Collaboration
the development of partnership to achieve best possible outcomes that reflect the particular needs of the patient, family, or community,
... [Show More] requiring 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]