Contemporary patient-centered care is requiring all health care providers from different professions working collaboratively within an interprofessional team to improve better patient outcomes. When the members of multiple disciplines communicate well with each other based on mutual respect and value each other’s opinions, the whole team understands better, functioning better, and less chances to end up with negative patient health care. Research findings indicate interprofessional team approach improve quality of the patient-centred care (Buscemi, Steglitz, & Spring, 2012). This paper will review a clinical case happened in a complex care unit, analysis the contributing factors related to interprofessional competency with the care team, and …show more content…
According to the National Competency Framework, there are six competency domains integrated to achieve a collaborative approach to health care practice including interprofessional communication, patient- centred care, role clarification, team functioning, collaborative leadership, and interprofessional conflict resolution. Interprofessional communication is defined as effective communication with each other within the health care team from different professions in a collaborative, responsive and responsible manner (Canadian Interprofessional Health Collaborative, 2010). Nursing manager, RN, skin care specialist, physiotherapist, nursing student, and all the professionals working within the team should communicate each other with respect at a timely manor for better quality of patient care based on sharing common goals and values. In this clinical case, there was a communication breakdown resulted in poor team functioning and lack of patient- centred …show more content…
Nurse who is working on the unit have an ultimate role as integrative organizer to make sure the communication flow smoothly and to overcome some obstacles in the communication process (Gilardi, Guglielmetti, & Pravettoni, 2013). The initial relationship which was established between nursing and other medical professionals from the time of Florence Nightingale is not foundationally flattened equal and collaborative. This authentic hierarchy structure remains in the modern western nursing largely spread and accepted by nurses self and other professionals today (MacMillan, 2012). The underlying tension between nursing staff and other professionals within the health care team was founded and perceived by all the members. Nursing work is underrespected and undervalued not only by the public also by the interprofessional team. The issue of the power and status conflict escalations within the health care structure system. Nurses are especially affected by the power and control status during all dynamics throughout the whole process of patient care (Hart,
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
Teamwork and collaboration in healthcare delivery are “top of the mind” issues and government reports have called for improved collaboration among healthcare professionals as a key strategy in healthcare renewal (Canadian Health Services Research Foundation, 2006, p. 10). The term team defines a collection of individuals who are interdependent in their tasks, who share responsibility for outcomes and who manage their relationships across organizational borders (Canadian Health Services Research Foundation, 2006, p. 8). Moreover, the Canadian Nurses Association (CNA) believes that interprofessional collaborative models for health service delivery are critical for improving access to client-centred health care in Canada (CNA, n.d. p. 1). This paper will discuss a care scenario, Canadian Interprofessional Health Collaborative (CIHC) framework, TeamSTEPPS framework analysis, strategies to promote collaborative leadership and interprofessional communication with outcomes, strengths and limitations of
In particular, the use of Florence Nightingale’s theory of nursing as the basis of my new practice had allowed me to begin with the basics and work my way forward toward a more modern and holistic approach to nursing care. While Florence’s work focused mainly on the military and her care of soldiers, she began to establish schools of nursing to promote nursing education and to encourage people to view nursing as a viable profession, (Alligood, 2014. 63). Nightingale’s focus may have been care of the military, but she made great strides on getting recognition for nursing and her theories still affect the practice of nursing today. In the article, Nurses as Leaders, the author proposes that nurse leaders have made great strides since Nightingale’s time when nurses were conscripted to help care for wounded soldiers. Such a setting required these early nurse pioneers to rely on critical thinking and quick action in order to save lives. The author goes on to discuss how a change in nursing occurred in the early 20th century as new management styles emerged, most notable the “Scientific Management,” model. This style placed doctors at the top, then nurse managers, and on down to bedside care staff. Though this did allow some nurses the ability to move upward, nurses resented a doctor being in charge of their teams as the work of a physician and that of a nurse are two very different practices, ("Nurses as Leaders," 2016). This is quite different from the modern concept of a nurse executive as leader of
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
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.
The Core Competencies for Interprofessional Collaborative Practice recognizes how communication places responsibility on all team members. Members must have the opportunity to speak up in a respectful way about their concerns and quality of care, and in return be treated with respect. According to the Canadian Nurses Association (CNA) position statement on inter-professional collaboration (2011), it states how the use of interprofessional collaboration is critical for improving client-centred care as well as strengthening effective collaboration with other health professionals (2011). Communication is a common theme that has repeatedly surfaced in my research.
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
Working in the health care setting, teamwork and collaboration are used frequently to insure that everything runs correctly and efficiently. According to qsen.org, teamwork and collaboration consists of functioning effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. While assessing the patient a nurse can come into contact and work with many different individuals. These can include other nurses, doctors, therapists, and family
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
In conclusion, Leonard, M et al (2004) point out that The complexities of patient care, coupled with the inherent limitations of human performance, make it critically important that the multi-disciplinary teams have standardised communication tools. looking back over Mrs X’s journey along this pathway. It was unquestionably the exemplary teamwork and communication, that were so fundamental in providing the holistic care that Mrs X needed. The responsibility and roles of the multi-disciplinary team were varied and often overlapped within the theatre suite. The team members had differing and varying levels of experience and expertise, but combined these when working together to care for Mrs X.
The demand of a constantly developing health service has required each professional to become highly specialised within their own field. Despite the focus for all professionals being on the delivery high quality care (Darzi, 2008); no one profession is able to deliver a complete, tailored package. This illustrates the importance of using inter-professional collaboration in delivering health care. Patient centric care is further highlighted in policies, emphasising the concept that treating the illness alone whilst ignoring sociological and psychological requirements on an individual is no longer acceptable. Kenny (2002) states that at the core of healthcare is an agreement amongst all the health professionals enabling them to evolve as the patient health requirements become more challenging but there are hurdles for these coalitions to be effective: for example the variation in culture of health divisions and hierarchy of roles. Here Hall (2005) illustrates this point by stating that physicians ignore the mundane problems of patients, and if they feel undervalued they do not fully participate with a multidisciplinary team.
The intent of this paper is to analyze interviews with a staff nurse and a nurse manager. The interview questions revolve around what the nurses perceive as the main communication issues at work. More specifically, the communication issues with patient communication, communication with colleagues and communication with leadership/administration. This paper will also list three actions that would improve communication in response to the issues raised during the interviews.
Reflecting upon interprofessional education (IPE), hands on experience is vital for health care students across the Faculty of Health Sciences so that they may continue to develop better communication skills, enhance performance and develop conflict resolution capability in a team situation. Looking back on the online “Stroke and Depression” IPE workshop that was conducted as interprofessional group work has allowed me to gain not only the knowledge about stroke and depression but also the knowledge, skills and attributes required for interprofessional (IP) collaboration practice. My IPE team consisted of one medical scientist, four speech pathologist, two psychology students and three nursing students including myself. This analytical
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,
A very important concept that needs to be implemented world-wide is collaboration. Collaboration can be defined as “working with other individuals or groups to achieve a common goal. It differs from cooperation which involves groups working together to achieve their own individual goals’’ (Tomajan, 2012). This concept is critical in making the nursing image as clear and accurate as possible while also properly representing the profession. Worldwide, if nurses can represent themselves in a particular way, having the same ideals, morals, and knowledge, there would be little room for people to criticize the profession. Collaborating also allows for the formation of new ideas and discoveries, strengthening the knowledge of nurses and creating the opportunity for more authority. The entire profession as a whole need to help everyone understand what nurses really do for patients. Nurses are the invisible hand behind the success in every hospital or health-care facility. From a quick visit to the doctors to an emergency room visit, the ones the patients interact with and grow a relationship with are the nurses. The nurses know the ins and outs of every patient and have the direct connection with the patient along with tremendous knowledge and skills. This needs to be addressed in the media rather than challenging the nursing image. Giving