included in the foundational project are described and the overall priority for care in each setting, which in turn affected team structure, is explained. The chapter emphasizes that regardless of the differences in the settings where they worked or in the teams to which they belonged, exemplary providers share an underlying similarity that is recognized by both parents and colleagues. Quotes from the original study are used to support practical examples of the importance of “fit” between providers and their setting, as well as how to contribute to optimal teamwork, involve parents as essential members of the team, and manage challenges in teamwork. The chapter concludes with questions that encourage reflection about fitting within a work environment and optimizing teamwork
