In 2012, the Department of Health (DoH) presented the ‘6 Cs’, a set of six core values which underpin everything that nursing, midwifery and care staff do. They include care, compassion, competence, communication, courage and commitment. However more recently there have been calls on the NHS to add a seventh C: collaboration. As Wiltjer (2017) argues, “current best practice in nursing is rooted in person-centred care, shared decision-making and multidisciplinary teamwork” and that care based on these principles “requires extensive collaboration between professionals, as well as between professionals, patients and relatives”. Gluyas (2014) also advocates a collaborative approach, explaining that “teams comprise individuals who must work together …show more content…
As Ryan (2016) puts it, “each member of the team has specialist skills and expertise, yet all members work together to achieve the optimum health outcomes for the patient”. The goal of a healthcare team is to promote and protect the health of the patient, and where teams work collaboratively and have a common understanding of their own and others’ roles and responsibilities, this “enables… individuals to identify changes in the clinical situation and adapt their response, where necessary, to achieve the desired goals” (Ryan, 2016). A collaborative multidisciplinary team will therefore be able to effectively delegate tasks based on ability and expertise, improve workload management and team …show more content…
As discussed, it is a fundamental duty of healthcare practitioners to promote a person-centred approach to care. In line with this has been a shift away from the traditional medical approach to care, which focused primarily on the patient’s illness or condition, and more towards a holistic assessment of patient health and wellbeing. However as Wiltjer (2017) proposes, “limited time, staff and resources in the NHS can result in a disease-centred approach being used and the medical aspects of care being prioritised”, resulting in the psychosocial assessment of a person’s health needs being neglected and thus falling short of a whole-person assessment. Savage and Moore (2004) suggest that teamworking may be hindered by “ambiguity… about the nature and extent of the accountability of different professional groups jointly involved in decision-making”. If individuals involved in collaborative teamwork neither understand their own roles and responsibilities, nor those of others, the team will be unable to work cohesively. Understanding one another’s roles may be linked to perceived hierarchical standing between healthcare professionals. Daiski (2004) argues that there are residual perceptions from the origins of nursing, when female nurses were considered subordinate to male physicians, and that a sense of disparity and unequal power between roles still exists.
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
The team needed depends on the individual patient’s needs and their family’s needs. All members of the interdisciplinary team have a variety of functions, to include: assessment of the individual, assessment of the home conditions, provide education to patients and families as well as to develop a plan of promotion of health and prevention. The key to the success of the interdisciplinary team is collaboration and teamwork. It is also important to follow the models of responsibility, communication, authority and competent in clinical resource management. All these models are important for the welfare of the patients and their families. As a hospice certified nurse assistant I experience in a daily basis how the team that I belong to is a great example of a comprehensive interdisciplinary approach. However there are multiple barriers that we need to manage to be able to accomplish our daily coordination of
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.
Its 1:30 am and you are have just experienced a major car wreck. You are in the ambulance where the paramedics are telling you it will be ok just hold still big. You arrive at the emergency room and everything is a blurred. You don’t care if the nurse is a female or a male. You don’t stop the male nurse from caring for you. But what happens when you go to the doctor for a follow up visit and see a male nurse? Do you still see a powerful male that saved your life or a powerless manweak feminine failure ? When providing care for a patient, a male nurse faces challenges such as gender bias and judgement .
These changes in legislation run alongside the new set of values known as ‘The 6 C’s’ bought out by NHS England, nurses as well as all other NHS employees are expected to abide by these. The 6 C’s were put in place to ensure that anyone providing care within the NHS did so with the following aspects, Courage, Care, Competence, Compassion, Commitment and good Communication. This was in attempt to ensure that the quality of care given by the NHS was of a high and professional standard; which in turn would improve the National Health Service’s current reputation. It is thought that this would be achieved by strictly abiding by these values (Stephenson,
Nurses should foster collaborative planning to provide safe, high-quality, patient-centered health care. As nurses, we probably know the patients the best since we spend much more time with them than any other members of the care team. We are the liaison between the patient and the rest of the care team. We need to identify a potential problem or issue, and bring it to the attention of the whole care team. We should facilitate mutual trust, respect, shared decision-making, and open communication among all relevant persons in the care of the patients. With the collaborative support of the whole care team, the patients are in a much better position and are more likely to make an informed and deliberate decision. Besides, the collaboration among the care team can facilitate communication among the care providers, and provide a channel for the care providers to vent their stress caused by the ethical dilemmas that they encounter in work. The support from peers is very important for care providers to maintain their emotional and psychological
The practice of using inter-professional teams in delivering care is not a new concept but current health policy requires professionals work within a multidisciplinary team Department of Health (2001) and entrenched in the Nursing and Midwifery Council (2008) Code. The principle focus of this essay is to discuss the importance of inter-professional collaboration in delivering effective health care and what challenges and constraints exist. The integration of a case study will give an insight into inter-professional collaboration in practice.
Nursing is a unique system that requires good collaboration with others and working together to reach the goal of providing good quality care based on evidence-based-practice. “The role of a colleague is a vital one in any profession. The status of colleague within the care generates pictures of nurses, doctors, pharmacists discussing, on an equal basis, problems and concerns related to healthcare” (Zerwekh & Zerwekh Garneau, 2015, p.144). If nurses can’t get along with other healthcare providers that will jeopardize the patient’s recovery and can take a huge turning point and guide nurses away from providing high quality
It is important that all team members are aware of their role within the group and that they are performed correctly to meet their goal. For example, at a nursing home a nurse and a CNA work closely together. As the CNA is preforming ADLs he/she is able to assess the patient for any problems that the resident may be having. The nurse is then made aware of any problems and may ask the CNA to assist in a situation such as turning the resident in order to administer a shot. By working together the medical staff are able to reach set health goals and help the patient more efficiently.
This is a reflective essay based on my attendance at a multidisciplinary team (MDT) meeting whilst on my two-week placement at a local mental health day hospital. The aim of this essay is to discuss the importance of the multidisciplinary team within the mental health environment and discuss factors that can influence the success or failure of multidisciplinary teams.
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,
Worldwide, nurses have developed themselves into professionals with a great deal of knowledge. Despite these developments towards professionalism, nurses are still portrayed in a misleading and inaccurate way and are not given the recognition for the skills they have acquired. The essence of nursing is not always clear and nurses still suffer from stereotypes (Hoeve,2014). A stereotype can be defined as “a cognitive representation or impression of a social group that people form by associating particular characteristics and emotions with a group” (Smith and Mackie, 2007). Of the many types of nursing, a very popular stereotype that is depicted of nurses is being doctor’s handmaiden and only performing repetitive and simple tasks (Hoeve,2014.) This public image of nursing does not match their professional images, in fact, it is quite the opposite. Nurses are strong independent individuals that play just as big a role in the hospital as due the doctors or surgeons. The problem is nurses are not depicted as professionals and the public is not aware that nursing today is very theory-based oriented and a scholarly profession. Over the last few decades, nursing gone through extensive and important
She further identified seven concepts that are essential to current nursing practice, she stated that,” Based on the acronym FLOWERSTM, they include fundamentals of care, leadership at the bedside, ownership of outcomes, wisdom, ethics, relational competence, and skilled caring.” (Sprayberry, 2014, p.123). Nursing professionals play several key roles, which directly affects client outcomes, such as, critically thinking while being the patient-caregiver, advocate and educator along with coordinating and collaborating with the various members of the multidisciplinary health care delivery team. Nurses always prioritize excellent patient safety and care every day and collect information and recognize the practices that need improvement. For example, the process of identification and documentation of nursing-sensitive outcomes that are a direct result of nursing assessments and interventions. Nursing professionals take leadership roles concerning promoting safety and quality through collecting evidence, analyzing and interpreting the data necessary to improve practice. Armed with the edge of working closely with clients, nursing professionals can identify opportunities of cost-effectiveness without compromising on QI. Through being patient advocates, nurses ensure, that health care clients receive good quality and
Person-centred processes: It focuses on providing care with holistic approach, respecting patient’s values and beliefs, and working in partners.
The health care team depends on contributions of multiple professionals representing different disciplines. This may include different teams working together. The team has the same mission, which is to meet the need of the patients meaning conflict is inevitable, small or large. The likely hood for conflict may intensify to the point that may prevent the effectiveness and reliability of the patient’s care. Learning how to control conflict can develop open and cooperative ways of working together.