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Reflection on interprofessional collaboration
Reflection on interprofessional collaboration
Reflection on interprofessional collaboration
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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. Mental health teams generally comprise of psychiatrists, clinical psychologists, nurses, occupational therapists and social workers, but other therapists such as family therapists, psychotherapists and counsellors might also become involved in the care of the patient (Perkins & Repper 1998). Multidiscipline involvement is important within mental health nursing as people with mental health problems have multiple needs, so a variety of expertise is required to meet the needs of these people (Darby et al 1999). Multidisciplinary mental health teams can been defined as: "A group of practitioners with different professional training, employed by more than one agency, who meet regularly to coordinate their work providing services to one or more clients in a defined area" (Ovretveit,1993: 9 cited in Onyett 2003) The advantage of a multidisciplinary team approach is that all professionals work together by collecting the facts and by bringing information together, to obtain as complete a view as possible of the problems of each individual patient. In doing this they are able to make sure that the proper range of treatments are used in a properly planned way (Onyett 2003). One of the disadvantages of a multidisciplinary team is that problems can be encountered when different professionals work together, there can be unclear goals, lack of direction and poor leadership (D... ... middle of paper ... ...will be able to increase my knowledge and understanding of how different disciplines work together. References Burns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing - The growth of the professional practitioner. London: Blackwell Science. Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann. Gibbs, G (1988) Learning by Doing, A guide to teaching and learning methods. Cheltenham: The Geography Discipline Network. (GDN). Newell, R. Gournay, K (2000) Mental Health Nursing - An evidence based approach. London: Churchill Livingstone. Nursing and Midwifery Council (2002) Code of Professional Conduct: London Onyett, S. (2003) Teamworking in Mental Health. Bristol: Palgrave Macmillan. Perkins, R. Repper, J. (1998) Dilemmas in Community Mental Health. Oxon: Radcliff Medical Press Ltd.
Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
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.
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.
Mental health nurses are exposed, due a lack of community support, low staffing levels, stigma and client pressures including the risk of violence, The increasing number of mental health patient compare to the decreasing number of beds and capable staff, means that mental health nurses are spending less time per patient and potentially providing a minimum quality of care level , Moreover, mental health nurses are dealing with caring for patients in inappropriate settings, with a reduced level of ,all factors leading to an increase in stress and burnout (Barling, 2001, p. 252; MHCA, 2005, p. 3)
An important change that needs to happen within mental health services is for service users to be involved in all aspects of their care. This is called a working partnership where information is shared, choices are given and decisions are made together. The Department of Health (1999) states that service users should be involved in the planning and delivery of the care they receive. Drawing from course materials and external research this essay will discuss why developing this working relationship is important. It will look at past and current service provision, discuss what happens in practice, consider what change needs to take place for a working partnership to be achieved and how this relationship can benefit both service user and practitioner. The essay will also discuss whether there might be resistance to the idea of this working partnership and how these barriers might be addressed so that this change can be implemented in practice.
Through collaborative, multidisciplinary teamwork a significant contributed to John being able to recover quicker, keep his independence and maintain a high quality of life. There was constant communication between John and the MDT ensuring patient centred care which empowered John to take control of his long term treatment plan.
Burns, N. & Groves, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and
Many graduate nurses will seek jobs in traditional medical settings. Theses settings can include the emergency department, long-term care, outpatient clinics, medical-surgical inpatient floors and intensive care units. Graduate nurses must remember that they will at some point encounter a patient that is also diagnosed with a mental illness in any of these settings. It is imperative that the nurse feel competent in his or her ability to asses and treat these patients. The gradua...
MacNeela, P., Scott, A., Treacy, P., & Hyde, A. (2010). In the know: Cognitive and social factors in mental health nursing assessment. Journal of Clinical Nursing, 19, 1298–1306.
Walker, J. S., & Schutte, K. M. (2004). Practice and Process in Wraparound Teamwork. Journal of Emotional And Behavioral Disorders, 12(3), 182-192. doi:10.1177/10634266040120030501
In summary, all sectors of nursing are likely to come across a client who may have a range of psychotic or emotional difficulty. A person may come in with complaints with the principle reason concerning their mental health or with a physical complaint, having secondary complication to a mental health illness. The misconception is that the bulk of those who have mental health difficulty , even those showing the severest need, are not being treated in general practice with the intervention of specialized psychiatric services. This explains the importance of changes in approach to a more holistic intervention. _________ sums it up clearly , “Providing holistic nursing care requires that we understand that there can be no “health” without mental health”
I have thoroughly enjoyed nursing to this date, and I see nursing as more of a purpose than a career choice and feel privileged to have been able to succeed in it. However, various events and situations in my career and life have strongly persuaded me that I would be most useful to the community if I were to become a specialist in psychiatric mental health nursing. Before my current practice I would of never considered adopting mental health as a speciality although I enjoyed my psychiatric rotation during training. However, since working in my current practice I have seen that the mental health community is underserved and this is heartbreaking to me. Many patients who need assistant and care
Intro- Collaboration with the interdisciplinary team plays a big part in the care of a patient.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
Interdisciplinary team work is a complex process which involves various disciplines within the health care setting which work together to share expertise, knowledge and skills to impact patient care. However interdisciplinary team work is increasing as a result of an aging population and higher number of patients with more complex needs associated with chronic diseases; along with increasing complexity of skills and increasing specialization within health professions (Susan A. Nancarrow, 2013).