Introduction 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 …show more content…
I cared for a 76-year-old end-staged chronic obstructive pulmonary disorder patient who was admitted for respiratory distress. The doctor requested that my nurse and I get the family together for a family meeting. During the meeting, the doctor communicated to the patient and his family members that the patient will be palliative and no longer be in the ICU. The family members were concerned about the transfer of care to the medicine unit, what to expect from palliative care and other options for care. This scenario did not go well because the patient and family would have benefited from a palliative nurse with expertise, respiratory therapist to discuss other options, pharmacist about medication change if needed, social worker to help guide the family through end of life care for their father. In addition, there was no collaboration with interprofessionals prior to the family
The Canadian Interprofessional Health Collaborative define interprofessional collaboration as a “partnership between a team of health providers and a client in a participatory collaborative and coordinated approach to shared decision making around health and social issues” (Canadian Interprofessional Health Collaborative, 2009).
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.
A minor with asthma experiences difficulty adhering to controlling medication. Noncompliance is common, as Zullig et al. (2013) state that on average 50% of medications for chronic conditions are not taken as prescribed (p. 2611). Patient was recently hospitalized for an asthma attack that could not be controlled with rescue medications; while in the hospital, he indicated that he was not taking his prescription. He does not refill prescriptions and does not attend follow-up appointments. His family has low socioeconomic status; his mother often works and patient shows evidence of financial insecurity when communicating with his pharmacist. Zullig et al. (2013) indicate that medication costs that are “prohibitively expensive
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.
Healthcare transformation and the need for high quality patient care at a low cost gave birth to the idea of interdisciplinary team in the health care industry. The term team according to the Websters dictionary is a group of people who work together. This group of people in interdisciplinary team conference comes from different professions, they bring together diverse skills, knowledge and experience to achieve a common goal that only one person cannot achieve, and this goal is always patient centered. These team members include but not limited to physicians, nurses, pharmacists, social workers, dietician, physical and occupational therapists, these team collaborate with patient’s families and community to provide high quality care (Brown-Manherzt,
The Nursing and Midwifery code of conduct states that in order for nurses to practice effectively they must be able to work and communicate effectively with colleagues. Multidisciplinary working helps to ensure both patients and staff are kept informed about the care of the patient and that any risks can be identified and reduced. Multidisciplinary teamwork in healthcare has a key role in creating a culture which is safe and effective in deciding upon the best practice related to patient specific care. It has become apparent in some organisations, the importance of multidisciplinary working with one example being the Francis report of the shortcomings in care at Mid Staffordshire Hospital where patients suffered appallingly due to the lack of person centred care with one such concern being professional disengagement where clinicians where not raising concerns to colleagues. Baylis, D 2014. This need for networking and shared knowledge is a focus point in the Person Centred Framework (McCormack and McCance 2010) where it is showcased that a prerequisite of nurses is to have developed interpersonal skills in order to encompass a positive care environment where effective staff relationships are formed. This then has an impact on the ability to share decisions and ultimately impacts person centred outcomes of creating a culture which is central to the
Interprofessional education and collaboration are essential to promoting health care utilization that results in safe, effective, quality and equitable care in an evolving health care arena in the United States. The purpose of this essay is to evaluate the evolution of interprofessional education (IPE) and collaboration, and characteristics of interprofessional collaboration (IPC). Additionally, an analysis of how IPC can impact patient safety and quality of care, along with implementation facilitators, barriers and sustainability will be discussed. Finally, opportunities for utilization of IPE and IPC in an organization with DNP-prepared APRNs will be explored.
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...
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
All these experience has helped me to become aware that working as a team, effective communicating, reflection and professional behaviour of health care professional can give a big difference and improvements to service users and clients. This essay emphasized that the inter-professional collaboration is necessary to successful work of NHS. The Department of Health (2012) have put into plans that will help with the growth of the multidisciplinary teams and standards that will succeed in dealing with the problems that were underlined. Working with the group of health care professionals has helped me to see how the inter-professional collaboration impart a positive outcome for obtaining a lot of new knowledge and findings out the strengths
Within the scenario, there was a lack of communication between the resident and nurse. There were no established principles for communication on the unit. Nurses could write on a bulletin board if they had a non-urgent matter to discuss with the doctors. The other method for communicating with doctors was to directly page them. Interprofessional rounds occur only once a week which does not account for the communication required between the doctor and nurse on a daily basis. There were no other formal communication methods for when doctors can speak to nurses. Nurses hear from doctors if they happened by chance to have seen the doctor, by word of mouth from other members, or from orders. The resident in the scenario did not seek out the nurse for second opinions and did not let her know about discharge plans. Thus, there was a lack of communication about care
“Teamwork does not just happen. It requires an understanding of the characteristics of successful teams, knowledge of how teams function and ways to maintain effective team functioning” (World Health Organization, 2011, p. 127). Healthcare is a multidisciplinary profession which makes working together and communicating effectively essential to delivering quality health care to patients. “Effective nursing teamwork has been linked to higher job satisfaction, less nurse turnover, better patient satisfaction, and better patient outcomes” (Nurse journal, 2017). Teamwork in the hospital setting includes working well with the whole team from physicians to therapists to patient care technicians. “Interdisciplinary team rounds that take place
Most individuals will encounter teamwork in their academic and working lives. The input, perspectives and skills of multiple people provide the extended knowledge and experience required to produce the best possible outcome (Mitchell et al. 2012). As such, teamwork is immensely important in healthcare; it can however be a disadvantage if not coordinated effectively (Wiles & Robinson 1994). The ability of nurses and other health professionals to collaborate can ultimately determine a patient’s outcome. Poor teamwork can compromise the quality and safety of patient care, including delayed tests or treatment, and conflicting information (Manser 2009). The ultimate goal is to minimise these issues and maximise positive patient outcomes. This
This story shows what happens when there is a break down in multiple areas of health care, including communication, the nursing process, and patient advocacy. As a new nurse, this case is important to hear and to learn from. It teaches us that patient centered care means listening to the patient or the family when they say something is wrong because they know themselves and/or the patient better than the staff. Even if the cause is not obvious, there is a need to follow through with your instincts or gut feeling when something doesn't seem right. A personal example that I recently had to learn from was when a resident was not as active as she had been. I was told in shift report that she had a weight gain. I wanted to send her to the hospital, but a more experienced nursing supervisor told me it was unnecessary and that the doctor would be in the following day to see her. She was seen the following day and there were no new orders for her. I ignored the feeling that something was not right with her because the doctor had cleared her. With in a week, she was sent out to the hospital and diagnosed with a CVA and CHF and returned to us with a new status as a DNR and put on hospice. From this I learned that it does not matter how much experience others may have, I need to trust in myself and my judgment. Since this event, I made the decision to send out one of my residents
However, most teams still have a long way to go in becoming high functioning teams. High functioning teams are teams that are successful based on a number of criteria. These criteria change with each viewpoint, but in essence successful teams: have clear direction and goals, have great leadership and organizational support, and have the necessary resources in order to be successful (Levi, 2012). High functioning teams are just starting to emerge throughout different industries in their workplaces. However, the health care industry has been a pioneer in building high functioning teams to provide their patients with the best care possible In a study by 5 medical doctors, Christine Sinksky, Rachel Willard-Grace, Andrew Schutzbank, Thomas Sinsky, David Margolius, and Thomsas Bodenheimer, 23 high functioning primary care practice teams were highlighted for their success. The evaluated the teams based on five criteria: being proactive, cross-training, collaboration, effective meetings, and communication. Their main goal was to find groups with high scores on these criteria, and if these groups exhibited a greater joy in their practice (Sinksky, et. all, 2013) This group visited 23 different practices and observed how they were functioning. They found unifying themes throughout the practices that they visited that can directly relate to any other industry stuggling to create high