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Reflection on interprofessional collaboration
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Research on interprofessional collaboration
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NURS 6565 - Main Question Post: Week 5: Discussion – Interprofessional Collaborative Practice and Advanced Practice Nurses
Interprofessional collaborative practice demarcated as the process that comprise communication and decision-making dexterities that facilitate the influence of grouped knowledge. According to Bankston and Glazer (2013), interprofessional practice been well known for decades, and healthcare frontrunners have illustrated collaboration amongst providers as indispensable for efficacious and valuable for healthcare delivery. Interprofessional practice in nursing generally occurs when healthcare practitioners collaborate with professionals amidst their own areas of the profession, their external profession, patients and their
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Tuckerno’s case study depicts an issue of lack of interprofessional practice; there was indeed a communication malfunction between the providers, and lack of mutual respect. The APN should have shadowed the internist treatment modality except if there was an imminent safety issue related to the patient’s health. An interaction with the internist when he comes to work would have facilitated a mutual discussion on the patient’s concerns and treatment plan. I do think the internist blunt statement to the patient on his dislike related to the care received from the NP is indeed cold. This positively illustrates lack of respect on his part, the ultimate collaborative approach would be for both providers to have mutual respect for each other, learn to communicate, and understand that teamwork necessitated to bestow the utmost safe and quality care to the patients that visit the healthcare practice. According to Yee, Boukus, Cross, and Samula (2013), presently there is scarcity of physicians in family practice and the nurse practitioners will assist to fill this crevice thus the need to effectual physician and nurse practitioner (NP) interprofessional collaboration is imperative to meet the healthcare needs of community at large. According to Hain and Fleck (2014); Bankston and Glazer (2013), while their training differ scope of practice must come to play, working together for the patient’s healthcare needs with positive collaboration of mutual …show more content…
(2013). Legislative: Interprofessional collaboration: What’s taking so long? The Online Journal of Issues in Nursing, 19(1). doi:10.3912/ojin.vol18No01LegCol01
Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2), 2. doi:10.3912/OJIN.Vol19No02Man02
Liaw, S. Y., Zhou, W. T., Lau, T. C., Siau, C., & Chan, S. W-C. (2014). An interprofessional communication training using simulation to enhance safe care for a deteriorating patient. Nurse Education Today, 34(2), 259-264. doi:10.1016/j.nedt.2013.02.019
Reeves, S., Perrier, L., Goldman, J., Freeth, D., & Zwarenstein, M. (2013). Interprofessional education: Effects on professional practice and healthcare outcomes (update). Cochrane Database System Review Library, 3(CD002213), 1-45. doi:10.1002/14651858.CD002213.pub3
Supper, I., Catala, O., Lustma, M., Chemla, C., Bourgueil, Y., & Letrilliart, L. (2015). Interprofessional collaboration in primary health care: A review of facilitators and barriers perceived by involved actors. Journal of Public Health, 37(4), 716-727. Ddoi: 10.1093/pubmed/fud102
Yee, T, Boukus, E. R., Cross, D., Samuel, D. R. (2013). Primary care workforce shortage: Nurse practitioner scope of practice laws and payment
Interprofessional teams in health care are considered to be one of the best approaches to improve patient outcomes. Interprofessional teams provide the means to integrate patient care with input from many different professional disciplines (Rose, 2011). Nurses are an important part of the interprofessional team, since they are often the team member that is closest to the patient (Miers & Pollard, 2009). I recently participated in a team that developed a work flow for daily readmission rounds. The team was interprofessional, the hospitalist, who was an APRN led the team. There was the case manager and the primary nurse who were both RN’s. The team also consisted of a resident, pharmacist, nutritionist, physical therapist, and social worker.
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
Tillett, J. (2011). Practicing to the full extent of our ability: The role Nurses in healthcare reform. The Journal of Perinatal & Neonatal Nursing 25(2), 94-98. Doi: 10.1097/JPN.0b013e318217ed3c
Even so, physicians and nurses debated the best way and extent to which the NP role should be integrated into care, as well as how far NPs could extend their scope of practice. The National Joint Practice Commission (NJPC), funded by the Kellogg foundation in 1972 was one attempt to bring nurses, physicians, and broader professional organizations together to model the collaborative behavior that made nurse-physician teams so effective at the practice level. The NJPC funded nurse Virginia Hall to investigate legal issues related to expanding nursing roles related to nurse practitioner practice. In 1974, she published Statutory Regulation of the Scope of Nursing Practice – A Critical Survey. Hall’s work was one of few nationally unifying positions to guide physicians, nurse practitioners, and state boards (Hall, 1975). The Commission also published Together, as series of exemplars that highlighted effective NP-physician collaborations (Hidgen, Offan, & Starr, 1977). Still, the American Medical Association and other physician organizations could not accept the broader scope of practice recommended by the NJPC, and it folded in 1981 after only 9 years of existence. (Fairman, 2008,
Using examples involving human service workers, discuss how interprofessional practice is defined. Discuss the barriers to interprofessional practice and how these might be addressed.
rofessionals from different disciplines collaborating to provide care to patients. Effectively coordinated and collaborative inter-professional teams are essential to the care and treatment of patients (Rowlands & Callen, 2013; Doyle, 2008; Ruhstaller, Roe, Thürlimann & Nicoll, 2006; Simpson & Patton, 2012, p. 300). Communication is a process of conferring information between individuals through use of speech, writing or various other means, and is critical to the success of a multidisciplinary team (MDT) (Higgs, McAllister & Sefton, 2012, p. 5; Rowlands & Callen, 2013; Sargeant, Loney & Murphy, 2008). An MDT must use multiple strategies to enhance communication and ensure their success (Doyle, 2008). An effective MDT generates opportunities that benefit healthcare, which is the reason for the recent dominance of inter-professional care in health practice (Simpson & Patton, 2012, p. 300; Rowlands & Callen, 2013). Many barriers prevent effective communication within inter-professional teams. Lack of communication within MDTs presents challenges to their success, leading to numerous consequences, including the failure of the MDT (London Deanery, 2012; Sargeant et al, 2008). Communication between professionals is the key factor underpinning the potential success or failure of inter-professional teams, the outcome of the functioning of MDTs will either benefit or impair care of patients.
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
The key to a successful healthcare reform is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue. Description of the Topic Definition The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic interventions” (p. 7).... ... middle of paper ... ...
Routson, J (2010) Healthcare Reform and Nursing: How the New Legislation Affects the profession; HEALTHeCAREERS.com. Retrieved, September, 16, 2011 from: http://www.healthecareers.com/article/healthcare-reform-and-nursing-how-the-new-legislation-affects-the-profession/158418
The World Health Organization (2010) defines interprofessional collaboration in health care as occurring “when multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, carers and communities to deliver the highest quality of care across settings” (p. 7) and IPE as occurring “when two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes” (p. 7). Interprofessional collaboration is contingent on IPE; education promotes collaborative patient-centered care by strengthening communication skills and teamwork. This paper discusses the importance of interprofessional collaboration in healthcare by examining
I was also responsible for implementing of therapies and interventions initiated by other IP members as I was expected to collaborate with my IP team to ensure positive patient outcomes. The proposed management for identified issues, for example, impaired mobility function were developed by me based on the evidence based tools used in hospitals such as Fall Risk Assessment and Management Tool. The decisions with respect to nursing care and my input in IP team care plan were influenced by not only the complex needs of the patient but also the Nursing and Midwifery Board of Australia (NMBA) nursing scope of practice, NMBA’s Code of Ethics and Conduct whilst upholding the four fundamental ethical principles: autonomy, beneficence, non-maleficence and justice. I believe making ethical decisions and collaboration practice is vital to ensure that I deliver the highest quality of care and safety to the patient. I can also guarantee that the positive and desired health outcomes of the patient is obtained as a result. It appears that in the development of IP care plan, the
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
At the skilled nursing facility that I work at, I participate in collaboration between different professions with the shared goal of improving the outcome of the client. There is a collaborative relationship held between the house physician, the therapy unit, and the nursing staff. The house physician, the therapy technician, and the nurse of the client will get together to discuss how a particular client is healing, and how we can better facilitate their improvement. Each of the three professional units have their own responsibilities that they add to the collaborative meeting. The house physician gains info from the other parties, and will base orders from this information. The therapy technician discusses how the client is performing, what their strengths and
To briefly summarize, the report identifies nurses as an important factor in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommendations. The first suggests that nurses be allowed to practice within the scope of their degree. This becomes evident in the differences in state laws that pertain to nurse’s who have acquired advanced degrees, such as the nurse practitioner.... ...