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definition of IPE ipe occurs when students (learners) from 2 or more professions learn about, from, and with each other to enable effective collaboration ... [Show More] and improve health outcomes difference b/t multidisciplinary & inter professional multidisciplinary- appropriate experts from different professions handle different aspects of a patient's care independently. the patients problems are subdivided & treated separately, w/ each provider responsible for his/her own area interprofessional- health care by different professions coordinate in a manner that addresses the needs of the patients. providers share mutual goals, resources, & responsibility for patient care uniprofessional practice 1 provider working independently to care for a patient. there is little awareness or acknowledgment of practice outside 1's own discipline. practitioners may consult w/ other providers but retain independence shared course a cross-listed or co-listed course attended by multiple disciplines shared placement multiple disciples co-located at a clinical or community placement site which may or may not include integrated learning opportunities parallel learning exists when there are similar educational activities but minimal cross-disciplinary student contacts uniprofessional education members or students of a single profession learning together interactively or in parallel multi-professional education members or students of 2 or more professions associated w/ health or social care, learning alongside 1 another; parallel learning, rather than interactive learning transdisciplinary approach requires each team member to become familiar enough w/ the concepts & approaches of his/her colleagues to "blur the lines" & enable the team to focus on the problem w/ collaborative analysis & decision making why does IPE matter? bc we must learn to practice teamwork & collaboration as a student, so it can become a part of our practice as a health professional health professional have embedded IPE in their standards health care reform is transitioning to interprofessional practice & outcome based models interprofessional collaborative practice competency domains from inter professional education collaborative expert panel -values/ ethics for inter professional practice -roles/ responsibilities - interprofessional communication -teams & teamwork professional socialization socialized to people who will be in your group peer professions are socialized as health care providers beginning w/ their admission process to their programs benefits & barriers of IPE students benefits: -introduces foundational behaviors & codes of ethics in the greater context of inter professional core competencies - deconstructs negative stereotypes & socialization of students to their future roles as health care professionals -recognizes common content knowledge & skills needed by all health care provides (ex. musculoskeletal & emergency medicine) barriers: - clinical experiences in uni-professional settings can affect students attitudes towards IPE - students' desire to identify w/ chosen profession can affect willingness to collaborate w/ students from other professions -students view extra coursework outside of professional curriculum as unnecessary benefits & barriers for faculty benefits -teaching collaboratively w/ other professionals allows for faculty development -faculty teaching from health professions overcome misconceptions about each profession -supports collaborative inter professional scholarship opportunities -provides financial benefits to faculty, such as overload pay or reassign time for IPE course involvement barriers: -lack of trust b/t faculty members are produced by misconceptions about roles b/t professions - values, cultures, & biases develop in uniprofessional program curricula - faculty members have no formal training in teamwork & IP teaching, facilitation, & practice benefits & barriers of SLU IPE program benefits - provides students exposure to health professionals w/ a unique practice setting -provides additional faculty resources for the IPE program -promotes greater understanding & respect b/t the health professions involved in the program -provides programs w/ a means to meet shared external accreditation standards barriers: - lack of connection b/t IPE & clinical practice -lack of support for IPE program from administration -lack of time available for IPE courses in crowded curricular tracks -lack of competency-based assessments in IPE program domains of SLU IPE 1. inter professional practice 2. patient centered care 3. wellness 4. patient safety & quality care 5. social justice premises for IPE at SLU (7), IPE learning... 1. augments specific knowledge & skills required for each health profession 2. is based on university mission, professional curricula goals, & identified needs of improvement of health outcomes 3. experiences are integrated throughout the educational program 4. focuses on patient/ client- centered care 5. is case-based 6. is interactive 7.includes reflection organizations that support & disseminate IPE research 1. Canadian inter professional health collaborative 2. american inter professional health collaborative 3. biennial international conference for IPE/IPP 4. national center for inter professional practice & education 5. centre for the advancement of inter professional education IPCP definition & benefits -interprofessional collaborative practice when multiple health workers from different professional backgrounds work together with patients, families, caregivers, & communities to deliver the highest quality of care (World health organization) benefits: collaborative practice (IPCP) helps strengthen the health care system & improves outcomes (WHO) -improved population health & patient care - improved access to health care -improved recruitment & retention of health care providers -improved patient safety & communication among health care providers -improved use of resources -improved satisfaction among patients & health care providers [Show Less]
A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does thi... [Show More] s assignment demonstrate? a. Interprofessional collaboration b. Shared governance collaboration c. Interorganizational collaboration d. Mentoring collaboration ANS: D Mentoring is a collaborative partnership between a novice nurse and an expert nurse to help transition a nurse through career development, personal growth, and socialization into the profession. Interprofessional collaboration is working with several disciplines. Shared governance is a type of management for nursing. Interorganizational collaboration often includes teams from inside and outside an organization to meet a common goal. The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members? a. The occurrence of a patient event resulting in death or serious injury b. Decreased ability to document expenses of care provided c. Longer time to begin surgical cases d. Increased time to discharge patients to outpatient care ANS: A The Joint Commission has identified that poor communication is the primary factor in the occurrence of sentinel events, or events resulting in unintended death or serious injury to patients. Lack of documentation, longer time to begin surgery, and increased delays in discharge all contribute to the management of health care, but do not result in critical patient outcomes. Which patient scenario describes the best example of professional collaboration? a. The nurse, physician, and physical therapist have all visited separately with the patient. b. The nurse, physical therapist, and physician have all developed separate care plans for the patient. c. The nurse mentions to the physical therapist that the patient may benefit from a muscle strengthening evaluation. d. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy. ANS: D Professional collaboration includes team management and referral to needed providers to meet patient needs. Each discipline retains responsibility for their own scope of practice but recognizes the expertise of other providers. Working separately does not develop a comprehensive plan of care. Casual mentioning of patient needs does not follow professional communication channels and frequently delays needed interventions. Which statement correctly describes the nurses' role in collaboration? a. State boards of nursing mandate that collaboration can only occur in hospitals. b. Collaboration should occur only with physicians. c. Collaboration occurs only between nurses with the same level of education. d. Collaboration may occur in health-related research. ANS: D Nurses collaborate with many different persons, including patients, managers, educators, and researchers. Collaboration does not occur only with physicians or nurses of equivalent educational background, but with anyone who is working towards meeting patient goals. Collaboration occurs in any health care setting as well as community and home settings. A nurse manager has recently overheard several negative comments made by nurses on the unit about other nurses on the unit. The manager recognizes that the nurses are exhibiting what type of behavior that is detrimental to collaboration? a. Vertical violence b. Lateral violence c. Descending violence d. Personal violence ANS: B Lateral violence undermines collaboration and occurs nurse-to-nurse. Vertical or descending violence implies one participant has a higher status than another. Personal violence falls in a legal category, and while it will hinder collaboration, it is not specific to coworkers. The nurse and physician are explaining the home care that will be needed by a patient after discharge. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse? a. "Let me review what is needed again." b. "It is important that you do what the physician has prescribed." c. "What concerns do you have about the prescribed care?" d. "I can come back after you talk with your spouse about the care." ANS: C The patient needs to be the focus of developing care plans, and communication is an important part of collaboration with the patient to discover barriers for the patient to follow recommendations. It is important to either provide solutions to the barriers or present other options. Reviewing the care again does not demonstrate willingness to have the patient be part of the team. Insisting that the patient do what is prescribed is autocratic and does not recognize the role the patient has in their care. Leaving the patient and spouse with the situation unresolved fosters distrust and more anger. The nurse is caring for a patient with a progressive, degenerative muscle illness. The patient states that she would like to remain in her home with her daughter as long as possible. What action should the nurse take? a. Teach the patient muscle strengthening and stretching exercises. b. Tell the patient to make plans to move to an assisted-living facility. c. Discuss resources to help the patient and make appropriate referrals. d. Ask the patient to come in for daily physical therapy. ANS: C To honor the patient's request to stay at home the nurse should make appropriate referrals for needed evaluation and assistance. Most nurses will not have the expertise to teach appropriate exercises for degenerative illness. Asking the patient to move to an assisted-living facility does not account for the patient's request. The patient has not been assessed for the need of daily therapy, and it is not likely that a patient with a degenerative illness will be able to make daily appointments for treatment as the illness progresses. A patient has been admitted to an acute care hospital unit. The nurse explains the hospital philosophy that the patient be an active part of planning their care. The patient verbalizes understanding of this request when they make which statement? a. "I will have to do whatever the physician says I need to do." b. "Once a plan is developed, it cannot be changed." c. "My insurance will not pay if I don't do what you want me to do." d. "We can work together to adjust my plan as we need to." ANS: D Treatment plans need to be developed, evaluated, and adapted as needed based on the patient status and willingness to complete the prescribed care. Stating that the patient has to do whatever the care provider prescribes does not include the principle of collaboration. Care plans can be altered based on patient status. Insurance providers do not determine a patient's ability to complete prescribed care, although they do reimburse for standard care given. The management of a community hospital is trying to encourage a more collaborative environment among staff members. Which concept is most important for management to develop first? a. Post educational posters about how well collaboration is being performed b. Highlight that no single profession can meet the needs of all patients c. Provide meetings for each department on how their role affects patients d. Begin implementing evaluations of collaborative skills on annual performance reviews ANS: B Recognizing that collaboration needs all professions to provide patient-centered care is an important first step to implementing a different philosophy in the hospital. Posting an evaluation of performance before education will not encourage participation. Collaboration requires an understanding of more than your own discipline. It is unfair to evaluate staff on a requirement that they have not been introduced to. Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.) a. Prescribing a new medication dose b. Health promotion activities c. End-of-life comfort decisions d. Interpreting laboratory results e. Lifestyle changes to improve health ANS: B, C, E Nurses should include patients and their families when exploring health promotion activities, end-of-life decisions, lifestyle changes, and treatment options. Prescribed medication doses are initiated by educated professionals, although the patient gives feedback on the effectiveness of medications. Patients are not trained to interpret lab results, but patients rely on health professionals to explain results to them. A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from: a. Group decision-making options. b. Perceptions of incompatibility. c. Increases in group cohesiveness. d. Debates, negotiations, and compromises. ANS: B Conflict involves disagreement in values or beliefs within oneself or between people that causes harm or has the potential to cause harm. Folger, Poole, and Stutman (2012) add that conflict results from the interaction of interdependent people who perceive incompatibility and the potential for interference. Two staff nurses are arguing about whose turn it is to work on the upcoming holiday. In trying to resolve this conflict, the nurse manager understands that interpersonal conflict arises when: a. Risk taking seems to be unavoidable. b. People see events differently. c. Personal and professional priorities do not match. d. The ways in which people should act do not match the ways in which they do act. ANS: B By definition, conflict involves a difference in perception between two or more individuals The nurse manager is aware that conflict is occurring on her unit; however, she is focused on preparing for a state health department visit, so she ignores the problem. A factor that can increase stress and escalate conflict is: a. The use of avoidance. b. An enhanced nursing workforce. c. Accepting that some conflict is normal. d. Managing the effects of fatigue and error ANS: A Avoidance as a conflict-management style prolongs conflict and has a tendency to escalate conflict The nurse manager decides to use a mediator to help resolve the staff's conflict. A basic strategy for truly addressing this conflict is to: a. Identify the conflicting facts. b. Be determined to resolve the conflict. c. Schedule a meeting time for resolution. d. Have a clear understanding of the differences between the parties in conflict ANS: D It is important for each person in the conflict to clarify the conflict as "I see it" and how "it makes me respond" before all the persons involved in the conflict can define the conflict, develop a shared conceptualization, and resolve their differences Sarah, a staff nurse on your unit, witnesses another nurse striking a patient. Sarah wants to remain friends with her colleague and worries that confrontation with her colleague or reporting her colleague will destroy their relationship. Sarah is experiencing which type of conflict? a. Intrapersonal b. Interpersonal c. Organizational d. Professional ANS: A Intrapersonal conflict occurs within a person when confronted with the need to think or act in a way that seems at odds with that person's sense of self. Questions often arise that create a conflict over priorities, ethical standards, and values. Some issues present a conflict over comfortably maintaining the status quo and taking risks to confront people when needed, which can lead to interpersonal conflict. The chief nursing officer plans a series of staff development workshops for the nurse managers to help them deal with conflicts. The first workshop introduces the four stages of conflict, which are: a. Frustration, competition, negotiation, and action. b. Frustration, conceptualization, action, and outcomes. c. Frustration, cooperation, collaboration, and action outcomes. d. Frustration, conceptualization, negotiation, and action outcomes. ANS: B Thomas (1992) determined that conflict proceeds through these four stages in this particular order. After using a mediator to resolve a conflict between the nurse manager and two staff nurses, the chief nursing officer decides to: a. Observe to make sure the conflict has been resolved. b. Fire both staff nurses. c. Reassign both staff nurses. d. Reassign the nurse manager ANS: A The nurse leader should follow up to determine if the conflict has been resolved because, in professional practice environments, unresolved conflict among nurses is a significant issue that results in job dissatisfaction, absenteeism, and turnover, as well as in decreased patient satisfaction and poorer quality in patient care. A nursing instructor is teaching a class on conflict and conflict resolution. She relates to the class that conflict in an organization is important, and that an optimal level of conflict will generate: a. Creativity, a problem-solving atmosphere, a weak team spirit, and motivation of its workers. b. Creativity, a staid atmosphere, a weak team spirit, and motivation of its workers. c. Creativity, a problem-solving atmosphere, a strong team spirit, and motivation for its workers. d. A bureaucratic atmosphere, a strong team spirit, and motivation for its workers. ANS: C Differences in ideas, perceptions, and approaches, when managed well, can lead to creative solutions and deepened human relationships. Work on conflict suggests that complete resolution of conflict is counterproductive to the achievement of organizational goals, organizational change, and cohesiveness of employees. [Show Less]
Which reason describes why a team member may not report incivility in the workplace? Passive personality Lack of resources An aggressive personality Fe... [Show More] ar of retribution Fear of retribution Which statement describes horizontal violence? Horizontal violence is long-term behavior that lasts a minimum of 6 months. Horizontal violence is an attack made when a person is in the horizontal recumbent position. Horizontal violence refers to aggressive acts committed against a nurse by one or more nursing colleagues. Horizontal violence is chronic violence perpetrated by a workplace bully. Horizontal violence refers to aggressive acts committed against a nurse by one or more nursing colleagues. Which activity should the nurse understand is a key competency to effective nursing care? Medication administration Knowledge of hospital rules and regulations Communication Being able to interact with healthcare providers Communication Which factors should the nurse consider a major source of conflict in the healthcare setting? Role boundary issues and accountability Accountability and miscommunication Accountability and cultural issues Miscommunication and role boundary issues Role boundary issues and accountability (these are the 2 primary) Two coworkers feel esteem for one another. The nurse should recognize that the coworkers are demonstrating which behavior? Trust Collaboration Nonverbal communication Mutual respect Mutual respect Which recommendation should the nurse expect a nutritionist to make? Vitamin and mineral supplements A healthy diet for a pregnant woman Herbal supplements Special diets for hospitalized patients A healthy diet for a pregnant woman Which description should the nurse use to describe team-centered communication? Provides the team with status reports in order to direct patient care outcomes Focuses on individual responsibilities Supports cultural bias between members Focuses on what "we" can do to work with the patient toward successful outcomes Focuses on what "we" can do to work with the patient toward successful outcomes Workplace ____________is long-term behavior that lasts a minimum of 6 months and plays out in a series of verbal attacks, refusal to help or assist others, speaking negatively, or taunting. bullying A patient has been prescribed both physical and occupational therapy. The patient asks the nurse,"Why do I need two types of therapy?" Which response by the nurse explains how a physical therapist may complement the activity of the occupational therapist? "Physical therapy addresses your independence and activities of daily living, while occupational therapy aims to treat the injury." "Occupational therapy focuses on independence and activities of daily living, while physical therapy treats the injury." "Your healthcare provider must have made a mistake. You do not need two therapies." "Occupational therapy will help you get back to work faster, while physical therapy focuses on helping you to walk again." "Occupational therapy focuses on independence and activities of daily living, while physical therapy treats the injury." Which outcome should the nurse understand is an adverse organizational outcome that may occur because of negativity or incivility? Increased reports of incivility Decreased absenteeism Staff turnover Decreased patient errors Staff turnover A patient requires skilled nursing care after discharge from an acute care hospital. Which member of the collaborative healthcare team should the nurse anticipate will coordinate the discharge? Nurse Discharge planner Social worker Case manager Case manager Which situation should the recognize as an indication of interpersonal conflict on the hospital unit? -A registered nurse and an unlicensed assistive personnel (UAP) arguing over who should ambulate patients -An unlicensed assistive personnel (UAP) turning down a job at the nursing home for more money -The nurse complaining to the nurse manager about healthcare provider orders -The registered nurses on the unit complaining to management about their wages A registered nurse and an unlicensed assistive personnel (UAP) arguing over who should ambulate patients A coworker yells obscenities at a nurse colleague when unhappy. The nurse colleague asks the coworker to stop the behavior, but it continues. Which action should the nurse colleague take to remedy the situation? Wait to see if the coworker stops the behavior. Ask a colleague to intervene. Do nothing. Report the behavior to the immediate supervisor. report behavior A patient is given information about the same medication from different members of the healthcare team. Which term should the nurse use to describe this collaboration? Parallel communication Information exchange Parallel functioning Coordination and consultation Parallel communication Which technique should the nurse use to prevent and resolve conflicts? Communication Which term should the nurse use that describes being self-aware of one's triggers to stress that may result in conflict? Mindsight Conflict competence Incivility Collaboration Mindsight The nurse should understand that which outcome is the major advantage of interprofessional collaboration? Meeting new colleagues Presenting a united front to the patient Working in partnership with other team members Improving patient outcomes improving pt outcomes [Show Less]
What is professional collaboration? a process whereby healthcare professionals work together to improve patient care In collaboration, as a standar... [Show More] d of professional performance, it requires the nurse to partner with all stakeholders including: the healthcare consumer and other professionals to advocate for positive patient outcomes and high quality care What is the ANA Scope & Standards #10 Collaboration? "The RN collaborates with the healthcare consumer and other key stakeholders in the conduct of nursing care" What are the ANA Scope & Standards #10 Collaboration competencies? 1. Identifies areas of expertise and contribution of other professionals and key stakeholders 2. Clearly articulates the nurse's role and responsibilities within the team 3. Uses effective group dynamics and strategies to enhance team performance Code of Ethics: Provision 8 the nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities What are the components of the Code of Ethics: Provision 8? 8.1 health is a universal right 8.2 collaboration for health, human rights, and health diplomacy 8.3 obligation to advance health and human rights and reduce disparities 8.4 collaboration for human rights in complex, extreme, or extraordinary practice settings What is collegiality? sharing authority and responsibility to reach a prescribed goal or outcome What are the components that go into collegiality? knowledge skills giving feedback improvement enhancing practice What is a key prerequisite to collaboration, collegiality, and coordination of care? effective communication Communication can be verbal, such as: 1. through one's word 2. how these words are expressed 3. the tone used in expressing these words 4. their pace, clarity, timing, and relevance Components of nonverbal communication: 1. body language 2. facial expressions 3. use of touch, space, and/or sound ANA Scope & Standards: #9 Communication "the RN communicates effectively in all areas of practice" What are the competencies of ANA Scope & Standards: #9 Communication? 1. assess one's own communication skills and effectiveness 2. demonstrates cultural empathy when communicating 3. uses communication styles and methods that demonstrate caring, respect, deep listening, authenticity, and trust 4. exposes care processes and decisions when they do not appear to be in the best interest of the healthcare consumer 5. disclose concerns related to potential or actual hazards and errors in care or the practice environment to the appropriate level 6. demonstrates continuous improvement of communication skills In 1922, how did the ANA define collaboration? working relationship with another health care provider in the provision of patient care - requires the discussion of patient diagnosis, and cooperation in the management and delivery of care -each collaborator is available to the other for consultation either in person or by comm. device -the patient designated healthcare provider is responsible for the overall direction and management of patient care In 1998 the ANA released and executive summary related to collaboration as ___________ part of nursing. intrinsic What are the 3 intrinsic theories of nursing? 1. "Collaborative process: nurses and physicians working together and independently assessing, diagnosing, and caring for consumers." 2. "Provide effective and comprehensive care: nurses, physician, and other healthcare professionals must collaborate with each other." 3. "Each profession exhibits different areas of professional competence that, when combined together, provide a continuum of care that the consumer has come the expect." What are the principles of patient centered care? 1. respect for patients' values, preferences, and expressed needs 2. coordination and integration of care 3. information, communication, and education 4. physical comfort 5. emotional support (alleviation of fear and anxiety) 6. involvement of family and friends 7. transition and continuity 8. access to care What is interprofessional collaborative practice? when multiple health workers from different professionals backgrounds work together to deliver the highest quality of care What are the core competencies of interprofessional collaborative practice? patients families carers communities A professional organization expert panel includes what? nursing medicine pharmacy osteopathic medicine dentistry public health IPECEP Interprofessional Education Collaborative Expert Panel IPEC Interprofessional Education Collaborative CIHC Canadian Interprofessional Health Collaborative CAIPE Center for the Advancement of Interprofessional Education What are the values and ethics of the IPEC? "work with individuals of other professions to maintain a climate of mutual respect and shared values" What are the roles/responsibilities of the IPEC? "use the knowledge of one's own role and those of the other professions to appropriately assess and address the healthcare needs of the patients and populations served" What is the interprofessional communication of the IPEC? "communicate with patients, families, communities, and other health professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and the treatment of disease" What is the team and teamwork aspect of the IPEC? "apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient/population-centered care that is safe, timely, efficient, effective, and equitable" What is Inter-professional education? refers to occasions when students from two or more professions in health and social care learn together during all or part of their professional training with the object of cultivating collaborative practice for providing client or patient centered health care What are the aims of interprofessional education? 1. improve the patient experience 2. improve the health of populations 3. reduce the cost of care In Collaborative Practice Models, the PCPCC medical home model includes what concepts? 1. patient centered 2. comprehensive 3. coordinated 4. accessible 5. committed to quality and safety Teams that work together provide what? greater diversity and a broad range of expertise Research has shown that collaborative teams do what? save money improve efficiency prevent error Components of evidence-based teamwork skills: 1. team leadership 2. situation monitoring 3. mutual support 4. communication 5. teamwork improvement [Show Less]
Collaboration the development of partnership to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, req... [Show More] uiring an understanding of what others have to offer. What are the 4 overarching categories of collaboration? Nurse-Patient, Nurse-Nurse, Interprofessional, Interorganizational Nurse-Patient Collaboration Nurses collaborate with patient as fully functional members of the health care team in making health care decisions. Ex. Nurses collaborate with patients regarding health promotion and disease prevention behaviors, treatment strategies and options, lifestyle changes, and end-of-life decision making. Nurse-Nurse Collaboration Nurses develop nursing teams on hospital units, in clinics, and in community settings that provide collaboration and support in patient caregiving. 1)Mentoring - enables a smooth transition from novice nurse to a knowledge practitioner who is self-reflective and self-confident and who is able to negotiate both professional and patient relationship. 2)Shared Governance - the goal is to transition from a traditional hierarchical management style to one in which nursing staff are more involved in decision-making processes and managers are facilitative rather than controlling. Interprofessional Collaboration The goal of interprofessional collaboration is the formation of a partnership between a team of health providers and a patient in a participatory, collaborative, and coordinated approach to share in decision making of health and social issues. Interorganizational Collaboration often takes place in the form of coalitions or consortiums. Ex. nurses have been involved in coalitions addressing heath care disparities, diabetes prevention, teen pregnancy, immunization rates, and health care for the homeless. What are the 4 attributes or competencies necessary for effective interprofessional collaboration? 1) values/ethics 2)roles/responsibilities 3)communication 4)teamwork/team-based practice Values/Ethics These values and ethics are imbedded in patient-centeredness and strive for safer, more efficient, and more effective systems of care. What are 4 competencies identified for collaborative values/ethics? 1)embrace the cultural diversity and individual differences that characterize patients, populations, and the health care teams. 2)Respect the unique cultures, values, roles/responsibilities, and expertise of other health professions. 3)Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of disease prevention and health services. 4)demonstrate high standards of ethical conduct and quality of care in one's contributions to team-based care. Communication Is a core aspect of collaborative practice. A common language for team communication that avoids professional jargon is considered a key to safe and effective communication. What are 3 competencies of collaborative communication? 1)organize and communicate information with patient, families, and health care team members in a form that is understandable, avoiding discipline-specific terminology when possible. 2)listen actively, and encourage ideas and opinions of other team members. 3)recognize how one's own uniqueness, including experience level, expertise, culture, power, and hierarchy within the health care team, contributes to effective communication, conflict resolution, and positive interprofessional working relationships. Team & Teamwork Learning to be a good team player is an important component of collaboration. Teamwork behaviors involve collaboration in the patient-centered delivery of care and also in coordinating are with other health professionals so that gaps, redundancies, and errors are avoided. Teamwork also involves shared accountability, shared problem solving and shared decision making. What are the 3 competencies of collaborative teamwork? 1)describe the process of team development and the roles and practices of effective teams. 2)engage other health professionals - appropriate to the specific care situation - in shared patient-centered problem solving. 3)apply leadership practices that support collaborative practice an team effectiveness. Define Kim's Theory of Collaboration. A process in which two or more individuals work together for the attainment of a goal - a process by which a joint influence on an action is produced. Interprofessional Education Collaborative Model The model was derived from social theories of learning and complexity theory. The attributes of communication. roles, and responsibilities, values/ethics, and teamwork and team-based practice are equally distributed in a fluid circle surrounded by patient and family-centered care. A final outer layer including the importance of community-and-population-oriented care is included. Exemplar: Patient Care Handoff Collaborative handoffs can occur between nurses during shift change, between nurses when transferring patients to different units or facilities, between nurses and providers when receiving orders on patients, or between nurses and other health care workers when communicating critical information about patients. Exemplar: Interprofessional Education Students collaborate with each other on a variety of interprofessional projects, including quality and safety initiatives, community health projects, including quality and safety initiatives, community health projects, disaster preparedness, collaborative care in clinical settings, and many other inteprofessional opportunities. Exemplar: Community Partnership Health care professionals from many disciplines come together to work on a common initiative important to their community, such as a collaborative initiative on child abuse and neglect. Exemplar: Patient Rounding The process of purposeful rounds to see each patient in each room or area on a regular basis. It allows interprofessional teams to monitor progress and clearly communicate goals and a plan for each patient. Exemplar: Speciality Care Team An interprofessional team of health care professionals who work together around a specific type of patient type of patient or population needs. They contribute to the team by sharing their area of expertise, thus providing the best collective thinking for patient care. [Show Less]
Use the knowledge of one's own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and... [Show More] advance the health of populations. Roles and Responsiblities Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan, deliver, and evaluate patient/population centered care and population health programs and policies that are safe, timely, efficient, effective, and equitable. Teams and Teamwork Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease. Interprofessional Communication Work with individuals of other professions to maintain a climate of mutual respect and shared values. Values and Ethics Engage health and other professionals in shared patient-centered and populationfocused problem-solving. Teams and Teamwork Engage self and others to constructively manage disagreements about values, roles, goals, and actions that arise among health and other professionals and with patients, families, and community members. Interprofessional Communication Engage diverse professionals who complement one's own professional expertise, as well as associated resources, to develop strategies to meet specific health and healthcare needs of patients and populations. Roles and Responsiblities Engage in continuous professional and interprofessional development to enhance team performance and collaboration. Roles and Responsiblities Communicate one's roles and responsibilities clearly to patients, families, community members, and other professionals. Roles and Responsiblities Communicate with team members to clarify each member's responsibility in executing components of a treatment plan or public health intervention. Roles and Responsiblities Communicate information with patients, families, community members, and health team members in a form that is understandable, avoiding discipline-specific terminology when possible. Interprofessional Communication Communicate the importance of teamwork in patient-centered care and population health programs and policies. Interprofessional Communication Recognize how one's uniqueness (experience level, expertise, culture, power, and hierarchy within the health team) contributes to effective communication, conflict resolution, and positive interprofessional working relationships Interprofessional Communication Recognize one's limitations in skills, knowledge, and abilities. Roles and Responsiblities Recognize one's limitations in skills, knowledge, and abilities. Roles and Responsiblities Use available evidence to inform effective teamwork and team-based practices. Teams and Teamwork Use process improvement to increase effectiveness of interprofessional teamwork and team-based services, programs, and policies. Teams and Teamwork Use respectful language appropriate for a given difficult situation, crucial conversation, or conflict. Interprofessional Communication Use unique and complementary abilities of all members of the team to optimize health and patient care. Roles and Responsiblities Use the full scope of knowledge, skills, and abilities of professionals from health and other fields to provide care that is safe, timely, efficient, effective, and equitable. Roles and Responsiblities Place interests of patients and populations at center of interprofessional health care delivery and population health programs and policies, with the goal of promoting health and health equity across the life span. Values and Ethics Describe the process of team development and the roles and practices of effective teams. Teams and Teamwork Describe how professionals in health and other fields can collaborate and integrate clinical care and public health interventions to optimize population health. Roles and Responsiblities Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services and programs. Values and Ethics Give timely, sensitive, instructive feedback to others about their performance on the team, responding respectfully as a team member to feedback from others. Interprofessional Communication Maintain competence in one's own profession appropriate to scope of practice. Values and Ethics Forge interdependent relationships with other professions within and outside of the health system to improve care and advance learning. Roles and Responsiblities Develop consensus on the ethical principles to guide all aspects of team work. Teams and Teamwork Develop a trusting relationship with patients, families, and other team members. Values and Ethics Explain the roles and responsibilities of other providers and how the team works together to provide care, promote health, and prevent disease. Roles and Responsiblities Respect the dignity and privacy of patients while maintaining confidentiality in the delivery of team-based care. Values and Ethics Embrace the cultural diversity and individual differences that characterize patients, populations, and the health team. Values and Ethics Respect the unique cultures, values, roles/responsibilities, and expertise of other health professions and the impact these factors can have on health outcomes. Values and Ethics [Show Less]
____________ is designed to promote the active participation of each discipline in patient care. It enhances patient and family-centred goals and values, p... [Show More] rovides mechanisms for continuous communication among caregivers, optimizes staff participation for clinical decision-making within and across disciplines and fosters respect for disciplinary contributions of all professionals. - When two or more professions purposely interact in order to learn with, from and about each other... to improve effectiveness and the quality of care Interprofessional practice ____________ occurs 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. Practice includes both clinical and non-clinical health-related work, such as diagnosis, treatment, surveillance, health communications, management and sanitation engineering - interlinked to the concept of teamwork Collaborative practice 01:00 01:20 ____________________ is designed to promote the active participation of each discipline in patient care. It enhances patient and family centred goals and values, provides mechanisms for continuous communication among caregivers, optimizes staff participation in clinical decision-making within and across disciplines and fosters respect for disciplinary contributions of all professionals - A practice orientation designed to promote the active participation of each discipline in patient care. It involves the continuous interaction of two or more professions or disciplines, organized into a common effort, to solve or explore common issues with the best possible participation of the patient Interprofessional Collaborative Patient-Centred Practice _________ is guided by shared values, a common purpose or care outcome, mutual respect, and effective communications optimizes participation in clinical decision-making within and across professions. It evolves over time, requiring the flexibility to add or subtract health team members based on the needs of the individual clients. It must be supported through policy, protocols, and procedures at all levels of decision-making, including government, professional associations, regulatory bodies and healthcare organizations Interprofessional collaborative practice ________ is is a broader concept than interprofessional care. ...It is about teamwork among health professionals from different disciplines to provide comprehensive, quality care to patients, whether in institutions or in the community. Interprofessional collaboration refers to cooperation, not only among practitioners, but also among the health profession colleges of which they are members - 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 Interprofessional collaboration The 5 common characteristics of the definitions above are ___________-- - Collaboration - Teamwork - Communication - Decision-making - Person-centered care ____________ is two or more persons coming together around a common goal or objective. Collaboration - a process - requires relationships and interactions - required even if you don't perceive yourself to be part of a team Collaboration is ______, _____, and ____ Complex, voluntary, and dynamic The underlying concepts of collaboration are __________ - sharing, - partnership, - power, - interdependency, - process _______ is the interaction of two or more health professionals who work interdependently to provide care for patients Teamwork -A process -Goal-oriented - Relationally-based Teanwork requires ________ - cooperation - collaboration -Information sharing -Understanding of team functioning ___________ is the process of acting on information •Involves content and relational aspects Communication Requires: - -Transmission of concise, timely, important information -Promotion of relationships among and between each other 00:07 01:20 Communication styles include _________ -How individuals use verbal and non-verbal communication to signal to others how they should interpret messages. -Influenced by the professionalization processes, leading to diverse and sometimes opposing orientations to communication -This may become a barrier to collaboration. _________ is •Selecting an alternative from an existing set of options •Often no externally correct choice exists •Related to problem-solving •Occurs at both the individual and collective level •Complex and problematic d/t the uncertainty of information to process Decision-making •Patient involvement in decision-making is called ___________ and has been linked with quality of care outcomes. "shared decision-making" ___________ is central to IPP (interprofessional practice) Person-centered care - patient is at the centre of care Patients are not ___________, instead supported to be fully involved in his or her own care to the extent that he or she chooses. being acted upon The features of person-centered care are ___________ -Respecting clients' autonomy -Listening to the needs of patients and their families -Engaging with them as members of the healthcare team (involving them in decision-making) •Interdisciplinary team practice approach date back ______ >100 yrs Highlights of the historical evolution of team practice are ______, ____, and _____ - medical teams in WW2 - 1960s us-led focused on development of CHC's for poor and underserved - -UK-led focus on Interprofessional units (early start with geriatric units) •Turning point was when the __________ followed by decade of funding IOM conference (Institute of Medicine) - lead to healthcare revolution in the 70s, 80s, and 90s The Canadian HC system values health as _______ and ______ - Health care as a right - health care as a tie that binds The 5 principles of Medicare entrenched in the Canada Health Act are ____________ Public administration Accessibilty Comprehensiveness Universality Portability _________ is all medically necessary services are ensured Comprehensiveness _________ is administered on a non-profit basis Public administration _______ is coverage for all insured persons when they move to another province or territory within Canada and when they travel abroad Portability ________ is reasonable access to medically necessary services without financial or other barriers for all insured individuals Accessibility _______ is uniform coverage for all Universality The Romanow report (2002) recommended __________ interprofessional education (which supports interprofessional practice) •Health Council of Canada report: Health Care Renewal in Canada: Accelerating Change (2005) recommended __________ -accelerate the movement to new delivery models -remove the regulatory barriers between the various health professions -change education and training models to reflect the vision of multidisciplinary teams National Policy Summit Report: Modernizing the Management of Health Human Resources in Canada (2005) recommended ________ -Expand opportunities for IPE -Resolve concerns about liability in collaborative practice Positive patient outcomes of IPP are ______ - increased patient satisfaction - increase access to service - enhanced self-care and knowledge from providers - Better health otucomes - decreased emergency room and hospital visits •Improved provider attitudes toward interprofessional collaboration and more positive perceptions and attitudes toward the value of teams •Healthcare providers working in interprofessional collaborations are more satisfied and have a more positive experience than primary healthcare providers working in uni-professional models •Enhanced provider knowledge and skills •Significant improvement in providers' awareness and understanding of roles and scopes of practice Why IPP (3 broad reasons)? __________ •increased healthcare system efficiency •improved access to healthcare services •Enhanced coordination of healthcare services [Show Less]
What 8 schools do we have at UNTHSC? 1. Social Worker 2. Psychology 3. PT 4.PA 5. Public Health 6. Pharmacy 7. Nursing (TCU) 8. Medicine At ... [Show More] the first IOM Conference "Interrelationships of Educational Programs for Health Professionals" and its related report "Educating for the Health Team" (IOM 1972) What were key questions? Key questions at the forefront of national discussions about interprofessional education were discussed. *Collaborative Practice and Interprofessional Education are not new concepts World Health Organization Report "Framework for Action on Interprofessional Education and Collaborative Practice" (WHO 2010) Interprofessional collaboration in education and practice an innovative strategy that will play an important role in mitigating the global health crisis. IPE i s a necessary step in preparing a "collaborative practice-ready "health workforce that is better prepared to respond to local health needs. Interprofessional Education When two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. WHO 2011 defined Collaborative Practice as when multiple health workers from different professional backgrounds work together with patients, families, careers and communities to deliver the highest quality of care. It allows health workers to engage any individual whose skills can help achieve local health goals. A collaborative Practice-Ready Health Worker someone who has learned how to work in an interprofessional team and is competent to do so. Competencies • Movement toward incorporation of interprofessional collaborative practice competencies across health professions by Accreditation Agencies • COCA Proposed Addition Standard 6.4 (2013-2014) • Development of the IPEC Core Competencies for Interprofessional Practice Licensing & Accreditation Boards • Assessing Competencies • Maintenance of Certification • Maintenance of License A changing health care system • Improved Patient Outcomes • Reduced Adverse Outcomes • Increased Accountability The Effectiveness of Teams There is a growing body of evidence in support of the positive impact of highly effective integrated health care teams: • Improved Quality of Patient Centered Care • Reduction in Medical Errors & Improved Patient Safety AACN Nurising AACOM Osteopathic Medicine AACP Pharmacy ADEA Dentistry AAMC Allopathic Medicine ASPH Public Health 4 Core Competency Domains 1. Values/Ethics 2. Roles/Responsibilities 3. Interprofessional Communication 4. Teams and Teamwork IPEC IPE Competencies 1. Common Competencies 2. Individual Professional Competencies: Complementary 3. IP Collaborative Competencies UNTHSC'S IPE initiated in what year by what department? 2012; Department of Interprofessional Education Became and remain an institutional initiative in what year? 2013 MOU (memorandum of understanding) created b/t UNTHSC and TCU to begin to define how we could work together across schools/colleges and institutions 2013 TCU created it's IPREP Interprofessional Research, Education and Practice Advisory Committee in ____ including representation from UNTHSC 2013 UNT created UNTHSC IPE Advisory Board with dean or dean appointed rep. from all UNTHSC schools/colleges and ______ representative TCU 3 Strategic Focuses of IPE A3.1: Integrate IPE core competencies into curricula appropriate for the discipline and level of student A3.2: Create faculty development in IPE A3.2: Identify appropriate assessment tools for IPE competencies [Show Less]
What is IPP? Interprofessional practice - multiple different professions What is Collaborative practice? Working together What is Interprof... [Show More] essional collaborative patient-centred practice multiple different professions working together, always patient centred Interprofessional practice is designed to? Helps promote the active participation of each discipline in health care What does inter professional practice enhance? patient and family-centred goals and values, as well as staff participation What is a collaborative practice used for? process for communication and decision making that enables the knowledge and skills of care providers When does collaborative practice occur? when multiple health workers from different backgrounds work together with patients and their families to deliver a high quality of care What is Interprofessional Collaboration? partnership between a team of HCPs and a client What is Interprofessional Collaborative Patient-centred practice designed for? to promote the active participation of each discipline to solve a common issue What does Interprofessional Collaborative Patient-centred practice promote? active participation, continuous communication, staff participation and enhances patient and family centred goals interprofessional collaboration practice (ICP) is guided by? shared values, common purpose, mutual respect, and effective communication ICP evolves over time based on? client needs ICP must be supported through? policy, protocols, and procedures What are the 5 common characteristics in IPP? Collaboration Teamwork Communication Decision-making Person-centred care What is Collaboration? Two or more persons coming together around a common foal or objective Underlying concept of collaboration sharing, partnership, power, interdependency, process What does collaboration require? relationships and interactions, and is voluntary What is teamwork? interaction of two or more health professionals who work interdependently to provide care for patients Which of the 5 common characteristics is goal-oriented and relationally-based? teamwork Teamwork relies on? cooperation and collaboration Teamwork requires what? information sharing, understanding team functioning What is communication? process of acting on information what does communication involve? content and relational aspects which of the 5 common characteristics requires timely and important information as well as the promotion of relationships among and between each other? communication What is a communication style? how individuals use verbal-and non-verbal communication to interpret messages What can become a barrier to communication? communication style What is decision making? selecting an alternative from an existing set of options, related to problem solving Decision making occurs at what levels? individual and collective levels How do we move from decision making to share decision-making? patient involvement in decision making Patient centred care is? central to IPP, when the patient is at the centre of care Patient centred care features 3 things, they are? -respect the clients autonomy -listen to the needs of the patient and their family -engage with the patient as members of the team What are the values of the Canadian health care system? -health is a right -health care as a tie that binds What are the 5 principles of medicare as explained in the Canada Health Act? public administration comprehensiveness universality accessibility portability explain the 1st principle of medicare? public admin: administered on a non-profit basis 2nd principle of medicare? comprehensiveness: all medically necessary services are ensured 3rd principle of medicare? universality: uniform service coverage for all 4th principle of medicare? accessibility: reasonable access 5th principle of medicare? portability: coverage even if you move to another province or territory within Canada What are these a result of? 1. increased healthcare system efficiency 2. imported access to healthcare services 3. enhanced coordination of health care workers Positive system outcomes of IPP What is the centre of the organizing framework? Task, relationship, process Define task from the organizing framework role clarification, division or labour, assignment of responsibilities Define relationship from the organizing framework maintain key function, forms the foundation where process-driven tasks are completed Define process from the organizing framework actions occurring in the progression towards a goal, within a given period of time what are the contextual factors around the three important dimensions? 1. practice environment 2. individual factors 3. socio-political/environmental 4. organizational factors 5. unknown factors Why do the frameworks make sense? they are observation-driven and they have a bottom-up approach What does it mean to observation-driven? how nurses think and operate, recognize the inductive and deductive and develop an approach inductive? bottom up reasoning deductive? Top-down reasoning that works from the more general to the more specific. A framework is based on 4 key observations, how we develop the framework, what are they? 1. involves a number of complexes and interrelated processes 2. relationship-driven, depends on collaboration 3. practice task-oriented 4. many unique contextual factors can be involved What is the "how" of IPP? (how we get things done) Process dimension [Show Less]
collaboration the development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, re... [Show More] quiring an understanding of what others have to offer nurse-patient collaboration opportunity for this exists at each stage of the nursing process, nurses collaborate with patients as fully functioning members of the healthcare team in making decisions nursing process assessment, diagnosis, outcomes identification, planning, implementation, and evaluation nurse-nurse collaboration also known as intraprofessional collaboration, nurses develop nursing teams on hospital units, in clinics, and in community settings that provide collaboration and support in patient caregiving mentoring a special type of collaboration or creative partnership typically between a novice nurse and an expert nurse that has been recognized as beneficial to the development of professional nurses, described as purposeful activities that facilitate the career development, personal growth, caring, empowerment, and nurturance that are important to nursing practice and leadership shared goverance a type of collaboration found in nursing fosters a decentralized style of management that creates an environment of empowerment, goal is to transition from a traditional hierarchical management style to one where nursing staff are more involved in decision-making processes and managers are facilitative rather than controlling interprofessional collaboration working across professional boundaries, individual areas of expertise are represented along with divers perspectives influenced by professional orientation, experience, are, gender, education, and SES. goal is formation of partnership between a team of healthcare providers and patient in participatory, collaborative, and coordinated approach to share in decision making of health and social issues interorganizational collaboration pooling of resources and info between organizations can benefit patients and communities at a regional, national, or international level. takes place in the form or coalitions or consortiums four competencies necessary for effective interprofessional collaboration 1 values/ethics 2 roles/responsibilites 3 communication 4 teamwork/team-based practice values/ethics undergirded with mutual respect and trust, imbedded in patient-centeredness, and strive for safer, more efficient, and more effective systems of care, applying principles of altruism, excellence, caring, ethics, respect, communication, and accountability. important attributes: -embrace cultural diversity and individual differences of the healthcare team, patients and populations -respect unique cultures, values, blah blah -work in cooperation with those recieve/provide care -demonstrate high standards of ethical conduct roles/responsibilities articulating your own roles and responsibilites and understanding others is crucial, recognizing legal boundaries and limits of expertise. three components: -engage with professionals who complement ones own expertise -use full scope of knowledge, skills, and abilities of health professionals and healthcare workers -communicate with team members to clarify each members responsibility in executing components of a treatment plan communication three competencies -organize and communicate info with families, patients, and healthcare team members -listen actively and encourage ideas of others -recognize ones own uniqueness and how it contributes to communication within the healthcare team teams and teamwork collaboration in patient-centered deliveries of care, in coordinating care with other health professionals to avoid gaps, redundancies and errors three competencies: -describe process of team development and rolls and practices of effective teams -engage other health professionals in shared patient centered problem solving -apply leadership practices that support collab practice and team effectiveness Kim's theory of Collaborative Decision-Making in Nursing Practice offers solid framework for concept of collaboration stated that collaborative decision making could be assessed on a continuum in which the lowest level of collaboration is expressed as complete domination of decision making by the nurse and the highest level of collaboration is expressed as an equally influencing joint decision making [Show Less]
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