Table 3.

Patient and Family Reflections on Intra-team Dispute and Disagreement

	Illustrative Quotes
Patients and family perceived negative intra-team interactions and exchanges affecting patient care	Family Member]: People were doing things without consulting him [surgeon] and he, laid down the law. He actually came in to see him [patient]. But on Thursday he looks at me and he said “there are a lot of good doctors here. But I want to be notified of anything, any change at all you will call my office first. I am in charge.”
	Patient: There seemed to be a...general hostility between radiology and other people. I got the sense that other people had experienced it too and...all the eleven days I was in the hospital, I think I had x-rays six times. Only once did they actually come up to the room. Even though I know the doctors ordered [X-rays] it came to be a joke between me and the doctors.
	Patient: Uh, the doctors would come in and this and that, and um, it did seem to be a disconnect in other people’s care between doctors and nurses. And I, I can’t speak to what it is—But, I got the feeling from what I was hearing that there wasn’t a coordinated effort.
	Family Member: ...sometimes I get the feeling that the oncologist thinks, ‘Okay. [DOCTOR] did the surgery, he’s done, he’s out of things now. I don’t need to communicate back to [him], I’m in charge.’ And I still think it needs to be all of them working together.